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Condensed Consolidated Statements of Cash Flows (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2014
Mar. 31, 2013
Cash flows from operating activities:    
Net (loss) income $ (2,508)us-gaap_NetIncomeLoss $ 3,447us-gaap_NetIncomeLoss
Adjustments to reconcile net (loss) income to net cash (used in) provided by operating activities:    
Depreciation and amortization 5,746us-gaap_DepreciationDepletionAndAmortization 5,067us-gaap_DepreciationDepletionAndAmortization
Amortization of debt costs 180us-gaap_AmortizationOfFinancingCosts 180us-gaap_AmortizationOfFinancingCosts
Amortization of exclusivity agreements 346ofix_AmortizationOfExclusivityAgreements 311ofix_AmortizationOfExclusivityAgreements
Provision for doubtful accounts 108us-gaap_ProvisionForDoubtfulAccounts 1,368us-gaap_ProvisionForDoubtfulAccounts
Deferred income taxes (246)us-gaap_DeferredIncomeTaxExpenseBenefit (6)us-gaap_DeferredIncomeTaxExpenseBenefit
Share-based compensation 1,187us-gaap_ShareBasedCompensation 1,943us-gaap_ShareBasedCompensation
Excess income tax benefit on employee stock-based compensation (29)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities (78)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
Other 14us-gaap_OtherNoncashIncomeExpense 421us-gaap_OtherNoncashIncomeExpense
Change in operating assets and liabilities:    
Trade accounts receivable (2,607)us-gaap_IncreaseDecreaseInAccountsReceivable 9,665us-gaap_IncreaseDecreaseInAccountsReceivable
Inventories 2,487us-gaap_IncreaseDecreaseInInventories (2,106)us-gaap_IncreaseDecreaseInInventories
Prepaid expenses and other current assets (3,464)ofix_IncreaseDecreaseInPrepaidExpenseAndOtherCurrentAssets 4,843ofix_IncreaseDecreaseInPrepaidExpenseAndOtherCurrentAssets
Trade accounts payable (6,670)us-gaap_IncreaseDecreaseInAccountsPayable (7,247)us-gaap_IncreaseDecreaseInAccountsPayable
Other current liabilities (4,606)us-gaap_IncreaseDecreaseInOtherCurrentLiabilities (162)us-gaap_IncreaseDecreaseInOtherCurrentLiabilities
Long-term assets 130us-gaap_IncreaseDecreaseInOtherNoncurrentAssets (1,553)us-gaap_IncreaseDecreaseInOtherNoncurrentAssets
Long-term liabilities (280)us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities (1,039)us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities
Net cash (used in) provided by operating activities (10,212)us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations 15,054us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
Cash flows from investing activities:    
Capital expenditures for property, plant and equipment (3,691)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (6,029)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Capital expenditures for intangible assets (46)us-gaap_PaymentsToAcquireIntangibleAssets (44)us-gaap_PaymentsToAcquireIntangibleAssets
Sale of other investments 32us-gaap_ProceedsFromSaleOfOtherInvestments (506)us-gaap_ProceedsFromSaleOfOtherInvestments
Net cash used in investing activities (3,705)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations (6,579)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
Cash flows from financing activities:    
Net proceeds from issuance of common shares 5,542us-gaap_ProceedsFromIssuanceOfCommonStock 2,143us-gaap_ProceedsFromIssuanceOfCommonStock
Repayment of bank borrowings, net   (15)us-gaap_ProceedsFromRepaymentsOfShortTermDebt
Changes in restricted cash 4,502us-gaap_ProceedsFromRepaymentsOfRestrictedCashFinancingActivities (8,141)us-gaap_ProceedsFromRepaymentsOfRestrictedCashFinancingActivities
Excess income tax benefit on employee stock-based awards 29us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 78us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
Net cash provided by (used in) financing activities 10,073us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations (5,935)us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
Effect of exchange rate changes on cash 37us-gaap_EffectOfExchangeRateOnCashAndCashEquivalentsContinuingOperations (433)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalentsContinuingOperations
Net (decrease) increase in cash and cash equivalents (3,807)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 2,107us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at the beginning of the period 28,924us-gaap_CashAndCashEquivalentsAtCarryingValue 30,767us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at the end of the period $ 25,117us-gaap_CashAndCashEquivalentsAtCarryingValue [1] $ 32,874us-gaap_CashAndCashEquivalentsAtCarryingValue
[1] Unaudited