Financial Performance - Owens & Minor, Inc. reported a net revenue of 2.72billionforthethreemonthsendedSeptember30,2024,representinga5.02.59 billion in the same period of 2023[98]. - The Products & Healthcare Services segment generated operating income of 4.2millionforthethreemonthsendedSeptember30,2024,downfrom19.8 million in the prior year, primarily due to a 10.3millionincreaseinLIFOcharges[92].−ThePatientDirectsegmentachievedoperatingincomeof79.9 million for the three months ended September 30, 2024, compared to 64.4millioninthesameperiodof2023,reflectingarevenuegrowthof5.92.16 billion for the three months ended September 30, 2024, up 5.3% from 2.05billionintheprioryear,drivenbyrevenuegrowthandincreasedLIFOcharges[103].−GrossprofitforthethreemonthsendedSeptember30,2024,was559.7 million, a 3.9% increase from 538.5millioninthesameperiodof2023,withagrossprofitmarginof20.57(0.17), compared to (0.08)forthesameperiodin2023[91].−Thecompanyreportedadeclineinintangibleamortizationof6.2 million for the three months ended September 30, 2024, contributing to the net loss per share[91]. Expenses and Charges - Distribution, selling and administrative (DS&A) expenses for the three months ended September 30, 2024 were 469,798,000,anincreaseof17,215,000 or 3.8% compared to the same period in 2023[107]. - DS&A expenses as a percentage of net revenue decreased to 17.26% for the three months ended September 30, 2024 from 17.46% in 2023[107]. - Acquisition-related charges for the three months ended September 30, 2024 were 21,097,000,adecreaseof9,120,000 or 30.2% compared to the same period in 2023[107]. - Exit and realignment charges, net for the three months ended September 30, 2024 were 28,880,000,adecreaseof1,300,000 or 4.3% compared to the same period in 2023[107]. - Other operating expenses, net for the three months ended September 30, 2024 increased significantly to 15,727,000,anincreaseof14,050,000 or 837.8% compared to the same period in 2023[107]. - Interest expense, net for the three months ended September 30, 2024 decreased to 36,554,000,adecreaseof1,573,000 or 4.1% compared to the same period in 2023[114]. Cash Flow and Liquidity - Cash and cash equivalents decreased to 45,454,000asofSeptember30,2024,adecreaseof197,583,000 or 81.3% compared to December 31, 2023[124]. - Net cash provided by operating activities decreased to 90.5millioninthefirstninemonthsof2024from628.9 million in 2023, primarily due to net losses and changes in working capital[125]. - Cash used for investing activities in the first nine months of 2024 included capital expenditures of 157million,comparedto152 million in 2023, with proceeds from sales and dispositions totaling 84.8million[126].−Cashusedforfinancingactivitiesinthefirstninemonthsof2024was224.5 million, down from 366.1millionin2023,including211 million in debt repayments[127]. - The company had no borrowings under its Receivables Financing Agreement as of September 30, 2024, with a maximum revolving borrowing capacity of 450million[130].−TheRevolvingCreditAgreementprovidesarevolvingborrowingcapacityof450 million, with 870millioninoutstandingtermloans[131].−Cashandcashequivalentsheldbyforeignsubsidiariestotaled22.2 million as of September 30, 2024[140]. - The company believes cash generated from operating activities and available financing sources will be sufficient to fund working capital needs and long-term strategic growth[139]. - The company is in compliance with its debt covenants as of September 30, 2024[134]. Acquisitions and Agreements - The company entered into an agreement to acquire Rotech Healthcare Holdings Inc. for 1.36billion,withanetpurchasepriceofapproximately1.32 billion after anticipated tax benefits[90]. - The company recognized a 5.1milliongainfromanagreementwithPhilipsRespironicsforpreviouslyrecalledequipmentduringtheninemonthsendedSeptember30,2024[94].RisksandChallenges−Thecompanyfacesrisksrelatedtorestrictivecovenantsincreditfacilitiesandexistingnotes[145].−Thereisapotentialriskofimpairmenttogoodwillorotherlong−livedassets[145].−Thecompanymayencounterchallengesinrespondingtotechnologicaladvancesinatimelymanner[145].−Thereareconcernsregardingtheprofitabilityofcapitationarrangementsifactualutilizationratesexceedassumptions[145].−Thecompanyisexposedtovolatilityinthepriceofitscommonstockandsecurities[145].−Risksrelatedtopublichealthcrises,suchastheCOVID−19pandemic,continuetobeaconcernforthecompany[145].−Thecompanymustadequatelyrespondtoperformancetargetsspecifiedbycustomercontracts[145].−Theoutcomeofoutstandingandfuturelitigation,includingproductandprofessionalliabilityclaims,remainsuncertain[145].TaxandForeignOperations−TheeffectivetaxrateforthethreemonthsendedSeptember30,2024was7.40.2 million for the three months ended September 30, 2024[102]. - The company is permanently reinvested in its foreign subsidiaries, indicating a long-term investment strategy[140]. - The company has not experienced material changes in quantitative and qualitative market risk disclosures since the last Annual Report[147].