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Consolidated Statements of Cash Flows (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Cash flows from operating activities:      
(Loss) net income $ (32,348)us-gaap_NetIncomeLoss $ 15,260us-gaap_NetIncomeLoss $ 51,170us-gaap_NetIncomeLoss
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization 34,398us-gaap_DepreciationDepletionAndAmortization 32,238us-gaap_DepreciationDepletionAndAmortization 7,270us-gaap_DepreciationDepletionAndAmortization
Impairment charges 31,133us-gaap_ImpairmentOfInvestments 0us-gaap_ImpairmentOfInvestments 0us-gaap_ImpairmentOfInvestments
Amortization of net premiums and discounts on available for sale securities 0us-gaap_InvestmentIncomeNetAmortizationOfDiscountAndPremium 209us-gaap_InvestmentIncomeNetAmortizationOfDiscountAndPremium 734us-gaap_InvestmentIncomeNetAmortizationOfDiscountAndPremium
Amortization of long term debt financing costs 1,332us-gaap_AmortizationOfFinancingCosts 1,179us-gaap_AmortizationOfFinancingCosts 598us-gaap_AmortizationOfFinancingCosts
Amortization of debt discount 10,588us-gaap_AmortizationOfDebtDiscountPremium 9,978us-gaap_AmortizationOfDebtDiscountPremium 5,306us-gaap_AmortizationOfDebtDiscountPremium
Unrealized foreign currency transaction (gains) losses, net (833)us-gaap_ForeignCurrencyTransactionGainLossUnrealized 143us-gaap_ForeignCurrencyTransactionGainLossUnrealized (573)us-gaap_ForeignCurrencyTransactionGainLossUnrealized
Non-cash stock compensation expense 34,311us-gaap_ShareBasedCompensation 23,078us-gaap_ShareBasedCompensation 14,981us-gaap_ShareBasedCompensation
Loss on disposal of fixed assets 35us-gaap_GainLossOnSaleOfPropertyPlantEquipment 39us-gaap_GainLossOnSaleOfPropertyPlantEquipment 69us-gaap_GainLossOnSaleOfPropertyPlantEquipment
Deferred tax provision (benefit) (5,565)us-gaap_DeferredIncomeTaxExpenseBenefit (10,272)us-gaap_DeferredIncomeTaxExpenseBenefit 30,376us-gaap_DeferredIncomeTaxExpenseBenefit
Excess tax benefit from share-based compensation arrangements (1,443)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities (7,675)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities (1,558)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
Change in contingent consideration obligation 20,823mdco_AdjustmentToContingentPurchasePrice 16,942mdco_AdjustmentToContingentPurchasePrice (1,460)mdco_AdjustmentToContingentPurchasePrice
Loss in equity method investment 1,711us-gaap_IncomeLossFromEquityMethodInvestments 0us-gaap_IncomeLossFromEquityMethodInvestments 0us-gaap_IncomeLossFromEquityMethodInvestments
Changes in operating assets and liabilities:      
Accrued interest receivable 1us-gaap_IncreaseDecreaseInAccruedInterestReceivableNet 347us-gaap_IncreaseDecreaseInAccruedInterestReceivableNet 26us-gaap_IncreaseDecreaseInAccruedInterestReceivableNet
Accounts receivable (54,739)us-gaap_IncreaseDecreaseInAccountsReceivable (15,017)us-gaap_IncreaseDecreaseInAccountsReceivable (11,120)us-gaap_IncreaseDecreaseInAccountsReceivable
Inventory 5,627us-gaap_IncreaseDecreaseInInventories (10,130)us-gaap_IncreaseDecreaseInInventories (31,152)us-gaap_IncreaseDecreaseInInventories
Prepaid expenses and other current assets (3,560)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets 39us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets 1,516us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
Accounts payable (6,866)us-gaap_IncreaseDecreaseInAccountsPayable (1,319)us-gaap_IncreaseDecreaseInAccountsPayable 18,903us-gaap_IncreaseDecreaseInAccountsPayable
Accrued expenses 24,058us-gaap_IncreaseDecreaseInAccruedLiabilities 31,192us-gaap_IncreaseDecreaseInAccruedLiabilities (40,160)us-gaap_IncreaseDecreaseInAccruedLiabilities
Deferred revenue 5,257us-gaap_IncreaseDecreaseInDeferredRevenue 3,854us-gaap_IncreaseDecreaseInDeferredRevenue 1,685us-gaap_IncreaseDecreaseInDeferredRevenue
Other liabilities 3,394us-gaap_IncreaseDecreaseInOtherOperatingLiabilities 1,335us-gaap_IncreaseDecreaseInOtherOperatingLiabilities (265)us-gaap_IncreaseDecreaseInOtherOperatingLiabilities
Net cash provided by operating activities 67,314us-gaap_NetCashProvidedByUsedInOperatingActivities 91,420us-gaap_NetCashProvidedByUsedInOperatingActivities 46,346us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash flows from investing activities:      
Purchases of available for sale securities 0us-gaap_PaymentsToAcquireAvailableForSaleSecuritiesDebt 0us-gaap_PaymentsToAcquireAvailableForSaleSecuritiesDebt (65,354)us-gaap_PaymentsToAcquireAvailableForSaleSecuritiesDebt
Proceeds from maturities and sales of available for sale securities 0us-gaap_ProceedsFromSaleAndMaturityOfAvailableForSaleSecurities 50,656us-gaap_ProceedsFromSaleAndMaturityOfAvailableForSaleSecurities 38,881us-gaap_ProceedsFromSaleAndMaturityOfAvailableForSaleSecurities
Purchases of fixed assets (7,289)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (13,574)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (1,005)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Payments for intangible assets (15,000)us-gaap_PaymentsToAcquireIntangibleAssets 0us-gaap_PaymentsToAcquireIntangibleAssets (36,678)us-gaap_PaymentsToAcquireIntangibleAssets
Other investments (3,625)us-gaap_PaymentsToAcquireEquityMethodInvestments 1,125us-gaap_PaymentsToAcquireEquityMethodInvestments (2,500)us-gaap_PaymentsToAcquireEquityMethodInvestments
Cash used for acquisitions, net (58,934)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired (542,579)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired 0us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Decrease in restricted cash 92us-gaap_IncreaseDecreaseInRestrictedCash 11us-gaap_IncreaseDecreaseInRestrictedCash 3,148us-gaap_IncreaseDecreaseInRestrictedCash
Net cash used in investing activities (84,756)us-gaap_NetCashProvidedByUsedInInvestingActivities (504,361)us-gaap_NetCashProvidedByUsedInInvestingActivities (63,508)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash flows from financing activities:      
Proceeds from issuances of common stock 17,343us-gaap_ProceedsFromIssuanceOfCommonStock 74,212us-gaap_ProceedsFromIssuanceOfCommonStock 22,935us-gaap_ProceedsFromIssuanceOfCommonStock
Proceeds from equity offering, net 0us-gaap_ProceedsFromIssuanceOrSaleOfEquity 189,600us-gaap_ProceedsFromIssuanceOrSaleOfEquity 0us-gaap_ProceedsFromIssuanceOrSaleOfEquity
Milestone payments to Rempex shareholders (9,953)mdco_PaymentsforMilestonePayment 0mdco_PaymentsforMilestonePayment 0mdco_PaymentsforMilestonePayment
Purchase of treasury stock 0us-gaap_PaymentsForRepurchaseOfCommonStock 0us-gaap_PaymentsForRepurchaseOfCommonStock (50,000)us-gaap_PaymentsForRepurchaseOfCommonStock
Proceeds from the issuance of convertible senior notes 0us-gaap_ProceedsFromConvertibleDebt 0us-gaap_ProceedsFromConvertibleDebt 275,000us-gaap_ProceedsFromConvertibleDebt
Proceeds from issuance of warrants 0us-gaap_ProceedsFromIssuanceOfWarrants 0us-gaap_ProceedsFromIssuanceOfWarrants 38,425us-gaap_ProceedsFromIssuanceOfWarrants
Purchase of convertible note hedge 0us-gaap_PaymentsForHedgeFinancingActivities 0us-gaap_PaymentsForHedgeFinancingActivities (58,223)us-gaap_PaymentsForHedgeFinancingActivities
Debt issuance costs 0us-gaap_PaymentsOfDebtIssuanceCosts 0us-gaap_PaymentsOfDebtIssuanceCosts (8,774)us-gaap_PaymentsOfDebtIssuanceCosts
Excess tax benefit from share-based compensation arrangements 1,443us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 7,675us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 1,558us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
Net cash provided by financing activities 8,833us-gaap_NetCashProvidedByUsedInFinancingActivities 271,487us-gaap_NetCashProvidedByUsedInFinancingActivities 220,921us-gaap_NetCashProvidedByUsedInFinancingActivities
Effect of exchange rate changes on cash 2,623us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents (1,265)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents 305us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
(Decrease) increase in cash and cash equivalents (5,986)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease (142,719)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 204,064us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of period 376,727us-gaap_CashAndCashEquivalentsAtCarryingValue 519,446us-gaap_CashAndCashEquivalentsAtCarryingValue 315,382us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of period 370,741us-gaap_CashAndCashEquivalentsAtCarryingValue 376,727us-gaap_CashAndCashEquivalentsAtCarryingValue 519,446us-gaap_CashAndCashEquivalentsAtCarryingValue
Supplemental disclosure of cash flow information:      
Taxes paid 1,371us-gaap_IncomeTaxesPaid 9,137us-gaap_IncomeTaxesPaid 1,709us-gaap_IncomeTaxesPaid
Interest paid $ 3,782us-gaap_InterestPaid $ 4,374us-gaap_InterestPaid $ 1,786us-gaap_InterestPaid