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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
OPERATING ACTIVITIES:      
Net income (loss) $ 34,004us-gaap_NetIncomeLoss $ (21,067)us-gaap_NetIncomeLoss $ 41,204us-gaap_NetIncomeLoss
Adjustments to reconcile net income (loss) to net cash provided by operating activities:      
Depreciation and amortization 61,128us-gaap_DepreciationDepletionAndAmortization 47,010us-gaap_DepreciationDepletionAndAmortization 52,611us-gaap_DepreciationDepletionAndAmortization
Non-cash impairment charges 790us-gaap_AssetImpairmentCharges 47,078us-gaap_AssetImpairmentCharges 0us-gaap_AssetImpairmentCharges
Deferred income tax provision (benefit) (964)us-gaap_DeferredIncomeTaxExpenseBenefit (13,145)us-gaap_DeferredIncomeTaxExpenseBenefit 1,537us-gaap_DeferredIncomeTaxExpenseBenefit
Share-based compensation 15,105us-gaap_ShareBasedCompensation 10,393us-gaap_ShareBasedCompensation 9,051us-gaap_ShareBasedCompensation
Amortization of debt issuance costs 2,571us-gaap_AmortizationOfFinancingCosts 2,298us-gaap_AmortizationOfFinancingCosts 2,725us-gaap_AmortizationOfFinancingCosts
Non-cash interest expense 7,104us-gaap_AccretionExpense 6,463us-gaap_AccretionExpense 8,520us-gaap_AccretionExpense
Payment of accreted interest 0iart_PaymentOfAccretedInterestCashFlow 0iart_PaymentOfAccretedInterestCashFlow (30,617)iart_PaymentOfAccretedInterestCashFlow
Loss on disposal of property and equipment 1,201us-gaap_GainLossOnDispositionOfAssets 1,965us-gaap_GainLossOnDispositionOfAssets 1,312us-gaap_GainLossOnDispositionOfAssets
Excess tax benefits from stock-based compensation arrangements (1,384)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities (270)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities (3,634)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
Change in fair value of contingent consideration (764)us-gaap_OtherNoncashIncomeExpense 0us-gaap_OtherNoncashIncomeExpense 0us-gaap_OtherNoncashIncomeExpense
Changes in assets and liabilities, net of business acquisitions:      
Accounts receivable (16,145)us-gaap_IncreaseDecreaseInAccountsReceivable (2,892)us-gaap_IncreaseDecreaseInAccountsReceivable 3,783us-gaap_IncreaseDecreaseInAccountsReceivable
Inventories (27,006)us-gaap_IncreaseDecreaseInInventories (35,505)us-gaap_IncreaseDecreaseInInventories (711)us-gaap_IncreaseDecreaseInInventories
Prepaid expenses and other current assets 8,070us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets 4,823us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets (3,067)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
Other non-current assets (1,744)us-gaap_IncreaseDecreaseInOtherOperatingAssets 441us-gaap_IncreaseDecreaseInOtherOperatingAssets (553)us-gaap_IncreaseDecreaseInOtherOperatingAssets
Accounts payable, accrued expenses and other current liabilities 2,427us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities 9,945us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities (21,071)us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
Deferred revenue 1,118us-gaap_IncreaseDecreaseInDeferredRevenue 697us-gaap_IncreaseDecreaseInDeferredRevenue (1,051)us-gaap_IncreaseDecreaseInDeferredRevenue
Other non-current liabilities (6,048)us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities (4,966)us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities (939)us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities
Net cash provided by operating activities 79,463us-gaap_NetCashProvidedByUsedInOperatingActivities 53,268us-gaap_NetCashProvidedByUsedInOperatingActivities 59,100us-gaap_NetCashProvidedByUsedInOperatingActivities
INVESTING ACTIVITIES:      
Cash used in business acquisitions, net of cash acquired (320,921)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired (2,980)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired (7,278)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Purchases of property and equipment (41,921)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (47,851)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (69,031)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Sales of property and equipment 0us-gaap_ProceedsFromSaleOfPropertyPlantAndEquipment 535us-gaap_ProceedsFromSaleOfPropertyPlantAndEquipment 0us-gaap_ProceedsFromSaleOfPropertyPlantAndEquipment
Purchases of short-term investments 0us-gaap_PaymentsToAcquireShortTermInvestments 0us-gaap_PaymentsToAcquireShortTermInvestments (67,907)us-gaap_PaymentsToAcquireShortTermInvestments
Maturities of short-term investments 0us-gaap_ProceedsFromSaleOfShortTermInvestments 0us-gaap_ProceedsFromSaleOfShortTermInvestments 64,940us-gaap_ProceedsFromSaleOfShortTermInvestments
Other changes in intangible assets (475)us-gaap_PaymentsForProceedsFromOtherInvestingActivities 0us-gaap_PaymentsForProceedsFromOtherInvestingActivities 0us-gaap_PaymentsForProceedsFromOtherInvestingActivities
Net cash used in investing activities (363,317)us-gaap_NetCashProvidedByUsedInInvestingActivities (50,296)us-gaap_NetCashProvidedByUsedInInvestingActivities (79,276)us-gaap_NetCashProvidedByUsedInInvestingActivities
FINANCING ACTIVITIES:      
Borrowings under senior credit facility 425,000us-gaap_ProceedsFromIssuanceOfSecuredDebt 30,000us-gaap_ProceedsFromIssuanceOfSecuredDebt 155,000us-gaap_ProceedsFromIssuanceOfSecuredDebt
Repayments under senior credit facility (195,000)us-gaap_RepaymentsOfSecuredDebt (165,000)us-gaap_RepaymentsOfSecuredDebt (12,812)us-gaap_RepaymentsOfSecuredDebt
Proceeds from the issuance of common stock, net of issuance costs 0us-gaap_ProceedsFromIssuanceOfCommonStock 152,458us-gaap_ProceedsFromIssuanceOfCommonStock 0us-gaap_ProceedsFromIssuanceOfCommonStock
Payment of liability component of convertible notes 0us-gaap_RepaymentsOfConvertibleDebt 0us-gaap_RepaymentsOfConvertibleDebt (134,383)us-gaap_RepaymentsOfConvertibleDebt
Payment of capital lease obligation (605)us-gaap_RepaymentsOfLongTermCapitalLeaseObligations 0us-gaap_RepaymentsOfLongTermCapitalLeaseObligations 0us-gaap_RepaymentsOfLongTermCapitalLeaseObligations
Debt issuance costs (3,210)us-gaap_PaymentsOfDebtIssuanceCosts (1,053)us-gaap_PaymentsOfDebtIssuanceCosts (385)us-gaap_PaymentsOfDebtIssuanceCosts
Proceeds from exercised stock options 15,215us-gaap_ProceedsFromStockOptionsExercised 2,344us-gaap_ProceedsFromStockOptionsExercised 696us-gaap_ProceedsFromStockOptionsExercised
Excess tax benefits from stock-based compensation arrangements 1,384us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 270us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 3,634us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
Net cash provided by financing activities 242,784us-gaap_NetCashProvidedByUsedInFinancingActivities 19,019us-gaap_NetCashProvidedByUsedInFinancingActivities 11,750us-gaap_NetCashProvidedByUsedInFinancingActivities
Effect of exchange rate changes on cash and cash equivalents (7,550)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents 1,685us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents 4,556us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Net increase (decrease) in cash and cash equivalents (48,620)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 23,676us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease (3,870)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of period 120,614us-gaap_CashAndCashEquivalentsAtCarryingValue 96,938us-gaap_CashAndCashEquivalentsAtCarryingValue 100,808us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of period $ 71,994us-gaap_CashAndCashEquivalentsAtCarryingValue $ 120,614us-gaap_CashAndCashEquivalentsAtCarryingValue $ 96,938us-gaap_CashAndCashEquivalentsAtCarryingValue