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Accounting Pronouncements Adopted and Critical Accounting Policies and Estimates - Topic 606, the disclosure of the impact of adoption on our consolidated balance sheet and income statement (Details) - USD ($)
$ in Thousands

3 Months Ended

9 Months Ended

Sep. 29, 2018

Sep. 30, 2017

Sep. 29, 2018

Sep. 30, 2017

Dec. 31, 2017

Dec. 30, 2017

Assets

Prepaid expenses and other

$ 513,717

$ 513,717

$ 454,261

$ 454,752

Investments and other

518,425

518,425

433,135

432,002

Liabilities

Accrued Expenses - Taxes

180,163

180,163

189,310

188,873

Accrued Expenses - Other

496,959

496,959

453,166

455,780

Deferred income taxes

45,947

45,947

50,902

50,431

Other Liabilities (Long term)

415,045

415,045

420,039

420,285

Stockholders' equity

Retained earnings

3,191,260

3,191,260

2,942,623

2,940,029

Accumulated other comprehensive loss

(219,649)

(219,649)

$ (130,067)

Income Statement

Revenues

3,279,678

$ 3,161,083

9,826,793

$ 9,143,489

Cost and expenses

Cost of sales

2,391,118

2,325,029

7,141,569

6,645,342

Selling, general and administrative

722,634

2,111,807

Income taxes

(29,401)

(59,340)

(124,084)

(156,276)

Net income

126,976

150,948

423,116

450,783

Accounting Standards Update 2014-09 [Member]

Assets

Prepaid expenses and other

119

Investments and other

1,133

Liabilities

Accrued Expenses - Taxes

437

Accrued Expenses - Other

(2,614)

Deferred income taxes

471

Other Liabilities (Long term)

(246)

Stockholders' equity

Retained earnings

$ 3,204

Healthcare Distribution [Member]

Income Statement

Revenues

^[1]

3,135,775

3,052,071

9,456,610

8,819,979

Healthcare Distribution [Member] | Dental [Member]

Income Statement

Revenues

1,514,538

1,478,730

4,675,212

4,372,055

Healthcare Distribution [Member] | Animal Health [Member]

Income Statement

Revenues

899,295

882,580

2,805,031

2,586,850

Healthcare Distribution [Member] | Medical [Member]

Income Statement

Revenues

721,942

690,761

1,976,367

1,861,074

Technology and Value-Added Services [Member]

Income Statement

Revenues

^[2]

143,903

$ 109,012

370,183

$ 323,510

Balances Without Adoption of Topic 606 [Member] | Accounting Standards Update 2014-09 [Member]

Assets

Prepaid expenses and other

514,043

514,043

Investments and other

516,409

516,409

Liabilities

Accrued Expenses - Taxes

179,748

179,748

Accrued Expenses - Other

499,603

499,603

Deferred income taxes

45,340

45,340

Other Liabilities (Long term)

415,594

415,594

Stockholders' equity

Retained earnings

3,187,304

3,187,304

Accumulated other comprehensive loss

(219,554)

(219,554)

Income Statement

Revenues

3,279,195

9,826,069

Cost and expenses

Cost of sales

2,391,118

7,141,569

Selling, general and administrative

722,842

2,112,058

Income taxes

(29,265)

(123,861)

Net income

126,421

422,364

Balances Without Adoption of Topic 606 [Member] | Healthcare Distribution [Member] | Accounting Standards Update 2014-09 [Member]

Income Statement

Revenues

3,135,775

9,456,610

Balances Without Adoption of Topic 606 [Member] | Healthcare Distribution [Member] | Dental [Member] | Accounting Standards Update 2014-09 [Member]

Income Statement

Revenues

1,514,538

4,675,212

Balances Without Adoption of Topic 606 [Member] | Healthcare Distribution [Member] | Animal Health [Member] | Accounting Standards Update 2014-09 [Member]

Income Statement

Revenues

899,295

2,805,031

Balances Without Adoption of Topic 606 [Member] | Healthcare Distribution [Member] | Medical [Member] | Accounting Standards Update 2014-09 [Member]

Income Statement

Revenues

721,942

1,976,367

Balances Without Adoption of Topic 606 [Member] | Technology and Value-Added Services [Member] | Accounting Standards Update 2014-09 [Member]

Income Statement

Revenues

143,420

369,459

Effect of Change Increase/(Decrease) [Member] | Accounting Standards Update 2014-09 [Member]

Assets

Prepaid expenses and other

(326)

(326)

Investments and other

2,016

2,016

Liabilities

Accrued Expenses - Taxes

415

415

Accrued Expenses - Other

(2,644)

(2,644)

Deferred income taxes

607

607

Other Liabilities (Long term)

(549)

(549)

Stockholders' equity

Retained earnings

3,956

3,956

Accumulated other comprehensive loss

(95)

(95)

Income Statement

Revenues

483

724

Cost and expenses

Cost of sales

0

0

Selling, general and administrative

(208)

(251)

Income taxes

136

223

Net income

555

752

Effect of Change Increase/(Decrease) [Member] | Healthcare Distribution [Member] | Accounting Standards Update 2014-09 [Member]

Income Statement

Revenues

0

0

Effect of Change Increase/(Decrease) [Member] | Healthcare Distribution [Member] | Dental [Member] | Accounting Standards Update 2014-09 [Member]

Income Statement

Revenues

0

0

Effect of Change Increase/(Decrease) [Member] | Healthcare Distribution [Member] | Animal Health [Member] | Accounting Standards Update 2014-09 [Member]

Income Statement

Revenues

0

0

Effect of Change Increase/(Decrease) [Member] | Healthcare Distribution [Member] | Medical [Member] | Accounting Standards Update 2014-09 [Member]

Income Statement

Revenues

0

0

Effect of Change Increase/(Decrease) [Member] | Technology and Value-Added Services [Member] | Accounting Standards Update 2014-09 [Member]

Income Statement

Revenues

$ 483

$ 724

[1]	Consists of consumable products, small equipment, laboratory products, large equipment, equipment repair services, branded and generic pharmaceuticals, vaccines, surgical products, diagnostic tests, infection-control products and vitamins.
[2]	Consists of practice management software and other value-added products, which are distributed primarily to health care providers, and financial services on a non-recourse basis, e-services, continuing education services for practitioners, consulting and other services.

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