Strength of Patient Direct Drove Gross Margin Expansion

Operating Model Realignment Program Remains on Track

Raised Midpoint of 2023 Guidance Based on Strong Patient Direct Performance and Profit Improvement Efforts

Owens & Minor, Inc. (NYSE:OMI) today reported financial results for the first quarter ended March 31, 2023.

Key Highlights:

Consolidated revenue of $2.5 billion in the first quarter
Net loss per common share of $(0.32) and adjusted net income per common share of $0.05 in the first quarter
$158 million of operating cash flow generated in the first quarter
$117 million in debt pay down
2023 outlook reflects strong financial performance in the Patient Direct segment, progress made in operational improvements, cost saving measures, and improved cash flow generation

"Our Patient Direct segment continues to outperform the market and once again was a significant driver of our year-over-year top-line growth and margin expansion during the quarter. As we outlined last quarter, we took the necessary steps to initiate the total company Operating Model Realignment Program and improve our overall cost structure. These initiatives are progressing well, and we are on pace to reach our adjusted operating income target of $30 million for the year. In our Products & Healthcare Services segment, we continued to experience pressure, including destocking during the quarter, however, we were pleased with our Medical Distribution division's ability to navigate a challenging environment and produce solid results for the quarter," said Edward A. Pesicka, President & Chief Executive Officer of Owens & Minor.

Pesicka concluded, "Our strong cash flow generation in the quarter enabled us to pay down $117 million in debt. In the quarter, we began to effectively reduce working capital and manage our costs, while investing for future growth. We will continue to take a disciplined approach to working capital management, cost management, and capital allocation. Overall, we are encouraged by our results to start the year and continue to expect our performance will be heavily weighted toward the second half of 2023."

Financial Summary⁽¹⁾
($ in millions, except per share data)	1Q23	1Q22

Revenue	$2,523	$2,407

Operating income, GAAP	$9.8	$61.1
Adj. Operating Income, Non-GAAP	$47.7	$104.9

Net (loss) income, GAAP	$(24.4)	$39.3
Adj. Net Income, Non-GAAP	$3.6	$72.8

Adj. EBITDA, Non-GAAP	$108.7	$122.6

Net (loss) income per common share, GAAP	$(0.32)	$0.52
Adj. Net Income per share, Non-GAAP	$0.05	$0.96

(1) Reconciliations of the differences between the non-GAAP financial measures presented in this release and their most directly comparable GAAP financial measures are included in the tables below.

Results and Business Highlights

Financial Highlights
- Q1 Consolidated revenue of $2.5 billion
  - Patient Direct revenue of $607 million, up 10.4% compared to the first quarter of 2022 on a pro forma basis
  - Products & Healthcare Services revenue of $1.9 billion was negatively impacted from the decline in personal protective equipment (PPE) sales volumes and prices which was partially offset by strong sales growth excluding PPE
- Reduced total debt by $117 million in the first quarter and $260 million since funding the Apria acquisition
- Generated $158 million of operating cash flow in the quarter, up 99% year-over-year and up 82% versus the fourth quarter of 2022
- Adjusted EBITDA of $109 million, compared to $123 million in the year ago period

Business Highlights
- Published Operating Room Efficiency Research Report, examining the relationship between efficient ORs and clinical outcomes
- Sponsored sterile processing certification scholarships through Healthcare Sterile Processing Association Foundation

2023 Financial Outlook

The Company's revised its outlook for 2023; summarized below:

Revenue for 2023 to be in a range of $10.2 billion to $10.6 billion

Adjusted EBITDA for 2023 to be in a range of $540 million to $590 million

Adjusted EPS for 2023 to be in a range of $1.30 to $1.65

The Company's outlook for 2023 contains assumptions, including current expectations regarding the impact of general economic conditions, including inflation, and the continuation of pressure on pricing and demand in our Products & Healthcare Services segment. Key assumptions supporting the Company's 2023 financial guidance include:

Adjusted operating income benefit of $30 million from the Operating Model Realignment Program
Gross margin rate of ~20.5%
Interest expense of $170 to $175 million
Adjusted effective tax rate of 27% to 28%
Diluted weighted average shares of ~77.5 million
Capital expenditures of $200 to $220 million
Stable to improving commodity prices
FX rates as of 3/31/2023

Although the Company does provide guidance for adjusted EBITDA and adjusted EPS (which are non-GAAP financial measures), it is not able to forecast the most directly comparable measures calculated and presented in accordance with GAAP without unreasonable effort. Certain elements of the composition of the GAAP amounts are not predictable, making it impracticable for the Company to forecast. Such elements include but are not limited to restructuring and acquisition charges. As a result, no GAAP guidance or reconciliation of the Company's adjusted EBITDA guidance or adjusted EPS guidance is provided. The outlook is based on certain assumptions that are subject to the risk factors discussed in the Company's filings with the Securities and Exchange Commission ("SEC").

Investor Conference Call for First Quarter 2023 Financial Results

Owens & Minor executives will host a conference call for investors and analysts at 8:30 a.m. ET on the same day. Participants may access the call via the toll-free dial-in number at 1-888-300-2035, or the toll dial-in number at 1-646-517-7437. The conference ID access code is 1058917.

All interested stakeholders are encouraged to access the simultaneous live webcast by visiting the investor relations page of the Owens & Minor website available at investors.owens-minor.com/events-presentations/. A replay of the webcast can be accessed following the presentation at the link provided above.

Safe Harbor

This release is intended to be disclosure through methods reasonably designed to provide broad, non-exclusionary distribution to the public in compliance with the SEC's Fair Disclosure Regulation. This release contains certain ''forward-looking'' statements made pursuant to the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. These statements include, but are not limited to, the statements in this release regarding our future prospects and performance, including our expectations with respect to our 2023 financial performance, the integration of the Apria transaction, including related synergies and the expected performance of the Apria business, our Operating Model Realignment Program and other cost-saving initiatives, future indebtedness and growth, industry trends, as well as statements related to our expectations regarding the performance of its business, including the results of our Operating Model Realignment Program and our ability to address macro and market conditions. Forward-looking statements involve known and unknown risks and uncertainties that may cause our actual results in future periods to differ materially from those projected or contemplated in the forward-looking statements. Investors should refer to Owens & Minor's Annual Report on Form 10-K for the year ended December 31, 2022, filed with the SEC including the sections captioned "Cautionary Note Regarding Forward-Looking Statements" and "Item 1A. Risk Factors," and subsequent quarterly reports on Form 10-Q and current reports on Form 8-K filed with or furnished to the SEC, for a discussion of certain known risk factors that could cause the Company's actual results to differ materially from its current estimates. These filings are available at www.owens-minor.com. Given these risks and uncertainties, Owens & Minor can give no assurance that any forward-looking statements will, in fact, transpire and, therefore, cautions investors not to place undue reliance on them. Owens & Minor specifically disclaims any obligation to update or revise any forward-looking statements, whether as a result of new information, future developments or otherwise.

About Owens & Minor

Owens & Minor, Inc. (NYSE:OMI) is a Fortune 500 global healthcare solutions company integrating product manufacturing and delivery, home health supply and perioperative services to support care through the hospital and into the home. Owens & Minor drives visibility, control and efficiency for patients, providers and healthcare professionals across the supply chain with proprietary technology and solutions, an extensive product portfolio, an Americas-based manufacturing footprint for personal protective equipment (PPE) and surgical products, as well as a robust portfolio of products and services for patients managing chronic and acute conditions in the home setting. Operating continuously since 1882 from its headquarters in Richmond, Va., Owens & Minor is a 140-year-old company powered by more than 20,000 global teammates. Learn more at https://www.owens-minor.com, follow @Owens_Minor on Twitter and connect on LinkedIn at www.linkedin.com/company/owens-&-minor.

Owens & Minor, Inc. Consolidated Statements of Operations (unaudited) (dollars in thousands, except per share data)

	Three Months Ended March 31,
		2023			2022
Net revenue	$	2,522,849		$	2,406,952
Cost of goods sold		2,025,542			2,033,504
Gross margin		497,307			373,448
Distribution, selling and administrative expenses		448,722			269,471
Acquisition-related charges and intangible amortization		22,188			42,135
Exit and realignment charges		15,674			1,682
Other operating expense (income), net		916			(899	)
Operating income		9,807			61,059
Interest expense, net		42,198			12,019
Other expense, net		1,387			783
(Loss) income before income taxes		(33,778	)		48,257
Income tax (benefit) provision		(9,360	)		8,978
Net (loss) income	$	(24,418	)	$	39,279

Net (loss) income per common share:
Basic	$	(0.32	)	$	0.53
Diluted	$	(0.32	)	$	0.52


Owens & Minor, Inc. Condensed Consolidated Balance Sheets (unaudited) (dollars in thousands)

	March 31,		December 31,
	2023		2022
Assets
Current assets
Cash and cash equivalents	$	66,840	$	69,467
Accounts receivable, net of allowances of $9,549 and $9,063		757,802		763,497
Merchandise inventories		1,288,288		1,333,585
Other current assets		155,397		128,636
Total current assets		2,268,327		2,295,185
Property and equipment, net of accumulated depreciation of $482,861 and $450,286		569,908		578,269
Operating lease assets		276,562		280,665
Goodwill		1,639,133		1,636,705
Intangible assets, net		424,530		445,042
Other assets, net		131,743		150,417
Total assets	$	5,310,203	$	5,386,283
Liabilities and equity
Current liabilities
Accounts payable	$	1,165,799	$	1,147,414
Accrued payroll and related liabilities		87,110		93,296
Other current liabilities		377,721		325,756
Total current liabilities		1,630,630		1,566,466
Long-term debt, excluding current portion		2,362,453		2,482,968
Operating lease liabilities, excluding current portion		208,276		215,469
Deferred income taxes		61,099		60,833
Other liabilities		123,345		114,943
Total liabilities		4,385,803		4,440,679
Total equity		924,400		945,604
Total liabilities and equity	$	5,310,203	$	5,386,283


Owens & Minor, Inc. Consolidated Statements of Cash Flows (unaudited) (dollars in thousands)

	Three Months Ended March 31,
		2023			2022
Operating activities:
Net (loss) income	$	(24,418	)	$	39,279
Adjustments to reconcile net (loss) income to cash provided by operating activities:
Depreciation and amortization		70,926			24,125
Share-based compensation expense		6,463			5,403
(Benefit) provision for losses on accounts receivable		(521	)		5,628
Loss on extinguishment of debt		564			—
Deferred income tax benefit		(591	)		(69	)
Changes in operating lease right-of-use assets and lease liabilities		(225	)		(462	)
Gain on sale and dispositions of property and equipment		(8,269	)		—
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable		5,240			(12,919	)
Merchandise inventories		45,832			58,098
Accounts payable		23,082			(6,967	)
Net change in other assets and liabilities		36,483			(33,165	)
Other, net		3,832			748
Cash provided by operating activities		158,398			79,699
Investing activities:
Acquisition, net of cash acquired		—			(1,576,278	)
Additions to property and equipment		(46,150	)		(9,609	)
Additions to computer software		(5,340	)		(1,352	)
Proceeds from sale of property and equipment		17,306			3
Cash used for investing activities		(34,184	)		(1,587,236	)
Financing activities:
Borrowings under amended Receivables Financing Agreement		232,100			—
Repayments under amended Receivables Financing Agreement		(328,100	)		—
Repayments of debt		(26,500	)		—
Proceeds from issuance of debt		—			1,691,000
Borrowings under revolving credit facility, net and Receivable Financing Agreement		—			41,700
Financing costs paid		—			(33,744	)
Other, net		(4,989	)		(34,762	)
Cash (used for) provided by financing activities		(127,489	)		1,664,194
Effect of exchange rate changes on cash, cash equivalents and restricted cash		284			(669	)
Net (decrease) increase in cash, cash equivalents and restricted cash		(2,991	)		155,988
Cash, cash equivalents and restricted cash at beginning of period		86,185			72,035
Cash, cash equivalents and restricted cash at end of period⁽¹⁾	$	83,194		$	228,023
Supplemental disclosure of cash flow information:
Income taxes paid, net of refunds	$	2,405		$	4,478
Interest paid	$	32,536		$	12,626
Noncash investing activity:
Unpaid purchases of property and equipment and software at end of period	$	64,658		$	—

⁽¹⁾ Restricted cash as of March 31, 2023 and December 31, 2022 represents $16.4 million and $16.7 million, primarily held in an escrow account as required by the Centers for Medicare & Medicaid Services (CMS) in conjunction with the Bundled Payments for Care Improvement (BPCI) initiatives related to wind-down costs of Fusion5.


Owens & Minor, Inc. Summary Segment Information (unaudited) (dollars in thousands)

	Three Months Ended March 31,
	2023					2022
				% of					% of
				consolidated					consolidated
	Amount			net revenue		Amount			net revenue
Net revenue:
Products & Healthcare Services	$	1,915,489		75.93	%	$	2,134,041		88.66	%
Patient Direct		607,360		24.07	%		272,911		11.34	%
Consolidated net revenue	$	2,522,849		100.00	%	$	2,406,952		100.00	%

				% of segment					% of segment
Operating income:				net revenue					net revenue
Products & Healthcare Services	$	1,820		0.10	%	$	89,083		4.17	%
Patient Direct		45,849		7.55	%		15,793		5.79	%
Acquisition-related charges and intangible amortization		(22,188	)				(42,135	)
Exit and realignment charges		(15,674	)				(1,682	)
Consolidated operating income	$	9,807		0.39	%	$	61,059		2.54	%

Depreciation and amortization:
Products & Healthcare Services	$	18,566				$	18,994
Patient Direct		52,360					5,131
Consolidated depreciation and amortization	$	70,926				$	24,125

Capital expenditures:
Products & Healthcare Services	$	6,332				$	10,643
Patient Direct		45,158					318
Consolidated capital expenditures	$	51,490				$	10,961


Owens & Minor, Inc. Net (Loss) Income Per Common Share (unaudited) (dollars in thousands, except per share data)

	Three Months Ended March 31,
		2023		2022
Net (loss) income	$	(24,418	)	$	39,279

Weighted average shares outstanding - basic		75,177			73,643
Dilutive shares		—			2,376
Weighted average shares outstanding - diluted		75,177			76,019

Net (loss) income per common share:
Basic	$	(0.32	)	$	0.53
Diluted	$	(0.32	)	$	0.52

Share-based awards for the three months ended March 31, 2023 of approximately 1.7 million shares were excluded from the calculation of net loss per diluted common share as the effect would be anti-dilutive.


Owens & Minor, Inc. GAAP/Non-GAAP Reconciliations (unaudited) (dollars in thousands, except per share data) The following table provides a reconciliation of reported operating income, net (loss) income and net (loss) income per share to non-GAAP measures used by management.

	Three Months Ended March 31,
		2023			2022
Operating income, as reported (GAAP)	$	9,807		$	61,059
Acquisition-related charges and intangible amortization ⁽¹⁾		22,188			42,135
Exit and realignment charges ⁽²⁾		15,674			1,682
Operating income, adjusted (non-GAAP) (Adjusted Operating Income)	$	47,669		$	104,876
Operating income as a percent of net revenue (GAAP)		0.39	%		2.54	%
Adjusted operating income as a percent of net revenue (non-GAAP)		1.89	%		4.36	%

Net (loss) income, as reported (GAAP)	$	(24,418	)	$	39,279
Pre-tax adjustments:
Acquisition-related charges and intangible amortization ⁽¹⁾		22,188			42,135
Exit and realignment charges ⁽²⁾		15,674			1,682
Other ⁽³⁾		1,129			525
Income tax benefit on pre-tax adjustments ⁽⁴⁾		(10,977	)		(10,869	)
Net income, adjusted (non-GAAP) (Adjusted Net Income)	$	3,596		$	72,752

Net (loss) income per common share, as reported (GAAP)	$	(0.32	)	$	0.52
After-tax adjustments:
Acquisition-related charges and intangible amortization ⁽¹⁾		0.21			0.41
Exit and realignment charges ⁽²⁾		0.15			0.02
Other ⁽³⁾		0.01			0.01
Net income per common share, adjusted (non-GAAP) (Adjusted EPS)	$	0.05		$	0.96


Owens & Minor, Inc. GAAP/Non-GAAP Reconciliations (unaudited), continued (dollars in thousands) The following tables provide reconciliations of net (loss) income and total debt to non-GAAP measures used by management.

	Three Months Ended March 31,
		2023			2022
Net (loss) income, as reported (GAAP)	$	(24,418	)	$	39,279
Income tax (benefit) provision		(9,360	)		8,978
Interest expense, net		42,198			12,019
Acquisition-related charges and intangible amortization ⁽¹⁾		22,188			42,135
Exit and realignment charges ⁽²⁾		15,674			1,682
Other depreciation and amortization ⁽⁵⁾		49,991			13,856
Stock compensation ⁽⁶⁾		6,350			4,596
LIFO charges and (credits) ⁽⁷⁾		4,940			(509	)
Other ⁽³⁾		1,129			525
Adjusted EBITDA (non-GAAP)	$	108,692		$	122,561


	March 31,
		2023
Total debt, as reported (GAAP)	$	2,383,515
Cash and cash equivalents		66,840
Net debt (non-GAAP)	$	2,316,675

Owens & Minor, Inc.

GAAP/Non-GAAP Reconciliations (unaudited), continued

The following items have been excluded in our non-GAAP financial measures:

⁽¹⁾Acquisition-related charges and intangible amortization includes acquisition-related charges primarily related to the Apria acquisition and amortization of intangible assets established during acquisition method of accounting for business combinations. These amounts are highly dependent on the size and frequency of acquisitions and are being excluded to allow for a more consistent comparison with forecasted, current and historical results.

⁽²⁾ During the three months ended March 31, 2023 exit and realignment charges consisted of severance, professional, and other fees primarily associated with our Operating Model Realignment Program. During the three months ended March 31, 2022 exit and realignment charges consisted of severance and other charges associated with the reorganization of our segments and an increase in reserves associated with certain retained assets of Fusion5.

⁽³⁾For the three months ended March 31, 2023 other includes loss on extinguishment of debt for the write-off of deferred financing costs of $0.6 million associated with early principal payments. Additionally, for the three months ended March 31, 2023 and 2022 other includes interest costs and net actuarial losses related to our frozen noncontributory, unfunded retirement plan for certain retirees in the U.S. of $0.5 million for the periods ended March 31, 2023 and 2022.

⁽⁴⁾ These charges have been tax effected by determining the income tax rate depending on the amount of charges incurred in different tax jurisdictions and the deductibility of those charges for income tax purposes.

⁽⁵⁾Other depreciation and amortization relates to property and equipment and capitalized computer software.

⁽⁶⁾Stock compensation includes share-based compensation expense related to our share-based compensation plans, excluding such amounts captured within exit and realignment charges or acquisition-related charges.

⁽⁷⁾ LIFO charges and (credits) includes non-cash adjustments to merchandise inventories valued at the lower of cost or market, with the approximate cost determined by the last-in, first-out (LIFO) method for distribution inventories in the United States (U.S.) within our Products & Healthcare Services segment.

Use of Non-GAAP Measures

This earnings release contains financial measures that are not calculated in accordance with U.S. generally accepted accounting principles ("GAAP"). In general, the measures exclude items and charges that (i) management does not believe reflect Owens & Minor, Inc.'s (the "Company") core business and relate more to strategic, multi-year corporate activities; or (ii) relate to activities or actions that may have occurred over multiple or in prior periods without predictable trends. Management uses these non-GAAP financial measures internally to evaluate the Company's performance, evaluate the balance sheet, engage in financial and operational planning and determine incentive compensation.

Management provides these non-GAAP financial measures to investors as supplemental metrics to assist readers in assessing the effects of items and events on its financial and operating results and in comparing the Company's performance to that of its competitors. However, the non-GAAP financial measures used by the Company may be calculated differently from, and therefore may not be comparable to, similarly titled measures used by other companies.

The non-GAAP financial measures disclosed by the Company should not be considered substitutes for, or superior to, financial measures calculated in accordance with GAAP, and the financial results calculated in accordance with GAAP and reconciliations to those financial statements set forth above should be carefully evaluated.

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Owens & Minor Reports First Quarter 2023 Financial Results