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Segments (Tables)
9 Months Ended
Sep. 30, 2012
Segments [Abstract]  
Schedule of Segment Reporting Information, by Segment [Table Text Block]
For the three months and nine months ended September 30, 2012 and 2011, the contributions of our segments to net revenues and income from operations, and the reconciliation to total net income, were as follows (amounts in thousands):
    
 
Three Months Ended September 30,
 
Three Months Ended September 30,
 
2012
 
2011
 
Acute Care
 
Non-Acute Care (1)
 
Total
 
Acute Care
 
Total
Net revenues from external customers
$
64,394

 
$
19,937

 
$
84,331

 
$
64,439

 
$
64,439

Cost of revenues
26,920

 
11,324

 
38,244

 
29,991

 
29,991

Gross profit
$
37,474

 
$
8,613

 
$
46,087

 
$
34,448

 
$
34,448

Gross margin %
58.2
%
 
43.2
%
 
54.7
%
 
53.5
%
 
53.5
%
 
 
 
 
 
 
 
 
 
 
Operating expenses
29,070

 
5,791

 
34,861

 
29,654

 
29,654

Income from operations
$
8,404

 
$
2,822

 
$
11,226

 
$
4,794

 
$
4,794

Operating margin %
13.1
%
 
14.2
%
 
13.3
%
 
7.4
%
 
7.4
%
 
 
 
 
 
 
 
 
 
 
Interest and other income (expense), net
 
 
 
 
34

 
 
 
(191
)
Income before provision for income taxes
 
 
 
 
11,260

 
 
 
4,603

Provision for income taxes
 
 
 
 
4,340

 
 
 
1,609

Net income
 
 
 
 
$
6,920

 
 
 
$
2,994

 
 
 
 
 
 
 
 
 
 

 
Nine Months Ended September 30,
 
Nine Months Ended September 30,
 
2012
 
2011
 
Acute Care
 
Non-Acute Care (1)
 
Total
 
Acute Care
 
Total
Net revenues from external customers
$
191,294

 
$
32,564

 
$
223,858

 
$
182,604

 
$
182,604

Cost of revenues
82,858

 
19,788

 
102,646

 
82,699

 
82,699

Gross profit
$
108,436

 
$
12,776

 
$
121,212

 
$
99,905

 
$
99,905

Gross margin %
56.7
%
 
39.2
%
 
54.1
%
 
54.7
%
 
54.7
%
 
 
 
 
 
 
 
 
 
 
Operating expenses
94,167

 
9,753

 
103,920

 
89,852

 
89,852

Income from operations
$
14,269

 
$
3,023

 
$
17,292

 
$
10,053

 
$
10,053

Operating margin %
7.5
%
 
9.3
%
 
7.7
%
 
5.5
%
 
5.5
%
 
 
 
 
 
 
 
 
 
 
Interest and other income (expense), net
 
 
 
 
57

 
 
 
(66
)
Income before provision for income taxes
 
 
 
 
17,349

 
 
 
9,987

Provision for income taxes
 
 
 
 
6,703

 
 
 
3,736

Net income
 
 
 
 
$
10,646

 
 
 
$
6,251

 
 
 
 
 
 
 
 
 
 
(1) Non-Acute Care segment includes MTS results from May 21, 2012, the date of acquisition.
 
 
 
 
 
 
 
 
 

For the nine months ended September 30, 2012, the Non-Acute Care cost of revenues included $1.7 million of acquisition-related charges primarily associated with the step-up to the estimated fair value of inventory acquired from MTS and consumed in the normal manufacturing cycle of our business. The Non-Acute Care operating expenses included $0.9 million of acquisition-related charges primarily associated with severance expenses. For the nine months ended September 30, 2012, the Acute Care operating expenses included $2.3 million of acquisition-related charges for transaction costs, required to be expensed under ASC 805 Business Combinations. As of September 30, 2012, we have not assigned assets to our operating segments.