Owens & Minor (OMI) 10-K 25 Feb 16 2015 FY Annual report Financial data

Document and Entity Information

Document and Entity Information - USD ($)	12 Months Ended
	Dec. 31, 2015	Feb. 18, 2016	Jun. 30, 2015
Document And Entity Information [Abstract]
Entity Registrant Name	OWENS & MINOR INC/VA/
Entity Central Index Key	75,252
Current Fiscal Year End Date	--12-31
Entity Filer Category	Large Accelerated Filer
Document Type	10-K
Document Period End Date	Dec. 31, 2015
Document Fiscal Year Focus	2,015
Trading Symbol	OMI
Document Fiscal Period Focus (Q1,Q2,Q3,FY)	FY
Amendment Flag	false
Entity Common Stock, Shares Outstanding		62,687,167
Entity Well-known Seasoned Issuer	Yes
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Public Float			$ 2,142,613,972

Consolidated Statements of Inco

Consolidated Statements of Income - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Income Statement [Abstract]
Net revenue	$ 9,772,946	$ 9,440,182	$ 9,071,532
Cost of goods sold	8,558,373	8,270,216	7,954,457
Gross margin	1,214,573	1,169,966	1,117,075
Selling, general, and administrative expenses	933,596	926,977	863,656
Acquisition-related and exit and realignment charges	28,404	42,801	12,444
Depreciation and amortization	60,187	57,125	50,586
Other operating income, net	(7,973)	(16,473)	(7,694)
Operating earnings	200,359	159,536	198,083
Loss on early retirement of debt	0	14,890	0
Interest expense, net	27,149	18,163	13,098
Income before income taxes	173,210	126,483	184,985
Income tax provision	69,801	59,980	74,103
Net income	$ 103,409	$ 66,503	$ 110,882
Net income attributable to Owens & Minor, Inc. per common share:
Basic (in usd per share)	$ 1.65	$ 1.06	$ 1.76
Diluted (in usd per share)	1.65	1.06	1.76
Cash dividends per common share (in usd per share)	$ 1.01	$ 1	$ 0.96

Consolidated Statements of Comp

Consolidated Statements of Comprehensive Income - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Statement of Comprehensive Income [Abstract]
Net income	$ 103,409	$ 66,503	$ 110,882
Other comprehensive income (loss), net of tax:
Currency translation adjustments (net of income tax of $0 in 2015, $0 in 2014 and $111 in 2013)	(27,581)	(29,539)	6,143
Change in unrecognized net periodic pension costs (net of income tax of $90 in 2015, $2,361 in 2014 and $2,429 in 2013)	(159)	(3,844)	3,839
Other (net of income tax of $0 in 2015, $72 in 2014 and $32 in 2013)	(84)	(186)	(8)
Other comprehensive income (loss)	(27,824)	(33,569)	9,974
Comprehensive income	$ 75,585	$ 32,934	$ 120,856

Consolidated Statements of Com4

Consolidated Statements of Comprehensive Income (Parenthetical) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Statement of Comprehensive Income [Abstract]
Currency translation adjustment, income tax expense	$ 0	$ 0	$ 111
Change in unrecognized net periodic pension costs, income tax benefit	90	2,361	(2,429)
Other, income tax benefits	$ 0	$ 72	$ 32

Consolidated Balance Sheets

Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Current assets
Cash and cash equivalents	$ 161,020	$ 56,772
Accounts and notes receivable, net	587,935	626,192
Merchandise inventories	940,775	872,457
Other current assets	284,970	314,479
Total current assets	1,974,700	1,869,900
Property and equipment, net	208,930	232,979
Goodwill, net	419,619	423,276
Intangible assets, net	95,250	108,593
Other assets, net	79,341	100,658
Total assets	2,777,840	2,735,406
Current liabilities
Accounts payable	710,609	608,846
Accrued payroll and related liabilities	45,907	31,507
Other current liabilities	307,073	326,223
Total current liabilities	1,063,589	966,576
Long-term debt, excluding current portion	572,559	608,551
Deferred income taxes	86,326	101,880
Other liabilities	62,776	67,561
Total liabilities	$ 1,785,250	$ 1,744,568
Commitments and contingencies
Equity
Common stock, par value $2 per share; authorized—200,000 shares; issued and outstanding—62,803 shares and 63,070 shares	$ 125,606	$ 126,140
Paid-in capital	211,943	202,934
Retained earnings	706,866	685,765
Accumulated other comprehensive income (loss)	(51,825)	(24,001)
Total equity	992,590	990,838
Total liabilities and equity	$ 2,777,840	$ 2,735,406

Consolidated Balance Sheets (Pa

Consolidated Balance Sheets (Parenthetical) - $ / shares	Dec. 31, 2015	Dec. 31, 2014
Statement of Financial Position [Abstract]
Common stock, par value (in usd per share)	$ 2	$ 2
Common stock, authorized	200,000,000	200,000,000
Common stock, issued	62,803,000	63,070,000
Commons stock, outstanding	62,803,000	63,070,000

Consolidated Statements of Cash

Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Operating activities:
Net income	$ 103,409	$ 66,503	$ 110,882
Adjustments to reconcile net income to cash provided by (used for) operating activities :
Depreciation and amortization	65,982	63,407	50,586
Share-based compensation expense	11,306	8,207	6,381
Deferred income tax (benefit) expense	(6,101)	(3,385)	3,713
Provision for losses on accounts and notes receivable	(24)	448	787
Loss on early retirement of debt	0	14,890	0
Changes in operating assets and liabilities:
Accounts and notes receivable	18,333	(17,803)	(38,645)
Merchandise inventories	(69,727)	(57,329)	(7,064)
Accounts payable	114,011	(52,148)	47,374
Net change in other assets and liabilities	30,177	(25,828)	(32,337)
Other, net	2,231	(723)	(1,123)
Net Cash Provided by (Used in) Operating Activities	269,597	(3,761)	140,554
Investing activities:
Acquisitions, net of cash acquired	0	(248,536)	0
Additions to computer software and intangible assets	(16,085)	(22,384)	(32,010)
Additions to property and equipment	(20,531)	(48,424)	(28,119)
Proceeds from sale of property and equipment	143	156	3,051
Proceeds from investment sale	0	1,937	0
Cash used for investing activities	(36,473)	(317,251)	(57,078)
Financing activities:
Proceeds from issuance of debt	0	547,693	0
Proceeds from (repayment of) revolving credit facility	(33,700)	33,700	0
Repayment of debt	0	(217,352)	0
Cash dividends paid	(63,651)	(63,104)	(60,731)
Repurchases of common stock	(20,000)	(9,934)	(18,876)
Financing costs paid	0	(5,391)	0
Proceeds from exercise of stock options	0	1,180	5,352
Excess tax benefits related to share-based compensation	646	582	898
Purchase of noncontrolling interest	0	(1,500)	0
Other, net	(7,528)	(7,314)	(8,623)
Net Cash Provided by (Used in) Financing Activities	(124,233)	278,560	(81,980)
Effect of exchange rate changes on cash and cash equivalents	(4,643)	(2,681)	2,521
Net increase (decrease) in cash and cash equivalents	104,248	(45,133)	4,017
Cash and cash equivalents at beginning of year	56,772	101,905	97,888
Cash and cash equivalents at end of year	$ 161,020	$ 56,772	$ 101,905

Consolidated Statements of Chan

Consolidated Statements of Changes in Shareholders' Equity - USD ($) shares in Thousands, $ in Thousands	Total	Common Stock	Paid-In Capital	Retained Earnings	Accumulated Other Comprehensive Income (Loss)	Noncontrolling Interest
Beginning Balance (in shares) at Dec. 31, 2012		63,271
Beginning Balance at Dec. 31, 2012	$ 973,656	$ 126,544	$ 187,394	$ 658,994	$ (406)	$ 1,130
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income	110,882			110,882
Other comprehensive income	9,974				9,974
Dividends declared ($0.96 per share for 2013, $1.00 per share for 2014, $1.01 per share for 2015)	$ (60,573)			(60,573)
Shares repurchased and retired (in shares)	(600)	(560)
Shares repurchased and retired	$ (18,876)	$ (1,120)		(17,756)
Share-based compensation expense, exercises and other (in shares)		385
Share-based compensation expense, exercises and other	9,980	$ 769	9,211
Ending Balance (in shares) at Dec. 31, 2013		63,096
Ending Balance at Dec. 31, 2013	1,025,043	$ 126,193	196,605	691,547	9,568	1,130
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income	66,503			66,503
Other comprehensive income	(33,569)				(33,569)
Dividends declared ($0.96 per share for 2013, $1.00 per share for 2014, $1.01 per share for 2015)	$ (62,934)			(62,934)
Shares repurchased and retired (in shares)	(300)	(291)
Shares repurchased and retired	$ (9,934)	$ (583)		(9,351)
Share-based compensation expense, exercises and other (in shares)		265
Share-based compensation expense, exercises and other	7,554	$ 530	7,024
Purchase of noncontrolling interest	$ (1,825)		(695)			(1,130)
Ending Balance (in shares) at Dec. 31, 2014	63,070	63,070
Ending Balance at Dec. 31, 2014	$ 990,838	$ 126,140	202,934	685,765	(24,001)	0
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income	103,409			103,409
Other comprehensive income	(27,824)				(27,824)
Dividends declared ($0.96 per share for 2013, $1.00 per share for 2014, $1.01 per share for 2015)	$ (63,483)			(63,483)
Shares repurchased and retired (in shares)	(600)	(587)
Shares repurchased and retired	$ (20,000)	$ (1,175)		(18,825)
Share-based compensation expense, exercises and other (in shares)		320
Share-based compensation expense, exercises and other	$ 9,650	$ 641	9,009
Ending Balance (in shares) at Dec. 31, 2015	62,803	62,803
Ending Balance at Dec. 31, 2015	$ 992,590	$ 125,606	$ 211,943	$ 706,866	$ (51,825)	$ 0

Consolidated Statements of Cha9

Consolidated Statements of Changes in Shareholders' Equity (Parenthetical) - $ / shares	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Statement of Stockholders' Equity [Abstract]
Common stock, par value (in usd per share)	$ 2	$ 2	$ 2
Dividends declared, per share (in usd per share)	$ 1.01	$ 1	$ 0.96

Summary of Significant Accounti

Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2015
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	Summary of Significant Accounting Policies Owens & Minor, Inc. and subsidiaries (we, us or our), is a Fortune 500 company headquartered in Richmond, Virginia. We are a leading global healthcare services company that connects the world of medical products to the point of care by providing vital supply chain assistance to the providers of healthcare services and the manufacturers of healthcare products, supplies, and devices in the United States and Europe. We serve our customers with a service portfolio that covers procurement, inventory management, delivery and sourcing for the healthcare market. With fully developed networks in the United States and Europe, we are equipped to serve a customer base ranging from hospitals, integrated healthcare systems, group purchasing organizations, and the U.S. federal government, to manufacturers of life-science and medical devices and supplies, including pharmaceuticals in Europe. Our Domestic segment includes all functions relating to our role as a medical supply logistics company providing distribution, kitting and logistics services to healthcare providers and manufacturers in the United States. The International segment consists of our European third-party logistics and kitting businesses. Basis of Presentation. The consolidated financial statements include the accounts of Owens & Minor, Inc. and the subsidiaries it controls, in conformity with U.S generally accepted accounting principles (GAAP). All significant intercompany accounts and transactions have been eliminated. Reclassifications. Certain prior year amounts have been reclassified to conform to current year presentation. Use of Estimates. The preparation of the consolidated financial statements in conformity with GAAP requires us to make assumptions and estimates that affect reported amounts and related disclosures. Estimates are used for, but are not limited to, the allowances for losses on accounts and notes receivable, inventory valuation allowances, supplier incentives, depreciation and amortization, goodwill valuation, valuation of intangible assets and other long-lived assets, valuation of property held for sale, self-insurance liabilities, tax liabilities, defined benefit obligations, share-based compensation and other contingencies. Actual results may differ from these estimates. Cash and Cash Equivalents. Cash and cash equivalents includes cash and marketable securities with an original maturity or maturity at acquisition of three months or less. Cash and cash equivalents are stated at cost. Nearly all of our cash and cash equivalents are held in cash depository accounts in major banks in the United States and Europe. Book overdrafts represent the amount of outstanding checks issued in excess of related bank balances and are included in accounts payable in our consolidated balance sheets, as they are similar to trade payables and are not subject to finance charges or interest. Changes in book overdrafts are classified as operating activities in our consolidated statements of cash flows. Accounts and Notes Receivable, Net. Accounts receivable from customers are recorded at the invoiced amount. We assess finance charges on overdue accounts receivable that are recognized as other operating income based on their estimated ultimate collectability. We have arrangements with certain customers under which they make deposits on account. Customer deposits in excess of outstanding receivable balances are classified as other current liabilities. We maintain valuation allowances based upon the expected collectability of accounts and notes receivable. Our allowances include specific amounts for accounts that are likely to be uncollectible, such as customer bankruptcies and disputed amounts and general allowances for accounts that may become uncollectible. Allowances are estimated based on a number of factors, including industry trends, current economic conditions, creditworthiness of customers, age of the receivables, changes in customer payment patterns, and historical experience. Account balances are charged off against the allowance after all means of collection have been exhausted and the potential for recovery is considered remote. Financing Receivables and Payables. We have an order-to-cash program in our International segment under which we invoice manufacturers’ customers and remit collected amounts to the manufacturers. We retain credit risk for certain uncollected receivables under this program where contractually obligated. We continually monitor the expected collectability in this program and maintain valuation allowances when it is likely that an amount may be or may become uncollectible. Allowances are estimated based on a number of factors including creditworthiness of customers, age of the receivables and historical experience. We write off uncollected receivables under this program when collection is no longer being pursued. At December 31, 2015 and 2014, the allowance for uncollectible accounts as part of this program was $0.1 million and $0.4 million . Fees charged for this program are included in net revenue. Product pricing and related product risks are retained by the manufacturer. Balances receivable and related amounts payable under this program are classified in other current assets and other current liabilities in the consolidated balance sheets. Merchandise Inventories. Merchandise inventories are valued at the lower of cost or market, with cost determined by the last-in, first-out (LIFO) method for Domestic segment inventories. Cost of International segment inventories is determined using the first-in, first out (FIFO) method. Property and Equipment. Property and equipment are stated at cost less accumulated depreciation or, if acquired under capital leases, at the lower of the present value of minimum lease payments or fair market value at the inception of the lease less accumulated amortization. Depreciation and amortization expense for financial reporting purposes is computed on a straight-line method over the estimated useful lives of the assets or, for capital leases and leasehold improvements, over the term of the lease, if shorter. During the year we changed the useful lives of certain warehouse assets from eight years to 15 to better align with our current business practices. The cost basis of these assets were $12.9 million and the change in useful lives reduced total depreciation expense by $0.9 million for the year ended December 31, 2015. In general, the estimated useful lives for computing depreciation and amortization are four to 15 years for warehouse equipment, five to 40 years for buildings and building improvements, and three to eight years for computers, furniture and fixtures, and office and other equipment. Straight-line and accelerated methods of depreciation are used for income tax purposes. Normal maintenance and repairs are expensed as incurred, and renovations and betterments are capitalized. Leases. We have entered into non-cancelable agreements to lease most of our office and warehouse facilities with remaining terms generally ranging from one to 30 years. We also lease most of our transportation and material handling equipment for terms generally ranging from three to ten years. Certain information technology assets embedded in an outsourcing agreement are accounted for as capital leases. Leases are classified as operating leases or capital leases at their inception. Rent expense for leases with rent holidays or pre-determined rent increases are recognized on a straight-line basis over the lease term. Incentives and allowances for leasehold improvements are deferred and recognized as a reduction of rent expense over the lease term. Goodwill. We evaluate goodwill for impairment annually, as of October 1, and whenever events occur or changes in circumstance indicate that the carrying amount of goodwill may not be recoverable. We review goodwill first by performing a qualitative assessment to determine if it is more likely than not that the fair value of a reporting unit exceeds its carrying value. If not, we then perform a quantitative assessment by first comparing the carrying amount to the fair value of the reporting unit. If the fair value of the reporting unit is determined to be less than its carrying value, a second step is performed to measure the goodwill impairment loss as the excess of the carrying value of the reporting unit’s goodwill over the estimated fair value of its goodwill. We estimate the fair value of the reporting unit using valuation techniques which can include comparable multiples of the unit’s earnings before interest, taxes, depreciation and amortization (EBITDA) and present value of expected cash flows. The EBITDA multiples are based on an analysis of current enterprise values and recent acquisition prices of similar companies, if available. Intangible Assets. Intangible assets acquired through purchases or business combinations are stated at fair value at the acquisition date and net of accumulated amortization in the consolidated balance sheets. Intangible assets, consisting primarily of customer relationships, customer contracts, non-competition agreements, trademarks, and tradenames are amortized over their estimated useful lives. In determining the useful life of an intangible asset, we consider our historical experience in renewing or extending similar arrangements. Customer relationships are generally amortized over 10 to 15 years and other intangible assets are amortized generally for periods between one and 15 years, based on their pattern of economic benefit or on a straight-line basis. Computer Software. We develop and purchase software for internal use. Software development costs incurred during the application development stage are capitalized. Once the software has been installed and tested, and is ready for use, additional costs incurred in connection with the software are expensed as incurred. Capitalized computer software costs are amortized over the estimated useful life of the software, usually between three and ten years. Computer software costs are included in other assets, net, in the consolidated balance sheets. Unamortized software at December 31, 2015 and 2014 was $68.4 million and $75.2 million . Depreciation and amortization expense includes $15.4 million , $16.4 million and $14.2 million of software amortization for the years ended December 31, 2015, 2014 and 2013. Additional amortization of $4.5 million in 2015 and $6.0 million in 2014 related to the accelerated amortization of an information system which was replaced in the International segment is included in acquisition-related and exit and realignment charges in the consolidated statements of income. Long-Lived Assets. Long-lived assets, which include property and equipment, finite-lived intangible assets, and unamortized software costs, are evaluated for impairment whenever events or changes in circumstances indicate that the carrying amount of long-lived assets may not be recoverable. We assess long-lived assets for potential impairment by comparing the carrying value of an asset, or group of related assets, to their estimated undiscounted future cash flows. Self-Insurance Liabilities. We are self-insured for most employee healthcare, workers’ compensation and automobile liability costs; however, we maintain insurance for individual losses exceeding certain limits. Liabilities are estimated for healthcare costs using current and historical claims data. Liabilities for workers’ compensation and automobile liability claims are estimated using historical claims data and loss development factors. If the underlying facts and circumstances of existing claims change or historical trends are not indicative of future trends, then we may be required to record additional expense or reductions to expense. Self-insurance liabilities are included in other accrued liabilities on the consolidated balance sheets. Revenue Recognition. Revenue is recognized when persuasive evidence of an arrangement exists, delivery has occurred or services have been rendered, the price or fee is fixed or determinable, and collectability is reasonably assured. Under most of our distribution contracts, we record revenue at the time shipment is completed as title passes to the customer when the product is received by the customer. Revenue for activity-based fees and other services is recognized as work is performed and as amounts are earned. Depending on the specific contractual provisions and nature of the deliverable, revenue from services may be recognized on a straight-line basis over the term of the service, on a proportional performance model, based on level of effort, or when final deliverables have been provided. Additionally, we generate fees from arrangements that include performance targets related to cost-saving initiatives for customers that result from our supply-chain management services. Achievement against performance targets, measured in accordance with contractual terms, may result in additional fees paid to us or, if performance targets are not achieved, we may be obligated to refund or reduce a portion of our fees or to provide credits toward future purchases by the customer. For these arrangements, all contingent revenue is deferred and recognized as the performance target is achieved and the applicable contingency is released. When we determine that a loss is probable under a contract, the estimated loss is accrued. We allocate revenue for arrangements with multiple deliverables meeting the criteria for a separate unit of accounting using the relative selling price method and recognize revenue for each deliverable in accordance with applicable revenue recognition criteria. In most cases, we record revenue gross, as we are the primary obligor in our sales arrangements, bear the risk of general and physical inventory loss and carry all credit risk associated with sales. When we act as an agent in a sales arrangement and do not bear a significant portion of these risks, primarily for our third-party logistics business, we record revenue net of product cost. Sales taxes collected from customers and remitted to governmental authorities are excluded from revenues. Cost of Goods Sold. Cost of goods sold includes the cost of the product (net of supplier incentives and cash discounts) and all costs incurred for shipments of products from manufacturers to our distribution centers for all customer arrangements where we are the primary obligor, bear the risk of general and physical inventory loss and carry all credit risk associated with sales. We have contractual arrangements with certain suppliers that provide incentives, including cash discounts for prompt payment, operational efficiency and performance-based incentives. These incentives are recognized as a reduction in cost of goods sold as targets become probable of achievement. In situations where we act as an agent in a sales arrangement and do not bear a significant portion of these risks, primarily for our third-party logistics business, there is no cost of goods sold and all costs to provide the service to the customer are recorded in selling, general and administrative expenses. As a result of different practices of categorizing costs and different business models throughout our industry, our gross margins may not necessarily be comparable to other distribution companies. Selling, General and Administrative (SG&A) Expenses. SG&A expenses include shipping and handling costs, labor and other costs for selling and administrative functions associated with our distribution and logistics services and all costs associated with our fee-for-service arrangements. Shipping and Handling. Shipping and handling costs are included in SG&A expenses on the consolidated statements of income and include costs to store, to move, and to prepare products for shipment, as well as costs to deliver products to customers. Shipping and handling costs totaled $548.6 million , $576.8 million and $528.2 million for the years ended December 31, 2015, 2014 and 2013, respectively. Third-party shipping and handling costs billed to customers, which are included in net revenue, are immaterial for all periods presented. Share-Based Compensation. We account for share-based payments to employees at fair value and recognize the related expense in selling, general and administrative expenses over the service period for awards expected to vest. Derivative Financial Instruments. We are directly and indirectly affected by changes in certain market conditions, which may adversely impact our financial performance and are referred to as “market risks.” When deemed appropriate, we use derivatives as a risk management tool to mitigate the potential impact of certain market risks, primarily foreign currency exchange risk. We use forward contracts, which are agreements to buy or sell a quantity of a commodity at a predetermined future date, and at a predetermined rate or price. We do not enter into derivative financial instruments for trading purposes. All derivatives are carried at fair value in our consolidated balance sheets, which is determined by using observable market inputs (Level 2). The cash flow impact of the our derivative instruments is primarily included in our consolidated statements of cash flows in net cash provided by operating activities. Income Taxes. We account for income taxes under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Valuation allowances are provided if it is more likely than not that a deferred tax asset will not be realized. When we have claimed tax benefits that may be challenged by a tax authority, an estimate of the effect of these uncertain tax positions is recorded. It is our policy to provide for uncertain tax positions and the related interest and penalties based upon an assessment of whether a tax benefit is more likely than not to be sustained upon examination by tax authorities. To the extent that the tax outcome of these uncertain tax positions changes, based on our assessment, such changes in estimate may impact the income tax provision in the period in which such determination is made. We earn a portion of our operating earnings in foreign jurisdictions outside the United States, which we consider to be indefinitely reinvested. Accordingly, no United States 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 $46.0 million and $31.5 million as of December 31, 2015 and 2014. 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 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. Upon distribution of these assets, we could be subject to additional U.S. federal and state income taxes and withholding taxes payable to foreign jurisdictions, where applicable. Fair Value Measurements. Fair value is determined based on assumptions that a market participant would use in pricing an asset or liability. The assumptions used are in accordance with a three-tier hierarchy, defined by GAAP, that draws a distinction between market participant assumptions based on (i) observable inputs such as quoted prices in active markets (Level 1), (ii) inputs other than quoted prices in active markets that are observable either directly or indirectly (Level 2) and (iii) unobservable inputs that require the use of present value and other valuation techniques in the determination of fair value (Level 3). The carrying amounts of cash and cash equivalents, accounts receivable and accounts payable reported in the consolidated balance sheets approximate fair value due to the short-term nature of these instruments. Property held for sale is reported at estimated fair value less selling costs with fair value determined based on recent sales prices for comparable properties in similar locations (Level 2). The fair value of long-term debt is estimated based on quoted market prices or dealer quotes for the identical liability when traded as an asset in an active market (Level 1) or, if quoted market prices or dealer quotes are not available, on the borrowing rates currently available for loans with similar terms, credit ratings, and average remaining maturities (Level 2). See Notes 7, 10 and 11 for the fair value of property held for sale, debt instruments and derivatives. Acquisition-Related and Exit and Realignment Charges . We present costs incurred in connection with acquisitions in acquisition-related and exit and realignment charges in our consolidated statements of income. Acquisition-related charges consist primarily of transaction costs incurred to perform due diligence and to analyze, negotiate and consummate an acquisition, costs to perform post-closing activities to establish the organizational structure, and costs to transition the acquired company’s information technology and other operations and administrative functions from the former owner. Costs associated with exit and realignment activities are recorded at their fair value when incurred. Liabilities are established at the cease-use date for remaining operating lease and other contractual obligations, net of estimated sub-lease income. The net lease termination cost is discounted using a credit-adjusted risk-free rate of interest. We evaluate these assumptions quarterly and adjust the liability accordingly. The current portion of accrued lease and other contractual termination costs is included in other accrued liabilities on the consolidated balance sheets, and the non-current portion is included in other liabilities. Severance benefits are recorded when payment is considered probable and reasonably estimable. Income Per Share. Basic and diluted income per share are calculated pursuant to the two-class method, under which unvested share-based payment awards containing nonforfeitable rights to dividends are participating securities. Foreign Currency Translation. Our foreign subsidiaries generally consider their local currency to be their functional currency. Assets and liabilities of these foreign subsidiaries are translated into U.S. dollars at period-end exchange rates and revenues and expenses are translated at average exchange rates during the period. Cumulative currency translation adjustments are included in accumulated other comprehensive income (loss) in shareholders’ equity. Gains and losses on intercompany foreign currency transactions that are long-term in nature and which we do not intend to settle in the foreseeable future are also recognized in other comprehensive income (loss) in shareholders’ equity. Realized gains and losses from foreign currency transactions are recorded in other operating income, net in the consolidated statements of income and were not material to our consolidated results of operations in 2015, 2014, and 2013. Business Combinations . We account for acquired businesses using the acquisition method of accounting, which requires that the assets acquired and liabilities assumed be recorded at the date of acquisition at their respective fair values. Any excess of the purchase price over the estimated fair values of the net assets acquired is recorded as goodwill. Recent Accounting Pronouncements . During 2015, we adopted Accounting Standard Updates (ASU’s) issued by the Financial Accounting Standards Board (FASB). In November 2015 the FASB released as part of its simplification initiative ASU 2015-17 which will require entities, starting in 2017, to classify all deferred taxes as non-current. This is a change from the current GAAP which requires deferred taxes to be classified as current or non-current based on the underlying book asset/liability. As allowed by the standard, we have chosen to early adopt this guidance on a retrospective basis. As a result, all deferred income taxes in the consolidated balance sheets are reflected as non-current assets or liabilities. Deferred tax liabilities of $38.0 million and deferred tax assets of $0.8 million presented as current in the prior year have been reclassified to non-current to conform to this new presentation. In September 2015, the FASB issued ASU No. 2015-16, Business Combinations (Topic 805): Simplifying the Accounting for Measurement-Period Adjustments , which eliminates the requirement for an acquirer in a business combination to account for measurement-period adjustments retrospectively. Under this ASU, acquirers must recognize measurement-period adjustments in the period in which they determine the amounts, including the effect on earnings of any amounts they would have recorded in previous periods if the accounting had been completed at the acquisition date. This guidance is effective for fiscal years beginning after December 15, 2016, with early adoption permitted. The Company elected to early adopt this ASU in the third quarter of 2015. We have not retrospectively accounted for the measurement-period adjustments as described in Note 3. In April 2015, the FASB issued ASU 2015-03, Interest-Imputation of Interest: Simplifying the Presentation of Debt Issuance Costs (ASU 2015-03), which requires that debt issuance costs related to a recognized debt liability be presented in the balance sheet as a direct deduction from the carrying amount of that debt liability, consistent with debt discounts. The standard is effective for the Company on January 1, 2016, with early adoption permitted. The adoption of ASU 2015-03 is not expected to have a material impact on the financial statements of the Company. On May 28, 2014, the FASB issued an ASU, Revenue from Contracts with Customers , which requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers. The ASU will replace most existing revenue recognition guidance in U.S. GAAP when it becomes effective on January 1, 2018. Early application as of January 1, 2017 is permitted. The standard permits the use of either the retrospective or cumulative effect transition method. We are evaluating the effect that the ASU will have on our consolidated financial statements and related disclosures. We have not yet selected a transition method nor have we determined the effect of the standard on our ongoing financial reporting.

Significant Risks and Uncertain

Significant Risks and Uncertainties	12 Months Ended
	Dec. 31, 2015
Risks and Uncertainties [Abstract]
Significant Risks and Uncertainties	Significant Risks and Uncertainties Many of our hospital customers in the U.S. are represented by group purchasing organizations (GPOs) that contract with us for services on behalf of the GPO members. GPOs representing a significant portion of our business are Novation, LLC (Novation), MedAssets Inc. (MedAssets) and Premier, Inc. (Premier). Members of these GPOs have incentives to purchase from their primary selected distributor; however, they operate independently and are free to negotiate directly with distributors and manufacturers. For 2015, 2014 and 2013, net revenue from hospitals under contract with these GPOs represented the following approximate percentages of our net revenue annually: Novation— 32% to 33% ; MedAssets— 24% to 26% ; and Premier— 21% to 24% . Net revenue from sales of product supplied by subsidiaries of Covidien Ltd. represented approximately 13% and Johnson & Johnson Healthcare Systems, Inc. represented between 9% to 10% of our net revenue annually for 2015, 2014 and 2013, respectively.

Acquisitions

Acquisitions	12 Months Ended
	Dec. 31, 2015
Business Combinations [Abstract]
Acquisitions	Acquisitions On October 1, 2014, we completed the acquisition of Medical Action Industries Inc., (Medical Action), a leading producer of surgical kits and procedure trays, which will enable an expansion of our capabilities in the assembly of kits, packs and trays for the healthcare market. On November 1, 2014, we acquired ArcRoyal, a privately held surgical kitting company based in Ireland (ArcRoyal). The transaction expanded our capabilities in the assembly of kits, packs and trays in the European healthcare market. The combined consideration for these two acquisitions was $261.6 million , net of cash acquired, and including debt assumed of $13.4 million (capitalized lease obligations). The purchase price was allocated to the underlying assets acquired and liabilities assumed based upon our preliminary estimate of their fair values at the date of acquisition, with certain exceptions permitted under GAAP. The combined purchase price exceeded the preliminary estimated fair value of the net tangible and identifiable intangible assets by $150.6 million , which was allocated to goodwill. The following table presents, in the aggregate, the estimated fair value of the assets acquired and liabilities assumed recognized as of the acquisition date. Preliminary Fair Measurement Period Adjustments Recorded in 2015 Fair Value as of Acquisition Date Assets acquired: Current assets $ 90,608 $ (229 ) $ 90,379 Property and equipment 34,048 (2,502 ) 31,546 Goodwill 150,492 121 150,613 Intangible assets 77,623 — 77,623 Total assets 352,771 (2,610 ) 350,161 Liabilities assumed: Current liabilities 64,736 (1,187 ) 63,549 Noncurrent liabilities 26,426 (1,423 ) 25,003 Total liabilities 91,162 (2,610 ) 88,552 Fair value of net assets acquired, net of cash $ 261,609 $ — $ 261,609 We are amortizing the fair value of acquired intangible assets, primarily customer relationships, over their remaining weighted average useful lives of 14 years. Goodwill of $150.6 million consists largely of expected opportunities to expand our kitting capabilities. We assigned goodwill of $20.9 million to our International segment and $129.7 million to our Domestic segment. None of the goodwill recognized is expected to be deductible for income tax purposes. Pro forma results of operations for these acquisitions have not been presented because the effects on revenue and net income were not material to our historic consolidated financial statements. Acquisition-related expenses for the years ending December 31, 2015 and 2014 consisted of transaction costs incurred to perform due diligence and to analyze, negotiate and consummate the Medical Action and ArcRoyal acquisitions, and costs to integrate the acquired operations (including certain severance and contractual payments to former management). We also incurred certain acquisition-related charges in 2014 and 2013 associated with costs in Movianto to resolve certain issues and claims with the former owner. We recognized pre-tax acquisition-related expenses of $9.8 million , $16.1 million and $3.5 million for the years ended December 31, 2015, 2014 and 2013 related to these activities.

Accounts and Notes Receivable,

Accounts and Notes Receivable, Net	12 Months Ended
	Dec. 31, 2015
Receivables [Abstract]
Accounts and Notes Receivable, Net	Accounts and Notes Receivable, Net Allowances for losses on accounts and notes receivable of $13.2 million and $13.3 million have been applied as reductions of accounts receivable at December 31, 2015 and 2014. Write-offs of accounts and notes receivable were $1.2 million , $3.1 million and $1.1 million for 2015, 2014 and 2013.

Merchandise Inventories

Merchandise Inventories	12 Months Ended
	Dec. 31, 2015
Inventory Disclosure [Abstract]
Merchandise Inventories	Merchandise Inventories At December 31, 2015 and 2014, we had inventory of $940.8 million and $872.5 million , of which $923.8 million and $811.3 million were valued under LIFO. If LIFO inventories had been valued on a current cost or first-in, first-out (FIFO) basis, they would have been greater by $116.4 million and $116.2 million as of December 31, 2015 and 2014. At December 31, 2015 and 2014, included in our inventory was $22.3 million and $20.0 million in raw materials, $10.6 million and $5.4 million in work in process and the remainder was finished goods.

Financing Receivables and Payab

Financing Receivables and Payables	12 Months Ended
	Dec. 31, 2015
Receivables and Payables [Abstract]
Financing Receivables and Payables	Financing Receivables and Payables At December 31, 2015 and 2014, we had financing receivables of $198.5 million and $196.2 million and related payables of $148.5 million and $168.8 million outstanding under our order-to-cash program, which were included in other current assets and other current liabilities, respectively, in the consolidated balance sheets.

Property and Equipment

Property and Equipment	12 Months Ended
	Dec. 31, 2015
Property, Plant and Equipment [Abstract]
Property and Equipment	Property and Equipment Property and equipment consists of the following: December 31, 2015 2014 Warehouse equipment $ 168,599 $ 169,083 Computer equipment 53,566 31,162 Building and improvements 75,229 87,974 Leasehold improvements 60,522 58,046 Land and improvements 17,386 17,771 Furniture and fixtures 14,517 12,539 Office equipment and other 8,216 19,781 398,035 396,356 Accumulated depreciation (189,105 ) (163,377 ) Property and equipment, net $ 208,930 $ 232,979 The gross value of assets recorded under capital leases was $38.7 million and $40.0 million with associated accumulated depreciation of $13.7 million and $10.5 million as of December 31, 2015 and 2014, respectively. Depreciation expense for property and equipment and assets under capital leases was $36.3 million , $35.5 million and $33.1 million for the years ended December 31, 2015, 2014, and 2013. Property held for sale in our Domestic segment was $3.8 million at December 31, 2015 and is included in other current assets, net, in the consolidated balance sheets. We are actively marketing the property for sale; however, the ultimate timing is dependent on local market conditions. Property held for sale in our Domestic segment was $5.6 million at December 31, 2014.

Goodwill and Intangible Assets

Goodwill and Intangible Assets	12 Months Ended
	Dec. 31, 2015
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets	Goodwill and Intangible Assets The following table summarizes the changes in the carrying amount of goodwill through December 31, 2015 : Domestic Segment International Segment Consolidated Carrying amount of goodwill, December 31, 2014 $ 377,089 $ 46,187 $ 423,276 Currency translation adjustments — (3,778 ) (3,778 ) Acquisitions (See Note 3) 1,116 (995 ) 121 Carrying amount of goodwill, December 31, 2015 $ 378,205 $ 41,414 $ 419,619 Intangible assets at December 31, 2015 and 2014 were as follows: 2015 2014 Customer Other Customer Other Gross intangible assets $ 121,888 $ 4,621 $ 125,448 $ 3,405 Accumulated amortization (29,872 ) (1,387 ) (19,773 ) (487 ) Net intangible assets $ 92,016 $ 3,234 $ 105,675 $ 2,918 Weighted average useful life 14 years 5 years 14 years 6 years At December 31, 2015, $60.2 million in net intangible assets were held in the Domestic segment and $35.1 million were held in the International segment. Amortization expense for intangible assets was $9.8 million for 2015, $5.5 million for 2014 and $3.3 million for 2013. Based on the current carrying value of intangible assets subject to amortization, estimated amortization expense is $10.2 million for 2016, $9.9 million for 2017, $9.3 million for 2018, $9.1 million for 2019 and $9.0 million for 2020.

Exit and Realignment Costs

Exit and Realignment Costs	12 Months Ended
	Dec. 31, 2015
Restructuring and Related Activities [Abstract]
Exit and Realignment Costs	Exit and Realignment Costs We periodically incur exit and realignment and other charges associated with optimizing our operations which include the closure and consolidation of certain distribution and logistics centers, administrative offices and warehouses in the United States and Europe. These charges also include costs associated with our strategic organizational realignment which include management changes, certain professional fees, and costs to streamline administrative functions and processes. Exit and realignment charges by segment for the years ended December 31, 2015, 2014, and 2013 were as follows: Year ended December 31, 2015 2014 2013 Domestic segment $ 7,318 $ 7,223 $ 8,176 International segment 11,312 19,490 751 Total exit and realignment charges $ 18,630 $ 26,713 $ 8,927 The following table summarizes the activity related to exit and realignment cost accruals through December 31, 2015 : Lease Severance and Total Accrued exit and realignment charges, January 1, 2013 $ 5,098 $ 1,116 $ 6,214 Provision for exit and realignment activities 2,932 128 3,060 Cash payments, net of sublease income (5,596 ) (769 ) (6,365 ) Accrued exit and realignment charges, December 31, 2013 2,434 475 2,909 Provision for exit and realignment activities 5,592 6,338 11,930 Change in estimate (1,260 ) — (1,260 ) Cash payments, net of sublease income (3,191 ) (3,926 ) (7,117 ) Accrued exit and realignment charges, December 31, 2014 3,575 2,887 6,462 Provision for exit and realignment activities 1,118 3,965 5,083 Change in estimate (3,002 ) (875 ) (3,877 ) Cash payments, net of sublease income (1,205 ) (4,137 ) (5,342 ) Accrued exit and realignment charges, December 31, 2015 $ 486 $ 1,840 $ 2,326 In addition to the exit and realignment accruals in the preceding table, we also incurred $17.4 million of costs that were expensed as incurred for the year ended December 31, 2015, including $4.6 million in facility costs, $4.5 million in accelerated amortization of an information system that was replaced, $1.4 million in labor costs, $3.8 million in professional services fees, $3.0 million in information systems costs and $0.1 million in other costs. We incurred $16.0 million of costs that were expensed as incurred for the year ended December 31, 2014, including $3.3 million in facility costs, $6.0 million in accelerated amortization of an information system that was replaced, $2.9 million in labor costs, $1.3 million in professional fees, $1.8 million in information systems costs and $0.7 million in other costs. We incurred $5.8 million of costs that were expensed as incurred for the year ended December 31, 2013, including $3.7 million in product move costs and the remainder in losses on property and equipment and other expenses. We do no t expect significant additional costs in 2016 for activities that were initiated through December 31, 2015.

Debt

Debt	12 Months Ended
	Dec. 31, 2015
Debt Disclosure [Abstract]
Debt	Debt Debt consists of the following: 2015 2014 December 31, Carrying Estimated Carrying Estimated 3.875% Senior Notes, $275 million par value, maturing September 2021 $ 273,959 $ 273,680 $ 273,777 $ 275,055 4.375% Senior Notes, $275 million par value, maturing December 2024 274,087 272,828 273,986 283,855 Revolving Credit Facility — — 33,700 33,700 Capital leases 29,539 29,539 32,346 32,346 Total debt 577,585 576,047 613,809 624,956 Less current maturities (5,026 ) (5,026 ) (5,258 ) (5,258 ) Long-term debt $ 572,559 $ 571,021 $ 608,551 $ 619,698 On September 16, 2014, we issued $275 million of 3.875% senior notes due 2021 (the “2021 Notes”) and $275 million of 4.375% senior notes due 2024 (the “2024 Notes”). The 2021 Notes were sold at 99.5% of the principal amount with an effective yield of 3.951% . The 2024 Notes were sold at 99.6% of the principal with an effective yield of 4.422% . Interest on the 2021 Notes and 2024 Notes is payable semiannually in arrears, commencing on March 15, 2015 and December 15, 2014, respectively. We have the option to redeem the 2021 Notes and 2024 Notes in part or in whole prior to maturity at a redemption price equal to the greater of 100% of the principal amount or the present value of the remaining scheduled payments discounted at the Treasury Rate plus 30 basis points. We are deferring and amortizing over the respective terms $4.8 million in costs incurred in connection with the issuance of the 2021 Notes and the 2024 Notes. On October 16, 2014, we used a portion of the net proceeds from the 2021 Notes and the 2024 Notes to fund the early retirement of all of our $200 million of 6.35% senior notes due in 2016 (2016 Notes), which included the payment of a $17.4 million redemption premium. We recorded a net loss on the early retirement of our 2016 Notes of $14.9 million , which includes the redemption premium offset by the recognition of a gain on previously settled interest rate swaps. On September 17, 2014, we amended our existing Credit Agreement, increasing our borrowing capacity from $350 million to $450 million and extending the term through September 2019 (the Amended Credit Agreement). Under the Amended Credit Agreement, we have the ability to request two one -year extensions and to request an increase in aggregate commitments by up to $200 million . The interest rate on the Amended Credit Agreement, which is subject to adjustment quarterly, is based on the London Interbank Offered 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) as defined by the Amended 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 Amended Credit Agreement limit the amount of indebtedness that we may incur and require us to maintain ratios for leverage and interest coverage, including on a pro forma basis in the event of an acquisition. Based on our leverage ratio at December 31, 2015, the interest rate under the credit facility is LIBOR plus 1.375% . At December 31, 2015, we had no borrowings and letters of credit of approximately $5.0 million outstanding under the Amended Credit Agreement, leaving $445 million available for borrowing. We also have a $1.2 million and $1.5 million letter of credit outstanding as of December 31, 2015 and 2014, which supports our facilities leased in Europe. The Amended Credit Agreement and Senior Notes contain cross-default provisions which could result in the acceleration of payments due in the event of default of either agreement. We believe we were in compliance with our debt covenants at December 31, 2015. Cash payments for interest during 2015, 2014 and 2013 were $27.7 million , $18.5 million and $14.7 million . We enter into long-term non-cancellable leases for certain warehouse equipment and vehicles which, for accounting purposes, are classified as capital leases. We also operate a kitting facility acquired with Medical Action which is subject to a long-term capital lease. As of December 31, 2015, we were obligated under capital leases for minimum annual rental payments as follows: Year 2016 $ 7,264 2017 6,401 2018 5,131 2019 3,423 2020 2,342 Thereafter 17,420 Total minimum lease payments 41,981 Less: Amounts representing interest (12,442 ) Present value of total minimum lease payments 29,539 Less: Current portion of capital lease obligations (5,027 ) Long-term portion of capital lease obligations $ 24,512

Derivative Financial Instrument

Derivative Financial Instruments	12 Months Ended
	Dec. 31, 2015
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivative Financial Instruments	Derivative Financial Instruments We are directly and indirectly affected by changes in certain market conditions. These changes in market conditions 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. The primary market risk managed through the use of derivative instruments is foreign currency exchange risk. We use forward contracts which are agreements to buy or sell a quantity of a currency or commodity at a predetermined future date, and at a predetermined rate or price. We do not enter into derivative financial instruments for trading purposes. The total notional values of our foreign currency derivatives was $2.0 million and $10.0 million as of December 31, 2015 and 2014. These contracts were acquired with the acquisition of ArcRoyal. We were not party to any derivatives as of or for the year ended December 31, 2013. The notional amounts of the derivative instruments do not necessarily represent the amounts exchanged by the parties and, therefore, are not a direct measure of our exposure to the financial risks described above. The amounts are calculated by reference to the notional amounts and by other terms of the derivative, such as foreign currency exchange rates. We determine the fair value of our derivatives based on quoted market prices. 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 straightforward over-the-counter instruments with liquid markets. All derivatives are carried at fair value in our consolidated balance sheets in other assets and other liabilities line items. We do not currently have any derivatives designated as hedging instruments and all gains and losses resulting from changes in the fair value of derivative instruments are immediately recognized into earnings. At December 31, 2015 and 2014 the fair value of our foreign currency contracts included in other assets on the consolidated balance sheets was $0.4 million and $0.7 million . The impact from changes in the fair value of these foreign currency derivatives included in other operating income, net was $0.3 million for 2015 and $0.2 million for 2014. We consider the risk of counterparty default to be minimal.

Share-Based Compensation

Share-Based Compensation	12 Months Ended
	Dec. 31, 2015
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Share-Based Compensation	Share-Based Compensation We maintain a share-based compensation plan (the Plan) that is administered by the Compensation and Benefits Committee of the Board of Directors. The Plan allows us to award or grant to officers, directors and employees incentive, non-qualified and deferred compensation stock options, stock appreciation rights (SARs), performance shares, and restricted and unrestricted stock. We use authorized and unissued common shares for grants of restricted stock or for stock option exercises. At December 31, 2015, approximately 2.7 million common shares were available for issuance under the Plan. Restricted stock awarded under the Plan generally vests over one , three or five years. Certain restricted stock grants contain accelerated vesting provisions, based on the satisfaction of certain performance criteria related to the achievement of certain financial and operational results. Performance shares awarded under the Plan are issuable as restricted stock upon meeting performance goals and generally have a total performance and vesting period of three years. Stock options awarded under the Plan are generally subject to graded vesting over three years and expire seven to ten years from the date of grant. The options are granted at a price equal to fair market value at the date of grant. We did not grant any stock options in 2015, 2014, or 2013. We recognize the fair value of stock-based compensation awards, which is based upon the market price of the underlying common stock at the grant date, on a straight-line basis over the estimated requisite service period, which may be based on a service condition, a performance condition, or a combination of both. The fair value of performance shares as of the date of grant is estimated assuming that performance goals will be achieved at target levels. If such goals are not probable of being met, or are probable of being met at different levels, recognized compensation cost is adjusted to reflect the change in estimated fair value of restricted stock to be issued at the end of the performance period. Total share-based compensation expense for December 31, 2015, 2014 and 2013, was $11.3 million , $8.2 million and $6.4 million , with recognized tax benefits of $4.4 million , $3.2 million and $2.5 million . Unrecognized compensation cost related to nonvested restricted stock awards, net of estimated forfeitures, was $19.2 million at December 31, 2015. This amount is expected to be recognized over a weighted-average period of 2.8 years , based on the maximum remaining vesting period required under the awards, and the amount that would be recognized over a shorter period based on accelerated vesting provisions, is approximately $0.5 million . Unrecognized compensation cost related to nonvested performance share awards as of December 31, 2015 was $2.5 million and will be recognized primarily in 2016 if the related performance targets are met. The following table summarizes the activity and value of nonvested restricted stock and performance share awards for the years ended December 31, 2015 , 2014 and 2013: 2015 2014 2013 Number of Weighted Number of Weighted Number of Weighted Nonvested awards at beginning of year 814 $ 33.29 738 $ 30.81 720 $ 30.14 Granted 545 34.25 371 33.69 339 31.65 Vested (195 ) 29.90 (201 ) 31.01 (206 ) 30.22 Forfeited (60 ) 33.27 (94 ) 30.89 (115 ) 30.51 Nonvested awards at end of year 1,104 40.02 814 33.29 738 30.81 The total value of restricted stock vesting during the years ended December 31, 2015, 2014 and 2013, was $5.8 million , $6.2 million and $6.2 million . The following table summarizes the activity and terms of outstanding options at December 31, 2015 , and for each of the years in the three-year period then ended: Number of Weighted Average Weighted Average Aggregate Options outstanding at December 31, 2012 312 $ 22.25 Exercised (244 ) 21.97 Forfeited (4 ) 21.72 Options outstanding at December 31, 2013 64 23.33 Exercised (49 ) 24.21 Forfeited — — Options outstanding at December 31, 2014 15 20.49 Exercised (15 ) 20.49 Forfeited — — Options outstanding at December 31, 2015 — $ — — $ — The total intrinsic value of stock options exercised during the years ended December 31, 2015 , 2014 and 2013, was $0.2 million , $0.5 million and $0.8 million . No options were granted in 2015, 2014 or 2013. No options were outstanding as of December 31, 2015.

Retirement Plans

Retirement Plans	12 Months Ended
	Dec. 31, 2015
Compensation and Retirement Disclosure [Abstract]
Retirement Plans	Retirement Plans Savings and Retirement Plans. We maintain a voluntary 401(k) savings and retirement plan covering substantially all full-time and certain part-time employees in the United States who have completed one month of service and have attained age 18 . We match a certain percentage of each employee’s contribution. The plan also provides for a minimum contribution by us to the plan for all eligible employees of 1% of their salary, subject to certain limits, and discretionary profit-sharing contributions. We may increase or decrease our matching contributions at our discretion, on a prospective basis. We incurred $12.3 million , $10.8 million , and $10.1 million of expense related to this plan in 2015, 2014 and 2013. We also maintain defined contribution plans in some of the European countries in which we operate. Expenses related to these plans were not material in 2015, 2014 or 2013. Domestic Retirement Plans. We have a noncontributory, unfunded retirement plan for certain officers and other key employees in the United States (Domestic Retirement Plan). In February 2012, our Board of Directors amended the Domestic Retirement Plan to freeze benefit levels and modify vesting provisions under the plan effective as of March 31, 2012. The following table sets forth the Domestic Retirement Plan’s financial status and the amounts recognized in our consolidated balance sheets: December 31, 2015 2014 Change in benefit obligation Benefit obligation, beginning of year $ 49,055 $ 42,011 Interest cost 1,806 1,849 Actuarial (gain) loss 1,855 6,820 Benefits paid (1,693 ) (1,625 ) Benefit obligation, end of year $ 51,023 $ 49,055 Change in plan assets Fair value of plan assets, beginning of year $ — $ — Employer contribution 1,693 1,625 Benefits paid (1,693 ) (1,625 ) Fair value of plan assets, end of year $ — $ — Funded status, end of year $ (51,023 ) $ (49,055 ) Amounts recognized in the consolidated balance sheets Other current liabilities $ (2,977 ) $ (1,770 ) Other liabilities (48,023 ) (47,282 ) Accumulated other comprehensive loss 17,102 16,853 Net amount recognized $ (33,898 ) $ (32,199 ) Accumulated benefit obligation $ 51,023 $ 49,055 Weighted average assumptions used to determine benefit obligation Discount rate 4.00 % 3.75 % Rate of increase in compensation levels N/A N/A Plan benefit obligations of the Domestic Retirement Plan were measured as of December 31, 2015 and 2014. Plan benefit obligations are determined using assumptions developed at the measurement date. The weighted average discount rate, which is used to calculate the present value of plan liabilities, is an estimate of the interest rate at which the plan liabilities could be effectively settled at the measurement date. When estimating the discount rate, we review yields available on high-quality, fixed-income debt instruments and use a yield curve model from which the discount rate is derived by applying the projected benefit payments under the plan to points on a published yield curve. The components of net periodic benefit cost for the Domestic Retirement Plan, which is included in selling, general, and administrative expenses in the consolidated statements of income, were as follows: Year ended December 31, 2015 2014 2013 Interest cost $ 1,806 $ 1,849 $ 1,608 Recognized net actuarial loss 1,606 816 1,366 Net periodic benefit cost $ 3,412 $ 2,665 $ 2,974 Weighted average assumptions used to determine net periodic benefit cost Discount rate 3.75 % 4.50 % 3.50 % Rate of increase in future compensation levels N/A N/A N/A Amounts recognized for the Domestic Retirement Plan as a component of accumulated other comprehensive loss as of the end of the year that have not been recognized as a component of the net periodic benefit cost are presented in the following table. We expect to recognize approximately $1.6 million of the net actuarial loss reported in the following table as of December 31, 2015 , as a component of net periodic benefit cost during 2016. Year ended December 31, 2015 2014 Net actuarial loss $ (17,102 ) $ (16,853 ) Deferred tax benefit 6,663 6,573 Amounts included in accumulated other comprehensive income (loss), net of tax $ (10,439 ) $ (10,280 ) As of December 31, 2015 , the expected benefit payments required for each of the next five years and the five-year period thereafter for the Domestic Retirement Plan were as follows: Year 2016 $ 2,970 2017 2,885 2018 2,814 2019 2,617 2020 2,573 2021-2025 10,747 International Retirement Plans. Certain of our foreign subsidiaries have defined benefit pension plans covering substantially all of their respective employees. As of December 31, 2015 and 2014, the accumulated benefit obligation under these plans was $1.9 million . We recorded $0.1 million , $0.2 million and $0.2 million in net periodic benefit cost in selling, general and administrative expenses for the years ended December 31, 2015 , 2014 and 2013.

Income Taxes

Income Taxes	12 Months Ended
	Dec. 31, 2015
Income Tax Disclosure [Abstract]
Income Taxes	Income Taxes The components of income (loss) before income taxes consist of the following: Year ended December 31, 2015 2014 2013 Income (loss) before income taxes: U.S. $ 167,444 $ 155,132 $ 192,239 Foreign 5,766 (28,649 ) (7,254 ) Income before income taxes $ 173,210 $ 126,483 $ 184,985 The income tax provision consists of the following: Year ended December 31, 2015 2014 2013 Current tax provision (benefit): Federal $ 60,757 $ 52,178 $ 58,487 State 11,431 9,801 10,455 Foreign 3,714 1,386 1,448 Total current tax provision 75,902 63,365 70,390 Deferred tax provision (benefit): Federal (4,744 ) 282 5,455 State (376 ) 295 394 Foreign (981 ) (3,962 ) (2,136 ) Total deferred tax provision (6,101 ) (3,385 ) 3,713 Total income tax provision $ 69,801 $ 59,980 $ 74,103 A reconciliation of the federal statutory rate to our effective income tax rate is shown below: Year ended December 31, 2015 2014 2013 Federal statutory rate 35.0 % 35.0 % 35.0 % Increases (decreases) in the rate resulting from: State income taxes, net of federal income tax impact 4.1 % 5.2 % 3.9 % Foreign income taxes (2.8 )% 1.7 % (0.9 )% Valuation allowance 1.2 % 3.2 % 1.3 % Other 2.8 % 2.3 % 0.8 % Effective income tax rate 40.3 % 47.4 % 40.1 % The tax effects of temporary differences that give rise to significant portions of the deferred tax assets and deferred tax liabilities are presented below: December 31, 2015 2014 Deferred tax assets: Employee benefit plans $ 36,903 $ 36,127 Accrued liabilities not currently deductible 15,268 9,937 Finance charges 6,128 6,951 Capital leases 7,363 9,081 Allowance for losses on accounts and notes receivable 3,852 4,100 Net operating loss carryforwards 12,395 14,150 Other 2,475 3,432 Total deferred tax assets 84,384 83,778 Less: valuation allowances (10,798 ) (9,639 ) Net deferred tax assets 73,586 74,139 Deferred tax liabilities: Merchandise inventories 67,013 66,864 Goodwill 36,613 35,495 Property and equipment 14,651 21,578 Computer software 17,870 17,399 Insurance 268 539 Intangible assets 22,048 24,750 Other 206 1,410 Total deferred tax liabilities 158,669 168,035 Net deferred tax liability $ (85,083 ) $ (93,896 ) The valuation allowances relate to deferred tax assets in various state and non-U.S. jurisdictions. Based on management’s judgments using available evidence about historical and expected future taxable earnings, management believes it is more likely than not that we will realize the benefit of the existing deferred tax assets, net of valuation allowances, at December 31, 2015 . The valuation allowances primarily relate to net operating loss carryforwards in non-U.S. jurisdictions which have various expiration dates ranging from five years to an unlimited carryforward period. There were no significant decreases in valuation allowances during 2015. It is our intention to permanently reinvest the earnings of our non-U.S. subsidiaries in those operations. As of December 31, 2015 , we have not made a provision for U.S. or additional foreign withholding taxes on investments in foreign subsidiaries that are permanently reinvested, and there are no deferred tax liabilities that have not been provided. Cash payments for income taxes, including interest, for 2015, 2014, and 2013 were $52.4 million , $81.6 million and $65.4 million . At December 31, 2015 and 2014, the liability for unrecognized tax benefits was $7.7 million and $6.7 million . A reconciliation of the changes in unrecognized tax benefits from the beginning to the end of the reporting period is as follows: 2015 2014 Unrecognized tax benefits at January 1, $ 6,684 $ 4,648 Increases for positions taken during current period 1,968 1,074 Increases for positions taken during prior periods 481 62 Decreases for positions taken during prior periods (1,476 ) (438 ) Acquired unrecognized tax benefits — 1,374 Lapse of statute of limitations — (8 ) Settlements with taxing authorities — (28 ) Unrecognized tax benefits at December 31, $ 7,657 $ 6,684 Included in the liability for unrecognized tax benefits at both December 31, 2015 and 2014, were $4.1 million of tax positions for which the ultimate deductibility is highly certain but for which there is uncertainty about the timing of such deductibility. These tax positions are temporary differences which do not impact the annual effective tax rate under deferred tax accounting. Any change in the deductibility period of these tax positions would impact the timing of cash payments to taxing jurisdictions. Unrecognized tax benefits of $3.0 million and $2.0 million at December 31, 2015 and 2014, would impact our effective tax rate if recognized. We recognize accrued interest and penalties related to unrecognized tax benefits in income tax expense. Accrued interest at December 31, 2015 and 2014 was $0.2 million and $0.3 million . We recognized $0.1 million in interest income in 2015 and $0.1 million in interest expense in 2014. There were no penalties accrued at December 31, 2015 or 2014 or recognized in 2015, 2014 and 2013. We file income tax returns in the U.S. federal and various state and foreign jurisdictions. Our U.S. federal income tax return for the year 2014 is subject to examination. Our income tax returns for U.S. state and local jurisdictions are generally open for the years 2012 through 2014; however, certain returns may be subject to examination for differing periods. The former owner is contractually obligated to indemnify us for all income tax liabilities incurred by the Movianto business prior to its acquisition on August 31, 2012.

Net Income per Common Share

Net Income per Common Share	12 Months Ended
	Dec. 31, 2015
Earnings Per Share [Abstract]
Net Income per Common Share	Net Income per Common Share The following table summarizes the calculation of net income per share attributable to common shareholders for the years ended December 31, 2015 , 2014, and 2013: Year ended December 31, 2015 2014 2013 Numerator: Net income $ 103,409 $ 66,503 $ 110,882 Less: income allocated to unvested restricted shares (925 ) (597 ) (738 ) Net income attributable to common shareholders—basic 102,484 65,906 110,144 Add: undistributed income attributable to unvested restricted shares—basic 235 18 257 Less: undistributed income attributable to unvested restricted shares—diluted (235 ) (18 ) (257 ) Net income attributable to common shareholders—diluted $ 102,484 $ 65,906 $ 110,144 Denominator: Weighted average shares outstanding—basic 62,116 62,220 62,625 Dilutive shares—stock options 1 6 36 Weighted average shares outstanding—diluted 62,117 62,226 62,661 Net income attributable to common shareholders: Basic $ 1.65 $ 1.06 $ 1.76 Diluted $ 1.65 $ 1.06 $ 1.76

Shareholders' Equity

Shareholders' Equity	12 Months Ended
	Dec. 31, 2015
Equity [Abstract]
Shareholders' Equity	Shareholders’ Equity We had a shareholder rights agreement that expired on April 30, 2014 and was not renewed or replaced. All Rights attendant to outstanding shares of our common stock under the agreement also expired on April 30, 2014. In February 2014, our Board of Directors renewed our share repurchase program authorizing the purchase of $100 million in common stock through 2017. The timing of repurchases and the exact number of shares of common stock to be repurchased will be determined by management based upon market conditions and other factors. The program is intended to offset shares issued in conjunction with our stock incentive plan and return capital to our shareholders and may be suspended or discontinued at any time. Purchases under the share repurchase program are made either pursuant to 10b5-1 plans entered into by the company from time to time and/or during the company’s scheduled quarterly trading windows for officers and directors. During the year ended December 31, 2015, we repurchased in open-market transactions and retired approximately 0.6 million shares of our common stock for an aggregate of $20.0 million , or an average price per share of $34.04 . As of December 31, 2015, we have $70.0 million in remaining shares available under the repurchase program. We have elected to allocate any excess of share repurchase price over par value to retained earnings. During the year ended December 31, 2014, we repurchased in open-market transactions and retired approximately 0.3 million shares of our common stock for an aggregate of $9.9 million , or an average price per share of $34.31 . During the year ended December 31, 2013, we repurchased in open-market transactions and retired approximately 0.6 million shares of our common stock for an aggregate of $18.9 million , or an average price per share of $33.72 . During 2014, we purchased the remaining outside stockholder's interest in a consolidated subsidiary that was partially owned for $1.5 million . Therefore we do not present a noncontrolling interest as a component of shareholders' equity as of December 31, 2015 or 2014. The noncontrolling interest in net income was not material in 2014 or 2013.

Accumulated Other Comprehensive

Accumulated Other Comprehensive Income	12 Months Ended
	Dec. 31, 2015
Equity [Abstract]
Accumulated Other Comprehensive Income	Accumulated Other Comprehensive Income The following tables show the changes in accumulated other comprehensive income (loss) by component for the years ended December 31, 2015, 2014 and 2013: Retirement Plans Currency Translation Adjustments Other Total Accumulated other comprehensive income (loss), December 31, 2014 $ (10,323 ) $ (13,647 ) $ (31 ) $ (24,001 ) Other comprehensive income (loss) before reclassifications (1,855 ) (27,581 ) — (29,436 ) Income tax 670 — — 670 Other comprehensive income (loss) before reclassifications, net of tax (1,185 ) (27,581 ) — (28,766 ) Amounts reclassified from accumulated other comprehensive income (loss) 1,606 — (84 ) 1,522 Income tax (580 ) — — (580 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 1,026 — (84 ) 942 Other comprehensive income (loss) (159 ) (27,581 ) (84 ) (27,824 ) Accumulated other comprehensive income (loss), December 31, 2015 $ (10,482 ) $ (41,228 ) $ (115 ) $ (51,825 ) Retirement Plans Currency Translation Adjustments Other Total Accumulated other comprehensive income (loss), December 31, 2013 $ (6,479 ) $ 15,892 $ 155 $ 9,568 Other comprehensive income (loss) before reclassifications (7,021 ) (29,539 ) (73 ) (36,633 ) Income tax 2,671 — — 2,671 Other comprehensive income before reclassifications, net of tax (4,350 ) (29,539 ) (73 ) (33,962 ) Amounts reclassified from accumulated other comprehensive income (loss) 816 — (185 ) 631 Income tax (310 ) — 72 (238 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 506 — (113 ) 393 Other comprehensive income (loss) (3,844 ) (29,539 ) (186 ) (33,569 ) Accumulated other comprehensive income (loss), December 31, 2014 $ (10,323 ) $ (13,647 ) $ (31 ) $ (24,001 ) Retirement Plans Currency Translation Adjustments Other Total Accumulated other comprehensive income (loss), December 31, 2012 $ (10,318 ) $ 9,749 $ 163 $ (406 ) Other comprehensive income (loss) before reclassifications 4,902 6,254 — 11,156 Income tax (1,897 ) (111 ) — (2,008 ) Other comprehensive income (loss) before reclassifications, net of tax 3,005 6,143 — 9,148 Amounts reclassified from accumulated other comprehensive income (loss) 1,366 — (40 ) 1,326 Income tax (532 ) — 32 (500 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 834 — (8 ) 826 Other comprehensive income (loss) 3,839 6,143 (8 ) 9,974 Accumulated other comprehensive income (loss), December 31, 2013 $ (6,479 ) $ 15,892 $ 155 $ 9,568 We include amounts reclassified out of accumulated other comprehensive income related to defined benefit pension plans as a component of net periodic pension cost recorded in selling, general and administrative expenses. For the years ended December 31, 2015, 2014 and 2013 we reclassified $1.6 million , $0.8 million and $1.4 million of actuarial net losses.

Commitments and Contingencies

Commitments and Contingencies	12 Months Ended
	Dec. 31, 2015
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies	Commitments and Contingencies We have a contractual commitment to outsource information technology operations, including the management and operation of our information technology systems and distributed services processing, as well as application support, development and enhancement services. This agreement expires in October 2017, with two optional one year extensions. The commitment is cancelable with 180 days notice and payment of a termination fee based upon certain costs which would be incurred by the vendor as a direct result of the early termination. We pay scheduled fees under the agreement, which can vary based on changes in the Consumer Price Index and the level of support required. Assuming no early termination of the contract, our estimated remaining annual obligations under this agreement are $35.8 million in 2016 and $29.8 million in 2017. We paid $35.9 million , $36.6 million and $45.7 million under this contract in 2015, 2014, and 2013. We have entered into non-cancelable agreements to lease most of our office and warehouse facilities with remaining terms generally ranging from one to 20 years. Certain leases include renewal options, generally for five -year increments. We also lease most of our transportation and material handling equipment for terms generally ranging from three to ten years. At December 31, 2015, future minimum annual payments under non-cancelable lease agreements with original terms in excess of one year, and including payments required under operating leases for facilities we have vacated, are as follows: Total 2016 $ 57,020 2017 49,545 2018 43,900 2019 23,079 2020 23,414 Thereafter 68,676 Total minimum payments $ 265,634 Rent expense for all operating leases for the years ended December 31, 2015, 2014, and 2013, was $70.8 million , $77.8 million and $76.7 million . Prior to exiting the direct-to-consumer business in January 2009, we received reimbursements from Medicare, Medicaid, and private healthcare insurers for certain customer billings. We were subject to audits of these reimbursements for up to seven years from the date of the service. Such audit rights expired in January 2016. In the first quarter of 2015, we settled our dispute and terminated the service contract with a customer in the United Kingdom. As part of the settlement, we entered into a transition agreement for the transfer of services back to this customer and paid approximately $3.9 million that was fully accrued at December 31, 2014. In late 2015, we received an insurance recovery of $1.5 million related to this settlement.

Legal Proceedings

Legal Proceedings	12 Months Ended
	Dec. 31, 2015
Commitments and Contingencies Disclosure [Abstract]
Legal Proceedings	Legal Proceedings We are subject to various legal actions that are ordinary and incidental to our business, including contract disputes, employment, workers’ compensation, product liability, regulatory and other matters. We have insurance coverage for employment, product liability, workers’ compensation and other personal injury litigation matters, subject to policy limits, applicable deductibles and insurer solvency. We establish reserves from time to time based upon periodic assessment of the potential outcomes of pending matters. Based on current knowledge and the advice of counsel, we believe that the accrual as of December 31, 2015 for currently pending matters considered probable of loss, which is not material, is sufficient. In addition, we believe that other currently pending matters are not reasonably likely to result in a material loss, as payment of the amounts claimed is remote, the claims are insignificant, individually and in the aggregate, or the claims are expected to be adequately covered by insurance.

Segment Information

Segment Information	12 Months Ended
	Dec. 31, 2015
Segment Reporting [Abstract]
Segment Information	Segment Information We periodically evaluate our application of accounting guidance for reportable segments and disclose information about reportable segments based on the way management organizes the enterprise for making operating decisions and assessing performance. We report our business under two segments: Domestic and International. The Domestic segment includes all functions relating to our role as a medical supply logistics company providing distribution, kitting and logistics services to healthcare providers and manufacturers in the United States. The International segment consists of our European third-party logistics and kitting businesses. We evaluate the performance of our segments based on their operating earnings excluding acquisition-related and exit and realignment charges, certain purchase price fair value adjustments, and other substantive items that, either as a result of their nature or size, would not be expected to occur as part of the our normal business operations on a regular basis. The following tables present financial information by segment: Year ended December 31, 2015 2014 2013 Net revenue: Domestic $ 9,356,140 $ 8,951,852 $ 8,688,018 International 416,806 488,330 383,514 Consolidated net revenue $ 9,772,946 $ 9,440,182 $ 9,071,532 Operating earnings (loss): Domestic $ 223,364 $ 209,277 $ 211,932 International 3,899 (6,739 ) (1,405 ) Acquisition-related and exit and realignment charges (1) (28,404 ) (42,801 ) (12,444 ) Fair value adjustments related to purchase accounting — 3,706 — Other (2) 1,500 (3,907 ) — Consolidated operating earnings $ 200,359 $ 159,536 $ 198,083 Depreciation and amortization: (3) Domestic $ 40,582 $ 37,193 $ 35,808 International 20,926 20,230 14,778 Consolidated depreciation and amortization $ 61,508 $ 57,423 $ 50,586 Capital expenditures: Domestic $ 18,458 $ 52,529 $ 42,802 International 18,158 18,279 17,327 Consolidated capital expenditures $ 36,616 $ 70,808 $ 60,129 (1) The years ended December 31, 2015 and 2014 include $4.5 million and $6.0 million , respectively of accelerated amortization related to an information system that was replaced. (2) Contract claim settlement in 2014 of which $1.5 million was recovered in 2015. See Note 18 for further discussion. (3) In connection with our kitting operations, $1.3 million in depreciation for 2015 and $0.3 million in 2014 is included in cost of goods sold in the statements of income. December 31, 2015 2014 Total assets: Domestic $ 2,155,236 $ 2,139,972 International 461,584 538,662 Segment assets 2,616,820 2,678,634 Cash and cash equivalents 161,020 56,772 Consolidated total assets $ 2,777,840 $ 2,735,406 The following tables present information by geographic area. Net revenues were attributed to geographic areas based on the locations from which we ship products or provide services. International operations consist primarily of Movianto’s operations in the United Kingdom, Germany, France, and other European countries. Year ended December 31, 2015 2014 2013 Net revenue: United States $ 9,356,140 $ 8,951,852 $ 8,688,018 United Kingdom 192,818 253,527 211,296 France 44,592 54,656 52,725 Germany 46,848 47,682 42,807 Other European countries 132,548 132,465 76,686 Consolidated net revenue $ 9,772,946 $ 9,440,182 $ 9,071,532 December 31, 2015 2014 Long-lived assets: United States $ 237,641 $ 260,694 Germany 43,917 55,437 United Kingdom 41,594 42,179 Ireland 24,316 29,018 France 5,397 6,395 Other European countries 19,718 23,091 Consolidated long-lived assets $ 372,583 $ 416,814

Condensed Consolidating Financi

Condensed Consolidating Financial Information	12 Months Ended
	Dec. 31, 2015
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Condensed Consolidating Financial Information	Condensed Consolidating Financial Information The following tables present condensed consolidating financial information for: Owens & Minor, Inc. (O&M); the guarantors of Owens & Minor, Inc.’s 2021 Notes and 2024 Notes, on a combined basis; and the non-guarantor subsidiaries of the 2021 Notes and 2024 Notes, on a combined basis. The guarantor subsidiaries are 100% owned by Owens & Minor, Inc. Separate financial statements of the guarantor subsidiaries are not presented because the guarantees by our guarantor subsidiaries are full and unconditional, as well as joint and several, and we believe the condensed consolidating financial information is more meaningful in understanding the financial position, results of operations and cash flows of the guarantor subsidiaries. Condensed Consolidating Financial Information Year ended December 31, 2015 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Income Net revenue $ — $ 9,176,855 $ 751,442 $ (155,351 ) $ 9,772,946 Cost of goods sold — 8,305,734 410,009 (157,370 ) 8,558,373 Gross margin — 871,121 341,433 2,019 1,214,573 Selling, general and administrative expenses 1,229 649,524 282,843 — 933,596 Acquisition-related and exit and realignment charges — 8,877 19,527 — 28,404 Depreciation and amortization — 34,497 25,690 — 60,187 Other operating (income) expense, net — (2,621 ) (5,352 ) — (7,973 ) Operating (loss) earnings (1,229 ) 180,844 18,725 2,019 200,359 Interest expense (income), net 27,457 (3,371 ) 3,063 — 27,149 Income (loss) before income taxes (28,686 ) 184,215 15,662 2,019 173,210 Income tax (benefit) provision (9,837 ) 71,807 7,831 — 69,801 Equity in earnings of subsidiaries 122,258 — — (122,258 ) — Net income (loss) 103,409 112,408 7,831 (120,239 ) 103,409 Other comprehensive income (loss), net of tax (27,824 ) (243 ) (27,581 ) 27,824 (27,824 ) Comprehensive income (loss) $ 75,585 $ 112,165 $ (19,750 ) $ (92,415 ) $ 75,585 Year ended December 31, 2014 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Income Net revenue $ — $ 8,910,274 $ 626,044 $ (96,136 ) $ 9,440,182 Cost of goods sold — 8,051,350 311,947 (93,081 ) 8,270,216 Gross margin — 858,924 314,097 (3,055 ) 1,169,966 Selling, general and administrative expenses 952 623,871 302,154 — 926,977 Acquisition-related and exit and realignment charges — 15,065 27,736 — 42,801 Depreciation and amortization 2 35,582 21,541 — 57,125 Other operating (income) expense, net — (10,261 ) (6,212 ) — (16,473 ) Operating (loss) earnings (954 ) 194,667 (31,122 ) (3,055 ) 159,536 Loss on early retirement of debt 14,890 — — — 14,890 Interest expense (income), net 15,737 1,520 906 — 18,163 Income (loss) before income taxes (31,581 ) 193,147 (32,028 ) (3,055 ) 126,483 Income tax (benefit) provision (1,700 ) 65,983 (4,303 ) — 59,980 Equity in earnings of subsidiaries 96,384 — — (96,384 ) — Net income (loss) 66,503 127,164 (27,725 ) (99,439 ) 66,503 Other comprehensive income (loss), net of tax (33,569 ) (3,846 ) (29,539 ) 33,385 (33,569 ) Comprehensive income (loss) $ 32,934 $ 123,318 $ (57,264 ) $ (66,054 ) $ 32,934 Condensed Consolidating Financial Information Year ended December 31, 2013 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Income Net revenue $ — $ 8,687,131 $ 435,035 $ (50,634 ) $ 9,071,532 Cost of goods sold — 7,826,768 177,541 (49,852 ) 7,954,457 Gross margin — 860,363 257,494 (782 ) 1,117,075 Selling, general and administrative expenses 2,559 613,394 247,703 — 863,656 Acquisition-related and exit and realignment charges — 8,130 4,314 — 12,444 Depreciation and amortization 14 35,712 14,860 — 50,586 Other operating (income) expense, net — (4,290 ) (3,404 ) — (7,694 ) Operating (loss) earnings (2,573 ) 207,417 (5,979 ) (782 ) 198,083 Interest expense (income), net 11,103 2,550 (555 ) — 13,098 Income (loss) before income taxes (13,676 ) 204,867 (5,424 ) (782 ) 184,985 Income tax (benefit) provision (5,474 ) 81,011 (1,434 ) — 74,103 Equity in earnings of subsidiaries 119,084 — — (119,084 ) — Net income (loss) 110,882 123,856 (3,990 ) (119,866 ) 110,882 Other comprehensive income (loss), net of tax 9,974 3,838 6,143 (9,981 ) 9,974 Comprehensive income (loss) $ 120,856 $ 127,694 $ 2,153 $ (129,847 ) $ 120,856 Condensed Consolidating Financial Information December 31, 2015 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Balance Sheets Assets Current assets Cash and cash equivalents $ 103,284 $ 5,614 $ 52,122 $ — $ 161,020 Accounts and notes receivable, net — 507,673 89,895 (9,633 ) 587,935 Merchandise inventories — 883,232 59,930 (2,387 ) 940,775 Other current assets 104 72,683 212,183 — 284,970 Total current assets 103,388 1,469,202 414,130 (12,020 ) 1,974,700 Property and equipment, net — 103,219 105,711 — 208,930 Goodwill, net — 247,271 172,348 — 419,619 Intangible assets, net — 13,731 81,519 — 95,250 Due from O&M and subsidiaries — 518,473 — (518,473 ) — Advances to and investments in consolidated subsidiaries 1,967,176 — — (1,967,176 ) — Other assets, net 4,064 57,409 17,868 — 79,341 Total assets $ 2,074,628 $ 2,409,305 $ 791,576 $ (2,497,669 ) $ 2,777,840 Liabilities and equity Current liabilities Accounts payable $ — $ 662,909 $ 56,073 $ (8,373 ) $ 710,609 Accrued payroll and related liabilities — 32,094 13,813 — 45,907 Other current liabilities 6,924 109,137 191,012 — 307,073 Total current liabilities 6,924 804,140 260,898 (8,373 ) 1,063,589 Long-term debt, excluding current portion 548,046 4,527 19,986 — 572,559 Due to O&M and subsidiaries 527,068 — 70,089 (597,157 ) — Intercompany debt — 138,890 — (138,890 ) — Deferred income taxes — 67,562 18,764 — 86,326 Other liabilities — 57,573 5,203 — 62,776 Total liabilities 1,082,038 1,072,692 374,940 (744,420 ) 1,785,250 Equity — Common stock 125,606 — — — 125,606 Paid-in capital 211,943 241,877 516,608 (758,485 ) 211,943 Retained earnings (deficit) 706,866 1,104,787 (58,648 ) (1,046,139 ) 706,866 Accumulated other comprehensive income (loss) (51,825 ) (10,051 ) (41,324 ) 51,375 (51,825 ) Total equity 992,590 1,336,613 416,636 (1,753,249 ) 992,590 Total liabilities and equity $ 2,074,628 $ 2,409,305 $ 791,576 $ (2,497,669 ) $ 2,777,840 Condensed Consolidating Financial Information December 31, 2014 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Balance Sheets Assets Current assets Cash and cash equivalents $ 22,013 $ 3,912 $ 30,847 $ — $ 56,772 Accounts and notes receivable, net — 519,951 144,463 (38,222 ) 626,192 Merchandise inventories — 816,915 60,061 (4,519 ) 872,457 Other current assets (24,748 ) 90,733 223,414 25,080 314,479 Total current assets (2,735 ) 1,431,511 458,785 (17,661 ) 1,869,900 Property and equipment, net — 110,076 122,903 — 232,979 Goodwill, net — 247,271 176,005 — 423,276 Intangible assets, net — 15,805 92,788 — 108,593 Due from O&M and subsidiaries — 357,304 — (357,304 ) — Advances to and investments in consolidated subsidiaries 1,893,767 — — (1,893,767 ) — Other assets, net 4,637 66,836 29,185 — 100,658 Total assets $ 1,895,669 $ 2,228,803 $ 879,666 $ (2,268,732 ) $ 2,735,406 Liabilities and equity Current liabilities Accounts payable $ — $ 567,285 $ 54,898 $ (13,337 ) $ 608,846 Accrued payroll and related liabilities — 16,434 15,073 — 31,507 Other current liabilities 6,441 83,698 236,084 — 326,223 Total current liabilities 6,441 667,417 306,055 (13,337 ) 966,576 Long-term debt, excluding current portion 547,763 39,915 20,873 — 608,551 Due to O&M and subsidiaries 350,627 — 77,788 (428,415 ) — Intercompany debt — 138,890 — (138,890 ) — Deferred income taxes — 72,829 29,051 — 101,880 Other liabilities — 55,794 11,767 — 67,561 Total liabilities 904,831 974,845 445,534 (580,642 ) 1,744,568 Equity — Common stock 126,140 — — — 126,140 Paid-in capital 202,934 241,877 514,314 (756,191 ) 202,934 Retained earnings (deficit) 685,765 1,022,379 (66,479 ) (955,900 ) 685,765 Accumulated other comprehensive income (loss) (24,001 ) (10,298 ) (13,703 ) 24,001 (24,001 ) Total equity 990,838 1,253,958 434,132 (1,688,090 ) 990,838 Total liabilities and equity $ 1,895,669 $ 2,228,803 $ 879,666 $ (2,268,732 ) $ 2,735,406 Condensed Consolidating Financial Information Year ended December 31, 2015 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Cash Flows Operating activities: Net income (loss) $ 103,409 $ 112,408 $ 7,831 $ (120,239 ) $ 103,409 Adjustments to reconcile net income to cash (used for) provided by operating activities: Equity in earnings of subsidiaries (122,258 ) — — 122,258 — Depreciation and amortization — 34,497 31,485 — 65,982 Share-based compensation expense — 11,306 — — 11,306 Provision for losses on accounts and notes receivable — 202 (226 ) — (24 ) Deferred income tax (benefit) expense — (5,267 ) (834 ) — (6,101 ) Changes in operating assets and liabilities: Accounts and notes receivable — 12,076 (27,274 ) 33,531 18,333 Merchandise inventories — (66,317 ) (1,277 ) (2,133 ) (69,727 ) Accounts payable — 95,624 13,418 4,969 114,011 Net change in other assets and liabilities 666 61,454 6,443 (38,386 ) 30,177 Other, net 855 920 456 — 2,231 Cash provided by (used for) operating activities of continuing operations (17,328 ) 256,903 30,022 — 269,597 Investing activities: Additions to computer software and intangible assets — (13,688 ) (2,397 ) — (16,085 ) Additions to property and equipment — (3,621 ) (16,910 ) — (20,531 ) Proceeds from sale of property and equipment — 87 56 — 143 Cash used for investing activities of continuing operations — (17,222 ) (19,251 ) — (36,473 ) Financing activities: Proceeds from (repayment of) revolver — (33,700 ) — — (33,700 ) Change in intercompany advances 183,688 (201,851 ) 18,163 — — Cash dividends paid (63,651 ) — — — (63,651 ) Repurchases of common stock (20,000 ) — — — (20,000 ) Excess tax benefits related to share-based compensation 646 — — — 646 Other, net (2,084 ) (2,428 ) (3,016 ) — (7,528 ) Cash provided by (used for) financing activities 98,599 (237,979 ) 15,147 — (124,233 ) Effect of exchange rates on cash and cash equivalents — — (4,643 ) — (4,643 ) Net increase (decrease) in cash and cash equivalents 81,271 1,702 21,275 — 104,248 Cash and cash equivalents at beginning of year 22,013 3,912 30,847 — 56,772 Cash and cash equivalents at end of year $ 103,284 $ 5,614 $ 52,122 $ — $ 161,020 Condensed Consolidating Financial Information Year ended December 31, 2014 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Cash Flows Operating activities: Net income (loss) $ 66,503 $ 127,164 $ (27,725 ) $ (99,439 ) $ 66,503 Adjustments to reconcile net income to cash provided by (used for) operating activities: Equity in earnings of subsidiaries (96,384 ) — — 96,384 — Depreciation and amortization 2 35,879 27,526 — 63,407 Loss on early retirement of debt 14,890 — — — 14,890 Share-based compensation expense — 8,369 (162 ) — 8,207 Provision for losses on accounts and notes receivable — (36 ) 484 — 448 Deferred income tax (benefit) expense — 1,292 (4,677 ) — (3,385 ) Changes in operating assets and liabilities: — — — Accounts and notes receivable (24,440 ) 6,185 452 (17,803 ) Merchandise inventories — (65,916 ) 8,308 279 (57,329 ) Accounts payable — (28,580 ) (24,613 ) 1,045 (52,148 ) Net change in other assets and liabilities (455 ) (12,341 ) (14,311 ) 1,279 (25,828 ) Other, net (1,161 ) (9 ) 447 — (723 ) Cash provided by (used for) operating activities (16,605 ) 41,382 (28,538 ) — (3,761 ) Investing activities: Acquisitions, net of cash acquired — — (248,536 ) — (248,536 ) Additions to computer software and intangible assets — (18,054 ) (4,330 ) — (22,384 ) Additions to property and equipment — (34,475 ) (13,949 ) — (48,424 ) Proceeds from the sale of investments — 1,937 — 1,937 Proceeds from sale of property and equipment — 156 — — 156 Cash used for investing activities of continuing operations — (50,436 ) (266,815 ) — (317,251 ) Financing activities: — — — Proceeds from issuance of debt 547,693 — — — 547,693 Proceeds from revolver — 33,700 — — 33,700 Repayment of debt (217,352 ) — — — (217,352 ) Change in intercompany advances (287,275 ) (21,106 ) 308,381 — — Cash dividends paid (63,104 ) — — — (63,104 ) Repurchases of common stock (9,934 ) — — — (9,934 ) Financing costs paid (4,780 ) (611 ) — — — (5,391 ) Excess tax benefits related to share-based compensation 582 — — — 582 Proceeds from exercise of stock options 1,180 — — — 1,180 Purchase of noncontrolling interest — — (1,500 ) — (1,500 ) Other, net (2,783 ) (1,029 ) (3,502 ) — (7,314 ) Cash provided by (used for) financing activities (35,773 ) 10,954 303,379 — 278,560 Effect of exchange rate changes on cash and cash equivalents — — (2,681 ) — (2,681 ) Net increase (decrease) in cash and cash equivalents (52,378 ) 1,900 5,345 — (45,133 ) Cash and cash equivalents at beginning of year 74,391 2,012 25,502 — 101,905 Cash and cash equivalents at end of year $ 22,013 $ 3,912 $ 30,847 $ — $ 56,772 Condensed Consolidating Financial Information Year ended December 31, 2013 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Cash Flows Operating activities: Net income (loss) $ 110,882 $ 123,856 $ (3,990 ) $ (119,866 ) $ 110,882 Adjustments to reconcile net income to cash provided by (used for) operating activities: Equity in earnings of subsidiaries (119,084 ) — — 119,084 — Depreciation and amortization 14 35,712 14,860 — 50,586 Share-based compensation expense — 6,381 — — 6,381 Provision for losses on accounts and notes receivable — 278 509 — 787 Deferred income tax (benefit) expense — 5,821 (2,108 ) — 3,713 Changes in operating assets and liabilities: Accounts and notes receivable — (22,055 ) (16,522 ) (68 ) (38,645 ) Merchandise inventories — (170 ) (7,676 ) 782 (7,064 ) Accounts payable (45,300 ) 77,320 15,286 68 47,374 Net change in other assets and liabilities 1,774 (12,068 ) (22,043 ) — (32,337 ) Other, net (1,541 ) 515 (97 ) — (1,123 ) Cash provided by (used for) operating activities (53,255 ) 215,590 — (21,781 ) — 140,554 Investing activities: Additions to computer software and intangible assets — (21,773 ) (10,237 ) — (32,010 ) Additions to property and equipment — (21,029 ) (7,090 ) — (28,119 ) Proceeds from sale of property and equipment — 2,746 305 — 3,051 Cash used for investing activities — (40,056 ) (17,022 ) — (57,078 ) Financing activities: Change in intercompany advances 145,354 (184,092 ) 38,738 — — Cash dividends paid (60,731 ) — — — (60,731 ) Repurchases of common stock (18,876 ) — — — (18,876 ) Proceeds from exercise of stock options 5,352 — — — 5,352 Excess tax benefits related to share-based compensation 898 — — — 898 Other, net (2,541 ) (3,071 ) (3,011 ) — (8,623 ) Cash provided by (used for) financing activities 69,456 (187,163 ) 35,727 — (81,980 ) Effect of exchange rate changes on cash and cash equivalents — — 2,521 — 2,521 Net increase (decrease) in cash and cash equivalents 16,201 (11,629 ) (555 ) — 4,017 Cash and cash equivalents at beginning of year 58,190 13,641 26,057 — 97,888 Cash and cash equivalents at end of year $ 74,391 $ 2,012 $ 25,502 $ — $ 101,905

Summary of Significant Accoun31

Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2015
Accounting Policies [Abstract]
Basis of Presentation	Basis of Presentation. The consolidated financial statements include the accounts of Owens & Minor, Inc. and the subsidiaries it controls, in conformity with U.S generally accepted accounting principles (GAAP). All significant intercompany accounts and transactions have been eliminated.
Reclassifications	Reclassifications. Certain prior year amounts have been reclassified to conform to current year presentation.
Use of Estimates	Use of Estimates. The preparation of the consolidated financial statements in conformity with GAAP requires us to make assumptions and estimates that affect reported amounts and related disclosures. Estimates are used for, but are not limited to, the allowances for losses on accounts and notes receivable, inventory valuation allowances, supplier incentives, depreciation and amortization, goodwill valuation, valuation of intangible assets and other long-lived assets, valuation of property held for sale, self-insurance liabilities, tax liabilities, defined benefit obligations, share-based compensation and other contingencies. Actual results may differ from these estimates.
Cash and Cash Equivalents	Cash and Cash Equivalents. Cash and cash equivalents includes cash and marketable securities with an original maturity or maturity at acquisition of three months or less. Cash and cash equivalents are stated at cost. Nearly all of our cash and cash equivalents are held in cash depository accounts in major banks in the United States and Europe. Book overdrafts represent the amount of outstanding checks issued in excess of related bank balances and are included in accounts payable in our consolidated balance sheets, as they are similar to trade payables and are not subject to finance charges or interest. Changes in book overdrafts are classified as operating activities in our consolidated statements of cash flows.
Accounts and Notes Receivable, Net	Accounts and Notes Receivable, Net. Accounts receivable from customers are recorded at the invoiced amount. We assess finance charges on overdue accounts receivable that are recognized as other operating income based on their estimated ultimate collectability. We have arrangements with certain customers under which they make deposits on account. Customer deposits in excess of outstanding receivable balances are classified as other current liabilities. We maintain valuation allowances based upon the expected collectability of accounts and notes receivable. Our allowances include specific amounts for accounts that are likely to be uncollectible, such as customer bankruptcies and disputed amounts and general allowances for accounts that may become uncollectible. Allowances are estimated based on a number of factors, including industry trends, current economic conditions, creditworthiness of customers, age of the receivables, changes in customer payment patterns, and historical experience. Account balances are charged off against the allowance after all means of collection have been exhausted and the potential for recovery is considered remote.
Financing Receivables and Payables	Financing Receivables and Payables. We have an order-to-cash program in our International segment under which we invoice manufacturers’ customers and remit collected amounts to the manufacturers. We retain credit risk for certain uncollected receivables under this program where contractually obligated. We continually monitor the expected collectability in this program and maintain valuation allowances when it is likely that an amount may be or may become uncollectible. Allowances are estimated based on a number of factors including creditworthiness of customers, age of the receivables and historical experience. We write off uncollected receivables under this program when collection is no longer being pursued. At December 31, 2015 and 2014, the allowance for uncollectible accounts as part of this program was $0.1 million and $0.4 million . Fees charged for this program are included in net revenue. Product pricing and related product risks are retained by the manufacturer. Balances receivable and related amounts payable under this program are classified in other current assets and other current liabilities in the consolidated balance sheets.
Merchandise Inventories	Merchandise Inventories. Merchandise inventories are valued at the lower of cost or market, with cost determined by the last-in, first-out (LIFO) method for Domestic segment inventories. Cost of International segment inventories is determined using the first-in, first out (FIFO) method.
Property and Equipment	Property and Equipment. Property and equipment are stated at cost less accumulated depreciation or, if acquired under capital leases, at the lower of the present value of minimum lease payments or fair market value at the inception of the lease less accumulated amortization. Depreciation and amortization expense for financial reporting purposes is computed on a straight-line method over the estimated useful lives of the assets or, for capital leases and leasehold improvements, over the term of the lease, if shorter. During the year we changed the useful lives of certain warehouse assets from eight years to 15 to better align with our current business practices. The cost basis of these assets were $12.9 million and the change in useful lives reduced total depreciation expense by $0.9 million for the year ended December 31, 2015. In general, the estimated useful lives for computing depreciation and amortization are four to 15 years for warehouse equipment, five to 40 years for buildings and building improvements, and three to eight years for computers, furniture and fixtures, and office and other equipment. Straight-line and accelerated methods of depreciation are used for income tax purposes. Normal maintenance and repairs are expensed as incurred, and renovations and betterments are capitalized.
Leases	Leases. We have entered into non-cancelable agreements to lease most of our office and warehouse facilities with remaining terms generally ranging from one to 30 years. We also lease most of our transportation and material handling equipment for terms generally ranging from three to ten years. Certain information technology assets embedded in an outsourcing agreement are accounted for as capital leases. Leases are classified as operating leases or capital leases at their inception. Rent expense for leases with rent holidays or pre-determined rent increases are recognized on a straight-line basis over the lease term. Incentives and allowances for leasehold improvements are deferred and recognized as a reduction of rent expense over the lease term.
Goodwill	Goodwill. We evaluate goodwill for impairment annually, as of October 1, and whenever events occur or changes in circumstance indicate that the carrying amount of goodwill may not be recoverable. We review goodwill first by performing a qualitative assessment to determine if it is more likely than not that the fair value of a reporting unit exceeds its carrying value. If not, we then perform a quantitative assessment by first comparing the carrying amount to the fair value of the reporting unit. If the fair value of the reporting unit is determined to be less than its carrying value, a second step is performed to measure the goodwill impairment loss as the excess of the carrying value of the reporting unit’s goodwill over the estimated fair value of its goodwill. We estimate the fair value of the reporting unit using valuation techniques which can include comparable multiples of the unit’s earnings before interest, taxes, depreciation and amortization (EBITDA) and present value of expected cash flows. The EBITDA multiples are based on an analysis of current enterprise values and recent acquisition prices of similar companies, if available.
Intangible Assets	Intangible Assets. Intangible assets acquired through purchases or business combinations are stated at fair value at the acquisition date and net of accumulated amortization in the consolidated balance sheets. Intangible assets, consisting primarily of customer relationships, customer contracts, non-competition agreements, trademarks, and tradenames are amortized over their estimated useful lives. In determining the useful life of an intangible asset, we consider our historical experience in renewing or extending similar arrangements. Customer relationships are generally amortized over 10 to 15 years and other intangible assets are amortized generally for periods between one and 15 years, based on their pattern of economic benefit or on a straight-line basis.
Computer Software	Computer Software. We develop and purchase software for internal use. Software development costs incurred during the application development stage are capitalized. Once the software has been installed and tested, and is ready for use, additional costs incurred in connection with the software are expensed as incurred. Capitalized computer software costs are amortized over the estimated useful life of the software, usually between three and ten years. Computer software costs are included in other assets, net, in the consolidated balance sheets. Unamortized software at December 31, 2015 and 2014 was $68.4 million and $75.2 million . Depreciation and amortization expense includes $15.4 million , $16.4 million and $14.2 million of software amortization for the years ended December 31, 2015, 2014 and 2013. Additional amortization of $4.5 million in 2015 and $6.0 million in 2014 related to the accelerated amortization of an information system which was replaced in the International segment is included in acquisition-related and exit and realignment charges in the consolidated statements of income.
Long-Lived Assets	Long-Lived Assets. Long-lived assets, which include property and equipment, finite-lived intangible assets, and unamortized software costs, are evaluated for impairment whenever events or changes in circumstances indicate that the carrying amount of long-lived assets may not be recoverable. We assess long-lived assets for potential impairment by comparing the carrying value of an asset, or group of related assets, to their estimated undiscounted future cash flows.
Self-Insurance Liabilities	Self-Insurance Liabilities. We are self-insured for most employee healthcare, workers’ compensation and automobile liability costs; however, we maintain insurance for individual losses exceeding certain limits. Liabilities are estimated for healthcare costs using current and historical claims data. Liabilities for workers’ compensation and automobile liability claims are estimated using historical claims data and loss development factors. If the underlying facts and circumstances of existing claims change or historical trends are not indicative of future trends, then we may be required to record additional expense or reductions to expense. Self-insurance liabilities are included in other accrued liabilities on the consolidated balance sheets.
Revenue Recognition	Revenue Recognition. Revenue is recognized when persuasive evidence of an arrangement exists, delivery has occurred or services have been rendered, the price or fee is fixed or determinable, and collectability is reasonably assured. Under most of our distribution contracts, we record revenue at the time shipment is completed as title passes to the customer when the product is received by the customer. Revenue for activity-based fees and other services is recognized as work is performed and as amounts are earned. Depending on the specific contractual provisions and nature of the deliverable, revenue from services may be recognized on a straight-line basis over the term of the service, on a proportional performance model, based on level of effort, or when final deliverables have been provided. Additionally, we generate fees from arrangements that include performance targets related to cost-saving initiatives for customers that result from our supply-chain management services. Achievement against performance targets, measured in accordance with contractual terms, may result in additional fees paid to us or, if performance targets are not achieved, we may be obligated to refund or reduce a portion of our fees or to provide credits toward future purchases by the customer. For these arrangements, all contingent revenue is deferred and recognized as the performance target is achieved and the applicable contingency is released. When we determine that a loss is probable under a contract, the estimated loss is accrued. We allocate revenue for arrangements with multiple deliverables meeting the criteria for a separate unit of accounting using the relative selling price method and recognize revenue for each deliverable in accordance with applicable revenue recognition criteria. In most cases, we record revenue gross, as we are the primary obligor in our sales arrangements, bear the risk of general and physical inventory loss and carry all credit risk associated with sales. When we act as an agent in a sales arrangement and do not bear a significant portion of these risks, primarily for our third-party logistics business, we record revenue net of product cost. Sales taxes collected from customers and remitted to governmental authorities are excluded from revenues.
Cost of Goods Sold	Cost of Goods Sold. Cost of goods sold includes the cost of the product (net of supplier incentives and cash discounts) and all costs incurred for shipments of products from manufacturers to our distribution centers for all customer arrangements where we are the primary obligor, bear the risk of general and physical inventory loss and carry all credit risk associated with sales. We have contractual arrangements with certain suppliers that provide incentives, including cash discounts for prompt payment, operational efficiency and performance-based incentives. These incentives are recognized as a reduction in cost of goods sold as targets become probable of achievement. In situations where we act as an agent in a sales arrangement and do not bear a significant portion of these risks, primarily for our third-party logistics business, there is no cost of goods sold and all costs to provide the service to the customer are recorded in selling, general and administrative expenses. As a result of different practices of categorizing costs and different business models throughout our industry, our gross margins may not necessarily be comparable to other distribution companies.
Selling, General and Administrative (SG&A) Expenses	Selling, General and Administrative (SG&A) Expenses. SG&A expenses include shipping and handling costs, labor and other costs for selling and administrative functions associated with our distribution and logistics services and all costs associated with our fee-for-service arrangements.
Shipping and Handling	Shipping and Handling. Shipping and handling costs are included in SG&A expenses on the consolidated statements of income and include costs to store, to move, and to prepare products for shipment, as well as costs to deliver products to customers. Shipping and handling costs totaled $548.6 million , $576.8 million and $528.2 million for the years ended December 31, 2015, 2014 and 2013, respectively. Third-party shipping and handling costs billed to customers, which are included in net revenue, are immaterial for all periods presented.
Share-Based Compensation	Share-Based Compensation. We account for share-based payments to employees at fair value and recognize the related expense in selling, general and administrative expenses over the service period for awards expected to vest.
Derivative Financial Instruments	Derivative Financial Instruments. We are directly and indirectly affected by changes in certain market conditions, which may adversely impact our financial performance and are referred to as “market risks.” When deemed appropriate, we use derivatives as a risk management tool to mitigate the potential impact of certain market risks, primarily foreign currency exchange risk. We use forward contracts, which are agreements to buy or sell a quantity of a commodity at a predetermined future date, and at a predetermined rate or price. We do not enter into derivative financial instruments for trading purposes. All derivatives are carried at fair value in our consolidated balance sheets, which is determined by using observable market inputs (Level 2). The cash flow impact of the our derivative instruments is primarily included in our consolidated statements of cash flows in net cash provided by operating activities.
Income Taxes	Income Taxes. We account for income taxes under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Valuation allowances are provided if it is more likely than not that a deferred tax asset will not be realized. When we have claimed tax benefits that may be challenged by a tax authority, an estimate of the effect of these uncertain tax positions is recorded. It is our policy to provide for uncertain tax positions and the related interest and penalties based upon an assessment of whether a tax benefit is more likely than not to be sustained upon examination by tax authorities. To the extent that the tax outcome of these uncertain tax positions changes, based on our assessment, such changes in estimate may impact the income tax provision in the period in which such determination is made. We earn a portion of our operating earnings in foreign jurisdictions outside the United States, which we consider to be indefinitely reinvested. Accordingly, no United States 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 $46.0 million and $31.5 million as of December 31, 2015 and 2014. 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 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. Upon distribution of these assets, we could be subject to additional U.S. federal and state income taxes and withholding taxes payable to foreign jurisdictions, where applicable.
Fair Value Measurements	Fair Value Measurements. Fair value is determined based on assumptions that a market participant would use in pricing an asset or liability. The assumptions used are in accordance with a three-tier hierarchy, defined by GAAP, that draws a distinction between market participant assumptions based on (i) observable inputs such as quoted prices in active markets (Level 1), (ii) inputs other than quoted prices in active markets that are observable either directly or indirectly (Level 2) and (iii) unobservable inputs that require the use of present value and other valuation techniques in the determination of fair value (Level 3). The carrying amounts of cash and cash equivalents, accounts receivable and accounts payable reported in the consolidated balance sheets approximate fair value due to the short-term nature of these instruments. Property held for sale is reported at estimated fair value less selling costs with fair value determined based on recent sales prices for comparable properties in similar locations (Level 2). The fair value of long-term debt is estimated based on quoted market prices or dealer quotes for the identical liability when traded as an asset in an active market (Level 1) or, if quoted market prices or dealer quotes are not available, on the borrowing rates currently available for loans with similar terms, credit ratings, and average remaining maturities (Level 2). See Notes 7, 10 and 11 for the fair value of property held for sale, debt instruments and derivatives.
Acquisition-Related and Exit and Realignment Costs	Acquisition-Related and Exit and Realignment Charges . We present costs incurred in connection with acquisitions in acquisition-related and exit and realignment charges in our consolidated statements of income. Acquisition-related charges consist primarily of transaction costs incurred to perform due diligence and to analyze, negotiate and consummate an acquisition, costs to perform post-closing activities to establish the organizational structure, and costs to transition the acquired company’s information technology and other operations and administrative functions from the former owner. Costs associated with exit and realignment activities are recorded at their fair value when incurred. Liabilities are established at the cease-use date for remaining operating lease and other contractual obligations, net of estimated sub-lease income. The net lease termination cost is discounted using a credit-adjusted risk-free rate of interest. We evaluate these assumptions quarterly and adjust the liability accordingly. The current portion of accrued lease and other contractual termination costs is included in other accrued liabilities on the consolidated balance sheets, and the non-current portion is included in other liabilities. Severance benefits are recorded when payment is considered probable and reasonably estimable.
Income Per Share	Income Per Share. Basic and diluted income per share are calculated pursuant to the two-class method, under which unvested share-based payment awards containing nonforfeitable rights to dividends are participating securities.
Foreign Currency Translation	Foreign Currency Translation. Our foreign subsidiaries generally consider their local currency to be their functional currency. Assets and liabilities of these foreign subsidiaries are translated into U.S. dollars at period-end exchange rates and revenues and expenses are translated at average exchange rates during the period. Cumulative currency translation adjustments are included in accumulated other comprehensive income (loss) in shareholders’ equity. Gains and losses on intercompany foreign currency transactions that are long-term in nature and which we do not intend to settle in the foreseeable future are also recognized in other comprehensive income (loss) in shareholders’ equity. Realized gains and losses from foreign currency transactions are recorded in other operating income, net in the consolidated statements of income and were not material to our consolidated results of operations in 2015, 2014, and 2013.
Business Combinations	Business Combinations . We account for acquired businesses using the acquisition method of accounting, which requires that the assets acquired and liabilities assumed be recorded at the date of acquisition at their respective fair values. Any excess of the purchase price over the estimated fair values of the net assets acquired is recorded as goodwill.
Recent Accounting Pronouncements	Recent Accounting Pronouncements . During 2015, we adopted Accounting Standard Updates (ASU’s) issued by the Financial Accounting Standards Board (FASB). In November 2015 the FASB released as part of its simplification initiative ASU 2015-17 which will require entities, starting in 2017, to classify all deferred taxes as non-current. This is a change from the current GAAP which requires deferred taxes to be classified as current or non-current based on the underlying book asset/liability. As allowed by the standard, we have chosen to early adopt this guidance on a retrospective basis. As a result, all deferred income taxes in the consolidated balance sheets are reflected as non-current assets or liabilities. Deferred tax liabilities of $38.0 million and deferred tax assets of $0.8 million presented as current in the prior year have been reclassified to non-current to conform to this new presentation. In September 2015, the FASB issued ASU No. 2015-16, Business Combinations (Topic 805): Simplifying the Accounting for Measurement-Period Adjustments , which eliminates the requirement for an acquirer in a business combination to account for measurement-period adjustments retrospectively. Under this ASU, acquirers must recognize measurement-period adjustments in the period in which they determine the amounts, including the effect on earnings of any amounts they would have recorded in previous periods if the accounting had been completed at the acquisition date. This guidance is effective for fiscal years beginning after December 15, 2016, with early adoption permitted. The Company elected to early adopt this ASU in the third quarter of 2015. We have not retrospectively accounted for the measurement-period adjustments as described in Note 3. In April 2015, the FASB issued ASU 2015-03, Interest-Imputation of Interest: Simplifying the Presentation of Debt Issuance Costs (ASU 2015-03), which requires that debt issuance costs related to a recognized debt liability be presented in the balance sheet as a direct deduction from the carrying amount of that debt liability, consistent with debt discounts. The standard is effective for the Company on January 1, 2016, with early adoption permitted. The adoption of ASU 2015-03 is not expected to have a material impact on the financial statements of the Company. On May 28, 2014, the FASB issued an ASU, Revenue from Contracts with Customers , which requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers. The ASU will replace most existing revenue recognition guidance in U.S. GAAP when it becomes effective on January 1, 2018. Early application as of January 1, 2017 is permitted. The standard permits the use of either the retrospective or cumulative effect transition method. We are evaluating the effect that the ASU will have on our consolidated financial statements and related disclosures. We have not yet selected a transition method nor have we determined the effect of the standard on our ongoing financial reporting.
Segment Reporting	We periodically evaluate our application of accounting guidance for reportable segments and disclose information about reportable segments based on the way management organizes the enterprise for making operating decisions and assessing performance. We report our business under two segments: Domestic and International. The Domestic segment includes all functions relating to our role as a medical supply logistics company providing distribution, kitting and logistics services to healthcare providers and manufacturers in the United States. The International segment consists of our European third-party logistics and kitting businesses. We evaluate the performance of our segments based on their operating earnings excluding acquisition-related and exit and realignment charges, certain purchase price fair value adjustments, and other substantive items that, either as a result of their nature or size, would not be expected to occur as part of the our normal business operations on a regular basis.

Acquisitions (Tables)

Acquisitions (Tables)	12 Months Ended
	Dec. 31, 2015
Business Combinations [Abstract]
Schedule of Business Acquisitions, by Acquisition	The following table presents, in the aggregate, the estimated fair value of the assets acquired and liabilities assumed recognized as of the acquisition date. Preliminary Fair Measurement Period Adjustments Recorded in 2015 Fair Value as of Acquisition Date Assets acquired: Current assets $ 90,608 $ (229 ) $ 90,379 Property and equipment 34,048 (2,502 ) 31,546 Goodwill 150,492 121 150,613 Intangible assets 77,623 — 77,623 Total assets 352,771 (2,610 ) 350,161 Liabilities assumed: Current liabilities 64,736 (1,187 ) 63,549 Noncurrent liabilities 26,426 (1,423 ) 25,003 Total liabilities 91,162 (2,610 ) 88,552 Fair value of net assets acquired, net of cash $ 261,609 $ — $ 261,609

Property and Equipment (Tables)

Property and Equipment (Tables)	12 Months Ended
	Dec. 31, 2015
Property, Plant and Equipment [Abstract]
Property And Equipment	Property and equipment consists of the following: December 31, 2015 2014 Warehouse equipment $ 168,599 $ 169,083 Computer equipment 53,566 31,162 Building and improvements 75,229 87,974 Leasehold improvements 60,522 58,046 Land and improvements 17,386 17,771 Furniture and fixtures 14,517 12,539 Office equipment and other 8,216 19,781 398,035 396,356 Accumulated depreciation (189,105 ) (163,377 ) Property and equipment, net $ 208,930 $ 232,979

Goodwill and Intangible Assets

Goodwill and Intangible Assets (Tables)	12 Months Ended
	Dec. 31, 2015
Goodwill and Intangible Assets Disclosure [Abstract]
Schedule of Goodwill	The following table summarizes the changes in the carrying amount of goodwill through December 31, 2015 : Domestic Segment International Segment Consolidated Carrying amount of goodwill, December 31, 2014 $ 377,089 $ 46,187 $ 423,276 Currency translation adjustments — (3,778 ) (3,778 ) Acquisitions (See Note 3) 1,116 (995 ) 121 Carrying amount of goodwill, December 31, 2015 $ 378,205 $ 41,414 $ 419,619
Intangible Assets	Intangible assets at December 31, 2015 and 2014 were as follows: 2015 2014 Customer Other Customer Other Gross intangible assets $ 121,888 $ 4,621 $ 125,448 $ 3,405 Accumulated amortization (29,872 ) (1,387 ) (19,773 ) (487 ) Net intangible assets $ 92,016 $ 3,234 $ 105,675 $ 2,918 Weighted average useful life 14 years 5 years 14 years 6 years

Exit and Realignment Costs (Tab

Exit and Realignment Costs (Tables)	12 Months Ended
	Dec. 31, 2015
Restructuring and Related Activities [Abstract]
Schedule of Exit and Realignment Charges by Segment	Exit and realignment charges by segment for the years ended December 31, 2015, 2014, and 2013 were as follows: Year ended December 31, 2015 2014 2013 Domestic segment $ 7,318 $ 7,223 $ 8,176 International segment 11,312 19,490 751 Total exit and realignment charges $ 18,630 $ 26,713 $ 8,927
Schedule of Exit and Realignment Cost Accrual Activity	The following table summarizes the activity related to exit and realignment cost accruals through December 31, 2015 : Lease Severance and Total Accrued exit and realignment charges, January 1, 2013 $ 5,098 $ 1,116 $ 6,214 Provision for exit and realignment activities 2,932 128 3,060 Cash payments, net of sublease income (5,596 ) (769 ) (6,365 ) Accrued exit and realignment charges, December 31, 2013 2,434 475 2,909 Provision for exit and realignment activities 5,592 6,338 11,930 Change in estimate (1,260 ) — (1,260 ) Cash payments, net of sublease income (3,191 ) (3,926 ) (7,117 ) Accrued exit and realignment charges, December 31, 2014 3,575 2,887 6,462 Provision for exit and realignment activities 1,118 3,965 5,083 Change in estimate (3,002 ) (875 ) (3,877 ) Cash payments, net of sublease income (1,205 ) (4,137 ) (5,342 ) Accrued exit and realignment charges, December 31, 2015 $ 486 $ 1,840 $ 2,326

Debt (Tables)

Debt (Tables)	12 Months Ended
	Dec. 31, 2015
Debt Disclosure [Abstract]
Debt	Debt consists of the following: 2015 2014 December 31, Carrying Estimated Carrying Estimated 3.875% Senior Notes, $275 million par value, maturing September 2021 $ 273,959 $ 273,680 $ 273,777 $ 275,055 4.375% Senior Notes, $275 million par value, maturing December 2024 274,087 272,828 273,986 283,855 Revolving Credit Facility — — 33,700 33,700 Capital leases 29,539 29,539 32,346 32,346 Total debt 577,585 576,047 613,809 624,956 Less current maturities (5,026 ) (5,026 ) (5,258 ) (5,258 ) Long-term debt $ 572,559 $ 571,021 $ 608,551 $ 619,698
Schedule of Future Minimum Lease Payments for Capital Leases	As of December 31, 2015, we were obligated under capital leases for minimum annual rental payments as follows: Year 2016 $ 7,264 2017 6,401 2018 5,131 2019 3,423 2020 2,342 Thereafter 17,420 Total minimum lease payments 41,981 Less: Amounts representing interest (12,442 ) Present value of total minimum lease payments 29,539 Less: Current portion of capital lease obligations (5,027 ) Long-term portion of capital lease obligations $ 24,512

Share-Based Compensation (Table

Share-Based Compensation (Tables)	12 Months Ended
	Dec. 31, 2015
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Activity and Value of Nonvested Restricted Stock and Performance Share Awards	The following table summarizes the activity and value of nonvested restricted stock and performance share awards for the years ended December 31, 2015 , 2014 and 2013: 2015 2014 2013 Number of Weighted Number of Weighted Number of Weighted Nonvested awards at beginning of year 814 $ 33.29 738 $ 30.81 720 $ 30.14 Granted 545 34.25 371 33.69 339 31.65 Vested (195 ) 29.90 (201 ) 31.01 (206 ) 30.22 Forfeited (60 ) 33.27 (94 ) 30.89 (115 ) 30.51 Nonvested awards at end of year 1,104 40.02 814 33.29 738 30.81
Summary of Activity and Terms of Outstanding Options	The following table summarizes the activity and terms of outstanding options at December 31, 2015 , and for each of the years in the three-year period then ended: Number of Weighted Average Weighted Average Aggregate Options outstanding at December 31, 2012 312 $ 22.25 Exercised (244 ) 21.97 Forfeited (4 ) 21.72 Options outstanding at December 31, 2013 64 23.33 Exercised (49 ) 24.21 Forfeited — — Options outstanding at December 31, 2014 15 20.49 Exercised (15 ) 20.49 Forfeited — — Options outstanding at December 31, 2015 — $ — — $ —

Retirement Plans (Tables)

Retirement Plans (Tables) - Domestic Retirement Plans	12 Months Ended
	Dec. 31, 2015
Domestic Retirement Plan's Financial Status and Amounts Recognized in Consolidated Balance Sheets	The following table sets forth the Domestic Retirement Plan’s financial status and the amounts recognized in our consolidated balance sheets: December 31, 2015 2014 Change in benefit obligation Benefit obligation, beginning of year $ 49,055 $ 42,011 Interest cost 1,806 1,849 Actuarial (gain) loss 1,855 6,820 Benefits paid (1,693 ) (1,625 ) Benefit obligation, end of year $ 51,023 $ 49,055 Change in plan assets Fair value of plan assets, beginning of year $ — $ — Employer contribution 1,693 1,625 Benefits paid (1,693 ) (1,625 ) Fair value of plan assets, end of year $ — $ — Funded status, end of year $ (51,023 ) $ (49,055 ) Amounts recognized in the consolidated balance sheets Other current liabilities $ (2,977 ) $ (1,770 ) Other liabilities (48,023 ) (47,282 ) Accumulated other comprehensive loss 17,102 16,853 Net amount recognized $ (33,898 ) $ (32,199 ) Accumulated benefit obligation $ 51,023 $ 49,055 Weighted average assumptions used to determine benefit obligation Discount rate 4.00 % 3.75 % Rate of increase in compensation levels N/A N/A
Components of Net Periodic Benefit Cost for Domestic Retirement Plan	The components of net periodic benefit cost for the Domestic Retirement Plan, which is included in selling, general, and administrative expenses in the consolidated statements of income, were as follows: Year ended December 31, 2015 2014 2013 Interest cost $ 1,806 $ 1,849 $ 1,608 Recognized net actuarial loss 1,606 816 1,366 Net periodic benefit cost $ 3,412 $ 2,665 $ 2,974 Weighted average assumptions used to determine net periodic benefit cost Discount rate 3.75 % 4.50 % 3.50 % Rate of increase in future compensation levels N/A N/A N/A
Amounts Recognized As Component of Accumulated Other Comprehensive Loss, Domestic	We expect to recognize approximately $1.6 million of the net actuarial loss reported in the following table as of December 31, 2015 , as a component of net periodic benefit cost during 2016. Year ended December 31, 2015 2014 Net actuarial loss $ (17,102 ) $ (16,853 ) Deferred tax benefit 6,663 6,573 Amounts included in accumulated other comprehensive income (loss), net of tax $ (10,439 ) $ (10,280 )
Expected Benefit Payments Required For Domestic Retirement Plan	As of December 31, 2015 , the expected benefit payments required for each of the next five years and the five-year period thereafter for the Domestic Retirement Plan were as follows: Year 2016 $ 2,970 2017 2,885 2018 2,814 2019 2,617 2020 2,573 2021-2025 10,747

Income Taxes (Tables)

Income Taxes (Tables)	12 Months Ended
	Dec. 31, 2015
Income Tax Disclosure [Abstract]
Components of Income (Loss) before Income Taxes	The components of income (loss) before income taxes consist of the following: Year ended December 31, 2015 2014 2013 Income (loss) before income taxes: U.S. $ 167,444 $ 155,132 $ 192,239 Foreign 5,766 (28,649 ) (7,254 ) Income before income taxes $ 173,210 $ 126,483 $ 184,985
Income Tax Provision	The income tax provision consists of the following: Year ended December 31, 2015 2014 2013 Current tax provision (benefit): Federal $ 60,757 $ 52,178 $ 58,487 State 11,431 9,801 10,455 Foreign 3,714 1,386 1,448 Total current tax provision 75,902 63,365 70,390 Deferred tax provision (benefit): Federal (4,744 ) 282 5,455 State (376 ) 295 394 Foreign (981 ) (3,962 ) (2,136 ) Total deferred tax provision (6,101 ) (3,385 ) 3,713 Total income tax provision $ 69,801 $ 59,980 $ 74,103
Reconciliation of Federal Statutory Rate to Effective Income Tax Rate	A reconciliation of the federal statutory rate to our effective income tax rate is shown below: Year ended December 31, 2015 2014 2013 Federal statutory rate 35.0 % 35.0 % 35.0 % Increases (decreases) in the rate resulting from: State income taxes, net of federal income tax impact 4.1 % 5.2 % 3.9 % Foreign income taxes (2.8 )% 1.7 % (0.9 )% Valuation allowance 1.2 % 3.2 % 1.3 % Other 2.8 % 2.3 % 0.8 % Effective income tax rate 40.3 % 47.4 % 40.1 %
Tax Effects On Deferred Tax Assets And Deferred Tax Liabilities	The tax effects of temporary differences that give rise to significant portions of the deferred tax assets and deferred tax liabilities are presented below: December 31, 2015 2014 Deferred tax assets: Employee benefit plans $ 36,903 $ 36,127 Accrued liabilities not currently deductible 15,268 9,937 Finance charges 6,128 6,951 Capital leases 7,363 9,081 Allowance for losses on accounts and notes receivable 3,852 4,100 Net operating loss carryforwards 12,395 14,150 Other 2,475 3,432 Total deferred tax assets 84,384 83,778 Less: valuation allowances (10,798 ) (9,639 ) Net deferred tax assets 73,586 74,139 Deferred tax liabilities: Merchandise inventories 67,013 66,864 Goodwill 36,613 35,495 Property and equipment 14,651 21,578 Computer software 17,870 17,399 Insurance 268 539 Intangible assets 22,048 24,750 Other 206 1,410 Total deferred tax liabilities 158,669 168,035 Net deferred tax liability $ (85,083 ) $ (93,896 )
Reconciliation of Changes In Unrecognized Tax Benefits	At December 31, 2015 and 2014, the liability for unrecognized tax benefits was $7.7 million and $6.7 million . A reconciliation of the changes in unrecognized tax benefits from the beginning to the end of the reporting period is as follows: 2015 2014 Unrecognized tax benefits at January 1, $ 6,684 $ 4,648 Increases for positions taken during current period 1,968 1,074 Increases for positions taken during prior periods 481 62 Decreases for positions taken during prior periods (1,476 ) (438 ) Acquired unrecognized tax benefits — 1,374 Lapse of statute of limitations — (8 ) Settlements with taxing authorities — (28 ) Unrecognized tax benefits at December 31, $ 7,657 $ 6,684

Net Income per Common Share (Ta

Net Income per Common Share (Tables)	12 Months Ended
	Dec. 31, 2015
Earnings Per Share [Abstract]
Summary of Calculation of Net Income Per Share	The following table summarizes the calculation of net income per share attributable to common shareholders for the years ended December 31, 2015 , 2014, and 2013: Year ended December 31, 2015 2014 2013 Numerator: Net income $ 103,409 $ 66,503 $ 110,882 Less: income allocated to unvested restricted shares (925 ) (597 ) (738 ) Net income attributable to common shareholders—basic 102,484 65,906 110,144 Add: undistributed income attributable to unvested restricted shares—basic 235 18 257 Less: undistributed income attributable to unvested restricted shares—diluted (235 ) (18 ) (257 ) Net income attributable to common shareholders—diluted $ 102,484 $ 65,906 $ 110,144 Denominator: Weighted average shares outstanding—basic 62,116 62,220 62,625 Dilutive shares—stock options 1 6 36 Weighted average shares outstanding—diluted 62,117 62,226 62,661 Net income attributable to common shareholders: Basic $ 1.65 $ 1.06 $ 1.76 Diluted $ 1.65 $ 1.06 $ 1.76

Accumulated Other Comprehensi41

Accumulated Other Comprehensive Income (Tables)	12 Months Ended
	Dec. 31, 2015
Equity [Abstract]
Schedule of Accumulated Other Comprehensive Income (Loss)	The following tables show the changes in accumulated other comprehensive income (loss) by component for the years ended December 31, 2015, 2014 and 2013: Retirement Plans Currency Translation Adjustments Other Total Accumulated other comprehensive income (loss), December 31, 2014 $ (10,323 ) $ (13,647 ) $ (31 ) $ (24,001 ) Other comprehensive income (loss) before reclassifications (1,855 ) (27,581 ) — (29,436 ) Income tax 670 — — 670 Other comprehensive income (loss) before reclassifications, net of tax (1,185 ) (27,581 ) — (28,766 ) Amounts reclassified from accumulated other comprehensive income (loss) 1,606 — (84 ) 1,522 Income tax (580 ) — — (580 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 1,026 — (84 ) 942 Other comprehensive income (loss) (159 ) (27,581 ) (84 ) (27,824 ) Accumulated other comprehensive income (loss), December 31, 2015 $ (10,482 ) $ (41,228 ) $ (115 ) $ (51,825 ) Retirement Plans Currency Translation Adjustments Other Total Accumulated other comprehensive income (loss), December 31, 2013 $ (6,479 ) $ 15,892 $ 155 $ 9,568 Other comprehensive income (loss) before reclassifications (7,021 ) (29,539 ) (73 ) (36,633 ) Income tax 2,671 — — 2,671 Other comprehensive income before reclassifications, net of tax (4,350 ) (29,539 ) (73 ) (33,962 ) Amounts reclassified from accumulated other comprehensive income (loss) 816 — (185 ) 631 Income tax (310 ) — 72 (238 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 506 — (113 ) 393 Other comprehensive income (loss) (3,844 ) (29,539 ) (186 ) (33,569 ) Accumulated other comprehensive income (loss), December 31, 2014 $ (10,323 ) $ (13,647 ) $ (31 ) $ (24,001 ) Retirement Plans Currency Translation Adjustments Other Total Accumulated other comprehensive income (loss), December 31, 2012 $ (10,318 ) $ 9,749 $ 163 $ (406 ) Other comprehensive income (loss) before reclassifications 4,902 6,254 — 11,156 Income tax (1,897 ) (111 ) — (2,008 ) Other comprehensive income (loss) before reclassifications, net of tax 3,005 6,143 — 9,148 Amounts reclassified from accumulated other comprehensive income (loss) 1,366 — (40 ) 1,326 Income tax (532 ) — 32 (500 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 834 — (8 ) 826 Other comprehensive income (loss) 3,839 6,143 (8 ) 9,974 Accumulated other comprehensive income (loss), December 31, 2013 $ (6,479 ) $ 15,892 $ 155 $ 9,568

Commitments and Contingencies (

Commitments and Contingencies (Tables)	12 Months Ended
	Dec. 31, 2015
Commitments and Contingencies Disclosure [Abstract]
Future Minimum Annual Payments Under Non-Cancelable Lease Agreements	At December 31, 2015, future minimum annual payments under non-cancelable lease agreements with original terms in excess of one year, and including payments required under operating leases for facilities we have vacated, are as follows: Total 2016 $ 57,020 2017 49,545 2018 43,900 2019 23,079 2020 23,414 Thereafter 68,676 Total minimum payments $ 265,634

Segment Information (Tables)

Segment Information (Tables)	12 Months Ended
	Dec. 31, 2015
Segment Reporting [Abstract]
Financial Information by Segment	The following tables present financial information by segment: Year ended December 31, 2015 2014 2013 Net revenue: Domestic $ 9,356,140 $ 8,951,852 $ 8,688,018 International 416,806 488,330 383,514 Consolidated net revenue $ 9,772,946 $ 9,440,182 $ 9,071,532 Operating earnings (loss): Domestic $ 223,364 $ 209,277 $ 211,932 International 3,899 (6,739 ) (1,405 ) Acquisition-related and exit and realignment charges (1) (28,404 ) (42,801 ) (12,444 ) Fair value adjustments related to purchase accounting — 3,706 — Other (2) 1,500 (3,907 ) — Consolidated operating earnings $ 200,359 $ 159,536 $ 198,083 Depreciation and amortization: (3) Domestic $ 40,582 $ 37,193 $ 35,808 International 20,926 20,230 14,778 Consolidated depreciation and amortization $ 61,508 $ 57,423 $ 50,586 Capital expenditures: Domestic $ 18,458 $ 52,529 $ 42,802 International 18,158 18,279 17,327 Consolidated capital expenditures $ 36,616 $ 70,808 $ 60,129 (1) The years ended December 31, 2015 and 2014 include $4.5 million and $6.0 million , respectively of accelerated amortization related to an information system that was replaced. (2) Contract claim settlement in 2014 of which $1.5 million was recovered in 2015. See Note 18 for further discussion. (3) In connection with our kitting operations, $1.3 million in depreciation for 2015 and $0.3 million in 2014 is included in cost of goods sold in the statements of income.
Consolidated Total Assets	December 31, 2015 2014 Total assets: Domestic $ 2,155,236 $ 2,139,972 International 461,584 538,662 Segment assets 2,616,820 2,678,634 Cash and cash equivalents 161,020 56,772 Consolidated total assets $ 2,777,840 $ 2,735,406
Financial Information by Geographic Area	The following tables present information by geographic area. Net revenues were attributed to geographic areas based on the locations from which we ship products or provide services. International operations consist primarily of Movianto’s operations in the United Kingdom, Germany, France, and other European countries. Year ended December 31, 2015 2014 2013 Net revenue: United States $ 9,356,140 $ 8,951,852 $ 8,688,018 United Kingdom 192,818 253,527 211,296 France 44,592 54,656 52,725 Germany 46,848 47,682 42,807 Other European countries 132,548 132,465 76,686 Consolidated net revenue $ 9,772,946 $ 9,440,182 $ 9,071,532 December 31, 2015 2014 Long-lived assets: United States $ 237,641 $ 260,694 Germany 43,917 55,437 United Kingdom 41,594 42,179 Ireland 24,316 29,018 France 5,397 6,395 Other European countries 19,718 23,091 Consolidated long-lived assets $ 372,583 $ 416,814

Condensed Consolidating Finan44

Condensed Consolidating Financial Information (Tables)	12 Months Ended
	Dec. 31, 2015
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Condensed Consolidating Statement Of Income	ndensed Consolidating Financial Information Year ended December 31, 2015 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Income Net revenue $ — $ 9,176,855 $ 751,442 $ (155,351 ) $ 9,772,946 Cost of goods sold — 8,305,734 410,009 (157,370 ) 8,558,373 Gross margin — 871,121 341,433 2,019 1,214,573 Selling, general and administrative expenses 1,229 649,524 282,843 — 933,596 Acquisition-related and exit and realignment charges — 8,877 19,527 — 28,404 Depreciation and amortization — 34,497 25,690 — 60,187 Other operating (income) expense, net — (2,621 ) (5,352 ) — (7,973 ) Operating (loss) earnings (1,229 ) 180,844 18,725 2,019 200,359 Interest expense (income), net 27,457 (3,371 ) 3,063 — 27,149 Income (loss) before income taxes (28,686 ) 184,215 15,662 2,019 173,210 Income tax (benefit) provision (9,837 ) 71,807 7,831 — 69,801 Equity in earnings of subsidiaries 122,258 — — (122,258 ) — Net income (loss) 103,409 112,408 7,831 (120,239 ) 103,409 Other comprehensive income (loss), net of tax (27,824 ) (243 ) (27,581 ) 27,824 (27,824 ) Comprehensive income (loss) $ 75,585 $ 112,165 $ (19,750 ) $ (92,415 ) $ 75,585 Year ended December 31, 2014 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Income Net revenue $ — $ 8,910,274 $ 626,044 $ (96,136 ) $ 9,440,182 Cost of goods sold — 8,051,350 311,947 (93,081 ) 8,270,216 Gross margin — 858,924 314,097 (3,055 ) 1,169,966 Selling, general and administrative expenses 952 623,871 302,154 — 926,977 Acquisition-related and exit and realignment charges — 15,065 27,736 — 42,801 Depreciation and amortization 2 35,582 21,541 — 57,125 Other operating (income) expense, net — (10,261 ) (6,212 ) — (16,473 ) Operating (loss) earnings (954 ) 194,667 (31,122 ) (3,055 ) 159,536 Loss on early retirement of debt 14,890 — — — 14,890 Interest expense (income), net 15,737 1,520 906 — 18,163 Income (loss) before income taxes (31,581 ) 193,147 (32,028 ) (3,055 ) 126,483 Income tax (benefit) provision (1,700 ) 65,983 (4,303 ) — 59,980 Equity in earnings of subsidiaries 96,384 — — (96,384 ) — Net income (loss) 66,503 127,164 (27,725 ) (99,439 ) 66,503 Other comprehensive income (loss), net of tax (33,569 ) (3,846 ) (29,539 ) 33,385 (33,569 ) Comprehensive income (loss) $ 32,934 $ 123,318 $ (57,264 ) $ (66,054 ) $ 32,934 Condensed Consolidating Financial Information Year ended December 31, 2013 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Income Net revenue $ — $ 8,687,131 $ 435,035 $ (50,634 ) $ 9,071,532 Cost of goods sold — 7,826,768 177,541 (49,852 ) 7,954,457 Gross margin — 860,363 257,494 (782 ) 1,117,075 Selling, general and administrative expenses 2,559 613,394 247,703 — 863,656 Acquisition-related and exit and realignment charges — 8,130 4,314 — 12,444 Depreciation and amortization 14 35,712 14,860 — 50,586 Other operating (income) expense, net — (4,290 ) (3,404 ) — (7,694 ) Operating (loss) earnings (2,573 ) 207,417 (5,979 ) (782 ) 198,083 Interest expense (income), net 11,103 2,550 (555 ) — 13,098 Income (loss) before income taxes (13,676 ) 204,867 (5,424 ) (782 ) 184,985 Income tax (benefit) provision (5,474 ) 81,011 (1,434 ) — 74,103 Equity in earnings of subsidiaries 119,084 — — (119,084 ) — Net income (loss) 110,882 123,856 (3,990 ) (119,866 ) 110,882 Other comprehensive income (loss), net of tax 9,974 3,838 6,143 (9,981 ) 9,974 Comprehensive income (loss) $ 120,856 $ 127,694 $ 2,153 $ (129,847 ) $ 120,856 C
Condensed Consolidating Balance Sheets	Condensed Consolidating Financial Information December 31, 2015 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Balance Sheets Assets Current assets Cash and cash equivalents $ 103,284 $ 5,614 $ 52,122 $ — $ 161,020 Accounts and notes receivable, net — 507,673 89,895 (9,633 ) 587,935 Merchandise inventories — 883,232 59,930 (2,387 ) 940,775 Other current assets 104 72,683 212,183 — 284,970 Total current assets 103,388 1,469,202 414,130 (12,020 ) 1,974,700 Property and equipment, net — 103,219 105,711 — 208,930 Goodwill, net — 247,271 172,348 — 419,619 Intangible assets, net — 13,731 81,519 — 95,250 Due from O&M and subsidiaries — 518,473 — (518,473 ) — Advances to and investments in consolidated subsidiaries 1,967,176 — — (1,967,176 ) — Other assets, net 4,064 57,409 17,868 — 79,341 Total assets $ 2,074,628 $ 2,409,305 $ 791,576 $ (2,497,669 ) $ 2,777,840 Liabilities and equity Current liabilities Accounts payable $ — $ 662,909 $ 56,073 $ (8,373 ) $ 710,609 Accrued payroll and related liabilities — 32,094 13,813 — 45,907 Other current liabilities 6,924 109,137 191,012 — 307,073 Total current liabilities 6,924 804,140 260,898 (8,373 ) 1,063,589 Long-term debt, excluding current portion 548,046 4,527 19,986 — 572,559 Due to O&M and subsidiaries 527,068 — 70,089 (597,157 ) — Intercompany debt — 138,890 — (138,890 ) — Deferred income taxes — 67,562 18,764 — 86,326 Other liabilities — 57,573 5,203 — 62,776 Total liabilities 1,082,038 1,072,692 374,940 (744,420 ) 1,785,250 Equity — Common stock 125,606 — — — 125,606 Paid-in capital 211,943 241,877 516,608 (758,485 ) 211,943 Retained earnings (deficit) 706,866 1,104,787 (58,648 ) (1,046,139 ) 706,866 Accumulated other comprehensive income (loss) (51,825 ) (10,051 ) (41,324 ) 51,375 (51,825 ) Total equity 992,590 1,336,613 416,636 (1,753,249 ) 992,590 Total liabilities and equity $ 2,074,628 $ 2,409,305 $ 791,576 $ (2,497,669 ) $ 2,777,840 Condensed Consolidating Financial Information December 31, 2014 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Balance Sheets Assets Current assets Cash and cash equivalents $ 22,013 $ 3,912 $ 30,847 $ — $ 56,772 Accounts and notes receivable, net — 519,951 144,463 (38,222 ) 626,192 Merchandise inventories — 816,915 60,061 (4,519 ) 872,457 Other current assets (24,748 ) 90,733 223,414 25,080 314,479 Total current assets (2,735 ) 1,431,511 458,785 (17,661 ) 1,869,900 Property and equipment, net — 110,076 122,903 — 232,979 Goodwill, net — 247,271 176,005 — 423,276 Intangible assets, net — 15,805 92,788 — 108,593 Due from O&M and subsidiaries — 357,304 — (357,304 ) — Advances to and investments in consolidated subsidiaries 1,893,767 — — (1,893,767 ) — Other assets, net 4,637 66,836 29,185 — 100,658 Total assets $ 1,895,669 $ 2,228,803 $ 879,666 $ (2,268,732 ) $ 2,735,406 Liabilities and equity Current liabilities Accounts payable $ — $ 567,285 $ 54,898 $ (13,337 ) $ 608,846 Accrued payroll and related liabilities — 16,434 15,073 — 31,507 Other current liabilities 6,441 83,698 236,084 — 326,223 Total current liabilities 6,441 667,417 306,055 (13,337 ) 966,576 Long-term debt, excluding current portion 547,763 39,915 20,873 — 608,551 Due to O&M and subsidiaries 350,627 — 77,788 (428,415 ) — Intercompany debt — 138,890 — (138,890 ) — Deferred income taxes — 72,829 29,051 — 101,880 Other liabilities — 55,794 11,767 — 67,561 Total liabilities 904,831 974,845 445,534 (580,642 ) 1,744,568 Equity — Common stock 126,140 — — — 126,140 Paid-in capital 202,934 241,877 514,314 (756,191 ) 202,934 Retained earnings (deficit) 685,765 1,022,379 (66,479 ) (955,900 ) 685,765 Accumulated other comprehensive income (loss) (24,001 ) (10,298 ) (13,703 ) 24,001 (24,001 ) Total equity 990,838 1,253,958 434,132 (1,688,090 ) 990,838 Total liabilities and equity $ 1,895,669 $ 2,228,803 $ 879,666 $ (2,268,732 ) $ 2,735,406
Condensed Consolidating Statement Of Cash Flows	Condensed Consolidating Financial Information Year ended December 31, 2015 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Cash Flows Operating activities: Net income (loss) $ 103,409 $ 112,408 $ 7,831 $ (120,239 ) $ 103,409 Adjustments to reconcile net income to cash (used for) provided by operating activities: Equity in earnings of subsidiaries (122,258 ) — — 122,258 — Depreciation and amortization — 34,497 31,485 — 65,982 Share-based compensation expense — 11,306 — — 11,306 Provision for losses on accounts and notes receivable — 202 (226 ) — (24 ) Deferred income tax (benefit) expense — (5,267 ) (834 ) — (6,101 ) Changes in operating assets and liabilities: Accounts and notes receivable — 12,076 (27,274 ) 33,531 18,333 Merchandise inventories — (66,317 ) (1,277 ) (2,133 ) (69,727 ) Accounts payable — 95,624 13,418 4,969 114,011 Net change in other assets and liabilities 666 61,454 6,443 (38,386 ) 30,177 Other, net 855 920 456 — 2,231 Cash provided by (used for) operating activities of continuing operations (17,328 ) 256,903 30,022 — 269,597 Investing activities: Additions to computer software and intangible assets — (13,688 ) (2,397 ) — (16,085 ) Additions to property and equipment — (3,621 ) (16,910 ) — (20,531 ) Proceeds from sale of property and equipment — 87 56 — 143 Cash used for investing activities of continuing operations — (17,222 ) (19,251 ) — (36,473 ) Financing activities: Proceeds from (repayment of) revolver — (33,700 ) — — (33,700 ) Change in intercompany advances 183,688 (201,851 ) 18,163 — — Cash dividends paid (63,651 ) — — — (63,651 ) Repurchases of common stock (20,000 ) — — — (20,000 ) Excess tax benefits related to share-based compensation 646 — — — 646 Other, net (2,084 ) (2,428 ) (3,016 ) — (7,528 ) Cash provided by (used for) financing activities 98,599 (237,979 ) 15,147 — (124,233 ) Effect of exchange rates on cash and cash equivalents — — (4,643 ) — (4,643 ) Net increase (decrease) in cash and cash equivalents 81,271 1,702 21,275 — 104,248 Cash and cash equivalents at beginning of year 22,013 3,912 30,847 — 56,772 Cash and cash equivalents at end of year $ 103,284 $ 5,614 $ 52,122 $ — $ 161,020 Condensed Consolidating Financial Information Year ended December 31, 2014 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Cash Flows Operating activities: Net income (loss) $ 66,503 $ 127,164 $ (27,725 ) $ (99,439 ) $ 66,503 Adjustments to reconcile net income to cash provided by (used for) operating activities: Equity in earnings of subsidiaries (96,384 ) — — 96,384 — Depreciation and amortization 2 35,879 27,526 — 63,407 Loss on early retirement of debt 14,890 — — — 14,890 Share-based compensation expense — 8,369 (162 ) — 8,207 Provision for losses on accounts and notes receivable — (36 ) 484 — 448 Deferred income tax (benefit) expense — 1,292 (4,677 ) — (3,385 ) Changes in operating assets and liabilities: — — — Accounts and notes receivable (24,440 ) 6,185 452 (17,803 ) Merchandise inventories — (65,916 ) 8,308 279 (57,329 ) Accounts payable — (28,580 ) (24,613 ) 1,045 (52,148 ) Net change in other assets and liabilities (455 ) (12,341 ) (14,311 ) 1,279 (25,828 ) Other, net (1,161 ) (9 ) 447 — (723 ) Cash provided by (used for) operating activities (16,605 ) 41,382 (28,538 ) — (3,761 ) Investing activities: Acquisitions, net of cash acquired — — (248,536 ) — (248,536 ) Additions to computer software and intangible assets — (18,054 ) (4,330 ) — (22,384 ) Additions to property and equipment — (34,475 ) (13,949 ) — (48,424 ) Proceeds from the sale of investments — 1,937 — 1,937 Proceeds from sale of property and equipment — 156 — — 156 Cash used for investing activities of continuing operations — (50,436 ) (266,815 ) — (317,251 ) Financing activities: — — — Proceeds from issuance of debt 547,693 — — — 547,693 Proceeds from revolver — 33,700 — — 33,700 Repayment of debt (217,352 ) — — — (217,352 ) Change in intercompany advances (287,275 ) (21,106 ) 308,381 — — Cash dividends paid (63,104 ) — — — (63,104 ) Repurchases of common stock (9,934 ) — — — (9,934 ) Financing costs paid (4,780 ) (611 ) — — — (5,391 ) Excess tax benefits related to share-based compensation 582 — — — 582 Proceeds from exercise of stock options 1,180 — — — 1,180 Purchase of noncontrolling interest — — (1,500 ) — (1,500 ) Other, net (2,783 ) (1,029 ) (3,502 ) — (7,314 ) Cash provided by (used for) financing activities (35,773 ) 10,954 303,379 — 278,560 Effect of exchange rate changes on cash and cash equivalents — — (2,681 ) — (2,681 ) Net increase (decrease) in cash and cash equivalents (52,378 ) 1,900 5,345 — (45,133 ) Cash and cash equivalents at beginning of year 74,391 2,012 25,502 — 101,905 Cash and cash equivalents at end of year $ 22,013 $ 3,912 $ 30,847 $ — $ 56,772 Condensed Consolidating Financial Information Year ended December 31, 2013 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Cash Flows Operating activities: Net income (loss) $ 110,882 $ 123,856 $ (3,990 ) $ (119,866 ) $ 110,882 Adjustments to reconcile net income to cash provided by (used for) operating activities: Equity in earnings of subsidiaries (119,084 ) — — 119,084 — Depreciation and amortization 14 35,712 14,860 — 50,586 Share-based compensation expense — 6,381 — — 6,381 Provision for losses on accounts and notes receivable — 278 509 — 787 Deferred income tax (benefit) expense — 5,821 (2,108 ) — 3,713 Changes in operating assets and liabilities: Accounts and notes receivable — (22,055 ) (16,522 ) (68 ) (38,645 ) Merchandise inventories — (170 ) (7,676 ) 782 (7,064 ) Accounts payable (45,300 ) 77,320 15,286 68 47,374 Net change in other assets and liabilities 1,774 (12,068 ) (22,043 ) — (32,337 ) Other, net (1,541 ) 515 (97 ) — (1,123 ) Cash provided by (used for) operating activities (53,255 ) 215,590 — (21,781 ) — 140,554 Investing activities: Additions to computer software and intangible assets — (21,773 ) (10,237 ) — (32,010 ) Additions to property and equipment — (21,029 ) (7,090 ) — (28,119 ) Proceeds from sale of property and equipment — 2,746 305 — 3,051 Cash used for investing activities — (40,056 ) (17,022 ) — (57,078 ) Financing activities: Change in intercompany advances 145,354 (184,092 ) 38,738 — — Cash dividends paid (60,731 ) — — — (60,731 ) Repurchases of common stock (18,876 ) — — — (18,876 ) Proceeds from exercise of stock options 5,352 — — — 5,352 Excess tax benefits related to share-based compensation 898 — — — 898 Other, net (2,541 ) (3,071 ) (3,011 ) — (8,623 ) Cash provided by (used for) financing activities 69,456 (187,163 ) 35,727 — (81,980 ) Effect of exchange rate changes on cash and cash equivalents — — 2,521 — 2,521 Net increase (decrease) in cash and cash equivalents 16,201 (11,629 ) (555 ) — 4,017 Cash and cash equivalents at beginning of year 58,190 13,641 26,057 — 97,888 Cash and cash equivalents at end of year $ 74,391 $ 2,012 $ 25,502 $ — $ 101,905

Summary Of Significant Accoun45

Summary Of Significant Accounting Policies - Additional Information (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Summary Of Significant Accounting Policies [Line Items]
Allowance for uncollectible accounts	$ 100	$ 400
Property and equipment, gross	398,035	396,356
Depreciation and amortization	60,187	57,125	$ 50,586
Capitalized Computer Software, Gross	68,400	75,200
Software amortization	$ 15,400	$ 16,400	14,200
Customer relationships
Summary Of Significant Accounting Policies [Line Items]
Intangible assets useful life (in years)	14 years	14 years
Customer relationships | Minimum
Summary Of Significant Accounting Policies [Line Items]
Intangible assets useful life (in years)	10 years
Customer relationships | Maximum
Summary Of Significant Accounting Policies [Line Items]
Intangible assets useful life (in years)	15 years
Other Intangibles
Summary Of Significant Accounting Policies [Line Items]
Intangible assets useful life (in years)	5 years	6 years
Other Intangibles | Minimum
Summary Of Significant Accounting Policies [Line Items]
Intangible assets useful life (in years)	1 year
Other Intangibles | Maximum
Summary Of Significant Accounting Policies [Line Items]
Intangible assets useful life (in years)	15 years
Software technology | Minimum
Summary Of Significant Accounting Policies [Line Items]
Intangible assets useful life (in years)	3 years
Software technology | Maximum
Summary Of Significant Accounting Policies [Line Items]
Intangible assets useful life (in years)	10 years
Warehouse equipment
Summary Of Significant Accounting Policies [Line Items]
Property and equipment, gross	$ 168,599	$ 169,083
Warehouse equipment | Minimum
Summary Of Significant Accounting Policies [Line Items]
Property and equipment useful life (in years)	4 years
Warehouse equipment | Maximum
Summary Of Significant Accounting Policies [Line Items]
Property and equipment useful life (in years)	15 years	8 years
Building and improvements
Summary Of Significant Accounting Policies [Line Items]
Property and equipment, gross	$ 75,229	$ 87,974
Building and improvements | Minimum
Summary Of Significant Accounting Policies [Line Items]
Property and equipment useful life (in years)	5 years
Building and improvements | Maximum
Summary Of Significant Accounting Policies [Line Items]
Property and equipment useful life (in years)	40 years
Computer equipment
Summary Of Significant Accounting Policies [Line Items]
Property and equipment, gross	$ 53,566	31,162
Computer equipment | Minimum
Summary Of Significant Accounting Policies [Line Items]
Property and equipment useful life (in years)	3 years
Computer equipment | Maximum
Summary Of Significant Accounting Policies [Line Items]
Property and equipment useful life (in years)	8 years
Furniture and fixtures
Summary Of Significant Accounting Policies [Line Items]
Property and equipment, gross	$ 14,517	12,539
Furniture and fixtures | Minimum
Summary Of Significant Accounting Policies [Line Items]
Property and equipment useful life (in years)	3 years
Furniture and fixtures | Maximum
Summary Of Significant Accounting Policies [Line Items]
Property and equipment useful life (in years)	8 years
Office equipment and other
Summary Of Significant Accounting Policies [Line Items]
Property and equipment, gross	$ 8,216	19,781
Office equipment and other | Minimum
Summary Of Significant Accounting Policies [Line Items]
Property and equipment useful life (in years)	3 years
Office equipment and other | Maximum
Summary Of Significant Accounting Policies [Line Items]
Property and equipment useful life (in years)	8 years
Warehouse Facilities | Minimum
Summary Of Significant Accounting Policies [Line Items]
Lessee Leasing Arrangements, Operating Leases, Term of Contract	1 year
Warehouse Facilities | Maximum
Summary Of Significant Accounting Policies [Line Items]
Lessee Leasing Arrangements, Operating Leases, Term of Contract	30 years
Transportation And Material Handling Equipment | Minimum
Summary Of Significant Accounting Policies [Line Items]
Lessee Leasing Arrangements, Operating Leases, Term of Contract	3 years
Transportation And Material Handling Equipment | Maximum
Summary Of Significant Accounting Policies [Line Items]
Lessee Leasing Arrangements, Operating Leases, Term of Contract	10 years
Foreign Subsidiaries
Summary Of Significant Accounting Policies [Line Items]
Cash, cash-equivalents, short-term investments, and marketable securities	$ 46,000	31,500
S,G&A Expenses
Summary Of Significant Accounting Policies [Line Items]
Shipping and handling costs	548,600	576,800	$ 528,200
International Segment | Acquisition-related and Exit and Realignment Charges | Information Systems Related Costs
Summary Of Significant Accounting Policies [Line Items]
Accelerated amortization	4,500	6,000
Estimated Useful Life | Warehouse equipment
Summary Of Significant Accounting Policies [Line Items]
Property and equipment, gross	12,900
Depreciation and amortization	$ (900)
New Accounting Pronouncement, Early Adoption, Effect
Summary Of Significant Accounting Policies [Line Items]
Deferred tax liabilities, current		(38,000)
Deferred tax assets, current		$ (800)

Significant Risks And Uncerta46

Significant Risks And Uncertainties - Additional Information (Detail)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Novation
Unusual Risk or Uncertainty [Line Items]
Customer revenue as a percentage of net revenue		33.00%	33.00%
Novation | Minimum
Unusual Risk or Uncertainty [Line Items]
Customer revenue as a percentage of net revenue	32.00%	32.00%	32.00%
Novation | Maximum
Unusual Risk or Uncertainty [Line Items]
Customer revenue as a percentage of net revenue	33.00%
Medassets | Minimum
Unusual Risk or Uncertainty [Line Items]
Customer revenue as a percentage of net revenue	24.00%	24.00%	24.00%
Medassets | Maximum
Unusual Risk or Uncertainty [Line Items]
Customer revenue as a percentage of net revenue	26.00%	26.00%	26.00%
Premier | Minimum
Unusual Risk or Uncertainty [Line Items]
Customer revenue as a percentage of net revenue	21.00%	21.00%	21.00%
Premier | Maximum
Unusual Risk or Uncertainty [Line Items]
Customer revenue as a percentage of net revenue	24.00%	24.00%	24.00%
Covidien Ltd.
Unusual Risk or Uncertainty [Line Items]
Sales of product from supplier as a percentage of revenue		13.00%	13.00%
Covidien Ltd. | Minimum
Unusual Risk or Uncertainty [Line Items]
Sales of product from supplier as a percentage of revenue	13.00%
Johnson & Johnson Healthcare Systems, Inc. | Minimum
Unusual Risk or Uncertainty [Line Items]
Sales of product from supplier as a percentage of revenue	9.00%	9.00%	9.00%
Johnson & Johnson Healthcare Systems, Inc. | Maximum
Unusual Risk or Uncertainty [Line Items]
Sales of product from supplier as a percentage of revenue	10.00%	10.00%	10.00%

Acquisitions - Additional Infor

Acquisitions - Additional Information (Detail) $ in Thousands	1 Months Ended	12 Months Ended
	Nov. 01, 2014USD ($)acquisition	Dec. 31, 2015USD ($)	Dec. 31, 2014USD ($)	Dec. 31, 2013USD ($)
Business Acquisition [Line Items]
Combined consideration, net of cash acquired		$ 0	$ 248,536	$ 0
Goodwill		419,619	423,276
Medical Action Industries, Inc. and ArcRoyal
Business Acquisition [Line Items]
Number of businesses acquired | acquisition	2
Combined consideration, net of cash acquired	$ 261,600
Capital lease obligations assumed	13,400
Goodwill	$ 150,613
Acquisition-related expenses		9,800
Medical Action Industries, Inc. and ArcRoyal | Customer relationships
Business Acquisition [Line Items]
Acquired intangible assets , useful life	14 years
Medical Action Industries, Inc, ArcRoyal and Movianto [Member]
Business Acquisition [Line Items]
Acquisition-related expenses			16,100	$ 3,500
International Segment
Business Acquisition [Line Items]
Goodwill		41,414	46,187
International Segment | Medical Action Industries, Inc. and ArcRoyal
Business Acquisition [Line Items]
Goodwill	$ 20,900
Domestic Segment
Business Acquisition [Line Items]
Goodwill		$ 378,205	$ 377,089
Domestic Segment | Medical Action Industries, Inc. and ArcRoyal
Business Acquisition [Line Items]
Goodwill	$ 129,700

Acquisitions - Estimated Fair V

Acquisitions - Estimated Fair Value of Assets Acquired and Liabilities Assumed (Detail) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014	Nov. 01, 2014
Assets acquired:
Goodwill	$ 419,619	$ 423,276
Medical Action Industries, Inc. and ArcRoyal
Assets acquired:
Current assets			$ 90,379
Property and equipment			31,546
Goodwill			150,613
Intangible assets			77,623
Total assets			350,161
Liabilities assumed:
Current liabilities			63,549
Noncurrent liabilities			25,003
Total liabilities			88,552
Fair value of net assets acquired, net of cash			261,609
Scenario, Previously Reported [Member] | Medical Action Industries, Inc. and ArcRoyal
Assets acquired:
Current assets			90,608
Property and equipment			34,048
Goodwill			150,492
Intangible assets			77,623
Total assets			352,771
Liabilities assumed:
Current liabilities			64,736
Noncurrent liabilities			26,426
Total liabilities			91,162
Fair value of net assets acquired, net of cash			261,609
Scenario, Adjustment [Member] | Medical Action Industries, Inc. and ArcRoyal
Assets acquired:
Current assets			(229)
Property and equipment			(2,502)
Goodwill			121
Intangible assets			0
Total assets			(2,610)
Liabilities assumed:
Current liabilities			(1,187)
Noncurrent liabilities			(1,423)
Total liabilities			(2,610)
Fair value of net assets acquired, net of cash			$ 0

Accounts and Notes Receivable49

Accounts and Notes Receivable, Net - Additional Information (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Receivables [Abstract]
Accounts and notes receivable, allowances	$ 13.2	$ 13.3
Write-offs of accounts and notes receivable	$ 1.2	$ 3.1	$ 1.1

Merchandise Inventories - Addit

Merchandise Inventories - Additional Information (Detail) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Inventory Disclosure [Abstract]
Merchandise inventories	$ 940,775	$ 872,457
LIFO Inventory Amount	923,800	811,300
Current costs or first-in, first-out (FIFO) excess of replacement over stated LIFO value	116,400	116,200
Raw Materials	22,300	20,000
Work in Process	$ 10,600	$ 5,400

Financing Receivables and Pay51

Financing Receivables and Payables (Details) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Financing Receivables and Payables [Line Items]
Financing charges	$ 307,073	$ 326,223
Other Current Assets
Financing Receivables and Payables [Line Items]
Financing receivables	198,500	196,200
Other Current Liabilities [Member]
Financing Receivables and Payables [Line Items]
Financing charges	$ 148,500	$ 168,800

Property And Equipment (Detail)

Property And Equipment (Detail) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 398,035	$ 396,356
Accumulated depreciation	(189,105)	(163,377)
Property and equipment, net	208,930	232,979
Warehouse equipment
Property, Plant and Equipment [Line Items]
Property and equipment, gross	168,599	169,083
Computer equipment
Property, Plant and Equipment [Line Items]
Property and equipment, gross	53,566	31,162
Building and improvements
Property, Plant and Equipment [Line Items]
Property and equipment, gross	75,229	87,974
Leasehold improvements
Property, Plant and Equipment [Line Items]
Property and equipment, gross	60,522	58,046
Land and improvements
Property, Plant and Equipment [Line Items]
Property and equipment, gross	17,386	17,771
Furniture and fixtures
Property, Plant and Equipment [Line Items]
Property and equipment, gross	14,517	12,539
Office equipment and other
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 8,216	$ 19,781

Property and Equipment - Additi

Property and Equipment - Additional Information (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Property, Plant and Equipment [Abstract]
Capital leases, gross	$ 38.7	$ 40
Accumulated amortization of capital leases	13.7	10.5
Operating Leases, Income Statement, Depreciation Expense on Property Subject to or Held-for-lease	36.3	35.5	$ 33.1
Property held-for-sale	$ 3.8	$ 5.6

Goodwill and Intangible Asset54

Goodwill and Intangible Assets - Goodwill Rollforward (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2015USD ($)
Goodwill [Roll Forward]
Carrying amount of goodwill, December 31, 2014	$ 423,276
Currency translation adjustments	(3,778)
Acquisitions	121
Carrying amount of goodwill, December 31, 2015	419,619
Domestic Segment
Goodwill [Roll Forward]
Carrying amount of goodwill, December 31, 2014	377,089
Currency translation adjustments	0
Acquisitions	1,116
Carrying amount of goodwill, December 31, 2015	378,205
International Segment
Goodwill [Roll Forward]
Carrying amount of goodwill, December 31, 2014	46,187
Currency translation adjustments	(3,778)
Acquisitions	(995)
Carrying amount of goodwill, December 31, 2015	$ 41,414

Goodwill and Intangible Asset55

Goodwill and Intangible Assets - Intangible Assets (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014
Finite-Lived Intangible Assets [Line Items]
Net intangible assets	$ 95,250	$ 108,593
Customer relationships
Finite-Lived Intangible Assets [Line Items]
Gross intangible assets	121,888	125,448
Accumulated amortization	(29,872)	(19,773)
Net intangible assets	$ 92,016	$ 105,675
Weighted average useful life	14 years	14 years
Other Intangibles
Finite-Lived Intangible Assets [Line Items]
Gross intangible assets	$ 4,621	$ 3,405
Accumulated amortization	(1,387)	(487)
Net intangible assets	$ 3,234	$ 2,918
Weighted average useful life	5 years	6 years

Goodwill and Intangible Asset56

Goodwill and Intangible Assets - Additional Information (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Acquired Finite-Lived Intangible Assets [Line Items]
Intangible assets, net	$ 95,250	$ 108,593
Amortization expense for intangible assets	9,800	$ 5,500	$ 3,300
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]
Estimated amortization expense for 2016	10,200
Estimated amortization expense for 2017	9,900
Estimated amortization expense for 2018	9,300
Estimated amortization expense for 2019	9,100
Estimated amortization expense for 2020	9,000
Domestic Segment
Acquired Finite-Lived Intangible Assets [Line Items]
Intangible assets, net	60,200
International Segment
Acquired Finite-Lived Intangible Assets [Line Items]
Intangible assets, net	$ 35,100

Exit and Realignment Costs - Ad

Exit and Realignment Costs - Additional Information (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Restructuring Cost and Reserve [Line Items]
Business Exit Costs	$ 18,630,000	$ 26,713,000	$ 8,927,000
Incurred cost	17,400,000	16,000,000	5,800,000
Restructuring and Related Cost, Expected Cost Remaining	0
Domestic Segment
Restructuring Cost and Reserve [Line Items]
Business Exit Costs	7,318,000	7,223,000	8,176,000
International Segment
Restructuring Cost and Reserve [Line Items]
Business Exit Costs	11,312,000	19,490,000	751,000
Other Facility Costs [Member]
Restructuring Cost and Reserve [Line Items]
Incurred cost	4,600,000	3,300,000
Accelerated Amortization [Member]
Restructuring Cost and Reserve [Line Items]
Incurred cost	4,500,000	6,000,000
Labor Costs [Member]
Restructuring Cost and Reserve [Line Items]
Incurred cost	1,400,000	2,900,000
Professional Charges [Member]
Restructuring Cost and Reserve [Line Items]
Incurred cost	3,800,000	1,300,000
Information Systems Related Costs
Restructuring Cost and Reserve [Line Items]
Incurred cost	3,000,000	1,800,000
Other Restructuring [Member]
Restructuring Cost and Reserve [Line Items]
Incurred cost	$ 100,000	$ 700,000
Product Move Costs [Member]
Restructuring Cost and Reserve [Line Items]
Incurred cost			$ 3,700,000

Exit and Realignment Costs - Ac

Exit and Realignment Costs - Accrual for Exit and Realignment Costs (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Restructuring Reserve [Roll Forward]
Accrued exit and realignment charges, beginning of period	$ 6,462	$ 2,909	$ 6,214
Provision for exit and realignment activities	5,083	11,930	3,060
Change in estimate	(3,877)	(1,260)
Cash payments, net of sublease income	(5,342)	(7,117)	(6,365)
Accrued exit and realignment charges, end of period	2,326	6,462	2,909
Lease Obligations
Restructuring Reserve [Roll Forward]
Accrued exit and realignment charges, beginning of period	3,575	2,434	5,098
Provision for exit and realignment activities	1,118	5,592	2,932
Change in estimate	(3,002)	(1,260)
Cash payments, net of sublease income	(1,205)	(3,191)	(5,596)
Accrued exit and realignment charges, end of period	486	3,575	2,434
Severance and Other
Restructuring Reserve [Roll Forward]
Accrued exit and realignment charges, beginning of period	2,887	475	1,116
Provision for exit and realignment activities	3,965	6,338	128
Change in estimate	(875)	0
Cash payments, net of sublease income	(4,137)	(3,926)	(769)
Accrued exit and realignment charges, end of period	$ 1,840	$ 2,887	$ 475

Debt (Detail)

Debt (Detail) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Debt Instrument [Line Items]
Total debt	$ 577,585	$ 613,809
Less current maturities	(5,026)	(5,258)
Long-term debt	572,559	608,551
Reported Value Measurement | Capital Lease Obligations
Debt Instrument [Line Items]
Total debt	29,539	32,346
Reported Value Measurement | Revolving Credit Facility
Debt Instrument [Line Items]
Total debt	0	33,700
Reported Value Measurement | Senior Notes | 3.875% Senior Notes
Debt Instrument [Line Items]
Total debt	273,959	273,777
Reported Value Measurement | Senior Notes | 4.375% Senior Notes
Debt Instrument [Line Items]
Total debt	274,087	273,986
Estimate of Fair Value Measurement
Debt Instrument [Line Items]
Long-term Debt, Fair Value	576,047	624,956
Less current maturities	(5,026)	(5,258)
Long-term debt	571,021	619,698
Estimate of Fair Value Measurement | Capital Lease Obligations
Debt Instrument [Line Items]
Long-term Debt, Fair Value	29,539	32,346
Estimate of Fair Value Measurement | Revolving Credit Facility
Debt Instrument [Line Items]
Long-term Debt, Fair Value	0	33,700
Estimate of Fair Value Measurement | Senior Notes | 3.875% Senior Notes
Debt Instrument [Line Items]
Long-term Debt, Fair Value	273,680	275,055
Estimate of Fair Value Measurement | Senior Notes | 4.375% Senior Notes
Debt Instrument [Line Items]
Long-term Debt, Fair Value	$ 272,828	$ 283,855

Debt - Additional Information (

Debt - Additional Information (Detail)	Oct. 16, 2014USD ($)	Sep. 17, 2014USD ($)extension	Sep. 16, 2014USD ($)	Dec. 31, 2015USD ($)	Dec. 31, 2014USD ($)	Dec. 31, 2013USD ($)
Debt Instrument [Line Items]
Loss on early retirement of debt				$ 0	$ (14,890,000)	$ 0
Borrowings outstanding				0
Remaining borrowing capacity				445,000,000
Interest paid				$ 27,700,000	18,500,000	$ 14,700,000
Senior Notes
Debt Instrument [Line Items]
Rate of interest discounted				0.30%
Revolving Credit Facility
Debt Instrument [Line Items]
Maximum borrowing capacity		$ 450,000,000	$ 350,000,000
Expiration date				Sep. 30, 2019
Number of extensions | extension		2
Term of each extension (in years)		1 year
Revolving Credit Facility | Minimum
Debt Instrument [Line Items]
Commitment fee charged on unused portion of facility				0.125%
Revolving Credit Facility | Maximum
Debt Instrument [Line Items]
Commitment fee charged on unused portion of facility				0.25%
Revolving Credit Facility, Additional Borrowing Capacity
Debt Instrument [Line Items]
Maximum borrowing capacity				$ 200,000,000
3.875% Senior Notes | Senior Notes
Debt Instrument [Line Items]
Senior notes, par value			$ 275,000,000
Interest rate of debt			3.875%
Debt issued, percent of par			99.50%
Effective yield percentage			3.951%
4.375% Senior Notes | Senior Notes
Debt Instrument [Line Items]
Senior notes, par value			$ 275,000,000
Interest rate of debt			4.375%
Debt issued, percent of par			99.60%
Effective yield percentage			4.422%
2021 and 2024 Notes | Senior Notes
Debt Instrument [Line Items]
Senior notes redemption price, percentage				100.00%
Deferred finance costs				$ 4,800,000
6.35% Senior Notes | Senior Notes
Debt Instrument [Line Items]
Interest rate of debt	6.35%
Debt retired	$ 200,000,000
Redemption premium	17,400,000
Loss on early retirement of debt	$ (14,900,000)
Letter of Credit
Debt Instrument [Line Items]
Borrowings outstanding				5,000,000
European Lease Agreement | Replaced Line of Credit
Debt Instrument [Line Items]
Borrowings outstanding				$ 1,200,000	$ 1,500,000
LIBOR | Revolving Credit Facility
Debt Instrument [Line Items]
Basis spread on LIBOR, percent				1.375%

Debt - Future Capital Lease Pay

Debt - Future Capital Lease Payments (Details) $ in Thousands	Dec. 31, 2015USD ($)
Obligation for Capital leases for minimum annual rental payments [Abstract]
2,016	$ 7,264
2,017	6,401
2,018	5,131
2,019	3,423
2,020	2,342
Thereafter	17,420
Total minimum lease payments	41,981
Less: Amounts representing interest	(12,442)
Present value of total minimum lease payments	29,539
Less: Current portion of capital lease obligations	(5,027)
Long-term portion of capital lease obligations	$ 24,512

Derivative Financial Instrume62

Derivative Financial Instruments - Additional Information (Detail) - Foreign Currency Derivative - USD ($)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Derivative [Line Items]
Notional value	$ 2,000,000	$ 10,000,000	$ 0
Other Operating Income, Net
Derivative [Line Items]
Impact from changes in fair value of derivatives	300,000	200,000
Other Assets
Derivative [Line Items]
Fair value of derivative instruments	$ 400,000	$ 700,000

Share-Based Compensation - Addi

Share-Based Compensation - Additional Information (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common shares available for issuance under share-based compensation plan	2,700,000
Total share-based compensation expense	$ 11,306	$ 8,207	$ 6,381
Recognized tax benefits from share-based compensation expense	4,400	3,200	2,500
Total intrinsic value of stock options exercised	200	500	800
Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unrecognized compensation would be recognized based on accelerated vesting provisions	$ 500
Restricted Stock
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)	3 years
Total unrecognized compensation cost related to nonvested awards	$ 19,200
Total unrecognized compensation cost related to nonvested awards, period for recognition	2 years 9 months 18 days
Value of stock that vested during the period	$ 5,800	$ 6,200	$ 6,200
Restricted Stock | Minimum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)	1 year
Restricted Stock | Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)	5 years
Performance Shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)	3 years
Total unrecognized compensation cost related to nonvested awards	$ 2,500
Stock Options
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Vesting period (in years)	3 years
Stock option grants in period (shares)	0	0	0
Stock Options | Minimum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Award expiration period, years	7 years
Stock Options | Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Award expiration period, years	10 years

Share-Based Compensation - Acti

Share-Based Compensation - Activity and Value of Nonvested Restricted Stock and Performance Share Awards (Detail) - $ / shares shares in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Number of Shares (shares)
Nonvested awards at beginning of year	814	738	720
Granted	545	371	339
Vested	(195)	(201)	(206)
Forfeited	(60)	(94)	(115)
Nonvested awards at end of year	1,104	814	738
Weighted Average Grant-date Value (dollars per share)
Nonvested awards at beginning of year	$ 33.29	$ 30.81	$ 30.14
Granted	34.25	33.69	31.65
Vested	29.90	31.01	30.22
Forfeited	33.27	30.89	30.51
Nonvested awards at end of year	$ 40.02	$ 33.29	$ 30.81

Share-Based Compensation - Summ

Share-Based Compensation - Summary of Activity and Terms of Outstanding Options (Detail) - USD ($) $ / shares in Units, shares in Thousands, $ in Millions	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Options Outstanding (shares) [Roll Forward]
Options outstanding beginning balance	15	64	312
Exercised	(15)	(49)	(244)
Forfeited	0	0	(4)
Options outstanding ending balance	0	15	64
Options Outstanding, Weighted Average Exercise Price (dollars per share) [Abstract]
Beginning balance	$ 20.49	$ 23.33	$ 22.25
Exercised	20.49	24.21	21.97
Forfeited	0	0	21.72
Ending balance	$ 0	$ 20.49	$ 23.33
Weighted Average Remaining Contractual Life (years), Options outstanding	0 years
Aggregate Intrinsic Value, Options outstanding	$ 0

Retirement Plans - Additional I

Retirement Plans - Additional Information (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Defined Benefit Plan Disclosure [Line Items]
Minimum service period	1 month
Minimum age requirement	18 years
Eligibility criteria for employees under savings and retirement plans	one month of service and have attained age 18
Domestic Retirement Plans
Defined Benefit Plan Disclosure [Line Items]
Recognized net actuarial loss	$ (1,600)
Accumulated benefit obligation	51,023	$ 49,055
Net periodic benefit cost	3,412	2,665	$ 2,974
International Retirement Plans
Defined Benefit Plan Disclosure [Line Items]
Accumulated benefit obligation	1,900	1,900
Net periodic benefit cost	$ 100	200	200
Savings And Retirement Plans
Defined Benefit Plan Disclosure [Line Items]
Percentage of employer contributions to eligible employees based on salary, minimum	1.00%
Expense recognized	$ 12,300	$ 10,800	$ 10,100

Retirement Plans - Domestic Ret

Retirement Plans - Domestic Retirement Plan's Financial Status and Amounts Recognized in Consolidated Balance Sheets (Detail) - Domestic Retirement Plans - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Defined Benefit Plan, Change in Benefit Obligation [Roll Forward]
Benefit obligation, beginning of year	$ 49,055	$ 42,011
Interest cost	1,806	1,849	$ 1,608
Actuarial (gain) loss	1,855	6,820
Benefits paid	(1,693)	(1,625)
Benefit obligation, end of year	51,023	49,055	42,011
Defined Benefit Plan, Change in Fair Value of Plan Assets [Roll Forward]
Fair value of plan assets, beginning of year	0	0
Employer contribution	1,693	1,625
Benefits paid	(1,693)	(1,625)
Fair value of plan assets, end of year	0	0	$ 0
Funded status, end of year	(51,023)	(49,055)
Amounts recognized in the consolidated balance sheets
Other current liabilities	(2,977)	(1,770)
Other liabilities	(48,023)	(47,282)
Accumulated other comprehensive loss	17,102	16,853
Net amount recognized	(33,898)	(32,199)
Accumulated benefit obligation	$ 51,023	$ 49,055
Weighted average assumptions used to determine benefit obligation
Discount rate	4.00%	3.75%

Retirement Plans - Components o

Retirement Plans - Components of Net Periodic Benefit Cost for Domestic Retirement Plans (Detail) - Domestic Retirement Plans - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Defined Benefit Plan Disclosure [Line Items]
Interest cost	$ 1,806	$ 1,849	$ 1,608
Recognized net actuarial loss	1,606	816	1,366
Net periodic benefit cost	$ 3,412	$ 2,665	$ 2,974
Discount rate	3.75%	4.50%	3.50%

Retirement Plans - Amounts Reco

Retirement Plans - Amounts Recognized As Component Of Accumulated Other Comprehensive Loss, Domestic (Detail) - Domestic Retirement Plans - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Defined Benefit Plan Disclosure [Line Items]
Net actuarial loss	$ (17,102)	$ (16,853)
Deferred tax benefit	6,663	6,573
Amounts included in accumulated other comprehensive income (loss), net of tax	$ (10,439)	$ (10,280)

Retirement Plans - Expected Ben

Retirement Plans - Expected Benefit Payments Required For Domestic Retirement Plan (Detail) - Domestic Retirement Plans $ in Thousands	Dec. 31, 2015USD ($)
Defined Benefit Plan Disclosure [Line Items]
2,016	$ 2,970
2,017	2,885
2,018	2,814
2,019	2,617
2,020	2,573
2021-2025	$ 10,747

Income Taxes - Components of In

Income Taxes - Components of Income (Loss) before Income Taxes (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Income (loss) before income taxes:
U.S.	$ 167,444	$ 155,132	$ 192,239
Foreign	5,766	(28,649)	(7,254)
Income before income taxes	$ 173,210	$ 126,483	$ 184,985

Income Taxes - Income Tax Provi

Income Taxes - Income Tax Provision (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Current tax provision (benefit):
Federal	$ 60,757	$ 52,178	$ 58,487
State	11,431	9,801	10,455
Foreign	3,714	1,386	1,448
Total current tax provision	75,902	63,365	70,390
Deferred tax provision (benefit):
Federal	(4,744)	282	5,455
State	(376)	295	394
Foreign	(981)	(3,962)	(2,136)
Total deferred tax provision	(6,101)	(3,385)	3,713
Total income tax provision	$ 69,801	$ 59,980	$ 74,103

Income Taxes - Reconciliation O

Income Taxes - Reconciliation Of Federal Statutory Rate To Effective Income Tax Rate (Detail)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Income Tax Disclosure [Abstract]
Federal statutory rate	35.00%	35.00%	35.00%
Increases (decreases) in the rate resulting from:
State income taxes, net of federal income tax impact	4.10%	5.20%	3.90%
Foreign income taxes	(2.80%)	1.70%	(0.90%)
Valuation allowance	1.20%	3.20%	1.30%
Other	2.80%	2.30%	0.80%
Effective income tax rate	40.30%	47.40%	40.10%

Income Taxes - Tax Effects On D

Income Taxes - Tax Effects On Deferred Tax Assets And Deferred Tax Liabilities (Detail) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Deferred tax assets:
Employee benefit plans	$ 36,903	$ 36,127
Accrued liabilities not currently deductible	15,268	9,937
Finance charges	6,128	6,951
Capital leases	7,363	9,081
Allowance for losses on accounts and notes receivable	3,852	4,100
Net operating loss carryforwards	12,395	14,150
Other	2,475	3,432
Total deferred tax assets	84,384	83,778
Less: valuation allowances	(10,798)	(9,639)
Net deferred tax assets	73,586	74,139
Deferred tax liabilities:
Merchandise inventories	67,013	66,864
Goodwill	36,613	35,495
Property and equipment	14,651	21,578
Computer software	17,870	17,399
Insurance	268	539
Intangible assets	22,048	24,750
Other	206	1,410
Total deferred tax liabilities	158,669	168,035
Net deferred tax liability	$ (85,083)	$ (93,896)

Income Taxes - Additional Infor

Income Taxes - Additional Information (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Income Tax Disclosure [Abstract]
Unlimited range of net operating loss carryforwards	5 years
Cash payments for income taxes, including interest	$ 52,400,000	$ 81,600,000	$ 65,400,000
Liability for unrecognized tax benefits	7,657,000	6,684,000	$ 4,648,000
Unrecognized tax benefits highly certain	4,100,000	4,100,000
Unrecognized tax benefits that would impact effective tax rate	3,000,000	2,000,000
Accrued interest	200,000	300,000
Interest expense (income)	(100,000)	100,000
Penalties accrued	$ 0	$ 0

Income Taxes - Reconciliation76

Income Taxes - Reconciliation Of Changes In Unrecognized Tax Benefits (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward]
Unrecognized tax benefits at January 1,	$ 6,684	$ 4,648
Increases for positions taken during current period	1,968	1,074
Increases for positions taken during prior periods	481	62
Decreases for positions taken during prior periods	(1,476)	(438)
Acquired unrecognized tax benefits	0	1,374
Lapse of statute of limitations	0	(8)
Settlements with taxing authorities	0	(28)
Unrecognized tax benefits at December 31,	$ 7,657	$ 6,684

Net Income per Common Share - S

Net Income per Common Share - Summary of Calculation of Net Income Per Share (Detail) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Numerator:
Net income	$ 103,409	$ 66,503	$ 110,882
Less: income allocated to unvested restricted shares	(925)	(597)	(738)
Net income attributable to common shareholders—basic	102,484	65,906	110,144
Add: undistributed income attributable to unvested restricted shares—basic	235	18	257
Less: undistributed income attributable to unvested restricted shares—diluted	(235)	(18)	(257)
Net income attributable to common shareholders—diluted	$ 102,484	$ 65,906	$ 110,144
Denominator:
Weighted average shares outstanding—basic (shares)	62,116	62,220	62,625
Dilutive shares—stock options (shares)	1	6	36
Weighted average shares outstanding—diluted (shares)	62,117	62,226	62,661
Basic (in usd per share)	$ 1.65	$ 1.06	$ 1.76
Diluted (in usd per share)	$ 1.65	$ 1.06	$ 1.76

Shareholders' Equity - Addition

Shareholders' Equity - Additional Information (Detail) - USD ($) $ / shares in Units, shares in Millions	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Feb. 28, 2014
Equity [Abstract]
Share repurchase program, authorized amount				$ 100,000,000
Stock repurchased and retired, shares	0.6	0.3	0.6
Stock repurchased and retired, value	$ (20,000,000)	$ (9,934,000)	$ (18,876,000)
Stock repurchase program, average price per share (dollars per share)	$ 34.04	$ 34.31	$ 33.72
Remaining amount available under the program for the repurchase of shares	$ 70,000,000
Payments to Acquire Additional Interest in Subsidiaries	$ 0	$ 1,500,000	$ 0

Accumulated Other Comprehensi79

Accumulated Other Comprehensive Income (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Accumulated other comprehensive income (loss), beginning	$ (24,001)	$ 9,568	$ (406)
Other comprehensive income (loss) before reclassifications	(29,436)	(36,633)	11,156
Other Comprehensive Income (Loss) before Reclassifications, Tax	670	2,671	(2,008)
Other comprehensive income (loss) before reclassifications, net of tax	(28,766)	(33,962)	9,148
Amounts reclassified from accumulated other comprehensive income (loss)	1,522	631	1,326
Reclassification from AOCI, Current Period, Tax	(580)	(238)	(500)
Amounts reclassified from accumulated other comprehensive income (loss), net of tax	942	393	826
Other comprehensive income (loss)	(27,824)	(33,569)	9,974
Accumulated other comprehensive income (loss), ending	(51,825)	(24,001)	9,568
Reclassified actuarial net losses	(1,600)	(800)	(1,400)
Retirement Plans
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Accumulated other comprehensive income (loss), beginning	(10,323)	(6,479)	(10,318)
Other comprehensive income (loss) before reclassifications	(1,855)	(7,021)	4,902
Other Comprehensive Income (Loss) before Reclassifications, Tax	670	2,671	(1,897)
Other comprehensive income (loss) before reclassifications, net of tax	(1,185)	(4,350)	3,005
Amounts reclassified from accumulated other comprehensive income (loss)	1,606	816	1,366
Reclassification from AOCI, Current Period, Tax	(580)	(310)	(532)
Amounts reclassified from accumulated other comprehensive income (loss), net of tax	1,026	506	834
Other comprehensive income (loss)	(159)	(3,844)	3,839
Accumulated other comprehensive income (loss), ending	(10,482)	(10,323)	(6,479)
Currency Translation Adjustments
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Accumulated other comprehensive income (loss), beginning	(13,647)	15,892	9,749
Other comprehensive income (loss) before reclassifications	(27,581)	(29,539)	6,254
Other Comprehensive Income (Loss) before Reclassifications, Tax	0	0	(111)
Other comprehensive income (loss) before reclassifications, net of tax	(27,581)	(29,539)	6,143
Amounts reclassified from accumulated other comprehensive income (loss)	0	0	0
Reclassification from AOCI, Current Period, Tax	0	0	0
Amounts reclassified from accumulated other comprehensive income (loss), net of tax	0	0	0
Other comprehensive income (loss)	(27,581)	(29,539)	6,143
Accumulated other comprehensive income (loss), ending	(41,228)	(13,647)	15,892
Other
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Accumulated other comprehensive income (loss), beginning	(31)	155	163
Other comprehensive income (loss) before reclassifications	0	(73)	0
Other Comprehensive Income (Loss) before Reclassifications, Tax	0	0	0
Other comprehensive income (loss) before reclassifications, net of tax	0	(73)	0
Amounts reclassified from accumulated other comprehensive income (loss)	(84)	(185)	(40)
Reclassification from AOCI, Current Period, Tax	0	72	32
Amounts reclassified from accumulated other comprehensive income (loss), net of tax	(84)	(113)	(8)
Other comprehensive income (loss)	(84)	(186)	(8)
Accumulated other comprehensive income (loss), ending	$ (115)	$ (31)	$ 155

Commitments and Contingencies -

Commitments and Contingencies - Additional Information (Detail) $ in Millions	3 Months Ended		12 Months Ended
	Dec. 31, 2015USD ($)	Mar. 31, 2015USD ($)	Dec. 31, 2015USD ($)extension	Dec. 31, 2014USD ($)	Dec. 31, 2013USD ($)
Loss Contingencies [Line Items]
Number of optional extensions | extension			2
Optional extension period (years)			1 year
Contractual commitment to outsource information technology operations, notice period			180 days
Remaining annual obligations in 2016	$ 35.8		$ 35.8
Remaining annual obligations in 2017	29.8		29.8
Technology service costs			$ 35.9	$ 36.6	$ 45.7
Leases renewal options (in years)			5 years
Rent expense for operating leases			$ 70.8	$ 77.8	$ 76.7
Audit reimbursement period (in years), maximum			7 years
Maximum | Office And Warehouse Facilities
Loss Contingencies [Line Items]
Terms of lease (in years)			20 years
Maximum | Transportation And Material Handling Equipment
Loss Contingencies [Line Items]
Lessee Leasing Arrangements, Operating Leases, Term of Contract			10 years
Minimum | Office And Warehouse Facilities
Loss Contingencies [Line Items]
Terms of lease (in years)			1 year
Minimum | Transportation And Material Handling Equipment
Loss Contingencies [Line Items]
Lessee Leasing Arrangements, Operating Leases, Term of Contract			3 years
Breach of Contract Claim
Loss Contingencies [Line Items]
Accrual for estimated settlement amount		$ 3.9
Contract settlement recovery	$ 1.5

Commitments and Contingencies81

Commitments and Contingencies - Future Minimum Annual Payments Under Non-Cancelable Lease Agreements (Detail) $ in Thousands	Dec. 31, 2015USD ($)
Commitments and Contingencies Disclosure [Abstract]
2,016	$ 57,020
2,017	49,545
2,018	43,900
2,019	23,079
2,020	23,414
Thereafter	68,676
Total minimum payments	$ 265,634

Segment Information - Financial

Segment Information - Financial Information by Segment (Detail) $ in Thousands	12 Months Ended
	Dec. 31, 2015USD ($)segment	Dec. 31, 2014USD ($)	Dec. 31, 2013USD ($)
Segment Reporting, Revenue Reconciling Item [Line Items]
Number of reportable segments | segment	2
Net revenue	$ 9,772,946	$ 9,440,182	$ 9,071,532
Operating earnings	200,359	159,536	198,083
Acquisition-related and exit and realignment charges (1)	(28,404)	(42,801)	(12,444)
Depreciation and amortization	61,508	57,423	50,586
Capital expenditures	36,616	70,808	60,129
Reportable Segment | Domestic Segment
Segment Reporting, Revenue Reconciling Item [Line Items]
Net revenue	9,356,140	8,951,852	8,688,018
Operating earnings	223,364	209,277	211,932
Depreciation and amortization	40,582	37,193	35,808
Capital expenditures	18,458	52,529	42,802
Reportable Segment | International Segment
Segment Reporting, Revenue Reconciling Item [Line Items]
Net revenue	416,806	488,330	383,514
Operating earnings	3,899	(6,739)	(1,405)
Depreciation and amortization	20,926	20,230	14,778
Capital expenditures	18,158	18,279	17,327
Segment Reconciling Items
Segment Reporting, Revenue Reconciling Item [Line Items]
Acquisition-related and exit and realignment charges (1)	(28,404)	(42,801)	(12,444)
Fair value adjustments related to purchase accounting	0	3,706	0
Other	1,500	(3,907)	$ 0
Information System | Segment Reconciling Items
Segment Reporting, Revenue Reconciling Item [Line Items]
Acquisition-related and exit and realignment charges (1)	(4,500)	(6,000)
Recovery in Contract Claim Settlement | Segment Reconciling Items
Segment Reporting, Revenue Reconciling Item [Line Items]
Other	1,500
Cost of Goods
Segment Reporting, Revenue Reconciling Item [Line Items]
Depreciation and amortization	$ 1,300	$ 300

Segment Information - Consolida

Segment Information - Consolidated Total Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	$ 2,777,840	$ 2,735,406
Cash and cash equivalents	161,020	56,772	$ 101,905	$ 97,888
Reportable Segment
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	2,616,820	2,678,634
Reportable Segment | Domestic Segment
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	2,155,236	2,139,972
Reportable Segment | International Segment
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	461,584	538,662
Segment Reconciling Items
Segment Reporting, Asset Reconciling Item [Line Items]
Cash and cash equivalents	$ 161,020	$ 56,772

Segment Information - Financi84

Segment Information - Financial Information by Geographical Area (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Segment And Geographic Distribution Of Operations [Line Items]
Net revenue	$ 9,772,946	$ 9,440,182	$ 9,071,532
Long-Lived Assets	372,583	416,814
United States
Segment And Geographic Distribution Of Operations [Line Items]
Net revenue	9,356,140	8,951,852	8,688,018
Long-Lived Assets	237,641	260,694
United Kingdom
Segment And Geographic Distribution Of Operations [Line Items]
Net revenue	192,818	253,527	211,296
Long-Lived Assets	41,594	42,179
Ireland
Segment And Geographic Distribution Of Operations [Line Items]
Long-Lived Assets	24,316	29,018
France
Segment And Geographic Distribution Of Operations [Line Items]
Net revenue	44,592	54,656	52,725
Long-Lived Assets	5,397	6,395
Germany
Segment And Geographic Distribution Of Operations [Line Items]
Net revenue	46,848	47,682	42,807
Long-Lived Assets	43,917	55,437
Other European countries
Segment And Geographic Distribution Of Operations [Line Items]
Net revenue	132,548	132,465	$ 76,686
Long-Lived Assets	$ 19,718	$ 23,091

Condensed Consolidating Finan85

Condensed Consolidating Financial Information (Details)	12 Months Ended
	Dec. 31, 2015
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Guarantor subsidiary percentage of ownership	100.00%

Condensed Consolidating Finan86

Condensed Consolidating Financial Information (Condensed Consolidating Statements Of Income) (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Condensed Financial Statements, Captions [Line Items]
Net revenue	$ 9,772,946	$ 9,440,182	$ 9,071,532
Cost of goods sold	8,558,373	8,270,216	7,954,457
Gross margin	1,214,573	1,169,966	1,117,075
Selling, general and administrative expenses	933,596	926,977	863,656
Acquisition-related and exit and realignment charges	28,404	42,801	12,444
Depreciation and amortization	60,187	57,125	50,586
Other operating (income) expense, net	(7,973)	(16,473)	(7,694)
Operating earnings	200,359	159,536	198,083
Loss on early retirement of debt	0	14,890	0
Interest expense (income), net	27,149	18,163	13,098
Income before income taxes	173,210	126,483	184,985
Income tax (benefit) provision	69,801	59,980	74,103
Equity in earnings of subsidiaries	0	0	0
Net income	103,409	66,503	110,882
Other comprehensive income (loss), net of tax	(27,824)	(33,569)	9,974
Comprehensive income	75,585	32,934	120,856
Owens & Minor, Inc.
Condensed Financial Statements, Captions [Line Items]
Net revenue	0	0	0
Cost of goods sold	0	0	0
Gross margin	0	0	0
Selling, general and administrative expenses	1,229	952	2,559
Acquisition-related and exit and realignment charges	0	0	0
Depreciation and amortization	0	2	14
Other operating (income) expense, net	0	0	0
Operating earnings	(1,229)	(954)	(2,573)
Loss on early retirement of debt		14,890
Interest expense (income), net	27,457	15,737	11,103
Income before income taxes	(28,686)	(31,581)	(13,676)
Income tax (benefit) provision	(9,837)	(1,700)	(5,474)
Equity in earnings of subsidiaries	122,258	96,384	119,084
Net income	103,409	66,503	110,882
Other comprehensive income (loss), net of tax	(27,824)	(33,569)	9,974
Comprehensive income	75,585	32,934	120,856
Guarantor Subsidiaries
Condensed Financial Statements, Captions [Line Items]
Net revenue	9,176,855	8,910,274	8,687,131
Cost of goods sold	8,305,734	8,051,350	7,826,768
Gross margin	871,121	858,924	860,363
Selling, general and administrative expenses	649,524	623,871	613,394
Acquisition-related and exit and realignment charges	8,877	15,065	8,130
Depreciation and amortization	34,497	35,582	35,712
Other operating (income) expense, net	(2,621)	(10,261)	(4,290)
Operating earnings	180,844	194,667	207,417
Loss on early retirement of debt		0
Interest expense (income), net	(3,371)	1,520	2,550
Income before income taxes	184,215	193,147	204,867
Income tax (benefit) provision	71,807	65,983	81,011
Equity in earnings of subsidiaries	0	0	0
Net income	112,408	127,164	123,856
Other comprehensive income (loss), net of tax	(243)	(3,846)	3,838
Comprehensive income	112,165	123,318	127,694
Non-Guarantor Subsidiaries
Condensed Financial Statements, Captions [Line Items]
Net revenue	751,442	626,044	435,035
Cost of goods sold	410,009	311,947	177,541
Gross margin	341,433	314,097	257,494
Selling, general and administrative expenses	282,843	302,154	247,703
Acquisition-related and exit and realignment charges	19,527	27,736	4,314
Depreciation and amortization	25,690	21,541	14,860
Other operating (income) expense, net	(5,352)	(6,212)	(3,404)
Operating earnings	18,725	(31,122)	(5,979)
Loss on early retirement of debt		0
Interest expense (income), net	3,063	906	(555)
Income before income taxes	15,662	(32,028)	(5,424)
Income tax (benefit) provision	7,831	(4,303)	(1,434)
Equity in earnings of subsidiaries	0	0	0
Net income	7,831	(27,725)	(3,990)
Other comprehensive income (loss), net of tax	(27,581)	(29,539)	6,143
Comprehensive income	(19,750)	(57,264)	2,153
Eliminations
Condensed Financial Statements, Captions [Line Items]
Net revenue	(155,351)	(96,136)	(50,634)
Cost of goods sold	(157,370)	(93,081)	(49,852)
Gross margin	2,019	(3,055)	(782)
Selling, general and administrative expenses	0	0	0
Acquisition-related and exit and realignment charges	0	0	0
Depreciation and amortization	0	0	0
Other operating (income) expense, net	0	0	0
Operating earnings	2,019	(3,055)	(782)
Loss on early retirement of debt		0
Interest expense (income), net	0	0	0
Income before income taxes	2,019	(3,055)	(782)
Income tax (benefit) provision	0	0	0
Equity in earnings of subsidiaries	(122,258)	(96,384)	(119,084)
Net income	(120,239)	(99,439)	(119,866)
Other comprehensive income (loss), net of tax	27,824	33,385	(9,981)
Comprehensive income	$ (92,415)	$ (66,054)	$ (129,847)

Condensed Consolidating Finan87

Condensed Consolidating Financial Information (Condensed Consolidating Balance Sheet) (Detail) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Current assets
Cash and cash equivalents	$ 161,020	$ 56,772	$ 101,905	$ 97,888
Accounts and notes receivable, net	587,935	626,192
Merchandise inventories	940,775	872,457
Other current assets	284,970	314,479
Total current assets	1,974,700	1,869,900
Property and equipment, net	208,930	232,979
Goodwill, net	419,619	423,276
Intangible assets, net	95,250	108,593
Due from O&M and subsidiaries	0	0
Advances to and investments in consolidated subsidiaries	0	0
Other assets, net	79,341	100,658
Total assets	2,777,840	2,735,406
Current liabilities
Accounts payable	710,609	608,846
Accrued payroll and related liabilities	45,907	31,507
Other current liabilities	307,073	326,223
Total current liabilities	1,063,589	966,576
Long-term debt, excluding current portion	572,559	608,551
Due to O&M and subsidiaries	0	0
Intercompany debt	0	0
Deferred income taxes	86,326	101,880
Other liabilities	62,776	67,561
Total liabilities	1,785,250	1,744,568
Equity
Common stock	125,606	126,140
Paid-in capital	211,943	202,934
Retained earnings (deficit)	706,866	685,765
Accumulated other comprehensive income (loss)	(51,825)	(24,001)	9,568	(406)
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest	992,590	990,838	1,025,043	973,656
Total liabilities and equity	2,777,840	2,735,406
Owens & Minor, Inc.
Current assets
Cash and cash equivalents	103,284	22,013	74,391	58,190
Accounts and notes receivable, net	0	0
Merchandise inventories	0	0
Other current assets	104	(24,748)
Total current assets	103,388	(2,735)
Property and equipment, net	0	0
Goodwill, net	0	0
Intangible assets, net	0	0
Due from O&M and subsidiaries	0	0
Advances to and investments in consolidated subsidiaries	1,967,176	1,893,767
Other assets, net	4,064	4,637
Total assets	2,074,628	1,895,669
Current liabilities
Accounts payable	0	0
Accrued payroll and related liabilities	0	0
Other current liabilities	6,924	6,441
Total current liabilities	6,924	6,441
Long-term debt, excluding current portion	548,046	547,763
Due to O&M and subsidiaries	527,068	350,627
Intercompany debt	0	0
Deferred income taxes	0	0
Other liabilities	0	0
Total liabilities	1,082,038	904,831
Equity
Common stock	125,606	126,140
Paid-in capital	211,943	202,934
Retained earnings (deficit)	706,866	685,765
Accumulated other comprehensive income (loss)	(51,825)	(24,001)
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest	992,590	990,838
Total liabilities and equity	2,074,628	1,895,669
Guarantor Subsidiaries
Current assets
Cash and cash equivalents	5,614	3,912	2,012	13,641
Accounts and notes receivable, net	507,673	519,951
Merchandise inventories	883,232	816,915
Other current assets	72,683	90,733
Total current assets	1,469,202	1,431,511
Property and equipment, net	103,219	110,076
Goodwill, net	247,271	247,271
Intangible assets, net	13,731	15,805
Due from O&M and subsidiaries	518,473	357,304
Advances to and investments in consolidated subsidiaries	0	0
Other assets, net	57,409	66,836
Total assets	2,409,305	2,228,803
Current liabilities
Accounts payable	662,909	567,285
Accrued payroll and related liabilities	32,094	16,434
Other current liabilities	109,137	83,698
Total current liabilities	804,140	667,417
Long-term debt, excluding current portion	4,527	39,915
Due to O&M and subsidiaries	0	0
Intercompany debt	138,890	138,890
Deferred income taxes	67,562	72,829
Other liabilities	57,573	55,794
Total liabilities	1,072,692	974,845
Equity
Common stock	0	0
Paid-in capital	241,877	241,877
Retained earnings (deficit)	1,104,787	1,022,379
Accumulated other comprehensive income (loss)	(10,051)	(10,298)
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest	1,336,613	1,253,958
Total liabilities and equity	2,409,305	2,228,803
Non-Guarantor Subsidiaries
Current assets
Cash and cash equivalents	52,122	30,847	25,502	26,057
Accounts and notes receivable, net	89,895	144,463
Merchandise inventories	59,930	60,061
Other current assets	212,183	223,414
Total current assets	414,130	458,785
Property and equipment, net	105,711	122,903
Goodwill, net	172,348	176,005
Intangible assets, net	81,519	92,788
Due from O&M and subsidiaries	0	0
Advances to and investments in consolidated subsidiaries	0	0
Other assets, net	17,868	29,185
Total assets	791,576	879,666
Current liabilities
Accounts payable	56,073	54,898
Accrued payroll and related liabilities	13,813	15,073
Other current liabilities	191,012	236,084
Total current liabilities	260,898	306,055
Long-term debt, excluding current portion	19,986	20,873
Due to O&M and subsidiaries	70,089	77,788
Intercompany debt	0	0
Deferred income taxes	18,764	29,051
Other liabilities	5,203	11,767
Total liabilities	374,940	445,534
Equity
Common stock	0	0
Paid-in capital	516,608	514,314
Retained earnings (deficit)	(58,648)	(66,479)
Accumulated other comprehensive income (loss)	(41,324)	(13,703)
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest	416,636	434,132
Total liabilities and equity	791,576	879,666
Eliminations
Current assets
Cash and cash equivalents	0	0	$ 0	$ 0
Accounts and notes receivable, net	(9,633)	(38,222)
Merchandise inventories	(2,387)	(4,519)
Other current assets	0	25,080
Total current assets	(12,020)	(17,661)
Property and equipment, net	0	0
Goodwill, net	0	0
Intangible assets, net	0	0
Due from O&M and subsidiaries	(518,473)	(357,304)
Advances to and investments in consolidated subsidiaries	(1,967,176)	(1,893,767)
Other assets, net	0	0
Total assets	(2,497,669)	(2,268,732)
Current liabilities
Accounts payable	(8,373)	(13,337)
Accrued payroll and related liabilities	0	0
Other current liabilities	0	0
Total current liabilities	(8,373)	(13,337)
Long-term debt, excluding current portion	0	0
Due to O&M and subsidiaries	(597,157)	(428,415)
Intercompany debt	(138,890)	(138,890)
Deferred income taxes	0	0
Other liabilities	0	0
Total liabilities	(744,420)	(580,642)
Equity
Common stock	0	0
Paid-in capital	(758,485)	(756,191)
Retained earnings (deficit)	(1,046,139)	(955,900)
Accumulated other comprehensive income (loss)	51,375	24,001
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest	(1,753,249)	(1,688,090)
Total liabilities and equity	$ (2,497,669)	$ (2,268,732)

Condensed Consolidating Finan88

Condensed Consolidating Financial Information (Condensed Consolidating Statements Of Cash Flows) (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Condensed Financial Statements, Captions [Line Items]
Net income	$ 103,409	$ 66,503	$ 110,882
Adjustments to reconcile net income to cash (used for) provided by operating activities:
Equity in earnings of subsidiaries	0	0	0
Depreciation and amortization	65,982	63,407	50,586
Loss on early retirement of debt	0	14,890	0
Share-based compensation expense	11,306	8,207	6,381
Provision for losses on accounts and notes receivable	(24)	448	787
Deferred income tax (benefit) expense	(6,101)	(3,385)	3,713
Changes in operating assets and liabilities:
Accounts and notes receivable	18,333	(17,803)	(38,645)
Merchandise inventories	(69,727)	(57,329)	(7,064)
Accounts payable	114,011	(52,148)	47,374
Net change in other assets and liabilities	30,177	(25,828)	(32,337)
Other, net	2,231	(723)	(1,123)
Cash provided by (used for) operating activities	269,597	(3,761)	140,554
Investing activities:
Additions to computer software and intangible assets	(16,085)	(22,384)	(32,010)
Acquisitions, net of cash acquired	0	(248,536)	0
Additions to property and equipment	(20,531)	(48,424)	(28,119)
Proceeds from the sale of investments	0	1,937	0
Proceeds from sale of property and equipment	143	156	3,051
Net Cash Provided by (Used in) Investing Activities	(36,473)	(317,251)	(57,078)
Financing activities:
Proceeds from issuance of debt	0	547,693	0
Proceeds from (repayment of) revolving credit facility	(33,700)	33,700	0
Repayment of debt	0	(217,352)	0
Change in intercompany advances	0	0	0
Cash dividends paid	(63,651)	(63,104)	(60,731)
Repurchases of common stock	(20,000)	(9,934)	(18,876)
Financing costs paid	0	(5,391)	0
Excess tax benefits related to share-based compensation	646	582	898
Proceeds from exercise of stock options	0	1,180	5,352
Purchase of NCI	0	(1,500)	0
Other, net	(7,528)	(7,314)	(8,623)
Cash provided by (used for) financing activities	(124,233)	278,560	(81,980)
Effect of exchange rate changes on cash and cash equivalents	(4,643)	(2,681)	2,521
Net increase (decrease) in cash and cash equivalents	104,248	(45,133)	4,017
Cash and cash equivalents at beginning of year	56,772	101,905	97,888
Cash and cash equivalents at end of year	161,020	56,772	101,905
Owens & Minor, Inc.
Condensed Financial Statements, Captions [Line Items]
Net income	103,409	66,503	110,882
Adjustments to reconcile net income to cash (used for) provided by operating activities:
Equity in earnings of subsidiaries	(122,258)	(96,384)	(119,084)
Depreciation and amortization	0	2	14
Loss on early retirement of debt		14,890
Share-based compensation expense	0	0	0
Provision for losses on accounts and notes receivable	0	0	0
Deferred income tax (benefit) expense	0	$ 0	0
Changes in operating assets and liabilities:
Accounts and notes receivable	0		0
Merchandise inventories	0	$ 0	0
Accounts payable	0	0	(45,300)
Net change in other assets and liabilities	666	(455)	1,774
Other, net	855	(1,161)	(1,541)
Cash provided by (used for) operating activities	(17,328)	(16,605)	(53,255)
Investing activities:
Additions to computer software and intangible assets	0	0	0
Acquisitions, net of cash acquired		0
Additions to property and equipment	0	0	0
Proceeds from the sale of investments		0
Proceeds from sale of property and equipment	0	0	0
Net Cash Provided by (Used in) Investing Activities	0	0	0
Financing activities:
Proceeds from issuance of debt		547,693
Proceeds from (repayment of) revolving credit facility	0	0
Repayment of debt		(217,352)
Change in intercompany advances	183,688	(287,275)	145,354
Cash dividends paid	(63,651)	(63,104)	(60,731)
Repurchases of common stock	(20,000)	(9,934)	(18,876)
Financing costs paid		(4,780)
Excess tax benefits related to share-based compensation	646	582	898
Proceeds from exercise of stock options		1,180	5,352
Purchase of NCI		0
Other, net	(2,084)	(2,783)	(2,541)
Cash provided by (used for) financing activities	98,599	(35,773)	69,456
Effect of exchange rate changes on cash and cash equivalents	0	0	0
Net increase (decrease) in cash and cash equivalents	81,271	(52,378)	16,201
Cash and cash equivalents at beginning of year	22,013	74,391	58,190
Cash and cash equivalents at end of year	103,284	22,013	74,391
Guarantor Subsidiaries
Condensed Financial Statements, Captions [Line Items]
Net income	112,408	127,164	123,856
Adjustments to reconcile net income to cash (used for) provided by operating activities:
Equity in earnings of subsidiaries	0	0	0
Depreciation and amortization	34,497	35,879	35,712
Loss on early retirement of debt		0
Share-based compensation expense	11,306	8,369	6,381
Provision for losses on accounts and notes receivable	202	(36)	278
Deferred income tax (benefit) expense	(5,267)	1,292	5,821
Changes in operating assets and liabilities:
Accounts and notes receivable	12,076	(24,440)	(22,055)
Merchandise inventories	(66,317)	(65,916)	(170)
Accounts payable	95,624	(28,580)	77,320
Net change in other assets and liabilities	61,454	(12,341)	(12,068)
Other, net	920	(9)	515
Cash provided by (used for) operating activities	256,903	41,382	215,590
Investing activities:
Additions to computer software and intangible assets	(13,688)	(18,054)	(21,773)
Acquisitions, net of cash acquired		0
Additions to property and equipment	(3,621)	(34,475)	(21,029)
Proceeds from the sale of investments		1,937
Proceeds from sale of property and equipment	87	156	2,746
Net Cash Provided by (Used in) Investing Activities	(17,222)	(50,436)	(40,056)
Financing activities:
Proceeds from issuance of debt		0
Proceeds from (repayment of) revolving credit facility	(33,700)	33,700
Repayment of debt		0
Change in intercompany advances	(201,851)	(21,106)	(184,092)
Cash dividends paid	0	0	0
Repurchases of common stock	0	0	0
Financing costs paid		(611)
Excess tax benefits related to share-based compensation	0	0	0
Proceeds from exercise of stock options		0	0
Purchase of NCI		0
Other, net	(2,428)	(1,029)	(3,071)
Cash provided by (used for) financing activities	(237,979)	10,954	(187,163)
Effect of exchange rate changes on cash and cash equivalents	0	0	0
Net increase (decrease) in cash and cash equivalents	1,702	1,900	(11,629)
Cash and cash equivalents at beginning of year	3,912	2,012	13,641
Cash and cash equivalents at end of year	5,614	3,912	2,012
Non-Guarantor Subsidiaries
Condensed Financial Statements, Captions [Line Items]
Net income	7,831	(27,725)	(3,990)
Adjustments to reconcile net income to cash (used for) provided by operating activities:
Equity in earnings of subsidiaries	0	0	0
Depreciation and amortization	31,485	27,526	14,860
Loss on early retirement of debt		0
Share-based compensation expense	0	(162)	0
Provision for losses on accounts and notes receivable	(226)	484	509
Deferred income tax (benefit) expense	(834)	(4,677)	(2,108)
Changes in operating assets and liabilities:
Accounts and notes receivable	(27,274)	6,185	(16,522)
Merchandise inventories	(1,277)	8,308	(7,676)
Accounts payable	13,418	(24,613)	15,286
Net change in other assets and liabilities	6,443	(14,311)	(22,043)
Other, net	456	447	(97)
Cash provided by (used for) operating activities	30,022	(28,538)	(21,781)
Investing activities:
Additions to computer software and intangible assets	(2,397)	(4,330)	(10,237)
Acquisitions, net of cash acquired		(248,536)
Additions to property and equipment	(16,910)	(13,949)	(7,090)
Proceeds from the sale of investments		0
Proceeds from sale of property and equipment	56	0	305
Net Cash Provided by (Used in) Investing Activities	(19,251)	(266,815)	(17,022)
Financing activities:
Proceeds from issuance of debt		0
Proceeds from (repayment of) revolving credit facility	0	0
Repayment of debt		0
Change in intercompany advances	18,163	308,381	38,738
Cash dividends paid	0	0	0
Repurchases of common stock	0	0	0
Financing costs paid		0
Excess tax benefits related to share-based compensation	0	0	0
Proceeds from exercise of stock options		0	0
Purchase of NCI		(1,500)
Other, net	(3,016)	(3,502)	(3,011)
Cash provided by (used for) financing activities	15,147	303,379	35,727
Effect of exchange rate changes on cash and cash equivalents	(4,643)	(2,681)	2,521
Net increase (decrease) in cash and cash equivalents	21,275	5,345	(555)
Cash and cash equivalents at beginning of year	30,847	25,502	26,057
Cash and cash equivalents at end of year	52,122	30,847	25,502
Eliminations
Condensed Financial Statements, Captions [Line Items]
Net income	(120,239)	(99,439)	(119,866)
Adjustments to reconcile net income to cash (used for) provided by operating activities:
Equity in earnings of subsidiaries	122,258	96,384	119,084
Depreciation and amortization	0	0	0
Loss on early retirement of debt		0
Share-based compensation expense	0	0	0
Provision for losses on accounts and notes receivable	0	0	0
Deferred income tax (benefit) expense	0	0	0
Changes in operating assets and liabilities:
Accounts and notes receivable	33,531	452	(68)
Merchandise inventories	(2,133)	279	782
Accounts payable	4,969	1,045	68
Net change in other assets and liabilities	(38,386)	1,279	0
Other, net	0	0	0
Cash provided by (used for) operating activities	0	0	0
Investing activities:
Additions to computer software and intangible assets	0	0	0
Acquisitions, net of cash acquired		0
Additions to property and equipment	0	0	0
Proceeds from sale of property and equipment	0	0	0
Net Cash Provided by (Used in) Investing Activities	0	0	0
Financing activities:
Proceeds from issuance of debt		0
Proceeds from (repayment of) revolving credit facility	0	0
Repayment of debt		0
Change in intercompany advances	0	0	0
Cash dividends paid	0	0	0
Repurchases of common stock	0	0	0
Financing costs paid		0
Excess tax benefits related to share-based compensation	0	0	0
Proceeds from exercise of stock options		0	0
Purchase of NCI		0
Other, net	0	0	0
Cash provided by (used for) financing activities	0	0	0
Effect of exchange rate changes on cash and cash equivalents	0	0	0
Net increase (decrease) in cash and cash equivalents	0	0	0
Cash and cash equivalents at beginning of year	0	0	0
Cash and cash equivalents at end of year	$ 0	$ 0	$ 0