Owens & Minor (OMI) 10-K 6 Mar 19 2018 FY Annual report Financial data

Document and Entity Information

Document and Entity Information - USD ($)	12 Months Ended
	Dec. 31, 2018	Feb. 15, 2019	Jun. 30, 2018
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, 2018
Document Fiscal Year Focus	2,018
Trading Symbol	OMI
Smaller reporting company	false
Emerging growth company	false
Shell Company	false
Document Fiscal Period Focus	FY
Amendment Flag	false
Entity Common Stock, Shares Outstanding		62,235,014
Entity Well-known Seasoned Issuer	Yes
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Public Float			$ 1,041,712,963

Consolidated Statements of Inco

Consolidated Statements of Income (Loss) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Income Statement [Abstract]
Net revenue	$ 9,838,708	$ 9,318,275	$ 9,723,431
Cost of goods sold	8,471,745	8,146,409	8,536,121
Gross margin	1,366,963	1,171,866	1,187,310
Distribution, selling and administrative expenses	1,261,748	1,016,978	970,424
Goodwill and intangible asset impairment charges	439,613	0	0
Acquisition-related and exit and realignment charges	62,200	60,707	24,675
Other operating (income) expense, net	(4,424)	4,930	(7,388)
Operating income (loss)	(392,174)	89,251	199,599
Interest expense, net	77,021	31,773	27,057
Income (loss) before income taxes	(469,195)	57,478	172,542
Income tax (benefit) provision	(32,183)	(15,315)	63,755
Net income (loss)	$ (437,012)	$ 72,793	$ 108,787
Net income attributable to Owens & Minor, Inc. per common share:
Basic and diluted (in usd per share)	$ (7.28)	$ 1.20	$ 1.76
Cash dividends per common share (in usd per share)	$ 0.86	$ 1.03	$ 1.02

Consolidated Statements of Comp

Consolidated Statements of Comprehensive Income (Loss) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Statement of Comprehensive Income [Abstract]
Net income (loss)	$ (437,012)	$ 72,793	$ 108,787
Other comprehensive income (loss), net of tax:
Currency translation adjustments (net of income tax of $0 in 2018, 2017 and 2016)	(19,366)	43,060	(15,017)
Change in unrecognized net periodic pension costs (net of income tax of $1,377 in 2018, $6 in 2017, and $343 in 2016)	3,920	(857)	(727)
Net unrealized gain (loss) on derivative instruments and other (net of income tax of $1,831 in 2018, and $0 in 2017 and 2016)	(5,082)	196	86
Other comprehensive income (loss)	(20,528)	42,399	(15,658)
Comprehensive income (loss)	$ (457,540)	$ 115,192	$ 93,129

Consolidated Statements of Co_2

Consolidated Statements of Comprehensive Income (Parenthetical) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Statement of Comprehensive Income [Abstract]
Currency translation adjustment, income tax expense	$ 0	$ 0	$ 0
Change in unrecognized net periodic pension costs, income tax benefit	1,377	6	343
Other, income tax benefits	$ 1,831	$ 0	$ 0

Consolidated Balance Sheets

Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Current assets
Cash and cash equivalents	$ 103,367	$ 104,522
Accounts receivable, net	823,418	758,936
Merchandise inventories	1,290,103	990,193
Other current assets	321,690	328,254
Total current assets	2,538,578	2,181,905
Property and equipment, net	386,723	206,490
Goodwill, net	414,122	713,811
Intangible assets, net	321,764	184,468
Other assets, net	112,601	89,619
Total assets	3,773,788	3,376,293
Current liabilities
Accounts payable	1,109,589	947,572
Accrued payroll and related liabilities	48,203	30,416
Other current liabilities	314,219	331,745
Total current liabilities	1,472,011	1,309,733
Long-term debt, excluding current portion	1,650,582	900,744
Deferred Tax Liabilities, Net, Noncurrent	50,852	74,247
Other liabilities	81,924	76,090
Total liabilities	3,255,369	2,360,814
Commitments and contingencies
Equity
Common stock, par value $2 per share; authorized—200,000 shares; issued and outstanding— 62,294 shares and 61,476 shares	124,588	122,952
Paid-in capital	238,773	226,937
Retained earnings	200,670	690,674
Accumulated other comprehensive loss	(45,612)	(25,084)
Total equity	518,419	1,015,479
Total liabilities and equity	$ 3,773,788	$ 3,376,293

Consolidated Balance Sheets (Pa

Consolidated Balance Sheets (Parenthetical) - $ / shares	Dec. 31, 2018	Dec. 31, 2017
Statement of Financial Position [Abstract]
Common stock, par value (in usd per share)	$ 2	$ 2
Common stock, authorized (shares)	200,000,000	200,000,000
Common stock, issued (shares)	62,294,000	61,476,000
Commons stock, outstanding (shares)	62,294,000	61,476,000

Consolidated Statements of Cash

Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Operating activities:
Net income (loss)	$ (437,012)	$ 72,793	$ 108,787
Adjustments to reconcile net income (loss) to cash provided by operating activities:
Depreciation and amortization	101,927	59,443	55,393
Share-based compensation expense	16,376	11,911	12,042
Goodwill and intangible asset impairment charges	439,613	0	0
Deferred income tax (benefit) expense	(35,018)	(49,988)	4,218
Provision for losses on accounts receivable	9,430	2,674	377
Changes in operating assets and liabilities:
Accounts receivable	11,106	(100,010)	(25,244)
Merchandise inventories	(65,451)	(57,032)	22,589
Accounts payable	92,179	143,947	43,430
Net change in other assets and liabilities	(23,604)	(33,263)	(37,559)
Other, net	6,043	6,299	3,662
Cash provided by operating activities	115,589	56,774	187,695
Investing activities:
Acquisitions, net of cash acquired	(751,834)	(366,569)	0
Additions to computer software and intangible assets	(20,812)	(16,124)	(9,819)
Additions to property and equipment	(44,873)	(34,613)	(20,302)
Proceeds from sale of property and equipment	1,690	663	5,375
Cash used for investing activities	(815,829)	(416,643)	(24,746)
Financing activities:
Proceeds from issuance of debt	695,750	250,000	0
Proceeds from revolving credit facility	105,500	104,600	0
Repayment of debt	(16,250)	(3,125)	0
Financing costs paid	(28,512)	(1,798)	0
Cash dividends paid	(48,200)	(63,151)	(63,382)
Repurchases of common stock	0	(5,000)	(71,028)
Other, net	(7,217)	(8,720)	(8,294)
Cash provided by (used for) financing activities	701,071	272,806	(142,704)
Effect of exchange rate changes on cash and cash equivalents	(1,986)	6,097	4,223
Net (decrease) increase in cash and cash equivalents	(1,155)	(80,966)	24,468
Cash and cash equivalents at beginning of year	104,522	185,488	161,020
Cash and cash equivalents at end of year	$ 103,367	$ 104,522	$ 185,488

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)
Beginning Balance (in shares) at Dec. 31, 2015		62,803
Beginning Balance at Dec. 31, 2015	$ 992,590	$ 125,606	$ 211,943	$ 706,866	$ (51,825)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	108,787			108,787
Other comprehensive loss	(15,658)				(15,658)
Dividends declared ($0.86 per share for 2018, $1.03 per share for 2017, $1.02 per share for 2016)	$ (63,212)			(63,212)
Shares repurchased and retired (in shares)	(2,000)	(2,045)
Shares repurchased and retired	$ (71,028)	$ (4,091)		(66,937)
Share-based compensation expense, exercises and other (in shares)		273
Share-based compensation expense, exercises and other	8,559	$ 547	8,012
Ending Balance (in shares) at Dec. 31, 2016		61,031
Ending Balance at Dec. 31, 2016	960,038	$ 122,062	219,955	685,504	(67,483)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	72,793			72,793
Other comprehensive loss	42,399				42,399
Dividends declared ($0.86 per share for 2018, $1.03 per share for 2017, $1.02 per share for 2016)	$ (62,933)			(62,933)
Shares repurchased and retired (in shares)	(200)	(155)
Shares repurchased and retired	$ (5,000)	$ (310)		(4,690)
Share-based compensation expense, exercises and other (in shares)		600
Share-based compensation expense, exercises and other	$ 8,182	$ 1,200	6,982
Ending Balance (in shares) at Dec. 31, 2017	61,476	61,476
Ending Balance at Dec. 31, 2017	$ 1,015,479	$ 122,952	226,937	690,674	(25,084)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	(437,012)
Other comprehensive loss	(20,528)
Dividends declared ($0.86 per share for 2018, $1.03 per share for 2017, $1.02 per share for 2016)	(52,992)			(52,992)
Share-based compensation expense, exercises and other (in shares)		818
Share-based compensation expense, exercises and other	$ 13,472	$ 1,636	11,836
Ending Balance (in shares) at Dec. 31, 2018	62,294	62,294
Ending Balance at Dec. 31, 2018	$ 518,419	$ 124,588	$ 238,773	$ 200,670	$ (45,612)

Consolidated Statements of Ch_2

Consolidated Statements of Changes in Shareholders' Equity (Parenthetical) - $ / shares	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Statement of Stockholders' Equity [Abstract]
Common stock, par value (in usd per share)	$ 2	$ 2	$ 2
Dividends declared, per share (in usd per share)	$ 0.86	$ 1.03	$ 1.02

Summary of Significant Accounti

Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2018
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	Summary of Significant Accounting Policies Owens & Minor, Inc. and subsidiaries (we, us or our), a Fortune 500 company headquartered in Richmond, Virginia, is a leading global healthcare solutions company with integrated technologies, products and services aligned to deliver significant and sustained value for healthcare providers and manufacturers across the continuum of care. Our teammates serve healthcare industry customers in 90 countries, by producing quality products and helping to reduce total costs across the supply chain by optimizing point-of care performance, freeing up capital and clinical resources and managing contracts to optimize financial performance. During the first quarter, we made certain changes to the leadership team, organizational structure, budgeting and financial reporting processes which resulted in changes to our segment reporting. These changes align our operations into two distinct business units: Global Solutions and Global Products. Global Solutions (previously Domestic and International) is our U.S. and European distribution, logistics and value-added services business. Global Products (previously Proprietary Products) manufactures and sources medical surgical products through our production and kitting operations. The Halyard Surgical & Infection Prevention business (Halyard S&IP or Halyard), acquired April 30, 2018, is included in the Global Products segment. Beginning with the quarter ended March 31, 2018, we reported financial results using this two segment structure and have recast prior year segment results on the same basis. Basis of Presentation. The consolidated financial statements include the accounts of Owens & Minor, Inc. and the subsidiaries it controls, in conformity with U.S generally accepted accounting principles (GAAP). All significant intercompany accounts and transactions have been eliminated. Reclassifications. Certain prior year amounts have been reclassified to conform to the current year presentation. Use of Estimates. The preparation of the consolidated financial statements in conformity with GAAP requires us to make assumptions and estimates that affect reported amounts and related disclosures. Estimates are used for, but are not limited to, the allowances for losses on accounts receivable, inventory valuation allowances, supplier incentives, depreciation and amortization, goodwill valuation, valuation of intangible assets and other long-lived assets, self-insurance liabilities, tax liabilities, defined benefit obligations, share-based compensation and other contingencies. Actual results may differ from these estimates. Cash and Cash Equivalents. Cash and cash equivalents includes cash and marketable securities with an original maturity or maturity at acquisition of three months or less. Cash and cash equivalents are stated at cost. Nearly all of our cash and cash equivalents are held in cash depository accounts in major banks in the United States, Europe, and Asia. Book overdrafts represent the amount of outstanding checks issued in excess of related bank balances and are included in accounts payable in our consolidated balance sheets, as they are similar to trade payables and are not subject to finance charges or interest. Changes in book overdrafts are classified as operating activities in our consolidated statements of cash flows. Accounts Receivable, Net. In general, accounts receivable from customers are recorded at the invoiced amount and are reduced by any rebates due to the customer, which are estimated based on contractual terms or historical experience. We assess finance charges on overdue accounts receivable that are recognized as other operating income based on their estimated ultimate collectability. We have arrangements with certain customers under which they make deposits on account. Customer deposits in excess of outstanding receivable balances are classified as other current liabilities. For our direct to patient business, accounts receivable are recorded net of a contractual allowance. We maintain valuation allowances based upon the expected collectability of accounts receivable. Our allowances include specific amounts for accounts that are likely to be uncollectible, such as customer bankruptcies and disputed amounts and general allowances for accounts that may become uncollectible. Allowances are estimated based on a number of factors, including industry trends, current economic conditions, creditworthiness of customers, age of the receivables, changes in customer payment patterns, and historical experience. Account balances are charged off against the allowance after all means of collection have been exhausted and the potential for recovery is considered remote. Financing Receivables and Payables. We have an order-to-cash program in our Global Solutions segment under which we invoice manufacturers’ customers and remit collected amounts to the manufacturers. We retain credit risk for certain uncollected receivables under this program where contractually obligated. We continually monitor the expected collectability in this program and maintain valuation allowances when it is likely that an amount may be or may become uncollectible. Allowances are estimated based on a number of factors including creditworthiness of customers, age of the receivables and historical experience. We write off uncollected receivables under this program when collection is no longer being pursued. At December 31, 2018 and 2017 , the allowance for uncollectible accounts as part of this program was $0.0 million and $0.1 million . Fees charged for this program are included in net revenue. Product pricing and related product risks are retained by the manufacturer. Balances receivable and related amounts payable under this program are classified in other current assets and other current liabilities in the consolidated balance sheets. Merchandise Inventories. Merchandise inventories are valued at the lower of cost or market, with cost determined by the last-in, first-out (LIFO) method for distribution inventories in the U.S. Cost of remaining inventories are determined using the first-in, first out (FIFO) or weighted-average cost method. Property and Equipment. Property and equipment are stated at cost less accumulated depreciation or, if acquired under capital leases, at the lower of the present value of minimum lease payments or fair market value at the inception of the lease less accumulated amortization. Depreciation and amortization expense for financial reporting purposes is computed on a straight-line method over the estimated useful lives of the assets or, for capital leases and leasehold improvements, over the term of the lease, if shorter. In general, the estimated useful lives for computing depreciation and amortization are three to 15 years for machinery and equipment, five to 40 years for buildings and leasehold improvements, and fifteen years for land improvements. Straight-line and accelerated methods of depreciation are used for income tax purposes. Normal maintenance and repairs are expensed as incurred, and renovations and betterments are capitalized. Leases. We have entered into non-cancelable agreements to lease most of our office and warehouse facilities with remaining terms generally ranging from one to 30 years. We also lease some of our transportation and material handling equipment for terms generally ranging from three to ten years. Certain information technology assets embedded in an outsourcing agreement are accounted for as capital leases. Leases are classified as operating leases or capital leases at their inception. Rent expense for leases with rent holidays or pre-determined rent increases are recognized on a straight-line basis over the lease term. Incentives and allowances for leasehold improvements are deferred and recognized as a reduction of rent expense over the lease term. Goodwill. We evaluate goodwill for impairment annually, as of October 1, and whenever events occur or changes in circumstance indicate that the carrying amount of goodwill may not be recoverable. Qualitative factors are first assessed to determine if it is more likely than not that the fair value of a reporting unit is less than its carrying amount. If it is determined that it is more likely than not that the fair value does not exceed the carrying amount, then a quantitative test is performed. The quantitative goodwill impairment test involves a comparison of the estimated fair value of the reporting unit to the respective carrying amount. We determine the estimated fair value of our reporting units by using an income (discounted cash flow analysis) approach. The income approach is dependent upon several assumptions regarding future periods, including assumptions with respect to future sales growth and a terminal growth rate. In addition, a weighted average cost of capital (“WACC”) is used to discount future estimated cash flows to their present values. The WACC is based on externally observable data considering market participants’ cost of equity and debt, optimal capital structure and risk factors specific to our company. In connection with our new segment structure, which began in the first quarter of 2018, goodwill is now reported as part of Global Solutions or Global Products. There was no change to our underlying reporting units as part of that segment change and therefore no reallocation of goodwill. Intangible Assets. Intangible assets acquired through purchases or business combinations are stated at fair value at the acquisition date and net of accumulated amortization in the consolidated balance sheets. Intangible assets, consisting primarily of customer relationships, customer contracts, non-competition agreements, trademarks, and tradenames are amortized over their estimated useful lives. In determining the useful life of an intangible asset, we consider our historical experience in renewing or extending similar arrangements. Customer relationships are generally amortized over three to 15 years and other intangible assets are amortized generally for periods between one and 15 years, based on their pattern of economic benefit or on a straight-line basis. Computer Software. We develop and purchase software for internal use. Software development costs incurred during the application development stage are capitalized. Once the software has been installed and tested, and is ready for use, additional costs incurred in connection with the software are expensed as incurred. Capitalized computer software costs are amortized over the estimated useful life of the software, usually between three and ten years. Capitalized computer software costs are included in other assets, net, in the consolidated balance sheets. Unamortized software at December 31, 2018 and 2017 was $67.5 million and $61.8 million . Depreciation and amortization expense includes $12.8 million , $10.7 million and $12.9 million of software amortization for the years ended December 31, 2018 , 2017 and 2016 . Implementation costs incurred for a cloud computing arrangement that is considered a service contract (software as a service or SaaS) are expensed as incurred. Long-Lived Assets. Long-lived assets, which include property and equipment, finite-lived intangible assets, and unamortized software costs, are evaluated for impairment whenever events or changes in circumstances indicate that the carrying amount of long-lived assets may not be recoverable. We assess long-lived assets for potential impairment by comparing the carrying value of an asset, or group of related assets, to their estimated undiscounted future cash flows. Self-Insurance Liabilities. We are self-insured for most employee healthcare, workers’ compensation and automobile liability costs; however, we maintain insurance for individual losses exceeding certain limits. Liabilities are estimated for healthcare costs using current and historical claims data. Liabilities for workers’ compensation and automobile liability claims are estimated using historical claims data and loss development factors. If the underlying facts and circumstances of existing claims change or historical trends are not indicative of future trends, then we may be required to record additional expense or reductions to expense. Self-insurance liabilities are included in other current liabilities on the consolidated balance sheets. Revenue Recognition. On January 1, 2018, we adopted ASC 606 Revenue from Contracts with Customers , which establishes principles for recognizing revenue and reporting information about the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. We applied the guidance using the modified retrospective transition method. The adoption of this guidance had no impact on the amount and timing of revenue recognized, therefore, no adjustments were recorded to our consolidated financial statements upon adoption. Our revenue is primarily generated from sales contracts with customers. Under most of our distribution and product sales arrangements, our performance obligations are limited to delivery of products to a customer upon receipt of a purchase order. For these arrangements, we recognize revenue at the point in time when shipment is completed, as control passes to the customer upon product receipt. Revenue for activity-based fees and other services is recognized over time as activities are performed. Depending on the specific contractual provisions and nature of the performance obligation, revenue from services may be recognized on a straight-line basis over the term of the service, on a proportional performance model, based on level of effort, or when final deliverables have been provided. Our contracts sometimes allow for forms of variable consideration including rebates, discounts and performance guarantees. In these cases, we estimate the amount of consideration to which we will be entitled in exchange for transferring the product or service to the customer. Rebates and customer discounts are estimated based on contractual terms or historical experience and we maintain an accrual for rebates or discounts that have been earned but are unpaid. The amount accrued for rebates and discounts due to customers was $44.2 million at December 31, 2018 and $13.0 million at December 31, 2017. Additionally, we generate fees from arrangements that include performance targets related to cost-saving initiatives for customers that result from our supply-chain management services. Achievement against performance targets, measured in accordance with contractual terms, may result in additional fees paid to us or, if performance targets are not achieved, we may be obligated to refund or reduce a portion of our fees or to provide credits toward future purchases by the customer. For these arrangements, contingent revenue is deferred and recognized as the performance target is achieved and the applicable contingency is released. When we determine that a loss is probable under a contract, the estimated loss is accrued. The amount deferred under these arrangements is not material. For our direct to patient sales, revenues are recorded based upon the estimated amounts due from patients and third-party payors. Third-party payors include federal and state agencies (under Medicare and Medicaid programs), managed care health plans and commercial insurance companies. Estimates of contractual allowances are based upon historical collection rates for the related payor agreements. The estimated reimbursement amounts are made on a payor-specific basis and are recorded based on the best information available regarding management’s interpretation of the applicable laws, regulations and reimbursement terms. In most cases, we record revenue gross, as we are the primary obligor in the arrangement and we obtain control of the products before they are transferred to the customer. When we act as an agent in a sales arrangement and do not bear a significant portion of inventory risks, primarily for our third-party logistics business, we record revenue net of product cost. Sales taxes collected from customers and remitted to governmental authorities are excluded from revenues. See Note 20 for disaggregation of revenue by segment and geography as we believe that best depicts how the nature, amount, timing and uncertainty of our revenue and cash flows are affected by economic factors. Cost of Goods Sold. Cost of goods sold includes the cost of the product (net of supplier incentives and cash discounts) and all costs incurred for shipments of products from manufacturers to our distribution centers for all customer arrangements where we are the primary obligor, bear the risk of general and physical inventory loss and carry all credit risk associated with sales. Cost of goods sold also includes direct and certain indirect labor, material and overhead costs associated with our Global Products business. We have contractual arrangements with certain suppliers that provide incentives, including cash discounts for prompt payment, operational efficiency and performance-based incentives. These incentives are recognized as a reduction in cost of goods sold as targets become probable of achievement. In situations where we act as an agent in a sales arrangement and do not bear a significant portion of these risks, primarily for our third-party logistics business, there is no cost of goods sold and all costs to provide the service to the customer are recorded in distribution, selling and administrative expenses. As a result of different practices of categorizing costs and different business models throughout our industry, our gross margins may not necessarily be comparable to other companies in our industry. Distribution, Selling and Administrative (DS&A) Expenses. DS&A expenses include shipping and handling costs, labor, depreciation, amortization and other costs for selling and administrative functions associated with our distribution and logistics services and all costs associated with our fee-for-service arrangements. Shipping and Handling. Shipping and handling costs are primarily included in DS&A expenses on the consolidated statements of income and include costs to store, to move, and to prepare products for shipment, as well as costs to deliver products to customers. Shipping and handling costs totaled $680.1 million , $589.0 million and $558.9 million for the years ended December 31, 2018 , 2017 and 2016 , respectively. Third-party shipping and handling costs billed to customers, which are included in net revenue, are immaterial for all periods presented. Share-Based Compensation. We account for share-based payments to employees at fair value and recognize the related expense in distribution, general and administrative expenses over the service period for awards expected to vest. Derivative Financial Instruments. We are directly and indirectly affected by changes in certain market conditions, which may adversely impact our financial performance and are referred to as “market risks.” When deemed appropriate, we use derivatives as a risk management tool to mitigate the potential impact of certain market risks, primarily foreign currency exchange risk and interest rate risk. We use forward contracts, which are agreements to buy or sell a quantity at a predetermined future date and at a predetermined rate or price, and interest rate swaps. We enter derivative transactions that we believe will be highly effective at offsetting the underlying risk and do not enter into derivative financial instruments for trading purposes. All derivatives are carried at fair value in our consolidated balance sheets. The designation of a derivative instrument as a hedge and its ability to meet the hedge accounting criteria determine how we record the change in fair value of the derivative instrument in our financial statements. A derivative qualifies for hedge accounting if, at inception, we expect the derivative will be highly effective in offsetting the underlying hedged cash flows and we fulfill the hedge documentation standards at the time we enter into the derivative contract. We designate a hedge as a cash flow hedge, fair value hedge, or a net investment hedge based on the exposure we are hedging. For the effective portion of qualifying cash flow hedges, we record changes in fair value in other comprehensive income (“OCI”). We release the derivative’s gain or loss from OCI to match the timing of the underlying hedged items’ effect on earnings.We review the effectiveness of our hedging instruments quarterly, recognize current period hedge ineffectiveness immediately in earnings, and discontinue hedge accounting for any hedge that we no longer consider to be highly effective. We recognize changes in fair value for derivatives not designated as hedges or those not qualifying for hedge accounting in current period earnings.The cash flow impact of the derivative instruments is primarily included in our consolidated statements of cash flows in net cash provided by operating activities. Income Taxes. We account for income taxes under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Valuation allowances are provided if it is more likely than not that a deferred tax asset will not be realized. When we have claimed tax benefits that may be challenged by a tax authority, an estimate of the effect of these uncertain tax positions is recorded. It is our policy to provide for uncertain tax positions and the related interest and penalties based upon an assessment of whether a tax benefit is more likely than not to be sustained upon examination by tax authorities. To the extent that the tax outcome of these uncertain tax positions changes, based on our assessment, such changes in estimate may impact the income tax provision in the period in which such determination is made. The Tax Cuts and Jobs Act (the "Act") was enacted on December 22, 2017. As of December 31, 2018, we have completed our accounting for the tax effects of enactment of the Act. We earn a portion of our operating income in foreign jurisdictions outside the United States. Prior to the reporting period in which the Act was enacted we considered foreign earnings to be indefinitely reinvested and provided no United States federal and state taxes or withholding taxes on those earnings. Upon enactment, the Act imposes a tax on our total post-1986 foreign earnings at various tax rates. The Company has recognized an amount of this one-time transition tax. We continue to be indefinitely reinvested in foreign operations, with the exception of Thailand, and have not accrued any additional income taxes for any remaining undistributed foreign earnings not subject to the transition tax, or any additional outside basis differences inherent in these entities. The Company does not have a plan to indefinitely reinvest the unremitted earnings of our newly acquired foreign subsidiary located in Thailand as of December 31, 2018. We have recorded withholding tax liabilities that would be incurred upon future distribution of cash back to the U.S. We have not recorded any deferred taxes as there are no outside basis differences unrelated to unremitted earnings in Thailand. The Company will continue to evaluate its foreign earnings repatriation policy in 2019 related to all the other countries in which we operate. Fair Value Measurements. Fair value is determined based on assumptions that a market participant would use in pricing an asset or liability. The assumptions used are in accordance with a three-tier hierarchy, defined by GAAP, that draws a distinction between market participant assumptions based on (i) observable inputs such as quoted prices in active markets (Level 1), (ii) inputs other than quoted prices in active markets that are observable either directly or indirectly (Level 2) and (iii) unobservable inputs that require the use of present value and other valuation techniques in the determination of fair value (Level 3). The carrying amounts of cash and cash equivalents, accounts receivable and accounts payable reported in the consolidated balance sheets approximate fair value due to the short-term nature of these instruments. The fair value of long-term debt is estimated based on quoted market prices or dealer quotes for the identical liability when traded as an asset in an active market (Level 1) or, if quoted market prices or dealer quotes are not available, on the borrowing rates currently available for loans with similar terms, credit ratings, and average remaining maturities (Level 2). See Note 10 for the fair value of debt. The fair value of interest rate swaps and foreign currency contracts is determined based on the present value of expected future cash flows considering the risks involved, including non-performance risk, and using discount rates appropriate for the respective maturities. Observable Level 2 inputs are used to determine the present value of expected future cash flows. See Note 13 for the fair value of derivatives. Acquisition-Related and Exit and Realignment Charges . We present costs incurred in connection with acquisitions in acquisition-related and exit and realignment charges in our consolidated statements of income. Acquisition-related charges consist primarily of transaction costs incurred to perform due diligence and to analyze, negotiate and consummate an acquisition, costs to perform post-closing activities to establish the organizational structure, and costs to transition the acquired company’s information technology and other operations and administrative functions from the former owner. Exit and realignment charges consist of costs associated with optimizing our operations which include the closure and consolidation of certain distribution and logistics centers, administrative offices and warehouses in the United States and Europe. These charges also include costs related to our strategic organizational realignment which include management changes, certain professional fees, and costs to streamline administrative functions and processes. Costs associated with exit and realignment activities are recorded at their fair value when incurred. Liabilities are established at the cease-use date for remaining operating lease and other contractual obligations, net of estimated sub-lease income. The net lease termination cost is discounted using a credit-adjusted risk-free rate of interest. We evaluate these assumptions quarterly and adjust the liability accordingly. The current portion of accrued lease and other contractual termination costs is included in other current liabilities on the consolidated balance sheets, and the non-current portion is included in other liabilities. Severance benefits are recorded when payment is considered probable and reasonably estimable. Income Per Share. Basic and diluted income per share are calculated pursuant to the two-class method, under which unvested share-based payment awards containing nonforfeitable rights to dividends are participating securities. Foreign Currency Translation. Our foreign subsidiaries generally consider their local currency to be their functional currency. Assets and liabilities of these foreign subsidiaries are translated into U.S. dollars at period-end exchange rates and revenues and expenses are translated at average exchange rates during the period. Cumulative currency translation adjustments are included in accumulated other comprehensive income (loss) in shareholders’ equity. Gains and losses on intercompany foreign currency transactions that are long-term in nature and which we do not intend to settle in the foreseeable future are also recognized in other comprehensive income (loss) in shareholders’ equity. Realized gains and losses from foreign currency transactions are recorded in other operating income, net in the consolidated statements of income (loss) and were not material to our consolidated results of operations in 2018 , 2017 and 2016 . Business Combinations . We account for acquired businesses using the acquisition method of accounting, which requires that the assets acquired and liabilities assumed be recorded at the date of acquisition at their respective fair values. Any excess of the purchase price over the estimated fair values of the net assets acquired is recorded as goodwill. Recent Accounting Pronouncements . During 2018 , we adopted Accounting Standard Updates (ASU’s) issued by the Financial Accounting Standards Board (FASB). In February 2016, the FASB established Topic 842, Leases , by issuing ASU No. 2016-02, which requires lessees to recognize leases on-balance sheet and disclose key information about leasing arrangements. Topic 842 was subsequently amended by ASU No. 2018-01, Land Easement Practical Expedient for Transition to Topic 842; ASU No. 2018-10, Codification Improvements to Topic 842, Leases; and ASU No. 2018-11, Targeted Improvements. The new standard establishes a right-of-use model (ROU) that requires a lessee to recognize a ROU asset and lease liability on the balance sheet for all leases with a term longer than 12 months. Leases will be classified as finance or operating, with classification affecting the pattern and classification of expense recognition in the income statement. The new standard is effective for us on January 1, 2019, with early adoption permitted. A modified retrospective transition approach is required, applying the new standard to all leases existing at the date of initial application. An entity may choose to use either (1) its effective date or (2) the beginning of the earliest comparative period presented in the consolidated financial statements as its date of initial application. If an entity chooses the second option, the transition requirements for existing leases also apply to leases entered into between the date of initial application and the effective date. The entity must also recast its comparative period consolidated financial statements and provide the disclosures required by the new standard for the comparative periods. We expect to adopt the new standard on January 1, 2019 and use the effective date as our date of initial application. Consequently, financial information will not be updated and the disclosures required under the new standard will not be provided for dates and periods before January 1, 2019. The new standard provides a number of optional practical expedients in transition. We expect to elect the ‘package of practical expedients’, which permits us not to reassess under the new standard our prior conclusions about lease identification, lease classification and initial direct costs. We do not expect to elect the use-of-hindsight or the practical expedient pertaining to land easements; the latter not being applicable to us. We expect that this standard will have a material effect on our consolidated financial statements. While we continue to assess all of the effects of adoption, we currently believe the most significant effects relate to (1) the recognition of new ROU assets and lease liabilities on our balance sheet for our office and warehouse facility operating leases, and (2) providing significant new disclosures about our leasing activities. On adoption, we currently expect to recognize additional operating liabilities ranging from $250 million to $350 million , with corresponding ROU assets of the same amount based on the present value of the remaining minimum rental payments under current leasing standards for existing operating leases. The new standard also provides practical expedients for an entity’s ongoing accounting. We currently expect to elect the short-term lease recognition exemption for all leases that qualify. This means, for those leases that qualify, we will not recognize ROU assets or lease liabilities, and this includes not recognizing ROU assets or lease liabilities for existing short-term leases of those assets in transition. We also currently expect to elect the practical expedient to not separate lease and non-lease components for all of

Significant Risks and Uncertain

Significant Risks and Uncertainties	12 Months Ended
	Dec. 31, 2018
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 Vizient, Premier, Inc. (Premier) and Health Trust Purchasing Group (HPG). Members of these GPOs have incentives to purchase from their primary selected distributor; however, they operate independently and are free to negotiate directly with distributors and manufacturers. For 2018 , 2017 and 2016 , net revenue from hospitals under contract with these GPOs represented the following approximate percentages of our net revenue annually: Vizient— 40% to 48% ; Premier— 19% to 21% ; and HPG— 13% to 14% . Net revenue from sales of product supplied by Medtronic represented approximately 10% of our net revenues for 2018, 11% of our net revenues for 2017 and 13% of our net revenues for 2016. Net revenue from sales of product supplied by Johnson & Johnson represented approximately 7% of our net revenues for 2018 and 9% of our net revenues for 2017 and 2016. Net revenue from sales of product supplied by Becton Dickinson represented approximately 7% of our net revenue for 2018 and 9% of our net revenues for 2017 and 2016.

Acquisitions

Acquisitions	12 Months Ended
	Dec. 31, 2018
Business Combinations [Abstract]
Acquisitions	Acquisitions On April 30, 2018 (the Closing Date), we completed the previously announced acquisition of substantially all of Avanos Medical, Inc.'s (Avanos, previously Halyard Health, Inc.) Surgical and Infection Prevention business, the name “Halyard Health” (and all variations of that name and related intellectual property rights) and its information technology (IT) systems in exchange for $758 million , net of cash acquired. The Halyard S&IP business is a leading global provider of medical supplies and solutions for the prevention of healthcare associated infections across acute care and non-acute care markets. This business is reported as part of the Global Products segment. The following table presents the preliminary estimated fair value of the assets acquired and liabilities assumed recognized as of the acquisition date. The fair value of intangibles from this acquisition was primarily determined by applying the income approach, using several significant unobservable inputs for projected cash flows and a discount rate. These inputs are considered Level 3 inputs. The allocation of purchase price to assets and liabilities acquired is not yet complete, as valuations of tangible and intangible assets and liabilities are still in process. Preliminary Fair Value (1) Differences Between Prior and Current Period Preliminary Fair Value Estimate Fair Value Estimated as of Acquisition Date Assets acquired: Current assets $ 307,427 $ 23,443 $ 330,870 Goodwill 183,711 (53,347 ) 130,364 Intangible assets 191,000 230 191,230 Other noncurrent assets 152,555 65,685 218,240 Total assets 834,693 36,011 870,704 Liabilities assumed: Current liabilities 83,822 8,616 92,438 Noncurrent liabilities 11,223 8,994 20,217 Total liabilities 95,045 17,610 112,655 Fair value of net assets acquired, net of cash $ 739,648 $ 18,401 $ 758,049 (1) As previously reported in our second quarter 2018 Form 10-Q. The change in fair value of net assets acquired, net of cash, of $18.4 million was the result of the final purchase price settlement with the seller of the Halyard S&IP business. We are amortizing the preliminary fair value of acquired intangible assets, primarily customer relationships, a trade name and other intellectual property, over their estimated weighted average useful lives of eight to 12 years . Goodwill of $130 million , which we assigned to our Global Products segment, consists largely of expected opportunities to expand into new markets and further develop a presence in the medical products segment. None of the goodwill recognized is expected to be deductible for income tax purposes. The following table provides unaudited pro forma results of net revenue for the years ended December 31, 2018 and 2017 as if Halyard S&IP was acquired on January 1, 2017. The pro forma results of net income (loss) and net income (loss) per common share have not been represented because the effects were not material to our historic consolidated financial statements. Accordingly, the pro forma results below are not necessarily indicative of the results that would have been if the acquisition had occurred on the dates indicated, nor are the pro forma results indicative of results which may occur in the future. Pro Forma - Unaudited Year Ended December 31, 2018 2017 Net revenue $ 10,118,708 $ 10,158,275 Byram Healthcare On August 1, 2017, we completed the acquisition of Byram Healthcare, a leading domestic distributor of reimbursable medical supplies sold directly to patients and home health agencies. The consideration was $360 million , net of cash acquired. The purchase price was allocated to the underlying assets acquired and liabilities assumed based upon our estimate of their fair values at the date of acquisition. The purchase price exceeded the estimated fair value of the net tangible and identifiable intangible assets by $284 million which was allocated to goodwill. The following table presents the fair value of the assets acquired and liabilities assumed recognized as of the acquisition date. The fair value of intangibles from this acquisition was primarily determined by applying the income approach, using several significant unobservable inputs for projected cash flows and a discount rate. These inputs are considered Level 3 inputs. Preliminary Fair Value (2) Differences Between Prior and Current Period Preliminary Fair Value Estimate Fair Value as of Acquisition Date Assets acquired: Current assets $ 61,986 $ — $ 61,986 Goodwill 288,691 (4,933 ) 283,758 Intangible assets 115,000 — 115,000 Other noncurrent assets 5,069 (1,282 ) 3,787 Total assets 470,746 (6,215 ) 464,531 Liabilities assumed: Current liabilities 72,962 — 72,962 Noncurrent liabilities 31,215 — 31,215 Total liabilities 104,177 — 104,177 Fair value of net assets acquired, net of cash $ 366,569 $ (6,215 ) $ 360,354 (2) As previously reported in our 2017 Form 10-K. We are amortizing the fair value of acquired intangible assets, primarily chronic customer relationships and a trade name, over their weighted average useful lives of three to 10 years . Goodwill of $284 million , which we assigned to our Global Solutions segment, consists largely of expected opportunities to grow in the non-acute market with direct to patient and home health agency distribution capabilities. None of the goodwill recognized is expected to be deductible for income tax purposes. Pro forma results of operations for Byram have not been presented because the effects on revenue and net income (loss) were not material to our historic consolidated financial statements. The change in fair value of net assets acquired, net of cash, of $6.2 million was the result of the final purchase price settlement with the seller of Byram. Acquisition-related expenses in the current year consisted primarily of transition and transaction costs for the Halyard S&IP transaction. Expenses in 2017 were primarily related to Byram and due diligence costs for the Halyard S&IP transaction. Expenses in 2016 related primarily to costs incurred to settle certain obligations and other matters associated with the acquisitions of ArcRoyal and Medical Action which were partially offset by a gain on the sale of property acquired with Medical Action. We recognized pre-tax acquisition-related expenses of $45.3 million , $17.3 million and $1.2 million for the years ended December 31, 2018, 2017 and 2016.

Accounts Receivable, Net

Accounts Receivable, Net	12 Months Ended
	Dec. 31, 2018
Receivables [Abstract]
Accounts Receivable, Net	Accounts Receivable, Net Allowances for losses on accounts receivable of $19.6 million and $16.2 million have been applied as reductions of accounts receivable at December 31, 2018 and 2017 . Write-offs of accounts receivable were $2.8 million , $0.8 million and $0.9 million for 2018 , 2017 and 2016 .

Merchandise Inventories

Merchandise Inventories	12 Months Ended
	Dec. 31, 2018
Inventory Disclosure [Abstract]
Merchandise Inventories	Merchandise Inventories At December 31, 2018 and 2017 we had inventory of $1,290.1 million and $990.2 million , of which $1,023.1 million and $964.2 million were valued under LIFO. If LIFO inventories had been valued on a current cost or FIFO basis, they would have been greater by $146.5 million and $119.6 million as of December 31, 2018 and 2017 . At December 31, 2018 and 2017 , included in our inventory was $43.8 million and $22.1 million in raw materials, $67.3 million and $7.0 million in work in process and the remainder was finished goods.

Financing Receivables and Payab

Financing Receivables and Payables	12 Months Ended
	Dec. 31, 2018
Receivables and Payables [Abstract]
Financing Receivables and Payables	Financing Receivables and Payables At December 31, 2018 and 2017 , we had financing receivables of $183.3 million and $192.1 million and related payables of $100.3 million and $124.9 million outstanding under our order-to-cash program, which were included in other current assets and other current liabilities, respectively, in the consolidated balance sheets.

Property and Equipment

Property and Equipment	12 Months Ended
	Dec. 31, 2018
Property, Plant and Equipment [Abstract]
Property and Equipment	Property and Equipment Property and equipment consists of the following: December 31, 2018 2017 Land and land improvements $ 23,046 $ 17,638 Buildings and leasehold improvements 200,881 148,288 Machinery and equipment 418,208 274,604 Construction in progress 14,693 5,541 Property and equipment, gross 656,828 446,071 Accumulated depreciation and amortization (270,105 ) (239,581 ) Property and equipment, net $ 386,723 $ 206,490 The gross value of assets recorded under capital leases was $27.3 million and $33.4 million with associated accumulated depreciation of $15.7 million and $18.1 million as of December 31, 2018 and 2017 , respectively. Depreciation expense for property and equipment and assets under capital leases was $42.9 million , $32.3 million and $32.5 million for the years ended December 31, 2018 , 2017 and 2016 . We had no property held for sale at December 31, 2018 or 2017.

Goodwill and Intangible Assets

Goodwill and Intangible Assets	12 Months Ended
	Dec. 31, 2018
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets	Goodwill and Intangible Assets As a result of a decline in market capitalization of the Company, and lower than projected financial results of certain reporting units due to customer losses and operational inefficiencies, which have caused us to revise our expectations with regard to future performance, we determined that there were indicators present that would require an interim impairment analysis. During the quarter ended June 30, 2018, we performed an interim goodwill impairment test and concluded that the fair values for certain reporting units comprising our kitting business within our Global Products segment were below their carrying amount. The amount by which the carrying values of the impaired reporting units' goodwill exceeded their fair values was $149.0 million , which was recognized as an impairment loss for the quarter ended June 30, 2018. As of October 1, 2018, w e performed our annual impairment test and concluded that there were no impairments of goodwill as the estimated fair value of each reporting unit exceeded its carrying value. During the quarter ended December 31, 2018, we noted a further decline in market capitalization of the Company and determined that there were further indicators present that would require another interim impairment analysis as of December 31, 2018. As a result of the interim impairment test, the estimated fair value of certain reporting units were determined to be lower than their carrying value and we recorded an impairment loss of $205.5 million within our Global Solutions segment and $68.5 million within our Global Products segment. We recorded these amounts in “Goodwill and intangible asset impairment charges” in our accompanying consolidated statements of income (loss). The following table summarizes the changes in the carrying amount of goodwill through December 31, 2018 : Global Solutions Global Products Consolidated Carrying amount of goodwill, January 1, 2017 $ 199,397 $ 215,539 $ 414,936 Acquisitions (See Note 3) 288,691 — 288,691 Currency translation adjustments 7,772 2,412 10,184 Carrying amount of goodwill, December 31, 2017 495,860 217,951 713,811 Currency translation adjustments (1,347 ) (637 ) (1,984 ) Acquisitions (See Note 3) (4,933 ) 130,364 125,431 Carrying amount of goodwill, December 31, 2018 489,580 347,678 837,258 Accumulated goodwill impairment, December 31, 2017 — — — Goodwill impairment charge (205,675 ) (217,461 ) (423,136 ) Accumulated goodwill impairment, December 31, 2018 (205,675 ) (217,461 ) (423,136 ) Net carrying amount of goodwill, December 31, 2018 $ 283,905 $ 130,217 $ 414,122 Intangible assets at December 31, 2018 and 2017 were as follows: 2018 2017 Customer Tradenames Other Customer Tradenames Other Gross intangible assets $ 267,510 $ 97,000 $ 42,930 $ 199,265 $ 31,000 $ 12,537 Accumulated amortization (72,947 ) (8,544 ) (4,185 ) (54,757 ) (1,769 ) (1,808 ) Net intangible assets $ 194,563 $ 88,456 $ 38,745 $ 144,508 $ 29,231 $ 10,729 Weighted average useful life 10 years 11 years 8 years 11 years 9 years 10 years During the quarters ended June 30, 2018 and December 31, 2018, we noted impairment indicators related to our intangible assets. Consistent with the impairment indicators that were considered in performing our interim goodwill impairment assessments, lower than projected financial results of certain reporting units due to customer losses and operational inefficiencies have caused us to revise our expectations with regard to future performance. We performed impairment tests for the asset groups to which our intangible assets are assigned and based on the projected undiscounted future cash flows, we recorded an impairment charge of $16.5 million related to a write-off of customer relationships for the quarter ended June 30, 2018. We recorded this amount in “Goodwill and intangible asset impairment charges” in our accompanying consolidated statements of income (loss). We did not record an impairment to intangibles other than goodwill at December 31, 2018. At December 31, 2018 and 2017, $106.9 million and $127.4 million in net intangible assets were held in the Global Solutions segment and $214.9 million and $57.0 million were held in the Global Products segment, respectively. Amortization expense for intangible assets was $36.5 million for 2018 , $16.4 million for 2017 and $10.0 million for 2016 . Based on the current carrying value of intangible assets subject to amortization, estimated amortization expense is $41.6 million for 2019, $40.7 million for 2020, $39.0 million for 2021, $38.1 million for 2022 and $38.1 million for 2023.

Exit and Realignment Costs

Exit and Realignment Costs	12 Months Ended
	Dec. 31, 2018
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 includes the consolidation of certain distribution and logistics centers, administrative offices and warehouses in North America, Europe, and Asia. These charges also include costs associated with our strategic organizational realignment which include management changes, certain professional fees and costs to streamline administrative functions and processes. Exit and realignment charges by segment for the years ended December 31, 2018 , 2017 and 2016 were as follows: Year ended December 31, 2018 2017 2016 Global Solutions $ 16,808 $ 41,549 $ 21,795 Global Products 133 1,893 1,669 Total exit and realignment charges $ 16,941 $ 43,442 $ 23,464 The following table summarizes the activity related to exit and realignment cost accruals through December 31, 2018 : Lease Severance and Total Accrued exit and realignment charges, January 1, 2016 $ 486 $ 1,840 $ 2,326 Provision for exit and realignment activities — 11,823 11,823 Change in estimate — (261 ) (261 ) Cash payments, net of sublease income (486 ) (11,164 ) (11,650 ) Accrued exit and realignment charges, December 31, 2016 — 2,238 2,238 Provision for exit and realignment activities — 17,691 17,691 Change in estimate — (365 ) (365 ) Cash payments, net of sublease income — (7,592 ) (7,592 ) Accrued exit and realignment charges, December 31, 2017 — 11,972 11,972 Provision for exit and realignment activities — 10,325 10,325 Change in estimate — (108 ) (108 ) Cash payments, net of sublease income — (13,975 ) (13,975 ) Accrued exit and realignment charges, December 31, 2018 $ — $ 8,214 $ 8,214 In addition to the exit and realignment accruals in the preceding table, we also incurred $6.7 million of costs that were expensed as incurred for the year ended December 31, 2018, including $2.7 million in information system restructuring costs, $1.7 million in asset write-downs, and $2.3 million in other costs. We incurred $26.1 million of costs that were expensed as incurred for the year ended December 31, 2017, including $15.2 million in consulting costs, $5.1 million in asset write-downs, $4.7 million in information system restructuring costs, and $1.1 million in other costs. We incurred $11.9 million of costs that were expensed as incurred for the year ended December 31, 2016, including $3.6 million in professional service fees, $3.0 million in asset write-downs, $2.9 million in information system costs, $0.9 million in labor costs, $0.7 million in other facility costs and $0.8 million in other costs. We do no t expect significant additional costs in 2019 for activities that were initiated through December 31, 2018; however, we anticipate new actions will be taken in 2019.

Debt

Debt	12 Months Ended
	Dec. 31, 2018
Debt Disclosure [Abstract]
Debt	Debt Debt consists of the following: 2018 2017 December 31, Carrying Estimated Carrying Estimated 3.875% Senior Notes, $275 million par value, maturing September 2021 $ 273,577 $ 207,001 $ 272,734 $ 278,080 4.375% Senior Notes, $275 million par value, maturing December 2024 272,972 174,859 272,959 277,915 Term Loan A-1 231,847 231,847 246,182 246,182 Term Loan A-2 190,575 190,575 — — Term Loan B 483,327 385,284 — — Revolver 210,100 210,100 104,600 104,600 Capital leases 18,774 18,774 20,888 20,888 Total debt 1,681,172 1,418,440 917,363 927,665 Less current maturities (30,590 ) (30,590 ) (16,619 ) (16,619 ) Long-term debt $ 1,650,582 $ 1,387,850 $ 900,744 $ 911,046 We have $275 million of 3.875% senior notes due 2021 (the “2021 Notes”) and $275 million of 4.375% senior notes due 2024 (the “2024 Notes”), with interest payable semi-annually. The 2021 Notes were sold at 99.5% of the principal amount with an effective yield of 3.951% . The 2024 Notes were sold at 99.6% of the principal with an effective yield of 4.422% . We have the option to redeem the 2021 Notes and 2024 Notes in part or in whole prior to maturity at a redemption price equal to the greater of 100% of the principal amount or the present value of the remaining scheduled payments discounted at the Treasury Rate plus 30 basis points. As of December 31, 2018, we had a Credit Agreement with a borrowing capacity of $600 million and a $250 million Term A-1 loan. In connection with the Halyard S&IP acquisition, we amended our Credit Agreement to include, among others things, an additional $195.8 million Term A-2 loan and $500 million Term B loan. The revolving credit facility and Term A loans mature in July 2022 and the Term B loan matures in October 2025. In connection with amending our Credit Agreement, we entered into a Security and Pledge Agreement (the “Security Agreement”) pursuant to which we granted collateral on behalf of the holders of the 2021 Notes and the 2024 Notes and parties secured on the Credit Agreement (“the Secured Parties") including first priority liens and security interests in (a) all present and future shares of capital stock owned by the Credit Parties (as defined) in the Credit Parties’ present and future subsidiaries (limited, in the case of controlled foreign corporations, to a pledge of 65% of the voting capital stock of each first-tier foreign subsidiary of each Credit Party) and (b) all present and future personal property and assets of the Credit Parties, subject to certain exceptions. Our Credit Agreement has a “springing maturity date” with respect to the revolving loans and the term A loans and the term B loans, if as of the date that is 91 days prior to the maturity date of the Company’s 2021 Notes or the 2024 Notes, respectively, all outstanding amounts owing under the 2021 Notes or the 2024 Notes, respectively, have not been paid in full then the Termination Date (as defined in the Credit Agreement) of the revolving loans, term A loans and term B loans shall be the date that is 91 days prior to the maturity date of the 2021 Notes. We make principal payments under the term loans on a quarterly basis with the remaining outstanding principal due upon maturity. The interest rate on our revolving credit facility and Term A loans, which is subject to adjustment quarterly, is based on the Eurocurrency Rate, the Federal Funds Rate or the Prime Rate, plus an adjustment based on the better of our credit ratings or debt to EBITDA ratio as defined by the Credit Agreement. Our Term B loan accrues interest based on the Eurocurrency Rate, the Federal Funds Rate or the Prime Rate, plus interest rate margin of 3.50% per annum with respect to Base Rate Loans (as defined in the Credit Agreement), and 4.50% per annum with respect to Eurocurrency Rate Loans (as defined in the Credit Agreement). We are charged a commitment fee of between 12.5 and 25.0 basis points on the unused portion of the facility. The terms of the Credit Agreement limit the amount of indebtedness that we may incur and require us to maintain ratios for leverage and interest coverage, including on a pro forma basis in the event of an acquisition. Based on our Credit Spread, the interest rate under the credit facility at December 31, 2018 is Eurocurrency Rate plus 2.00% . At December 31, 2018, we had borrowings of $210.1 million under the revolver and letters of credit of $15.2 million outstanding under the Credit Agreement. We also had letters of credit and bank guarantees outstanding for $7.7 million as of December 31, 2018 and $1.3 million as of December 31, 2017, which supports certain facilities leased as well as other normal business activities in the United States and Europe. As of December 31, 2018, scheduled future principal payments of debt were $27.5 million in 2019, $30.3 million in 2020, $316.6 million in 2021, $558.4 million in 2022, $5.0 million in 2023, and $748.8 million thereafter. On February 12, 2019 we amended our Credit Agreement. Please see Note 22 for further information. The Credit Agreement and senior notes contain cross-default provisions which could result in the acceleration of payments due in the event of default of either agreement. We believe we were in compliance with our debt covenants at December 31, 2018. Cash payments for interest during 2018, 2017 and 2016 were $68.6 million , $30.6 million and $27.9 million . We enter into long-term non-cancellable leases for certain warehouse equipment and vehicles which, for accounting purposes, are classified as capital leases. We also operate a kitting facility which is subject to a long-term capital lease. As of December 31, 2018 , we were obligated under capital leases for minimum annual rental payments as follows: Year 2019 $ 5,735 2020 3,471 2021 2,273 2022 2,051 2023 1,952 Thereafter 9,997 Total minimum lease payments 25,479 Less: Amounts representing interest (6,705 ) Present value of total minimum lease payments 18,774 Less: Current portion of capital lease obligations (3,090 ) Long-term portion of capital lease obligations $ 15,684

Share-Based Compensation

Share-Based Compensation	12 Months Ended
	Dec. 31, 2018
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, 2018 approximately 3.4 million common shares were available for issuance under the Plan. Restricted stock awarded under the Plan generally vests over one , three or five years. Certain restricted stock grants contain accelerated vesting provisions, based on the satisfaction of certain performance criteria related to the achievement of certain financial and operational results. Performance shares awarded under the Plan are issuable as restricted stock upon meeting performance goals and generally have a total performance and vesting period of three years. Stock options awarded under the Plan are generally subject to graded vesting over three years and expire seven to ten years from the date of grant. The options are granted at a price equal to fair market value at the date of grant. We did not grant any stock options in 2018, 2017, or 2016. We recognize the fair value of stock-based compensation awards, which is based upon the market price of the underlying common stock at the grant date, on a straight-line basis over the estimated requisite service period, which may be based on a service condition, a performance condition, or a combination of both. The fair value of performance shares as of the date of grant is estimated assuming that performance goals will be achieved at target levels. If such goals are not probable of being met, or are probable of being met at different levels, recognized compensation cost is adjusted to reflect the change in estimated fair value of restricted stock to be issued at the end of the performance period. Total share-based compensation expense for December 31, 2018 , 2017 and 2016 , was $16.4 million , $11.9 million and $12.0 million , with recognized tax benefits of $4.3 million , $4.6 million and $4.5 million . Unrecognized compensation cost related to nonvested restricted stock awards, net of estimated forfeitures, was $21.7 million at December 31, 2018 . This amount is expected to be recognized over a weighted-average period of 2.2 years , based on the maximum remaining vesting period required under the awards, and the amount that would be recognized over a shorter period based on accelerated vesting provisions, is approximately $1.4 million . Unrecognized compensation cost related to nonvested performance share awards as of December 31, 2018 was $1.7 million and will be recognized primarily in 2019 if the related performance targets are met. The following table summarizes the activity and value of nonvested restricted stock and performance share awards for the years ended December 31, 2018 , 2017 and 2016 : 2018 2017 2016 Number of Weighted Number of Weighted Number of Weighted Nonvested awards at beginning of year 1,657 $ 42.60 1,091 $ 44.15 1,104 $ 40.02 Granted 2,281 15.33 1,152 30.55 572 34.75 Vested (616 ) 31.59 (351 ) 33.97 (337 ) 32.65 Forfeited (809 ) 22.59 (235 ) 34.49 (248 ) 34.06 Nonvested awards at end of year 2,513 23.96 1,657 42.60 1,091 44.15 The total fair value of restricted stock vesting during the years ended December 31, 2018 , 2017 and 2016 , was $19.5 million , $11.9 million and $11.0 million .

Retirement Plans

Retirement Plans	12 Months Ended
	Dec. 31, 2018
Retirement Benefits [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 discretionary contribution by us to the plan for all eligible employees of 1% of their salary, subject to certain limits, and discretionary profit-sharing contributions. We may increase or decrease our contributions at our discretion, on a prospective basis. We incurred $10.7 million , $9.1 million , and $12.5 million of expense related to this plan in 2018 , 2017 and 2016 . We also maintain defined contribution plans in some of the European countries in which we operate. Expenses related to these plans were not material in 2018 , 2017 and 2016 . U.S. Retirement Plans. We have a noncontributory, unfunded retirement plan for certain officers and retirees in the United States (U.S. Retirement Plan). In February 2012, our Board of Directors amended the U.S. Retirement Plan to freeze benefit levels and modify vesting provisions under the plan effective as of March 31, 2012. The following table sets forth the U.S. Retirement Plan’s financial status and the amounts recognized in our consolidated balance sheets: December 31, 2018 2017 Change in benefit obligation Benefit obligation, beginning of year $ 53,274 $ 52,051 Interest cost 1,674 1,887 Actuarial (gain) loss (3,207 ) 2,796 Benefits paid (3,578 ) (3,460 ) Benefit obligation, end of year $ 48,163 $ 53,274 Change in plan assets Fair value of plan assets, beginning of year $ — $ — Employer contribution 3,578 3,460 Benefits paid (3,578 ) (3,460 ) Fair value of plan assets, end of year $ — $ — Funded status, end of year $ (48,163 ) $ (53,274 ) Amounts recognized in the consolidated balance sheets Other current liabilities $ (3,410 ) $ (3,481 ) Other liabilities (44,752 ) (49,791 ) Accumulated other comprehensive loss 13,722 19,019 Net amount recognized $ (34,440 ) $ (34,253 ) Accumulated benefit obligation $ 48,163 $ 53,274 Weighted average assumptions used to determine benefit obligation Discount rate 4.00 % 3.25 % Rate of increase in compensation levels N/A N/A Plan benefit obligations of the U.S. Retirement Plan were measured as of December 31, 2018 and 2017 . Plan benefit obligations are determined using assumptions developed at the measurement date. The weighted average discount rate, which is used to calculate the present value of plan liabilities, is an estimate of the interest rate at which the plan liabilities could be effectively settled at the measurement date. When estimating the discount rate, we review yields available on high-quality, fixed-income debt instruments and use a yield curve model from which the discount rate is derived by applying the projected benefit payments under the plan to points on a published yield curve. The components of net periodic benefit cost for the U.S. Retirement Plan, which is included in distribution, selling, and administrative expenses in the consolidated statements of income (loss), were as follows: Year ended December 31, 2018 2017 2016 Interest cost $ 1,674 $ 1,887 $ 1,980 Recognized net actuarial loss 2,091 1,849 1,646 Net periodic benefit cost $ 3,765 $ 3,736 $ 3,626 Weighted average assumptions used to determine net periodic benefit cost Discount rate 3.25 % 3.75 % 4.00 % Rate of increase in future compensation levels N/A N/A N/A Amounts recognized for the U.S. Retirement Plan as a component of accumulated other comprehensive loss as of the end of the year that have not been recognized as a component of the net periodic benefit cost are presented in the following table. We expect to recognize approximately $1.1 million of the net actuarial loss reported in the following table as of December 31, 2018 , as a component of net periodic benefit cost during 2019. Year ended December 31, 2018 2017 Net actuarial loss $ (13,722 ) $ (19,019 ) Deferred tax benefit 5,562 6,939 Amounts included in accumulated other comprehensive income (loss), net of tax $ (8,160 ) $ (12,080 ) As of December 31, 2018 , the expected benefit payments required for each of the next five years and the five-year period thereafter for the U.S. Retirement Plan were as follows: Year 2019 $ 3,378 2020 3,325 2021 3,147 2022 3,006 2023 2,868 2024-2028 12,316 International Retirement Plans. Certain of our foreign subsidiaries, including the 2018 Halyard acquisition, have defined benefit pension plans covering substantially all of their respective employees. As of December 31, 2018 and 2017 , the accumulated benefit obligation under these plans was $9.4 million and $2.4 million . We recorded $1.0 million in net periodic benefit cost in distribution, selling and administrative expenses for the year ended December 31, 2018 and $0.1 million for the years ended 2017 and 2016 .

Derivatives

Derivatives	12 Months Ended
	Dec. 31, 2018
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivatives	Derivatives We are directly and indirectly affected by changes in foreign currency, which may adversely impact our financial performance and are referred to as “market risks.” When deemed appropriate, we use derivatives as a risk management tool to mitigate the potential impact of certain market risks. We do not enter into derivative financial instruments for trading purposes. We use a layered hedging program to hedge select anticipated foreign currency cash flows to reduce volatility in cash flows. We account for the designated foreign exchange forward contracts as cash flow hedges. These foreign exchange forward contracts generally have maturities up to 12 months and the counterparties to the transactions are typically large international financial institutions. We pay interest under our Credit Agreement which fluctuates based on changes in our benchmark interest rates. In order to mitigate the risk of increases in benchmark rates, we entered into interest rate swaps during the third quarter of 2018 whereby we agree to exchange with the counterparty, at specified intervals, the difference between fixed and variable amounts calculated by reference to the notional amount. The interest rate swaps were designated as cash flow hedges. Cash flows related to the interest rate swap agreements are included in interest expense. We determine the fair value of our foreign currency derivatives and our interest rate swaps based on observable market-based inputs or unobservable inputs that are corroborated by market data. We do not view the fair value of our derivatives in isolation, but rather in relation to the fair values or cash flows of the underlying exposure. Our derivatives are over-the-counter instruments with liquid markets. All derivatives are carried at fair value in our consolidated balance sheets in other assets and other liabilities line items. We consider the risk of counterparty default to be minimal. We present cash flows from our hedging instruments in the same cash flow statement category as the hedged items. The following table summarizes our outstanding cash flow hedges as of December 31, 2018: Notional Amount Fair Value Level in Fair Value Hierarchy Maturity Date Interest rate swaps $ 450,000 $ (6,875 ) Level 2 May 2022 & May 2025 Foreign currency contracts $ 25,592 $ 20 Level 2 January 2019 - December 2019 The following table summarizes the gain (loss) included in accumulated other comprehensive loss for our hedges as of December 31, 2018: Interest rate swaps $ (6,875 ) Foreign currency contracts $ 20 For the year ended December 31, 2018, we reclassified $1.0 million associated with our interest rate swaps and $0.1 million associated with our foreign currency contracts out of accumulated other comprehensive income (loss). The amount of ineffectiveness associated with these contracts was immaterial for the periods presented. We enter into foreign currency contracts to manage our foreign exchange exposure related to certain balance sheet items that do not meet the requirements for hedge accounting. With the acquisition of the Halyard business, we also assumed foreign currency contracts that mature through April 2019 that do not meet the requirements for hedge accounting treatment. These derivative instruments are adjusted to fair value at the end of each period through earnings. The gain or loss recorded on these instruments is substantially offset by the remeasurement adjustment on the foreign currency denominated asset or liability. We record the change in fair value of derivative instruments and the remeasurement adjustment on the foreign currency denominated asset or liability in acquisition-related and exit and realignment charges for contracts assumed with the Halyard acquisition and in other operating (income) expense, net for all other foreign exchange contracts. The following table summarizes our outstanding economic (non-designated) hedges as of December 31, 2018: Notional Amount Fair Value Level in Fair Value Hierarchy Maturity Date Foreign currency contracts $ 32,683 $ (198 ) Level 2 January 2019 - April 2019 For the year ended December 31, 2018, we recognized a loss of $1.6 million associated with our economic (non-designated) foreign currency contracts. We were not a party to any derivatives for the years ended December 31, 2017 and 2016.

Income Taxes

Income Taxes	12 Months Ended
	Dec. 31, 2018
Income Tax Disclosure [Abstract]
Income Taxes	Income Taxes The Tax Cuts and Jobs Act (the Act) was enacted in December 2017. The Act reduces the U.S. federal corporate tax rate from 35 percent to 21 percent, requires companies to pay a one-time transition tax on earnings of certain foreign subsidiaries that were previously tax deferred and creates new taxes on certain foreign earnings. We recognized an income tax benefit of $35 million in the year ended December 31, 2017 associated with the items we could reasonably estimate. This benefit reflects (i) the revaluation of our net deferred tax liability based on a U.S. federal tax rate of 21 percent, partially offset by (ii) a one-time transition tax on our unremitted foreign earnings and profits. As of December 31, 2018, we have completed our accounting for the tax effects of enactment of the Act, resulting in immaterial adjustments to our initial estimate. Our policy election for GILTI is that we will record such taxes as a current period expense once incurred and will follow the tax law ordering approach. The components of income (loss) before income taxes consist of the following: Year ended December 31, 2018 2017 2016 Income (loss) before income taxes: U.S. $ (419,964 ) $ 49,903 $ 150,942 Foreign (49,231 ) 7,575 21,600 Income (loss) before income taxes $ (469,195 ) $ 57,478 $ 172,542 The income tax provision consists of the following: Year ended December 31, 2018 2017 2016 Current tax provision (benefit): Federal $ (7,991 ) $ 27,043 $ 46,846 State 1,901 5,455 8,512 Foreign 8,925 2,175 4,179 Total current tax provision 2,835 34,673 59,537 Deferred tax provision (benefit): Federal (23,956 ) (43,838 ) 5,303 State (7,640 ) (1,068 ) 885 Foreign (3,422 ) (5,082 ) (1,970 ) Total deferred tax (benefit) provision (35,018 ) (49,988 ) 4,218 Total income tax (benefit) provision $ (32,183 ) $ (15,315 ) $ 63,755 A reconciliation of the federal statutory rate to our effective income tax rate is shown below: Year ended December 31, 2018 2017 2016 Federal statutory rate 21.0 % 35.0 % 35.0 % Increases (decreases) in the rate resulting from: State income taxes, net of federal income tax impact 1.4 % 4.3 % 3.7 % Foreign income taxes (0.1 )% (8.2 )% (4.3 )% Valuation allowance (0.5 )% (1.9 )% 0.5 % Tax Reform and other prior period adjustments 0.4 % (60.2 )% — % Goodwill and intangible asset impairment charges (14.0 )% — % — % Other (1.3 )% 4.4 % 2.1 % Effective income tax rate 6.9 % (26.6 )% 37.0 % 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, 2018 2017 Deferred tax assets: Employee benefit plans $ 25,240 $ 23,181 Accrued liabilities not currently deductible 25,924 20,477 Finance charges 2,661 2,007 Capital leases 3,320 3,732 Allowance for losses on accounts receivable 3,988 4,043 Net operating loss carryforwards 25,422 16,536 Goodwill 1,048 — Interest limitation 4,473 — Other 10,325 4,311 Total deferred tax assets 102,401 74,287 Less: valuation allowances (14,346 ) (12,726 ) Net deferred tax assets 88,055 61,561 Deferred tax liabilities: Merchandise inventories 44,015 43,683 Goodwill — 26,194 Property and equipment 34,926 10,669 Computer software 10,177 9,473 Insurance 767 243 Intangible assets 30,279 38,726 Withholding tax liabilities 7,963 — Other 662 212 Total deferred tax liabilities 128,789 129,200 Net deferred tax liability $ (40,734 ) $ (67,639 ) The valuation allowances relate to deferred tax assets in various state and non-U.S. jurisdictions. Based on management’s judgments using available evidence about historical and expected future taxable earnings, management believes it is more likely than not that we will realize the benefit of the existing deferred tax assets, net of valuation allowances, at December 31, 2018. The valuation allowances primarily relate to net operating loss carryforwards in non-U.S. jurisdictions which have various expiration dates ranging from five years to an unlimited carryforward period. The remaining net operating losses without a valuation allowance represent amounts in the U.S. and state jurisdictions. As of December 31, 2018, the U.S. federal net operating loss was $29.1 million , which has an unlimited carryforward period. As part of the Act described above, and as a result of the tax on the deemed repatriation of foreign earnings, substantially all of the Company’s foreign earnings have been subjected to tax in the U.S. However, the Company’s foreign subsidiaries are considered indefinitely reinvested, with the exception of Thailand, and no provision for deferred U.S. income taxes has been recorded on the basis differences attributable to those subsidiaries. Management has no specific plans to indefinitely reinvest the unremitted earnings of our newly acquired foreign subsidiary located in Thailand as of the balance sheet date. As such, we have recorded withholding tax liabilities that would be incurred upon future distribution to the U.S. There are no unrecognized deferred taxes as there is no outside basis difference unrelated to unremitted earnings for Thailand. Cash payments for income taxes, including interest, for 2018, 2017 and 2016 were $28.9 million , $41.8 million and $74.1 million . During 2018, our cash tax refunds were $9.8 million . At December 31, 2018 and 2017, the liability for unrecognized tax benefits was $9.6 million and $13.6 million . A reconciliation of the changes in unrecognized tax benefits from the beginning to the end of the reporting period is as follows: 2018 2017 Unrecognized tax benefits at January 1, $ 13,585 $ 10,725 Increases for positions taken during current period 1,035 1,644 Increases for positions taken during prior periods 29 1,928 Decreases for positions taken during prior periods (142 ) (712 ) Lapse of statute of limitations (4,939 ) — Settlements with taxing authorities — — Unrecognized tax benefits at December 31, $ 9,568 $ 13,585 Included in the liability for unrecognized tax benefits at December 31, 2018 and 2017, were $1.9 million and $5.0 million of tax positions for which the ultimate deductibility is highly certain but for which there is uncertainty about the timing of such deductibility. These tax positions are temporary differences which do not impact the annual effective tax rate under deferred tax accounting. Any change in the deductibility period of these tax positions would impact the timing of cash payments to taxing jurisdictions. Unrecognized tax benefits of $7.7 million and $6.4 million at December 31, 2018 and 2017, would impact our effective tax rate if recognized. We recognize accrued interest and penalties related to unrecognized tax benefits in income tax expense. Accrued interest at December 31, 2018 and 2017 was $0.6 million . The amounts recognized in interest expense were immaterial for all periods presented. There were no penalties accrued at December 31, 2018 and 2017 or recognized in 2018, 2017 and 2016. We file income tax returns in the U.S. federal and various state and foreign jurisdictions. Our U.S. federal income tax returns for the years 2015, 2016 and 2017 are subject to examination. Our income tax returns for U.S. state and local jurisdictions are generally open for the years 2015 through 2017; however, certain returns may be subject to examination for differing periods. The former owners are contractually obligated to indemnify us for all income tax liabilities incurred by the Movianto business prior to its acquisition on August 31, 2012, for all income tax liabilities incurred by Byram entities prior to its acquisition on August 1, 2017, and for all income tax liabilities incurred by the Halyard foreign entities located in Thailand, Mexico, and Honduras prior to its acquisition on April 30, 2018.

Net Income per Common Share

Net Income per Common Share	12 Months Ended
	Dec. 31, 2018
Earnings Per Share [Abstract]
Net Income per Common Share	Net Income (Loss) per Common Share The following table summarizes the calculation of net income (loss) per share attributable to common shareholders for the years ended December 31, 2018 , 2017 and 2016 : Year ended December 31, 2018 2017 2016 Numerator: Net income (loss) $ (437,012 ) $ 72,793 $ 108,787 Less: income allocated to unvested restricted shares — (1,060 ) (1,147 ) Net income (loss)—basic (437,012 ) 71,733 107,640 Add: undistributed income attributable to unvested restricted shares—basic — 58 297 Less: undistributed income attributable to unvested restricted shares—diluted — (58 ) (297 ) Net income (loss)—diluted $ (437,012 ) $ 71,733 $ 107,640 Denominator: Weighted average shares outstanding—basic and diluted 60,014 60,001 61,093 Net income (loss): Basic and diluted $ (7.28 ) $ 1.20 $ 1.76

Shareholders' Equity

Shareholders' Equity	12 Months Ended
	Dec. 31, 2018
Equity [Abstract]
Shareholders' Equity	Shareholders’ Equity Our Board of Directors has authorized a share repurchase program of up to $100 million of our outstanding common stock to be executed at the discretion of management over a three -year period, expiring in December 2019. The timing of repurchases and the exact number of shares of common stock to be purchased will depend upon market conditions and other factors and may be suspended or discontinued at any time. Purchases under the share repurchase program are made either pursuant to 10b5-1 plans entered into by the company from time to time and/or during the company’s scheduled quarterly trading windows for officers and directors. Our Credit Agreement contains restrictions on the amount and timing of share repurchase activity. This includes prohibiting share repurchases should a default under the Credit Agreement exist prior to or immediately after any share repurchases. We did not repurchase any shares of our common stock during the year ended December 31, 2018. As of December 31, 2018, we have approximately $94.0 million in remaining authorization available under the repurchase program. We have elected to allocate any excess of share repurchase price over par value to retained earnings. During the year ended December 31, 2017, we repurchased in open-market transactions and retired approximately 0.2 million shares of our common stock for an aggregate of $5.0 million , or an average price per share of $32.27 . During the year ended December 31, 2016, we repurchased in open-market transactions and retired approximately 2.0 million shares of our common stock for an aggregate of $71.0 million , or an average price per share of $34.72 .

Accumulated Other Comprehensive

Accumulated Other Comprehensive Income	12 Months Ended
	Dec. 31, 2018
Equity [Abstract]
Accumulated Other Comprehensive Income	Accumulated Other Comprehensive Income (Loss) The following tables show the changes in accumulated other comprehensive income (loss) by component for the years ended December 31, 2018 , 2017 and 2016 : Retirement Plans Currency Translation Adjustments Derivatives and Other Total Accumulated other comprehensive income (loss), December 31, 2017 $ (12,066 ) $ (13,185 ) $ 167 $ (25,084 ) Other comprehensive income (loss) before reclassifications 3,207 (19,366 ) (7,867 ) (24,026 ) Income tax (834 ) — 2,099 1,265 Other comprehensive income (loss) before reclassifications, net of tax 2,373 (19,366 ) (5,768 ) (22,761 ) Amounts reclassified from accumulated other comprehensive income (loss) 2,090 — 954 3,044 Income tax (543 ) — (268 ) (811 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 1,547 — 686 2,233 Other comprehensive income (loss) 3,920 (19,366 ) (5,082 ) (20,528 ) Accumulated other comprehensive income (loss), December 31, 2018 $ (8,146 ) $ (32,551 ) $ (4,915 ) $ (45,612 ) Retirement Plans Currency Translation Adjustments Derivatives and Other Total Accumulated other comprehensive income (loss), December 31, 2016 $ (11,209 ) $ (56,245 ) $ (29 ) $ (67,483 ) Other comprehensive income (loss) before reclassifications (2,796 ) 43,060 196 40,460 Income tax 727 — — 727 Other comprehensive income (loss) before reclassifications, net of tax (2,069 ) 43,060 196 41,187 Amounts reclassified from accumulated other comprehensive income (loss) 1,933 — — 1,933 Income tax (721 ) — — (721 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 1,212 — — 1,212 Other comprehensive income (loss) (857 ) 43,060 196 42,399 Accumulated other comprehensive income (loss), December 31, 2017 $ (12,066 ) $ (13,185 ) $ 167 $ (25,084 ) Retirement Plans Currency Translation Adjustments Derivatives and Other Total Accumulated other comprehensive income (loss), December 31, 2015 $ (10,482 ) $ (41,228 ) $ (115 ) $ (51,825 ) Other comprehensive income (loss) before reclassifications (2,716 ) (15,017 ) 86 (17,647 ) Income tax 869 — — 869 Other comprehensive income (loss) before reclassifications, net of tax (1,847 ) (15,017 ) 86 (16,778 ) Amounts reclassified from accumulated other comprehensive income (loss) 1,646 — — 1,646 Income tax (526 ) — — (526 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 1,120 — — 1,120 Other comprehensive income (loss) (727 ) (15,017 ) 86 (15,658 ) Accumulated other comprehensive income (loss), December 31, 2016 $ (11,209 ) $ (56,245 ) $ (29 ) $ (67,483 ) We include amounts reclassified out of accumulated other comprehensive income (loss) related to defined benefit pension plans as a component of net periodic pension cost recorded in distribution, selling and administrative expenses. For the years ended December 31, 2018 , 2017 and 2016 we reclassified $2.1 million , $1.9 million and $1.6 million of actuarial net losses. We included $1.0 million for the year ended December 31, 2018 reclassified out of accumulated other comprehensive income (loss) related to our interest rate swaps in interest expense.

Commitments and Contingencies

Commitments and Contingencies	12 Months Ended
	Dec. 31, 2018
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 November 2021, with an optional 180 day extension. The commitment is cancelable with 180 days notice and payment of a termination fee based upon the remaining period left under the agreement. We pay scheduled fees under the agreement, which can vary based on changes in the level of support required. Assuming no early termination of the contract, our estimated remaining annual obligations under this agreement are $31.3 million in 2019, $28.9 million in 2020, and $25.4 million in 2021. In 2018, we transitioned the management of our U.S. private fleet transportation and drivers to Penske Logistics, which provides a robust technology platform that includes customer tracking and additional delivery capabilities. Under this contractual commitment with Penske, we pay scheduled fees which can vary based on changes in the level of support required. Assuming no early termination of this contract, our estimated remaining annual obligations under this agreement are $2.3 million in 2019, $2.3 million in 2020, $2.3 million in 2021, $2.3 million in 2022, $2.3 million in 2023, and $2.1 million thereafter. In addition to these fixed annual obligations disclosed herein, we are also contractually obligated to reimburse Penske for variable costs including, but not limited to, vehicle costs, driver wages and fringe benefits, fuel, and insurance premiums. We have entered into non-cancelable agreements to lease most of our office and warehouse facilities with remaining terms generally ranging from one to 20 years. Certain leases include renewal options, generally for five -year increments. We also lease some of our transportation and material handling equipment for terms generally ranging from three to ten years. At December 31, 2018, future minimum annual payments under non-cancelable lease agreements with original terms in excess of one year, and including payments required under operating leases for facilities we have vacated, are as follows: Total 2019 $ 64,082 2020 53,138 2021 42,480 2022 26,445 2023 19,895 Thereafter 45,708 Total minimum payments $ 251,748 Rent expense for all operating leases for the years ended December 31, 2018 , 2017 and 2016 , was $78.3 million , $73.1 million and $70.0 million .

Legal Proceedings

Legal Proceedings	12 Months Ended
	Dec. 31, 2018
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, 2018 for currently pending matters considered probable of loss, which is not material, is sufficient. In addition, we believe that other currently pending matters are not reasonably likely to result in a material loss, as payment of the amounts claimed is remote, the claims are insignificant, individually and in the aggregate, or the claims are expected to be adequately covered by insurance.

Segment Information

Segment Information	12 Months Ended
	Dec. 31, 2018
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: Global Solutions and Global Products. The Global Solutions segment includes our United States and European distribution, logistics and value-added services business. Global Products manufactures and sources medical surgical products through our production and kitting operations. The Halyard S&IP business, acquired on April 30, 2018, is a part of Global Products. We evaluate the performance of our segments based on their operating income excluding acquisition-related and exit and realignment charges, certain purchase price fair value adjustments, and other substantive items that, either as a result of their nature or size, would not be expected to occur as part of our normal business operations on a regular basis. Beginning in the second quarter of 2018, the Company is excluding intangible amortization from the measure of segment operating income. This change is consistent with management's internal measure of segment results. Prior periods have been recast on a consistent basis. Segment assets exclude inter-segment account balances as we believe their inclusion would be misleading and not meaningful. We believe all inter-segment sales are at prices that approximate market. The following tables present financial information by segment: Year ended December 31, 2018 2017 2016 Net revenue: Segment net revenue Global Solutions $ 9,188,066 $ 9,186,018 $ 9,535,248 Global Products 1,111,322 504,026 539,580 Total segment net revenue 10,299,388 9,690,044 10,074,828 Inter-segment net revenue Global Products (460,680 ) (371,769 ) (351,397 ) Total inter-segment net revenue (460,680 ) (371,769 ) (351,397 ) Consolidated net revenue $ 9,838,708 $ 9,318,275 $ 9,723,431 Operating income (loss): Global Solutions $ 104,099 $ 141,091 $ 175,508 Global Products 75,688 38,458 59,384 Inter-segment eliminations (3,014 ) 243 (616 ) Goodwill and intangible asset impairment charges (439,613 ) — — Intangible amortization (36,514 ) (16,402 ) (10,002 ) Acquisition-related and exit and realignment charges (62,200 ) (60,707 ) (24,675 ) Other (1) (30,620 ) (13,432 ) — Consolidated operating income (loss) $ (392,174 ) $ 89,251 $ 199,599 Depreciation and amortization: Global Solutions $ 63,710 $ 50,809 $ 46,586 Global Products 38,217 8,634 8,807 Consolidated depreciation and amortization $ 101,927 $ 59,443 $ 55,393 Capital expenditures: Global Solutions $ 49,524 $ 46,932 $ 27,207 Global Products 16,161 3,805 2,914 Consolidated capital expenditures $ 65,685 $ 50,737 $ 30,121 (1) 2018 and 2017 included software as a service (SaaS) implementation costs associated with the upgrading of our global IT platforms in connection with the redesign of our global information system strategy. 2018 also includes the incremental charge to cost of goods sold from purchase accounting impacts related to the sale of acquired inventory that was written up to fair value. December 31, 2018 2017 Total assets: Global Solutions $ 2,618,759 $ 2,870,998 Global Products 1,051,662 400,773 Segment assets 3,670,421 3,271,771 Cash and cash equivalents 103,367 104,522 Consolidated total assets $ 3,773,788 $ 3,376,293 The following tables present information by geographic area. Net revenues were attributed to geographic areas based on the locations from which we ship products or provide services. Year ended December 31, 2018 2017 2016 Net revenue: United States $ 9,261,149 $ 8,899,208 $ 9,338,543 International 577,559 419,067 384,888 Consolidated net revenue $ 9,838,708 $ 9,318,275 $ 9,723,431 December 31, 2018 2017 Long-lived assets: United States $ 582,667 $ 327,442 International 193,322 125,395 Consolidated long-lived assets $ 775,989 $ 452,837

Condensed Consolidating Financi

Condensed Consolidating Financial Information	12 Months Ended
	Dec. 31, 2018
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, 2018 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Income Net revenue $ — $ 8,871,152 $ 1,660,763 $ (693,207 ) $ 9,838,708 Cost of goods sold — 8,048,457 1,113,315 (690,027 ) 8,471,745 Gross margin — 822,695 547,448 (3,180 ) 1,366,963 Distribution, selling and administrative expenses (477 ) 733,125 529,100 — 1,261,748 Acquisition-related and exit and realignment charges — 44,340 17,860 — 62,200 Goodwill and intangible asset impairment charges — 180,006 259,607 — 439,613 Other operating (income) expense, net — 3,002 (7,426 ) — (4,424 ) Operating income (loss) 477 (137,778 ) (251,693 ) (3,180 ) (392,174 ) Interest expense, net 21,896 43,021 12,104 — 77,021 Income (loss) before income taxes (21,419 ) (180,799 ) (263,797 ) (3,180 ) (469,195 ) Income tax (benefit) provision (5,569 ) (32,037 ) 5,423 — (32,183 ) Equity in earnings (loss) of subsidiaries (421,162 ) (79,629 ) — 500,791 — Net income (loss) (437,012 ) (228,391 ) (269,220 ) 497,611 (437,012 ) Other comprehensive income (loss), net of tax (20,528 ) (14,940 ) (18,873 ) 33,813 (20,528 ) Comprehensive income (loss) $ (457,540 ) $ (243,331 ) $ (288,093 ) $ 531,424 $ (457,540 ) Year ended December 31, 2017 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Income Net revenue $ — $ 8,582,868 $ 915,350 $ (179,943 ) $ 9,318,275 Cost of goods sold — 7,802,499 524,035 (180,125 ) 8,146,409 Gross margin — 780,369 391,315 182 1,171,866 Distribution, selling and administrative expenses (395 ) 643,073 374,300 — 1,016,978 Acquisition-related and exit and realignment charges — 52,986 7,721 — 60,707 Other operating (income) expense, net — 3,887 1,043 — 4,930 Operating income (loss) 395 80,423 8,251 182 89,251 Interest expense, net 27,482 546 3,745 — 31,773 Income (loss) before income taxes (27,087 ) 79,877 4,506 182 57,478 Income tax (benefit) provision — (12,409 ) (2,906 ) — (15,315 ) Equity in earnings (loss) of subsidiaries 99,880 (3,527 ) — (96,353 ) — Net income (loss) 72,793 88,759 7,412 (96,171 ) 72,793 Other comprehensive income (loss), net of tax 42,399 42,209 42,612 (84,821 ) 42,399 Comprehensive income (loss) $ 115,192 $ 130,968 $ 50,024 $ (180,992 ) $ 115,192 Year ended December 31, 2016 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Income Net revenue $ — $ 9,190,660 $ 697,559 $ (164,788 ) $ 9,723,431 Cost of goods sold — 8,330,960 370,594 (165,433 ) 8,536,121 Gross margin — 859,700 326,965 645 1,187,310 Distribution, selling and administrative expenses 1,127 670,800 298,497 — 970,424 Acquisition-related and exit and realignment charges — 15,611 9,064 — 24,675 Other operating (income) expense, net — (5,066 ) (2,322 ) — (7,388 ) Operating income (loss) (1,127 ) 178,355 21,726 645 199,599 Interest expense (income), net 28,901 (4,744 ) 2,900 — 27,057 Income (loss) before income taxes (30,028 ) 183,099 18,826 645 172,542 Income tax (benefit) provision — 61,545 2,210 — 63,755 Equity in earnings (loss) of subsidiaries 138,815 (389 ) — (138,426 ) — Net income (loss) 108,787 121,165 16,616 (137,781 ) 108,787 Other comprehensive income (loss), net of tax (15,658 ) (15,480 ) (15,017 ) 30,497 (15,658 ) Comprehensive income (loss) $ 93,129 $ 105,685 $ 1,599 $ (107,284 ) $ 93,129 December 31, 2018 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Balance Sheets Assets Current assets Cash and cash equivalents $ 37,254 $ 657 $ 65,456 $ — $ 103,367 Accounts receivable, net — 745,085 542,228 (463,895 ) 823,418 Merchandise inventories — 1,044,395 250,466 (4,758 ) 1,290,103 Other current assets 117 115,539 207,302 (1,268 ) 321,690 Total current assets 37,371 1,905,676 1,065,452 (469,921 ) 2,538,578 Property and equipment, net — 199,115 187,608 — 386,723 Goodwill, net — 130,364 283,758 — 414,122 Intangible assets, net — 186,771 134,993 — 321,764 Due from O&M and subsidiaries — 486,669 — (486,669 ) — Advances to and investments in consolidated subsidiaries 1,697,191 429,926 — (2,127,117 ) — Other assets, net 1,788 53,545 57,268 — 112,601 Total assets $ 1,736,350 $ 3,392,066 $ 1,729,079 $ (3,083,707 ) $ 3,773,788 Liabilities and equity Current liabilities Accounts payable $ — $ 1,147,081 $ 437,866 $ (475,358 ) $ 1,109,589 Accrued payroll and related liabilities — 19,954 28,249 — 48,203 Other current liabilities 9,641 137,401 167,177 314,219 Total current liabilities 9,641 1,304,436 633,292 (475,358 ) 1,472,011 Long-term debt, excluding current portion 595,856 1,040,664 14,062 — 1,650,582 Due to O&M and subsidiaries 605,558 — 470,318 (1,075,876 ) — Intercompany debt — 816,785 752,105 (1,568,890 ) — Deferred income taxes — — 50,852 — 50,852 Other liabilities 6,876 49,442 25,606 — 81,924 Total liabilities 1,217,931 3,211,327 1,946,235 (3,120,124 ) 3,255,369 Equity Common stock 124,588 — — — 124,588 Paid-in capital 238,773 174,614 123,865 (298,479 ) 238,773 Retained earnings (deficit) 200,670 37,777 (319,636 ) 281,859 200,670 Accumulated other comprehensive income (loss) (45,612 ) (31,652 ) (21,385 ) 53,037 (45,612 ) Total equity 518,419 180,739 (217,156 ) 36,417 518,419 Total liabilities and equity $ 1,736,350 $ 3,392,066 $ 1,729,079 $ (3,083,707 ) $ 3,773,788 Condensed Consolidating Financial Information December 31, 2017 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Balance Sheets Assets Current assets Cash and cash equivalents $ 13,700 $ 865 $ 89,957 $ — $ 104,522 Accounts receivable, net — 559,269 206,410 (6,743 ) 758,936 Merchandise inventories — 902,190 89,580 (1,577 ) 990,193 Other current assets 100 123,067 205,087 — 328,254 Total current assets 13,800 1,585,391 591,034 (8,320 ) 2,181,905 Property and equipment, net — 107,010 99,480 — 206,490 Goodwill, net — 180,006 533,805 — 713,811 Intangible assets, net — 9,582 174,886 — 184,468 Due from O&M and subsidiaries — 439,654 — (439,654 ) — Advances to and investments in consolidated subsidiaries 2,114,853 558,429 — (2,673,282 ) — Other assets, net — 57,724 31,895 — 89,619 Total assets $ 2,128,653 $ 2,937,796 $ 1,431,100 $ (3,121,256 ) $ 3,376,293 Liabilities and equity Current liabilities Accounts payable $ — $ 824,307 $ 130,028 $ (6,763 ) $ 947,572 Accrued payroll and related liabilities — 15,504 14,912 — 30,416 Other current liabilities 5,822 140,048 185,875 — 331,745 Total current liabilities 5,822 979,859 330,815 (6,763 ) 1,309,733 Long-term debt, excluding current portion 545,352 340,672 14,720 — 900,744 Due to O&M and subsidiaries 562,000 — 506,703 (1,068,703 ) — Intercompany debt — 138,890 — (138,890 ) — Deferred income taxes — 25,493 48,754 — 74,247 Other liabilities — 66,136 9,954 — 76,090 Total liabilities 1,113,174 1,551,050 910,946 (1,214,356 ) 2,360,814 Equity Common stock 122,952 — — — 122,952 Paid-in capital 226,937 174,614 583,869 (758,483 ) 226,937 Retained earnings (deficit) 690,674 1,236,165 (50,416 ) (1,185,749 ) 690,674 Accumulated other comprehensive income (loss) (25,084 ) (24,033 ) (13,299 ) 37,332 (25,084 ) Total equity 1,015,479 1,386,746 520,154 (1,906,900 ) 1,015,479 Total liabilities and equity $ 2,128,653 $ 2,937,796 $ 1,431,100 $ (3,121,256 ) $ 3,376,293 Condensed Consolidating Financial Information Year ended December 31, 2018 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Cash Flows Operating activities: Net income (loss) $ (437,012 ) $ (228,391 ) $ (269,220 ) $ 497,611 $ (437,012 ) Adjustments to reconcile net income (loss) to cash (used for) provided by operating activities: Equity in earnings of subsidiaries 421,162 79,629 — (500,791 ) — Intercompany dividend 30,000 (30,000 ) — Depreciation and amortization — 28,069 73,858 — 101,927 Share-based compensation expense — 16,376 — — 16,376 Goodwill and intangible asset impairment charges 180,006 259,607 439,613 Provision for losses on accounts receivable — 140 9,290 — 9,430 Deferred income tax (benefit) expense — (31,435 ) (3,583 ) — (35,018 ) Changes in operating assets and liabilities: Accounts receivable — (92,751 ) (353,294 ) 457,151 11,106 Merchandise inventories — 93,612 (162,241 ) 3,178 (65,451 ) Accounts payable — 249,004 311,765 (468,590 ) 92,179 Net change in other assets and liabilities 2,355 (29,690 ) (7,710 ) 11,441 (23,604 ) Other, net 854 5,740 (551 ) — 6,043 Cash provided by (used for) operating activities (12,641 ) 300,309 (142,079 ) (30,000 ) 115,589 Investing activities: Acquisition, net of cash acquired — (751,834 ) — — (751,834 ) Additions to computer software and intangible assets — (15,076 ) (5,736 ) — (20,812 ) Additions to property and equipment — (33,245 ) (11,628 ) — (44,873 ) Proceeds from sale of property and equipment — 1,429 261 — 1,690 Cash used for investing activities — (798,726 ) (17,103 ) — (815,829 ) Financing activities: Change in intercompany advances 87,295 (256,888 ) 169,593 — — Intercompany dividend — — (30,000 ) 30,000 — Proceeds from issuance of debt — 695,750 — — 695,750 Proceeds from revolving credit facility — 105,500 — — 105,500 Repayment of debt — (16,250 ) — — (16,250 ) Financing costs paid — (28,512 ) — — (28,512 ) Cash dividends paid (48,200 ) — — — (48,200 ) Other, net (2,900 ) (1,391 ) (2,926 ) — (7,217 ) Cash provided by financing activities 36,195 498,209 136,667 30,000 701,071 Effect of exchange rate changes on cash and cash equivalents — — (1,986 ) — (1,986 ) Net increase (decrease) in cash and cash equivalents 23,554 (208 ) (24,501 ) — (1,155 ) Cash and cash equivalents at beginning of year 13,700 865 89,957 — 104,522 Cash and cash equivalents at end of year $ 37,254 $ 657 $ 65,456 $ — $ 103,367 Year ended December 31, 2017 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Cash Flows Operating activities: Net income $ 72,793 $ 88,759 $ 7,412 $ (96,171 ) $ 72,793 Adjustments to reconcile net income to cash (used for) provided by operating activities: Equity in earnings of subsidiaries (99,880 ) 3,527 — 96,353 — Intercompany dividend — 25,000 — (25,000 ) — Depreciation and amortization — 34,548 24,895 — 59,443 Share-based compensation expense — 11,911 — — 11,911 Provision for losses on accounts receivable — 2,450 224 — 2,674 Deferred income tax (benefit) expense — (44,879 ) (5,109 ) — (49,988 ) Changes in operating assets and liabilities: Accounts receivable — (35,549 ) (61,103 ) (3,358 ) (100,010 ) Merchandise inventories — (45,624 ) (11,224 ) (184 ) (57,032 ) Accounts payable — 141,118 1,775 1,054 143,947 Net change in other assets and liabilities (1,277 ) (26,456 ) (7,836 ) 2,306 (33,263 ) Other, net (1 ) 6,605 (305 ) — 6,299 Cash provided by (used for) operating activities (28,365 ) 161,410 (51,271 ) (25,000 ) 56,774 Investing activities: Acquisition, net of cash acquired — (366,569 ) — — (366,569 ) Additions to computer software and intangible assets — (7,587 ) (8,537 ) — (16,124 ) Additions to property and equipment — (25,270 ) (9,343 ) — (34,613 ) Proceeds from sale of property and equipment — 198 465 — 663 Cash used for investing activities — (399,228 ) (17,415 ) — (416,643 ) Financing activities: Change in intercompany advances 75,969 (170,358 ) 94,389 — — Intercompany dividend — — (25,000 ) 25,000 — Proceeds from issuance of debt — 250,000 — — 250,000 Proceed from revolving credit facility — 104,600 — — 104,600 Repayment of debt — (3,125 ) — — (3,125 ) Financing costs paid — (1,798 ) — — (1,798 ) Cash dividends paid (63,151 ) — — — (63,151 ) Repurchases of common stock (5,000 ) — — — (5,000 ) Other, net (3,768 ) (1,902 ) (3,050 ) — (8,720 ) Cash provided by financing activities 4,050 177,417 66,339 25,000 272,806 Effect of exchange rate changes on cash and cash equivalents — — 6,097 — 6,097 Net increase (decrease) in cash and cash equivalents (24,315 ) (60,401 ) 3,750 — (80,966 ) Cash and cash equivalents at beginning of year 38,015 61,266 86,207 — 185,488 Cash and cash equivalents at end of year $ 13,700 $ 865 $ 89,957 $ — $ 104,522 Condensed Consolidating Financial Information Year ended December 31, 2016 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Cash Flows Operating activities: Net income $ 108,787 $ 121,165 $ 16,616 $ (137,781 ) $ 108,787 Adjustments to reconcile net income to cash (used for) provided by operating activities: Equity in earnings of subsidiaries (138,815 ) 389 — 138,426 — Depreciation and amortization — 29,589 25,804 — 55,393 Share-based compensation expense — 12,042 — — 12,042 Provision for losses on accounts receivable — 84 293 — 377 Deferred income tax (benefit) expense — 6,245 (2,027 ) — 4,218 Changes in operating assets and liabilities: Accounts receivable — (18,581 ) (6,358 ) (305 ) (25,244 ) Merchandise inventories — 26,666 (3,449 ) (628 ) 22,589 Accounts payable — 20,280 22,862 288 43,430 Net change in other assets and liabilities 180 (26,397 ) (11,342 ) — (37,559 ) Other, net 1,615 999 1,048 — 3,662 Cash provided by (used for) operating activities (28,233 ) 172,481 43,447 — 187,695 Investing activities: Additions to computer software and intangible assets — (4,004 ) (5,815 ) — (9,819 ) Additions to property and equipment — (10,329 ) (9,973 ) — (20,302 ) Proceeds from sale of property and equipment — 125 5,250 — 5,375 Cash used for investing activities — (14,208 ) (10,538 ) — (24,746 ) Financing activities: Change in intercompany advances 101,424 (100,308 ) (1,116 ) — — Cash dividends paid (63,382 ) — — — (63,382 ) Repurchases of common stock (71,028 ) — — — (71,028 ) Other, net (4,050 ) (2,313 ) (1,931 ) — (8,294 ) Cash used for financing activities (37,036 ) (102,621 ) (3,047 ) — (142,704 ) Effect of exchange rate changes on cash and cash equivalents — — 4,223 — 4,223 Net increase (decrease) in cash and cash equivalents (65,269 ) 55,652 34,085 — 24,468 Cash and cash equivalents at beginning of year 103,284 5,614 52,122 — 161,020 Cash and cash equivalents at end of year $ 38,015 $ 61,266 $ 86,207 $ — $ 185,488

Subsequent Events (Notes)

Subsequent Events (Notes)	12 Months Ended
	Dec. 31, 2018
Subsequent Events [Abstract]
Subsequent Events [Text Block]	Subsequent Events On February 12, 2019, we entered into a Fourth Amendment to the Credit Agreement, dated as of July 27, 2017. The Fourth Amendment implements certain principal changes to the Credit Agreement, including a reduction of the revolving loan facility to $400 million (from $600 million ); amendment to the leverage and interest coverage financial covenants (through the maturity date of the Credit Agreement) and the definition of EBITDA; addition of an anti-cash hoarding covenant; amendments to certain negative covenants, including a reduction of certain baskets for restricted payments, prepayments of junior debt, asset sales, investments and capital expenditures; and removal of the incremental facility. In connection with the Fourth Amendment, we amended our our Security Agreement to include additional Joining Subsidiaries (as defined) providing collateral for the benefit of the Secured Parties (as defined) and holders of our 2021 and 2024 Notes. Also in connection with the Fourth Amendment, we entered into a Fourth Supplemental Indenture pursuant to which the Joining Subsidiaries became guarantors of the Company’s obligations under the 2021 and 2024 Notes.

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2018
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 the 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 receivable, inventory valuation allowances, supplier incentives, depreciation and amortization, goodwill valuation, valuation of intangible assets and other long-lived assets, self-insurance liabilities, tax liabilities, defined benefit obligations, share-based compensation and other contingencies. Actual results may differ from these estimates.
Cash and Cash Equivalents	Cash and Cash Equivalents. Cash and cash equivalents includes cash and marketable securities with an original maturity or maturity at acquisition of three months or less. Cash and cash equivalents are stated at cost. Nearly all of our cash and cash equivalents are held in cash depository accounts in major banks in the United States, Europe, and Asia. Book overdrafts represent the amount of outstanding checks issued in excess of related bank balances and are included in accounts payable in our consolidated balance sheets, as they are similar to trade payables and are not subject to finance charges or interest. Changes in book overdrafts are classified as operating activities in our consolidated statements of cash flows.
Accounts Receivable, Net	Accounts Receivable, Net. In general, accounts receivable from customers are recorded at the invoiced amount and are reduced by any rebates due to the customer, which are estimated based on contractual terms or historical experience. We assess finance charges on overdue accounts receivable that are recognized as other operating income based on their estimated ultimate collectability. We have arrangements with certain customers under which they make deposits on account. Customer deposits in excess of outstanding receivable balances are classified as other current liabilities. For our direct to patient business, accounts receivable are recorded net of a contractual allowance. We maintain valuation allowances based upon the expected collectability of accounts receivable. Our allowances include specific amounts for accounts that are likely to be uncollectible, such as customer bankruptcies and disputed amounts and general allowances for accounts that may become uncollectible. Allowances are estimated based on a number of factors, including industry trends, current economic conditions, creditworthiness of customers, age of the receivables, changes in customer payment patterns, and historical experience. Account balances are charged off against the allowance after all means of collection have been exhausted and the potential for recovery is considered remote.
Financing Receivables and Payables	Financing Receivables and Payables. We have an order-to-cash program in our Global Solutions segment under which we invoice manufacturers’ customers and remit collected amounts to the manufacturers. We retain credit risk for certain uncollected receivables under this program where contractually obligated. We continually monitor the expected collectability in this program and maintain valuation allowances when it is likely that an amount may be or may become uncollectible. Allowances are estimated based on a number of factors including creditworthiness of customers, age of the receivables and historical experience. We write off uncollected receivables under this program when collection is no longer being pursued. At December 31, 2018 and 2017 , the allowance for uncollectible accounts as part of this program was $0.0 million and $0.1 million . Fees charged for this program are included in net revenue. Product pricing and related product risks are retained by the manufacturer. Balances receivable and related amounts payable under this program are classified in other current assets and other current liabilities in the consolidated balance sheets.
Merchandise Inventories	Merchandise Inventories. Merchandise inventories are valued at the lower of cost or market, with cost determined by the last-in, first-out (LIFO) method for distribution inventories in the U.S. Cost of remaining inventories are determined using the first-in, first out (FIFO) or weighted-average cost method.
Property and Equipment	Property and Equipment. Property and equipment are stated at cost less accumulated depreciation or, if acquired under capital leases, at the lower of the present value of minimum lease payments or fair market value at the inception of the lease less accumulated amortization. Depreciation and amortization expense for financial reporting purposes is computed on a straight-line method over the estimated useful lives of the assets or, for capital leases and leasehold improvements, over the term of the lease, if shorter. In general, the estimated useful lives for computing depreciation and amortization are three to 15 years for machinery and equipment, five to 40 years for buildings and leasehold improvements, and fifteen years for land improvements. Straight-line and accelerated methods of depreciation are used for income tax purposes. Normal maintenance and repairs are expensed as incurred, and renovations and betterments are capitalized.
Leases	Leases. We have entered into non-cancelable agreements to lease most of our office and warehouse facilities with remaining terms generally ranging from one to 30 years. We also lease some of our transportation and material handling equipment for terms generally ranging from three to ten years. Certain information technology assets embedded in an outsourcing agreement are accounted for as capital leases. Leases are classified as operating leases or capital leases at their inception. Rent expense for leases with rent holidays or pre-determined rent increases are recognized on a straight-line basis over the lease term. Incentives and allowances for leasehold improvements are deferred and recognized as a reduction of rent expense over the lease term.
Goodwill	Goodwill. We evaluate goodwill for impairment annually, as of October 1, and whenever events occur or changes in circumstance indicate that the carrying amount of goodwill may not be recoverable. Qualitative factors are first assessed to determine if it is more likely than not that the fair value of a reporting unit is less than its carrying amount. If it is determined that it is more likely than not that the fair value does not exceed the carrying amount, then a quantitative test is performed. The quantitative goodwill impairment test involves a comparison of the estimated fair value of the reporting unit to the respective carrying amount.
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 three to 15 years and other intangible assets are amortized generally for periods between one and 15 years, based on their pattern of economic benefit or on a straight-line basis.
Computer Software	Computer Software. We develop and purchase software for internal use. Software development costs incurred during the application development stage are capitalized. Once the software has been installed and tested, and is ready for use, additional costs incurred in connection with the software are expensed as incurred. Capitalized computer software costs are amortized over the estimated useful life of the software, usually between three and ten years. Capitalized computer software costs are included in other assets, net, in the consolidated balance sheets. Unamortized software at December 31, 2018 and 2017 was $67.5 million and $61.8 million . Depreciation and amortization expense includes $12.8 million , $10.7 million and $12.9 million of software amortization for the years ended December 31, 2018 , 2017 and 2016 .
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 current liabilities on the consolidated balance sheets.
Revenue Recognition	Revenue Recognition. On January 1, 2018, we adopted ASC 606 Revenue from Contracts with Customers , which establishes principles for recognizing revenue and reporting information about the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. We applied the guidance using the modified retrospective transition method. The adoption of this guidance had no impact on the amount and timing of revenue recognized, therefore, no adjustments were recorded to our consolidated financial statements upon adoption. Our revenue is primarily generated from sales contracts with customers. Under most of our distribution and product sales arrangements, our performance obligations are limited to delivery of products to a customer upon receipt of a purchase order. For these arrangements, we recognize revenue at the point in time when shipment is completed, as control passes to the customer upon product receipt. Revenue for activity-based fees and other services is recognized over time as activities are performed. Depending on the specific contractual provisions and nature of the performance obligation, revenue from services may be recognized on a straight-line basis over the term of the service, on a proportional performance model, based on level of effort, or when final deliverables have been provided. Our contracts sometimes allow for forms of variable consideration including rebates, discounts and performance guarantees. In these cases, we estimate the amount of consideration to which we will be entitled in exchange for transferring the product or service to the customer. Rebates and customer discounts are estimated based on contractual terms or historical experience and we maintain an accrual for rebates or discounts that have been earned but are unpaid. The amount accrued for rebates and discounts due to customers was $44.2 million at December 31, 2018 and $13.0 million at December 31, 2017. Additionally, we generate fees from arrangements that include performance targets related to cost-saving initiatives for customers that result from our supply-chain management services. Achievement against performance targets, measured in accordance with contractual terms, may result in additional fees paid to us or, if performance targets are not achieved, we may be obligated to refund or reduce a portion of our fees or to provide credits toward future purchases by the customer. For these arrangements, contingent revenue is deferred and recognized as the performance target is achieved and the applicable contingency is released. When we determine that a loss is probable under a contract, the estimated loss is accrued. The amount deferred under these arrangements is not material. For our direct to patient sales, revenues are recorded based upon the estimated amounts due from patients and third-party payors. Third-party payors include federal and state agencies (under Medicare and Medicaid programs), managed care health plans and commercial insurance companies. Estimates of contractual allowances are based upon historical collection rates for the related payor agreements. The estimated reimbursement amounts are made on a payor-specific basis and are recorded based on the best information available regarding management’s interpretation of the applicable laws, regulations and reimbursement terms. In most cases, we record revenue gross, as we are the primary obligor in the arrangement and we obtain control of the products before they are transferred to the customer. When we act as an agent in a sales arrangement and do not bear a significant portion of inventory risks, primarily for our third-party logistics business, we record revenue net of product cost. Sales taxes collected from customers and remitted to governmental authorities are excluded from revenues. See Note 20 for disaggregation of revenue by segment and geography as we believe that best depicts how the nature, amount, timing and uncertainty of our revenue and cash flows are affected by economic factors.
Cost of Goods Sold	Cost of Goods Sold. Cost of goods sold includes the cost of the product (net of supplier incentives and cash discounts) and all costs incurred for shipments of products from manufacturers to our distribution centers for all customer arrangements where we are the primary obligor, bear the risk of general and physical inventory loss and carry all credit risk associated with sales. Cost of goods sold also includes direct and certain indirect labor, material and overhead costs associated with our Global Products business. We have contractual arrangements with certain suppliers that provide incentives, including cash discounts for prompt payment, operational efficiency and performance-based incentives. These incentives are recognized as a reduction in cost of goods sold as targets become probable of achievement. In situations where we act as an agent in a sales arrangement and do not bear a significant portion of these risks, primarily for our third-party logistics business, there is no cost of goods sold and all costs to provide the service to the customer are recorded in distribution, selling and administrative expenses. As a result of different practices of categorizing costs and different business models throughout our industry, our gross margins may not necessarily be comparable to other companies in our industry.
Distribution, Selling, General and Administrative (DS&A) Expenses	Distribution, Selling and Administrative (DS&A) Expenses. DS&A expenses include shipping and handling costs, labor, depreciation, amortization and other costs for selling and administrative functions associated with our distribution and logistics services and all costs associated with our fee-for-service arrangements.
Shipping and Handling	Shipping and Handling. Shipping and handling costs are primarily included in DS&A expenses on the consolidated statements of income and include costs to store, to move, and to prepare products for shipment, as well as costs to deliver products to customers. Shipping and handling costs totaled $680.1 million , $589.0 million and $558.9 million for the years ended December 31, 2018 , 2017 and 2016 , respectively. Third-party shipping and handling costs billed to customers, which are included in net revenue, are immaterial for all periods presented.
Share-Based Compensation	Share-Based Compensation. We account for share-based payments to employees at fair value and recognize the related expense in distribution, general and administrative expenses over the service period for awards expected to vest.
Derivative Financial Instruments	Derivative Financial Instruments. We are directly and indirectly affected by changes in certain market conditions, which may adversely impact our financial performance and are referred to as “market risks.” When deemed appropriate, we use derivatives as a risk management tool to mitigate the potential impact of certain market risks, primarily foreign currency exchange risk and interest rate risk. We use forward contracts, which are agreements to buy or sell a quantity at a predetermined future date and at a predetermined rate or price, and interest rate swaps. We enter derivative transactions that we believe will be highly effective at offsetting the underlying risk and do not enter into derivative financial instruments for trading purposes. All derivatives are carried at fair value in our consolidated balance sheets. The designation of a derivative instrument as a hedge and its ability to meet the hedge accounting criteria determine how we record the change in fair value of the derivative instrument in our financial statements. A derivative qualifies for hedge accounting if, at inception, we expect the derivative will be highly effective in offsetting the underlying hedged cash flows and we fulfill the hedge documentation standards at the time we enter into the derivative contract. We designate a hedge as a cash flow hedge, fair value hedge, or a net investment hedge based on the exposure we are hedging. For the effective portion of qualifying cash flow hedges, we record changes in fair value in other comprehensive income (“OCI”). We release the derivative’s gain or loss from OCI to match the timing of the underlying hedged items’ effect on earnings.We review the effectiveness of our hedging instruments quarterly, recognize current period hedge ineffectiveness immediately in earnings, and discontinue hedge accounting for any hedge that we no longer consider to be highly effective. We recognize changes in fair value for derivatives not designated as hedges or those not qualifying for hedge accounting in current period earnings.The cash flow impact of the derivative instruments is primarily included in our consolidated statements of cash flows in net cash provided by operating activities.
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. The Tax Cuts and Jobs Act (the "Act") was enacted on December 22, 2017. As of December 31, 2018, we have completed our accounting for the tax effects of enactment of the Act. We earn a portion of our operating income in foreign jurisdictions outside the United States. Prior to the reporting period in which the Act was enacted we considered foreign earnings to be indefinitely reinvested and provided no United States federal and state taxes or withholding taxes on those earnings. Upon enactment, the Act imposes a tax on our total post-1986 foreign earnings at various tax rates. The Company has recognized an amount of this one-time transition tax. We continue to be indefinitely reinvested in foreign operations, with the exception of Thailand, and have not accrued any additional income taxes for any remaining undistributed foreign earnings not subject to the transition tax, or any additional outside basis differences inherent in these entities. The Company does not have a plan to indefinitely reinvest the unremitted earnings of our newly acquired foreign subsidiary located in Thailand as of December 31, 2018. We have recorded withholding tax liabilities that would be incurred upon future distribution of cash back to the U.S. We have not recorded any deferred taxes as there are no outside basis differences unrelated to unremitted earnings in Thailand. The Company will continue to evaluate its foreign earnings repatriation policy in 2019 related to all the other countries in which we operate.
Fair Value Measurements	Fair Value Measurements. Fair value is determined based on assumptions that a market participant would use in pricing an asset or liability. The assumptions used are in accordance with a three-tier hierarchy, defined by GAAP, that draws a distinction between market participant assumptions based on (i) observable inputs such as quoted prices in active markets (Level 1), (ii) inputs other than quoted prices in active markets that are observable either directly or indirectly (Level 2) and (iii) unobservable inputs that require the use of present value and other valuation techniques in the determination of fair value (Level 3). The carrying amounts of cash and cash equivalents, accounts receivable and accounts payable reported in the consolidated balance sheets approximate fair value due to the short-term nature of these instruments. The fair value of long-term debt is estimated based on quoted market prices or dealer quotes for the identical liability when traded as an asset in an active market (Level 1) or, if quoted market prices or dealer quotes are not available, on the borrowing rates currently available for loans with similar terms, credit ratings, and average remaining maturities (Level 2). See Note 10 for the fair value of debt.
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. Exit and realignment charges consist of costs associated with optimizing our operations which include the closure and consolidation of certain distribution and logistics centers, administrative offices and warehouses in the United States and Europe. These charges also include costs related to our strategic organizational realignment which include management changes, certain professional fees, and costs to streamline administrative functions and processes. Costs associated with exit and realignment activities are recorded at their fair value when incurred. Liabilities are established at the cease-use date for remaining operating lease and other contractual obligations, net of estimated sub-lease income. The net lease termination cost is discounted using a credit-adjusted risk-free rate of interest. We evaluate these assumptions quarterly and adjust the liability accordingly. The current portion of accrued lease and other contractual termination costs is included in other current liabilities on the consolidated balance sheets, and the non-current portion is included in other liabilities. Severance benefits are recorded when payment is considered probable and reasonably estimable.
Income Per Share	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 (loss) and were not material to our consolidated results of operations in 2018 , 2017 and 2016 .
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 2018 , we adopted Accounting Standard Updates (ASU’s) issued by the Financial Accounting Standards Board (FASB). In February 2016, the FASB established Topic 842, Leases , by issuing ASU No. 2016-02, which requires lessees to recognize leases on-balance sheet and disclose key information about leasing arrangements. Topic 842 was subsequently amended by ASU No. 2018-01, Land Easement Practical Expedient for Transition to Topic 842; ASU No. 2018-10, Codification Improvements to Topic 842, Leases; and ASU No. 2018-11, Targeted Improvements. The new standard establishes a right-of-use model (ROU) that requires a lessee to recognize a ROU asset and lease liability on the balance sheet for all leases with a term longer than 12 months. Leases will be classified as finance or operating, with classification affecting the pattern and classification of expense recognition in the income statement. The new standard is effective for us on January 1, 2019, with early adoption permitted. A modified retrospective transition approach is required, applying the new standard to all leases existing at the date of initial application. An entity may choose to use either (1) its effective date or (2) the beginning of the earliest comparative period presented in the consolidated financial statements as its date of initial application. If an entity chooses the second option, the transition requirements for existing leases also apply to leases entered into between the date of initial application and the effective date. The entity must also recast its comparative period consolidated financial statements and provide the disclosures required by the new standard for the comparative periods. We expect to adopt the new standard on January 1, 2019 and use the effective date as our date of initial application. Consequently, financial information will not be updated and the disclosures required under the new standard will not be provided for dates and periods before January 1, 2019. The new standard provides a number of optional practical expedients in transition. We expect to elect the ‘package of practical expedients’, which permits us not to reassess under the new standard our prior conclusions about lease identification, lease classification and initial direct costs. We do not expect to elect the use-of-hindsight or the practical expedient pertaining to land easements; the latter not being applicable to us. We expect that this standard will have a material effect on our consolidated financial statements. While we continue to assess all of the effects of adoption, we currently believe the most significant effects relate to (1) the recognition of new ROU assets and lease liabilities on our balance sheet for our office and warehouse facility operating leases, and (2) providing significant new disclosures about our leasing activities. On adoption, we currently expect to recognize additional operating liabilities ranging from $250 million to $350 million , with corresponding ROU assets of the same amount based on the present value of the remaining minimum rental payments under current leasing standards for existing operating leases. The new standard also provides practical expedients for an entity’s ongoing accounting. We currently expect to elect the short-term lease recognition exemption for all leases that qualify. This means, for those leases that qualify, we will not recognize ROU assets or lease liabilities, and this includes not recognizing ROU assets or lease liabilities for existing short-term leases of those assets in transition. We also currently expect to elect the practical expedient to not separate lease and non-lease components for all of our leases. On June 16, 2016, the FASB issued ASU No. 2016-13 Financial Instruments - Credit Losses, Measurement of Credit Losses on Financial Instruments , which changes the way entities measure credit losses for most financial assets and certain other instruments that are not measured at fair value through net earnings. This standard will be effective for fiscal years beginning after December 15, 2019, including interim periods within those fiscal years. Early adoption is permitted. We are evaluating the impact the adoption of ASU No. 2016-13 will have on our consolidated financial statements and related disclosures. In January 2017, the FASB issued ASU No. 2017-04, Intangibles - Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment, to simplify the subsequent measurement of goodwill. The new guidance eliminates the requirement for an entity to calculate the implied fair value of goodwill to measure a goodwill impairment charge. Instead, an entity will perform its annual, or interim, goodwill impairment testing by comparing the fair value of a reporting unit with its carrying amount and recording an impairment charge for the amount by which the carrying amount exceeds the fair value. We early adopted this guidance in conjunction with our interim impairment testing performed during the quarter ended June 30, 2018. In August 2017, the FASB issued ASU No. 2017-12, Derivatives and Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities . ASU No. 2017-12 is intended to simplify the application of hedge accounting and provide increased transparency as to the scope and results of hedging programs. For calendar year-end entities, the update will be effective for annual periods beginning January 1, 2019, and interim periods within those fiscal years. We are evaluating the impact the adoption of ASU No. 2017-12 will have on our consolidated financial statements and related disclosures. On February 14, 2018, the FASB issued ASU No. 2018-02, Income Statement - Reporting Comprehensive Income (Topic 220): Reclassification of Certain Tax Effects from Accumulated Other Comprehensive Income . ASU No. 2018-02 allows companies to reclassify stranded tax effects resulting from the Tax Cuts and Jobs Act from accumulated other comprehensive income (loss) to retained earnings. ASU No. 2018-02 will be effective for the Company on January 1, 2019 and we do not expect this to have a material impact on our consolidated financial statements.
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: Global Solutions and Global Products. The Global Solutions segment includes our United States and European distribution, logistics and value-added services business. Global Products manufactures and sources medical surgical products through our production and kitting operations. The Halyard S&IP business, acquired on April 30, 2018, is a part of Global Products.

Acquisitions (Tables)

Acquisitions (Tables)	12 Months Ended
	Dec. 31, 2018
Business Combinations [Abstract]
Schedule of Business Acquisitions, by Acquisition	Preliminary Fair Value (1) Differences Between Prior and Current Period Preliminary Fair Value Estimate Fair Value Estimated as of Acquisition Date Assets acquired: Current assets $ 307,427 $ 23,443 $ 330,870 Goodwill 183,711 (53,347 ) 130,364 Intangible assets 191,000 230 191,230 Other noncurrent assets 152,555 65,685 218,240 Total assets 834,693 36,011 870,704 Liabilities assumed: Current liabilities 83,822 8,616 92,438 Noncurrent liabilities 11,223 8,994 20,217 Total liabilities 95,045 17,610 112,655 Fair value of net assets acquired, net of cash $ 739,648 $ 18,401 $ 758,049 Preliminary Fair Value (2) Differences Between Prior and Current Period Preliminary Fair Value Estimate Fair Value as of Acquisition Date Assets acquired: Current assets $ 61,986 $ — $ 61,986 Goodwill 288,691 (4,933 ) 283,758 Intangible assets 115,000 — 115,000 Other noncurrent assets 5,069 (1,282 ) 3,787 Total assets 470,746 (6,215 ) 464,531 Liabilities assumed: Current liabilities 72,962 — 72,962 Noncurrent liabilities 31,215 — 31,215 Total liabilities 104,177 — 104,177 Fair value of net assets acquired, net of cash $ 366,569 $ (6,215 ) $ 360,354 (2) As previously reported in our 2017 Form 10-K.
Schedule of Business Acquisition, Pro Forma Information	Pro Forma - Unaudited Year Ended December 31, 2018 2017 Net revenue $ 10,118,708 $ 10,158,275

Property and Equipment (Tables)

Property and Equipment (Tables)	12 Months Ended
	Dec. 31, 2018
Property, Plant and Equipment [Abstract]
Property And Equipment	Property and equipment consists of the following: December 31, 2018 2017 Land and land improvements $ 23,046 $ 17,638 Buildings and leasehold improvements 200,881 148,288 Machinery and equipment 418,208 274,604 Construction in progress 14,693 5,541 Property and equipment, gross 656,828 446,071 Accumulated depreciation and amortization (270,105 ) (239,581 ) Property and equipment, net $ 386,723 $ 206,490

Goodwill and Intangible Assets

Goodwill and Intangible Assets (Tables)	12 Months Ended
	Dec. 31, 2018
Goodwill and Intangible Assets Disclosure [Abstract]
Schedule of Goodwill	he following table summarizes the changes in the carrying amount of goodwill through December 31, 2018 : Global Solutions Global Products Consolidated Carrying amount of goodwill, January 1, 2017 $ 199,397 $ 215,539 $ 414,936 Acquisitions (See Note 3) 288,691 — 288,691 Currency translation adjustments 7,772 2,412 10,184 Carrying amount of goodwill, December 31, 2017 495,860 217,951 713,811 Currency translation adjustments (1,347 ) (637 ) (1,984 ) Acquisitions (See Note 3) (4,933 ) 130,364 125,431 Carrying amount of goodwill, December 31, 2018 489,580 347,678 837,258 Accumulated goodwill impairment, December 31, 2017 — — — Goodwill impairment charge (205,675 ) (217,461 ) (423,136 ) Accumulated goodwill impairment, December 31, 2018 (205,675 ) (217,461 ) (423,136 ) Net carrying amount of goodwill, December 31, 2018 $ 283,905 $ 130,217 $ 414,122
Intangible Assets	Intangible assets at December 31, 2018 and 2017 were as follows: 2018 2017 Customer Tradenames Other Customer Tradenames Other Gross intangible assets $ 267,510 $ 97,000 $ 42,930 $ 199,265 $ 31,000 $ 12,537 Accumulated amortization (72,947 ) (8,544 ) (4,185 ) (54,757 ) (1,769 ) (1,808 ) Net intangible assets $ 194,563 $ 88,456 $ 38,745 $ 144,508 $ 29,231 $ 10,729 Weighted average useful life 10 years 11 years 8 years 11 years 9 years 10 years

Exit and Realignment Costs (Tab

Exit and Realignment Costs (Tables)	12 Months Ended
	Dec. 31, 2018
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, 2018 , 2017 and 2016 were as follows: Year ended December 31, 2018 2017 2016 Global Solutions $ 16,808 $ 41,549 $ 21,795 Global Products 133 1,893 1,669 Total exit and realignment charges $ 16,941 $ 43,442 $ 23,464
Schedule of Exit and Realignment Cost Accrual Activity	The following table summarizes the activity related to exit and realignment cost accruals through December 31, 2018 : Lease Severance and Total Accrued exit and realignment charges, January 1, 2016 $ 486 $ 1,840 $ 2,326 Provision for exit and realignment activities — 11,823 11,823 Change in estimate — (261 ) (261 ) Cash payments, net of sublease income (486 ) (11,164 ) (11,650 ) Accrued exit and realignment charges, December 31, 2016 — 2,238 2,238 Provision for exit and realignment activities — 17,691 17,691 Change in estimate — (365 ) (365 ) Cash payments, net of sublease income — (7,592 ) (7,592 ) Accrued exit and realignment charges, December 31, 2017 — 11,972 11,972 Provision for exit and realignment activities — 10,325 10,325 Change in estimate — (108 ) (108 ) Cash payments, net of sublease income — (13,975 ) (13,975 ) Accrued exit and realignment charges, December 31, 2018 $ — $ 8,214 $ 8,214

Debt (Tables)

Debt (Tables)	12 Months Ended
	Dec. 31, 2018
Debt Disclosure [Abstract]
Debt	Debt consists of the following: 2018 2017 December 31, Carrying Estimated Carrying Estimated 3.875% Senior Notes, $275 million par value, maturing September 2021 $ 273,577 $ 207,001 $ 272,734 $ 278,080 4.375% Senior Notes, $275 million par value, maturing December 2024 272,972 174,859 272,959 277,915 Term Loan A-1 231,847 231,847 246,182 246,182 Term Loan A-2 190,575 190,575 — — Term Loan B 483,327 385,284 — — Revolver 210,100 210,100 104,600 104,600 Capital leases 18,774 18,774 20,888 20,888 Total debt 1,681,172 1,418,440 917,363 927,665 Less current maturities (30,590 ) (30,590 ) (16,619 ) (16,619 ) Long-term debt $ 1,650,582 $ 1,387,850 $ 900,744 $ 911,046
Schedule of Future Minimum Lease Payments for Capital Leases	As of December 31, 2018 , we were obligated under capital leases for minimum annual rental payments as follows: Year 2019 $ 5,735 2020 3,471 2021 2,273 2022 2,051 2023 1,952 Thereafter 9,997 Total minimum lease payments 25,479 Less: Amounts representing interest (6,705 ) Present value of total minimum lease payments 18,774 Less: Current portion of capital lease obligations (3,090 ) Long-term portion of capital lease obligations $ 15,684

Share-Based Compensation (Table

Share-Based Compensation (Tables)	12 Months Ended
	Dec. 31, 2018
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, 2018 , 2017 and 2016 : 2018 2017 2016 Number of Weighted Number of Weighted Number of Weighted Nonvested awards at beginning of year 1,657 $ 42.60 1,091 $ 44.15 1,104 $ 40.02 Granted 2,281 15.33 1,152 30.55 572 34.75 Vested (616 ) 31.59 (351 ) 33.97 (337 ) 32.65 Forfeited (809 ) 22.59 (235 ) 34.49 (248 ) 34.06 Nonvested awards at end of year 2,513 23.96 1,657 42.60 1,091 44.15

Retirement Plans (Tables)

Retirement Plans (Tables) - United States	12 Months Ended
	Dec. 31, 2018
Domestic Retirement Plan's Financial Status and Amounts Recognized in Consolidated Balance Sheets	The following table sets forth the U.S. Retirement Plan’s financial status and the amounts recognized in our consolidated balance sheets: December 31, 2018 2017 Change in benefit obligation Benefit obligation, beginning of year $ 53,274 $ 52,051 Interest cost 1,674 1,887 Actuarial (gain) loss (3,207 ) 2,796 Benefits paid (3,578 ) (3,460 ) Benefit obligation, end of year $ 48,163 $ 53,274 Change in plan assets Fair value of plan assets, beginning of year $ — $ — Employer contribution 3,578 3,460 Benefits paid (3,578 ) (3,460 ) Fair value of plan assets, end of year $ — $ — Funded status, end of year $ (48,163 ) $ (53,274 ) Amounts recognized in the consolidated balance sheets Other current liabilities $ (3,410 ) $ (3,481 ) Other liabilities (44,752 ) (49,791 ) Accumulated other comprehensive loss 13,722 19,019 Net amount recognized $ (34,440 ) $ (34,253 ) Accumulated benefit obligation $ 48,163 $ 53,274 Weighted average assumptions used to determine benefit obligation Discount rate 4.00 % 3.25 % 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 U.S. Retirement Plan, which is included in distribution, selling, and administrative expenses in the consolidated statements of income (loss), were as follows: Year ended December 31, 2018 2017 2016 Interest cost $ 1,674 $ 1,887 $ 1,980 Recognized net actuarial loss 2,091 1,849 1,646 Net periodic benefit cost $ 3,765 $ 3,736 $ 3,626 Weighted average assumptions used to determine net periodic benefit cost Discount rate 3.25 % 3.75 % 4.00 % 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 $1.1 million of the net actuarial loss reported in the following table as of December 31, 2018 , as a component of net periodic benefit cost during 2019. Year ended December 31, 2018 2017 Net actuarial loss $ (13,722 ) $ (19,019 ) Deferred tax benefit 5,562 6,939 Amounts included in accumulated other comprehensive income (loss), net of tax $ (8,160 ) $ (12,080 )
Expected Benefit Payments Required For Domestic Retirement Plan	As of December 31, 2018 , the expected benefit payments required for each of the next five years and the five-year period thereafter for the U.S. Retirement Plan were as follows: Year 2019 $ 3,378 2020 3,325 2021 3,147 2022 3,006 2023 2,868 2024-2028 12,316

Derivatives (Tables)

Derivatives (Tables)	12 Months Ended
	Dec. 31, 2018
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Schedule of Derivative Instruments	The following table summarizes our outstanding cash flow hedges as of December 31, 2018: Notional Amount Fair Value Level in Fair Value Hierarchy Maturity Date Interest rate swaps $ 450,000 $ (6,875 ) Level 2 May 2022 & May 2025 Foreign currency contracts $ 25,592 $ 20 Level 2 January 2019 - December 2019 The following table summarizes our outstanding economic (non-designated) hedges as of December 31, 2018: Notional Amount Fair Value Level in Fair Value Hierarchy Maturity Date Foreign currency contracts $ 32,683 $ (198 ) Level 2 January 2019 - April 2019
Schedule of Cash Flow Hedges Included in Accumulated Other Comprehensive Income (Loss)	The following table summarizes the gain (loss) included in accumulated other comprehensive loss for our hedges as of December 31, 2018: Interest rate swaps $ (6,875 ) Foreign currency contracts $ 20

Income Taxes (Tables)

Income Taxes (Tables)	12 Months Ended
	Dec. 31, 2018
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, 2018 2017 2016 Income (loss) before income taxes: U.S. $ (419,964 ) $ 49,903 $ 150,942 Foreign (49,231 ) 7,575 21,600 Income (loss) before income taxes $ (469,195 ) $ 57,478 $ 172,542
Income Tax Provision	The income tax provision consists of the following: Year ended December 31, 2018 2017 2016 Current tax provision (benefit): Federal $ (7,991 ) $ 27,043 $ 46,846 State 1,901 5,455 8,512 Foreign 8,925 2,175 4,179 Total current tax provision 2,835 34,673 59,537 Deferred tax provision (benefit): Federal (23,956 ) (43,838 ) 5,303 State (7,640 ) (1,068 ) 885 Foreign (3,422 ) (5,082 ) (1,970 ) Total deferred tax (benefit) provision (35,018 ) (49,988 ) 4,218 Total income tax (benefit) provision $ (32,183 ) $ (15,315 ) $ 63,755
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, 2018 2017 2016 Federal statutory rate 21.0 % 35.0 % 35.0 % Increases (decreases) in the rate resulting from: State income taxes, net of federal income tax impact 1.4 % 4.3 % 3.7 % Foreign income taxes (0.1 )% (8.2 )% (4.3 )% Valuation allowance (0.5 )% (1.9 )% 0.5 % Tax Reform and other prior period adjustments 0.4 % (60.2 )% — % Goodwill and intangible asset impairment charges (14.0 )% — % — % Other (1.3 )% 4.4 % 2.1 % Effective income tax rate 6.9 % (26.6 )% 37.0 %
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, 2018 2017 Deferred tax assets: Employee benefit plans $ 25,240 $ 23,181 Accrued liabilities not currently deductible 25,924 20,477 Finance charges 2,661 2,007 Capital leases 3,320 3,732 Allowance for losses on accounts receivable 3,988 4,043 Net operating loss carryforwards 25,422 16,536 Goodwill 1,048 — Interest limitation 4,473 — Other 10,325 4,311 Total deferred tax assets 102,401 74,287 Less: valuation allowances (14,346 ) (12,726 ) Net deferred tax assets 88,055 61,561 Deferred tax liabilities: Merchandise inventories 44,015 43,683 Goodwill — 26,194 Property and equipment 34,926 10,669 Computer software 10,177 9,473 Insurance 767 243 Intangible assets 30,279 38,726 Withholding tax liabilities 7,963 — Other 662 212 Total deferred tax liabilities 128,789 129,200 Net deferred tax liability $ (40,734 ) $ (67,639 )
Reconciliation of Changes In Unrecognized Tax Benefits	A reconciliation of the changes in unrecognized tax benefits from the beginning to the end of the reporting period is as follows: 2018 2017 Unrecognized tax benefits at January 1, $ 13,585 $ 10,725 Increases for positions taken during current period 1,035 1,644 Increases for positions taken during prior periods 29 1,928 Decreases for positions taken during prior periods (142 ) (712 ) Lapse of statute of limitations (4,939 ) — Settlements with taxing authorities — — Unrecognized tax benefits at December 31, $ 9,568 $ 13,585

Net Income per Common Share (Ta

Net Income per Common Share (Tables)	12 Months Ended
	Dec. 31, 2018
Earnings Per Share [Abstract]
Summary of Calculation of Net Income Per Share	The following table summarizes the calculation of net income (loss) per share attributable to common shareholders for the years ended December 31, 2018 , 2017 and 2016 : Year ended December 31, 2018 2017 2016 Numerator: Net income (loss) $ (437,012 ) $ 72,793 $ 108,787 Less: income allocated to unvested restricted shares — (1,060 ) (1,147 ) Net income (loss)—basic (437,012 ) 71,733 107,640 Add: undistributed income attributable to unvested restricted shares—basic — 58 297 Less: undistributed income attributable to unvested restricted shares—diluted — (58 ) (297 ) Net income (loss)—diluted $ (437,012 ) $ 71,733 $ 107,640 Denominator: Weighted average shares outstanding—basic and diluted 60,014 60,001 61,093 Net income (loss): Basic and diluted $ (7.28 ) $ 1.20 $ 1.76

Accumulated Other Comprehensi_2

Accumulated Other Comprehensive Income (Tables)	12 Months Ended
	Dec. 31, 2018
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, 2018 , 2017 and 2016 : Retirement Plans Currency Translation Adjustments Derivatives and Other Total Accumulated other comprehensive income (loss), December 31, 2017 $ (12,066 ) $ (13,185 ) $ 167 $ (25,084 ) Other comprehensive income (loss) before reclassifications 3,207 (19,366 ) (7,867 ) (24,026 ) Income tax (834 ) — 2,099 1,265 Other comprehensive income (loss) before reclassifications, net of tax 2,373 (19,366 ) (5,768 ) (22,761 ) Amounts reclassified from accumulated other comprehensive income (loss) 2,090 — 954 3,044 Income tax (543 ) — (268 ) (811 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 1,547 — 686 2,233 Other comprehensive income (loss) 3,920 (19,366 ) (5,082 ) (20,528 ) Accumulated other comprehensive income (loss), December 31, 2018 $ (8,146 ) $ (32,551 ) $ (4,915 ) $ (45,612 ) Retirement Plans Currency Translation Adjustments Derivatives and Other Total Accumulated other comprehensive income (loss), December 31, 2016 $ (11,209 ) $ (56,245 ) $ (29 ) $ (67,483 ) Other comprehensive income (loss) before reclassifications (2,796 ) 43,060 196 40,460 Income tax 727 — — 727 Other comprehensive income (loss) before reclassifications, net of tax (2,069 ) 43,060 196 41,187 Amounts reclassified from accumulated other comprehensive income (loss) 1,933 — — 1,933 Income tax (721 ) — — (721 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 1,212 — — 1,212 Other comprehensive income (loss) (857 ) 43,060 196 42,399 Accumulated other comprehensive income (loss), December 31, 2017 $ (12,066 ) $ (13,185 ) $ 167 $ (25,084 ) Retirement Plans Currency Translation Adjustments Derivatives and Other Total Accumulated other comprehensive income (loss), December 31, 2015 $ (10,482 ) $ (41,228 ) $ (115 ) $ (51,825 ) Other comprehensive income (loss) before reclassifications (2,716 ) (15,017 ) 86 (17,647 ) Income tax 869 — — 869 Other comprehensive income (loss) before reclassifications, net of tax (1,847 ) (15,017 ) 86 (16,778 ) Amounts reclassified from accumulated other comprehensive income (loss) 1,646 — — 1,646 Income tax (526 ) — — (526 ) Amounts reclassified from accumulated other comprehensive income (loss), net of tax 1,120 — — 1,120 Other comprehensive income (loss) (727 ) (15,017 ) 86 (15,658 ) Accumulated other comprehensive income (loss), December 31, 2016 $ (11,209 ) $ (56,245 ) $ (29 ) $ (67,483 )

Commitments and Contingencies (

Commitments and Contingencies (Tables)	12 Months Ended
	Dec. 31, 2018
Commitments and Contingencies Disclosure [Abstract]
Future Minimum Annual Payments Under Non-Cancelable Lease Agreements	At December 31, 2018, future minimum annual payments under non-cancelable lease agreements with original terms in excess of one year, and including payments required under operating leases for facilities we have vacated, are as follows: Total 2019 $ 64,082 2020 53,138 2021 42,480 2022 26,445 2023 19,895 Thereafter 45,708 Total minimum payments $ 251,748

Segment Information (Tables)

Segment Information (Tables)	12 Months Ended
	Dec. 31, 2018
Segment Reporting [Abstract]
Financial Information by Segment	The following tables present financial information by segment: Year ended December 31, 2018 2017 2016 Net revenue: Segment net revenue Global Solutions $ 9,188,066 $ 9,186,018 $ 9,535,248 Global Products 1,111,322 504,026 539,580 Total segment net revenue 10,299,388 9,690,044 10,074,828 Inter-segment net revenue Global Products (460,680 ) (371,769 ) (351,397 ) Total inter-segment net revenue (460,680 ) (371,769 ) (351,397 ) Consolidated net revenue $ 9,838,708 $ 9,318,275 $ 9,723,431 Operating income (loss): Global Solutions $ 104,099 $ 141,091 $ 175,508 Global Products 75,688 38,458 59,384 Inter-segment eliminations (3,014 ) 243 (616 ) Goodwill and intangible asset impairment charges (439,613 ) — — Intangible amortization (36,514 ) (16,402 ) (10,002 ) Acquisition-related and exit and realignment charges (62,200 ) (60,707 ) (24,675 ) Other (1) (30,620 ) (13,432 ) — Consolidated operating income (loss) $ (392,174 ) $ 89,251 $ 199,599 Depreciation and amortization: Global Solutions $ 63,710 $ 50,809 $ 46,586 Global Products 38,217 8,634 8,807 Consolidated depreciation and amortization $ 101,927 $ 59,443 $ 55,393 Capital expenditures: Global Solutions $ 49,524 $ 46,932 $ 27,207 Global Products 16,161 3,805 2,914 Consolidated capital expenditures $ 65,685 $ 50,737 $ 30,121 (1) 2018 and 2017 included software as a service (SaaS) implementation costs associated with the upgrading of our global IT platforms in connection with the redesign of our global information system strategy.
Consolidated Total Assets	December 31, 2018 2017 Total assets: Global Solutions $ 2,618,759 $ 2,870,998 Global Products 1,051,662 400,773 Segment assets 3,670,421 3,271,771 Cash and cash equivalents 103,367 104,522 Consolidated total assets $ 3,773,788 $ 3,376,293
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. Year ended December 31, 2018 2017 2016 Net revenue: United States $ 9,261,149 $ 8,899,208 $ 9,338,543 International 577,559 419,067 384,888 Consolidated net revenue $ 9,838,708 $ 9,318,275 $ 9,723,431 December 31, 2018 2017 Long-lived assets: United States $ 582,667 $ 327,442 International 193,322 125,395 Consolidated long-lived assets $ 775,989 $ 452,837

Condensed Consolidating Finan_2

Condensed Consolidating Financial Information (Tables)	12 Months Ended
	Dec. 31, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Condensed Consolidating Statement Of Income	Year ended December 31, 2018 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Income Net revenue $ — $ 8,871,152 $ 1,660,763 $ (693,207 ) $ 9,838,708 Cost of goods sold — 8,048,457 1,113,315 (690,027 ) 8,471,745 Gross margin — 822,695 547,448 (3,180 ) 1,366,963 Distribution, selling and administrative expenses (477 ) 733,125 529,100 — 1,261,748 Acquisition-related and exit and realignment charges — 44,340 17,860 — 62,200 Goodwill and intangible asset impairment charges — 180,006 259,607 — 439,613 Other operating (income) expense, net — 3,002 (7,426 ) — (4,424 ) Operating income (loss) 477 (137,778 ) (251,693 ) (3,180 ) (392,174 ) Interest expense, net 21,896 43,021 12,104 — 77,021 Income (loss) before income taxes (21,419 ) (180,799 ) (263,797 ) (3,180 ) (469,195 ) Income tax (benefit) provision (5,569 ) (32,037 ) 5,423 — (32,183 ) Equity in earnings (loss) of subsidiaries (421,162 ) (79,629 ) — 500,791 — Net income (loss) (437,012 ) (228,391 ) (269,220 ) 497,611 (437,012 ) Other comprehensive income (loss), net of tax (20,528 ) (14,940 ) (18,873 ) 33,813 (20,528 ) Comprehensive income (loss) $ (457,540 ) $ (243,331 ) $ (288,093 ) $ 531,424 $ (457,540 ) Year ended December 31, 2017 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Income Net revenue $ — $ 8,582,868 $ 915,350 $ (179,943 ) $ 9,318,275 Cost of goods sold — 7,802,499 524,035 (180,125 ) 8,146,409 Gross margin — 780,369 391,315 182 1,171,866 Distribution, selling and administrative expenses (395 ) 643,073 374,300 — 1,016,978 Acquisition-related and exit and realignment charges — 52,986 7,721 — 60,707 Other operating (income) expense, net — 3,887 1,043 — 4,930 Operating income (loss) 395 80,423 8,251 182 89,251 Interest expense, net 27,482 546 3,745 — 31,773 Income (loss) before income taxes (27,087 ) 79,877 4,506 182 57,478 Income tax (benefit) provision — (12,409 ) (2,906 ) — (15,315 ) Equity in earnings (loss) of subsidiaries 99,880 (3,527 ) — (96,353 ) — Net income (loss) 72,793 88,759 7,412 (96,171 ) 72,793 Other comprehensive income (loss), net of tax 42,399 42,209 42,612 (84,821 ) 42,399 Comprehensive income (loss) $ 115,192 $ 130,968 $ 50,024 $ (180,992 ) $ 115,192 Year ended December 31, 2016 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Income Net revenue $ — $ 9,190,660 $ 697,559 $ (164,788 ) $ 9,723,431 Cost of goods sold — 8,330,960 370,594 (165,433 ) 8,536,121 Gross margin — 859,700 326,965 645 1,187,310 Distribution, selling and administrative expenses 1,127 670,800 298,497 — 970,424 Acquisition-related and exit and realignment charges — 15,611 9,064 — 24,675 Other operating (income) expense, net — (5,066 ) (2,322 ) — (7,388 ) Operating income (loss) (1,127 ) 178,355 21,726 645 199,599 Interest expense (income), net 28,901 (4,744 ) 2,900 — 27,057 Income (loss) before income taxes (30,028 ) 183,099 18,826 645 172,542 Income tax (benefit) provision — 61,545 2,210 — 63,755 Equity in earnings (loss) of subsidiaries 138,815 (389 ) — (138,426 ) — Net income (loss) 108,787 121,165 16,616 (137,781 ) 108,787 Other comprehensive income (loss), net of tax (15,658 ) (15,480 ) (15,017 ) 30,497 (15,658 ) Comprehensive income (loss) $ 93,129 $ 105,685 $ 1,599 $ (107,284 ) $ 93,129
Condensed Consolidating Balance Sheets	December 31, 2018 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Balance Sheets Assets Current assets Cash and cash equivalents $ 37,254 $ 657 $ 65,456 $ — $ 103,367 Accounts receivable, net — 745,085 542,228 (463,895 ) 823,418 Merchandise inventories — 1,044,395 250,466 (4,758 ) 1,290,103 Other current assets 117 115,539 207,302 (1,268 ) 321,690 Total current assets 37,371 1,905,676 1,065,452 (469,921 ) 2,538,578 Property and equipment, net — 199,115 187,608 — 386,723 Goodwill, net — 130,364 283,758 — 414,122 Intangible assets, net — 186,771 134,993 — 321,764 Due from O&M and subsidiaries — 486,669 — (486,669 ) — Advances to and investments in consolidated subsidiaries 1,697,191 429,926 — (2,127,117 ) — Other assets, net 1,788 53,545 57,268 — 112,601 Total assets $ 1,736,350 $ 3,392,066 $ 1,729,079 $ (3,083,707 ) $ 3,773,788 Liabilities and equity Current liabilities Accounts payable $ — $ 1,147,081 $ 437,866 $ (475,358 ) $ 1,109,589 Accrued payroll and related liabilities — 19,954 28,249 — 48,203 Other current liabilities 9,641 137,401 167,177 314,219 Total current liabilities 9,641 1,304,436 633,292 (475,358 ) 1,472,011 Long-term debt, excluding current portion 595,856 1,040,664 14,062 — 1,650,582 Due to O&M and subsidiaries 605,558 — 470,318 (1,075,876 ) — Intercompany debt — 816,785 752,105 (1,568,890 ) — Deferred income taxes — — 50,852 — 50,852 Other liabilities 6,876 49,442 25,606 — 81,924 Total liabilities 1,217,931 3,211,327 1,946,235 (3,120,124 ) 3,255,369 Equity Common stock 124,588 — — — 124,588 Paid-in capital 238,773 174,614 123,865 (298,479 ) 238,773 Retained earnings (deficit) 200,670 37,777 (319,636 ) 281,859 200,670 Accumulated other comprehensive income (loss) (45,612 ) (31,652 ) (21,385 ) 53,037 (45,612 ) Total equity 518,419 180,739 (217,156 ) 36,417 518,419 Total liabilities and equity $ 1,736,350 $ 3,392,066 $ 1,729,079 $ (3,083,707 ) $ 3,773,788 Condensed Consolidating Financial Information December 31, 2017 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Balance Sheets Assets Current assets Cash and cash equivalents $ 13,700 $ 865 $ 89,957 $ — $ 104,522 Accounts receivable, net — 559,269 206,410 (6,743 ) 758,936 Merchandise inventories — 902,190 89,580 (1,577 ) 990,193 Other current assets 100 123,067 205,087 — 328,254 Total current assets 13,800 1,585,391 591,034 (8,320 ) 2,181,905 Property and equipment, net — 107,010 99,480 — 206,490 Goodwill, net — 180,006 533,805 — 713,811 Intangible assets, net — 9,582 174,886 — 184,468 Due from O&M and subsidiaries — 439,654 — (439,654 ) — Advances to and investments in consolidated subsidiaries 2,114,853 558,429 — (2,673,282 ) — Other assets, net — 57,724 31,895 — 89,619 Total assets $ 2,128,653 $ 2,937,796 $ 1,431,100 $ (3,121,256 ) $ 3,376,293 Liabilities and equity Current liabilities Accounts payable $ — $ 824,307 $ 130,028 $ (6,763 ) $ 947,572 Accrued payroll and related liabilities — 15,504 14,912 — 30,416 Other current liabilities 5,822 140,048 185,875 — 331,745 Total current liabilities 5,822 979,859 330,815 (6,763 ) 1,309,733 Long-term debt, excluding current portion 545,352 340,672 14,720 — 900,744 Due to O&M and subsidiaries 562,000 — 506,703 (1,068,703 ) — Intercompany debt — 138,890 — (138,890 ) — Deferred income taxes — 25,493 48,754 — 74,247 Other liabilities — 66,136 9,954 — 76,090 Total liabilities 1,113,174 1,551,050 910,946 (1,214,356 ) 2,360,814 Equity Common stock 122,952 — — — 122,952 Paid-in capital 226,937 174,614 583,869 (758,483 ) 226,937 Retained earnings (deficit) 690,674 1,236,165 (50,416 ) (1,185,749 ) 690,674 Accumulated other comprehensive income (loss) (25,084 ) (24,033 ) (13,299 ) 37,332 (25,084 ) Total equity 1,015,479 1,386,746 520,154 (1,906,900 ) 1,015,479 Total liabilities and equity $ 2,128,653 $ 2,937,796 $ 1,431,100 $ (3,121,256 ) $ 3,376,293
Condensed Consolidating Statement Of Cash Flows	Year ended December 31, 2018 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Cash Flows Operating activities: Net income (loss) $ (437,012 ) $ (228,391 ) $ (269,220 ) $ 497,611 $ (437,012 ) Adjustments to reconcile net income (loss) to cash (used for) provided by operating activities: Equity in earnings of subsidiaries 421,162 79,629 — (500,791 ) — Intercompany dividend 30,000 (30,000 ) — Depreciation and amortization — 28,069 73,858 — 101,927 Share-based compensation expense — 16,376 — — 16,376 Goodwill and intangible asset impairment charges 180,006 259,607 439,613 Provision for losses on accounts receivable — 140 9,290 — 9,430 Deferred income tax (benefit) expense — (31,435 ) (3,583 ) — (35,018 ) Changes in operating assets and liabilities: Accounts receivable — (92,751 ) (353,294 ) 457,151 11,106 Merchandise inventories — 93,612 (162,241 ) 3,178 (65,451 ) Accounts payable — 249,004 311,765 (468,590 ) 92,179 Net change in other assets and liabilities 2,355 (29,690 ) (7,710 ) 11,441 (23,604 ) Other, net 854 5,740 (551 ) — 6,043 Cash provided by (used for) operating activities (12,641 ) 300,309 (142,079 ) (30,000 ) 115,589 Investing activities: Acquisition, net of cash acquired — (751,834 ) — — (751,834 ) Additions to computer software and intangible assets — (15,076 ) (5,736 ) — (20,812 ) Additions to property and equipment — (33,245 ) (11,628 ) — (44,873 ) Proceeds from sale of property and equipment — 1,429 261 — 1,690 Cash used for investing activities — (798,726 ) (17,103 ) — (815,829 ) Financing activities: Change in intercompany advances 87,295 (256,888 ) 169,593 — — Intercompany dividend — — (30,000 ) 30,000 — Proceeds from issuance of debt — 695,750 — — 695,750 Proceeds from revolving credit facility — 105,500 — — 105,500 Repayment of debt — (16,250 ) — — (16,250 ) Financing costs paid — (28,512 ) — — (28,512 ) Cash dividends paid (48,200 ) — — — (48,200 ) Other, net (2,900 ) (1,391 ) (2,926 ) — (7,217 ) Cash provided by financing activities 36,195 498,209 136,667 30,000 701,071 Effect of exchange rate changes on cash and cash equivalents — — (1,986 ) — (1,986 ) Net increase (decrease) in cash and cash equivalents 23,554 (208 ) (24,501 ) — (1,155 ) Cash and cash equivalents at beginning of year 13,700 865 89,957 — 104,522 Cash and cash equivalents at end of year $ 37,254 $ 657 $ 65,456 $ — $ 103,367 Year ended December 31, 2017 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Cash Flows Operating activities: Net income $ 72,793 $ 88,759 $ 7,412 $ (96,171 ) $ 72,793 Adjustments to reconcile net income to cash (used for) provided by operating activities: Equity in earnings of subsidiaries (99,880 ) 3,527 — 96,353 — Intercompany dividend — 25,000 — (25,000 ) — Depreciation and amortization — 34,548 24,895 — 59,443 Share-based compensation expense — 11,911 — — 11,911 Provision for losses on accounts receivable — 2,450 224 — 2,674 Deferred income tax (benefit) expense — (44,879 ) (5,109 ) — (49,988 ) Changes in operating assets and liabilities: Accounts receivable — (35,549 ) (61,103 ) (3,358 ) (100,010 ) Merchandise inventories — (45,624 ) (11,224 ) (184 ) (57,032 ) Accounts payable — 141,118 1,775 1,054 143,947 Net change in other assets and liabilities (1,277 ) (26,456 ) (7,836 ) 2,306 (33,263 ) Other, net (1 ) 6,605 (305 ) — 6,299 Cash provided by (used for) operating activities (28,365 ) 161,410 (51,271 ) (25,000 ) 56,774 Investing activities: Acquisition, net of cash acquired — (366,569 ) — — (366,569 ) Additions to computer software and intangible assets — (7,587 ) (8,537 ) — (16,124 ) Additions to property and equipment — (25,270 ) (9,343 ) — (34,613 ) Proceeds from sale of property and equipment — 198 465 — 663 Cash used for investing activities — (399,228 ) (17,415 ) — (416,643 ) Financing activities: Change in intercompany advances 75,969 (170,358 ) 94,389 — — Intercompany dividend — — (25,000 ) 25,000 — Proceeds from issuance of debt — 250,000 — — 250,000 Proceed from revolving credit facility — 104,600 — — 104,600 Repayment of debt — (3,125 ) — — (3,125 ) Financing costs paid — (1,798 ) — — (1,798 ) Cash dividends paid (63,151 ) — — — (63,151 ) Repurchases of common stock (5,000 ) — — — (5,000 ) Other, net (3,768 ) (1,902 ) (3,050 ) — (8,720 ) Cash provided by financing activities 4,050 177,417 66,339 25,000 272,806 Effect of exchange rate changes on cash and cash equivalents — — 6,097 — 6,097 Net increase (decrease) in cash and cash equivalents (24,315 ) (60,401 ) 3,750 — (80,966 ) Cash and cash equivalents at beginning of year 38,015 61,266 86,207 — 185,488 Cash and cash equivalents at end of year $ 13,700 $ 865 $ 89,957 $ — $ 104,522 Condensed Consolidating Financial Information Year ended December 31, 2016 Owens & Minor, Inc. Guarantor Subsidiaries Non-guarantor Subsidiaries Eliminations Consolidated Statements of Cash Flows Operating activities: Net income $ 108,787 $ 121,165 $ 16,616 $ (137,781 ) $ 108,787 Adjustments to reconcile net income to cash (used for) provided by operating activities: Equity in earnings of subsidiaries (138,815 ) 389 — 138,426 — Depreciation and amortization — 29,589 25,804 — 55,393 Share-based compensation expense — 12,042 — — 12,042 Provision for losses on accounts receivable — 84 293 — 377 Deferred income tax (benefit) expense — 6,245 (2,027 ) — 4,218 Changes in operating assets and liabilities: Accounts receivable — (18,581 ) (6,358 ) (305 ) (25,244 ) Merchandise inventories — 26,666 (3,449 ) (628 ) 22,589 Accounts payable — 20,280 22,862 288 43,430 Net change in other assets and liabilities 180 (26,397 ) (11,342 ) — (37,559 ) Other, net 1,615 999 1,048 — 3,662 Cash provided by (used for) operating activities (28,233 ) 172,481 43,447 — 187,695 Investing activities: Additions to computer software and intangible assets — (4,004 ) (5,815 ) — (9,819 ) Additions to property and equipment — (10,329 ) (9,973 ) — (20,302 ) Proceeds from sale of property and equipment — 125 5,250 — 5,375 Cash used for investing activities — (14,208 ) (10,538 ) — (24,746 ) Financing activities: Change in intercompany advances 101,424 (100,308 ) (1,116 ) — — Cash dividends paid (63,382 ) — — — (63,382 ) Repurchases of common stock (71,028 ) — — — (71,028 ) Other, net (4,050 ) (2,313 ) (1,931 ) — (8,294 ) Cash used for financing activities (37,036 ) (102,621 ) (3,047 ) — (142,704 ) Effect of exchange rate changes on cash and cash equivalents — — 4,223 — 4,223 Net increase (decrease) in cash and cash equivalents (65,269 ) 55,652 34,085 — 24,468 Cash and cash equivalents at beginning of year 103,284 5,614 52,122 — 161,020 Cash and cash equivalents at end of year $ 38,015 $ 61,266 $ 86,207 $ — $ 185,488

Summary Of Significant Accoun_3

Summary Of Significant Accounting Policies - Additional Information (Detail) $ in Millions	12 Months Ended
	Dec. 31, 2018USD ($)segment	Dec. 31, 2017USD ($)	Dec. 31, 2016USD ($)	Jan. 01, 2019USD ($)
Summary Of Significant Accounting Policies [Line Items]
Number of reportable segments | segment	2
Allowance for uncollectible accounts	$ 0	$ 0.1
Capitalized computer software, net	67.5	61.8
Software amortization	12.8	10.7	$ 12.9
Contract with customer, liability	$ 44.2	$ 13
Customer Relationships
Summary Of Significant Accounting Policies [Line Items]
Intangible assets useful life (in years)	10 years	11 years
Customer Relationships | Minimum
Summary Of Significant Accounting Policies [Line Items]
Intangible assets useful life (in years)	3 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)	8 years	10 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]
Computer software, useful life	3 years
Software technology | Maximum
Summary Of Significant Accounting Policies [Line Items]
Computer software, useful life	10 years
Warehouse equipment | Minimum
Summary Of Significant Accounting Policies [Line Items]
Property and equipment useful life (in years)	3 years
Warehouse equipment | Maximum
Summary Of Significant Accounting Policies [Line Items]
Property and equipment useful life (in years)	15 years
Buildings and leasehold improvements | Minimum
Summary Of Significant Accounting Policies [Line Items]
Property and equipment useful life (in years)	5 years
Buildings and leasehold improvements | Maximum
Summary Of Significant Accounting Policies [Line Items]
Property and equipment useful life (in years)	40 years
Computer equipment | Minimum
Summary Of Significant Accounting Policies [Line Items]
Property and equipment useful life (in years)	15 years
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 | 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]
Lease term years	1 year
Warehouse Facilities | Maximum
Summary Of Significant Accounting Policies [Line Items]
Lease term years	30 years
Transportation And Material Handling Equipment | Minimum
Summary Of Significant Accounting Policies [Line Items]
Lease term years	3 years
Transportation And Material Handling Equipment | Maximum
Summary Of Significant Accounting Policies [Line Items]
Lease term years	10 years
Shipping and Handling | S,G&A Expenses
Summary Of Significant Accounting Policies [Line Items]
Cost of Goods and Services Sold	$ 680.1	$ 589	$ 558.9
Accounting Standards Update 2016-02 | Minimum
Summary Of Significant Accounting Policies [Line Items]
Lease liability				$ 250
Lease, right-of-use asset				285
Accounting Standards Update 2016-02 | Maximum
Summary Of Significant Accounting Policies [Line Items]
Lease liability				350
Lease, right-of-use asset				$ 355

Significant Risks And Uncerta_2

Significant Risks And Uncertainties - Additional Information (Detail)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Vizient | Minimum
Unusual Risk or Uncertainty [Line Items]
Customer revenue as a percentage of net revenue	40.00%	40.00%	40.00%
Vizient | Maximum
Unusual Risk or Uncertainty [Line Items]
Customer revenue as a percentage of net revenue	48.00%	48.00%	48.00%
Premier | Minimum
Unusual Risk or Uncertainty [Line Items]
Customer revenue as a percentage of net revenue	19.00%	19.00%	19.00%
Premier | Maximum
Unusual Risk or Uncertainty [Line Items]
Customer revenue as a percentage of net revenue	21.00%	21.00%	21.00%
HPG | Minimum
Unusual Risk or Uncertainty [Line Items]
Customer revenue as a percentage of net revenue	13.00%	13.00%	13.00%
HPG | Maximum
Unusual Risk or Uncertainty [Line Items]
Customer revenue as a percentage of net revenue	14.00%	14.00%	14.00%
Medtronic
Unusual Risk or Uncertainty [Line Items]
Sales of product from supplier as a percentage of revenue	10.00%	11.00%	13.00%
Johnson & Johnson Healthcare Systems, Inc.
Unusual Risk or Uncertainty [Line Items]
Sales of product from supplier as a percentage of revenue	7.00%	9.00%	9.00%
Becton Dickinson
Unusual Risk or Uncertainty [Line Items]
Sales of product from supplier as a percentage of revenue	7.00%	9.00%	9.00%

Acquisitions - Additional Infor

Acquisitions - Additional Information (Detail) - USD ($) $ in Thousands	Apr. 30, 2018	Aug. 01, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Mar. 31, 2018
Business Acquisition [Line Items]
Goodwill			$ 414,122	$ 713,811	$ 414,936
Payments to acquire businesses, net of cash acquired			751,834	366,569	0
Acquisition-related expenses			45,300	17,300	1,200
Halyard's Health And IT System
Business Acquisition [Line Items]
Business combination, consideration transferred	$ 758,000
Fair value of net assets acquired, net of cash	758,049
Goodwill	130,364
Byram Healthcare
Business Acquisition [Line Items]
Business combination, consideration transferred		$ 360,000
Fair value of net assets acquired, net of cash						$ 360,354
Goodwill		$ 284,000				283,758
Payments to acquire businesses, net of cash acquired			6,200
Global Solutions
Business Acquisition [Line Items]
Goodwill			$ 283,905	$ 495,860	$ 199,397
Global Solutions | Byram Healthcare
Business Acquisition [Line Items]
Goodwill						284,000
Minimum | Halyard's Health And IT System
Business Acquisition [Line Items]
Acquired intangible assets , useful life			8 years
Minimum | Byram Healthcare
Business Acquisition [Line Items]
Acquired intangible assets , useful life			3 years
Maximum | Halyard's Health And IT System
Business Acquisition [Line Items]
Acquired intangible assets , useful life			12 years
Maximum | Byram Healthcare
Business Acquisition [Line Items]
Acquired intangible assets , useful life			10 years
Restatement Adjustment | Halyard's Health And IT System
Business Acquisition [Line Items]
Fair value of net assets acquired, net of cash	18,401
Goodwill	$ (53,347)
Restatement Adjustment | Byram Healthcare
Business Acquisition [Line Items]
Fair value of net assets acquired, net of cash						(6,215)
Goodwill						$ (4,933)

Acquisitions - Estimated Fair V

Acquisitions - Estimated Fair Value of Assets Acquired and Liabilities Assumed (Detail) - USD ($) $ in Thousands	Dec. 31, 2018	Apr. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Aug. 01, 2017	Dec. 31, 2016
Assets acquired:
Goodwill	$ 414,122			$ 713,811		$ 414,936
Halyard's Health And IT System
Assets acquired:
Current assets		$ 330,870
Goodwill		130,364
Intangible assets		191,230
Other noncurrent assets		218,240
Total assets		870,704
Liabilities assumed:
Current liabilities		92,438
Noncurrent liabilities		20,217
Total liabilities		112,655
Fair value of net assets acquired, net of cash		758,049
Byram Healthcare
Assets acquired:
Current assets			$ 61,986
Goodwill			283,758		$ 284,000
Intangible assets			115,000
Other noncurrent assets			3,787
Total assets			464,531
Liabilities assumed:
Current liabilities			72,962
Noncurrent liabilities			31,215
Total liabilities			104,177
Fair value of net assets acquired, net of cash			360,354
Previously Reported | Halyard's Health And IT System
Assets acquired:
Current assets		307,427
Goodwill		183,711
Intangible assets		191,000
Other noncurrent assets		152,555
Total assets		834,693
Liabilities assumed:
Current liabilities		83,822
Noncurrent liabilities		11,223
Total liabilities		95,045
Fair value of net assets acquired, net of cash		739,648
Previously Reported | Byram Healthcare
Assets acquired:
Current assets					61,986
Goodwill					288,691
Intangible assets					115,000
Other noncurrent assets					5,069
Total assets					470,746
Liabilities assumed:
Current liabilities					72,962
Noncurrent liabilities					31,215
Total liabilities					104,177
Fair value of net assets acquired, net of cash					$ 366,569
Restatement Adjustment | Halyard's Health And IT System
Assets acquired:
Current assets		23,443
Goodwill		(53,347)
Intangible assets		230
Other noncurrent assets		65,685
Total assets		36,011
Liabilities assumed:
Current liabilities		8,616
Noncurrent liabilities		8,994
Total liabilities		17,610
Fair value of net assets acquired, net of cash		$ 18,401
Restatement Adjustment | Byram Healthcare
Assets acquired:
Current assets			0
Goodwill			(4,933)
Intangible assets			0
Other noncurrent assets			(1,282)
Total assets			(6,215)
Liabilities assumed:
Current liabilities			0
Noncurrent liabilities			0
Total liabilities			0
Fair value of net assets acquired, net of cash			$ (6,215)

Acquisitions Acquisitions - Pro

Acquisitions Acquisitions - Pro Forma Information (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Halyard's Health And IT System
Business Acquisition [Line Items]
Net revenue	$ 10,118,708	$ 10,158,275

Accounts Receivable, Net - Addi

Accounts Receivable, Net - Additional Information (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Receivables [Abstract]
Accounts and notes receivable, allowances	$ 19.6	$ 16.2
Write-offs of accounts and notes receivable	$ 2.8	$ 0.8	$ 0.9

Merchandise Inventories - Addit

Merchandise Inventories - Additional Information (Detail) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Inventory Disclosure [Abstract]
Merchandise inventories	$ 1,290,103	$ 990,193
LIFO Inventory Amount	1,023,100	964,200
Current costs or first-in, first-out (FIFO) excess of replacement over stated LIFO value	146,500	119,600
Raw Materials	43,800	22,100
Work in Process	$ 67,300	$ 7,000

Financing Receivables and Pay_2

Financing Receivables and Payables (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Financing Receivables and Payables [Line Items]
Financing charges	$ 314,219	$ 331,745
Other Current Assets
Financing Receivables and Payables [Line Items]
Financing receivables	183,300	192,100
Other Current Liabilities
Financing Receivables and Payables [Line Items]
Financing charges	$ 100,300	$ 124,900

Property And Equipment (Detail)

Property And Equipment (Detail) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 656,828	$ 446,071
Accumulated depreciation and amortization	(270,105)	(239,581)
Property and equipment, net	386,723	206,490
Land and land improvements
Property, Plant and Equipment [Line Items]
Property and equipment, gross	23,046	17,638
Buildings and leasehold improvements
Property, Plant and Equipment [Line Items]
Property and equipment, gross	200,881	148,288
Machinery and equipment
Property, Plant and Equipment [Line Items]
Property and equipment, gross	418,208	274,604
Construction in progress
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 14,693	$ 5,541

Property and Equipment - Additi

Property and Equipment - Additional Information (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Property, Plant and Equipment [Line Items]
Capital leases, gross	$ 27,300	$ 33,400
Accumulated amortization of capital leases	15,700	18,100
Depreciation	42,900	32,300	$ 32,500
Wholly Owned Properties
Property, Plant and Equipment [Line Items]
Property held for sale	$ 0	$ 0	$ 0

Goodwill and Intangible Asset_2

Goodwill and Intangible Assets - Goodwill Rollforward (Details) - USD ($) $ in Thousands	3 Months Ended		12 Months Ended
	Dec. 31, 2018	Jun. 30, 2018	Dec. 31, 2018	Dec. 31, 2017
Goodwill [Roll Forward]
Carrying amount of goodwill, December 31, 2017			$ 713,811	$ 414,936
Acquisitions (See Note 3)			125,431	288,691
Net carrying amount of goodwill, December 31, 2018	$ 414,122		414,122	713,811
Goodwill, Gross	837,258		837,258
Goodwill, accumulated impairment loss	(423,136)		(423,136)	0
Goodwill impairment charge			(423,136)
Global Solutions
Goodwill [Roll Forward]
Carrying amount of goodwill, December 31, 2017			495,860	199,397
Acquisitions (See Note 3)			(4,933)	288,691
Currency translation adjustments			(1,347)	7,772
Net carrying amount of goodwill, December 31, 2018	283,905		283,905	495,860
Goodwill, Gross	489,580		489,580
Goodwill, accumulated impairment loss	(205,675)		(205,675)	0
Goodwill impairment charge	205,500		(205,675)
Global Products
Goodwill [Roll Forward]
Carrying amount of goodwill, December 31, 2017			217,951	215,539
Acquisitions (See Note 3)			130,364	0
Currency translation adjustments			(637)	2,412
Net carrying amount of goodwill, December 31, 2018	130,217		130,217	217,951
Goodwill, Gross	347,678		347,678
Goodwill, accumulated impairment loss	(217,461)		(217,461)	0
Goodwill impairment charge	$ 68,500	$ (149,000)	(217,461)
Byram Healthcare
Goodwill [Roll Forward]
Carrying amount of goodwill, December 31, 2017		283,758
Currency translation adjustments			$ (1,984)	$ 10,184
Byram Healthcare | Global Solutions
Goodwill [Roll Forward]
Carrying amount of goodwill, December 31, 2017		$ 284,000

Goodwill and Intangible Asset_3

Goodwill and Intangible Assets - Intangible Assets (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Finite-Lived Intangible Assets [Line Items]
Net intangible assets	$ 321,764	$ 184,468
Customer Relationships
Finite-Lived Intangible Assets [Line Items]
Gross intangible assets	267,510	199,265
Accumulated amortization	(72,947)	(54,757)
Net intangible assets	$ 194,563	$ 144,508
Weighted average useful life	10 years	11 years
Tradenames
Finite-Lived Intangible Assets [Line Items]
Gross intangible assets	$ 97,000	$ 31,000
Accumulated amortization	(8,544)	(1,769)
Net intangible assets	$ 88,456	$ 29,231
Weighted average useful life	11 years	9 years
Other Intangibles
Finite-Lived Intangible Assets [Line Items]
Gross intangible assets	$ 42,930	$ 12,537
Accumulated amortization	(4,185)	(1,808)
Net intangible assets	$ 38,745	$ 10,729
Weighted average useful life	8 years	10 years

Goodwill and Intangible Asset_4

Goodwill and Intangible Assets - Additional Information (Detail) - USD ($) $ in Thousands	3 Months Ended		12 Months Ended
	Dec. 31, 2018	Jun. 30, 2018	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Acquired Finite-Lived Intangible Assets [Line Items]
Goodwill impairment charge			$ 423,136
Intangible assets, net	$ 321,764		321,764	$ 184,468
Intangible amortization			36,500	16,400	$ 10,000
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]
Estimated amortization expense for 2019	41,600		41,600
Estimated amortization expense for 2020	40,700		40,700
Estimated amortization expense for 2021	39,000		39,000
Estimated amortization expense for 2022	38,100		38,100
Estimated amortization expense for 2023	38,100		38,100
Global Solutions
Acquired Finite-Lived Intangible Assets [Line Items]
Goodwill impairment charge	(205,500)		205,675
Intangible assets, net	106,900		106,900	127,400
Global Products
Acquired Finite-Lived Intangible Assets [Line Items]
Goodwill impairment charge	(68,500)	$ 149,000	217,461
Intangible assets, net	214,900		214,900	57,000
Customer Relationships
Acquired Finite-Lived Intangible Assets [Line Items]
Intangible assets, net	$ 194,563		$ 194,563	$ 144,508
Customer Relationships | Global Products
Acquired Finite-Lived Intangible Assets [Line Items]
Asset Impairment Charges		$ 16,500

Exit and Realignment Costs - Ad

Exit and Realignment Costs - Additional Information (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Restructuring Cost and Reserve [Line Items]
Exit and realignment charges	$ 16,941	$ 43,442	$ 23,464
Incurred cost	6,700	26,100	11,900
Expected cost remaining	0
Global Solutions
Restructuring Cost and Reserve [Line Items]
Exit and realignment charges	16,808	41,549	21,795
Global Products
Restructuring Cost and Reserve [Line Items]
Exit and realignment charges	133	1,893	1,669
Asset Write-downs
Restructuring Cost and Reserve [Line Items]
Incurred cost	1,700	5,100
Information Systems Related Costs
Restructuring Cost and Reserve [Line Items]
Incurred cost	2,700	4,700	900
Labor Costs
Restructuring Cost and Reserve [Line Items]
Incurred cost			700
Other Restructuring
Restructuring Cost and Reserve [Line Items]
Incurred cost	$ 2,300	1,100	800
Facility Costs
Restructuring Cost and Reserve [Line Items]
Incurred cost			3,600
Professional Service Fees
Restructuring Cost and Reserve [Line Items]
Incurred cost		$ 15,200	2,900
Accelerated Amortization
Restructuring Cost and Reserve [Line Items]
Incurred cost			$ 3,000

Exit and Realignment Costs - Ac

Exit and Realignment Costs - Accrual for Exit and Realignment Costs (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Restructuring Reserve [Roll Forward]
Accrued exit and realignment charges, beginning of period	$ 11,972	$ 2,238	$ 2,326
Provision for exit and realignment activities	10,325	17,691	11,823
Change in estimate	(108)	(365)	(261)
Cash payments, net of sublease income	(13,975)	(7,592)	(11,650)
Accrued exit and realignment charges, end of period	8,214	11,972	2,238
Lease Obligations
Restructuring Reserve [Roll Forward]
Accrued exit and realignment charges, beginning of period	0	0	486
Provision for exit and realignment activities	0	0	0
Change in estimate	0	0	0
Cash payments, net of sublease income	0	0	(486)
Accrued exit and realignment charges, end of period	0	0	0
Severance and Other
Restructuring Reserve [Roll Forward]
Accrued exit and realignment charges, beginning of period	11,972	2,238	1,840
Provision for exit and realignment activities	10,325	17,691	11,823
Change in estimate	(108)	(365)	(261)
Cash payments, net of sublease income	(13,975)	(7,592)	(11,164)
Accrued exit and realignment charges, end of period	$ 8,214	$ 11,972	$ 2,238

Debt (Detail)

Debt (Detail) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Debt Instrument [Line Items]
Total debt	$ 1,681,172	$ 917,363
Less current maturities	(30,590)	(16,619)
Long-term debt	1,650,582	900,744
Carrying Amount | Senior Notes | 3.875% Senior Notes
Debt Instrument [Line Items]
Total debt	273,577	272,734
Carrying Amount | Senior Notes | 4.375% Senior Notes
Debt Instrument [Line Items]
Total debt	272,972	272,959
Carrying Amount | Term Loan | Term Loan
Debt Instrument [Line Items]
Total debt	231,847	246,182
Carrying Amount | Term Loan | Term A-2 Loan
Debt Instrument [Line Items]
Total debt	190,575	0
Carrying Amount | Term Loan | Term B Loan
Debt Instrument [Line Items]
Total debt	483,327	0
Carrying Amount | Revolving Credit Facility | Revolving Credit Facility
Debt Instrument [Line Items]
Total debt	210,100	104,600
Carrying Amount | Capital Lease Obligations
Debt Instrument [Line Items]
Capital leases	18,774	20,888
Estimate of Fair Value Measurement
Debt Instrument [Line Items]
Estimated Fair Value	1,418,440	927,665
Less current maturities	(30,590)	(16,619)
Long-term debt	1,387,850	911,046
Estimate of Fair Value Measurement | Senior Notes | 3.875% Senior Notes
Debt Instrument [Line Items]
Estimated Fair Value	207,001	278,080
Estimate of Fair Value Measurement | Senior Notes | 4.375% Senior Notes
Debt Instrument [Line Items]
Estimated Fair Value	174,859	277,915
Estimate of Fair Value Measurement | Term Loan | Term Loan
Debt Instrument [Line Items]
Estimated Fair Value	231,847	246,182
Estimate of Fair Value Measurement | Term Loan | Term A-2 Loan
Debt Instrument [Line Items]
Estimated Fair Value	190,575	0
Estimate of Fair Value Measurement | Term Loan | Term B Loan
Debt Instrument [Line Items]
Estimated Fair Value	385,284	0
Estimate of Fair Value Measurement | Revolving Credit Facility | Revolving Credit Facility
Debt Instrument [Line Items]
Estimated Fair Value	210,100	104,600
Estimate of Fair Value Measurement | Capital Lease Obligations
Debt Instrument [Line Items]
Estimated Fair Value	$ 18,774	$ 20,888

Debt - Additional Information (

Debt - Additional Information (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Debt Instrument [Line Items]
Common stock, voting rights, pledged	65.00%
Interest paid	$ 68.6	$ 30.6	$ 27.9
Senior Notes
Debt Instrument [Line Items]
Rate of interest discounted	0.30%
Revolving Credit Facility
Debt Instrument [Line Items]
Maximum borrowing capacity	$ 600
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%
Term Loan
Debt Instrument [Line Items]
Senior notes, par value	$ 250
2021 Notes | Senior Notes
Debt Instrument [Line Items]
Senior notes, par value	$ 275
Interest rate of debt	3.875%
Debt issued, percent of par	99.50%
Effective yield percentage	3.951%
2024 Notes | Senior Notes
Debt Instrument [Line Items]
Senior notes, par value	$ 275
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%
Term A-2 Loan
Debt Instrument [Line Items]
Senior notes, par value	$ 195.8
Debt convent, springing maturity, period	91 days
Term B Loan
Debt Instrument [Line Items]
Senior notes, par value	$ 500
Debt convent, springing maturity, period	91 days
Letter of Credit
Debt Instrument [Line Items]
Borrowings outstanding	$ 210.1
Letters of credit outstanding, amount	15.2
European Lease Agreement | Replaced Line of Credit
Debt Instrument [Line Items]
Letters of credit outstanding, amount	7.7	$ 1.3
Long-term debt, scheduled future principal payments 2019	27.5
Long-term debt, scheduled future principal payments 2020	30.3
Long-term debt, scheduled future principal payments 2021	316.6
Long-term debt, scheduled future principal payments 2022	558.4
Long-term debt, scheduled future principal payments 2023	5
Long-term debt, scheduled future principal payments, thereafter	$ 748.8
Base Rate | Term B Loan
Debt Instrument [Line Items]
Basis spread on LIBOR, percent	3.50%
Eurodollar | Term B Loan
Debt Instrument [Line Items]
Basis spread on LIBOR, percent	4.50%
LIBOR | Revolving Credit Facility
Debt Instrument [Line Items]
Basis spread on LIBOR, percent	2.00%

Debt - Future Capital Lease Pay

Debt - Future Capital Lease Payments (Details) $ in Thousands	Dec. 31, 2018USD ($)
Obligation for Capital leases for minimum annual rental payments [Abstract]
2,018	$ 5,735
2,019	3,471
2,020	2,273
2,021	2,051
2,022	1,952
Thereafter	9,997
Total minimum lease payments	25,479
Less: Amounts representing interest	(6,705)
Present value of total minimum lease payments	18,774
Less: Current portion of capital lease obligations	(3,090)
Long-term portion of capital lease obligations	$ 15,684

Share-Based Compensation - Addi

Share-Based Compensation - Additional Information (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common shares available for issuance under share-based compensation plan (shares)	3,400,000
Total share-based compensation expense	$ 16,376	$ 11,911	$ 12,042
Recognized tax benefits from share-based compensation expense	4,300	4,600	4,500
Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unrecognized compensation would be recognized based on accelerated vesting provisions	$ 1,400
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	$ 21,700
Total unrecognized compensation cost related to nonvested awards, period for recognition	2 years 2 months 12 days
Value of stock that vested during the period	$ 19,500	$ 11,900	$ 11,000
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	$ 1,700
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, 2018	Dec. 31, 2017	Dec. 31, 2016
Number of Shares (shares)
Nonvested awards at beginning of year (shares)	1,657	1,091	1,104
Granted (shares)	2,281	1,152	572
Vested (shares)	(616)	(351)	(337)
Forfeited (shares)	(809)	(235)	(248)
Nonvested awards at end of year (shares)	2,513	1,657	1,091
Weighted Average Grant-date Value (dollars per share)
Nonvested awards at beginning of year (dollars per share)	$ 42.60	$ 44.15	$ 40.02
Granted (shares)	15.33	30.55	34.75
Vested (shares)	31.59	33.97	32.65
Forfeited (shares)	22.59	34.49	34.06
Nonvested awards at end of year (dollars per share)	$ 23.96	$ 42.60	$ 44.15

Retirement Plans - Additional I

Retirement Plans - Additional Information (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
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
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	$ 10,700	$ 9,100	$ 12,500
United States
Defined Benefit Plan Disclosure [Line Items]
Recognized net actuarial loss	1,100
Accumulated benefit obligation	48,163	53,274
Net periodic benefit cost	3,765	3,736	3,626
Foreign Plan
Defined Benefit Plan Disclosure [Line Items]
Accumulated benefit obligation	9,400	2,400
Net periodic benefit cost	$ 1,000	$ 100	$ 100

Retirement Plans - Domestic Ret

Retirement Plans - Domestic Retirement Plan's Financial Status and Amounts Recognized in Consolidated Balance Sheets (Detail) - United States - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Defined Benefit Plan, Change in Benefit Obligation [Roll Forward]
Benefit obligation, beginning of year	$ 53,274	$ 52,051
Interest cost	1,674	1,887	$ 1,980
Actuarial (gain) loss	(3,207)	2,796
Benefits paid	(3,578)	(3,460)
Benefit obligation, end of year	48,163	53,274	52,051
Defined Benefit Plan, Change in Fair Value of Plan Assets [Roll Forward]
Fair value of plan assets, beginning of year	0	0
Employer contribution	3,578	3,460
Benefits paid	(3,578)	(3,460)
Fair value of plan assets, end of year	0	0	$ 0
Funded status, end of year	(48,163)	(53,274)
Amounts recognized in the consolidated balance sheets
Other current liabilities	(3,410)	(3,481)
Other liabilities	(44,752)	(49,791)
Accumulated other comprehensive loss	13,722	19,019
Net amount recognized	(34,440)	(34,253)
Accumulated benefit obligation	$ 48,163	$ 53,274
Weighted average assumptions used to determine benefit obligation
Discount rate	4.00%	3.25%

Retirement Plans - Components o

Retirement Plans - Components of Net Periodic Benefit Cost for Domestic Retirement Plans (Detail) - United States - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Defined Benefit Plan Disclosure [Line Items]
Interest cost	$ 1,674	$ 1,887	$ 1,980
Recognized net actuarial loss	2,091	1,849	1,646
Net periodic benefit cost	$ 3,765	$ 3,736	$ 3,626
Discount rate	3.25%	3.75%	4.00%

Retirement Plans - Amounts Reco

Retirement Plans - Amounts Recognized As Component Of Accumulated Other Comprehensive Loss, Domestic (Detail) - United States - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Defined Benefit Plan Disclosure [Line Items]
Net actuarial loss	$ (13,722)	$ (19,019)
Deferred tax benefit	5,562	6,939
Amounts included in accumulated other comprehensive income (loss), net of tax	$ (8,160)	$ (12,080)

Retirement Plans - Expected Ben

Retirement Plans - Expected Benefit Payments Required For Domestic Retirement Plan (Detail) - United States $ in Thousands	Dec. 31, 2018USD ($)
Defined Benefit Plan Disclosure [Line Items]
2,019	$ 3,378
2,020	3,325
2,021	3,147
2,022	3,006
2,023	2,868
2024-2028	$ 12,316

Derivatives (Details)

Derivatives (Details) $ in Millions	12 Months Ended
	Dec. 31, 2018USD ($)
Designated as Hedging Instrument | Cash Flow Hedging | Foreign Exchange Contract
Derivative [Line Items]
Derivative, term of contract	12 months
Derivative instruments, gain (loss) reclassified from accumulated oci into income, effective portion, net	$ 0.1
Designated as Hedging Instrument | Cash Flow Hedging | Interest Rate Swap
Derivative [Line Items]
Derivative instruments, gain (loss) reclassified from accumulated oci into income, effective portion, net	1
Not Designated as Hedging Instrument, Economic Hedge | Foreign Exchange Contract
Derivative [Line Items]
Derivative, loss on derivative	$ 1.6

Income Taxes - Components of In

Income Taxes - Components of Income (Loss) before Income Taxes (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Income (loss) before income taxes:
U.S.	$ (419,964)	$ 49,903	$ 150,942
Foreign	(49,231)	7,575	21,600
Income (loss) before income taxes	$ (469,195)	$ 57,478	$ 172,542

Derivatives - Outstanding hedge

Derivatives - Outstanding hedges (Details)	Dec. 31, 2018USD ($)
Designated as Hedging Instrument | Cash Flow Hedging | Interest Rate Swap
Derivative [Line Items]
Derivative, notional amount	$ 450,000,000
Designated as Hedging Instrument | Cash Flow Hedging | Foreign Exchange Contract
Derivative [Line Items]
Derivative, notional amount	25,592,000
Not Designated as Hedging Instrument, Economic Hedge | Foreign Exchange Contract
Derivative [Line Items]
Derivative, notional amount	32,683,000
Level 2 | Designated as Hedging Instrument | Cash Flow Hedging | Interest Rate Swap
Derivative [Line Items]
Derivative, fair value, net	(6,875,000)
Level 2 | Designated as Hedging Instrument | Cash Flow Hedging | Foreign Exchange Contract
Derivative [Line Items]
Derivative, fair value, net	20,000
Level 2 | Not Designated as Hedging Instrument, Economic Hedge | Foreign Exchange Contract
Derivative [Line Items]
Derivative, fair value, net	$ (198,000)

Income Taxes - Income Tax Provi

Income Taxes - Income Tax Provision (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Current tax provision (benefit):
Federal	$ (7,991)	$ 27,043	$ 46,846
State	1,901	5,455	8,512
Foreign	8,925	2,175	4,179
Total current tax provision	2,835	34,673	59,537
Deferred tax provision (benefit):
Federal	(23,956)	(43,838)	5,303
State	(7,640)	(1,068)	885
Foreign	(3,422)	(5,082)	(1,970)
Total deferred tax (benefit) provision	(35,018)	(49,988)	4,218
Total income tax (benefit) provision	$ (32,183)	$ (15,315)	$ 63,755

Derivatives - Gain (loss) inclu

Derivatives - Gain (loss) included in accumulated other comprehensive loss (Details) - Cash Flow Hedging $ in Thousands	12 Months Ended
	Dec. 31, 2018USD ($)
Interest Rate Swap
Derivative Instruments, Gain (Loss) [Line Items]
Derivative instruments, gain (loss) recognized in accumulated other comprehensive income (loss)	$ (6,875)
Foreign Exchange Contract
Derivative Instruments, Gain (Loss) [Line Items]
Derivative instruments, gain (loss) recognized in accumulated other comprehensive income (loss)	$ 20

Income Taxes - Reconciliation O

Income Taxes - Reconciliation Of Federal Statutory Rate To Effective Income Tax Rate (Detail)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Income Tax Disclosure [Abstract]
Federal statutory rate	21.00%	35.00%	35.00%
Increases (decreases) in the rate resulting from:
State income taxes, net of federal income tax impact	1.40%	4.30%	3.70%
Foreign income taxes	(0.10%)	(8.20%)	(4.30%)
Valuation allowance	(0.50%)	(1.90%)	0.50%
Tax Reform and other prior period adjustments	0.40%	(60.20%)	0.00%
Goodwill and intangible asset impairment charges	(14.00%)	0.00%	0.00%
Other	(1.30%)	4.40%	2.10%
Effective income tax rate	6.90%	(26.60%)	37.00%

Income Taxes - Tax Effects On D

Income Taxes - Tax Effects On Deferred Tax Assets And Deferred Tax Liabilities (Detail) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Deferred tax assets:
Employee benefit plans	$ 25,240	$ 23,181
Accrued liabilities not currently deductible	25,924	20,477
Finance charges	2,661	2,007
Capital leases	3,320	3,732
Allowance for losses on accounts receivable	3,988	4,043
Net operating loss carryforwards	25,422	16,536
Goodwill	1,048	0
Interest limitation	4,473	0
Other	10,325	4,311
Total deferred tax assets	102,401	74,287
Less: valuation allowances	(14,346)	(12,726)
Net deferred tax assets	88,055	61,561
Deferred tax liabilities:
Merchandise inventories	44,015	43,683
Goodwill	0	26,194
Property and equipment	34,926	10,669
Computer software	10,177	9,473
Insurance	767	243
Intangible assets	30,279	38,726
Withholding tax liabilities	7,963	0
Other	662	212
Total deferred tax liabilities	128,789	129,200
Net deferred tax liability	$ (40,734)	$ (67,639)

Income Taxes - Additional Infor

Income Taxes - Additional Information (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Operating Loss Carryforwards [Line Items]
Tax Cuts and Jobs Act of 2017, Income Tax Expense (Benefit)		$ 35,000,000
Unlimited range of net operating loss carryforwards	5 years
Cash payments for income taxes, including interest	$ 28,900,000	41,800,000	$ 74,100,000
Proceeds from income tax refunds	9,800,000
Liability for unrecognized tax benefits	9,568,000	13,585,000	10,725,000
Unrecognized tax benefits highly certain	1,900,000	5,000,000
Unrecognized tax benefits that would impact effective tax rate	7,700,000	6,400,000
Accrued interest	600,000	0
Penalties accrued	0	0	0
Penalties expense	0	$ 0	$ 0
Domestic Tax Authority
Operating Loss Carryforwards [Line Items]
Operating loss carryforwards	$ 29,100,000

Income Taxes - Reconciliation_2

Income Taxes - Reconciliation Of Changes In Unrecognized Tax Benefits (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward]
Unrecognized tax benefits at January 1,	$ 13,585	$ 10,725
Increases for positions taken during current period	1,035	1,644
Increases for positions taken during prior periods	29	1,928
Decreases for positions taken during prior periods	(142)	(712)
Lapse of statute of limitations	(4,939)	0
Settlements with taxing authorities	0	0
Unrecognized tax benefits at December 31,	$ 9,568	$ 13,585

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, 2018	Dec. 31, 2017	Dec. 31, 2016
Numerator:
Net income (loss)	$ (437,012)	$ 72,793	$ 108,787
Less: income allocated to unvested restricted shares	0	(1,060)	(1,147)
Net income (loss)—basic	(437,012)	71,733	107,640
Add: undistributed income attributable to unvested restricted shares—basic	0	58	297
Less: undistributed income attributable to unvested restricted shares—diluted	0	(58)	(297)
Net income (loss)—diluted	$ (437,012)	$ 71,733	$ 107,640
Weighted Average Number of Shares Outstanding, Basic and Diluted	60,014	60,001	61,093
Denominator:
Basic and diluted (in usd per share)	$ (7.28)	$ 1.20	$ 1.76

Shareholders' Equity - Addition

Shareholders' Equity - Additional Information (Detail) - USD ($) $ / shares in Units, shares in Millions	1 Months Ended	12 Months Ended
	Oct. 31, 2016	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2018
Equity, Class of Treasury Stock [Line Items]
Stock repurchased and retired, shares		0.2	2
Stock repurchased and retired, value		$ (5,000,000)	$ (71,028,000)
Stock repurchase program, average price per share (dollars per share)		$ 32.27	$ 34.72
Remaining amount available under the program for the repurchase of shares				$ 94,000,000
October 2016 Share Repurchase Program [Member]
Equity, Class of Treasury Stock [Line Items]
Share repurchase program, authorized amount	$ 100,000,000
Stock repurchase program, period in force	3 years

Accumulated Other Comprehensi_3

Accumulated Other Comprehensive Income (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Accumulated Other Comprehensive Income (Loss) [Line Items]
Reclassified actuarial net losses	$ (2,100)	$ (1,900)	$ (1,600)
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Other Comprehensive Income (Loss), Derivatives Qualifying as Hedges, before Tax	1,000
Retirement Plans
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Accumulated other comprehensive income (loss), December 31, 2017	(12,066)	(11,209)	(10,482)
Other comprehensive income (loss) before reclassifications	3,207	(2,796)	(2,716)
Income tax	(834)	727	869
Other comprehensive income (loss) before reclassifications, net of tax	2,373	(2,069)	(1,847)
Amounts reclassified from accumulated other comprehensive income (loss)	2,090	1,933	1,646
Income tax	(543)	(721)	(526)
Amounts reclassified from accumulated other comprehensive income (loss), net of tax	1,547	1,212	1,120
Other comprehensive income (loss)	3,920	(857)	(727)
Accumulated other comprehensive income (loss), December 31, 2018	(8,146)	(12,066)	(11,209)
Currency Translation Adjustments
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Accumulated other comprehensive income (loss), December 31, 2017	(13,185)	(56,245)	(41,228)
Other comprehensive income (loss) before reclassifications	(19,366)	43,060	(15,017)
Income tax	0	0	0
Other comprehensive income (loss) before reclassifications, net of tax	(19,366)	43,060	(15,017)
Amounts reclassified from accumulated other comprehensive income (loss)	0	0	0
Income tax	0	0	0
Amounts reclassified from accumulated other comprehensive income (loss), net of tax	0	0	0
Other comprehensive income (loss)	(19,366)	43,060	(15,017)
Accumulated other comprehensive income (loss), December 31, 2018	(32,551)	(13,185)	(56,245)
Derivatives and Other
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Accumulated other comprehensive income (loss), December 31, 2017	167	(29)	(115)
Other comprehensive income (loss) before reclassifications	(7,867)	196	86
Income tax	2,099	0	0
Other comprehensive income (loss) before reclassifications, net of tax	(5,768)	196	86
Amounts reclassified from accumulated other comprehensive income (loss)	954	0	0
Income tax	(268)	0	0
Amounts reclassified from accumulated other comprehensive income (loss), net of tax	686	0	0
Other comprehensive income (loss)	(5,082)	196	86
Accumulated other comprehensive income (loss), December 31, 2018	(4,915)	167	(29)
Total
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Accumulated other comprehensive income (loss), December 31, 2017	(25,084)	(67,483)	(51,825)
Other comprehensive income (loss) before reclassifications	(24,026)	40,460	(17,647)
Income tax	1,265	727	869
Other comprehensive income (loss) before reclassifications, net of tax	(22,761)	41,187	(16,778)
Amounts reclassified from accumulated other comprehensive income (loss)	3,044	1,933	1,646
Income tax	(811)	(721)	(526)
Amounts reclassified from accumulated other comprehensive income (loss), net of tax	2,233	1,212	1,120
Other comprehensive income (loss)	(20,528)	42,399	(15,658)
Accumulated other comprehensive income (loss), December 31, 2018	$ (45,612)	$ (25,084)	$ (67,483)

Commitments and Contingencies -

Commitments and Contingencies - Additional Information (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Loss Contingencies [Line Items]
Contractual commitment to outsource information technology operations, notice period	180 days
Remaining annual obligations in 2019	$ 31.3
Remaining annual obligations in 2020	28.9
Remaining annual obligations in 2021	25.4
Contractual obligation, due in 2019	2.3
Contractual obligation, due in 2020	2.3
Contractual obligation, due in 2021	2.3
Contractual obligation, due in 2022	2.3
Contractual obligation, due in 2023	2.3
Contractual obligation, due thereafter	$ 2.1
Leases renewal options (in years)	5 years
Rent expense for operating leases	$ 78.3	$ 73.1	$ 70
Minimum | Office And Warehouse Facilities
Loss Contingencies [Line Items]
Operating leases, term of contract	1 year
Minimum | Transportation And Material Handling Equipment
Loss Contingencies [Line Items]
Operating leases, term of contract	3 years
Maximum | Office And Warehouse Facilities
Loss Contingencies [Line Items]
Operating leases, term of contract	20 years
Maximum | Transportation And Material Handling Equipment
Loss Contingencies [Line Items]
Operating leases, term of contract	10 years

Commitments and Contingencies_2

Commitments and Contingencies - Future Minimum Annual Payments Under Non-Cancelable Lease Agreements (Detail) $ in Thousands	Dec. 31, 2018USD ($)
Commitments and Contingencies Disclosure [Abstract]
2,019	$ 64,082
2,020	53,138
2,021	42,480
2,022	26,445
2,023	19,895
Thereafter	45,708
Total minimum payments	$ 251,748

Segment Information - Financial

Segment Information - Financial Information by Segment (Detail) $ in Thousands	12 Months Ended
	Dec. 31, 2018USD ($)segment	Dec. 31, 2017USD ($)	Dec. 31, 2016USD ($)
Segment Reporting, Revenue Reconciling Item [Line Items]
Number of reportable segments | segment	2
Net revenue	$ 9,838,708	$ 9,318,275	$ 9,723,431
Operating earnings (loss)	(392,174)	89,251	199,599
Goodwill and intangible asset impairment charges	439,613	0	0
Intangible amortization	36,500	16,400	10,000
Acquisition-related and exit and realignment charges	(62,200)	(60,707)	(24,675)
Depreciation and amortization	101,927	59,443	55,393
Capital expenditures:	65,685	50,737	30,121
Reportable Segment
Segment Reporting, Revenue Reconciling Item [Line Items]
Net revenue	10,299,388	9,690,044	10,074,828
Reportable Segment | Global Solutions
Segment Reporting, Revenue Reconciling Item [Line Items]
Net revenue	9,188,066	9,186,018	9,535,248
Operating earnings (loss)	104,099	141,091	175,508
Depreciation and amortization	63,710	50,809	46,586
Capital expenditures:	49,524	46,932	27,207
Reportable Segment | Global Products
Segment Reporting, Revenue Reconciling Item [Line Items]
Net revenue	1,111,322	504,026	539,580
Operating earnings (loss)	75,688	38,458	59,384
Depreciation and amortization	38,217	8,634	8,807
Capital expenditures:	16,161	3,805	2,914
Intersegment Eliminations
Segment Reporting, Revenue Reconciling Item [Line Items]
Net revenue	(460,680)	(371,769)	(351,397)
Operating earnings (loss)	(3,014)	243	(616)
Intersegment Eliminations | Global Products
Segment Reporting, Revenue Reconciling Item [Line Items]
Net revenue	(460,680)	(371,769)	(351,397)
Segment Reconciling Items
Segment Reporting, Revenue Reconciling Item [Line Items]
Goodwill and intangible asset impairment charges	(439,613)	0	0
Intangible amortization	(36,514)	(16,402)	(10,002)
Acquisition-related and exit and realignment charges	62,200	60,707	24,675
Other	$ (30,620)	$ (13,432)	$ 0

Segment Information - Consolida

Segment Information - Consolidated Total Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	$ 3,773,788	$ 3,376,293
Cash and cash equivalents	103,367	104,522	$ 185,488	$ 161,020
Reportable Segment
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	3,670,421	3,271,771
Reportable Segment | Global Solutions
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	2,618,759	2,870,998
Reportable Segment | Global Products
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	1,051,662	400,773
Segment Reconciling Items
Segment Reporting, Asset Reconciling Item [Line Items]
Cash and cash equivalents	$ 103,367	$ 104,522

Segment Information - Financi_2

Segment Information - Financial Information by Geographical Area (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Segment And Geographic Distribution Of Operations [Line Items]
Net revenue	$ 9,838,708	$ 9,318,275	$ 9,723,431
Long-Lived Assets	775,989	452,837
United States
Segment And Geographic Distribution Of Operations [Line Items]
Net revenue	9,261,149	8,899,208	9,338,543
Long-Lived Assets	582,667	327,442
International
Segment And Geographic Distribution Of Operations [Line Items]
Net revenue	577,559	419,067	$ 384,888
Long-Lived Assets	$ 193,322	$ 125,395

Condensed Consolidating Finan_3

Condensed Consolidating Financial Information (Details)	12 Months Ended
	Dec. 31, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Guarantor subsidiary percentage of ownership	100.00%

Condensed Consolidating Finan_4

Condensed Consolidating Financial Information (Condensed Consolidating Statements Of Income) (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Condensed Financial Statements, Captions [Line Items]
Net revenue	$ 9,838,708	$ 9,318,275	$ 9,723,431
Cost of goods sold	8,471,745	8,146,409	8,536,121
Gross margin	1,366,963	1,171,866	1,187,310
Distribution, selling and administrative expenses	1,261,748	1,016,978	970,424
Acquisition-related and exit and realignment charges	62,200	60,707	24,675
Goodwill and intangible asset impairment charges	439,613	0	0
Other operating (income) expense, net	(4,424)	4,930	(7,388)
Operating income (loss)	(392,174)	89,251	199,599
Interest expense (income), net	77,021	31,773	27,057
Income (loss) before income taxes	(469,195)	57,478	172,542
Income tax (benefit) provision	(32,183)	(15,315)	63,755
Equity in earnings (loss) of subsidiaries	0	0	0
Net income (loss)	(437,012)	72,793	108,787
Other comprehensive income (loss), net of tax	(20,528)	42,399	(15,658)
Comprehensive Income (Loss), Net of Tax, Attributable to Parent	(457,540)	115,192	93,129
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
Distribution, selling and administrative expenses	(477)	(395)	1,127
Acquisition-related and exit and realignment charges	0	0	0
Goodwill and intangible asset impairment charges	0
Other operating (income) expense, net	0	0	0
Operating income (loss)	477	395	(1,127)
Interest expense (income), net	21,896	27,482	28,901
Income (loss) before income taxes	(21,419)	(27,087)	(30,028)
Income tax (benefit) provision	(5,569)	0	0
Equity in earnings (loss) of subsidiaries	(421,162)	99,880	138,815
Net income (loss)	(437,012)	72,793	108,787
Other comprehensive income (loss), net of tax	(20,528)	42,399	(15,658)
Comprehensive Income (Loss), Net of Tax, Attributable to Parent	(457,540)	115,192	93,129
Guarantor Subsidiaries
Condensed Financial Statements, Captions [Line Items]
Net revenue	8,871,152	8,582,868	9,190,660
Cost of goods sold	8,048,457	7,802,499	8,330,960
Gross margin	822,695	780,369	859,700
Distribution, selling and administrative expenses	733,125	643,073	670,800
Acquisition-related and exit and realignment charges	44,340	52,986	15,611
Goodwill and intangible asset impairment charges	180,006
Other operating (income) expense, net	3,002	3,887	(5,066)
Operating income (loss)	(137,778)	80,423	178,355
Interest expense (income), net	43,021	546	(4,744)
Income (loss) before income taxes	(180,799)	79,877	183,099
Income tax (benefit) provision	(32,037)	(12,409)	61,545
Equity in earnings (loss) of subsidiaries	(79,629)	(3,527)	(389)
Net income (loss)	(228,391)	88,759	121,165
Other comprehensive income (loss), net of tax	(14,940)	42,209	(15,480)
Comprehensive Income (Loss), Net of Tax, Attributable to Parent	(243,331)	130,968	105,685
Non-guarantor Subsidiaries
Condensed Financial Statements, Captions [Line Items]
Net revenue	1,660,763	915,350	697,559
Cost of goods sold	1,113,315	524,035	370,594
Gross margin	547,448	391,315	326,965
Distribution, selling and administrative expenses	529,100	374,300	298,497
Acquisition-related and exit and realignment charges	17,860	7,721	9,064
Goodwill and intangible asset impairment charges	259,607
Other operating (income) expense, net	(7,426)	1,043	(2,322)
Operating income (loss)	(251,693)	8,251	21,726
Interest expense (income), net	12,104	3,745	2,900
Income (loss) before income taxes	(263,797)	4,506	18,826
Income tax (benefit) provision	5,423	(2,906)	2,210
Equity in earnings (loss) of subsidiaries	0	0	0
Net income (loss)	(269,220)	7,412	16,616
Other comprehensive income (loss), net of tax	(18,873)	42,612	(15,017)
Comprehensive Income (Loss), Net of Tax, Attributable to Parent	(288,093)	50,024	1,599
Eliminations
Condensed Financial Statements, Captions [Line Items]
Net revenue	(693,207)	(179,943)	(164,788)
Cost of goods sold	(690,027)	(180,125)	(165,433)
Gross margin	(3,180)	182	645
Distribution, selling and administrative expenses	0	0	0
Acquisition-related and exit and realignment charges	0	0	0
Goodwill and intangible asset impairment charges	0
Other operating (income) expense, net	0	0	0
Operating income (loss)	(3,180)	182	645
Interest expense (income), net	0	0	0
Income (loss) before income taxes	(3,180)	182	645
Income tax (benefit) provision	0	0	0
Equity in earnings (loss) of subsidiaries	500,791	(96,353)	(138,426)
Net income (loss)	497,611	(96,171)	(137,781)
Other comprehensive income (loss), net of tax	33,813	(84,821)	30,497
Comprehensive Income (Loss), Net of Tax, Attributable to Parent	$ 531,424	$ (180,992)	$ (107,284)

Condensed Consolidating Finan_5

Condensed Consolidating Financial Information (Condensed Consolidating Balance Sheet) (Detail) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Current assets
Cash and cash equivalents	$ 103,367	$ 104,522	$ 185,488	$ 161,020
Accounts receivable, net	823,418	758,936
Merchandise inventories	1,290,103	990,193
Other current assets	321,690	328,254
Total current assets	2,538,578	2,181,905
Property and equipment, net	386,723	206,490
Goodwill, net	414,122	713,811	414,936
Intangible assets, net	321,764	184,468
Due from O&M and subsidiaries	0	0
Advances to and investments in consolidated subsidiaries	0	0
Other assets, net	112,601	89,619
Total assets	3,773,788	3,376,293
Current liabilities
Accounts payable	1,109,589	947,572
Accrued payroll and related liabilities	48,203	30,416
Other current liabilities	314,219	331,745
Total current liabilities	1,472,011	1,309,733
Long-term debt, excluding current portion	1,650,582	900,744
Due to O&M and subsidiaries	0	0
Intercompany debt	0	0
Deferred Tax Liabilities, Net, Noncurrent	50,852	74,247
Other liabilities	81,924	76,090
Total liabilities	3,255,369	2,360,814
Equity
Common stock	124,588	122,952
Paid-in capital	238,773	226,937
Retained earnings (deficit)	200,670	690,674
Accumulated other comprehensive loss	(45,612)	(25,084)
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest	518,419	1,015,479	960,038	992,590
Total liabilities and equity	3,773,788	3,376,293
Owens & Minor, Inc.
Current assets
Cash and cash equivalents	37,254	13,700	38,015	103,284
Accounts receivable, net	0	0
Merchandise inventories	0	0
Other current assets	117	100
Total current assets	37,371	13,800
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	1,697,191	2,114,853
Other assets, net	1,788	0
Total assets	1,736,350	2,128,653
Current liabilities
Accounts payable	0	0
Accrued payroll and related liabilities	0	0
Other current liabilities	9,641	5,822
Total current liabilities	9,641	5,822
Long-term debt, excluding current portion	595,856	545,352
Due to O&M and subsidiaries	605,558	562,000
Intercompany debt	0	0
Deferred Tax Liabilities, Net, Noncurrent	0	0
Other liabilities	6,876	0
Total liabilities	1,217,931	1,113,174
Equity
Common stock	124,588	122,952
Paid-in capital	238,773	226,937
Retained earnings (deficit)	200,670	690,674
Accumulated other comprehensive loss	(45,612)	(25,084)
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest	518,419	1,015,479
Total liabilities and equity	1,736,350	2,128,653
Guarantor Subsidiaries
Current assets
Cash and cash equivalents	657	865	61,266	5,614
Accounts receivable, net	745,085	559,269
Merchandise inventories	1,044,395	902,190
Other current assets	115,539	123,067
Total current assets	1,905,676	1,585,391
Property and equipment, net	199,115	107,010
Goodwill, net	130,364	180,006
Intangible assets, net	186,771	9,582
Due from O&M and subsidiaries	486,669	439,654
Advances to and investments in consolidated subsidiaries	429,926	558,429
Other assets, net	53,545	57,724
Total assets	3,392,066	2,937,796
Current liabilities
Accounts payable	1,147,081	824,307
Accrued payroll and related liabilities	19,954	15,504
Other current liabilities	137,401	140,048
Total current liabilities	1,304,436	979,859
Long-term debt, excluding current portion	1,040,664	340,672
Due to O&M and subsidiaries	0	0
Intercompany debt	816,785	138,890
Deferred Tax Liabilities, Net, Noncurrent	0	25,493
Other liabilities	49,442	66,136
Total liabilities	3,211,327	1,551,050
Equity
Common stock	0	0
Paid-in capital	174,614	174,614
Retained earnings (deficit)	37,777	1,236,165
Accumulated other comprehensive loss	(31,652)	(24,033)
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest	180,739	1,386,746
Total liabilities and equity	3,392,066	2,937,796
Non-guarantor Subsidiaries
Current assets
Cash and cash equivalents	65,456	89,957	86,207	52,122
Accounts receivable, net	542,228	206,410
Merchandise inventories	250,466	89,580
Other current assets	207,302	205,087
Total current assets	1,065,452	591,034
Property and equipment, net	187,608	99,480
Goodwill, net	283,758	533,805
Intangible assets, net	134,993	174,886
Due from O&M and subsidiaries	0	0
Advances to and investments in consolidated subsidiaries	0	0
Other assets, net	57,268	31,895
Total assets	1,729,079	1,431,100
Current liabilities
Accounts payable	437,866	130,028
Accrued payroll and related liabilities	28,249	14,912
Other current liabilities	167,177	185,875
Total current liabilities	633,292	330,815
Long-term debt, excluding current portion	14,062	14,720
Due to O&M and subsidiaries	470,318	506,703
Intercompany debt	752,105	0
Deferred Tax Liabilities, Net, Noncurrent	50,852	48,754
Other liabilities	25,606	9,954
Total liabilities	1,946,235	910,946
Equity
Common stock	0	0
Paid-in capital	123,865	583,869
Retained earnings (deficit)	(319,636)	(50,416)
Accumulated other comprehensive loss	(21,385)	(13,299)
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest	(217,156)	520,154
Total liabilities and equity	1,729,079	1,431,100
Eliminations
Current assets
Cash and cash equivalents	0	0	$ 0	$ 0
Accounts receivable, net	(463,895)	(6,743)
Merchandise inventories	(4,758)	(1,577)
Other current assets	(1,268)	0
Total current assets	(469,921)	(8,320)
Property and equipment, net	0	0
Goodwill, net	0	0
Intangible assets, net	0	0
Due from O&M and subsidiaries	(486,669)	(439,654)
Advances to and investments in consolidated subsidiaries	(2,127,117)	(2,673,282)
Other assets, net	0	0
Total assets	(3,083,707)	(3,121,256)
Current liabilities
Accounts payable	(475,358)	(6,763)
Accrued payroll and related liabilities	0	0
Other current liabilities		0
Total current liabilities	(475,358)	(6,763)
Long-term debt, excluding current portion	0	0
Due to O&M and subsidiaries	(1,075,876)	(1,068,703)
Intercompany debt	(1,568,890)	(138,890)
Deferred Tax Liabilities, Net, Noncurrent	0	0
Other liabilities	0	0
Total liabilities	(3,120,124)	(1,214,356)
Equity
Common stock	0	0
Paid-in capital	(298,479)	(758,483)
Retained earnings (deficit)	281,859	(1,185,749)
Accumulated other comprehensive loss	53,037	37,332
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest	36,417	(1,906,900)
Total liabilities and equity	$ (3,083,707)	$ (3,121,256)

Condensed Consolidating Finan_6

Condensed Consolidating Financial Information (Condensed Consolidating Statements Of Cash Flows) (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Condensed Financial Statements, Captions [Line Items]
Net income (loss)	$ (437,012)	$ 72,793	$ 108,787
Adjustments to reconcile net income to cash (used for) provided by operating activities:
Equity in earnings of subsidiaries	0	0	0
Intercompany dividend	0	0
Depreciation and amortization	101,927	59,443	55,393
Share-based compensation expense	16,376	11,911	12,042
Goodwill and intangible asset impairment charges	439,613	0	0
Provision for losses on accounts receivable	9,430	2,674	377
Deferred Income Tax Expense (Benefit)	(35,018)	(49,988)	4,218
Changes in operating assets and liabilities:
Accounts receivable	11,106	(100,010)	(25,244)
Merchandise inventories	(65,451)	(57,032)	22,589
Accounts payable	92,179	143,947	43,430
Net change in other assets and liabilities	(23,604)	(33,263)	(37,559)
Other, net	6,043	6,299	3,662
Cash provided by operating activities	115,589	56,774	187,695
Investing activities:
Acquisitions, net of cash acquired	(751,834)	(366,569)	0
Additions to computer software and intangible assets	(20,812)	(16,124)	(9,819)
Additions to property and equipment	(44,873)	(34,613)	(20,302)
Proceeds from sale of property and equipment	1,690	663	5,375
Cash used for investing activities	(815,829)	(416,643)	(24,746)
Financing activities:
Change In Intercompany Advances	0	0	0
Intercompany dividend	0	0
Proceeds from issuance of debt	695,750	250,000	0
Borrowing under revolving credit facility	105,500	104,600	0
Repayment of debt	(16,250)	(3,125)	0
Financing costs paid	(28,512)	(1,798)	0
Cash dividends paid	(48,200)	(63,151)	(63,382)
Repurchases of common stock	0	(5,000)	(71,028)
Other, net	(7,217)	(8,720)	(8,294)
Cash provided by (used for) financing activities	701,071	272,806	(142,704)
Effect of exchange rate changes on cash and cash equivalents	(1,986)	6,097	4,223
Net (decrease) increase in cash and cash equivalents	(1,155)	(80,966)	24,468
Cash and cash equivalents at beginning of year	104,522	185,488	161,020
Cash and cash equivalents at end of year	103,367	104,522	185,488
Owens & Minor, Inc.
Condensed Financial Statements, Captions [Line Items]
Net income (loss)	(437,012)	72,793	108,787
Adjustments to reconcile net income to cash (used for) provided by operating activities:
Equity in earnings of subsidiaries	421,162	(99,880)	(138,815)
Intercompany dividend		0
Depreciation and amortization	0	0	0
Share-based compensation expense	0	0	0
Goodwill and intangible asset impairment charges	0
Provision for losses on accounts receivable	0	0	0
Deferred Income Tax Expense (Benefit)	0	0	0
Changes in operating assets and liabilities:
Accounts receivable	0	0	0
Merchandise inventories	0	0	0
Accounts payable	0	0	0
Net change in other assets and liabilities	2,355	(1,277)	180
Other, net	854	(1)	1,615
Cash provided by operating activities	(12,641)	(28,365)	(28,233)
Investing activities:
Acquisitions, net of cash acquired	0	0
Additions to computer software and intangible assets	0	0	0
Additions to property and equipment	0	0	0
Proceeds from sale of property and equipment	0	0	0
Cash used for investing activities	0	0	0
Financing activities:
Change In Intercompany Advances	87,295	75,969	101,424
Intercompany dividend	0	0
Proceeds from issuance of debt	0	0
Borrowing under revolving credit facility	0	0
Repayment of debt	0	0
Financing costs paid	0	0
Cash dividends paid	(48,200)	(63,151)	(63,382)
Repurchases of common stock		(5,000)	(71,028)
Other, net	(2,900)	(3,768)	(4,050)
Cash provided by (used for) financing activities	36,195	4,050	(37,036)
Effect of exchange rate changes on cash and cash equivalents	0	0	0
Net (decrease) increase in cash and cash equivalents	23,554	(24,315)	(65,269)
Cash and cash equivalents at beginning of year	13,700	38,015	103,284
Cash and cash equivalents at end of year	37,254	13,700	38,015
Guarantor Subsidiaries
Condensed Financial Statements, Captions [Line Items]
Net income (loss)	(228,391)	88,759	121,165
Adjustments to reconcile net income to cash (used for) provided by operating activities:
Equity in earnings of subsidiaries	79,629	3,527	389
Intercompany dividend	30,000	25,000
Depreciation and amortization	28,069	34,548	29,589
Share-based compensation expense	16,376	11,911	12,042
Goodwill and intangible asset impairment charges	180,006
Provision for losses on accounts receivable	140	2,450	84
Deferred Income Tax Expense (Benefit)	(31,435)	(44,879)	6,245
Changes in operating assets and liabilities:
Accounts receivable	(92,751)	(35,549)	(18,581)
Merchandise inventories	93,612	(45,624)	26,666
Accounts payable	249,004	141,118	20,280
Net change in other assets and liabilities	(29,690)	(26,456)	(26,397)
Other, net	5,740	6,605	999
Cash provided by operating activities	300,309	161,410	172,481
Investing activities:
Acquisitions, net of cash acquired	(751,834)	(366,569)
Additions to computer software and intangible assets	(15,076)	(7,587)	(4,004)
Additions to property and equipment	(33,245)	(25,270)	(10,329)
Proceeds from sale of property and equipment	1,429	198	125
Cash used for investing activities	(798,726)	(399,228)	(14,208)
Financing activities:
Change In Intercompany Advances	(256,888)	(170,358)	(100,308)
Intercompany dividend	0	0
Proceeds from issuance of debt	695,750	250,000
Borrowing under revolving credit facility	105,500	104,600
Repayment of debt	(16,250)	(3,125)
Financing costs paid	(28,512)	(1,798)
Cash dividends paid	0	0	0
Repurchases of common stock		0	0
Other, net	(1,391)	(1,902)	(2,313)
Cash provided by (used for) financing activities	498,209	177,417	(102,621)
Effect of exchange rate changes on cash and cash equivalents	0	0	0
Net (decrease) increase in cash and cash equivalents	(208)	(60,401)	55,652
Cash and cash equivalents at beginning of year	865	61,266	5,614
Cash and cash equivalents at end of year	657	865	61,266
Non-guarantor Subsidiaries
Condensed Financial Statements, Captions [Line Items]
Net income (loss)	(269,220)	7,412	16,616
Adjustments to reconcile net income to cash (used for) provided by operating activities:
Equity in earnings of subsidiaries	0	0	0
Intercompany dividend		0
Depreciation and amortization	73,858	24,895	25,804
Share-based compensation expense	0	0	0
Goodwill and intangible asset impairment charges	259,607
Provision for losses on accounts receivable	9,290	224	293
Deferred Income Tax Expense (Benefit)	(3,583)	(5,109)	(2,027)
Changes in operating assets and liabilities:
Accounts receivable	(353,294)	(61,103)	(6,358)
Merchandise inventories	(162,241)	(11,224)	(3,449)
Accounts payable	311,765	1,775	22,862
Net change in other assets and liabilities	(7,710)	(7,836)	(11,342)
Other, net	(551)	(305)	1,048
Cash provided by operating activities	(142,079)	(51,271)	43,447
Investing activities:
Acquisitions, net of cash acquired	0	0
Additions to computer software and intangible assets	(5,736)	(8,537)	(5,815)
Additions to property and equipment	(11,628)	(9,343)	(9,973)
Proceeds from sale of property and equipment	261	465	5,250
Cash used for investing activities	(17,103)	(17,415)	(10,538)
Financing activities:
Change In Intercompany Advances	169,593	94,389	(1,116)
Intercompany dividend	(30,000)	(25,000)
Proceeds from issuance of debt	0	0
Borrowing under revolving credit facility	0	0
Repayment of debt	0	0
Financing costs paid	0	0
Cash dividends paid	0	0	0
Repurchases of common stock		0	0
Other, net	(2,926)	(3,050)	(1,931)
Cash provided by (used for) financing activities	136,667	66,339	(3,047)
Effect of exchange rate changes on cash and cash equivalents	(1,986)	6,097	4,223
Net (decrease) increase in cash and cash equivalents	(24,501)	3,750	34,085
Cash and cash equivalents at beginning of year	89,957	86,207	52,122
Cash and cash equivalents at end of year	65,456	89,957	86,207
Eliminations
Condensed Financial Statements, Captions [Line Items]
Net income (loss)	497,611	(96,171)	(137,781)
Adjustments to reconcile net income to cash (used for) provided by operating activities:
Equity in earnings of subsidiaries	(500,791)	96,353	138,426
Intercompany dividend	(30,000)	(25,000)
Depreciation and amortization	0	0	0
Share-based compensation expense	0	0	0
Goodwill and intangible asset impairment charges	0
Provision for losses on accounts receivable	0	0	0
Deferred Income Tax Expense (Benefit)	0	0	0
Changes in operating assets and liabilities:
Accounts receivable	457,151	(3,358)	(305)
Merchandise inventories	3,178	(184)	(628)
Accounts payable	(468,590)	1,054	288
Net change in other assets and liabilities	11,441	2,306	0
Other, net	0	0	0
Cash provided by operating activities	(30,000)	(25,000)	0
Investing activities:
Acquisitions, net of cash acquired	0	0
Additions to computer software and intangible assets	0	0	0
Additions to property and equipment	0	0	0
Proceeds from sale of property and equipment	0	0	0
Cash used for investing activities	0	0	0
Financing activities:
Change In Intercompany Advances	0	0	0
Intercompany dividend	30,000	25,000
Proceeds from issuance of debt	0	0
Borrowing under revolving credit facility	0	0
Repayment of debt	0	0
Financing costs paid	0	0
Cash dividends paid	0	0	0
Repurchases of common stock		0	0
Other, net	0	0	0
Cash provided by (used for) financing activities	30,000	25,000	0
Effect of exchange rate changes on cash and cash equivalents	0	0	0
Net (decrease) increase 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

Subsequent Events (Details)

Subsequent Events (Details) - Revolving Credit Facility - USD ($) $ in Millions	Feb. 12, 2019	Dec. 31, 2018
Subsequent Event [Line Items]
Maximum borrowing capacity		$ 600
Subsequent Event [Member]
Subsequent Event [Line Items]
Maximum borrowing capacity	$ 400