10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

(Mark One)

x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended March 31, 2012

OR

¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from             to             

COMMISSION FILE NUMBER 001-16789

ALERE INC.

(Exact name of registrant as specified in its charter)

DELAWARE	04-3565120
(State or other jurisdiction of incorporation or organization)	(I.R.S. Employer Identification No.)

51 SAWYER ROAD, SUITE 200

WALTHAM, MASSACHUSETTS 02453

(Address of principal executive offices)(Zip code)

(781) 647-3900

(Registrant’s telephone number, including area code)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  x    No  ¨

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes  x    No  ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer	x	Accelerated filer	¨
Non-accelerated filer	¨  (Do not check if a smaller reporting company)	Smaller reporting company	¨

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  ¨    No  x

The number of shares outstanding of the registrant’s common stock, par value of $0.001 per share, as of May 7, 2012 was 80,369,516.

ALERE INC.

REPORT ON FORM 10-Q

For the Quarterly Period Ended March 31, 2012

This Quarterly Report on Form 10-Q contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Readers can identify these statements by forward-looking words such as “may,” “could,” “should,” “would,” “intend,” “will,” “expect,” “anticipate,” “believe,” “estimate,” “continue” or similar words. A number of important factors could cause actual results of Alere Inc. and its subsidiaries to differ materially from those indicated by such forward-looking statements. These factors include, but are not limited to, the risk factors detailed in Part I, Item 1A, “Risk Factors,” of our Annual Report on Form 10-K for the fiscal year ended December 31, 2011 and other risk factors identified herein or from time to time in our periodic filings with the Securities and Exchange Commission. Readers should carefully review these risk factors, and should not place undue reliance on our forward-looking statements. These forward-looking statements are based on information, plans and estimates at the date of this report. We undertake no obligation to update any forward-looking statements to reflect changes in underlying assumptions or factors, new information, future events or other changes.

Unless the context requires otherwise, references in this Quarterly Report on Form 10-Q to “we,” “us” and “our” refer to Alere Inc. and its subsidiaries.

TABLE OF CONTENTS

	PAGE
PART I. FINANCIAL INFORMATION		3
Item 1. Unaudited Financial Statements		3
a) Consolidated Statements of Operations for the Three Months Ended March 31, 2012 and 2011		3
b) Consolidated Statements of Comprehensive Income for the Three Months Ended March 31, 2012 and 2011		4
c) Consolidated Balance Sheets as of March 31, 2012 and December 31, 2011		5
d) Consolidated Statements of Cash Flows for the Three Months Ended March 31, 2012 and 2011		6
e) Notes to Consolidated Financial Statements		7
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations		31
Item 3. Quantitative and Qualitative Disclosures About Market Risk		38
Item 4. Controls and Procedures		40
PART II. OTHER INFORMATION		40
Item 1. Legal Proceedings		40
Item 1A. Risk Factors		40
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds		40
Item 6. Exhibits		41
SIGNATURES		42

2

PART I — FINANCIAL INFORMATION

ITEM 1. FINANCIAL STATEMENTS

ALERE INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS

(unaudited)

(in thousands, except per share amounts)

	Three Months Ended March 31,
	2012			2011
Net product sales	$	475,787		$	407,243
Services revenue		192,434			167,552
Net product sales and services revenue		668,221			574,795
License and royalty revenue		2,908			7,669
Net revenue		671,129			582,464
Cost of net product sales		225,554			189,687
Cost of services revenue		90,860			84,716
Cost of net product sales and services revenue		316,414			274,403
Cost of license and royalty revenue		1,644			1,854
Cost of net revenue		318,058			276,257
Gross profit		353,071			306,207
Operating expenses:
Research and development		39,000			36,542
Sales and marketing		158,578			133,209
General and administrative		120,435			105,551
Total operating expenses		318,013			275,302
Operating income		35,058			30,905
Interest expense, including amortization of original issue discounts and deferred financing costs		(50,727	)		(38,305	)
Other income (expense), net		11,831			2,336
Loss before benefit for income taxes		(3,838	)		(5,064	)
Benefit for income taxes		(1,455	)		(4,330	)
Loss before equity earnings of unconsolidated entities, net of tax		(2,383	)		(734	)
Equity earnings of unconsolidated entities, net of tax		3,412			1,011
Net income		1,029			277
Less: Net income (loss) attributable to non-controlling interests		(185	)		62
Net income attributable to Alere Inc. and Subsidiaries		1,214			215
Preferred stock dividends		(5,309	)		(5,809	)
Preferred stock repurchase		—			13,688
Net income (loss) available to common stockholders	$	(4,095	)	$	8,094
Basic net income (loss) per common share attributable to Alere Inc. and Subsidiaries:	$	(0.05	)	$	0.09
Diluted net income (loss) per common share attributable to Alere Inc. and Subsidiaries:	$	(0.05	)	$	0.09
Weighted-average shares-basic		80,240			85,362
Weighted-average shares-diluted		80,240			86,953

The accompanying notes are an integral part of these consolidated financial statements.

3

ALERE INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(unaudited)

(in thousands)

	Three Months Ended March 31,
	2012			2011
Net income	$	1,029		$	277
Other comprehensive income, before tax:
Changes in cumulative translation adjustment		35,939			21,515
Unrealized gains (losses) on available for sale securities		431			(215	)
Unrealized gains on hedging instruments		1,107			1,617
Minimum pension liability adjustment		(165	)		(38	)
Other comprehensive income, before tax		37,312			22,879
Income tax provision (benefit) related to items of other comprehensive income		(41	)		619
Other comprehensive income, net of tax		37,353			22,260
Comprehensive income		38,382			22,537
Less: Comprehensive income (loss) attributable to non-controlling interests		(185	)		62
Comprehensive income attributable to Alere Inc. and Subsidiaries	$	38,567		$	22,475

The accompanying notes are an integral part of these consolidated financial statements.

4

ALERE INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(unaudited)

(in thousands, except par value)

	March 31, 2012			December 31, 2011
ASSETS
Current assets:
Cash and cash equivalents	$	514,097		$	299,173
Restricted cash		2,684			8,987
Marketable securities		1,092			1,086
Accounts receivable, net of allowances of $29,021 and $24,577 at March 31, 2012 and December 31, 2011, respectively		489,262			475,824
Inventories, net		309,921			320,269
Deferred tax assets		40,790			42,975
Receivable from joint venture, net		2,137			2,503
Prepaid expenses and other current assets		136,572			142,910
Total current assets		1,496,555			1,293,727
Property, plant and equipment, net		506,507			491,205
Goodwill		2,835,171			2,821,271
Other intangible assets with indefinite lives		72,434			69,546
Finite-lived intangible assets, net		1,756,233			1,785,925
Deferred financing costs, net, and other non-current assets		107,148			97,786
Receivable from joint venture, net of current portion		15,977			15,455
Investments in unconsolidated entities		85,392			85,138
Marketable securities		2,684			2,254
Deferred tax assets		11,180			10,394
Total assets	$	6,889,281		$	6,672,701
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt	$	62,932		$	61,092
Current portion of capital lease obligations		5,796			6,083
Short-term debt		—			6,240
Accounts payable		139,523			155,464
Accrued expenses and other current liabilities		397,449			395,573
Total current liabilities		605,700			624,452
Long-term liabilities:
Long-term debt, net of current portion		3,453,583			3,267,451
Capital lease obligations, net of current portion		11,726			12,629
Deferred tax liabilities		371,190			380,700
Other long-term liabilities		168,301			153,398
Total long-term liabilities		4,004,800			3,814,178
Commitments and contingencies (Note 16)
Redeemable non-controlling interest		2,448			2,497
Stockholders’ equity:
Series B preferred stock, $0.001 par value (liquidation preference: $709,763 at March 31, 2012 and December 31, 2011); Authorized: 2,300 shares; Issued: 2,065 shares at March 31, 2012 and December 31, 2011; Outstanding: 1,774 shares at March 31, 2012 and December 31, 2011		606,468			606,468
Common stock, $0.001 par value; Authorized: 200,000 shares; Issued: 88,025 shares at March 31, 2012 and 87,647 shares at December 31, 2011; Outstanding: 80,346 shares at March 31, 2012 and 79,968 shares at December 31, 2011		88			88
Additional paid-in capital		3,331,039			3,324,710
Accumulated deficit		(1,485,577	)		(1,486,791	)
Treasury stock, at cost, 7,679 shares at March 31, 2012 and December 31, 2011		(184,971	)		(184,971	)
Accumulated other comprehensive income (loss)		7,083			(30,270	)
Total stockholders’ equity		2,274,130			2,229,234
Non-controlling interests		2,203			2,340
Total equity		2,276,333			2,231,574
Total liabilities and equity	$	6,889,281		$	6,672,701

The accompanying notes are an integral part of these consolidated financial statements.

5

ALERE INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

(in thousands)

	Three Months Ended March31,
	2012			2011
Cash Flows from Operating Activities:
Net income	$	1,029		$	277
Adjustments to reconcile net income to net cash provided by operating activities:
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs		5,278			3,603
Depreciation and amortization		107,402			94,975
Non-cash stock-based compensation expense		3,874			5,808
Impairment of inventory		5			294
Impairment of long-lived assets		134			230
Impairment of intangible assets		—			2,935
Loss on sale of fixed assets		566			479
Gain on sales of marketable securities		—			(333	)
Equity earnings of unconsolidated entities, net of tax		(3,412	)		(1,011	)
Deferred income taxes		(13,752	)		(13,238	)
Other non-cash items		—			1,606
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net		(12,942	)		(5,339	)
Inventories, net		9,351			11,063
Prepaid expenses and other current assets		3,521			(24,473	)
Accounts payable		(17,806	)		(5,935	)
Accrued expenses and other current liabilities		3,985			14,795
Other non-current liabilities		14,697			1,424
Net cash provided by operating activities		101,930			87,160
Cash Flows from Investing Activities:
Decrease in restricted cash		6,302			3
Purchases of property, plant and equipment		(30,385	)		(28,944	)
Proceeds from sale of property, plant and equipment		527			204
Proceeds from disposition of business		—			11,490
Cash paid for acquisitions, net of cash acquired		(38,008	)		(94,899	)
Cash received from equity method investment		6,066			—
Cash received (paid) for marketable securities		(2	)		6,982
Increase in other assets		(8,554	)		(12,102	)
Net cash used in investing activities		(64,054	)		(117,266	)
Cash Flows from Financing Activities:
Cash paid for financing costs		(1,876	)		(80	)
Cash paid for contingent purchase price consideration		(48	)		(13,222	)
Proceeds from issuance of common stock, net of issuance costs		7,674			11,824
Repurchase of preferred stock		—			(49,380	)
Proceeds from long-term debt		199,141			937
Payments on long-term debt		(16,911	)		(3,600	)
Net proceeds under revolving credit facilities		1,339			133
Payments on short-term debt		(6,240	)		—
Repurchase of common stock		—			(618	)
Cash paid for dividends		(5,323	)		—
Excess tax benefits on exercised stock options		148			1,169
Principal payments on capital lease obligations		(1,720	)		(653	)
Other		—			(244	)
Net cash provided by (used in) financing activities		176,184			(53,734	)
Foreign exchange effect on cash and cash equivalents		864			1,200
Net increase (decrease) in cash and cash equivalents		214,924			(82,640	)
Cash and cash equivalents, beginning of period		299,173			401,306
Cash and cash equivalents, end of period	$	514,097		$	318,666

The accompanying notes are an integral part of these consolidated financial statements.

6

ALERE INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

(1) Basis of Presentation of Financial Information

The accompanying consolidated financial statements of Alere Inc. are unaudited. In the opinion of management, the unaudited consolidated financial statements contain all adjustments considered normal and recurring and necessary for their fair statement. Interim results are not necessarily indicative of results to be expected for the year. These interim financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America for interim financial information and in accordance with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, these consolidated financial statements do not include all of the information and footnotes necessary for a complete presentation of financial position, results of operations, comprehensive income and cash flows. Our audited consolidated financial statements for the year ended December 31, 2011 included information and footnotes necessary for such presentation and were included in our Annual Report on Form 10-K filed with the Securities and Exchange Commission, or SEC, on February 29, 2012. These unaudited consolidated financial statements should be read in conjunction with our audited consolidated financial statements and notes thereto for the year ended December 31, 2011.

Certain reclassifications of prior period amounts have been made to conform to current period presentation. These reclassifications had no effect on net income or equity.

Certain amounts presented may not recalculate directly, due to rounding.

(2) Cash and Cash Equivalents

We consider all highly-liquid cash investments with original maturities of three months or less at the date of acquisition to be cash equivalents. At March 31, 2012, our cash equivalents consisted of money market funds.

(3) Inventories

Inventories are stated at the lower of cost (first in, first out) or market and are comprised of the following (in thousands):

	March 31, 2012		December 31, 2011
Raw materials	$	97,263	$	92,844
Work-in-process		68,847		72,939
Finished goods		143,811		154,486
	$	309,921	$	320,269

(4) Stock-based Compensation

We recorded stock-based compensation expense in our consolidated statements of operations for the three months ended March 31, 2012 and 2011, respectively, as follows (in thousands):

	Three Months Ended March 31,
	2012			2011
Cost of net revenue	$	269		$	350
Research and development		771			945
Sales and marketing		917			959
General and administrative		1,917			3,554
		3,874			5,808
Benefit for income taxes		(541	)		(1,286	)
	$	3,333		$	4,522

7

(5) Net Income (Loss) per Common Share

The following table sets forth the computation of basic and diluted net income (loss) per common share for the periods presented (in thousands, except per share data):

	Three Months Ended March 31,
	2012			2011
Numerator:
Net income	$	1,029		$	277
Preferred stock dividends		(5,309	)		(5,809	)
Preferred stock repurchase		—			13,688
Less: Net income (loss) attributable to non-controlling interest		(185	)		62
Net income (loss) available to common stockholders	$	(4,095	)	$	8,094
Denominator:
Weighted-average common shares outstanding — basic		80,240			85,362
Effect of dilutive securities:
Stock options		—			1,348
Warrants		—			136
Potentially issuable shares of common stock associated with contingent consideration arrangements		—			107
Weighted-average common shares outstanding — diluted		80,240			86,953
Basic net income (loss) per common share attributable to Alere Inc. and Subsidiaries	$	(0.05	)	$	0.09
Diluted net income (loss) per common share attributable to Alere Inc. and Subsidiaries	$	(0.05	)	$	0.09

For the three months ended March 31, 2012 and 2011, anti-dilutive shares of 13,966 and 14,877, respectively, were excluded from the computations of diluted net income (loss) per common share.

(6) Preferred Stock

For the three months ended March 31, 2012 and 2011, Series B preferred stock dividends amounted to $5.3 million and $5.8 million, respectively, which reduced earnings available to common stockholders for purposes of calculating net income (loss) per common share for each of the respective periods. As of April 16, 2012, payments have been made covering all dividend periods through March 31, 2012.

The Series B preferred stock dividends for the three months ended March 31, 2012 were paid in cash. The Series B preferred stock dividends for the three months ended March 31, 2011 were paid in additional shares of Series B preferred stock.

During the first quarter of 2011, we repurchased in the open market and privately-negotiated transactions 183,000 shares of our Series B preferred stock, which were convertible into approximately 1.1 million shares of our common stock, at a cost of approximately $49.4 million, which we paid in cash. The repurchase of the preferred stock at an average cost of $269.84 per preferred share, an amount less than the weighted average fair value of the preferred shares at issuance, resulted in the allocation of $13.7 million of income attributable to common shareholders.

(7) Stockholders’ Equity and Non-controlling Interests

A summary of the changes in stockholders’ equity and non-controlling interests comprising total equity for the three months ended March 31, 2012 and 2011 is provided below (in thousands):

	Three Months Ended March 31,
	2012									2011
	Total Stockholders’ Equity			Non- controlling Interests			Total Equity			Total Stockholders’ Equity			Non- controlling Interests		Total Equity
Equity, beginning of period	$	2,229,234		$	2,340		$	2,231,574		$	2,575,038		$	2,688	$	2,577,726
Issuance of common stock and warrants in connection with acquisitions		—			—			—			1,000			—		1,000
Exercise of common stock options, warrants and shares issued under employee stock purchase plan		7,674			—			7,674			11,824			—		11,824
Repurchase of common stock		—			—			—			(618	)		—		(618	)
Repurchase of preferred stock		—			—			—			(49,380	)		—		(49,380	)
Preferred stock dividends		(5,323	)		—			(5,323	)		(33	)		—		(33	)
Stock-based compensation related to grants of common stock options		3,874			—			3,874			5,808			—		5,808
Excess tax benefits on exercised stock options		104			—			104			1,169			—		1,169
Net income (loss)		1,214			(137	)		1,077			215			62		277
Total other comprehensive income		37,353			—			37,353			22,260			—		22,260
Equity, end of period	$	2,274,130		$	2,203		$	2,276,333		$	2,567,283		$	2,750	$	2,570,033

8

A summary of the changes in redeemable non-controlling interest recorded in the mezzanine section of the balance sheet for the three months ended March 31, 2012 is provided below. There was no redeemable non-controlling interest during the three months ended March 31, 2011 (in thousands):

	Three Months Ended March  31, 2012
Redeemable non-controlling interest, beginning of period	$	2,497
Net loss		(49	)
Redeemable non-controlling interest, end of period	$	2,448

(8) Business Combinations

Acquisitions are accounted for using the acquisition method and the acquired companies’ results have been included in the accompanying consolidated financial statements from their respective dates of acquisition. During the three months ended March 31, 2012 and 2011, we expensed acquisition-related costs of $1.5 million and $1.9 million, respectively, in general and administrative expense.

Our business acquisitions have historically been made at prices above the fair value of the acquired net assets, resulting in goodwill, based on our expectations of synergies by combining the businesses. These synergies include elimination of redundant facilities, functions and staffing; use of our existing commercial infrastructure to expand sales of the acquired businesses’ products; and use of the commercial infrastructure of the acquired businesses to cost-effectively expand product sales.

Net assets acquired are recorded at their fair value and are subject to adjustment upon finalization of the fair value analysis. We are not aware of any information that indicates the final fair value analysis will differ materially from the preliminary estimates. Determination of the estimated useful lives of the individual categories of intangible assets was based on the nature of the applicable intangible asset and the expected future cash flows to be derived from the intangible asset. Amortization of intangible assets with finite lives is recognized over the shorter of the respective lives of the agreement or the period of time the assets are expected to contribute to future cash flows. We amortize our finite-lived intangible assets based on patterns on which the respective economic benefits are expected to be realized.

(a) Acquisitions in 2012

During the three months ended March 31, 2012, we acquired the following businesses for a preliminary aggregate purchase price of $32.8 million, which included cash payments totaling $31.8 million and a contingent consideration obligation with an aggregate acquisition date fair value of $1.0 million.

• Reatrol Comercializacao De Produtos De Saude, LDA, subsequently renamed Alere Lda, located in Vila Nova de Gaia, Portugal, a distributor of products for drugs of abuse testing (Acquired January 2012)

• Kullgren Holding AB, or Kullgren, located in Gensta, Sweden, a company that manufactures and distributes high quality intimacy and pharmaceutical products (Acquired February 2012)

• Wellogic ME FZ-LLC, or Wellogic UAE, located in Dubai, United Arab Emirates, a company that provides development services to Alere Wellogic, LLC, which acquired the assets of Method Factory, Inc. (d/b/a Wellogic), or Wellogic, in December 2011 (Acquired February 2012)

• certain assets, primarily including customer and patient lists, of AmMed Direct LLC, or AmMed, located near Nashville, Tennessee, a privately-owned mail-order provider of home-diabetes testing products and supplies (Acquired March 2012)

The operating results of Alere Lda and AmMed are included in our professional diagnostics reporting unit and business segment. The operating results of Wellogic UAE are included in our health management reporting unit and business segment. The operating results of Kullgren are included in our consumer diagnostics reporting unit and business segment.

Our consolidated statement of operations for the three months ended March 31, 2012 included revenue totaling approximately $1.4 million related to these businesses. Goodwill has been recognized in all of the acquisitions and amounted to approximately $10.2 million. Goodwill related to the acquisition of AmMed, which totaled $7.5 million, is deductible for tax purposes. The goodwill related to the remaining 2012 acquisitions is not expected to be deductible for tax purposes.

9

A summary of the preliminary fair values of the net assets acquired for the acquisitions consummated in 2012 is as follows (in thousands):

Current assets (1)	$	2,112
Property, plant and equipment		1,610
Goodwill		10,185
Intangible assets		26,862
Total assets acquired		40,769
Current liabilities		1,671
Non-current liabilities		6,330
Total liabilities assumed		8,001
Net assets acquired		32,768
Less:
Contingent consideration		1,000
Cash paid	$	31,768

(1) Includes cash acquired of approximately $0.5 million.

The following are the intangible assets acquired and their respective fair values and weighted-average useful lives (dollars in thousands):

	Amount		Weighted- Average Useful Life
Core technology and patents	$	8,403		21.0 years
Trademarks and trade names		530		2.0 years
Customer relationships		17,929		7.6 years
Total intangible assets	$	26,862

(b) Acquisitions in 2011

During 2011, we acquired the following businesses for a preliminary aggregate purchase price of $787.3 million, which included cash payments totaling $603.7 million, 831,915 shares of our common stock with an acquisition date fair value of $16.2 million, a previously-held investment with a fair value totaling $113.2 million, contingent consideration obligations with an aggregate acquisition date fair value of $48.7 million and deferred purchase price consideration with an acquisition date fair value of $4.2 million.

• 90% interest in BioNote, Inc., or BioNote, headquartered in South Korea, a manufacturer of diagnostic products for the veterinary industry (Acquired January 2011). We previously owned a 10% interest in BioNote.

• assets, including domain name, of Pregnancy.org, LLC, or Pregnancy.org, a U.S.-based company providing a website for preconception, pregnancy and newborn care content, tools and sharing (Acquired January 2011)

• Home Telehealth Limited, subsequently renamed Alere Connected Health Limited, or Alere Connected Health, located in Cardiff, Wales, a company that focuses on delivering integrated, comprehensive services and programs to health and social care providers and insurers (Acquired February 2011)

• Bioeasy Diagnostica Ltda., or Bioeasy, located in Belo Horizonte, Brazil, a company that markets and sells rapid diagnostic tests and systems for laboratory diagnosis, prevention and monitoring of immunological diseases and fertility (Acquired March 2011)

• 80.92% interest in Standing Stone, Inc., or Standing Stone, located in Westport, Connecticut, a company that focuses on disease state management by enhancing the quality of care provided to patients who require long-term therapy for chronic disease management (Acquired May 2011)

• certain assets, rights, liabilities and properties of Drug Detection Devices, Inc., or 3DL, located in Alpharetta, Georgia, a distributor that promotes, markets, distributes and sells drugs of abuse diagnostic products, including consumables, point-of-care diagnostic kits and related products and services (Acquired July 2011)

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• Colibri Medical AB, or Colibri, located in Helsingborg, Sweden, a distributor of point-of-care drugs of abuse diagnostic products primarily to the Scandinavian marketplace (Acquired July 2011)

• Laboratory Data Systems, Inc., or LDS, located in Tampa, Florida, a provider of healthcare software products, services, consulting and solutions (Acquired August 2011)

• certain assets, liabilities and properties of Abatek Medical LLC, or Abatek, located in Dover, New Hampshire, a distributor that promotes, markets, distributes and sells drugs of abuse diagnostic products, including consumables, point-of-care diagnostic kits and related products and services (Acquired September 2011)

• Forensics Limited, or ROAR, located in Worcestershire, United Kingdom, a company that provides forensic quality toxicology services across the United Kingdom (Acquired September 2011)

• Mahsan Diagnostika Vertriebsgesellschaft mbH, or Mahsan, located in Reinbek, Germany, a distributor of in vitro diagnostic drugs of abuse products primarily to the German marketplace (Acquired October 2011)

• Avee Laboratories Inc. and related companies, which we refer to collectively as Avee, located in Tampa, Florida, a privately-owned provider of drug testing services in the field of pain management (Acquired October 2011)

• Medical Automation Systems Inc., or MAS, located in Charlottesville, Virginia, a provider of network-based software solutions for point-of-care testing (Acquired October 2011)

• Axis-Shield plc, or Axis-Shield, located in Dundee, Scotland, a U.K. publicly traded company focused on the development and manufacture of in vitro diagnostic tests for use in clinical laboratories and at the point of care (Acquired November 2011)

• certain assets and properties of 1 Medical Distribution, Inc., or 1 Medical, located in Worthington, Ohio, a distributor that promotes, markets, distributes and sells drugs of abuse diagnostic products, including consumables, point-of-care diagnostic kits and related products and services (Acquired November 2011)

• Arriva Medical LLC, or Arriva, located in Coral Springs, Florida, a privately-owned mail-order provider of home-diabetes testing products and supplies (Acquired November 2011)

• Wellogic, headquartered in Waltham, Massachusetts, a provider of software solutions designed to connect the healthcare community (Acquired December 2011)

The operating results of BioNote, Bioeasy, 3DL, Colibri, LDS, Abatek, ROAR, Mahsan, Avee, MAS, Axis-Shield, 1 Medical and Arriva are included in our professional diagnostics reporting unit and business segment. The operating results of Pregnancy.org, Alere Connected Health, Standing Stone and Wellogic are included in our health management reporting unit and business segment.

Our consolidated statement of operations for the three months ended March 31, 2011 included revenue totaling approximately $3.0 million related to these businesses. Goodwill has been recognized in all of the acquisitions, with the exception of 1 Medical, and amounted to approximately $358.1 million. Goodwill related to the acquisitions of Pregnancy.org, 3DL, Abatek, LDS and Wellogic, which totaled $32.3 million, is expected to be deductible for tax purposes. The goodwill related to the remaining 2011 acquisitions is not expected to be deductible for tax purposes.

A summary of the preliminary fair values of the net assets acquired for the acquisitions consummated in 2011 is as follows (in thousands):

Current assets (1)	$	135,635
Property, plant and equipment		68,473
Goodwill		358,106
Intangible assets		416,624
Other non-current assets		27,679
Total assets acquired		1,006,517
Current liabilities		89,208
Non-current liabilities		129,962
Total liabilities assumed		219,170
Net assets acquired		787,347
Less:
Fair value of previously-held equity investment		113,168
Contingent consideration		48,685
Fair value of common stock issued		16,183
Loan forgiveness		1,489
Deferred purchase price consideration		4,170
Cash paid	$	603,652

(1) Includes cash acquired of approximately $23.2 million.

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The following are the intangible assets acquired and their respective fair values and weighted-average useful lives (dollars in thousands):

	Amount		Weighted- Average Useful Life
Core technology and patents	$	76,659		10.1 years
Database		64		3.0 years
Trademarks and trade names		14,197		10.1 years
Customer relationships		243,725		12.3 years
Non-compete agreements		8,306		5.3 years
Software		7,400		10.9 years
Other		7,767		15.6 years
In-process research and development		58,506		N/A
Total intangible assets	$	416,624

(c) Restructuring Plans of Acquisitions

In connection with several of our acquisitions consummated during 2008 and prior, we initiated integration plans to consolidate and restructure certain functions and operations, including the costs associated with the termination of certain personnel of these acquired entities and the closure of certain of the acquired entities’ leased facilities. These costs have been recognized as liabilities assumed in connection with the acquisition of these entities and are subject to potential adjustments as certain exit activities are refined. The following table summarizes the liabilities established for exit activities related to these acquisitions and the total exit costs incurred since inception of each plan (in thousands):

	Balance at December 31, 2011		Adjustments to the Reserve (1)			Amounts Paid			Balance at March  31, 2012		Exit Costs Since Inception
Acquisition of Matria Healthcare Inc.:
Severance-related costs	$	68	$	—		$	—		$	68	$	13,664
Facility costs		395		(111	)		(36	)		248		4,674
Total costs for Matria Healthcare Inc.		463		(111	)		(36	)		316		18,338
Acquisition of Cholestech Corporation:
Severance-related costs		—		—			—			—		5,845
Facility costs		1,304		—			(55	)		1,249		2,732
Total costs for Cholestech Corporation		1,304		—			(55	)		1,249		8,577
Total costs for all plans	$	1,767	$	(111	)	$	(91	)	$	1,565	$	26,915

(1) These adjustments resulted in a change in the aggregate purchase price and related goodwill for each related acquisition.

Of the total $1.6 million liability outstanding as of March 31, 2012, $0.5 million is included in accrued expenses and other current liabilities and $1.1 million is included in other long-term liabilities.

Although we believe our plans and estimated exit costs for our acquisitions are reasonable, actual spending for exit activities may differ from current estimated exit costs.

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(9) Restructuring Plans

The following table sets forth aggregate restructuring charges recorded in our consolidated statements of operations for the three months ended March 31, 2012 and 2011 (in thousands):

	Three Months Ended March  31,
Statement of Operations Caption	2012		2011
Cost of net revenue	$	964	$	1,350
Research and development		624		18
Sales and marketing		827		1,012
General and administrative		3,113		3,819
Total operating expenses		5,528		6,199
Interest expense, including amortization of original issue discounts and deferred financing costs		60		49
Equity earnings of unconsolidated entities, net of tax		—		193
Total charges	$	5,588	$	6,441

(a) 2012 Restructuring Plans

In 2012, management developed cost reduction efforts within our professional diagnostics business segment, including the integration of our businesses in Brazil. Additionally, management developed new plans to continue our efforts to reduce costs within our health management business segment. The following table summarizes the restructuring activities related to our 2012 restructuring plans for the three months ended March 31, 2012 (in thousands):

	Professional Diagnostics		Health Management		Total
Severance-related costs - cash	$	1,973	$	797	$	2,770
Inventory impairments - non-cash		—		5		5
Total charges	$	1,973	$	802	$	2,775

We anticipate incurring approximately $0.5 million in additional costs under our 2012 restructuring plan related to our professional diagnostics business segment in Brazil and may develop additional plans over the remainder of 2012. As of March 31, 2012, $1.9 million in severance costs remain unpaid.

(b) 2011 Restructuring Plans

In 2011, management executed a company-wide cost reduction plan, which impacted our corporate and other business segment, as well as the health management and professional diagnostics business segments. Management also developed plans within our professional diagnostics business segment to consolidate operating activities among certain of our European and Asia Pacific subsidiaries, including transferring the manufacturing of our Panbio products from Australia to our Standard Diagnostics facility in South Korea. Additionally, within our health management business segment, management executed plans to further reduce costs and improve efficiencies, as well as cease operations at our GeneCare Medical Genetics Center, Inc., or GeneCare, facility in Chapel Hill, North Carolina, and transfer the majority of our Quality Assured Services, Inc. operation in Orlando, Florida to our facility in Livermore, California. The following table summarizes the restructuring activities related to our 2011 restructuring plans for the three months ended March 31, 2012 and 2011 and since inception (in thousands):

Professional Diagnostics

	Three Months Ended March  31,				Since
	2012		2011		Inception
Severance-related costs	$	1,965	$	1,037	$	14,012
Facility and transition costs		649		—		1,010
Cash charges		2,614		1,037		15,022
Fixed asset and inventory impairments		134		524		793
Total charges	$	2,748	$	1,561	$	15,815

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Health Management

	Three Months Ended March  31,					Since
	2012			2011		Inception
Severance-related costs	$	—		$	1,247	$	2,254
Facility and transition costs		(86	)		—		6,255
Other exit costs		25			—		119
Cash charges		(61	)		1,247		8,628
Fixed asset and inventory impairments		—			—		864
Intangible asset impairments		—			2,935		2,935
Other non-cash charges		—			—		761
Total charges	$	(61	)	$	4,182	$	13,188

Corporate and Other

	Three Months Ended March  31,				Since
	2012		2011		Inception
Severance-related costs	$	17	$	—	$	1,210
Cash charges		17		—		1,210
Fixed asset and inventory impairments		—		—		3
Total charges	$	17	$	—	$	1,213

We anticipate incurring approximately $2.6 million in additional costs under these plans related to our professional diagnostics business segment, primarily related to severance and facility exit costs, and may also incur impairment charges on assets as plans are finalized. We anticipate incurring approximately $1.0 million in additional costs under these plans related to our health management business segment, primarily related to facility lease obligations through 2014. As of March 31, 2012, $4.9 million in cash charges remain unpaid.

(c) 2010 and 2008 Restructuring Plans

In 2010, management developed several plans to reduce costs and improve efficiencies within our health management and professional diagnostics business segments. In May 2008, management decided to close our facility located in Bedford, England and initiated steps to cease operations at this facility and transition the manufacturing operations principally to our manufacturing facilities in Shanghai and Hangzhou, China. Additionally in 2008, management developed and initiated plans to transition the businesses of Cholestech to our San Diego, California facility. The following table summarizes the restructuring activities related to these restructuring plans for the three months ended March 31, 2012 and 2011 and since inception (in thousands):

Professional Diagnostics

	Three Months Ended March  31,				Since
	2012		2011		Inception
Severance-related costs	$	—	$	35	$	8,897
Facility and transition costs		74		382		8,386
Other exit costs		19		9		4,437
Cash charges		93		426		21,720
Fixed asset and inventory impairments		—		—		10,309
Total charges	$	93	$	426	$	32,029

Health Management

	Three Months Ended March 31,				Since
	2012		2011		Inception
Severance-related costs	$	—	$	—	$	4,647
Facility and transition costs		—		39		2,476
Other exit costs		16		40		304
Cash charges		16		79		7,427
Fixed asset and inventory impairments		—		—		165
Total charges	$	16	$	79	$	7,592

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We anticipate incurring an additional $1.7 million in facility lease obligation charges related to the Cholestech plan through 2017 and do not anticipate incurring significant additional charges under the other plans. As of March 31, 2012, $1.5 million in facility related costs remain unpaid.

In addition to the restructuring charges discussed above, certain charges associated with the Bedford facility closure were borne by SPD, our 50/50 joint venture with the Procter & Gamble Company, or P&G. Of the restructuring charges recorded by SPD, 50% has been included in equity earnings of unconsolidated entities, net of tax, in our consolidated statement of operations. The following table summarizes the 50% portion of the restructuring charges borne by SPD and included in equity earnings of unconsolidated entities, net of tax, for the three months ended March 31, 2011 and since inception (in thousands):

	Three Months Ended March 31, 2011		Since Inception
Severance-related costs	$	11	$	5,797
Facility and transition costs		110		5,396
Other exit costs		—		283
Cash charges		121		11,476
Fixed asset and inventory impairments		72		4,635
Total charges included in equity earnings of unconsolidated entities, net of tax	$	193	$	16,111

We do not anticipate incurring significant additional restructuring charges under this plan.

(e) Restructuring Reserves

The following table summarizes our restructuring reserves related to the plans described above, of which $6.2 million is included in accrued expenses and other current liabilities and $2.0 million is included in other long-term liabilities on our consolidated balance sheets (in thousands):

	Severance- related Costs			Facility  and Transition Costs			Other Exit Costs			Total
Balance, December 31, 2011	$	3,380		$	5,215		$	593		$	9,188
Cash charges		4,752			637			60			5,449
Payments		(4,355	)		(2,038	)		(72	)		(6,465	)
Currency adjustments		54			4			—			58
Balance, March 31, 2012	$	3,831		$	3,818		$	581		$	8,230

(10) Long-term Debt

We had the following long-term debt balances outstanding (in thousands):

	March 31, 2012			December 31, 2011
A term loans (1)	$	909,375		$	917,188
B term loans		920,375			922,688
Incremental B-1 term loans		249,375			250,000
Incremental B-2 term loans		198,004			—
3% Senior subordinated convertible notes		150,000			150,000
9% Senior subordinated notes		391,643			391,233
7.875% Senior notes		245,849			245,621
8.625% Senior subordinated notes		400,000			400,000
Lines-of-credit		19,271			19,603
Other		32,623			32,210
		3,516,515			3,328,543
Less: Current portion		(62,932	)		(61,092	)
	$	3,453,583		$	3,267,451

(1) Includes “A” term loans and “Delayed-Draw” term loans under our secured credit facility.

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In connection with our significant long-term debt issuances, we recorded interest expense, including amortization and write-offs of deferred financing costs and original issue discounts, in our consolidated statements of operations for the three months ended March 31, 2012 and 2011, respectively, as follows (in thousands):

	Three Months Ended March 31,
	2012		2011
Secured credit facility (1)	$	22,851	$	—
Former secured credit facility (2)		—		12,054
3% Senior subordinated convertible notes		1,246		1,246
9% Senior subordinated notes		10,354		9,730
7.875% Senior notes		5,758		5,365
8.625% Senior subordinated notes		9,274		8,908
	$	49,483	$	37,303

(1) Includes “A” term loans, including the “Delayed-Draw” term loans; “B” term loans; “Incremental B-1” term loans; “Incremental B-2” term loans; and revolving line of credit loans. For three months ended March 31, 2012, amount includes $1.3 million related to the amortization of fees paid for certain debt modifications.

(2) Includes loans under First Lien Credit Agreement and Second Lien Credit Agreement.

The following summarizes the material terms of our secured credit facility that have changed significantly since December 31, 2011. All other terms of our secured credit facility as described in our Annual Report on Form 10-K for the year ended December 31, 2011, but omitted below, have not changed since that date.

On March 28, 2012, we and certain of our subsidiaries entered into a third amendment to the credit agreement that governs our secured credit facility, or the credit agreement. The third amendment provides for an additional term loan facility consisting of “Incremental B-2” term loans in the aggregate principal amount of $200.0 million and thereby increases the total amount of the credit available to us under the secured credit facility to $2.55 billion in aggregate principal amount, consisting of term loans in the aggregate principal amount of $2.3 billion and, subject to our continued compliance with the credit agreement, a $250.0 million revolving line of credit; the revolving line of credit continues to include a sublimit for the issuance of letters of credit. On March 28, 2012, we borrowed the entire $200.0 million principal amount of the “Incremental B-2” term loans.

Under the terms of the third amendment, we must repay the principal amount of the “Incremental B-2” term loans in twenty consecutive quarterly installments, beginning on June 30, 2012 and continuing through March 31, 2017, in the amount of $0.5 million each, and a final installment on June 30, 2017 in the amount of $190.0 million; notwithstanding the foregoing, and subject to certain exceptions provided for in the credit agreement, in the event that any of our existing 3% senior subordinated convertible notes, 9% senior subordinated notes or 7.875% senior notes remain outstanding on the date that is six months prior to the relevant maturity date thereof, respectively, then the “Incremental B-2” term loans (as well as all other term loans and all revolving credit loans under the secured credit facility) shall instead mature in full on the relevant prior date. Otherwise, the terms and conditions, including the interest rates, that apply to the “Incremental B-2” term loans under the credit agreement are substantially the same as the terms and conditions, including the interest rates, that apply to the existing “B” term loans under the credit agreement.

(11) Derivative Financial Instruments

We manage our economic and transaction exposure to certain market-based risks through the use of derivative instruments. Our objective for holding derivative instruments has been to reduce volatility of net earnings and cash flows associated with changes in interest rates and foreign currency exchange rates. We do not hold or issue derivative financial instruments for speculative purposes.

(a) Interest Rate Risk

We used interest rate swap contracts in the management of our interest rate exposure related to our former secured credit facility. On June 30, 2011, we entered into a new secured credit facility and, in connection therewith, repaid in full all outstanding indebtedness under and terminated our former secured credit facility and related interest rate swaps.

(b) Foreign Currency Risk

In connection with our acquisition of Axis-Shield, we acquired a number of foreign currency forward contracts. The specific risk hedged in these contracts is the undiscounted foreign currency spot rate risk on forecasted foreign currency revenue. As of March 31, 2012 and December 31, 2011, the notional value of these contracts was approximately $3.5 million and CHF 3.2 million and $16.6 million and CHF 5.4 million, respectively. We report the effective portion of the gain or loss on a cash flow hedge as a component of other comprehensive income, and it is subsequently reclassified into net earnings in the period in which the hedged transaction affects net earnings or the forecasted transaction is no longer probable of occurring.

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The following tables summarize the fair value of our derivative instruments and the effect of derivative instruments on/in our accompanying consolidated balance sheets and consolidated statements of operations (in thousands):

Derivative Instruments	Balance Sheet Caption	Fair Value at     March 31, 2012		Fair Value at     December 31,   2011
Foreign currency forward contracts	Prepaid expenses and other current assets	$	641	$	—
Foreign currency forward contracts	Accrued expenses and other current liabilities	$	—	$	447

Derivative Instruments	Location of Gain Recognized in Income	Amount of Gain Recognized During the Three Months Ended March 31, 2012		Amount of Gain Recognized During the Three Months Ended March 31, 2011
Foreign currency forward contracts	Other comprehensive income	$	1,107	$	—
Interest rate swap contracts	Other comprehensive income		—		1,617
Total gain	Other comprehensive income	$	1,107	$	1,617

(12) Fair Value Measurements

We apply fair value measurement accounting to value our financial assets and liabilities. Fair value measurement accounting provides a framework for measuring fair value under U.S. GAAP and requires expanded disclosures regarding fair value measurements. Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. A fair value hierarchy requires an entity to maximize the use of observable inputs, where available, and minimize the use of unobservable inputs when measuring fair value.

Described below are the three levels of inputs that may be used to measure fair value:

Level 1 Quoted prices in active markets for identical assets or liabilities. Our Level 1 assets and liabilities include investments in marketable securities.

Level 2 Observable inputs other than Level 1 prices, such as quoted prices for similar assets or liabilities; quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities. Our Level 2 assets and liabilities include foreign exchange forward contracts and interest rate swap contracts.

Level 3 Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. The fair value of the contingent consideration obligations related to our acquisitions is valued using Level 3 inputs.

The following tables present information about our assets and liabilities that are measured at fair value on a recurring basis as of March 31, 2012 and December 31, 2011, and indicates the fair value hierarchy of the valuation techniques we utilized to determine such fair value (in thousands):

Description	March 31,     2012		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Unobservable Inputs (Level 3)
Assets:
Marketable securities	$	3,776	$	3,776	$	—	$	—
Foreign exchange forward contracts (1)		641		—		641		—
Total assets	$	4,417	$	3,776	$	641	$	—
Liabilities:
Contingent consideration obligations (2)	$	146,301	$	—	$	—	$	146,301
Total liabilities	$	146,301	$	—	$	—	$	146,301

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Description	December 31, 2011		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Unobservable Inputs (Level 3)
Assets:
Marketable securities	$	3,340	$	3,340	$	—	$	—
Total assets	$	3,340	$	3,340	$	—	$	—
Liabilities: Foreign exchange forward contracts (1)	$	447	$	—	$	447	$	—
Contingent consideration obligations (2)		140,047		—		—		140,047
Total liabilities	$	140,494	$	—	$	447	$	140,047

(1) The fair value of the foreign exchange forward contracts was measured using readily observable market inputs, such as quotations on forward foreign exchange points and foreign interest rates.

(2) The fair value measurements for our contingent consideration obligations relate to acquisitions completed after January 1, 2009 and are valued using Level 3 inputs. We determine the fair value of the contingent consideration obligations based on a probability-weighted approach derived from earn-out criteria estimates and a probability assessment with respect to the likelihood of achieving the various earn-out criteria. The measurement is based upon significant inputs not observable in the market. Changes in the fair value of these contingent consideration obligations are recorded as income or expense within operating income in our consolidated statements of operations.

Changes in the fair value of our Level 3 contingent consideration obligations during the three months ended March 31, 2012 were as follows (in thousands):

Fair value of contingent consideration obligations, January 1, 2012	$	140,047
Acquisition date fair value of contingent consideration obligations recorded		1,000
Foreign currency		277
Payments		(67	)
Present value accretion		3,457
Adjustments, net (income) expense		1,587
Fair value of contingent consideration obligations, March 31, 2012	$	146,301

At March 31, 2012 and December 31, 2011, the carrying amounts of cash and cash equivalents, restricted cash, receivables, accounts payable and other current liabilities approximated their estimated fair values.

The carrying amount and estimated fair value of our long-term debt were $3.5 billion at March 31, 2012. The carrying amount and estimated fair value of our long-term debt were $3.3 billion at December 31, 2011. The estimated fair value of our long-term debt was determined using market sources that were derived from available market information (Level 2 in the fair value hierarchy) and may not be representative of actual values that could have been or will be realized in the future.

(13) Defined Benefit Pension Plan

Our subsidiary in England, Unipath Ltd., has a defined benefit pension plan established for certain of its employees. The net periodic benefit costs are as follows (in thousands):

	Three Months Ended March 31,
	2012			2011
Service cost	$	—		$	—
Interest cost		198			202
Expected return on plan assets		(152	)		(155	)
Amortization of prior service cost		104			106
Realized losses		—			—
Net periodic benefit cost	$	150		$	153

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(14) Financial Information by Segment

Operating segments are defined as components of an enterprise about which separate financial information is available that is evaluated regularly by the chief operating decision maker, or decision-making group, in deciding how to allocate resources and in assessing performance. Our chief operating decision-making group is composed of the chief executive officer and members of senior management. Our reportable operating segments are Professional Diagnostics, Health Management, Consumer Diagnostics and Corporate and Other. Our operating results include license and royalty revenue which are allocated to Professional Diagnostics and Consumer Diagnostics on the basis of the original license or royalty agreement.

We evaluate performance of our operating segments based on revenue and operating income (loss). Segment information for the three months ended March 31, 2012 and 2011 is as follows (in thousands):

	Professional Diagnostics		Health Management			Consumer Diagnostics		Corporate and Other			Total
Three Months Ended March 31, 2012:
Net revenue	$	518,357	$	130,784		$	21,988	$	—		$	671,129
Operating income (loss)	$	70,179	$	(19,356	)	$	365	$	(16,130	)	$	35,058
Depreciation and amortization	$	82,148	$	23,774		$	1,259	$	221		$	107,402
Restructuring charge	$	4,794	$	717		$	—	$	17		$	5,528
Stock-based compensation	$	—	$	—		$	—	$	3,874		$	3,874
Three Months Ended March 31, 2011:
Net revenue	$	415,812	$	143,063		$	23,589	$	—		$	582,464
Operating income (loss)	$	60,262	$	(11,933	)	$	3,361	$	(20,785	)	$	30,905
Depreciation and amortization	$	65,249	$	28,314		$	1,259	$	153		$	94,975
Restructuring charge	$	1,978	$	4,221		$	—	$	—		$	6,199
Stock-based compensation	$	—	$	—		$	—	$	5,808		$	5,808
Assets:
As of March 31, 2012	$	5,835,623	$	613,419		$	188,454	$	251,785		$	6,889,281
As of December 31, 2011	$	5,826,756	$	624,305		$	199,422	$	22,218		$	6,672,701

The following tables summarize our net revenue from the professional diagnostics and health management reporting segments by groups of similar products and services for the three months ended March 31, 2012 and 2011 (in thousands):

Professional Diagnostics Segment

	Three Months Ended March 31,
	2012		2011
Cardiology	$	138,826	$	129,855
Infectious disease		151,016		140,426
Toxicology		121,740		85,504
Diabetes		28,161		—
Other		75,706		54,000
Net product sales and services revenue		515,449		409,785
License and royalty revenue		2,908		6,027
Professional diagnostics net revenue	$	518,357	$	415,812

Health Management Segment

	Three Months Ended March 31,
	2012		2011
Disease and case management	$	53,380	$	61,455
Wellness		27,026		29,805
Women’s & children’s health		29,771		28,575
Patient self-testing services		20,607		23,228
Health management net revenue	$	130,784	$	143,063

(15) Related Party Transactions

In May 2007, we completed the formation of SPD, our 50/50 joint venture with P&G, for the development, manufacturing, marketing and sale of existing and to-be-developed consumer diagnostic products, outside the cardiology,

19

diabetes and oral care fields. Upon completion of the arrangement to form the joint venture, we ceased to consolidate the operating results of our consumer diagnostic products business related to the joint venture and instead account for our 50% interest in the results of the joint venture under the equity method of accounting.

We had a net receivable from the joint venture of $2.1 million and $2.5 million as of March 31, 2012 and December 31, 2011, respectively. Included in the $2.1 million receivable balance as of March 31, 2012 is approximately $1.6 million of costs incurred in connection with our 2008 SPD-related restructuring plans. Included in the $2.5 million receivable balance as of December 31, 2011 is approximately $1.5 million of costs incurred in connection with our 2008 SPD-related restructuring plans. We have also recorded a long-term receivable totaling approximately $16.0 million and $15.5 million as of March 31, 2012 and December 31, 2011, respectively, related to the 2008 SPD-related restructuring plans. Additionally, customer receivables associated with revenue earned after the joint venture was completed have been classified as other receivables within prepaid and other current assets on our accompanying consolidated balance sheets in the amount of $10.7 million and $7.3 million as of March 31, 2012 and December 31, 2011, respectively. In connection with the joint venture arrangement, the joint venture bears the collection risk associated with these receivables. Sales to the joint venture under our manufacturing agreement totaled $17.1 million and $16.3 million during the three months ended March 31, 2012 and 2011, respectively. Additionally, services revenue generated pursuant to the long-term services agreement with the joint venture totaled $0.3 million during each of the three-month periods ended March 31, 2012 and 2011. Sales under our manufacturing agreement and long-term services agreement are included in net product sales and services revenue, respectively, in our accompanying consolidated statements of operations.

Under the terms of our product supply agreement, the joint venture purchases products from our manufacturing facilities in the U.K. and China. The joint venture in turn sells a portion of those tests back to us for final assembly and packaging. Once packaged, the tests are sold to P&G for distribution to third-party customers in North America. As a result of these related transactions, we have recorded $6.7 million and $8.9 million of trade receivables which are included in accounts receivable on our accompanying consolidated balance sheets as of March 31, 2012 and December 31, 2011, respectively, and $19.1 million and $19.3 million of trade accounts payable which are included in accounts payable on our accompanying consolidated balance sheets as of March 31, 2012 and December 31, 2011, respectively. During the three months ended March 31, 2012, we received $6.1 million in cash from SPD as a return of capital.

(16) Material Contingencies and Legal Settlements

(a) Legal Proceedings

We are not a party to any pending legal proceedings that we currently believe could have a material adverse impact on our sales, operations or financial performance. However, because of the nature of our business, we may be subject at any particular time to lawsuits or other claims arising in the ordinary course of our business, and we expect that this will continue to be the case in the future.

(b) Acquisition-related Contingent Consideration Obligations

The following summarizes our principal contractual acquisition-related contingent consideration obligations as of March 31, 2012 that have changed significantly since December 31, 2011. Other acquisition-related contingent consideration obligations that were presented in our Annual Report on Form 10-K for the year ended December 31, 2011, but omitted below, represent those that have not changed significantly since that date.

• AmMed

With respect to AmMed, the terms of the acquisition agreement require us to pay an earn-out upon successfully meeting certain operational targets within six months of the acquisition date. The maximum amount of the earn-out payment is $2.0 million.

(c) FDA Inspection and Office of Inspector General Subpoena

        In March 2012, the Food & Drug Administration, or FDA, began an inspection of our San Diego facility related to our Alere Triage products. During the inspection, the FDA expressed concern about the alignment between certain aspects of our labeling for the Alere Triage products and the quality control release method that had been in effect prior to the inspection. To our knowledge, the FDA has not yet closed the inspection and has not issued any inspectional observations on Form 483. We are continuing to engage in discussions with the FDA regarding the Alere Triage products and have adopted an interim revised release method which we have been shipping against since early April 2012, with plans to further tighten the release method by September 30, 2012. Although the discussions with the FDA are ongoing, we expect that resolution of the issues raised by the FDA will involve a recall of unexpired lots of Alere Triage products that do not satisfy the revised quality control release method set through such resolution. Based on customer order patterns, expected customer inventory levels and the passage of time between March 31, 2012 and the date of any potential recall, we do not believe that the quantity or value of products that were sold on or before March 31, 2012 that may ultimately be returned will be material and, accordingly, we do not believe that any such recall will have a material impact on our results of operations for the quarter ended March 31, 2012. However, because the quality control release methods that we will apply in the future have not been determined, at this time we are unable to determine the scope of any anticipated recall, including the type and number of products that may be returned. Similarly, we are unable to determine the impact on our ability to ship existing inventory of, and to continue to manufacture, Alere Triage products that satisfy such release methods. Consequently, we are also unable to determine whether the anticipated recall or the revised release methods will have a material impact on our revenues, results of operations, earnings, cash flows or financial condition.

Also, in May 2012, we received a subpoena from the Office of Inspector General of the Department of Health and Human Services. The subpoena seeks documents relating primarily to the quality control testing and performance characteristics of Alere Triage products. We are cooperating with the government and are in the process of responding to the subpoena.

We are unable to predict when these matters will be resolved, what action, if any, the government will take in connection with these matters or what impact, if any, these matters or ensuing proceedings, if any, will have on our financial condition, results of operations or cash flows.

(17) Recent Accounting Pronouncements

From time to time, new accounting pronouncements are issued by the Financial Accounting Standards Board, or FASB, or other standard setting bodies that we adopt as of the specified effective date. Unless otherwise discussed, we believe that the impact of recently issued standards that are not yet effective will not have a material impact on our financial position, results of operations, comprehensive income or cash flows upon adoption.

20

Recently Adopted Standards

Effective January 1, 2012, we adopted Accounting Standards Update, or ASU, No. 2011-08, Intangibles — Goodwill and Other (Topic 350): Testing for Goodwill Impairment, or ASU 2011-08. ASU 2011-08 allows an entity the option to first assess qualitative factors to determine whether it is necessary to perform the current two-step impairment test. If an entity believes, as a result of its qualitative assessment, that it is more-likely-than-not that the fair value of a reporting unit is less than its carrying amount, the quantitative two-step impairment test is required; otherwise, no further testing is required. This update does not change the current guidance for testing other indefinite-lived intangible assets for impairment. The adoption of this standard did not have an impact on our financial position, results of operations, comprehensive income or cash flows.

Effective January 1, 2012, we adopted ASU No. 2011-05, Comprehensive Income (Topic 220): Presentation of Comprehensive Income, or ASU 2011-05. ASU 2011-05 (1) eliminates the option to present the components of other comprehensive income as part of the statement of changes in stockholders’ equity; (2) requires the consecutive presentation of the statement of net income and other comprehensive income; and (3) requires an entity to present reclassification adjustments on the face of the financial statements from other comprehensive income to net income. This update does not change the items that must be reported in other comprehensive income or when an item of other comprehensive income must be reclassified to net income nor do the amendments affect how earnings per share is calculated or presented. Effective January 1, 2012, the FASB issued ASU No. 2011-12, Comprehensive Income (Topic 220): Deferral of the Effective Date for Amendments to the Presentation of Reclassifications of Items Out of Accumulated Other Comprehensive Income in Accounting Standards Update No. 2011-05, or ASU 2011-12. As these accounting standards only require enhanced disclosure, the adoption of these standards did not impact our financial position, results of operations, comprehensive income or cash flows.

Effective January 1, 2012, we adopted ASU No. 2011-04, Fair Value Measurements (Topic 820): Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in U.S. GAAP and IFRS, or ASU 2011-04. ASU 2011-04 provides common requirements for measuring fair value and disclosing information about fair value measurements in accordance with U.S. GAAP and International Financial Reporting Standards.

(18) Equity Investments

We account for the results from our equity investments under the equity method of accounting in accordance with ASC 323, Investments — Equity Method and Joint Ventures, based on the percentage of our ownership interest in the business. Our equity investments primarily include the following:

(a) SPD

In May 2007, we completed the formation of SPD, our 50/50 joint venture with P&G for the development, manufacturing, marketing and sale of existing and to-be-developed consumer diagnostic products, outside the cardiology, diabetes and oral care fields. Upon completion of the arrangement to form SPD, we ceased to consolidate the operating results of our consumer diagnostics business related to SPD. For the three months ended March 31, 2012 and 2011, we recorded earnings of $2.8 million and $0.4 million, respectively, in equity earnings of unconsolidated entities, net of tax, in our accompanying consolidated statements of operations, which represented our 50% share of SPD’s net income for the respective periods.

(b) TechLab

In May 2006, we acquired 49% of TechLab, Inc., or TechLab, a privately-held developer, manufacturer and distributor of rapid non-invasive intestinal diagnostics tests in the areas of intestinal inflammation, antibiotic-associated diarrhea and parasitology. For the three months ended March 31, 2012 and 2011, we recorded earnings of $0.7 million and $0.5 million, respectively, in equity earnings of unconsolidated entities, net of tax, in our accompanying consolidated statements of operations, which represented our minority share of TechLab’s net income for the respective periods.

Summarized financial information for SPD and TechLab on a combined basis is as follows (in thousands):

Combined Condensed Results of Operations:

	Three Months Ended March 31,
	2012		2011
Net revenue	$	52,525	$	55,554
Gross profit	$	35,179	$	35,465
Net income after taxes	$	6,993	$	1,834

21

Combined Condensed Balance Sheets:

	March 31, 2012		December 31, 2011
Current assets	$	72,019	$	84,376
Non-current assets		40,930		37,659
Total assets	$	112,949	$	122,035
Current liabilities	$	42,724	$	49,453
Non-current liabilities		8,155		6,326
Total liabilities	$	50,879	$	55,779

(19) Guarantor Financial Information

Our 9% senior subordinated notes due 2016, our 7.875% senior notes due 2016, and our 8.625% senior subordinated notes due 2018 are guaranteed by certain of our consolidated wholly owned subsidiaries, or the Guarantor Subsidiaries. The guarantees are full and unconditional and joint and several. The following supplemental financial information sets forth, on a consolidating basis, balance sheets as of March 31, 2012 and December 31, 2011, the related statements of operations, statements of comprehensive income and statements of cash flows for each of the three months ended March 31, 2012 and 2011, for Alere Inc., the Guarantor Subsidiaries and our other subsidiaries, or the Non-Guarantor Subsidiaries. The supplemental financial information reflects the investments of Alere Inc. and the Guarantor Subsidiaries in the Guarantor and Non-Guarantor Subsidiaries using the equity method of accounting.

We have extensive transactions and relationships between various members of the consolidated group. These transactions and relationships include intercompany pricing agreements, intellectual property royalty agreements and general and administrative and research and development cost-sharing agreements. Because of these relationships, it is possible that the terms of these transactions are not the same as those that would result from transactions among wholly unrelated parties.

For comparative purposes, certain amounts for prior periods have been reclassified to conform to the current period classification.

22

CONSOLIDATING STATEMENT OF OPERATIONS

For the Three Months Ended March 31, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	219,216		$	289,800		$	(33,229	)	$	475,787
Services revenue		—			146,133			46,301			—			192,434
Net product sales and services revenue		—			365,349			336,101			(33,229	)		668,221
License and royalty revenue		—			4,229			2,621			(3,942	)		2,908
Net revenue		—			369,578			338,722			(37,171	)		671,129
Cost of net product sales		850			103,921			153,879			(33,096	)		225,554
Cost of services revenue		—			77,703			13,157			—			90,860
Cost of net product sales and services revenue		850			181,624			167,036			(33,096	)		316,414
Cost of license and royalty revenue		—			—			5,586			(3,942	)		1,644
Cost of net revenue		850			181,624			172,622			(37,038	)		318,058
Gross profit (loss)		(850	)		187,954			166,100			(133	)		353,071
Operating expenses:
Research and development		5,196			16,576			17,228			—			39,000
Sales and marketing		1,057			77,559			79,962			—			158,578
General and administrative		11,631			58,301			50,503			—			120,435
Total operating expenses		17,884			152,436			147,693			—			318,013
Operating income (loss)		(18,734	)		35,518			18,407			(133	)		35,058
Interest expense, including amortization of original issue discounts and deferred financing costs		(49,716	)		(11,006	)		(3,315	)		13,310			(50,727	)
Other income (expense), net		(8,074	)		9,428			23,787			(13,310	)		11,831
Income (loss) before provision (benefit) for income taxes		(76,524	)		33,940			38,879			(133	)		(3,838	)
Provision (benefit) for income taxes		(26,998	)		12,305			13,167			71			(1,455	)
Income (loss) before equity earnings of unconsolidated entities, net of tax		(49,526	)		21,635			25,712			(204	)		(2,383	)
Equity in earnings of subsidiaries, net of tax		49,895			(348	)		—			(49,547	)		—
Equity earnings of unconsolidated entities, net of tax		660			—			2,736			16			3,412
Net income (loss)		1,029			21,287			28,448			(49,735	)		1,029
Less: Net income attributable to non-controlling interests		—			—			(185	)		—			(185	)
Net income (loss) attributable to Alere Inc. and Subsidiaries		1,029			21,287			28,633			(49,735	)		1,214
Preferred stock dividends		(5,309	)		—			—			—			(5,309	)
Net income (loss) available to common stockholders	$	(4,280	)	$	21,287		$	28,633		$	(49,735	)	$	(4,095	)

23

CONSOLIDATING STATEMENT OF OPERATIONS

For the Three Months Ended March 31, 2011

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	237,976		$	199,970		$	(30,703	)	$	407,243
Services revenue		—			151,525			16,027			—			167,552
Net product sales and services revenue		—			389,501			215,997			(30,703	)		574,795
License and royalty revenue		—			2,474			6,633			(1,438	)		7,669
Net revenue		—			391,975			222,630			(32,141	)		582,464
Cost of net product sales		770			107,162			112,135			(30,380	)		189,687
Cost of services revenue		—			78,535			6,181			—			84,716
Cost of net product sales and services revenue		770			185,697			118,316			(30,380	)		274,403
Cost of license and royalty revenue		—			—			3,292			(1,438	)		1,854
Cost of net revenue		770			185,697			121,608			(31,818	)		276,257
Gross profit (loss)		(770	)		206,278			101,022			(323	)		306,207
Operating expenses:
Research and development		4,741			17,781			14,020			—			36,542
Sales and marketing		651			82,860			49,698			—			133,209
General and administrative		14,636			60,201			30,714			—			105,551
Total operating expenses		20,028			160,842			94,432			—			275,302
Operating income (loss)		(20,798	)		45,436			6,590			(323	)		30,905
Interest expense, including amortization of original issue discounts and deferred financing costs		(25,606	)		(28,179	)		(4,369	)		19,849			(38,305	)
Other income (expense), net		3,365			13,854			4,966			(19,849	)		2,336
Income (loss) before provision (benefit) for income taxes		(43,039	)		31,111			7,187			(323	)		(5,064	)
Provision (benefit) for income taxes		(20,795	)		14,136			2,454			(125	)		(4,330	)
Income (loss) before equity earnings of unconsolidated entities, net of tax		(22,244	)		16,975			4,733			(198	)		(734	)
Equity in earnings of subsidiaries, net of tax		22,053			—			—			(22,053	)		—
Equity earnings of unconsolidated entities, net of tax		468			—			490			53			1,011
Net income (loss)		277			16,975			5,223			(22,198	)		277
Less: Net income attributable to non-controlling interests		—			—			62			—			62
Net income (loss) attributable to Alere Inc. and Subsidiaries		277			16,975			5,161			(22,198	)		215
Preferred stock dividends		(5,809	)		—			—			—			(5,809	)
Preferred stock repurchase		13,688			—			—			—			13,688
Net income (loss) available to common stockholders	$	8,156		$	16,975		$	5,161		$	(22,198	)	$	8,094

24

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME

For the Three Months Ended March 31, 2012

(in thousands)

	Issuer		Guarantor Subsidiaries		Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	1,029	$	21,287	$	28,448		$	(49,735	)	$	1,029
Other comprehensive income, before tax:
Changes in cumulative translation adjustment		328		74		34,872			665			35,939
Unrealized gains on available for sale securities		430		1		—			—			431
Unrealized gains on hedging instruments		17		—		1,090			—			1,107
Minimum pension liability adjustment		—		—		(165	)		—			(165	)
Other comprehensive income, before tax		775		75		35,797			665			37,312
Income tax benefit related to items of other comprehensive income		—		—		(41	)		—			(41	)
Other comprehensive income, net of tax		775		75		35,838			665			37,353
Comprehensive income (loss)		1,804		21,362		64,286			(49,070	)		38,382
Less: Comprehensive loss attributable to non-controlling interests		—		—		(185	)		—			(185	)
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	1,804	$	21,362	$	64,471		$	(49,070	)	$	38,567

25

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME

For the Three Months Ended March 31, 2011

(in thousands)

	Issuer		Guarantor Subsidiaries		Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	277	$	16,975	$	5,223		$	(22,198	)	$	277
Other comprehensive income, before tax:
Changes in cumulative translation adjustment		608		137		17,237			3,533			21,515
Unrealized gains (losses) on available for sale securities		131		—		(346	)		—			(215	)
Unrealized gains on hedging instruments		1,617		—		—			—			1,617
Minimum pension liability adjustment		—		—		(38	)		—			(38	)
Other comprehensive income, before tax		2,356		137		16,853			3,533			22,879
Income tax provision (benefit) related to items of other comprehensive income		629		—		(10	)		—			619
Other comprehensive income, net of tax		1,727		137		16,863			3,533			22,260
Comprehensive income (loss)		2,004		17,112		22,086			(18,665	)		22,537
Less: Comprehensive income attributable to non-controlling interests		—		—		62			—			62
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	2,004	$	17,112	$	22,024		$	(18,665	)	$	22,475

26

CONSOLIDATING BALANCE SHEET

March 31, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries		Eliminations			Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	243,062		$	63,996	$	207,039	$	—		$	514,097
Restricted cash		—			1,579		1,105		—			2,684
Marketable securities		—			775		317		—			1,092
Accounts receivable, net of allowances		—			203,267		285,995		—			489,262
Inventories, net		—			121,403		193,936		(5,418	)		309,921
Deferred tax assets		9,907			22,797		6,192		1,894			40,790
Receivable from joint venture, net		—			1,894		243		—			2,137
Prepaid expenses and other current assets		(84,603	)		141,143		80,032		—			136,572
Intercompany receivables		392,474			411,451		78,994		(882,919	)		—
Total current assets		560,840			968,305		853,853		(886,443	)		1,496,555
Property, plant and equipment, net		2,381			273,773		230,882		(529	)		506,507
Goodwill		—			1,530,258		1,309,894		(4,981	)		2,835,171
Other intangible assets with indefinite lives		—			7,100		65,334		—			72,434
Finite-lived intangible assets, net		26,488			970,494		759,251		—			1,756,233
Deferred financing costs, net and other non-current assets		91,655			5,797		9,696		—			107,148
Receivable from joint venture, net of current portion		—			—		15,977		—			15,977
Investments in subsidiaries		3,545,610			49,159		3,000		(3,597,769	)		—
Investments in unconsolidated entities		32,459			—		52,933		—			85,392
Marketable securities		2,684			—		—		—			2,684
Deferred tax assets		—			—		11,180		—			11,180
Intercompany notes receivable		1,894,186			915,127		—		(2,809,313	)		—
Total assets	$	6,156,303		$	4,720,013	$	3,312,000	$	(7,299,035	)	$	6,889,281
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt	$	45,000		$	595	$	17,337	$	—		$	62,932
Current portion of capital lease obligations		—			1,409		4,387		—			5,796
Accounts payable		5,841			50,076		83,606		—			139,523
Accrued expenses and other current liabilities		(277,121	)		481,300		193,270		—			397,449
Intercompany payables		444,483			116,147		322,283		(882,913	)		—
Total current liabilities		218,203			649,527		620,883		(882,913	)		605,700
Long-term liabilities:
Long-term debt, net of current portion		3,429,233			—		24,350		—			3,453,583
Capital lease obligations, net of current portion		—			1,814		9,912		—			11,726
Deferred tax liabilities		(30,241	)		291,722		109,650		59			371,190
Other long-term liabilities		23,557			46,986		97,758		—			168,301
Intercompany notes payables		241,421			1,786,460		779,135		(2,807,016	)		—
Total long-term liabilities		3,663,970			2,126,982		1,020,805		(2,806,957	)		4,004,800
Redeemable non-controlling interest		—			—		2,448		—			2,448
Stockholders’ equity		2,274,130			1,943,504		1,665,661		(3,609,165	)		2,274,130
Non-controlling interests		—			—		2,203		—			2,203
Total equity		2,274,130			1,943,504		1,667,864		(3,609,165	)		2,276,333
Total liabilities and equity	$	6,156,303		$	4,720,013	$	3,312,000	$	(7,299,035	)	$	6,889,281

27

CONSOLIDATING BALANCE SHEET

December 31, 2011

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries		Eliminations			Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	12,451		$	85,838		$	200,884	$	—		$	299,173
Restricted cash		—			1,591			7,396		—			8,987
Marketable securities		—			770			316		—			1,086
Accounts receivable, net of allowances		—			199,547			276,277		—			475,824
Inventories, net		—			136,091			189,886		(5,708	)		320,269
Deferred tax assets		10,912			22,813			7,266		1,984			42,975
Receivable from joint venture, net		—			2,301			202		—			2,503
Prepaid expenses and other current assets		(74,078	)		138,329			78,659		—			142,910
Intercompany receivables		397,914			426,136			27,871		(851,921	)		—
Total current assets		347,199			1,013,416			788,757		(855,645	)		1,293,727
Property, plant and equipment, net		2,542			274,588			214,206		(131	)		491,205
Goodwill		—			1,530,324			1,295,791		(4,844	)		2,821,271
Other intangible assets with indefinite lives		—			7,100			62,446		—			69,546
Finite-lived intangible assets, net		28,685			1,011,852			745,388		—			1,785,925
Deferred financing costs, net, and other non-current assets		88,153			5,532			4,101		—			97,786
Receivable from joint venture, net of current portion		—			—			15,455		—			15,455
Investments in subsidiaries		3,586,625			32,512			3,005		(3,622,142	)		—
Investments in unconsolidated entities		29,021			—			56,117		—			85,138
Marketable securities		2,254			—			—		—			2,254
Deferred tax assets		—			—			10,394		—			10,394
Intercompany notes receivable		1,934,366			(196,820	)		—		(1,737,546	)		—
Total assets	$	6,018,845		$	3,678,504		$	3,195,660	$	(6,220,308	)	$	6,672,701
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt	$	43,000		$	—		$	18,092	$	—		$	61,092
Current portion of capital lease obligations		—			1,550			4,533		—			6,083
Short-term debt		6,240			—			—		—			6,240
Accounts payable		6,704			53,978			94,782		—			155,464
Accrued expenses and other current liabilities		(259,010	)		455,366			199,217		—			395,573
Intercompany payables		429,644			104,257			318,018		(851,919	)		—
Total current liabilities		226,578			615,151			634,642		(851,919	)		624,452
Long-term liabilities:
Long-term debt, net of current portion		3,243,341			—			24,110		—			3,267,451
Capital lease obligations, net of current portion		—			2,175			10,454		—			12,629
Deferred tax liabilities		(25,936	)		303,837			102,730		69			380,700
Other long-term liabilities		24,407			47,135			81,856		—			153,398
Intercompany notes payables		321,221			658,573			754,650		(1,734,444	)		—
Total long-term liabilities		3,563,033			1,011,720			973,800		(1,734,375	)		3,814,178
Redeemable non-controlling interest		—			—			2,497		—			2,497
Stockholders’ equity		2,229,234			2,051,633			1,582,381		(3,634,014	)		2,229,234
Non-controlling interests		—			—			2,340		—			2,340
Total equity		2,229,234			2,051,633			1,584,721		(3,634,014	)		2,231,574
Total liabilities and equity	$	6,018,845		$	3,678,504		$	3,195,660	$	(6,220,308	)	$	6,672,701

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CONSOLIDATING STATEMENT OF CASH FLOWS

For the Three Months Ended March 31, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Cash Flows from Operating Activities:
Net income (loss)	$	1,029		$	21,287		$	28,448		$	(49,735	)	$	1,029
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Equity in earnings of subsidiaries, net of tax		(49,895	)		348			—			49,547			—
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs		5,219			59			—			—			5,278
Depreciation and amortization		2,074			57,303			48,086			(61	)		107,402
Non-cash stock-based compensation expense		1,007			1,377			1,490			—			3,874
Impairment of inventory		—			5			—			—			5
Impairment of long-lived assets		—			134			—			—			134
Loss on sale of fixed assets		—			508			58			—			566
Equity earnings of unconsolidated entities, net of tax		(660	)		—			(2,736	)		(16	)		(3,412	)
Deferred income taxes		(11,105	)		(614	)		(2,033	)		—			(13,752	)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net		—			(3,721	)		(9,221	)		—			(12,942	)
Inventories, net		—			13,288			(3,672	)		(265	)		9,351
Prepaid expenses and other current assets		10,526			(2,813	)		(4,192	)		—			3,521
Accounts payable		(863	)		(3,474	)		(13,469	)		—			(17,806	)
Accrued expenses and other current liabilities		(14,901	)		27,920			(9,034	)		—			3,985
Other non-current liabilities		4,309			(9,400	)		19,717			71			14,697
Intercompany payable (receivable)		131,413			(109,319	)		(22,094	)		—			—
Net cash provided by (used in) operating activities		78,153			(7,112	)		31,348			(459	)		101,930
Cash Flows from Investing Activities:
Decrease in restricted cash		—			—			6,302			—			6,302
Purchases of property, plant and equipment		(4	)		(14,608	)		(16,232	)		459			(30,385	)
Proceeds from sale of property, plant and equipment		—			201			326			—			527
Cash paid for acquisitions, net of cash acquired		(22,500	)		—			(15,508	)		—			(38,008	)
Cash received from equity method investment		—			—			6,066			—			6,066
Cash received (paid) for marketable securities		—			(5	)		3			—			(2	)
Increase in other assets		(6,144	)		(532	)		(1,878	)		—			(8,554	)
Net cash provided by (used in) investing activities		(28,648	)		(14,944	)		(20,921	)		459			(64,054	)
Cash Flows from Financing Activities:
Cash paid for financing costs		(1,876	)		—			—			—			(1,876	)
Cash paid for contingent purchase price consideration		(48	)		—			—			—			(48	)
Proceeds from issuance of common stock, net of issuance costs		7,674			—			—			—			7,674
Proceeds from long-term debt		198,000			951			190			—			199,141
Payments on long-term debt		(10,750	)		(356	)		(5,805	)		—			(16,911	)
Net proceeds under revolving credit facilities		—			—			1,339			—			1,339
Payments on short-term debt		(6,240	)		—			—			—			(6,240	)
Cash paid for dividends		(5,323	)		—			—			—			(5,323	)
Excess tax benefits on exercised stock options		98			48			2			—			148
Principal payments on capital lease obligations		—			(502	)		(1,218	)		—			(1,720	)
Net cash provided by (used in) financing activities		181,535			141			(5,492	)		—			176,184
Foreign exchange effect on cash and cash equivalents		(429	)		73			1,220			—			864
Net increase (decrease) in cash and cash equivalents		230,611			(21,842	)		6,155			—			214,924
Cash and cash equivalents, beginning of period		12,451			85,838			200,884			—			299,173
Cash and cash equivalents, end of period	$	243,062		$	63,996		$	207,039		$	—		$	514,097

29

CONSOLIDATING STATEMENT OF CASH FLOWS

For the Three Months Ended March 31, 2011

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Cash Flows from Operating Activities:
Net income (loss)	$	277		$	16,975		$	5,223		$	(22,198	)	$	277
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Equity in earnings of subsidiaries, net of tax		(22,053	)		—			—			22,053			—
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs		1,747			1,718			138			—			3,603
Depreciation and amortization		873			65,666			28,635			(199	)		94,975
Non-cash stock-based compensation expense		1,713			2,147			1,948			—			5,808
Impairment of inventory		—			—			294			—			294
Impairment of long-lived assets		—			—			230			—			230
Impairment of intangible assets		—			2,935			—			—			2,935
Loss on sale of fixed assets		—			304			175			—			479
Gain on sales of marketable securities		—			—			(333	)		—			(333	)
Equity earnings of unconsolidated entities, net of tax		(468	)		—			(490	)		(53	)		(1,011	)
Deferred income taxes		19,469			(22,801	)		(9,906	)		—			(13,238	)
Other non-cash items		1,748			(335	)		193			—			1,606
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net		—			(2,045	)		(3,294	)		—			(5,339	)
Inventories, net		—			12,150			(1,381	)		294			11,063
Prepaid expenses and other current assets		(5,180	)		(6,541	)		(12,752	)		—			(24,473	)
Accounts payable		295			(1,372	)		(4,858	)		—			(5,935	)
Accrued expenses and other current liabilities		(22,755	)		41,218			(3,544	)		(124	)		14,795
Other non-current liabilities		(17	)		212			1,229			—			1,424
Intercompany payable (receivable)		63,737			(104,146	)		40,409			—			—
Net cash provided by (used in) operating activities		39,386			6,085			41,916			(227	)		87,160
Cash Flows from Investing Activities:
Decrease in restricted cash		—			—			3			—			3
Purchases of property, plant and equipment		(19	)		(15,440	)		(13,657	)		172			(28,944	)
Proceeds from sale of property, plant and equipment		—			83			121			—			204
Proceeds from disposition of business		—			—			11,490			—			11,490
Cash paid for acquisitions, net of cash acquired		(34,103	)		(3,153	)		(57,643	)		—			(94,899	)
Cash received for marketable securities		—			—			6,982			—			6,982
Increase in other assets		(3,958	)		(6,360	)		(1,784	)		—			(12,102	)
Net cash provided by (used in) investing activities		(38,080	)		(24,870	)		(54,488	)		172			(117,266	)
Cash Flows from Financing Activities:
Cash paid for financing costs		(68	)		(12	)		—			—			(80	)
Cash paid for contingent purchase price consideration		(12,975	)		(247	)		—			—			(13,222	)
Proceeds from issuance of common stock, net of issuance costs		11,824			—			—			—			11,824
Repurchase of preferred stock		(49,380	)		—			—			—			(49,380	)
Proceeds from long-term debt		—			937			—			—			937
Payments on long-term debt		—			(2,856	)		(744	)		—			(3,600	)
Net proceeds under revolving credit facilities		—			—			133			—			133
Repurchase of common stock		(618	)		—			—			—			(618	)
Excess tax benefits on exercised stock options		872			198			99			—			1,169
Principal payments on capital lease obligations		—			(461	)		(192	)		—			(653	)
Other		(34	)		—			(210	)		—			(244	)
Net cash used in financing activities		(50,379	)		(2,441	)		(914	)		—			(53,734	)
Foreign exchange effect on cash and cash equivalents		—			223			922			55			1,200
Net decrease in cash and cash equivalents		(49,073	)		(21,003	)		(12,564	)		—			(82,640	)
Cash and cash equivalents, beginning of period		101,666			116,112			183,528			—			401,306
Cash and cash equivalents, end of period	$	52,593		$	95,109		$	170,964		$	—		$	318,666

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ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Forward-Looking Statements

This report contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. You can identify these statements by forward-looking words such as “may,” “could,” “should,” “would,” “intend,” “will,” “expect,” “anticipate,” “believe,” “estimate,” “continue” or similar words. You should read statements that contain these words carefully because they discuss our future expectations, contain projections of our future results of operations or of our financial condition or state other “forward-looking” information. Forward-looking statements in this item include, without limitation, statements regarding anticipated expansion and growth in certain of our product and service offerings, the impact of our research and development activities, potential new product and technology achievements, the potential for selective acquisitions, including acquisitions of health management businesses outside the United States, our ability to improve our working capital and operating margins, our expectations with respect to Apollo, our integrated health management technology platform, our ability to improve care and lower healthcare costs for both providers and patients, our predictions regarding any product recall, the scope of any recall, the impact of changes to our quality control release methods, the financial consequences of any recall or our revised and future quality control release methods, our predictions regarding our ability to meet customer demand, and our funding plans for our future working capital needs and commitments. Actual results or developments could differ materially from those projected in such statements as a result of numerous factors, including, without limitation, those risks and uncertainties set forth in Part I, Item 1A, “Risk Factors,” of our Annual Report on Form 10-K for the year ended December 31, 2011 and other risk factors identified herein or from time to time in our periodic filings with the SEC. We do not undertake any obligation to update any forward-looking statements. This report and, in particular, the following discussion and analysis of our financial condition and results of operations, should be read in light of those risks and uncertainties and in conjunction with our accompanying consolidated financial statements and notes thereto.

Overview

We enable individuals to take charge of improving their health and quality of life at home, under medical supervision, by developing new capabilities in near-patient diagnosis, monitoring and health management. Our global, leading products and services, as well as our new product development efforts, currently focus on cardiology, infectious disease, toxicology, diabetes, oncology and women’s health. We are continuing to expand our product and service offerings in all of these categories.

As a global, leading supplier of near-patient monitoring tools, as well as value-added healthcare services, we are well positioned to improve care and lower healthcare costs for both providers and patients. Our home coagulation monitoring business, which supports doctors’ and patients’ efforts to monitor warfarin therapy using our INRatio blood coagulation monitoring system, continues to represent an early example of this. We have also continued to introduce our integrated health management technology platform, called Apollo, to our customers since its launch on January 1, 2010. Using a sophisticated data engine for acquiring and analyzing information, combined with a state of the art touch engine for communicating with individuals and their health partners, we expect Apollo to benefit healthcare providers, health insurers and patients alike by enabling more efficient and effective health management programs.

We have continued to grow through strategic acquisitions. With our November 2011 acquisitions of Axis-Shield plc, or Axis-Shield, and Arriva Medical, LLC, or Arriva, we have entered the diabetes diagnostics market, and we expect our presence in this field to grow. We also continued to expand our toxicology business, particularly in the growing market for pain management and medication monitoring services. We have also acquired software solutions that will further our efforts to connect healthcare providers with point of care and other patient data.

We have also continued to lay the groundwork for future revenue and earnings growth by focusing our efforts on new product development and introductions. Our important new products, including the epoc System, the Alere CD4 Analyzer and the Alere Heart Check System, have begun to penetrate the markets into which they have been launched, and we expect this trend to continue. We are also focused on expanding our global sales force. We also continued to build awareness and acceptance for our two novel biomarkers, NGAL and placental growth factor, or PLGF.

Recent Developments

        In March 2012, the Food & Drug Administration, or FDA, began an inspection of our San Diego facility related to our Alere Triage products. During the inspection, the FDA expressed concern about the alignment between certain aspects of our labeling for the Alere Triage products and the quality control release method that had been in effect prior to the inspection. To our knowledge, the FDA has not yet closed the inspection and has not issued any inspectional observations on Form 483. We are continuing to engage in discussions with the FDA regarding the Alere Triage products and have adopted an interim revised release method which we have been shipping against since early April 2012, with plans to further tighten the release method by September 30, 2012. Although the discussions with the FDA are ongoing, we expect that resolution of the issues raised by the FDA will involve a recall of unexpired lots of Alere Triage products that do not satisfy the revised quality control release method set through such resolution. Based on customer order patterns, expected customer inventory levels and the passage of time between March 31, 2012 and the date of any potential recall, we do not believe that the quantity or value of products that were sold on or before March 31, 2012 that may ultimately be returned will be material and, accordingly, we do not believe that any such recall will have a material impact on our results of operations for the quarter ended March 31, 2012. However, because the quality control release methods that we will apply in the future have not been determined, at this time we are unable to determine the scope of any anticipated recall, including the type and number of products that may be returned. Similarly, we are unable to determine the impact on our ability to ship existing inventory of, and to continue to manufacture, Alere Triage products that satisfy such release methods. Consequently, we are also unable to determine whether the anticipated recall or the revised release methods will have a material impact on our revenues, results of operations, earnings, cash flows or financial condition.

Despite these uncertainties, we expect that the modifications necessary to meet any interim and final release methods will lead to increased manufacturing costs for these products. We also anticipate that our ability to supply certain Alere Triage meter-based products may be limited, which may adversely affect revenues from sales of these products. For the first quarter of 2012, revenues from Triage cardiology and toxicology products sold in the U.S. totaled approximately $69.0 million. Of this amount, approximately $18.0 million related to BNP products that run on the Beckman Coulter automated platforms and which are not impacted by this matter. Of the remainder, approximately $31.0 million related to BNP, D-dimer and Toxicology tests, and approximately $20.0 million related to our cardiology panel tests. The interim and final release methods are expected to adversely impact our ability to supply the market with our cardiology panel tests and may also impact our BNP, D-dimer and Toxicology tests. At this time, we are unable to predict the scope or duration of any product shortages that we may encounter. We anticipate that any effort to substantially increase production to satisfy customer demand in the short term will lead to increased manufacturing costs. Our discussions with the FDA are ongoing and actual future results may be different than our current expectations, as summarized above.

Also, in May 2012, we received a subpoena from the Office of Inspector General of the Department of Health and Human Services. The subpoena seeks documents relating primarily to the quality control testing and performance characteristics of Alere Triage products. We are cooperating with the government and are in the process of responding to the subpoena.

We are unable to predict when these matters will be resolved, what action, if any, the government will take in connection with these matters or what impact, if any, these matters or ensuing proceedings, if any, will have on our financial condition, results of operations or cash flows.

Financial Highlights

• Net revenue increased by $88.7 million, or 15%, to $671.1 million for the three months ended March 31, 2012, from $582.5 million for the three months ended March 31, 2011.

• Gross profit increased by $46.9 million, or 15%, to $353.1 million for the three months ended March 31, 2012, from $306.2 million for the three months ended March 31, 2011.

31

• For the three months ended March 31, 2012, we generated a net loss available to common stockholders of $4.1 million, or $(0.05) per basic common share. For the three months ended March 31, 2011, we generated net income available to common stockholders of $8.1 million, or $0.09 per basic and diluted common share.

Results of Operations

Results excluding the impact of currency translation are calculated on the basis of local currency results, using foreign currency exchange rates applicable to the earlier comparative period. We believe presenting information using the same foreign currency exchange rates helps investors isolate the impact of changes in those rates from other trends. Our results of operations were as follows:

Net Product Sales and Services Revenue, Total and by Business Segment. Total net product sales and services revenue increased by $93.4 million, or 16%, to $668.2 million for the three months ended March 31, 2012, from $574.8 million for the three months ended March 31, 2011. Excluding the impact of currency translation, net product sales and services revenue for the three months ended March 31, 2012 increased by $96.8 million, or 17%, compared to the three months ended March 31, 2011. Net product sales and services revenue by business segment for the three months ended March 31, 2012 and 2011 are as follows (in thousands):

	Three Months Ended March 31,				%
	2012		2011		Change
Professional diagnostics	$	515,449	$	409,785		26	%
Health management		130,784		143,063		(9	)%
Consumer diagnostics		21,988		21,947		—	%
Net product sales and services revenue	$	668,221	$	574,795		16	%

Professional Diagnostics

The following table summarizes our net product sales and services revenue from our professional diagnostics business segment by groups of similar products and services for the three months ended March 31, 2012 and 2011 (in thousands):

	Three Months Ended March 31,				%
	2012		2011		Change
Cardiology	$	138,826	$	129,855		7	%
Infectious disease		151,016		140,426		8	%
Toxicology		121,740		85,504		42	%
Diabetes		28,161		—		N/A
Other		75,706		54,000		40	%
Professional diagnostics net product sales and services revenue	$	515,449	$	409,785		26	%

Net product sales and services revenue from our professional diagnostics business segment increased by $105.7 million, or 26%, to $515.4 million for the three months ended March 31, 2012, from $409.8 million for the three months ended March 31, 2011. Excluding the impact of currency translation, net product sales and services revenue from our professional diagnostics business segment increased by $109.4 million, or 27%, comparing the three months ended March 31, 2012 to the three months ended March 31, 2011. Revenue increased primarily as a result of acquisitions, which contributed an aggregate of $95.6 million of such increase. New product sales continued to increase, achieving $13.7 million in the first quarter of 2012, with particular traction in Europe and Asia. We expect this trend to continue and anticipate that, as our new platforms achieve increased medical adoption, their underlying consumable sales will drive an expanding organic growth rate. Partially offsetting these increases in net product sales and services revenue, was a decrease in our North American flu-related net product sales during the three months ended March 31, 2012, as compared to the three months ended March 31, 2011. Net product sales from our North American flu-related sales decreased approximately $12.9 million, from $19.5 million during the three months ended March 31 2011 to $6.6 million during the three months ended March 31, 2012, as a result of lower than normal flu levels observed in 2012 than the more typical flu levels observed in 2011. Excluding the impact of acquisitions and the decrease in flu-related sales during the comparable periods, the currency-adjusted organic growth for our professional diagnostics net product sales and services revenue was approximately $27.1 million, or 6.9%.

32

Health Management

The following table summarizes our net product sales and services revenue from our health management business segment by groups of similar products and services for the three months ended March 31, 2012 and 2011 (in thousands):

	Three Months Ended March 31,				%
	2012		2011		Change
Disease and case management	$	53,380	$	61,455		(13	)%
Wellness		27,026		29,805		(9	)%
Women’s and children’s health		29,771		28,575		4	%
Patient self-testing services		20,607		23,228		(11	)%
Health management net product sales and services revenue	$	130,784	$	143,063		(9	)%

Our health management net product sales and services revenue decreased by $12.3 million, or 9%, to $130.8 million for the three months ended March 31, 2012, from $143.1 million for the three months ended March 31, 2011. Net product sales and services revenue in our health management segment was adversely impacted by the increasingly competitive environment, including pricing pressures, the impact of health plans in-sourcing less differentiated services, such as disease and case management, and state budget pressures.

Consumer Diagnostics

Net product sales and services revenue from our consumer diagnostics business segment remained flat, comparing the three months ended March 31, 2012 to the three months ended March 31, 2011. Net product sales by our 50/50 joint venture with P&G, or SPD, were $46.2 million during the three months ended March 31, 2012, as compared to $49.8 million during the three months ended March 31, 2011.

License and Royalty Revenue. License and royalty revenue represents license and royalty fees from intellectual property license agreements with third parties. License and royalty revenue decreased by approximately $4.8 million, or 62%, to $2.9 million for the three months ended March 31, 2012, from $7.7 million for the three months ended March 31, 2011. The decrease in royalty revenue was largely driven by an amendment to our license agreement with Quidel during 2011 whereby the license agreement was converted to a fully paid-up license. As a result of the amendment, we did not record royalty revenue from Quidel during the three months ended March 31, 2012 and do not anticipate recording royalty revenue from Quidel in the future. The remaining decrease was a result of lower royalties earned on existing license agreements during the three months ended March 31, 2012, as compared to the three months ended March 31, 2011.

Gross Profit and Margin. Gross profit increased by $46.9 million, or 15%, to $353.1 million for the three months ended March 31, 2012, from $306.2 million for the three months ended March 31, 2011. The increase in gross profit during the three months ended March 31, 2012 compared to the three months ended March 31, 2011 was largely attributed to the increase in net product sales and services revenue resulting from acquisitions and organic growth from our professional diagnostics business segment.

Cost of net revenue included amortization expense of $20.4 million and $17.0 million for the three months ended March 31, 2012 and 2011, respectively. Amortization expense of $20.4 million for the three months ended March 31, 2012, includes $4.7 million of amortization relating to the write-up of inventory to fair value in connection with the acquisition of Axis-Shield.

Overall gross margin for both the three months ended March 31, 2012 and 2011 was 53%.

Gross Profit from Net Product Sales and Services Revenue, Total and by Business Segment. Gross profit from net product sales and services revenue increased by $51.4 million, or 17%, to $351.8 million for the three months ended March 31, 2012, from $300.4 million for the three months ended March 31, 2011. Gross profit from net product sales and services revenue by business segment for the three months ended March 31, 2012 and 2011 are as follows (in thousands):

	Three Months Ended March 31,				%
	2012		2011		Change
Professional diagnostics	$	290,909	$	228,122		28	%
Health management		57,369		67,734		(15	)%
Consumer diagnostics		3,529		4,536		(22	)%
Gross profit from net product sales and services revenue	$	351,807	$	300,392		17	%

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Professional Diagnostics

Gross profit from our professional diagnostics net product sales and services revenue increased by $62.8 million, or 28%, to $290.9 million for the three months ended March 31, 2012, compared to $228.1 million for the three months ended March 31, 2011, principally as a result of gross profit earned on revenue from acquired businesses and organic growth, as discussed above. Gross profit was negatively impacted comparing the three months ended March 31, 2012 to the three months ended March 31, 2011, as a result of a decrease in our North American flu sales, as discussed above.

As a percentage of our professional diagnostics net product sales and services revenue, gross margin for both the three months ended March 31, 2012 and 2011 was 56%.

Health Management

Gross profit from our health management net product sales and services revenue decreased by $10.4 million, or 15%, to $57.4 million for the three months ended March 31, 2012, compared to $67.7 million for the three months ended March 31, 2011, primarily as a result of the increasingly competitive environment, including pricing pressures, and other adverse factors on our health management net product sales and services revenues, as discussed above.

As a percentage of our health management net product sales and services revenue, gross margin for the three months ended March 31, 2012 and 2011 was 44% and 47%, respectively. The lower margin percentage earned during 2012 is primarily a result of the increasingly competitive environment, including pricing pressures, and other adverse factors on our health management net product sales and services revenues, as discussed above.

Consumer Diagnostics

Gross profit from our consumer diagnostics net product sales and services revenue decreased by $1.0 million, or 22%, to $3.5 million for the three months ended March 31, 2012, compared to $4.5 million for the three months ended March 31, 2011. The decrease in gross margin was primarily the result of a one-time cost of goods sold adjustment totaling approximately $0.7 million related to our manufacturing agreement with SPD recorded during the three months ended March 31, 2012.

As a percentage of net product sales and services revenue, gross margin for the three months ended March 31, 2012 and 2011 was 16% and 21%, respectively.

Research and Development Expense. Research and development expense increased by $2.5 million, or 7%, to $39.0 million for the three months ended March 31, 2012, from $36.5 million for the three months ended March 31, 2011. Restructuring charges associated with our various restructuring plans to integrate our newly-acquired businesses totaling approximately $0.6 million and $18,000 were included in research and development expense for the three months ended March 31, 2012 and 2011, respectively. Amortization expense of $2.7 million and $2.3 million was included in research and development expense for the three months ended March 31, 2012 and 2011, respectively.

Research and development expense as a percentage of net revenue was 6% for each of the three months ended March 31, 2012 and 2011.

Sales and Marketing Expense. Sales and marketing expense increased by $25.4 million, or 19%, to $158.6 million for the three months ended March 31, 2012, from $133.2 million for the three months ended March 31, 2011. The increase in sales and marketing expense primarily relates to additional spending related to newly-acquired businesses. Restructuring charges associated with our various restructuring plans to integrate our newly-acquired businesses totaling approximately $0.8 million and $1.0 million were included in sales and marketing expense for the three months ended March 31, 2012 and 2011, respectively. Amortization expense of $57.8 million and $52.2 million was included in sales and marketing expense for the three months ended March 31, 2012 and 2011, respectively.

Sales and marketing expense as a percentage of net revenue was 24% and 23% for the three months ended March 31, 2012 and 2011, respectively.

General and Administrative Expense. General and administrative expense increased by approximately $14.9 million, or 14%, to $120.4 million for the three months ended March 31, 2012, from $105.6 million for the three months ended March 31, 2011. The increase in general and administrative expense relates primarily to additional spending related to newly-acquired businesses. During the three months ended March 31, 2012 and 2011, we recorded $5.0 million of expense and $1.4 million of expense, respectively, in connection with fair value adjustments to acquisition-related contingent consideration obligations. Acquisition-related costs of $1.5 million and $1.9 million were included in general and administrative expense for the three months ended March 31, 2012 and 2011, respectively. Restructuring charges

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associated with our various restructuring plans to integrate our newly-acquired businesses totaling approximately $3.1 million and $3.8 million were included in general and administrative expense for the three months ended March 31, 2012 and 2011, respectively. Amortization expense of $2.0 million and $4.7 million was included in general and administrative expense for the three months ended March 31, 2012 and 2011, respectively.

General and administrative expense as a percentage of net revenue was 18% for each of the three months ended March 31, 2012 and 2011.

Interest Expense. Interest expense includes interest charges and the amortization of deferred financing costs and original issue discounts associated with certain debt issuances. Interest expense increased by $12.4 million, or 32%, to $50.7 million for the three months ended March 31, 2012, from $38.3 million for the three months ended March 31, 2011. The increase is principally due to higher interest expense recorded in connection with higher outstanding debt balances and applicable interests rates during the first quarter of 2012 under our secured credit facility, compared to the outstanding debt balances and applicable interest rates under our previous secured credit facility during the first quarter of 2011.

Other Income (Expense), Net. Other income (expense), net includes interest income, realized and unrealized foreign exchange gains and losses, and other income and expense. The components and the respective amounts of other income (expense), net are summarized as follows (in thousands):

	Three Months Ended March 31,
	2012			2011			Change
Interest income	$	562		$	473		$	89
Foreign exchange gains (losses), net		(774	)		(3,143	)		2,369
Other		12,043			5,006			7,037
Total other income (expense), net	$	11,831		$	2,336		$	9,495

Foreign exchange gains (losses), net for the three months ended March 31, 2011 include a $1.9 million realized foreign currency loss associated with the settlement of an acquisition-related contingent consideration obligation. Other income of $12.0 million for the three months ended March 31, 2012 includes a $13.5 million final royalty termination payment received from Quidel. Other income of $5.0 million for the three months ended March 31, 2011 includes $3.0 million of prior period royalty income and a $1.8 million reversal of a prior period legal settlement reserve no longer deemed necessary.

Benefit for Income Taxes. The benefit for income taxes decreased by $2.9 million to a $1.5 million benefit for the three months ended March 31, 2012 from a $4.3 million benefit for the three months ended March 31, 2011. The effective tax rate was 38% for the three months ended March 31, 2012 compared to 86% for the three months ended March 31, 2011. The income tax benefit for the three months ended March 31, 2012 and 2011 relates to federal, foreign and state income tax provisions (benefits). The effective income tax rate and benefit for income taxes decrease is primarily due to the expiration of the federal research and development tax credit during 2011. In addition, during the three months ended March 31, 2011, there was a discrete benefit for the reversal of certain capital loss valuation allowances and a favorable impact of a tax rate reduction for one of our German subsidiaries.

Equity Earnings in Unconsolidated Entities, Net of Tax. Equity earnings in unconsolidated entities is reported net of tax and includes our share of earnings in entities that we account for under the equity method of accounting. Equity earnings in unconsolidated entities, net of tax for the three months ended March 31, 2012 reflects the following: (i) our 50% interest in SPD in the amount of $2.8 million, (ii) our 40% interest in Vedalab S.A., or Vedalab, in the amount of $(0.1) million and (iii) our 49% interest in TechLab, Inc., or TechLab, in the amount of $0.7 million. Equity earnings in unconsolidated entities, net of tax for the three months ended March 31, 2011 reflects the following: (i) our 50% interest in SPD in the amount of $0.4 million, (ii) our 40% interest in Vedalab in the amount of $0.1 million and (iii) our 49% interest in TechLab in the amount of $0.5 million.

Net Income (Loss) Available to Common Stockholders. For the three months ended March 31, 2012, we generated a net loss available to common stockholders of $4.1 million, or $0.05 per basic common share. For the three months ended March 31, 2011, we generated net income available to common stockholders of $8.1 million, or $0.09 per basic and diluted common share. Net income available to common stockholders reflects $5.3 million and $5.8 million of preferred stock dividends paid during the three months ended March 31, 2012 and 2011, respectively, and $13.7 million of income associated with the repurchase of preferred stock during the three months ended March 31, 2011. See Note 5 of the accompanying consolidated financial statements for the calculation of net income (loss) per common share.

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Liquidity and Capital Resources

Based upon our current working capital position, current operating plans and expected business conditions, we currently expect to fund our short- and long-term working capital needs primarily using existing cash and our operating cash flow, and we expect our working capital position to improve as we improve our future operating margins and grow our business through new product and service offerings and by continuing to leverage our strong intellectual property position. As of March 31, 2012, we have $514.1 million of cash and cash equivalents, of which $312.2 million was held by domestic subsidiaries and $201.9 million was held by foreign entities. Repatriation of cash held by foreign entities could be subject to adverse tax implications, including incremental U.S. tax liabilities and potential foreign withholding tax liabilities.

We may also utilize our secured credit facility (See Note 10) or other new sources of financing to fund a portion of our capital needs and other commitments, including our contractual contingent consideration obligations and future acquisitions. As of March 31, 2012, we did not have any borrowings outstanding under the $250.0 million revolving line of credit under our secured credit facility, and the full amount of that line of credit was available to us. Our ability to access the capital markets may be impacted by the amount of our outstanding debt and equity and the extent to which our assets are encumbered by our outstanding secured debt. The terms and conditions of our outstanding debt instruments also contain covenants which expressly restrict our ability to incur additional indebtedness and conduct other financings. As of March 31, 2012, we had $3.5 billion in outstanding indebtedness comprised of $2.3 billion under our secured credit facility, $400.0 million of 8.625% subordinated notes due 2018, $391.6 million of 9% senior subordinated notes due 2016, $245.8 million of 7.875% senior notes due 2016 and $150.0 million of 3% senior subordinated convertible notes due 2016. The applicable interest rate margins under our secured credit facility represent an increase of between approximately 0.75% and 2.25% (depending on the type of loan and the type of interest rate involved and on our applicable leverage ratios) over the applicable margins under our former secured credit facility. And, as a result of this increase in applicable interest rates, the 1.00% floor with respect to the base Eurodollar Rate (as defined in the senior credit facility) for “B” term loans, “Incremental B-1” term loans and “Incremental B-2” term loans under our secured credit facility that are based on the Eurodollar Rate, margins and the larger amount outstanding under our secured credit facility, we anticipate that our aggregate interest expense in future periods will exceed our aggregate interest expense in 2011.

If the capital and credit markets experience volatility or the availability of funds is limited, we may incur increased costs associated with issuing debt instruments. In addition, it is possible that our ability to access the capital and credit markets could be limited by these or other factors at a time when we would like, or need, to do so, which could have an adverse impact on our ability to refinance maturing debt and/or react to changing economic and business conditions.

Our funding plans for our working capital needs and other commitments may be adversely impacted by unexpected costs associated with integrating the operations of newly-acquired companies, executing our cost-savings strategies and prosecuting and defending our existing lawsuits and/or unforeseen lawsuits against us. We also cannot be certain that our underlying assumed levels of revenues and expenses will be realized. In addition, we intend to continue to make significant investments in our research and development efforts related to the substantial intellectual property portfolio we own. We may also choose to further expand our research and development efforts and may pursue the acquisition of new products and technologies through licensing arrangements, business acquisitions, or otherwise. We may also choose to make significant investment to pursue legal remedies against potential infringers of our intellectual property rights. If we decide to engage in such activities, or if our operating results fail to meet our expectations, we could be required to seek additional funding through public or private financings or other arrangements. In such event, adequate funds may not be available when needed or may be available only on terms which could have a negative impact on our business and results of operations. In addition, if we raise additional funds by issuing equity or convertible securities, dilution to then existing stockholders may result.

On April 2, 2012, we completed our acquisition of eScreen, Inc., or eScreen, headquartered in Overland Park, Kansas. eScreen is a technology-enabled provider of employment screening solutions for hiring and maintaining healthier and more efficient workforces. The preliminary aggregate purchase price was approximately $270.0 million, subject to certain post-closing adjustments, which was paid in cash.

Cash Flow Summary

(in thousands)

	Three Months Ended March  31,
	2012			2011
Net cash provided by operating activities	$	101,930		$	87,160
Net cash used in investing activities		(64,054	)		(117,266	)
Net cash provided by (used in) financing activities		176,184			(53,734	)
Foreign exchange effect on cash and cash equivalents		864			1,200
Net increase (decrease) in cash and cash equivalents		214,924			(82,640	)
Cash and cash equivalents, beginning of period		299,173			401,306
Cash and cash equivalents, end of period	$	514,097		$	318,666

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Summary of Changes in Cash Position

As of March 31, 2012, we had cash and cash equivalents of $514.1 million; a $214.9 million increase from December 31, 2011. Our primary sources of cash during the three months ended March 31, 2012 included $101.9 million generated by our operating activities, approximately $198.0 million of proceeds received in connection with the “Incremental B-2” term loans entered into as part of our secured credit facility, $7.7 million from common stock issuances under employee stock option and stock purchase plans and a $6.1 million return of capital from SPD. Our primary uses of cash during the three months ended March 31, 2012 related to $38.0 million net cash paid for acquisitions, $29.9 million of capital expenditures, net of proceeds from the sale of equipment, $16.9 million related to the repayment of long-term debt obligations, $8.6 million related to an increase in other assets, $6.2 million related to the repayment of short-term debt obligations and $5.3 million for cash dividends paid on our Series B Preferred stock. Fluctuations in foreign currencies positively impacted our cash balance by $0.9 million during the three months ended March 31, 2012.

Cash Flows from Operating Activities

Net cash provided by operating activities during the three months ended March 31, 2012 was $101.9 million, which resulted from net income of $1.0 million, $100.1 million of non-cash items and $0.8 million of cash provided by changes in net working capital requirements during the period. The $100.1 million of non-cash items included, among other items, $107.4 million related to depreciation and amortization, $5.3 million of interest expense related to the amortization of deferred financing costs and original issue discounts and $3.9 million related to non-cash stock-based compensation, partially offset by a $13.8 million decrease related to changes in our deferred tax assets and liabilities, which partially resulted from amortization of intangible assets, and a $3.4 million decrease attributable to equity earnings in unconsolidated entities.

Cash Flows from Investing Activities

Our investing activities during the three months ended March 31, 2012 utilized $64.1 million of cash, including $38.0 million net cash paid for acquisitions, $29.9 million of capital expenditures, net of proceeds from the sale of equipment and $8.6 million related to an increase in other assets, offset by a $6.1 million return of capital from SPD.

Cash Flows from Financing Activities

Net cash provided by financing activities during the three months ended March 31, 2012 was $176.2 million. Financing activities during the three months ended March 31, 2012 primarily included approximately $198.0 million of net proceeds received in connection with the “Incremental B-2” term loans entered into as part of our secured credit facility. We utilized approximately $16.9 million for the repayment of long-term debt obligations, $6.2 million for the repayment of short-term debt obligations and $5.3 million for cash dividends paid on our Series B Preferred stock. These cash payments were offset by $7.7 million of cash received from common stock issuances under employee stock option and stock purchase plans.

As of March 31, 2012, we had an aggregate of $17.5 million in outstanding capital lease obligations which are payable through 2017.

Income Taxes

As of December 31, 2011, we had approximately $216.4 million of domestic NOL and capital loss carryforwards and $209.5 million of foreign NOL and capital loss carryforwards, respectively, which either expire on various dates through 2031 or may be carried forward indefinitely. These losses are available to reduce federal, state and foreign taxable income, if any, in future years. These losses are also subject to review and possible adjustments by the applicable taxing authorities. In addition, the domestic NOL carryforward amount at December 31, 2011 included approximately $97.1 million of pre-acquisition losses at Matria, QAS, ParadigmHealth, Biosite, Cholestech, Redwood, HemoSense, Ischemia, Ostex International, Ionian and Twist. Effective January 1, 2009, we adopted a new accounting standard for business combinations. Prior to adoption of this standard, the pre-acquisition losses were applied first to reduce to zero any goodwill and other non-current intangible assets related to the acquisitions, prior to reducing our income tax expense. Upon adoption of the new accounting standard, the reduction of a valuation allowance is generally recorded to reduce our income tax expense.

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Furthermore, all domestic losses are subject to the Internal Revenue Code Section 382 limitation and may be limited in the event of certain cumulative changes in ownership interests of significant shareholders over a three-year period in excess of 50%. Section 382 imposes an annual limitation on the use of these losses to an amount equal to the value of the company at the time of the ownership change multiplied by the long-term tax exempt rate. We have recorded a valuation allowance against a portion of the deferred tax assets related to our NOLs and certain of our other deferred tax assets to reflect uncertainties that might affect the realization of such deferred tax assets, as these assets can only be realized via profitable operations.

Off-Balance Sheet Arrangements

We had no material off-balance sheet arrangements as of March 31, 2012.

Contractual Obligations

On March 28, 2012, we entered into a third amendment to our secured credit facility, which provides for an additional term loan facility consisting of “Incremental B-2” term loans in the aggregate principal amount of $200.0 million. As of March 31, 2012, aggregate borrowings under the secured credit facility amounted to $2.3 billion. The table below summarizes our aggregate long-term debt obligations as of March 31, 2012 (in thousands).

	Payments Due by Period
	Total		2012		2013-2014		2015-2016		Thereafter
Long-term debt obligations	$	3,531,018	$	43,766	$	113,552	$	1,663,710	$	1,709,990

With respect to our February 6, 2012 acquisition of AmMed Direct LLC, the terms of the acquisition agreement require us to pay an earn-out upon successfully meeting certain operational targets within six months of the acquisition date. The maximum amount of the earn-out payment is $2.0 million.

The addition of the AmMed obligation is the only significant change in our principal contractual obligations since December 31, 2011, other than the changes described above with respect to our secured credit facility. Other contractual obligations that were presented in our Annual Report on Form 10-K for the year ended December 31, 2011 but are omitted below represent those that have not changed significantly since that date.

Critical Accounting Policies

The discussion and analysis of our financial condition and results of operations is based on our consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States. The preparation of these financial statements in accordance with generally accepted accounting principles requires us to make estimates and judgments that may affect the reported amounts of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities. On a quarterly basis, we evaluate our estimates, including those related to revenue recognition and related allowances, bad debt, inventory, valuation of long-lived assets, including intangible assets and goodwill, income taxes, including any valuation allowance for our net deferred tax assets, contingencies and litigation, and stock-based compensation. We base our estimates on historical experience and on various other assumptions that are believed to be reasonable, the results of which form the basis for making judgments about the carrying values of assets and liabilities. Actual results may differ from these estimates under different assumptions or conditions.

There have been no significant changes in our critical accounting policies or management estimates since the year ended December 31, 2011. A comprehensive discussion of our critical accounting policies and management estimates is included in Management’s Discussion and Analysis of Financial Condition and Results of Operations in our Annual Report on Form 10-K for the year ended December 31, 2011.

Recent Accounting Pronouncements

See Note 17 in the notes to the consolidated financial statements included in this Quarterly Report on Form 10-Q, regarding the impact of certain recent accounting pronouncements on our consolidated financial statements.

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Our market risks, and the ways we manage them, are summarized in Part II, Item 7A, “Quantitative and Qualitative Disclosures About Market Risk” of our 2011 Form 10-K. Market risks that were presented in our 2011 Form 10-K but

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are omitted below represent those that have not changed significantly since that date. The following discussion about our market risk disclosures involves forward-looking statements. Actual results could differ materially from those discussed in the forward-looking statements.

Interest Rate Risk

We are exposed to market risk from changes in interest rates primarily through our investing and financing activities. In addition, our ability to finance future acquisition transactions or fund working capital requirements may be impacted if we are not able to obtain appropriate financing at acceptable rates.

Our investing strategy to manage interest rate exposure is to invest in short-term, highly-liquid investments. Our investment policy also requires investment in approved instruments with an initial maximum allowable maturity of eighteen months and an average maturity of our portfolio that should not exceed six months, with at least $500,000 cash available at all times. Currently, our short-term investments are in money market funds with original maturities of 90 days or less. At March 31, 2012, our short-term investments approximated market value. At March 31, 2012, under the credit agreement for our secured credit facility we had (i) term loans in an aggregate outstanding principal amount of $2.3 billion (consisting of “A” term loans (including the “Delayed-Draw” term loans) in the aggregate principal amount of $909.4 million, “B” term loans in the aggregate principal amount of $920.4 million, “Incremental B-1” term loans in the aggregate principal amount of $249.4 million and “Incremental B-2” term loans in the aggregate principal amount of $200.0 million), and (ii) subject to our continued compliance with the credit agreement, the ability to borrow under a $250.0 million revolving line of credit, which includes a $50.0 million sublimit for the issuance of letters of credit. As of March 31, 2012, there were no outstanding borrowings under the revolving line of credit. Loans can be either Base Rate Loans or Eurodollar Rate Loans at our election, and interest accrues on loans and our other Obligations under the terms of the credit agreement as follows (with the terms referenced above and below in this paragraph having the meanings given to them in the credit agreement): (i) in the case of loans that are Base Rate Loans, at a rate per annum equal to the sum of the Base Rate and the Applicable Margin, each as in effect from time to time, (ii) in the case of loans that are Eurodollar Rate Loans, at a rate per annum equal to the sum of the Eurodollar Rate and the Applicable Margin, each as in effect for the applicable Interest Period, and (iii) in the case of other Obligations, at a rate per annum equal to the sum of the Base Rate and the Applicable Margin for Revolving Loans that are Base Rate Loans, each as in effect from time to time. The Base Rate is a floating rate which approximates the U.S. prime rate as in effect from time to time. The Eurodollar Rate is equal to the LIBOR rate and is set for a period of one, two, three or six months at our election. Applicable Margins for our “A” term loans (including the “Delayed-Draw” term loans) and revolving line of credit loans range from (i) with respect to such loans that are Base Rate Loans, 1.75% to 2.50% and (ii) with respect to such loans that are Eurodollar Rate Loans, 2.75% to 3.50%, in each case, depending upon our consolidated secured leverage ratio (as determined under the credit agreement). Applicable Margins for our “B” term loans, “Incremental B-1” term loans and “Incremental B-2” term loans range from (i) with respect to such loans that are Base Rate Loans, 2.50% to 3.25% and (ii) with respect to such loans that are Eurodollar Rate Loans, 3.50% to 4.25%, in each case, depending upon our consolidated secured leverage ratio. Interest on “B” term loans, “Incremental B-1” term loans and “Incremental B-2” term loans based on the Eurodollar Rate is subject to a 1.00% floor with respect to the base Eurodollar Rate. As of March 31, 2012, the “A” term loans (including the “Delayed-Draw” term loans), the “B” term loans, the “Incremental B-1” term loans and the “Incremental B-2” term loans bore interest (including applicable margins) at 2.99%, 4.50%, 4.50% and 4.50% per annum, respectively.

Assuming no changes in our consolidated secured leverage ratio, the effect of interest rate fluctuations on outstanding borrowings as of March 31, 2012 over the next twelve months is quantified and summarized as follows (in thousands):

	Interest Expense Increase
Interest rates payable by us increase by 100 basis points	$	22,771
Interest rates payable by us increase by 200 basis points	$	45,543

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ITEM 4. CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

Our management evaluated, with the participation of our Chief Executive Officer (CEO) and Chief Financial Officer (CFO), the effectiveness of the design and operation of our disclosure controls and procedures (as defined in Rules 13a -15(e) or 15d-15(e) under the Securities Exchange Act of 1934, as amended) as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on this evaluation, our management, including the CEO and CFO, concluded that our disclosure controls and procedures were effective at that time. We and our management understand nonetheless that controls and procedures, no matter how well designed and operated, can provide only reasonable assurances of achieving the desired control objectives, and our management necessarily was required to apply its judgment in evaluating and implementing possible controls and procedures. In reaching their conclusions stated above regarding the effectiveness of our disclosure controls and procedures, our CEO and CFO concluded that such disclosure controls and procedures were effective as of such date at the “reasonable assurance” level.

Changes in Internal Control over Financial Reporting

There was no change in our internal control over financial reporting that occurred during the most recent fiscal quarter covered by this Quarterly Report on Form 10-Q that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

PART II — OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS.

Please see Part I, Item 2, “Management’s Discussion and Analysis of Financial Conditions and Results of Operations—Recent Developments” for a description of certain legal matters.

ITEM 1A. RISK FACTORS

This section updates and supplements the risk factors detailed in Part I, Item 1A, “Risk Factors,” of our Annual Report on Form 10-K for the fiscal year ended December 31, 2011, and should be read in conjunction with such disclosure. The risks described below may materially impact your investment in our company or may in the future, and, in some cases, already do materially affect us and our business, financial condition and results of operations. You should carefully consider these factors with respect to your investment in our securities.

We face risks and uncertainties relating to an ongoing FDA inspection and subpoena with respect to our Alere Triage products.

As we discuss under the heading “Recent Developments” in Part I, Item 2, “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” the FDA is conducting an inspection of our San Diego facility relating to our Alere Triage products, and we have received a subpoena from the Office of Inspector General of the Department of Health and Human Services seeking documents relating primarily to the quality control testing and performance characteristics of Alere Triage products. The inspection and subpoena may be expanded to cover other matters. We are unable to predict when these matters will be resolved, what action, if any, the government will take in connection with these matters or what impact, if any, these matters or ensuing proceedings, if any, will have on our financial condition, results of operations or cash flows. We anticipate that we will recall some or all of the Alere Triage products, and our ability to supply certain Alere Triage products may be limited, which may adversely affect revenues from sales of these products. We are unable to predict the scope of any product recall or the duration of any product shortage. We may experience shortages of products for which our inventory appears adequate, and our revenues and market share could be adversely affected by customer decisions to switch to competing products. We are unable to determine the extent to which our manufacturing costs will increase as a result of these matters or the impact of these matters on the profitability of these products. We cannot predict the impact of any revised quality control release methods on our manufacturing yields. Our discussions with the FDA could lead to further changes in our quality control release methods or other manufacturing or quality control procedures, which could result in additional product shortages or additional cost increases. In connection with these matters, we may face potential enforcement proceedings by the government, potential civil or criminal fines and penalties, including disgorgement of amounts received for any adulterated products, potential withdrawals of regulatory approvals, the possibility of injunctive relief, which could limit, modify or constrain our ability to manufacture, market and sell our products, possible exclusion from participation in government healthcare programs, such as Medicare and Medicaid, and potential product liability litigation. We are unable to predict the costs we may incur in responding to the subpoena or other potential investigations of these matters. Any of these risks and uncertainties could adversely affect our revenues, results of operations, cash flows and financial condition.

ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

During the period covered by this report, we issued 4,000 shares of our common stock upon the exercise of warrants for cash, resulting in aggregate proceeds to us of $54,160. During the period covered by this report, we issued 2,803 shares of our common stock upon the net exercise of warrants to purchase 6,000 shares of our common stock, resulting in aggregate non-cash consideration to us of $81,240. The warrants were issued in 2002 in a private placement relating to an acquisition. The shares issued upon exercise of the warrants were offered and sold, in 7 separate transactions, pursuant to the exemption from registration afforded by Section 4(2) of the Securities Act of 1933, as amended, or the Securities Act.

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ITEM 6. EXHIBITS

Exhibits:

Exhibit No.	Description
10.1	Third Amendment to Credit Agreement dated as of March 28, 2012 among Alere Inc., as Borrower, the Lenders party thereto and General Electric Capital Corporation, as Administrative Agent (incorporated by reference to Exhibit 10.4 to the Company’s Current Report on Form 8-K, event date March 28, 2012, filed on April 2, 2012)
*31.1	Certification by Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
*31.2	Certification by Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
*32.1	Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
*101	Interactive Data Files regarding (a) our Consolidated Statements of Operations for the Three Months Ended March 31, 2012 and 2011, (b) our Consolidated Statements of Comprehensive Income for the Three Months Ended March 31, 2012 and 2011, (c) our Consolidated Balance Sheets as of March 31, 2012 and December 31, 2011, (d) our Consolidated Statements of Cash Flows for the Three Months Ended March 31, 2012 and 2011 and (e) the Notes to such Consolidated Financial Statements.

* Filed herewith

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SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

	ALERE INC.
Date: May 10, 2012	/s/ David Teitel
	David Teitel
	Chief Financial Officer and an authorized officer

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EX-31.1

EXHIBIT 31.1

CERTIFICATION

I, Ron Zwanziger, certify that:

1. I have reviewed this quarterly report on Form 10-Q of Alere Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent functions):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: May 10, 2012	/s/ Ron Zwanziger
	Ron Zwanziger Chairman, President and Chief Executive Officer

43

EX-31.2

EXHIBIT 31.2

CERTIFICATION

I, David Teitel, certify that:

1. I have reviewed this quarterly report on Form 10-Q of Alere Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent functions):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: May 10, 2012	/s/ David Teitel
	David Teitel Chief Financial Officer

44

EX-32.1

Exhibit 32.1

Certification Pursuant to

18 U.S.C. Section 1350,

as Adopted Pursuant to

Section 906 of the Sarbanes-Oxley Act of 2002

Each of the undersigned officers of Alere Inc. (the “Company”) hereby certifies, to his knowledge, that the Company’s Quarterly Report on Form 10-Q for the fiscal quarter ended March 31, 2012 (the “Report”), as filed with the Securities and Exchange Commission on the date hereof, fully complies with the requirements of Section 13(a) or 15(d), as applicable, of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and that the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company. This certification is being furnished as an exhibit to the Report pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, and shall not be deemed “filed” for purposes of Section 18 of the Exchange Act, or otherwise subject to the liability of that section. This certification will not be deemed to be incorporated by reference into any filing under the Securities Act of 1933, as amended, or the Exchange Act, regardless of any general incorporation language in such filing, except to the extent that the Company specifically incorporates this certification by reference.

Date: May 10, 2012
	/s/ Ron Zwanziger
	Ron Zwanziger
	Chief Executive Officer
Date: May 10, 2012
	/s/ David Teitel
	David Teitel
	Chief Financial Officer

A signed original of this written statement required by Section 906, or other document authenticating, acknowledging, or otherwise adopting the signatures that appear in typed form within the electronic version of this written statement required by Section 906, has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

45

XML

Guarantor Financial Information (Tables)

3 Months Ended

Mar. 31, 2012

Guarantor Financial Information [Abstract]

Consolidating Statement of Operations

CONSOLIDATING STATEMENT OF OPERATIONS

For the Three Months Ended March 31, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	219,216		$	289,800		$	(33,229	)	$	475,787
Services revenue		—			146,133			46,301			—			192,434
Net product sales and services revenue		—			365,349			336,101			(33,229	)		668,221
License and royalty revenue		—			4,229			2,621			(3,942	)		2,908
Net revenue		—			369,578			338,722			(37,171	)		671,129
Cost of net product sales		850			103,921			153,879			(33,096	)		225,554
Cost of services revenue		—			77,703			13,157			—			90,860
Cost of net product sales and services revenue		850			181,624			167,036			(33,096	)		316,414
Cost of license and royalty revenue		—			—			5,586			(3,942	)		1,644
Cost of net revenue		850			181,624			172,622			(37,038	)		318,058
Gross profit (loss)		(850	)		187,954			166,100			(133	)		353,071
Operating expenses:
Research and development		5,196			16,576			17,228			—			39,000
Sales and marketing		1,057			77,559			79,962			—			158,578
General and administrative		11,631			58,301			50,503			—			120,435
Total operating expenses		17,884			152,436			147,693			—			318,013
Operating income (loss)		(18,734	)		35,518			18,407			(133	)		35,058
Interest expense, including amortization of original issue discounts and deferred financing costs		(49,716	)		(11,006	)		(3,315	)		13,310			(50,727	)
Other income (expense), net		(8,074	)		9,428			23,787			(13,310	)		11,831
Income (loss) before provision (benefit) for income taxes		(76,524	)		33,940			38,879			(133	)		(3,838	)
Provision (benefit) for income taxes		(26,998	)		12,305			13,167			71			(1,455	)
Income (loss) before equity earnings of unconsolidated entities, net of tax		(49,526	)		21,635			25,712			(204	)		(2,383	)
Equity in earnings of subsidiaries, net of tax		49,895			(348	)		—			(49,547	)		—
Equity earnings of unconsolidated entities, net of tax		660			—			2,736			16			3,412
Net income (loss)		1,029			21,287			28,448			(49,735	)		1,029
Less: Net income attributable to non-controlling interests		—			—			(185	)		—			(185	)
Net income (loss) attributable to Alere Inc. and Subsidiaries		1,029			21,287			28,633			(49,735	)		1,214
Preferred stock dividends		(5,309	)		—			—			—			(5,309	)
Net income (loss) available to common stockholders	$	(4,280	)	$	21,287		$	28,633		$	(49,735	)	$	(4,095	)

CONSOLIDATING STATEMENT OF OPERATIONS

For the Three Months Ended March 31, 2011

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	237,976		$	199,970		$	(30,703	)	$	407,243
Services revenue		—			151,525			16,027			—			167,552
Net product sales and services revenue		—			389,501			215,997			(30,703	)		574,795
License and royalty revenue		—			2,474			6,633			(1,438	)		7,669
Net revenue		—			391,975			222,630			(32,141	)		582,464
Cost of net product sales		770			107,162			112,135			(30,380	)		189,687
Cost of services revenue		—			78,535			6,181			—			84,716
Cost of net product sales and services revenue		770			185,697			118,316			(30,380	)		274,403
Cost of license and royalty revenue		—			—			3,292			(1,438	)		1,854
Cost of net revenue		770			185,697			121,608			(31,818	)		276,257
Gross profit (loss)		(770	)		206,278			101,022			(323	)		306,207
Operating expenses:
Research and development		4,741			17,781			14,020			—			36,542
Sales and marketing		651			82,860			49,698			—			133,209
General and administrative		14,636			60,201			30,714			—			105,551
Total operating expenses		20,028			160,842			94,432			—			275,302
Operating income (loss)		(20,798	)		45,436			6,590			(323	)		30,905
Interest expense, including amortization of original issue discounts and deferred financing costs		(25,606	)		(28,179	)		(4,369	)		19,849			(38,305	)
Other income (expense), net		3,365			13,854			4,966			(19,849	)		2,336
Income (loss) before provision (benefit) for income taxes		(43,039	)		31,111			7,187			(323	)		(5,064	)
Provision (benefit) for income taxes		(20,795	)		14,136			2,454			(125	)		(4,330	)
Income (loss) before equity earnings of unconsolidated entities, net of tax		(22,244	)		16,975			4,733			(198	)		(734	)
Equity in earnings of subsidiaries, net of tax		22,053			—			—			(22,053	)		—
Equity earnings of unconsolidated entities, net of tax		468			—			490			53			1,011
Net income (loss)		277			16,975			5,223			(22,198	)		277
Less: Net income attributable to non-controlling interests		—			—			62			—			62
Net income (loss) attributable to Alere Inc. and Subsidiaries		277			16,975			5,161			(22,198	)		215
Preferred stock dividends		(5,809	)		—			—			—			(5,809	)
Preferred stock repurchase		13,688			—			—			—			13,688
Net income (loss) available to common stockholders	$	8,156		$	16,975		$	5,161		$	(22,198	)	$	8,094

Comprehensive Income

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME

For the Three Months Ended March 31, 2012

(in thousands)

	Issuer		Guarantor Subsidiaries		Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	1,029	$	21,287	$	28,448		$	(49,735	)	$	1,029
Other comprehensive income, before tax:
Changes in cumulative translation adjustment		328		74		34,872			665			35,939
Unrealized gains on available for sale securities		430		1		—			—			431
Unrealized gains on hedging instruments		17		—		1,090			—			1,107
Minimum pension liability adjustment		—		—		(165	)		—			(165	)
Other comprehensive income, before tax		775		75		35,797			665			37,312
Income tax benefit related to items of other comprehensive income		—		—		(41	)		—			(41	)
Other comprehensive income, net of tax		775		75		35,838			665			37,353
Comprehensive income (loss)		1,804		21,362		64,286			(49,070	)		38,382
Less: Comprehensive loss attributable to non-controlling interests		—		—		(185	)		—			(185	)
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	1,804	$	21,362	$	64,471		$	(49,070	)	$	38,567

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME

For the Three Months Ended March 31, 2011

(in thousands)

	Issuer		Guarantor Subsidiaries		Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	277	$	16,975	$	5,223		$	(22,198	)	$	277
Other comprehensive income, before tax:
Changes in cumulative translation adjustment		608		137		17,237			3,533			21,515
Unrealized gains (losses) on available for sale securities		131		—		(346	)		—			(215	)
Unrealized gains on hedging instruments		1,617		—		—			—			1,617
Minimum pension liability adjustment		—		—		(38	)		—			(38	)
Other comprehensive income, before tax		2,356		137		16,853			3,533			22,879
Income tax provision (benefit) related to items of other comprehensive income		629		—		(10	)		—			619
Other comprehensive income, net of tax		1,727		137		16,863			3,533			22,260
Comprehensive income (loss)		2,004		17,112		22,086			(18,665	)		22,537
Less: Comprehensive income attributable to non-controlling interests		—		—		62			—			62
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	2,004	$	17,112	$	22,024		$	(18,665	)	$	22,475

Consolidating Balance Sheet

CONSOLIDATING BALANCE SHEET

March 31, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries		Eliminations			Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	243,062		$	63,996	$	207,039	$	—		$	514,097
Restricted cash		—			1,579		1,105		—			2,684
Marketable securities		—			775		317		—			1,092
Accounts receivable, net of allowances		—			203,267		285,995		—			489,262
Inventories, net		—			121,403		193,936		(5,418	)		309,921
Deferred tax assets		9,907			22,797		6,192		1,894			40,790
Receivable from joint venture, net		—			1,894		243		—			2,137
Prepaid expenses and other current assets		(84,603	)		141,143		80,032		—			136,572
Intercompany receivables		392,474			411,451		78,994		(882,919	)		—
Total current assets		560,840			968,305		853,853		(886,443	)		1,496,555
Property, plant and equipment, net		2,381			273,773		230,882		(529	)		506,507
Goodwill		—			1,530,258		1,309,894		(4,981	)		2,835,171
Other intangible assets with indefinite lives		—			7,100		65,334		—			72,434
Finite-lived intangible assets, net		26,488			970,494		759,251		—			1,756,233
Deferred financing costs, net and other non-current assets		91,655			5,797		9,696		—			107,148
Receivable from joint venture, net of current portion		—			—		15,977		—			15,977
Investments in subsidiaries		3,545,610			49,159		3,000		(3,597,769	)		—
Investments in unconsolidated entities		32,459			—		52,933		—			85,392
Marketable securities		2,684			—		—		—			2,684
Deferred tax assets		—			—		11,180		—			11,180
Intercompany notes receivable		1,894,186			915,127		—		(2,809,313	)		—
Total assets	$	6,156,303		$	4,720,013	$	3,312,000	$	(7,299,035	)	$	6,889,281
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt	$	45,000		$	595	$	17,337	$	—		$	62,932
Current portion of capital lease obligations		—			1,409		4,387		—			5,796
Accounts payable		5,841			50,076		83,606		—			139,523
Accrued expenses and other current liabilities		(277,121	)		481,300		193,270		—			397,449
Intercompany payables		444,483			116,147		322,283		(882,913	)		—
Total current liabilities		218,203			649,527		620,883		(882,913	)		605,700
Long-term liabilities:
Long-term debt, net of current portion		3,429,233			—		24,350		—			3,453,583
Capital lease obligations, net of current portion		—			1,814		9,912		—			11,726
Deferred tax liabilities		(30,241	)		291,722		109,650		59			371,190
Other long-term liabilities		23,557			46,986		97,758		—			168,301
Intercompany notes payables		241,421			1,786,460		779,135		(2,807,016	)		—
Total long-term liabilities		3,663,970			2,126,982		1,020,805		(2,806,957	)		4,004,800
Redeemable non-controlling interest		—			—		2,448		—			2,448
Stockholders’ equity		2,274,130			1,943,504		1,665,661		(3,609,165	)		2,274,130
Non-controlling interests		—			—		2,203		—			2,203
Total equity		2,274,130			1,943,504		1,667,864		(3,609,165	)		2,276,333
Total liabilities and equity	$	6,156,303		$	4,720,013	$	3,312,000	$	(7,299,035	)	$	6,889,281

CONSOLIDATING BALANCE SHEET

December 31, 2011

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries		Eliminations			Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	12,451		$	85,838		$	200,884	$	—		$	299,173
Restricted cash		—			1,591			7,396		—			8,987
Marketable securities		—			770			316		—			1,086
Accounts receivable, net of allowances		—			199,547			276,277		—			475,824
Inventories, net		—			136,091			189,886		(5,708	)		320,269
Deferred tax assets		10,912			22,813			7,266		1,984			42,975
Receivable from joint venture, net		—			2,301			202		—			2,503
Prepaid expenses and other current assets		(74,078	)		138,329			78,659		—			142,910
Intercompany receivables		397,914			426,136			27,871		(851,921	)		—
Total current assets		347,199			1,013,416			788,757		(855,645	)		1,293,727
Property, plant and equipment, net		2,542			274,588			214,206		(131	)		491,205
Goodwill		—			1,530,324			1,295,791		(4,844	)		2,821,271
Other intangible assets with indefinite lives		—			7,100			62,446		—			69,546
Finite-lived intangible assets, net		28,685			1,011,852			745,388		—			1,785,925
Deferred financing costs, net, and other non-current assets		88,153			5,532			4,101		—			97,786
Receivable from joint venture, net of current portion		—			—			15,455		—			15,455
Investments in subsidiaries		3,586,625			32,512			3,005		(3,622,142	)		—
Investments in unconsolidated entities		29,021			—			56,117		—			85,138
Marketable securities		2,254			—			—		—			2,254
Deferred tax assets		—			—			10,394		—			10,394
Intercompany notes receivable		1,934,366			(196,820	)		—		(1,737,546	)		—
Total assets	$	6,018,845		$	3,678,504		$	3,195,660	$	(6,220,308	)	$	6,672,701
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt	$	43,000		$	—		$	18,092	$	—		$	61,092
Current portion of capital lease obligations		—			1,550			4,533		—			6,083
Short-term debt		6,240			—			—		—			6,240
Accounts payable		6,704			53,978			94,782		—			155,464
Accrued expenses and other current liabilities		(259,010	)		455,366			199,217		—			395,573
Intercompany payables		429,644			104,257			318,018		(851,919	)		—
Total current liabilities		226,578			615,151			634,642		(851,919	)		624,452
Long-term liabilities:
Long-term debt, net of current portion		3,243,341			—			24,110		—			3,267,451
Capital lease obligations, net of current portion		—			2,175			10,454		—			12,629
Deferred tax liabilities		(25,936	)		303,837			102,730		69			380,700
Other long-term liabilities		24,407			47,135			81,856		—			153,398
Intercompany notes payables		321,221			658,573			754,650		(1,734,444	)		—
Total long-term liabilities		3,563,033			1,011,720			973,800		(1,734,375	)		3,814,178
Redeemable non-controlling interest		—			—			2,497		—			2,497
Stockholders’ equity		2,229,234			2,051,633			1,582,381		(3,634,014	)		2,229,234
Non-controlling interests		—			—			2,340		—			2,340
Total equity		2,229,234			2,051,633			1,584,721		(3,634,014	)		2,231,574
Total liabilities and equity	$	6,018,845		$	3,678,504		$	3,195,660	$	(6,220,308	)	$	6,672,701

Consolidating Statement of Cash Flows

CONSOLIDATING STATEMENT OF CASH FLOWS

For the Three Months Ended March 31, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Cash Flows from Operating Activities:
Net income (loss)	$	1,029		$	21,287		$	28,448		$	(49,735	)	$	1,029
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Equity in earnings of subsidiaries, net of tax		(49,895	)		348			—			49,547			—
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs		5,219			59			—			—			5,278
Depreciation and amortization		2,074			57,303			48,086			(61	)		107,402
Non-cash stock-based compensation expense		1,007			1,377			1,490			—			3,874
Impairment of inventory		—			5			—			—			5
Impairment of long-lived assets		—			134			—			—			134
Loss on sale of fixed assets		—			508			58			—			566
Equity earnings of unconsolidated entities, net of tax		(660	)		—			(2,736	)		(16	)		(3,412	)
Deferred income taxes		(11,105	)		(614	)		(2,033	)		—			(13,752	)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net		—			(3,721	)		(9,221	)		—			(12,942	)
Inventories, net		—			13,288			(3,672	)		(265	)		9,351
Prepaid expenses and other current assets		10,526			(2,813	)		(4,192	)		—			3,521
Accounts payable		(863	)		(3,474	)		(13,469	)		—			(17,806	)
Accrued expenses and other current liabilities		(14,901	)		27,920			(9,034	)		—			3,985
Other non-current liabilities		4,309			(9,400	)		19,717			71			14,697
Intercompany payable (receivable)		131,413			(109,319	)		(22,094	)		—			—
Net cash provided by (used in) operating activities		78,153			(7,112	)		31,348			(459	)		101,930
Cash Flows from Investing Activities:
Decrease in restricted cash		—			—			6,302			—			6,302
Purchases of property, plant and equipment		(4	)		(14,608	)		(16,232	)		459			(30,385	)
Proceeds from sale of property, plant and equipment		—			201			326			—			527
Cash paid for acquisitions, net of cash acquired		(22,500	)		—			(15,508	)		—			(38,008	)
Cash received from equity method investment		—			—			6,066			—			6,066
Cash received (paid) for marketable securities		—			(5	)		3			—			(2	)
Increase in other assets		(6,144	)		(532	)		(1,878	)		—			(8,554	)
Net cash provided by (used in) investing activities		(28,648	)		(14,944	)		(20,921	)		459			(64,054	)
Cash Flows from Financing Activities:
Cash paid for financing costs		(1,876	)		—			—			—			(1,876	)
Cash paid for contingent purchase price consideration		(48	)		—			—			—			(48	)
Proceeds from issuance of common stock, net of issuance costs		7,674			—			—			—			7,674
Proceeds from long-term debt		198,000			951			190			—			199,141
Payments on long-term debt		(10,750	)		(356	)		(5,805	)		—			(16,911	)
Net proceeds under revolving credit facilities		—			—			1,339			—			1,339
Payments on short-term debt		(6,240	)		—			—			—			(6,240	)
Cash paid for dividends		(5,323	)		—			—			—			(5,323	)
Excess tax benefits on exercised stock options		98			48			2			—			148
Principal payments on capital lease obligations		—			(502	)		(1,218	)		—			(1,720	)
Net cash provided by (used in) financing activities		181,535			141			(5,492	)		—			176,184
Foreign exchange effect on cash and cash equivalents		(429	)		73			1,220			—			864
Net increase (decrease) in cash and cash equivalents		230,611			(21,842	)		6,155			—			214,924
Cash and cash equivalents, beginning of period		12,451			85,838			200,884			—			299,173
Cash and cash equivalents, end of period	$	243,062		$	63,996		$	207,039		$	—		$	514,097

CONSOLIDATING STATEMENT OF CASH FLOWS

For the Three Months Ended March 31, 2011

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Cash Flows from Operating Activities:
Net income (loss)	$	277		$	16,975		$	5,223		$	(22,198	)	$	277
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Equity in earnings of subsidiaries, net of tax		(22,053	)		—			—			22,053			—
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs		1,747			1,718			138			—			3,603
Depreciation and amortization		873			65,666			28,635			(199	)		94,975
Non-cash stock-based compensation expense		1,713			2,147			1,948			—			5,808
Impairment of inventory		—			—			294			—			294
Impairment of long-lived assets		—			—			230			—			230
Impairment of intangible assets		—			2,935			—			—			2,935
Loss on sale of fixed assets		—			304			175			—			479
Gain on sales of marketable securities		—			—			(333	)		—			(333	)
Equity earnings of unconsolidated entities, net of tax		(468	)		—			(490	)		(53	)		(1,011	)
Deferred income taxes		19,469			(22,801	)		(9,906	)		—			(13,238	)
Other non-cash items		1,748			(335	)		193			—			1,606
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net		—			(2,045	)		(3,294	)		—			(5,339	)
Inventories, net		—			12,150			(1,381	)		294			11,063
Prepaid expenses and other current assets		(5,180	)		(6,541	)		(12,752	)		—			(24,473	)
Accounts payable		295			(1,372	)		(4,858	)		—			(5,935	)
Accrued expenses and other current liabilities		(22,755	)		41,218			(3,544	)		(124	)		14,795
Other non-current liabilities		(17	)		212			1,229			—			1,424
Intercompany payable (receivable)		63,737			(104,146	)		40,409			—			—
Net cash provided by (used in) operating activities		39,386			6,085			41,916			(227	)		87,160
Cash Flows from Investing Activities:
Decrease in restricted cash		—			—			3			—			3
Purchases of property, plant and equipment		(19	)		(15,440	)		(13,657	)		172			(28,944	)
Proceeds from sale of property, plant and equipment		—			83			121			—			204
Proceeds from disposition of business		—			—			11,490			—			11,490
Cash paid for acquisitions, net of cash acquired		(34,103	)		(3,153	)		(57,643	)		—			(94,899	)
Cash received for marketable securities		—			—			6,982			—			6,982
Increase in other assets		(3,958	)		(6,360	)		(1,784	)		—			(12,102	)
Net cash provided by (used in) investing activities		(38,080	)		(24,870	)		(54,488	)		172			(117,266	)
Cash Flows from Financing Activities:
Cash paid for financing costs		(68	)		(12	)		—			—			(80	)
Cash paid for contingent purchase price consideration		(12,975	)		(247	)		—			—			(13,222	)
Proceeds from issuance of common stock, net of issuance costs		11,824			—			—			—			11,824
Repurchase of preferred stock		(49,380	)		—			—			—			(49,380	)
Proceeds from long-term debt		—			937			—			—			937
Payments on long-term debt		—			(2,856	)		(744	)		—			(3,600	)
Net proceeds under revolving credit facilities		—			—			133			—			133
Repurchase of common stock		(618	)		—			—			—			(618	)
Excess tax benefits on exercised stock options		872			198			99			—			1,169
Principal payments on capital lease obligations		—			(461	)		(192	)		—			(653	)
Other		(34	)		—			(210	)		—			(244	)
Net cash used in financing activities		(50,379	)		(2,441	)		(914	)		—			(53,734	)
Foreign exchange effect on cash and cash equivalents		—			223			922			55			1,200
Net decrease in cash and cash equivalents		(49,073	)		(21,003	)		(12,564	)		—			(82,640	)
Cash and cash equivalents, beginning of period		101,666			116,112			183,528			—			401,306
Cash and cash equivalents, end of period	$	52,593		$	95,109		$	170,964		$	—		$	318,666

XML

Restructuring Plans (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Aggregate charges associated with restructuring plans recorded in operating income
Restructuring charges	$ 5,528	$ 6,199
Cost of net revenue [Member]
Aggregate charges associated with restructuring plans recorded in operating income
Restructuring charges	964	1,350
Research and development [Member]
Aggregate charges associated with restructuring plans recorded in operating income
Restructuring charges	624	18
Sales and marketing [Member]
Aggregate charges associated with restructuring plans recorded in operating income
Restructuring charges	827	1,012
General and administrative [Member]
Aggregate charges associated with restructuring plans recorded in operating income
Restructuring charges	3,113	3,819
Operating Income [Member]
Aggregate charges associated with restructuring plans recorded in operating income
Restructuring charges	5,528	6,199
Interest expense [Member]
Aggregate charges associated with restructuring plans recorded in operating income
Restructuring charges recorded through net income	60	49
Equity earnings losses of unconsolidated entities [Member]
Aggregate charges associated with restructuring plans recorded in operating income
Restructuring charges recorded through net income		193
Net income [Member]
Aggregate charges associated with restructuring plans recorded in operating income
Restructuring charges	$ 5,588	$ 6,441

XML

Stockholders' Equity and Non-controlling Interests (Details 1) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012
Summary of changes in redeemable non-controlling interest
Redeemable non-controlling interest, beginning of period	$ 2,497
Net loss	(49)
Redeemable non-controlling interest, end of period	$ 2,448

XML

Related Party Transactions (Details Textual) (USD $)	3 Months Ended			3 Months Ended	12 Months Ended		3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011	Dec. 31, 2011	Mar. 31, 2012 Swiss Precision Diagnostics [Member]	Dec. 31, 2011 Swiss Precision Diagnostics [Member]	May 31, 2007 Swiss Precision Diagnostics [Member]	Mar. 31, 2012 Sales Revenue Goods [Member]	Mar. 31, 2011 Sales Revenue Goods [Member]	Mar. 31, 2012 Sales Revenue Services [Member]	Mar. 31, 2011 Sales Revenue Services [Member]
Related Party Transaction [Line Items]
Joint venture ownership percentage with P&G						50.00%
Restructuring costs	$ 5,528,000	$ 6,199,000		$ 1,600,000	$ 1,500,000
Revenue from joint venture							17,100,000	16,300,000	300,000	300,000
Cash (return of capital) from SPD				6,100,000
Related Party Transactions (Textual) [Abstract]
Net receivable to joint venture	2,100,000		2,500,000
Long term receivables cost related to restructuring plan	16,000,000		15,500,000
Customer receivables associated with revenue earned after SPD was completed have been classified as other receivables	10,700,000		7,300,000
Trade receivables from joint venture	6,700,000		8,900,000
Trade payable to joint venture	$ 19,100,000		$ 19,300,000

XML

Restructuring Plans (Details 1) (USD $) In Thousands, unless otherwise specified	3 Months Ended			12 Months Ended	3 Months Ended											15 Months Ended	3 Months Ended		15 Months Ended	3 Months Ended	15 Months Ended	3 Months Ended		15 Months Ended	3 Months Ended	15 Months Ended	3 Months Ended	15 Months Ended	3 Months Ended		15 Months Ended		3 Months Ended		15 Months Ended	3 Months Ended	15 Months Ended	3 Months Ended	15 Months Ended	3 Months Ended	15 Months Ended	3 Months Ended		15 Months Ended	3 Months Ended		15 Months Ended	3 Months Ended	15 Months Ended		3 Months Ended	15 Months Ended	3 Months Ended		51 Months Ended	3 Months Ended		51 Months Ended	3 Months Ended	51 Months Ended	3 Months Ended	51 Months Ended	3 Months Ended	51 Months Ended		3 Months Ended	51 Months Ended			3 Months Ended	51 Months Ended	3 Months Ended		51 Months Ended	3 Months Ended	51 Months Ended	3 Months Ended	51 Months Ended	3 Months Ended		51 Months Ended	3 Months Ended		51 Months Ended		3 Months Ended		51 Months Ended	3 Months Ended		51 Months Ended
	Mar. 31, 2012	Mar. 31, 2011	Mar. 31, 2012 Swiss Precision Diagnostics [Member]	Dec. 31, 2011 Swiss Precision Diagnostics [Member]	Mar. 31, 2012 Corporate and Other [Member]	Mar. 31, 2012 Restructuring Plan 2012 [Member]	Mar. 31, 2012 Restructuring Plan 2012 [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2012 [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2012 [Member] Severance related cost [Member]	Mar. 31, 2012 Restructuring Plan 2012 [Member] Severance related cost [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2012 [Member] Severance related cost [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2012 [Member] Fixed asset and inventory impairment [Member]	Mar. 31, 2012 Restructuring Plan 2012 [Member] Fixed asset and inventory impairment [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Professional diagnostics business segment [Member]	Mar. 31, 2011 Restructuring Plan 2011 [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Health management business segment [Member]	Mar. 31, 2011 Restructuring Plan 2011 [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Corporate and Other [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Corporate and Other [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Severance related cost [Member] Professional diagnostics business segment [Member]	Mar. 31, 2011 Restructuring Plan 2011 [Member] Severance related cost [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Severance related cost [Member] Professional diagnostics business segment [Member]	Mar. 31, 2011 Restructuring Plan 2011 [Member] Severance related cost [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Severance related cost [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Severance related cost [Member] Corporate and Other [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Severance related cost [Member] Corporate and Other [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Fixed asset and inventory impairment [Member] Professional diagnostics business segment [Member]	Mar. 31, 2011 Restructuring Plan 2011 [Member] Fixed asset and inventory impairment [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Fixed asset and inventory impairment [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Fixed asset and inventory impairment [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Fixed asset and inventory impairment [Member] Corporate and Other [Member]	Mar. 31, 2011 Restructuring Plan 2011 [Member] Fixed asset and inventory impairment [Member] Corporate and Other [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Fixed asset and inventory impairment [Member] Corporate and Other [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Facility and transition costs [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Facility and transition costs [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Facility and transition costs [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Facility and transition costs [Member] Health management business segment [Member]	Mar. 31, 2011 Restructuring Plan 2011 [Member] Intangible assets impairment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Intangible assets impairment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Cash Charges [Member] Professional diagnostics business segment [Member]	Mar. 31, 2011 Restructuring Plan 2011 [Member] Cash Charges [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Cash Charges [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Cash Charges [Member] Health management business segment [Member]	Mar. 31, 2011 Restructuring Plan 2011 [Member] Cash Charges [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Cash Charges [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Cash Charges [Member] Corporate and Other [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Cash Charges [Member] Corporate and Other [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Other Noncash Charges [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Other exit costs [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2011 [Member] Other exit costs [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Professional diagnostics business segment [Member]	Mar. 31, 2011 Restructuring Plan 2010 and 2008 [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Health management business segment [Member]	Mar. 31, 2011 Restructuring Plan 2010 and 2008 [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Health management business segment [Member]	Mar. 31, 2011 Restructuring Plan 2010 and 2008 [Member] Equity earnings [Member] Swiss Precision Diagnostics [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Equity earnings [Member] Swiss Precision Diagnostics [Member]	Mar. 31, 2011 Restructuring Plan 2010 and 2008 [Member] Severance related cost [Member] Swiss Precision Diagnostics [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Severance related cost [Member] Swiss Precision Diagnostics [Member]	Mar. 31, 2011 Restructuring Plan 2010 and 2008 [Member] Severance related cost [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Severance related cost [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Severance related cost [Member] Health management business segment [Member]	Mar. 31, 2011 Restructuring Plan 2010 and 2008 [Member] Fixed asset and inventory impairment [Member] Swiss Precision Diagnostics [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Fixed asset and inventory impairment [Member] Swiss Precision Diagnostics [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Fixed asset and inventory impairment [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Fixed asset and inventory impairment [Member] Health management business segment [Member]	Mar. 31, 2011 Restructuring Plan 2010 and 2008 [Member] Facility and transition costs [Member] Swiss Precision Diagnostics [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Facility and transition costs [Member] Swiss Precision Diagnostics [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Facility and transition costs [Member] Professional diagnostics business segment [Member]	Mar. 31, 2011 Restructuring Plan 2010 and 2008 [Member] Facility and transition costs [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Facility and transition costs [Member] Professional diagnostics business segment [Member]	Mar. 31, 2011 Restructuring Plan 2010 and 2008 [Member] Facility and transition costs [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Facility and transition costs [Member] Health management business segment [Member]	Mar. 31, 2011 Restructuring Plan 2010 and 2008 [Member] Cash Charges [Member] Swiss Precision Diagnostics [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Cash Charges [Member] Swiss Precision Diagnostics [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Cash Charges [Member] Professional diagnostics business segment [Member]	Mar. 31, 2011 Restructuring Plan 2010 and 2008 [Member] Cash Charges [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Cash Charges [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Cash Charges [Member] Health management business segment [Member]	Mar. 31, 2011 Restructuring Plan 2010 and 2008 [Member] Cash Charges [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Cash Charges [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Other exit costs [Member] Swiss Precision Diagnostics [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Other exit costs [Member] Professional diagnostics business segment [Member]	Mar. 31, 2011 Restructuring Plan 2010 and 2008 [Member] Other exit costs [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Other exit costs [Member] Professional diagnostics business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Other exit costs [Member] Health management business segment [Member]	Mar. 31, 2011 Restructuring Plan 2010 and 2008 [Member] Other exit costs [Member] Health management business segment [Member]	Mar. 31, 2012 Restructuring Plan 2010 and 2008 [Member] Other exit costs [Member] Health management business segment [Member]
Restructuring activities related to restructuring plans
Restructuring charges	$ 5,528	$ 6,199	$ 1,600	$ 1,500	$ 17	$ 2,775	$ 1,973	$ 802	$ 2,770	$ 1,973	$ 797	$ 5	$ 5	$ 2,748	$ 1,561	$ 15,815	$ (61)	$ 4,182	$ 13,188	$ 17	$ 1,213	$ 1,965	$ 1,037	$ 14,012	$ 1,247	$ 2,254	$ 17	$ 1,210	$ 134	$ 524	$ 793	$ 864			$ 3	$ 649	$ 1,010	$ (86)	$ 6,255	$ 2,935	$ 2,935	$ 2,614	$ 1,037	$ 15,022	$ (61)	$ 1,247	$ 8,628	$ 17	$ 1,210	$ 761	$ 25	$ 119	$ 93	$ 426	$ 32,029	$ 16	$ 79	$ 7,592	$ 193	$ 16,111	$ 11	$ 5,797	$ 35	$ 8,897	$ 4,647	$ 72	$ 4,635	$ 10,309	$ 165	$ 110	$ 5,396	$ 74	$ 382	$ 8,386	$ 39	$ 2,476	$ 121	$ 11,476	$ 93	$ 426	$ 21,720	$ 16	$ 79	$ 7,427	$ 283	$ 19	$ 9	$ 4,437	$ 16	$ 40	$ 304

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Guarantor Financial Information (Details 3) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012		Mar. 31, 2011
Cash Flows from Operating Activities:
Net income (loss)	$ 1,029		$ 277
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs	5,278		3,603
Depreciation and amortization	107,402		94,975
Non-cash stock-based compensation expense	3,874		5,808
Impairment of inventory	5		294
Impairment of long-lived assets	134		230
Impairment of intangible assets			2,935
Loss on sale of fixed assets	566		479
Gain on sales of marketable securities			(333)
Equity earnings of unconsolidated entities, net of tax	(3,412)		(1,011)
Deferred income taxes	(13,752)		(13,238)
Other non-cash items			1,606
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net	(12,942)		(5,339)
Inventories, net	9,351		11,063
Prepaid expenses and other current assets	3,521		(24,473)
Accounts payable	(17,806)		(5,935)
Accrued expenses and other current liabilities	3,985		14,795
Other non-current liabilities	14,697		1,424
Net cash provided by operating activities	101,930		87,160
Cash Flows from Investing Activities:
Decrease in restricted cash	6,302		3
Purchases of property, plant and equipment	(30,385)		(28,944)
Proceeds from sale of property, plant and equipment	527		204
Proceeds from disposition of business			11,490
Cash paid for acquisitions, net of cash acquired	(38,008)		(94,899)
Cash received from equity method investment	6,066
Cash received (paid) for marketable securities	(2)		6,982
Increase in other assets	(8,554)		(12,102)
Net cash used in investing activities	(64,054)		(117,266)
Cash Flows from Financing Activities:
Cash paid for financing costs	(1,876)		(80)
Cash paid for contingent purchase price consideration	(48)		(13,222)
Proceeds from issuance of common stock, net of issuance costs	7,674		11,824
Repurchase of preferred stock			(49,380)
Proceeds from long-term debt	199,141		937
Payments on long-term debt	(16,911)		(3,600)
Net proceeds under revolving credit facilities	1,339		133
Payments on short-term debt	(6,240)
Cash paid for dividends	(5,323)
Repurchase of common stock			(618)
Excess tax benefits on exercised stock options	148		1,169
Principal payments on capital lease obligations	(1,720)		(653)
Other			(244)
Net cash provided by (used in) financing activities	176,184		(53,734)
Foreign exchange effect on cash and cash equivalents	864		1,200
Net increase (decrease) in cash and cash equivalents	214,924		(82,640)
Cash and cash equivalents, beginning of period	299,173		401,306
Cash and cash equivalents, end of period	514,097		318,666
Issuer [Member]
Cash Flows from Operating Activities:
Net income (loss)	1,029		277
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Equity in earnings of subsidiaries, net of tax	(49,895)		(22,053)
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs	5,219		1,747
Depreciation and amortization	2,074		873
Non-cash stock-based compensation expense	1,007		1,713
Equity earnings of unconsolidated entities, net of tax	(660)		(468)
Deferred income taxes	(11,105)		19,469
Other non-cash items			1,748
Changes in assets and liabilities, net of acquisitions:
Prepaid expenses and other current assets	10,526		(5,180)
Accounts payable	(863)		295
Accrued expenses and other current liabilities	(14,901)		(22,755)
Other non-current liabilities	4,309		(17)
Intercompany payable (receivable)	131,413		63,737
Net cash provided by operating activities	78,153		39,386
Cash Flows from Investing Activities:
Purchases of property, plant and equipment	(4)		(19)
Cash paid for acquisitions, net of cash acquired	(22,500)		(34,103)
Increase in other assets	(6,144)		(3,958)
Net cash used in investing activities	(28,648)		(38,080)
Cash Flows from Financing Activities:
Cash paid for financing costs	(1,876)		(68)
Cash paid for contingent purchase price consideration	(48)		(12,975)
Proceeds from issuance of common stock, net of issuance costs	7,674		11,824
Repurchase of preferred stock			(49,380)
Proceeds from long-term debt	198,000
Payments on long-term debt	(10,750)
Payments on short-term debt	(6,240)
Cash paid for dividends	(5,323)
Repurchase of common stock			(618)
Excess tax benefits on exercised stock options	98		872
Other			(34)
Net cash provided by (used in) financing activities	181,535		(50,379)
Foreign exchange effect on cash and cash equivalents	(429)
Net increase (decrease) in cash and cash equivalents	230,611		(49,073)
Cash and cash equivalents, beginning of period	12,451		101,666
Cash and cash equivalents, end of period	243,062		52,593
Guarantor Subsidiaries [Member]
Cash Flows from Operating Activities:
Net income (loss)	21,287		16,975
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Equity in earnings of subsidiaries, net of tax	348
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs	59		1,718
Depreciation and amortization	57,303		65,666
Non-cash stock-based compensation expense	1,377		2,147
Impairment of inventory	5
Impairment of long-lived assets	134
Impairment of intangible assets			2,935
Loss on sale of fixed assets	508		304
Gain on sales of marketable securities			(333)
Deferred income taxes	(614)		(22,801)
Other non-cash items			(335)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net	(3,721)		(2,045)
Inventories, net	13,288		12,150
Prepaid expenses and other current assets	(2,813)		(6,541)
Accounts payable	(3,474)		(1,372)
Accrued expenses and other current liabilities	27,920		41,218
Other non-current liabilities	(9,400)		212
Intercompany payable (receivable)	(109,319)		(104,146)
Net cash provided by operating activities	(7,112)		6,085
Cash Flows from Investing Activities:
Purchases of property, plant and equipment	(14,608)		(15,440)
Proceeds from sale of property, plant and equipment	201		83
Cash paid for acquisitions, net of cash acquired			(3,153)
Cash received (paid) for marketable securities	(5)
Increase in other assets	(532)		(6,360)
Net cash used in investing activities	(14,944)		(24,870)
Cash Flows from Financing Activities:
Cash paid for financing costs			(12)
Cash paid for contingent purchase price consideration			(247)
Proceeds from long-term debt	951		937
Payments on long-term debt	(356)		(2,856)
Excess tax benefits on exercised stock options	48		198
Principal payments on capital lease obligations	(502)		(461)
Net cash provided by (used in) financing activities	141		(2,441)
Foreign exchange effect on cash and cash equivalents	73		223
Net increase (decrease) in cash and cash equivalents	(21,842)		(21,003)
Cash and cash equivalents, beginning of period	85,838		116,112
Cash and cash equivalents, end of period	63,996		95,109
Non-Guarantor Subsidiaries [Member]
Cash Flows from Operating Activities:
Net income (loss)	28,448		5,223
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs			138
Depreciation and amortization	48,086		28,635
Non-cash stock-based compensation expense	1,490		1,948
Impairment of inventory			294
Impairment of long-lived assets			230
Loss on sale of fixed assets	58		175
Equity earnings of unconsolidated entities, net of tax	(2,736)		(490)
Deferred income taxes	(2,033)		(9,906)
Other non-cash items			193
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net	(9,221)		(3,294)
Inventories, net	(3,672)		(1,381)
Prepaid expenses and other current assets	(4,192)		(12,752)
Accounts payable	(13,469)		(4,858)
Accrued expenses and other current liabilities	(9,034)		(3,544)
Other non-current liabilities	19,717		1,229
Intercompany payable (receivable)	(22,094)		40,409
Net cash provided by operating activities	31,348		41,916
Cash Flows from Investing Activities:
Decrease in restricted cash	6,302		3
Purchases of property, plant and equipment	(16,232)		(13,657)
Proceeds from sale of property, plant and equipment	326		121
Proceeds from disposition of business			11,490
Cash paid for acquisitions, net of cash acquired	(15,508)		(57,643)
Cash received from equity method investment	6,066
Cash received (paid) for marketable securities	3	[1]	6,982
Increase in other assets	(1,878)		(1,784)
Net cash used in investing activities	(20,921)		(54,488)
Cash Flows from Financing Activities:
Proceeds from long-term debt	190
Payments on long-term debt	(5,805)		(744)
Net proceeds under revolving credit facilities	1,339		133
Excess tax benefits on exercised stock options	2		99
Principal payments on capital lease obligations	(1,218)		(192)
Other			(210)
Net cash provided by (used in) financing activities	(5,492)		(914)
Foreign exchange effect on cash and cash equivalents	1,220		922
Net increase (decrease) in cash and cash equivalents	6,155		(12,564)
Cash and cash equivalents, beginning of period	200,884		183,528
Cash and cash equivalents, end of period	207,039		170,964
Eliminations [Member]
Cash Flows from Operating Activities:
Net income (loss)	(49,735)		(22,198)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Equity in earnings of subsidiaries, net of tax	49,547		22,053
Depreciation and amortization	(61)		(199)
Equity earnings of unconsolidated entities, net of tax	(16)		(53)
Changes in assets and liabilities, net of acquisitions:
Inventories, net	(265)		294	[1]
Accrued expenses and other current liabilities			(124)
Other non-current liabilities	71
Net cash provided by operating activities	(459)		(227)
Cash Flows from Investing Activities:
Purchases of property, plant and equipment	459		172
Net cash used in investing activities	459		172
Cash Flows from Financing Activities:
Foreign exchange effect on cash and cash equivalents			$ 55

[1] The fair value measurements for our contingent consideration obligations related to the acquisitions completed after January 1, 2009 are valued using Level 3 inputs. We determine the fair value of the contingent consideration obligations based on a probability-weighted approach derived from earn-out criteria estimates and a probability assessment with respect to the likelihood of achieving the various earn-out criteria. The measurement is based upon significant inputs not observable in the market. Changes in the fair value of these contingent consideration obligations are recorded as income or expense, a component of operating income in our consolidated statements of operations. See Note 16 for additional information on the valuation of our contingent consideration obligations.

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Preferred Stock (Details) (Series B Preferred Stock [Member], USD $) In Millions, except Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Series B Preferred Stock [Member]
Stockholders' Equity (Textual) [Abstract]
Series B preferred stock dividends	$ 5.3	$ 5.8
Shares authorized to repurchase	183,000,000
Preferred stock convertible into common stock, shares	1,100,000
Preferred stock convertible into common stock, value	49.4
Preferred stock repurchased during the period average cost per share	$ 269.84
Income from repurchase of preferred shares	$ 13.7

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Long-term Debt (Tables)

3 Months Ended

Mar. 31, 2012

Long-term Debt [Abstract]

Long-term debt balances outstanding

We had the following long-term debt balances outstanding (in thousands):

	March 31, 2012			December 31, 2011
A term loans (1)	$	909,375		$	917,188
B term loans		920,375			922,688
Incremental B-1 term loans		249,375			250,000
Incremental B-2 term loans		198,004			—
3% Senior subordinated convertible notes		150,000			150,000
9% Senior subordinated notes		391,643			391,233
7.875% Senior notes		245,849			245,621
8.625% Senior subordinated notes		400,000			400,000
Lines-of-credit		19,271			19,603
Other		32,623			32,210
		3,516,515			3,328,543
Less: Current portion		(62,932	)		(61,092	)
	$	3,453,583		$	3,267,451

(1) Includes “A” term loans and “Delayed-Draw” term loans under our secured credit facility.

Long term debt interest expense

In connection with our significant long-term debt issuances, we recorded interest expense, including amortization and write-offs of deferred financing costs and original issue discounts, in our consolidated statements of operations for the three months ended March 31, 2012 and 2011, respectively, as follows (in thousands):

	Three Months Ended March 31,
	2012		2011
Secured credit facility (1)	$	22,851	$	—
Former secured credit facility (2)		—		12,054
3% Senior subordinated convertible notes		1,246		1,246
9% Senior subordinated notes		10,354		9,730
7.875% Senior notes		5,758		5,365
8.625% Senior subordinated notes		9,274		8,908
	$	49,483	$	37,303

(1) Includes “A” term loans, including the “Delayed-Draw” term loans; “B” term loans; “Incremental B-1” term loans; “Incremental B-2” term loans; and revolving line of credit loans. For three months ended March 31, 2012, amount includes $1.3 million related to the amortization of fees paid for certain debt modifications.

(2) Includes loans under First Lien Credit Agreement and Second Lien Credit Agreement.

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Guarantor Financial Information (Details Textual)	Mar. 31, 2012	Mar. 31, 2011
9% Senior subordinated notes [Member]
Guarantor Financial Information (Textual) [Abstract]
Interest rate of debt instrument	9.00%	9.00%
7.875% Senior Notes [Member]
Guarantor Financial Information (Textual) [Abstract]
Interest rate of debt instrument	7.875%	7.875%
8.625% Senior subordinated notes [Member]
Guarantor Financial Information (Textual) [Abstract]
Interest rate of debt instrument	8.625%	8.625%

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Equity Investments (Details 1) (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Financial information for the P&G joint venture and TechLab on a combined Condensed Balance Sheets
Current assets	$ 72,019	$ 84,376
Non-current assets	40,930	37,659
Total assets	112,949	122,035
Current liabilities	42,724	49,453
Non-current liabilities	8,155	6,326
Total liabilities	$ 50,879	$ 55,779

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Restructuring Plans (Details Textual) (USD $) In Millions, unless otherwise specified	3 Months Ended
	Mar. 31, 2012
Restructuring Plans (Textual) [Abstract]
Restructuring reserve accrued expenses and other current liabilities	$ 6.2
Restructuring reserve other long-term liabilities	2.0
Restructuring Plan 2012 [Member] | Professional diagnostics business segment [Member]
Restructuring Plans (Textual) [Abstract]
Additional costs	0.5
Cash charges remain unpaid	1.9
Restructuring Plan 2011 [Member]
Restructuring Plans (Textual) [Abstract]
Cash charges remain unpaid	4.9
Restructuring Plan 2011 [Member] | Health management business segment [Member]
Restructuring Plans (Textual) [Abstract]
Additional costs	1.0
Restructuring Plan 2011 [Member] | Professional diagnostics business segment [Member]
Restructuring Plans (Textual) [Abstract]
Additional costs	2.6
Restructuring Plan 2010 and 2008 [Member]
Restructuring Plans (Textual) [Abstract]
Percentage of restructuring charges included in equity earnings	50.00%
Restructuring Plan 2010 and 2008 [Member] | Cholestech [Member]
Restructuring Plans (Textual) [Abstract]
Additional costs	1.7
Restructuring Plan 2010 and 2008 [Member] | Facility and other [Member] | Cholestech [Member]
Restructuring Plans (Textual) [Abstract]
Cash charges remain unpaid	$ 1.5

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Guarantor Financial Information (Details 1) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Consolidating Statement of Comprehensive Income
Net income (loss)	$ 1,029	$ 277
Other comprehensive income, before tax:
Changes in cumulative translation adjustment	35,939	21,515
Unrealized gains (losses) on available for sale securities	431	(215)
Unrealized gains on hedging instruments	1,107	1,617
Minimum pension liability adjustment	(165)	(38)
Other comprehensive income, before tax	37,312	22,879
Income tax provision (benefit) related to items of other comprehensive income	(41)	619
Other comprehensive income, net of tax	37,353	22,260
Comprehensive income (loss)	38,382	22,537
Less: Comprehensive income (loss) attributable to non-controlling interests	(185)	62
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	38,567	22,475
Issuer [Member]
Consolidating Statement of Comprehensive Income
Net income (loss)	1,029	277
Other comprehensive income, before tax:
Changes in cumulative translation adjustment	328	608
Unrealized gains (losses) on available for sale securities	430	131
Unrealized gains on hedging instruments	17	1,617
Other comprehensive income, before tax	775	2,356
Income tax provision (benefit) related to items of other comprehensive income		629
Other comprehensive income, net of tax	775	1,727
Comprehensive income (loss)	1,804	2,004
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	1,804	2,004
Guarantor Subsidiaries [Member]
Consolidating Statement of Comprehensive Income
Net income (loss)	21,287	16,975
Other comprehensive income, before tax:
Changes in cumulative translation adjustment	74	137
Unrealized gains (losses) on available for sale securities	1
Other comprehensive income, before tax	75	137
Other comprehensive income, net of tax	75	137
Comprehensive income (loss)	21,362	17,112
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	21,362	17,112
Non-Guarantor Subsidiaries [Member]
Consolidating Statement of Comprehensive Income
Net income (loss)	28,448	5,223
Other comprehensive income, before tax:
Changes in cumulative translation adjustment	34,872	17,237
Unrealized gains (losses) on available for sale securities		(346)
Unrealized gains on hedging instruments	1,090
Minimum pension liability adjustment	(165)	(38)
Other comprehensive income, before tax	35,797	16,853
Income tax provision (benefit) related to items of other comprehensive income	(41)	(10)
Other comprehensive income, net of tax	35,838	16,863
Comprehensive income (loss)	64,286	22,086
Less: Comprehensive income (loss) attributable to non-controlling interests	(185)	62
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	64,471	22,024
Eliminations [Member]
Consolidating Statement of Comprehensive Income
Net income (loss)	(49,735)	(22,198)
Other comprehensive income, before tax:
Changes in cumulative translation adjustment	665	3,533
Other comprehensive income, before tax	665	3,533
Other comprehensive income, net of tax	665	3,533
Comprehensive income (loss)	(49,070)	(18,665)
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$ (49,070)	$ (18,665)

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Guarantor Financial Information (Details 2) (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012		Dec. 31, 2011	Mar. 31, 2011	Dec. 31, 2010
Current assets:
Cash and cash equivalents	$ 514,097		$ 299,173	$ 318,666	$ 401,306
Restricted cash	2,684		8,987
Marketable securities	1,092		1,086
Accounts receivable, net of allowances	489,262		475,824
Inventories, net	309,921		320,269
Deferred tax assets	40,790		42,975
Receivable from joint venture, net	2,137		2,503
Prepaid expenses and other current assets	136,572		142,910
Total current assets	1,496,555		1,293,727
Property, plant and equipment, net	506,507		491,205
Goodwill	2,835,171		2,821,271
Other intangible assets with indefinite lives	72,434		69,546
Finite-lived intangible assets, net	1,756,233		1,785,925
Deferred financing costs, net, and other non-current assets	107,148		97,786
Receivable from joint venture, net of current portion	15,977		15,455
Investments in unconsolidated entities	85,392		85,138
Marketable securities	2,684		2,254
Deferred tax assets	11,180		10,394
Total assets	6,889,281		6,672,701
Current liabilities:
Current portion of long-term debt	62,932		61,092
Current portion of capital lease obligations	5,796		6,083
Short-term debt			6,240
Accounts payable	139,523		155,464
Accrued expenses and other current liabilities	397,449		395,573
Total current liabilities	605,700		624,452
Long-term liabilities:
Long-term debt, net of current portion	3,453,583		3,267,451
Capital lease obligations, net of current portion	11,726		12,629
Deferred tax liabilities	371,190		380,700
Other long-term liabilities	168,301		153,398
Total long-term liabilities	4,004,800		3,814,178
Redeemable non-controlling interest	2,448		2,497
Total stockholders' equity	2,274,130		2,229,234
Non-controlling interests	2,203		2,340
Total equity	2,276,333		2,231,574	2,570,033	2,577,726
Total liabilities and equity	6,889,281		6,672,701
Issuer [Member]
Current assets:
Cash and cash equivalents	243,062		12,451	52,593	101,666
Deferred tax assets	9,907		10,912
Prepaid expenses and other current assets	(84,603)		(74,078)
Intercompany receivables	392,474		397,914
Total current assets	560,840		347,199
Property, plant and equipment, net	2,381		2,542
Finite-lived intangible assets, net	26,488		28,685
Deferred financing costs, net, and other non-current assets	91,655		88,153
Investments in subsidiaries	3,545,610		3,586,625
Investments in unconsolidated entities	32,459		29,021
Marketable securities	2,684		2,254
Intercompany notes receivable	1,894,186		1,934,366
Total assets	6,156,303		6,018,845
Current liabilities:
Current portion of long-term debt	45,000		43,000
Short-term debt			6,240
Accounts payable	5,841		6,704
Accrued expenses and other current liabilities	(277,121)	[1]	(259,010)
Intercompany payables	444,483		429,644
Total current liabilities	218,203		226,578
Long-term liabilities:
Long-term debt, net of current portion	3,429,233		3,243,341
Deferred tax liabilities	(30,241)		(25,936)
Other long-term liabilities	23,557		24,407
Intercompany notes payables	241,421		321,221
Total long-term liabilities	3,663,970		3,563,033
Total stockholders' equity	2,274,130		2,229,234
Total equity	2,274,130		2,229,234
Total liabilities and equity	6,156,303		6,018,845
Guarantor Subsidiaries [Member]
Current assets:
Cash and cash equivalents	63,996		85,838	95,109	116,112
Restricted cash	1,579		1,591
Marketable securities	775		770
Accounts receivable, net of allowances	203,267		199,547
Inventories, net	121,403		136,091
Deferred tax assets	22,797		22,813
Receivable from joint venture, net	1,894		2,301
Prepaid expenses and other current assets	141,143		138,329
Intercompany receivables	411,451		426,136
Total current assets	968,305		1,013,416
Property, plant and equipment, net	273,773		274,588
Goodwill	1,530,258		1,530,324
Other intangible assets with indefinite lives	7,100		7,100
Finite-lived intangible assets, net	970,494		1,011,852
Deferred financing costs, net, and other non-current assets	5,797		5,532
Investments in subsidiaries	49,159		32,512
Intercompany notes receivable	915,127		(196,820)
Total assets	4,720,013		3,678,504
Current liabilities:
Current portion of long-term debt	595
Current portion of capital lease obligations	1,409		1,550
Accounts payable	50,076		53,978
Accrued expenses and other current liabilities	481,300		455,366
Intercompany payables	116,147		104,257
Total current liabilities	649,527		615,151
Long-term liabilities:
Capital lease obligations, net of current portion	1,814		2,175
Deferred tax liabilities	291,722		303,837
Other long-term liabilities	46,986		47,135
Intercompany notes payables	1,786,460		658,573
Total long-term liabilities	2,126,982		1,011,720
Total stockholders' equity	1,943,504		2,051,633
Total equity	1,943,504		2,051,633
Total liabilities and equity	4,720,013		3,678,504
Non-Guarantor Subsidiaries [Member]
Current assets:
Cash and cash equivalents	207,039		200,884	170,964	183,528
Restricted cash	1,105		7,396
Marketable securities	317		316
Accounts receivable, net of allowances	285,995		276,277
Inventories, net	193,936		189,886
Deferred tax assets	6,192		7,266
Receivable from joint venture, net	243		202
Prepaid expenses and other current assets	80,032		78,659
Intercompany receivables	78,994		27,871
Total current assets	853,853		788,757
Property, plant and equipment, net	230,882		214,206
Goodwill	1,309,894		1,295,791
Other intangible assets with indefinite lives	65,334		62,446
Finite-lived intangible assets, net	759,251		745,388
Deferred financing costs, net, and other non-current assets	9,696		4,101
Receivable from joint venture, net of current portion	15,977		15,455
Investments in subsidiaries	3,000		3,005
Investments in unconsolidated entities	52,933		56,117
Deferred tax assets	11,180		10,394
Total assets	3,312,000		3,195,660
Current liabilities:
Current portion of long-term debt	17,337		18,092
Current portion of capital lease obligations	4,387		4,533
Accounts payable	83,606		94,782
Accrued expenses and other current liabilities	193,270		199,217
Intercompany payables	322,283		318,018
Total current liabilities	620,883		634,642
Long-term liabilities:
Long-term debt, net of current portion	24,350		24,110
Capital lease obligations, net of current portion	9,912		10,454
Deferred tax liabilities	109,650		102,730
Other long-term liabilities	97,758		81,856
Intercompany notes payables	779,135		754,650
Total long-term liabilities	1,020,805		973,800
Redeemable non-controlling interest	2,448		2,497
Total stockholders' equity	1,665,661		1,582,381
Non-controlling interests	2,203		2,340
Total equity	1,667,864		1,584,721
Total liabilities and equity	3,312,000		3,195,660
Eliminations [Member]
Current assets:
Inventories, net	(5,418)		(5,708)
Deferred tax assets	1,894		1,984
Intercompany receivables	(882,919)		(851,921)
Total current assets	(886,443)		(855,645)
Property, plant and equipment, net	(529)		(131)
Goodwill	(4,981)		(4,844)
Investments in subsidiaries	(3,597,769)		(3,622,142)
Intercompany notes receivable	(2,809,313)		(1,737,546)
Total assets	(7,299,035)		(6,220,308)
Current liabilities:
Intercompany payables	(882,913)		(851,919)
Total current liabilities	(882,913)		(851,919)
Long-term liabilities:
Deferred tax liabilities	59		69
Intercompany notes payables	(2,807,016)		(1,734,444)
Total long-term liabilities	(2,806,957)		(1,734,375)
Total stockholders' equity	(3,609,165)		(3,634,014)
Total equity	(3,609,165)		(3,634,014)
Total liabilities and equity	$ (7,299,035)		$ (6,220,308)

[1] The fair value of foreign exchange forward contract was measured using readily observable market inputs, such as quotations on forward foreign exchange points and foreign interest rates

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Material Contingencies And Legal Settlements (Details) (USD $) In Millions, unless otherwise specified	3 Months Ended
	Mar. 31, 2012
Material Contingencies and Legal Settlements (Textual) [Abstract]
Period for achieving targets under acquisition terms	6 months
Maximum amount of the earn-out payment	$ 2.0

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Guarantor Financial Information

3 Months Ended

Mar. 31, 2012

Guarantor Financial Information [Abstract]

Guarantor Financial Information

(19) Guarantor Financial Information

Our 9% senior subordinated notes due 2016, our 7.875% senior notes due 2016, and our 8.625% senior subordinated notes due 2018 are guaranteed by certain of our consolidated wholly owned subsidiaries, or the Guarantor Subsidiaries. The guarantees are full and unconditional and joint and several. The following supplemental financial information sets forth, on a consolidating basis, balance sheets as of March 31, 2012 and December 31, 2011, the related statements of operations, statements of comprehensive income and statements of cash flows for each of the three months ended March 31, 2012 and 2011, for Alere Inc., the Guarantor Subsidiaries and our other subsidiaries, or the Non-Guarantor Subsidiaries. The supplemental financial information reflects the investments of Alere Inc. and the Guarantor Subsidiaries in the Guarantor and Non-Guarantor Subsidiaries using the equity method of accounting.

We have extensive transactions and relationships between various members of the consolidated group. These transactions and relationships include intercompany pricing agreements, intellectual property royalty agreements and general and administrative and research and development cost-sharing agreements. Because of these relationships, it is possible that the terms of these transactions are not the same as those that would result from transactions among wholly unrelated parties.

For comparative purposes, certain amounts for prior periods have been reclassified to conform to the current period classification.

CONSOLIDATING STATEMENT OF OPERATIONS

For the Three Months Ended March 31, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	219,216		$	289,800		$	(33,229	)	$	475,787
Services revenue		—			146,133			46,301			—			192,434
Net product sales and services revenue		—			365,349			336,101			(33,229	)		668,221
License and royalty revenue		—			4,229			2,621			(3,942	)		2,908
Net revenue		—			369,578			338,722			(37,171	)		671,129
Cost of net product sales		850			103,921			153,879			(33,096	)		225,554
Cost of services revenue		—			77,703			13,157			—			90,860
Cost of net product sales and services revenue		850			181,624			167,036			(33,096	)		316,414
Cost of license and royalty revenue		—			—			5,586			(3,942	)		1,644
Cost of net revenue		850			181,624			172,622			(37,038	)		318,058
Gross profit (loss)		(850	)		187,954			166,100			(133	)		353,071
Operating expenses:
Research and development		5,196			16,576			17,228			—			39,000
Sales and marketing		1,057			77,559			79,962			—			158,578
General and administrative		11,631			58,301			50,503			—			120,435
Total operating expenses		17,884			152,436			147,693			—			318,013
Operating income (loss)		(18,734	)		35,518			18,407			(133	)		35,058
Interest expense, including amortization of original issue discounts and deferred financing costs		(49,716	)		(11,006	)		(3,315	)		13,310			(50,727	)
Other income (expense), net		(8,074	)		9,428			23,787			(13,310	)		11,831
Income (loss) before provision (benefit) for income taxes		(76,524	)		33,940			38,879			(133	)		(3,838	)
Provision (benefit) for income taxes		(26,998	)		12,305			13,167			71			(1,455	)
Income (loss) before equity earnings of unconsolidated entities, net of tax		(49,526	)		21,635			25,712			(204	)		(2,383	)
Equity in earnings of subsidiaries, net of tax		49,895			(348	)		—			(49,547	)		—
Equity earnings of unconsolidated entities, net of tax		660			—			2,736			16			3,412
Net income (loss)		1,029			21,287			28,448			(49,735	)		1,029
Less: Net income attributable to non-controlling interests		—			—			(185	)		—			(185	)
Net income (loss) attributable to Alere Inc. and Subsidiaries		1,029			21,287			28,633			(49,735	)		1,214
Preferred stock dividends		(5,309	)		—			—			—			(5,309	)
Net income (loss) available to common stockholders	$	(4,280	)	$	21,287		$	28,633		$	(49,735	)	$	(4,095	)

CONSOLIDATING STATEMENT OF OPERATIONS

For the Three Months Ended March 31, 2011

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	237,976		$	199,970		$	(30,703	)	$	407,243
Services revenue		—			151,525			16,027			—			167,552
Net product sales and services revenue		—			389,501			215,997			(30,703	)		574,795
License and royalty revenue		—			2,474			6,633			(1,438	)		7,669
Net revenue		—			391,975			222,630			(32,141	)		582,464
Cost of net product sales		770			107,162			112,135			(30,380	)		189,687
Cost of services revenue		—			78,535			6,181			—			84,716
Cost of net product sales and services revenue		770			185,697			118,316			(30,380	)		274,403
Cost of license and royalty revenue		—			—			3,292			(1,438	)		1,854
Cost of net revenue		770			185,697			121,608			(31,818	)		276,257
Gross profit (loss)		(770	)		206,278			101,022			(323	)		306,207
Operating expenses:
Research and development		4,741			17,781			14,020			—			36,542
Sales and marketing		651			82,860			49,698			—			133,209
General and administrative		14,636			60,201			30,714			—			105,551
Total operating expenses		20,028			160,842			94,432			—			275,302
Operating income (loss)		(20,798	)		45,436			6,590			(323	)		30,905
Interest expense, including amortization of original issue discounts and deferred financing costs		(25,606	)		(28,179	)		(4,369	)		19,849			(38,305	)
Other income (expense), net		3,365			13,854			4,966			(19,849	)		2,336
Income (loss) before provision (benefit) for income taxes		(43,039	)		31,111			7,187			(323	)		(5,064	)
Provision (benefit) for income taxes		(20,795	)		14,136			2,454			(125	)		(4,330	)
Income (loss) before equity earnings of unconsolidated entities, net of tax		(22,244	)		16,975			4,733			(198	)		(734	)
Equity in earnings of subsidiaries, net of tax		22,053			—			—			(22,053	)		—
Equity earnings of unconsolidated entities, net of tax		468			—			490			53			1,011
Net income (loss)		277			16,975			5,223			(22,198	)		277
Less: Net income attributable to non-controlling interests		—			—			62			—			62
Net income (loss) attributable to Alere Inc. and Subsidiaries		277			16,975			5,161			(22,198	)		215
Preferred stock dividends		(5,809	)		—			—			—			(5,809	)
Preferred stock repurchase		13,688			—			—			—			13,688
Net income (loss) available to common stockholders	$	8,156		$	16,975		$	5,161		$	(22,198	)	$	8,094

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME

For the Three Months Ended March 31, 2012

(in thousands)

	Issuer		Guarantor Subsidiaries		Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	1,029	$	21,287	$	28,448		$	(49,735	)	$	1,029
Other comprehensive income, before tax:
Changes in cumulative translation adjustment		328		74		34,872			665			35,939
Unrealized gains on available for sale securities		430		1		—			—			431
Unrealized gains on hedging instruments		17		—		1,090			—			1,107
Minimum pension liability adjustment		—		—		(165	)		—			(165	)
Other comprehensive income, before tax		775		75		35,797			665			37,312
Income tax benefit related to items of other comprehensive income		—		—		(41	)		—			(41	)
Other comprehensive income, net of tax		775		75		35,838			665			37,353
Comprehensive income (loss)		1,804		21,362		64,286			(49,070	)		38,382
Less: Comprehensive loss attributable to non-controlling interests		—		—		(185	)		—			(185	)
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	1,804	$	21,362	$	64,471		$	(49,070	)	$	38,567

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME

For the Three Months Ended March 31, 2011

(in thousands)

	Issuer		Guarantor Subsidiaries		Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	277	$	16,975	$	5,223		$	(22,198	)	$	277
Other comprehensive income, before tax:
Changes in cumulative translation adjustment		608		137		17,237			3,533			21,515
Unrealized gains (losses) on available for sale securities		131		—		(346	)		—			(215	)
Unrealized gains on hedging instruments		1,617		—		—			—			1,617
Minimum pension liability adjustment		—		—		(38	)		—			(38	)
Other comprehensive income, before tax		2,356		137		16,853			3,533			22,879
Income tax provision (benefit) related to items of other comprehensive income		629		—		(10	)		—			619
Other comprehensive income, net of tax		1,727		137		16,863			3,533			22,260
Comprehensive income (loss)		2,004		17,112		22,086			(18,665	)		22,537
Less: Comprehensive income attributable to non-controlling interests		—		—		62			—			62
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	2,004	$	17,112	$	22,024		$	(18,665	)	$	22,475

CONSOLIDATING BALANCE SHEET

March 31, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries		Eliminations			Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	243,062		$	63,996	$	207,039	$	—		$	514,097
Restricted cash		—			1,579		1,105		—			2,684
Marketable securities		—			775		317		—			1,092
Accounts receivable, net of allowances		—			203,267		285,995		—			489,262
Inventories, net		—			121,403		193,936		(5,418	)		309,921
Deferred tax assets		9,907			22,797		6,192		1,894			40,790
Receivable from joint venture, net		—			1,894		243		—			2,137
Prepaid expenses and other current assets		(84,603	)		141,143		80,032		—			136,572
Intercompany receivables		392,474			411,451		78,994		(882,919	)		—
Total current assets		560,840			968,305		853,853		(886,443	)		1,496,555
Property, plant and equipment, net		2,381			273,773		230,882		(529	)		506,507
Goodwill		—			1,530,258		1,309,894		(4,981	)		2,835,171
Other intangible assets with indefinite lives		—			7,100		65,334		—			72,434
Finite-lived intangible assets, net		26,488			970,494		759,251		—			1,756,233
Deferred financing costs, net and other non-current assets		91,655			5,797		9,696		—			107,148
Receivable from joint venture, net of current portion		—			—		15,977		—			15,977
Investments in subsidiaries		3,545,610			49,159		3,000		(3,597,769	)		—
Investments in unconsolidated entities		32,459			—		52,933		—			85,392
Marketable securities		2,684			—		—		—			2,684
Deferred tax assets		—			—		11,180		—			11,180
Intercompany notes receivable		1,894,186			915,127		—		(2,809,313	)		—
Total assets	$	6,156,303		$	4,720,013	$	3,312,000	$	(7,299,035	)	$	6,889,281
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt	$	45,000		$	595	$	17,337	$	—		$	62,932
Current portion of capital lease obligations		—			1,409		4,387		—			5,796
Accounts payable		5,841			50,076		83,606		—			139,523
Accrued expenses and other current liabilities		(277,121	)		481,300		193,270		—			397,449
Intercompany payables		444,483			116,147		322,283		(882,913	)		—
Total current liabilities		218,203			649,527		620,883		(882,913	)		605,700
Long-term liabilities:
Long-term debt, net of current portion		3,429,233			—		24,350		—			3,453,583
Capital lease obligations, net of current portion		—			1,814		9,912		—			11,726
Deferred tax liabilities		(30,241	)		291,722		109,650		59			371,190
Other long-term liabilities		23,557			46,986		97,758		—			168,301
Intercompany notes payables		241,421			1,786,460		779,135		(2,807,016	)		—
Total long-term liabilities		3,663,970			2,126,982		1,020,805		(2,806,957	)		4,004,800
Redeemable non-controlling interest		—			—		2,448		—			2,448
Stockholders’ equity		2,274,130			1,943,504		1,665,661		(3,609,165	)		2,274,130
Non-controlling interests		—			—		2,203		—			2,203
Total equity		2,274,130			1,943,504		1,667,864		(3,609,165	)		2,276,333
Total liabilities and equity	$	6,156,303		$	4,720,013	$	3,312,000	$	(7,299,035	)	$	6,889,281

CONSOLIDATING BALANCE SHEET

December 31, 2011

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries		Eliminations			Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	12,451		$	85,838		$	200,884	$	—		$	299,173
Restricted cash		—			1,591			7,396		—			8,987
Marketable securities		—			770			316		—			1,086
Accounts receivable, net of allowances		—			199,547			276,277		—			475,824
Inventories, net		—			136,091			189,886		(5,708	)		320,269
Deferred tax assets		10,912			22,813			7,266		1,984			42,975
Receivable from joint venture, net		—			2,301			202		—			2,503
Prepaid expenses and other current assets		(74,078	)		138,329			78,659		—			142,910
Intercompany receivables		397,914			426,136			27,871		(851,921	)		—
Total current assets		347,199			1,013,416			788,757		(855,645	)		1,293,727
Property, plant and equipment, net		2,542			274,588			214,206		(131	)		491,205
Goodwill		—			1,530,324			1,295,791		(4,844	)		2,821,271
Other intangible assets with indefinite lives		—			7,100			62,446		—			69,546
Finite-lived intangible assets, net		28,685			1,011,852			745,388		—			1,785,925
Deferred financing costs, net, and other non-current assets		88,153			5,532			4,101		—			97,786
Receivable from joint venture, net of current portion		—			—			15,455		—			15,455
Investments in subsidiaries		3,586,625			32,512			3,005		(3,622,142	)		—
Investments in unconsolidated entities		29,021			—			56,117		—			85,138
Marketable securities		2,254			—			—		—			2,254
Deferred tax assets		—			—			10,394		—			10,394
Intercompany notes receivable		1,934,366			(196,820	)		—		(1,737,546	)		—
Total assets	$	6,018,845		$	3,678,504		$	3,195,660	$	(6,220,308	)	$	6,672,701
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt	$	43,000		$	—		$	18,092	$	—		$	61,092
Current portion of capital lease obligations		—			1,550			4,533		—			6,083
Short-term debt		6,240			—			—		—			6,240
Accounts payable		6,704			53,978			94,782		—			155,464
Accrued expenses and other current liabilities		(259,010	)		455,366			199,217		—			395,573
Intercompany payables		429,644			104,257			318,018		(851,919	)		—
Total current liabilities		226,578			615,151			634,642		(851,919	)		624,452
Long-term liabilities:
Long-term debt, net of current portion		3,243,341			—			24,110		—			3,267,451
Capital lease obligations, net of current portion		—			2,175			10,454		—			12,629
Deferred tax liabilities		(25,936	)		303,837			102,730		69			380,700
Other long-term liabilities		24,407			47,135			81,856		—			153,398
Intercompany notes payables		321,221			658,573			754,650		(1,734,444	)		—
Total long-term liabilities		3,563,033			1,011,720			973,800		(1,734,375	)		3,814,178
Redeemable non-controlling interest		—			—			2,497		—			2,497
Stockholders’ equity		2,229,234			2,051,633			1,582,381		(3,634,014	)		2,229,234
Non-controlling interests		—			—			2,340		—			2,340
Total equity		2,229,234			2,051,633			1,584,721		(3,634,014	)		2,231,574
Total liabilities and equity	$	6,018,845		$	3,678,504		$	3,195,660	$	(6,220,308	)	$	6,672,701

CONSOLIDATING STATEMENT OF CASH FLOWS

For the Three Months Ended March 31, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Cash Flows from Operating Activities:
Net income (loss)	$	1,029		$	21,287		$	28,448		$	(49,735	)	$	1,029
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Equity in earnings of subsidiaries, net of tax		(49,895	)		348			—			49,547			—
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs		5,219			59			—			—			5,278
Depreciation and amortization		2,074			57,303			48,086			(61	)		107,402
Non-cash stock-based compensation expense		1,007			1,377			1,490			—			3,874
Impairment of inventory		—			5			—			—			5
Impairment of long-lived assets		—			134			—			—			134
Loss on sale of fixed assets		—			508			58			—			566
Equity earnings of unconsolidated entities, net of tax		(660	)		—			(2,736	)		(16	)		(3,412	)
Deferred income taxes		(11,105	)		(614	)		(2,033	)		—			(13,752	)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net		—			(3,721	)		(9,221	)		—			(12,942	)
Inventories, net		—			13,288			(3,672	)		(265	)		9,351
Prepaid expenses and other current assets		10,526			(2,813	)		(4,192	)		—			3,521
Accounts payable		(863	)		(3,474	)		(13,469	)		—			(17,806	)
Accrued expenses and other current liabilities		(14,901	)		27,920			(9,034	)		—			3,985
Other non-current liabilities		4,309			(9,400	)		19,717			71			14,697
Intercompany payable (receivable)		131,413			(109,319	)		(22,094	)		—			—
Net cash provided by (used in) operating activities		78,153			(7,112	)		31,348			(459	)		101,930
Cash Flows from Investing Activities:
Decrease in restricted cash		—			—			6,302			—			6,302
Purchases of property, plant and equipment		(4	)		(14,608	)		(16,232	)		459			(30,385	)
Proceeds from sale of property, plant and equipment		—			201			326			—			527
Cash paid for acquisitions, net of cash acquired		(22,500	)		—			(15,508	)		—			(38,008	)
Cash received from equity method investment		—			—			6,066			—			6,066
Cash received (paid) for marketable securities		—			(5	)		3			—			(2	)
Increase in other assets		(6,144	)		(532	)		(1,878	)		—			(8,554	)
Net cash provided by (used in) investing activities		(28,648	)		(14,944	)		(20,921	)		459			(64,054	)
Cash Flows from Financing Activities:
Cash paid for financing costs		(1,876	)		—			—			—			(1,876	)
Cash paid for contingent purchase price consideration		(48	)		—			—			—			(48	)
Proceeds from issuance of common stock, net of issuance costs		7,674			—			—			—			7,674
Proceeds from long-term debt		198,000			951			190			—			199,141
Payments on long-term debt		(10,750	)		(356	)		(5,805	)		—			(16,911	)
Net proceeds under revolving credit facilities		—			—			1,339			—			1,339
Payments on short-term debt		(6,240	)		—			—			—			(6,240	)
Cash paid for dividends		(5,323	)		—			—			—			(5,323	)
Excess tax benefits on exercised stock options		98			48			2			—			148
Principal payments on capital lease obligations		—			(502	)		(1,218	)		—			(1,720	)
Net cash provided by (used in) financing activities		181,535			141			(5,492	)		—			176,184
Foreign exchange effect on cash and cash equivalents		(429	)		73			1,220			—			864
Net increase (decrease) in cash and cash equivalents		230,611			(21,842	)		6,155			—			214,924
Cash and cash equivalents, beginning of period		12,451			85,838			200,884			—			299,173
Cash and cash equivalents, end of period	$	243,062		$	63,996		$	207,039		$	—		$	514,097

CONSOLIDATING STATEMENT OF CASH FLOWS

For the Three Months Ended March 31, 2011

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Cash Flows from Operating Activities:
Net income (loss)	$	277		$	16,975		$	5,223		$	(22,198	)	$	277
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Equity in earnings of subsidiaries, net of tax		(22,053	)		—			—			22,053			—
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs		1,747			1,718			138			—			3,603
Depreciation and amortization		873			65,666			28,635			(199	)		94,975
Non-cash stock-based compensation expense		1,713			2,147			1,948			—			5,808
Impairment of inventory		—			—			294			—			294
Impairment of long-lived assets		—			—			230			—			230
Impairment of intangible assets		—			2,935			—			—			2,935
Loss on sale of fixed assets		—			304			175			—			479
Gain on sales of marketable securities		—			—			(333	)		—			(333	)
Equity earnings of unconsolidated entities, net of tax		(468	)		—			(490	)		(53	)		(1,011	)
Deferred income taxes		19,469			(22,801	)		(9,906	)		—			(13,238	)
Other non-cash items		1,748			(335	)		193			—			1,606
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net		—			(2,045	)		(3,294	)		—			(5,339	)
Inventories, net		—			12,150			(1,381	)		294			11,063
Prepaid expenses and other current assets		(5,180	)		(6,541	)		(12,752	)		—			(24,473	)
Accounts payable		295			(1,372	)		(4,858	)		—			(5,935	)
Accrued expenses and other current liabilities		(22,755	)		41,218			(3,544	)		(124	)		14,795
Other non-current liabilities		(17	)		212			1,229			—			1,424
Intercompany payable (receivable)		63,737			(104,146	)		40,409			—			—
Net cash provided by (used in) operating activities		39,386			6,085			41,916			(227	)		87,160
Cash Flows from Investing Activities:
Decrease in restricted cash		—			—			3			—			3
Purchases of property, plant and equipment		(19	)		(15,440	)		(13,657	)		172			(28,944	)
Proceeds from sale of property, plant and equipment		—			83			121			—			204
Proceeds from disposition of business		—			—			11,490			—			11,490
Cash paid for acquisitions, net of cash acquired		(34,103	)		(3,153	)		(57,643	)		—			(94,899	)
Cash received for marketable securities		—			—			6,982			—			6,982
Increase in other assets		(3,958	)		(6,360	)		(1,784	)		—			(12,102	)
Net cash provided by (used in) investing activities		(38,080	)		(24,870	)		(54,488	)		172			(117,266	)
Cash Flows from Financing Activities:
Cash paid for financing costs		(68	)		(12	)		—			—			(80	)
Cash paid for contingent purchase price consideration		(12,975	)		(247	)		—			—			(13,222	)
Proceeds from issuance of common stock, net of issuance costs		11,824			—			—			—			11,824
Repurchase of preferred stock		(49,380	)		—			—			—			(49,380	)
Proceeds from long-term debt		—			937			—			—			937
Payments on long-term debt		—			(2,856	)		(744	)		—			(3,600	)
Net proceeds under revolving credit facilities		—			—			133			—			133
Repurchase of common stock		(618	)		—			—			—			(618	)
Excess tax benefits on exercised stock options		872			198			99			—			1,169
Principal payments on capital lease obligations		—			(461	)		(192	)		—			(653	)
Other		(34	)		—			(210	)		—			(244	)
Net cash used in financing activities		(50,379	)		(2,441	)		(914	)		—			(53,734	)
Foreign exchange effect on cash and cash equivalents		—			223			922			55			1,200
Net decrease in cash and cash equivalents		(49,073	)		(21,003	)		(12,564	)		—			(82,640	)
Cash and cash equivalents, beginning of period		101,666			116,112			183,528			—			401,306
Cash and cash equivalents, end of period	$	52,593		$	95,109		$	170,964		$	—		$	318,666

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Business Combinations (Details) (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Preliminary aggregate purchase price allocation
Current assets	$ 2,112	$ 135,635
Property, plant and equipment	1,610	68,473
Goodwill	10,185	358,106
Intangible assets	26,862	416,624
Other non-current assets		27,679
Total assets acquired	40,769	1,006,517
Current liabilities	1,671	89,208
Non-current liabilities	6,330	129,962
Total liabilities assumed	8,001	219,170
Net assets acquired	32,768	787,347
Fair value of previously-held equity investment		113,168
Contingent consideration	1,000	48,685
Fair value of common stock issued		16,183
Loan forgiveness		1,489
Deferred purchase price consideration		4,170
Cash paid	$ 31,768	$ 603,652

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Inventories (Details) (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Inventories, net:
Raw materials	$ 97,263	$ 92,844
Work-in-process	68,847	72,939
Finished goods	143,811	154,486
Inventories, net	$ 309,921	$ 320,269

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Guarantor Financial Information (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Consolidating Statement of Operations
Net product sales	$ 475,787	$ 407,243
Services revenue	192,434	167,552
Net product sales and services revenue	668,221	574,795
License and royalty revenue	2,908	7,669
Net revenue	671,129	582,464
Cost of net product sales	225,554	189,687
Cost of services revenue	90,860	84,716
Cost of net product sales and services revenue	316,414	274,403
Cost of license and royalty revenue	1,644	1,854
Cost of net revenue	318,058	276,257
Gross profit (loss)	353,071	306,207
Operating expenses:
Research and development	39,000	36,542
Sales and marketing	158,578	133,209
General and administrative	120,435	105,551
Total operating expenses	318,013	275,302
Operating income (loss)	35,058	30,905
Interest expense, including amortization of original issue discounts and deferred financing costs	(50,727)	(38,305)
Other income (expense), net	11,831	2,336
Income (loss) before provision (benefit) for income taxes	(3,838)	(5,064)
Provision (benefit) for income taxes	(1,455)	(4,330)
Loss before equity earnings of unconsolidated entities, net of tax	(2,383)	(734)
Equity earnings of unconsolidated entities, net of tax	3,412	1,011
Net income (loss)	1,029	277
Less: Net income attributable to non-controlling interests	(185)	62
Net income (loss) attributable to Alere Inc. and Subsidiaries	1,214	215
Preferred stock dividends	(5,309)	(5,809)
Preferred stock repurchase		13,688
Net income (loss) available to common stockholders	(4,095)	8,094
Issuer [Member]
Consolidating Statement of Operations
Cost of net product sales	850	770
Cost of net product sales and services revenue	850	770
Cost of net revenue	850	770
Gross profit (loss)	(850)	(770)
Operating expenses:
Research and development	5,196	4,741
Sales and marketing	1,057	651
General and administrative	11,631	14,636
Total operating expenses	17,884	20,028
Operating income (loss)	(18,734)	(20,798)
Interest expense, including amortization of original issue discounts and deferred financing costs	(49,716)	(25,606)
Other income (expense), net	(8,074)	3,365
Income (loss) before provision (benefit) for income taxes	(76,524)	(43,039)
Provision (benefit) for income taxes	(26,998)	(20,795)
Loss before equity earnings of unconsolidated entities, net of tax	(49,526)	(22,244)
Equity in earnings of subsidiaries, net of tax	49,895	22,053
Equity earnings of unconsolidated entities, net of tax	660	468
Net income (loss)	1,029	277
Net income (loss) attributable to Alere Inc. and Subsidiaries	1,029	277
Preferred stock dividends	(5,309)	(5,809)
Preferred stock repurchase		13,688
Net income (loss) available to common stockholders	(4,280)	8,156
Guarantor Subsidiaries [Member]
Consolidating Statement of Operations
Net product sales	219,216	237,976
Services revenue	146,133	151,525
Net product sales and services revenue	365,349	389,501
License and royalty revenue	4,229	2,474
Net revenue	369,578	391,975
Cost of net product sales	103,921	107,162	[1]
Cost of services revenue	77,703	78,535
Cost of net product sales and services revenue	181,624	185,697
Cost of net revenue	181,624	185,697
Gross profit (loss)	187,954	206,278
Operating expenses:
Research and development	16,576	17,781
Sales and marketing	77,559	82,860
General and administrative	58,301	60,201
Total operating expenses	152,436	160,842
Operating income (loss)	35,518	45,436
Interest expense, including amortization of original issue discounts and deferred financing costs	(11,006)	(28,179)
Other income (expense), net	9,428	13,854
Income (loss) before provision (benefit) for income taxes	33,940	31,111
Provision (benefit) for income taxes	12,305	14,136
Loss before equity earnings of unconsolidated entities, net of tax	21,635	16,975
Equity in earnings of subsidiaries, net of tax	(348)
Net income (loss)	21,287	16,975
Net income (loss) attributable to Alere Inc. and Subsidiaries	21,287	16,975
Net income (loss) available to common stockholders	21,287	16,975
Non-Guarantor Subsidiaries [Member]
Consolidating Statement of Operations
Net product sales	289,800	199,970
Services revenue	46,301	16,027
Net product sales and services revenue	336,101	215,997
License and royalty revenue	2,621	6,633
Net revenue	338,722	222,630
Cost of net product sales	153,879	112,135
Cost of services revenue	13,157	6,181
Cost of net product sales and services revenue	167,036	118,316
Cost of license and royalty revenue	5,586	3,292
Cost of net revenue	172,622	121,608
Gross profit (loss)	166,100	101,022
Operating expenses:
Research and development	17,228	14,020
Sales and marketing	79,962	49,698
General and administrative	50,503	30,714
Total operating expenses	147,693	94,432
Operating income (loss)	18,407	6,590
Interest expense, including amortization of original issue discounts and deferred financing costs	(3,315)	(4,369)
Other income (expense), net	23,787	4,966
Income (loss) before provision (benefit) for income taxes	38,879	7,187
Provision (benefit) for income taxes	13,167	2,454
Loss before equity earnings of unconsolidated entities, net of tax	25,712	4,733
Equity earnings of unconsolidated entities, net of tax	2,736	490
Net income (loss)	28,448	5,223
Less: Net income attributable to non-controlling interests	(185)	62
Net income (loss) attributable to Alere Inc. and Subsidiaries	28,633	5,161
Net income (loss) available to common stockholders	28,633	5,161
Eliminations [Member]
Consolidating Statement of Operations
Net product sales	(33,229)	(30,703)
Net product sales and services revenue	(33,229)	(30,703)
License and royalty revenue	(3,942)	(1,438)
Net revenue	(37,171)	(32,141)
Cost of net product sales	(33,096)	(30,380)
Cost of net product sales and services revenue	(33,096)	(30,380)
Cost of license and royalty revenue	(3,942)	(1,438)
Cost of net revenue	(37,038)	(31,818)
Gross profit (loss)	(133)	(323)
Operating expenses:
Operating income (loss)	(133)	(323)
Interest expense, including amortization of original issue discounts and deferred financing costs	13,310	19,849
Other income (expense), net	(13,310)	(19,849)
Income (loss) before provision (benefit) for income taxes	(133)	(323)
Provision (benefit) for income taxes	71	(125)
Loss before equity earnings of unconsolidated entities, net of tax	(204)	(198)
Equity in earnings of subsidiaries, net of tax	(49,547)	(22,053)
Equity earnings of unconsolidated entities, net of tax	16	53
Net income (loss)	(49,735)	(22,198)
Net income (loss) attributable to Alere Inc. and Subsidiaries	(49,735)	(22,198)
Net income (loss) available to common stockholders	$ (49,735)	$ (22,198)

[1] The fair value measurements for our contingent consideration obligations related to the acquisitions completed after January 1, 2009 are valued using Level 3 inputs. We determine the fair value of the contingent consideration obligations based on a probability-weighted approach derived from earn-out criteria estimates and a probability assessment with respect to the likelihood of achieving the various earn-out criteria. The measurement is based upon significant inputs not observable in the market. Changes in the fair value of these contingent consideration obligations are recorded as income or expense, a component of operating income in our consolidated statements of operations. See Note 16 for additional information on the valuation of our contingent consideration obligations.

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Financial Information by Segment (Tables)

3 Months Ended

Mar. 31, 2012

Financial Information by Segment [Abstract]

Performance of our operating segments based on revenue and operating income (loss)

We evaluate performance of our operating segments based on revenue and operating income (loss). Segment information for the three months ended March 31, 2012 and 2011 is as follows (in thousands):

	Professional Diagnostics		Health Management			Consumer Diagnostics		Corporate and Other			Total
Three Months Ended March 31, 2012:
Net revenue	$	518,357	$	130,784		$	21,988	$	—		$	671,129
Operating income (loss)	$	70,179	$	(19,356	)	$	365	$	(16,130	)	$	35,058
Depreciation and amortization	$	82,148	$	23,774		$	1,259	$	221		$	107,402
Restructuring charge	$	4,794	$	717		$	—	$	17		$	5,528
Stock-based compensation	$	—	$	—		$	—	$	3,874		$	3,874
Three Months Ended March 31, 2011:
Net revenue	$	415,812	$	143,063		$	23,589	$	—		$	582,464
Operating income (loss)	$	60,262	$	(11,933	)	$	3,361	$	(20,785	)	$	30,905
Depreciation and amortization	$	65,249	$	28,314		$	1,259	$	153		$	94,975
Restructuring charge	$	1,978	$	4,221		$	—	$	—		$	6,199
Stock-based compensation	$	—	$	—		$	—	$	5,808		$	5,808
Assets:
As of March 31, 2012	$	5,835,623	$	613,419		$	188,454	$	251,785		$	6,889,281
As of December 31, 2011	$	5,826,756	$	624,305		$	199,422	$	22,218		$	6,672,701

Summary of Company's net revenue from the Professional Diagnostics and Health Management reporting segments by groups of similar products and services

The following tables summarize our net revenue from the professional diagnostics and health management reporting segments by groups of similar products and services for the three months ended March 31, 2012 and 2011 (in thousands):

Professional Diagnostics Segment

	Three Months Ended March 31,
	2012		2011
Cardiology	$	138,826	$	129,855
Infectious disease		151,016		140,426
Toxicology		121,740		85,504
Diabetes		28,161		—
Other		75,706		54,000
Net product sales and services revenue		515,449		409,785
License and royalty revenue		2,908		6,027
Professional diagnostics net revenue	$	518,357	$	415,812

Health Management Segment

	Three Months Ended March 31,
	2012		2011
Disease and case management	$	53,380	$	61,455
Wellness		27,026		29,805
Women’s & children’s health		29,771		28,575
Patient self-testing services		20,607		23,228
Health management net revenue	$	130,784	$	143,063

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Business Combinations (Details 2) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012
Liabilities established for exit activities [Member]
Liabilities established for exit activities related to the acquisitions
Beginning Balance	$ 1,767
Adjustments to the Reserve	(111)
Amounts Paid	91
Ending Balance	1,565
Exit Costs Since Inception	26,915
Matria Acquisition [Member]
Liabilities established for exit activities related to the acquisitions
Beginning Balance	463
Adjustments to the Reserve	(111)
Amounts Paid	36
Ending Balance	316
Exit Costs Since Inception	18,338
Matria Acquisition [Member] | Severance related cost [Member]
Liabilities established for exit activities related to the acquisitions
Beginning Balance	68
Ending Balance	68
Exit Costs Since Inception	13,664
Matria Acquisition [Member] | Facility and other [Member]
Liabilities established for exit activities related to the acquisitions
Beginning Balance	395
Adjustments to the Reserve	(111)
Amounts Paid	36
Ending Balance	248
Exit Costs Since Inception	4,674
Cholestech Acquisition [Member]
Liabilities established for exit activities related to the acquisitions
Beginning Balance	1,304
Amounts Paid	55
Ending Balance	1,249
Exit Costs Since Inception	8,577
Cholestech Acquisition [Member] | Severance related cost [Member]
Liabilities established for exit activities related to the acquisitions
Exit Costs Since Inception	5,845
Cholestech Acquisition [Member] | Facility and other [Member]
Liabilities established for exit activities related to the acquisitions
Beginning Balance	1,304
Amounts Paid	55
Ending Balance	1,249
Exit Costs Since Inception	$ 2,732

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Defined Benefit Pension Plan (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Net Periodic Benefit Costs
Service cost
Interest cost	198	202
Expected return on plan assets	(152)	(155)
Amortization of prior service cost	104	106
Realized losses
Net periodic benefit cost	$ 150	$ 153

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Derivative Financial Instruments (Details) (Foreign currency forward contract [Member], USD $) In Thousands, unless otherwise specified	Mar. 31, 2012 Prepaid expenses and other current assets [Member]	Dec. 31, 2011 Accrued expenses and other current liabilities [Member]
Summary of fair value of derivative instruments and the effect of derivative instruments in consolidated balance sheets
Fair value of derivative instruments	$ 641	$ 447

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Stockholders' Equity and Non-controlling Interests (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Changes in stockholders' equity and non-controlling interests comprising total equity
Equity, beginning of period	$ 2,231,574	$ 2,577,726
Issuance of common stock and warrants in connection with acquisitions		1,000
Exercise of common stock options, warrants and shares issued under employee stock purchase plan	7,674	11,824
Preferred stock dividends	(5,323)	(33)
Stock-based compensation related grants of common stock options	3,874	5,808
Excess tax benefits on exercised stock option	104	1,169
Net income (loss)	1,029	277
Total other comprehensive income (loss)	37,353	22,260
Equity, end of period	2,276,333	2,570,033
Common Stock [Member]
Changes in stockholders' equity and non-controlling interests comprising total equity
Repurchase of common stock and preferred stock		(618)
Preferred Stock [Member]
Changes in stockholders' equity and non-controlling interests comprising total equity
Repurchase of common stock and preferred stock		49,380
Parent [Member]
Changes in stockholders' equity and non-controlling interests comprising total equity
Equity, beginning of period	2,229,234	2,575,038
Issuance of common stock and warrants in connection with acquisitions		1,000
Exercise of common stock options, warrants and shares issued under employee stock purchase plan	7,674	11,824
Preferred stock dividends	(5,323)	(33)
Stock-based compensation related grants of common stock options	3,874	5,808
Excess tax benefits on exercised stock option	104	1,169
Net income (loss)	1,214	215
Total other comprehensive income (loss)	37,353	22,260
Equity, end of period	2,274,130	2,567,283
Parent [Member] | Common Stock [Member]
Changes in stockholders' equity and non-controlling interests comprising total equity
Repurchase of common stock and preferred stock		(618)
Parent [Member] | Preferred Stock [Member]
Changes in stockholders' equity and non-controlling interests comprising total equity
Repurchase of common stock and preferred stock		49,380
Non-controlling Interest [Member]
Changes in stockholders' equity and non-controlling interests comprising total equity
Equity, beginning of period	2,340	2,688
Net income (loss)	(137)	62
Equity, end of period	$ 2,203	$ 2,750

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Inventories

3 Months Ended

Mar. 31, 2012

Inventories [Abstract]

Inventories

(3) Inventories

Inventories are stated at the lower of cost (first in, first out) or market and are comprised of the following (in thousands):

	March 31, 2012		December 31, 2011
Raw materials	$	97,263	$	92,844
Work-in-process		68,847		72,939
Finished goods		143,811		154,486
	$	309,921	$	320,269

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Derivative Financial Instruments (Details 1) (Other comprehensive income [Member], USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Summary of fair value of derivative instruments and the effect of derivative instruments in consolidated statements of operations and in accumulated other comprehensive loss
Amount of gain (loss) recognized	$ 1,107	$ 1,617
Interest rate swap contracts [Member]
Summary of fair value of derivative instruments and the effect of derivative instruments in consolidated statements of operations and in accumulated other comprehensive loss
Amount of gain recognized		1,617
Foreign currency forward contract [Member]
Summary of fair value of derivative instruments and the effect of derivative instruments in consolidated statements of operations and in accumulated other comprehensive loss
Amount of gain recognized	$ 1,107

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Stock-based Compensation (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Stock-based compensation expense
Stock-based compensation	$ 3,874	$ 5,808
Benefit for income taxes	(541)	(1,286)
Stock-based compensation, net of tax	3,333	4,522
Cost of net revenue [Member]
Stock-based compensation expense
Stock-based compensation	269	350
Research and development [Member]
Stock-based compensation expense
Stock-based compensation	771	945
Sales and marketing [Member]
Stock-based compensation expense
Stock-based compensation	917	959
General and administrative [Member]
Stock-based compensation expense
Stock-based compensation	$ 1,917	$ 3,554

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Net Income (Loss) per Common Share (Tables)

3 Months Ended

Mar. 31, 2012

Net Income (Loss) per Common Share [Abstract]

Computation of basic and diluted net (loss) per common share

The following table sets forth the computation of basic and diluted net income (loss) per common share for the periods presented (in thousands, except per share data):

	Three Months Ended March 31,
	2012			2011
Numerator:
Net income	$	1,029		$	277
Preferred stock dividends		(5,309	)		(5,809	)
Preferred stock repurchase		—			13,688
Less: Net income (loss) attributable to non-controlling interest		(185	)		62
Net income (loss) available to common stockholders	$	(4,095	)	$	8,094
Denominator:
Weighted-average common shares outstanding — basic		80,240			85,362
Effect of dilutive securities:
Stock options		—			1,348
Warrants		—			136
Potentially issuable shares of common stock associated with contingent consideration arrangements		—			107
Weighted-average common shares outstanding — diluted		80,240			86,953
Basic net income (loss) per common share attributable to Alere Inc. and Subsidiaries	$	(0.05	)	$	0.09
Diluted net income (loss) per common share attributable to Alere Inc. and Subsidiaries	$	(0.05	)	$	0.09

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Stock-based Compensation (Tables)

3 Months Ended

Mar. 31, 2012

Stock-based Compensation [Abstract]

Stock-based compensation expense

We recorded stock-based compensation expense in our consolidated statements of operations for the three months ended March 31, 2012 and 2011, respectively, as follows (in thousands):

	Three Months Ended March 31,
	2012			2011
Cost of net revenue	$	269		$	350
Research and development		771			945
Sales and marketing		917			959
General and administrative		1,917			3,554
		3,874			5,808
Benefit for income taxes		(541	)		(1,286	)
	$	3,333		$	4,522

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Restructuring Plans (Details 2) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012
Cash activity for restructuring reserves
Restructuring Reserve, Beginning Balance	$ 9,188
Cash charges	5,449
Payments	(6,465)
Currency adjustments	58
Restructuring Reserve, Ending Balance	8,230
Severance related cost [Member]
Cash activity for restructuring reserves
Restructuring Reserve, Beginning Balance	3,380
Cash charges	4,752
Payments	(4,355)
Currency adjustments	54
Restructuring Reserve, Ending Balance	3,831
Facility and transition costs [Member]
Cash activity for restructuring reserves
Restructuring Reserve, Beginning Balance	5,215
Cash charges	637
Payments	(2,038)
Currency adjustments	4
Restructuring Reserve, Ending Balance	3,818
Other exit costs [Member]
Cash activity for restructuring reserves
Restructuring Reserve, Beginning Balance	593
Cash charges	60
Payments	(72)
Restructuring Reserve, Ending Balance	$ 581

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Net Income (Loss) per Common Share (Details) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Numerator:
Net income	$ 1,029	$ 277
Preferred stock dividends	(5,309)	(5,809)
Preferred stock repurchase		13,688
Less: Net income (loss) attributable to non-controlling interests	(185)	62
Net income (loss) available to common stockholders	$ (4,095)	$ 8,094
Denominator:
Weighted-average common shares outstanding - basic	80,240	85,362
Effect of dilutive securities:
Stock options		1,348
Warrants		136
Potentially issuable shares of common stock associated with contingent consideration arrangements		107
Weighted-average common shares outstanding - diluted	80,240	86,953
Basic net income (loss) per common share attributable to Alere Inc. and Subsidiaries	$ (0.05)	$ 0.09
Diluted net income (loss) per common share attributable to Alere Inc. and Subsidiaries	$ (0.05)	$ 0.09

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Stockholders Equity and Noncontrolling Interests (Tables)

3 Months Ended

Mar. 31, 2012

Stockholders' Equity and Non-controlling Interests [Abstract]

Summary of changes in stockholders equity and non controlling interests comprising total equity

A summary of the changes in stockholders’ equity and non-controlling interests comprising total equity for the three months ended March 31, 2012 and 2011 is provided below (in thousands):

	Three Months Ended March 31,
	2012									2011
	Total Stockholders’ Equity			Non- controlling Interests			Total Equity			Total Stockholders’ Equity			Non- controlling Interests		Total Equity
Equity, beginning of period	$	2,229,234		$	2,340		$	2,231,574		$	2,575,038		$	2,688	$	2,577,726
Issuance of common stock and warrants in connection with acquisitions		—			—			—			1,000			—		1,000
Exercise of common stock options, warrants and shares issued under employee stock purchase plan		7,674			—			7,674			11,824			—		11,824
Repurchase of common stock		—			—			—			(618	)		—		(618	)
Repurchase of preferred stock		—			—			—			(49,380	)		—		(49,380	)
Preferred stock dividends		(5,323	)		—			(5,323	)		(33	)		—		(33	)
Stock-based compensation related to grants of common stock options		3,874			—			3,874			5,808			—		5,808
Excess tax benefits on exercised stock options		104			—			104			1,169			—		1,169
Net income (loss)		1,214			(137	)		1,077			215			62		277
Total other comprehensive income		37,353			—			37,353			22,260			—		22,260
Equity, end of period	$	2,274,130		$	2,203		$	2,276,333		$	2,567,283		$	2,750	$	2,570,033

Summary of changes in redeemable non-controlling interest

A summary of the changes in redeemable non-controlling interest recorded in the mezzanine section of the balance sheet for the three months ended March 31, 2012 is provided below. There was no redeemable non-controlling interest during the three months ended March 31, 2011 (in thousands):

	Three Months Ended March  31, 2012
Redeemable non-controlling interest, beginning of period	$	2,497
Net loss		(49	)
Redeemable non-controlling interest, end of period	$	2,448

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Business Combinations (Tables)

3 Months Ended

Mar. 31, 2012

Business Combinations [Abstract]

Preliminary aggregate purchase price allocation

A summary of the preliminary fair values of the net assets acquired for the acquisitions consummated in 2012 is as follows (in thousands):

Current assets (1)	$	2,112
Property, plant and equipment		1,610
Goodwill		10,185
Intangible assets		26,862
Total assets acquired		40,769
Current liabilities		1,671
Non-current liabilities		6,330
Total liabilities assumed		8,001
Net assets acquired		32,768
Less:
Contingent consideration		1,000
Cash paid	$	31,768

(1) Includes cash acquired of approximately $0.5 million.

The following are the intangible assets acquired and their respective fair values and weighted-average useful lives (dollars in thousands):

	Amount		Weighted- Average Useful Life
Core technology and patents	$	8,403		21.0 years
Trademarks and trade names		530		2.0 years
Customer relationships		17,929		7.6 years
Total intangible assets	$	26,862

Intangible assets acquired and their respective fair values and weighted average useful lives

A summary of the preliminary fair values of the net assets acquired for the acquisitions consummated in 2011 is as follows (in thousands):

Current assets (1)	$	135,635
Property, plant and equipment		68,473
Goodwill		358,106
Intangible assets		416,624
Other non-current assets		27,679
Total assets acquired		1,006,517
Current liabilities		89,208
Non-current liabilities		129,962
Total liabilities assumed		219,170
Net assets acquired		787,347
Less:
Fair value of previously-held equity investment		113,168
Contingent consideration		48,685
Fair value of common stock issued		16,183
Loan forgiveness		1,489
Deferred purchase price consideration		4,170
Cash paid	$	603,652

(1) Includes cash acquired of approximately $23.2 million.

The following are the intangible assets acquired and their respective fair values and weighted-average useful lives (dollars in thousands):

	Amount		Weighted- Average Useful Life
Core technology and patents	$	76,659		10.1 years
Database		64		3.0 years
Trademarks and trade names		14,197		10.1 years
Customer relationships		243,725		12.3 years
Non-compete agreements		8,306		5.3 years
Software		7,400		10.9 years
Other		7,767		15.6 years
In-process research and development		58,506		N/A
Total intangible assets	$	416,624

Liabilities established for exit activities related to the acquisitions

In connection with several of our acquisitions consummated during 2008 and prior, we initiated integration plans to consolidate and restructure certain functions and operations, including the costs associated with the termination of certain personnel of these acquired entities and the closure of certain of the acquired entities’ leased facilities. These costs have been recognized as liabilities assumed in connection with the acquisition of these entities and are subject to potential adjustments as certain exit activities are refined. The following table summarizes the liabilities established for exit activities related to these acquisitions and the total exit costs incurred since inception of each plan (in thousands):

	Balance at December 31, 2011		Adjustments to the Reserve (1)			Amounts Paid			Balance at March  31, 2012		Exit Costs Since Inception
Acquisition of Matria Healthcare Inc.:
Severance-related costs	$	68	$	—		$	—		$	68	$	13,664
Facility costs		395		(111	)		(36	)		248		4,674
Total costs for Matria Healthcare Inc.		463		(111	)		(36	)		316		18,338
Acquisition of Cholestech Corporation:
Severance-related costs		—		—			—			—		5,845
Facility costs		1,304		—			(55	)		1,249		2,732
Total costs for Cholestech Corporation		1,304		—			(55	)		1,249		8,577
Total costs for all plans	$	1,767	$	(111	)	$	(91	)	$	1,565	$	26,915

(1) These adjustments resulted in a change in the aggregate purchase price and related goodwill for each related acquisition.

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Cash and Cash Equivalents

3 Months Ended

Mar. 31, 2012

Cash and Cash Equivalents [Abstract]

Cash and Cash Equivalents

(2) Cash and Cash Equivalents

We consider all highly-liquid cash investments with original maturities of three months or less at the date of acquisition to be cash equivalents. At March 31, 2012, our cash equivalents consisted of money market funds.

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Restructuring Plans (Tables)

3 Months Ended

Mar. 31, 2012

Restructuring Plans [Abstract]

Aggregate charges associated with restructuring plans recorded in operating income

The following table sets forth aggregate restructuring charges recorded in our consolidated statements of operations for the three months ended March 31, 2012 and 2011 (in thousands):

	Three Months Ended March  31,
Statement of Operations Caption	2012		2011
Cost of net revenue	$	964	$	1,350
Research and development		624		18
Sales and marketing		827		1,012
General and administrative		3,113		3,819
Total operating expenses		5,528		6,199
Interest expense, including amortization of original issue discounts and deferred financing costs		60		49
Equity earnings of unconsolidated entities, net of tax		—		193
Total charges	$	5,588	$	6,441

Restructuring activities related to restructuring plans

In 2012, management developed cost reduction efforts within our professional diagnostics business segment, including the integration of our businesses in Brazil. Additionally, management developed new plans to continue our efforts to reduce costs within our health management business segment. The following table summarizes the restructuring activities related to our 2012 restructuring plans for the three months ended March 31, 2012 (in thousands):

	Professional Diagnostics		Health Management		Total
Severance-related costs - cash	$	1,973	$	797	$	2,770
Inventory impairments - non-cash		—		5		5
Total charges	$	1,973	$	802	$	2,775

In 2011, management executed a company-wide cost reduction plan, which impacted our corporate and other business segment, as well as the health management and professional diagnostics business segments. Management also developed plans within our professional diagnostics business segment to consolidate operating activities among certain of our European and Asia Pacific subsidiaries, including transferring the manufacturing of our Panbio products from Australia to our Standard Diagnostics facility in South Korea. Additionally, within our health management business segment, management executed plans to further reduce costs and improve efficiencies, as well as cease operations at our GeneCare Medical Genetics Center, Inc., or GeneCare, facility in Chapel Hill, North Carolina, and transfer the majority of our Quality Assured Services, Inc. operation in Orlando, Florida to our facility in Livermore, California. The following table summarizes the restructuring activities related to our 2011 restructuring plans for the three months ended March 31, 2012 and 2011 and since inception (in thousands):

Professional Diagnostics

	Three Months Ended March  31,				Since
	2012		2011		Inception
Severance-related costs	$	1,965	$	1,037	$	14,012
Facility and transition costs		649		—		1,010
Cash charges		2,614		1,037		15,022
Fixed asset and inventory impairments		134		524		793
Total charges	$	2,748	$	1,561	$	15,815

Health Management

	Three Months Ended March  31,					Since
	2012			2011		Inception
Severance-related costs	$	—		$	1,247	$	2,254
Facility and transition costs		(86	)		—		6,255
Other exit costs		25			—		119
Cash charges		(61	)		1,247		8,628
Fixed asset and inventory impairments		—			—		864
Intangible asset impairments		—			2,935		2,935
Other non-cash charges		—			—		761
Total charges	$	(61	)	$	4,182	$	13,188

Corporate and Other

	Three Months Ended March  31,				Since
	2012		2011		Inception
Severance-related costs	$	17	$	—	$	1,210
Cash charges		17		—		1,210
Fixed asset and inventory impairments		—		—		3
Total charges	$	17	$	—	$	1,213

In 2010, management developed several plans to reduce costs and improve efficiencies within our health management and professional diagnostics business segments. In May 2008, management decided to close our facility located in Bedford, England and initiated steps to cease operations at this facility and transition the manufacturing operations principally to our manufacturing facilities in Shanghai and Hangzhou, China. Additionally in 2008, management developed and initiated plans to transition the businesses of Cholestech to our San Diego, California facility. The following table summarizes the restructuring activities related to these restructuring plans for the three months ended March 31, 2012 and 2011 and since inception (in thousands):

Professional Diagnostics

	Three Months Ended March  31,				Since
	2012		2011		Inception
Severance-related costs	$	—	$	35	$	8,897
Facility and transition costs		74		382		8,386
Other exit costs		19		9		4,437
Cash charges		93		426		21,720
Fixed asset and inventory impairments		—		—		10,309
Total charges	$	93	$	426	$	32,029

Health Management

	Three Months Ended March 31,				Since
	2012		2011		Inception
Severance-related costs	$	—	$	—	$	4,647
Facility and transition costs		—		39		2,476
Other exit costs		16		40		304
Cash charges		16		79		7,427
Fixed asset and inventory impairments		—		—		165
Total charges	$	16	$	79	$	7,592

In addition to the restructuring charges discussed above, certain charges associated with the Bedford facility closure were borne by SPD, our 50/50 joint venture with the Procter & Gamble Company, or P&G. Of the restructuring charges recorded by SPD, 50% has been included in equity earnings of unconsolidated entities, net of tax, in our consolidated statement of operations. The following table summarizes the 50% portion of the restructuring charges borne by SPD and included in equity earnings of unconsolidated entities, net of tax, for the three months ended March 31, 2011 and since inception (in thousands):

	Three Months Ended March 31, 2011		Since Inception
Severance-related costs	$	11	$	5,797
Facility and transition costs		110		5,396
Other exit costs		—		283
Cash charges		121		11,476
Fixed asset and inventory impairments		72		4,635
Total charges included in equity earnings of unconsolidated entities, net of tax	$	193	$	16,111

Cash activity for restructuring reserves

The following table summarizes our restructuring reserves related to the plans described above, of which $6.2 million is included in accrued expenses and other current liabilities and $2.0 million is included in other long-term liabilities on our consolidated balance sheets (in thousands):

	Severance- related Costs			Facility  and Transition Costs			Other Exit Costs			Total
Balance, December 31, 2011	$	3,380		$	5,215		$	593		$	9,188
Cash charges		4,752			637			60			5,449
Payments		(4,355	)		(2,038	)		(72	)		(6,465	)
Currency adjustments		54			4			—			58
Balance, March 31, 2012	$	3,831		$	3,818		$	581		$	8,230

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Basis of Presentation of Financial Information (Details)	Feb. 29, 2012
Basis Of Presentation Of Financial Information (Textual) [Abstract]
Annual report filing Date with securities exchange commission	Feb. 29, 2012

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Business Combinations (Details Textual) (USD $)	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011	Dec. 31, 2011
Business Acquisition [Line Items]
Total initial cash payment	$ 31,768,000		$ 603,652,000
Fair value of common stock	1,000,000		48,685,000
Fair value of previously held investments		113,200,000
Present value of deferred purchase price consideration			4,170,000
Liability outstanding	1,600,000
Accrued expenses	500,000
Other current liabilities	1,100,000
Goodwill	10,185,000		358,106,000
Business Combinations (Textual) [Abstract]
General and administrative expense related to acquisition	1,500,000	1,900,000
Acquisition 2012 [Member]
Business Acquisition [Line Items]
Total revenue related to acquisition	1,400,000
Total initial cash payment	31,800,000
Preliminary aggregate purchase price	32,800,000
Aggregate acquisition date contingent consideration	1.0
Goodwill	10,200,000
Goodwill deductible for tax purposes	7,500,000
Cash acquired	500,000
Acquisition 2011 [Member]
Business Acquisition [Line Items]
Total revenue related to acquisition		3,000,000
Total initial cash payment		603,700,000
Preliminary aggregate purchase price		787,300,000
Number of common stock acquired		831,915
Aggregate acquisition date contingent consideration		48.7
Fair value of common stock		16,200,000
Present value of deferred purchase price consideration		4,200,000
Goodwill		358,100,000
Goodwill deductible for tax purposes		32,300,000
Cash acquired		$ 23,200,000
Standing Stone [Member]
Business Acquisition [Line Items]
Percentage of ownership acquired	80.92%
Bio Note [Member]
Business Acquisition [Line Items]
Percentage of ownership acquired	90.00%
Percentage of incremental ownership interest	10.00%

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Equity Investments (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Financial information for the P&G joint venture and TechLab on a combined Condensed Results of Operations
Net revenue	$ 52,525	$ 55,554
Gross profit	35,179	35,465
Net income after taxes	$ 6,993	$ 1,834

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Consolidated Statements of Operations (Unaudited) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Consolidated Statements of Operations [Abstract]
Net product sales	$ 475,787	$ 407,243
Services revenue	192,434	167,552
Net product sales and services revenue	668,221	574,795
License and royalty revenue	2,908	7,669
Net revenue	671,129	582,464
Cost of net product sales	225,554	189,687
Cost of services revenue	90,860	84,716
Cost of net product sales and services revenue	316,414	274,403
Cost of license and royalty revenue	1,644	1,854
Cost of net revenue	318,058	276,257
Gross profit	353,071	306,207
Operating expenses:
Research and development	39,000	36,542
Sales and marketing	158,578	133,209
General and administrative	120,435	105,551
Total operating expenses	318,013	275,302
Operating income	35,058	30,905
Interest expense, including amortization of original issue discounts and deferred financing costs	(50,727)	(38,305)
Other income (expense), net	11,831	2,336
Loss before benefit for income taxes	(3,838)	(5,064)
Benefit for income taxes	(1,455)	(4,330)
Loss before equity earnings of unconsolidated entities, net of tax	(2,383)	(734)
Equity earnings of unconsolidated entities, net of tax	3,412	1,011
Net income	1,029	277
Less: Net income (loss) attributable to non-controlling interests	(185)	62
Net income attributable to Alere Inc. and Subsidiaries	1,214	215
Preferred stock dividends	(5,309)	(5,809)
Preferred stock repurchase		13,688
Net income (loss) available to common stockholders	$ (4,095)	$ 8,094
Basic net income (loss) per common share attributable to Alere Inc. and Subsidiaries:	$ (0.05)	$ 0.09
Diluted net income (loss) per common share attributable to Alere Inc. and Subsidiaries:	$ (0.05)	$ 0.09
Weighted-average shares-basic	80,240	85,362
Weighted-average shares-diluted	80,240	86,953

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Net Income (Loss) per Common Share (Details Textual) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Net Loss Income Per Common Share (Textual) [Abstract]
Anti-dilutive shares excluded from the computations of diluted net income per common share	13,966	14,877

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Consolidated Statements of Cash Flows (Unaudited) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Cash Flows from Operating Activities:
Net income	$ 1,029	$ 277
Adjustments to reconcile net income to net cash provided by operating activities:
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs	5,278	3,603
Depreciation and amortization	107,402	94,975
Non-cash stock-based compensation expense	3,874	5,808
Impairment of inventory	5	294
Impairment of long-lived assets	134	230
Impairment of intangible assets		2,935
Loss on sale of fixed assets	566	479
Gain on sales of marketable securities		(333)
Equity earnings of unconsolidated entities, net of tax	(3,412)	(1,011)
Deferred income taxes	(13,752)	(13,238)
Other non-cash items		1,606
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net	(12,942)	(5,339)
Inventories, net	9,351	11,063
Prepaid expenses and other current assets	3,521	(24,473)
Accounts payable	(17,806)	(5,935)
Accrued expenses and other current liabilities	3,985	14,795
Other non-current liabilities	14,697	1,424
Net cash provided by operating activities	101,930	87,160
Cash Flows from Investing Activities:
Decrease in restricted cash	6,302	3
Purchases of property, plant and equipment	(30,385)	(28,944)
Proceeds from sale of property, plant and equipment	527	204
Proceeds from disposition of business		11,490
Cash paid for acquisitions, net of cash acquired	(38,008)	(94,899)
Cash received from equity method investment	6,066
Cash received (paid) for marketable securities	(2)	6,982
Increase in other assets	(8,554)	(12,102)
Net cash used in investing activities	(64,054)	(117,266)
Cash Flows from Financing Activities:
Cash paid for financing costs	(1,876)	(80)
Cash paid for contingent purchase price consideration	(48)	(13,222)
Proceeds from issuance of common stock, net of issuance costs	7,674	11,824
Repurchase of preferred stock		(49,380)
Proceeds from long-term debt	199,141	937
Payments on long-term debt	(16,911)	(3,600)
Net proceeds under revolving credit facilities	1,339	133
Payments on short-term debt	(6,240)
Repurchase of common stock		(618)
Cash paid for dividends	(5,323)
Excess tax benefits on exercised stock options	148	1,169
Principal payments on capital lease obligations	(1,720)	(653)
Other		(244)
Net cash provided by (used in) financing activities	176,184	(53,734)
Foreign exchange effect on cash and cash equivalents	864	1,200
Net increase (decrease) in cash and cash equivalents	214,924	(82,640)
Cash and cash equivalents, beginning of period	299,173	401,306
Cash and cash equivalents, end of period	$ 514,097	$ 318,666

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Long Term Debt (Details 1) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Long-term debt interest expense
Long-term debt issuance cost	$ 49,483	$ 37,303
Secured credit facility [Member]
Long-term debt interest expense
Long-term debt issuance cost	22,851
Former secured credit facility [Member]
Long-term debt interest expense
Long-term debt issuance cost		12,054
3% Senior subordinated convertible notes [Member]
Long-term debt interest expense
Long-term debt issuance cost	1,246	1,246
9% Senior subordinated notes [Member]
Long-term debt interest expense
Long-term debt issuance cost	10,354	9,730
7.875% Senior Notes [Member]
Long-term debt interest expense
Long-term debt issuance cost	5,758	5,365
8.625% Senior subordinated notes [Member]
Long-term debt interest expense
Long-term debt issuance cost	$ 9,274	$ 8,908

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Fair Value Measurements (Tables)

3 Months Ended

Mar. 31, 2012

Fair Value Measurements [Abstract]

Fair value assets and liabilities measured on recurring basis, valuation techniques

The following tables present information about our assets and liabilities that are measured at fair value on a recurring basis as of March 31, 2012 and December 31, 2011, and indicates the fair value hierarchy of the valuation techniques we utilized to determine such fair value (in thousands):

Description	March 31,     2012		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Unobservable Inputs (Level 3)
Assets:
Marketable securities	$	3,776	$	3,776	$	—	$	—
Foreign exchange forward contracts  (1)		641		—		641		—
Total assets	$	4,417	$	3,776	$	641	$	—
Liabilities:
Contingent consideration obligations  (2)	$	146,301	$	—	$	—	$	146,301
Total liabilities	$	146,301	$	—	$	—	$	146,301

Description	December 31, 2011		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Unobservable Inputs (Level 3)
Assets:
Marketable securities	$	3,340	$	3,340	$	—	$	—
Total assets	$	3,340	$	3,340	$	—	$	—
Liabilities: Foreign exchange forward contracts (1)	$	447	$	—	$	447	$	—
Contingent consideration obligations (2)		140,047		—		—		140,047
Total liabilities	$	140,494	$	—	$	447	$	140,047

(1) The fair value of the foreign exchange forward contracts was measured using readily observable market inputs, such as quotations on forward foreign exchange points and foreign interest rates.

(2) The fair value measurements for our contingent consideration obligations relate to acquisitions completed after January 1, 2009 and are valued using Level 3 inputs. We determine the fair value of the contingent consideration obligations based on a probability-weighted approach derived from earn-out criteria estimates and a probability assessment with respect to the likelihood of achieving the various earn-out criteria. The measurement is based upon significant inputs not observable in the market. Changes in the fair value of these contingent consideration obligations are recorded as income or expense within operating income in our consolidated statements of operations.

Changes in the fair value of contingent consideration obligations

Changes in the fair value of our Level 3 contingent consideration obligations during the three months ended March 31, 2012 were as follows (in thousands):

Fair value of contingent consideration obligations, January 1, 2012	$	140,047
Acquisition date fair value of contingent consideration obligations recorded		1,000
Foreign currency		277
Payments		(67	)
Present value accretion		3,457
Adjustments, net (income) expense		1,587
Fair value of contingent consideration obligations, March 31, 2012	$	146,301

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Fair Value Measurements (Details 1) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012
Changes in the fair value of contingent consideration obligations
Fair value of contingent consideration obligations, January 1, 2012	$ 140,047
Acquisition date fair value of contingent consideration obligations recorded	1,000
Foreign currency	277
Payments	(67)
Present value accretion	3,457
Adjustments, net (income) expense	1,587
Fair value of contingent consideration obligations, March 31, 2012	$ 146,301

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Material Contingencies and Legal Settlements

3 Months Ended

Mar. 31, 2012

Material Contingencies and Legal Settlements [Abstract]

Material Contingencies and Legal Settlements

(16) Material Contingencies and Legal Settlements

(a) Legal Proceedings

We are not a party to any pending legal proceedings that we currently believe could have a material adverse impact on our sales, operations or financial performance. However, because of the nature of our business, we may be subject at any particular time to lawsuits or other claims arising in the ordinary course of our business, and we expect that this will continue to be the case in the future.

(b) Acquisition-related Contingent Consideration Obligations

The following summarizes our principal contractual acquisition-related contingent consideration obligations as of March 31, 2012 that have changed significantly since December 31, 2011. Other acquisition-related contingent consideration obligations that were presented in our Annual Report on Form 10-K for the year ended December 31, 2011, but omitted below, represent those that have not changed significantly since that date.

• AmMed

With respect to AmMed, the terms of the acquisition agreement require us to pay an earn-out upon successfully meeting certain operational targets within six months of the acquisition date. The maximum amount of the earn-out payment is $2.0 million.

(c) FDA Inspection and Office of Inspector General Subpoena

        In March 2012, the Food & Drug Administration, or FDA, began an inspection of our San Diego facility related to our Alere Triage products. During the inspection, the FDA expressed concern about the alignment between certain aspects of our labeling for the Alere Triage products and the quality control release method that had been in effect prior to the inspection. To our knowledge, the FDA has not yet closed the inspection and has not issued any inspectional observations on Form 483. We are continuing to engage in discussions with the FDA regarding the Alere Triage products and have adopted an interim revised release method which we have been shipping against since early April 2012, with plans to further tighten the release method by September 30, 2012. Although the discussions with the FDA are ongoing, we expect that resolution of the issues raised by the FDA will involve a recall of unexpired lots of Alere Triage products that do not satisfy the revised quality control release method set through such resolution. Based on customer order patterns, expected customer inventory levels and the passage of time between March 31, 2012 and the date of any potential recall, we do not believe that the quantity or value of products that were sold on or before March 31, 2012 that may ultimately be returned will be material and, accordingly, we do not believe that any such recall will have a material impact on our results of operations for the quarter ended March 31, 2012. However, because the quality control release methods that we will apply in the future have not been determined, at this time we are unable to determine the scope of any anticipated recall, including the type and number of products that may be returned. Similarly, we are unable to determine the impact on our ability to ship existing inventory of, and to continue to manufacture, Alere Triage products that satisfy such release methods. Consequently, we are also unable to determine whether the anticipated recall or the revised release methods will have a material impact on our revenues, results of operations, earnings, cash flows or financial condition.

Also, in May 2012, we received a subpoena from the Office of Inspector General of the Department of Health and Human Services. The subpoena seeks documents relating primarily to the quality control testing and performance characteristics of Alere Triage products. We are cooperating with the government and are in the process of responding to the subpoena.

We are unable to predict when these matters will be resolved, what action, if any, the government will take in connection with these matters or what impact, if any, these matters or ensuing proceedings, if any, will have on our financial condition, results of operations or cash flows.

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Defined Benefit Pension Plan (Tables)

3 Months Ended

Mar. 31, 2012

Defined Benefit Pension Plan [Abstract]

Net periodic benefit cost

Our subsidiary in England, Unipath Ltd., has a defined benefit pension plan established for certain of its employees. The net periodic benefit costs are as follows (in thousands):

	Three Months Ended March 31,
	2012			2011
Service cost	$	—		$	—
Interest cost		198			202
Expected return on plan assets		(152	)		(155	)
Amortization of prior service cost		104			106
Realized losses		—			—
Net periodic benefit cost	$	150		$	153

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Equity Investments

3 Months Ended

Mar. 31, 2012

Equity Investments [Abstract]

Equity Investments

(18) Equity Investments

We account for the results from our equity investments under the equity method of accounting in accordance with ASC 323, Investments — Equity Method and Joint Ventures, based on the percentage of our ownership interest in the business. Our equity investments primarily include the following:

(a) SPD

In May 2007, we completed the formation of SPD, our 50/50 joint venture with P&G for the development, manufacturing, marketing and sale of existing and to-be-developed consumer diagnostic products, outside the cardiology, diabetes and oral care fields. Upon completion of the arrangement to form SPD, we ceased to consolidate the operating results of our consumer diagnostics business related to SPD. For the three months ended March 31, 2012 and 2011, we recorded earnings of $2.8 million and $0.4 million, respectively, in equity earnings of unconsolidated entities, net of tax, in our accompanying consolidated statements of operations, which represented our 50% share of SPD’s net income for the respective periods.

(b) TechLab

In May 2006, we acquired 49% of TechLab, Inc., or TechLab, a privately-held developer, manufacturer and distributor of rapid non-invasive intestinal diagnostics tests in the areas of intestinal inflammation, antibiotic-associated diarrhea and parasitology. For the three months ended March 31, 2012 and 2011, we recorded earnings of $0.7 million and $0.5 million, respectively, in equity earnings of unconsolidated entities, net of tax, in our accompanying consolidated statements of operations, which represented our minority share of TechLab’s net income for the respective periods.

Summarized financial information for SPD and TechLab on a combined basis is as follows (in thousands):

Combined Condensed Results of Operations:

	Three Months Ended March 31,
	2012		2011
Net revenue	$	52,525	$	55,554
Gross profit	$	35,179	$	35,465
Net income after taxes	$	6,993	$	1,834

Combined Condensed Balance Sheets:

	March 31, 2012		December 31, 2011
Current assets	$	72,019	$	84,376
Non-current assets		40,930		37,659
Total assets	$	112,949	$	122,035
Current liabilities	$	42,724	$	49,453
Non-current liabilities		8,155		6,326
Total liabilities	$	50,879	$	55,779

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Financial Information by Segment (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011	Dec. 31, 2011
Operating performance by segment
Net revenue	$ 671,129	$ 582,464
Operating income (loss)	35,058	30,905
Depreciation and amortization	107,402	94,975
Restructuring charges	5,528	6,199
Stock-based compensation	3,874	5,808
Assets	6,889,281		6,672,701
Professional Diagnostics [Member]
Operating performance by segment
Net revenue	518,357	415,812
Operating income (loss)	70,179	60,262
Depreciation and amortization	82,148	65,249
Restructuring charges	4,794	1,978
Assets	5,835,623		5,826,756
Health Management [Member]
Operating performance by segment
Net revenue	130,784	143,063
Operating income (loss)	(19,356)	(11,933)
Depreciation and amortization	23,774	28,314
Restructuring charges	717	4,221
Assets	613,419		624,305
Consumer Diagnostics [Member]
Operating performance by segment
Net revenue	21,988	23,589
Operating income (loss)	365	3,361
Depreciation and amortization	1,259	1,259
Assets	188,454		199,422
Corporate and Other [Member]
Operating performance by segment
Operating income (loss)	(16,130)	(20,785)
Depreciation and amortization	221	153
Restructuring charges	17
Stock-based compensation	3,874	5,808
Assets	$ 251,785		$ 22,218

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Basis of Presentation of Financial Information

3 Months Ended

Mar. 31, 2012

Basis of Presentation of Financial Information [Abstract]

Basis of Presentation of Financial Information

(1) Basis of Presentation of Financial Information

The accompanying consolidated financial statements of Alere Inc. are unaudited. In the opinion of management, the unaudited consolidated financial statements contain all adjustments considered normal and recurring and necessary for their fair statement. Interim results are not necessarily indicative of results to be expected for the year. These interim financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America for interim financial information and in accordance with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, these consolidated financial statements do not include all of the information and footnotes necessary for a complete presentation of financial position, results of operations, comprehensive income and cash flows. Our audited consolidated financial statements for the year ended December 31, 2011 included information and footnotes necessary for such presentation and were included in our Annual Report on Form 10-K filed with the Securities and Exchange Commission, or SEC, on February 29, 2012. These unaudited consolidated financial statements should be read in conjunction with our audited consolidated financial statements and notes thereto for the year ended December 31, 2011.

Certain reclassifications of prior period amounts have been made to conform to current period presentation. These reclassifications had no effect on net income or equity.

Certain amounts presented may not recalculate directly, due to rounding.

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Consolidated Statements of Comprehensive Income (Unaudited) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Consolidated Statements of Comprehensive Income [Abstract]
Net income	$ 1,029	$ 277
Other comprehensive income, before tax:
Changes in cumulative translation adjustment	35,939	21,515
Unrealized gains (losses) on available for sale securities	431	(215)
Unrealized gains on hedging instruments	1,107	1,617
Minimum pension liability adjustment	(165)	(38)
Other comprehensive income, before tax	37,312	22,879
Income tax provision (benefit) related to items of other comprehensive income	(41)	619
Other comprehensive income, net of tax	37,353	22,260
Comprehensive income	38,382	22,537
Less: Comprehensive income (loss) attributable to non-controlling interests	(185)	62
Comprehensive income attributable to Alere Inc. and Subsidiaries	$ 38,567	$ 22,475

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Derivative Financial Instruments

3 Months Ended

Mar. 31, 2012

Derivative Financial Instruments [Abstract]

Derivative Financial Instruments

(11) Derivative Financial Instruments

We manage our economic and transaction exposure to certain market-based risks through the use of derivative instruments. Our objective for holding derivative instruments has been to reduce volatility of net earnings and cash flows associated with changes in interest rates and foreign currency exchange rates. We do not hold or issue derivative financial instruments for speculative purposes.

(a) Interest Rate Risk

We used interest rate swap contracts in the management of our interest rate exposure related to our former secured credit facility. On June 30, 2011, we entered into a new secured credit facility and, in connection therewith, repaid in full all outstanding indebtedness under and terminated our former secured credit facility and related interest rate swaps.

(b) Foreign Currency Risk

In connection with our acquisition of Axis-Shield, we acquired a number of foreign currency forward contracts. The specific risk hedged in these contracts is the undiscounted foreign currency spot rate risk on forecasted foreign currency revenue. As of March 31, 2012 and December 31, 2011, the notional value of these contracts was approximately $3.5 million and CHF 3.2 million and $16.6 million and CHF 5.4 million, respectively. We report the effective portion of the gain or loss on a cash flow hedge as a component of other comprehensive income, and it is subsequently reclassified into net earnings in the period in which the hedged transaction affects net earnings or the forecasted transaction is no longer probable of occurring.

The following tables summarize the fair value of our derivative instruments and the effect of derivative instruments on/in our accompanying consolidated balance sheets and consolidated statements of operations (in thousands):

Derivative Instruments	Balance Sheet Caption	Fair Value at     March 31, 2012		Fair Value at     December 31,   2011
Foreign currency forward contracts	Prepaid expenses and other current assets	$	641	$	—
Foreign currency forward contracts	Accrued expenses and other current liabilities	$	—	$	447

Derivative Instruments	Location of Gain Recognized in Income	Amount of Gain Recognized During the Three Months Ended March 31, 2012		Amount of Gain Recognized During the Three Months Ended March 31, 2011
Foreign currency forward contracts	Other comprehensive income	$	1,107	$	—
Interest rate swap contracts	Other comprehensive income		—		1,617
Total gain	Other comprehensive income	$	1,107	$	1,617

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Document and Entity Information	3 Months Ended
	Mar. 31, 2012	May 07, 2012
Document and Entity Information [Abstract]
Entity Registrant Name	ALERE INC.
Entity Central Index Key	0001145460
Document Type	10-Q
Document Period End Date	Mar. 31, 2012
Amendment Flag	false
Document Fiscal Year Focus	2012
Document Fiscal Period Focus	Q1
Current Fiscal Year End Date	--12-31
Entity Filer Category	Large Accelerated Filer
Entity Common Stock, Shares Outstanding		80,369,516

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Fair Value Measurements

3 Months Ended

Mar. 31, 2012

Fair Value Measurements [Abstract]

Fair Value Measurements

(12) Fair Value Measurements

We apply fair value measurement accounting to value our financial assets and liabilities. Fair value measurement accounting provides a framework for measuring fair value under U.S. GAAP and requires expanded disclosures regarding fair value measurements. Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. A fair value hierarchy requires an entity to maximize the use of observable inputs, where available, and minimize the use of unobservable inputs when measuring fair value.

Described below are the three levels of inputs that may be used to measure fair value:

Level 1 Quoted prices in active markets for identical assets or liabilities. Our Level 1 assets and liabilities include investments in marketable securities.

Level 2 Observable inputs other than Level 1 prices, such as quoted prices for similar assets or liabilities; quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities. Our Level 2 assets and liabilities include foreign exchange forward contracts and interest rate swap contracts.

Level 3 Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. The fair value of the contingent consideration obligations related to our acquisitions is valued using Level 3 inputs.

The following tables present information about our assets and liabilities that are measured at fair value on a recurring basis as of March 31, 2012 and December 31, 2011, and indicates the fair value hierarchy of the valuation techniques we utilized to determine such fair value (in thousands):

Description	March 31,     2012		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Unobservable Inputs (Level 3)
Assets:
Marketable securities	$	3,776	$	3,776	$	—	$	—
Foreign exchange forward contracts  (1)		641		—		641		—
Total assets	$	4,417	$	3,776	$	641	$	—
Liabilities:
Contingent consideration obligations  (2)	$	146,301	$	—	$	—	$	146,301
Total liabilities	$	146,301	$	—	$	—	$	146,301

Description	December 31, 2011		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Unobservable Inputs (Level 3)
Assets:
Marketable securities	$	3,340	$	3,340	$	—	$	—
Total assets	$	3,340	$	3,340	$	—	$	—
Liabilities: Foreign exchange forward contracts (1)	$	447	$	—	$	447	$	—
Contingent consideration obligations (2)		140,047		—		—		140,047
Total liabilities	$	140,494	$	—	$	447	$	140,047

(1) The fair value of the foreign exchange forward contracts was measured using readily observable market inputs, such as quotations on forward foreign exchange points and foreign interest rates.

(2) The fair value measurements for our contingent consideration obligations relate to acquisitions completed after January 1, 2009 and are valued using Level 3 inputs. We determine the fair value of the contingent consideration obligations based on a probability-weighted approach derived from earn-out criteria estimates and a probability assessment with respect to the likelihood of achieving the various earn-out criteria. The measurement is based upon significant inputs not observable in the market. Changes in the fair value of these contingent consideration obligations are recorded as income or expense within operating income in our consolidated statements of operations.

Changes in the fair value of our Level 3 contingent consideration obligations during the three months ended March 31, 2012 were as follows (in thousands):

Fair value of contingent consideration obligations, January 1, 2012	$	140,047
Acquisition date fair value of contingent consideration obligations recorded		1,000
Foreign currency		277
Payments		(67	)
Present value accretion		3,457
Adjustments, net (income) expense		1,587
Fair value of contingent consideration obligations, March 31, 2012	$	146,301

At March 31, 2012 and December 31, 2011, the carrying amounts of cash and cash equivalents, restricted cash, receivables, accounts payable and other current liabilities approximated their estimated fair values.

The carrying amount and estimated fair value of our long-term debt were $3.5 billion at March 31, 2012. The carrying amount and estimated fair value of our long-term debt were $3.3 billion at December 31, 2011. The estimated fair value of our long-term debt was determined using market sources that were derived from available market information (Level 2 in the fair value hierarchy) and may not be representative of actual values that could have been or will be realized in the future.

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Consolidated Balance Sheets (Unaudited) (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Current assets:
Cash and cash equivalents	$ 514,097	$ 299,173
Restricted cash	2,684	8,987
Marketable securities	1,092	1,086
Accounts receivable, net of allowances of $29,021 and $24,577 at March 31, 2012 and December 31, 2011, respectively	489,262	475,824
Inventories, net	309,921	320,269
Deferred tax assets	40,790	42,975
Receivable from joint venture, net	2,137	2,503
Prepaid expenses and other current assets	136,572	142,910
Total current assets	1,496,555	1,293,727
Property, plant and equipment, net	506,507	491,205
Goodwill	2,835,171	2,821,271
Other intangible assets with indefinite lives	72,434	69,546
Finite-lived intangible assets, net	1,756,233	1,785,925
Deferred financing costs, net, and other non-current assets	107,148	97,786
Receivable from joint venture, net of current portion	15,977	15,455
Investments in unconsolidated entities	85,392	85,138
Marketable securities	2,684	2,254
Deferred tax assets	11,180	10,394
Total assets	6,889,281	6,672,701
Current liabilities:
Current portion of long-term debt	62,932	61,092
Current portion of capital lease obligations	5,796	6,083
Short-term debt		6,240
Accounts payable	139,523	155,464
Accrued expenses and other current liabilities	397,449	395,573
Total current liabilities	605,700	624,452
Long-term liabilities:
Long-term debt, net of current portion	3,453,583	3,267,451
Capital lease obligations, net of current portion	11,726	12,629
Deferred tax liabilities	371,190	380,700
Other long-term liabilities	168,301	153,398
Total long-term liabilities	4,004,800	3,814,178
Commitments and contingencies (Note 16)
Redeemable non-controlling interest	2,448	2,497
Stockholders' equity:
Common stock, $0.001 par value; Authorized: 200,000 shares; Issued: 88,025 shares at March 31, 2012 and 87,647 shares at December 31, 2011; Outstanding: 80,346 shares at March 31, 2012 and 79,968 shares at December 31, 2011	88	88
Additional paid-in capital	3,331,039	3,324,710
Accumulated deficit	(1,485,577)	(1,486,791)
Treasury stock, at cost, 7,679 shares at March 31, 2012 and December 31, 2011	(184,971)	(184,971)
Accumulated other comprehensive income (loss)	7,083	(30,270)
Total stockholders' equity	2,274,130	2,229,234
Non-controlling interests	2,203	2,340
Total equity	2,276,333	2,231,574
Total liabilities and equity	6,889,281	6,672,701
Series B Preferred Stock
Stockholders' equity:
Series B preferred stock, $0.001 par value (liquidation preference: $709,763 at March 31, 2012 and December 31, 2011); Authorized: 2,300 shares; Issued: 2,065 shares at March 31, 2012 and December 31, 2011; Outstanding: 1,774 shares at March 31, 2012 and December 31, 2011	$ 606,468	$ 606,468

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Preferred Stock

3 Months Ended

Mar. 31, 2012

Stockholders' Equity and Non-controlling Interests [Abstract]

Preferred Stock

(6) Preferred Stock

For the three months ended March 31, 2012 and 2011, Series B preferred stock dividends amounted to $5.3 million and $5.8 million, respectively, which reduced earnings available to common stockholders for purposes of calculating net income (loss) per common share for each of the respective periods. As of April 16, 2012, payments have been made covering all dividend periods through March 31, 2012.

The Series B preferred stock dividends for the three months ended March 31, 2012 were paid in cash. The Series B preferred stock dividends for the three months ended March 31, 2011 were paid in additional shares of Series B preferred stock.

During the first quarter of 2011, we repurchased in the open market and privately-negotiated transactions 183,000 shares of our Series B preferred stock, which were convertible into approximately 1.1 million shares of our common stock, at a cost of approximately $49.4 million, which we paid in cash. The repurchase of the preferred stock at an average cost of $269.84 per preferred share, an amount less than the weighted average fair value of the preferred shares at issuance, resulted in the allocation of $13.7 million of income attributable to common shareholders.

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Net Income (Loss) per Common Share

3 Months Ended

Mar. 31, 2012

Net Income (Loss) per Common Share [Abstract]

Net Income (Loss) per Common Share

(5) Net Income (Loss) per Common Share

The following table sets forth the computation of basic and diluted net income (loss) per common share for the periods presented (in thousands, except per share data):

	Three Months Ended March 31,
	2012			2011
Numerator:
Net income	$	1,029		$	277
Preferred stock dividends		(5,309	)		(5,809	)
Preferred stock repurchase		—			13,688
Less: Net income (loss) attributable to non-controlling interest		(185	)		62
Net income (loss) available to common stockholders	$	(4,095	)	$	8,094
Denominator:
Weighted-average common shares outstanding — basic		80,240			85,362
Effect of dilutive securities:
Stock options		—			1,348
Warrants		—			136
Potentially issuable shares of common stock associated with contingent consideration arrangements		—			107
Weighted-average common shares outstanding — diluted		80,240			86,953
Basic net income (loss) per common share attributable to Alere Inc. and Subsidiaries	$	(0.05	)	$	0.09
Diluted net income (loss) per common share attributable to Alere Inc. and Subsidiaries	$	(0.05	)	$	0.09

For the three months ended March 31, 2012 and 2011, anti-dilutive shares of 13,966 and 14,877, respectively, were excluded from the computations of diluted net income (loss) per common share.

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Recent Accounting Pronouncements

3 Months Ended

Mar. 31, 2012

Recent Accounting Pronouncements [Abstract]

Recent Accounting Pronouncements

(17) Recent Accounting Pronouncements

From time to time, new accounting pronouncements are issued by the Financial Accounting Standards Board, or FASB, or other standard setting bodies that we adopt as of the specified effective date. Unless otherwise discussed, we believe that the impact of recently issued standards that are not yet effective will not have a material impact on our financial position, results of operations, comprehensive income or cash flows upon adoption.

Recently Adopted Standards

Effective January 1, 2012, we adopted Accounting Standards Update, or ASU, No. 2011-08, Intangibles — Goodwill and Other (Topic 350): Testing for Goodwill Impairment, or ASU 2011-08. ASU 2011-08 allows an entity the option to first assess qualitative factors to determine whether it is necessary to perform the current two-step impairment test. If an entity believes, as a result of its qualitative assessment, that it is more-likely-than-not that the fair value of a reporting unit is less than its carrying amount, the quantitative two-step impairment test is required; otherwise, no further testing is required. This update does not change the current guidance for testing other indefinite-lived intangible assets for impairment. The adoption of this standard did not have an impact on our financial position, results of operations, comprehensive income or cash flows.

Effective January 1, 2012, we adopted ASU No. 2011-05, Comprehensive Income (Topic 220): Presentation of Comprehensive Income, or ASU 2011-05. ASU 2011-05 (1) eliminates the option to present the components of other comprehensive income as part of the statement of changes in stockholders’ equity; (2) requires the consecutive presentation of the statement of net income and other comprehensive income; and (3) requires an entity to present reclassification adjustments on the face of the financial statements from other comprehensive income to net income. This update does not change the items that must be reported in other comprehensive income or when an item of other comprehensive income must be reclassified to net income nor do the amendments affect how earnings per share is calculated or presented. Effective January 1, 2012, the FASB issued ASU No. 2011-12, Comprehensive Income (Topic 220): Deferral of the Effective Date for Amendments to the Presentation of Reclassifications of Items Out of Accumulated Other Comprehensive Income in Accounting Standards Update No. 2011-05, or ASU 2011-12. As these accounting standards only require enhanced disclosure, the adoption of these standards did not impact our financial position, results of operations, comprehensive income or cash flows.

Effective January 1, 2012, we adopted ASU No. 2011-04, Fair Value Measurements (Topic 820): Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in U.S. GAAP and IFRS, or ASU 2011-04. ASU 2011-04 provides common requirements for measuring fair value and disclosing information about fair value measurements in accordance with U.S. GAAP and International Financial Reporting Standards.

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Defined Benefit Pension Plan

3 Months Ended

Mar. 31, 2012

Defined Benefit Pension Plan [Abstract]

Defined Benefit Pension Plan

(13) Defined Benefit Pension Plan

Our subsidiary in England, Unipath Ltd., has a defined benefit pension plan established for certain of its employees. The net periodic benefit costs are as follows (in thousands):

	Three Months Ended March 31,
	2012			2011
Service cost	$	—		$	—
Interest cost		198			202
Expected return on plan assets		(152	)		(155	)
Amortization of prior service cost		104			106
Realized losses		—			—
Net periodic benefit cost	$	150		$	153

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Restructuring Plans

3 Months Ended

Mar. 31, 2012

Restructuring Plans [Abstract]

Restructuring Plans

(9) Restructuring Plans

The following table sets forth aggregate restructuring charges recorded in our consolidated statements of operations for the three months ended March 31, 2012 and 2011 (in thousands):

	Three Months Ended March  31,
Statement of Operations Caption	2012		2011
Cost of net revenue	$	964	$	1,350
Research and development		624		18
Sales and marketing		827		1,012
General and administrative		3,113		3,819
Total operating expenses		5,528		6,199
Interest expense, including amortization of original issue discounts and deferred financing costs		60		49
Equity earnings of unconsolidated entities, net of tax		—		193
Total charges	$	5,588	$	6,441

(a) 2012 Restructuring Plans

In 2012, management developed cost reduction efforts within our professional diagnostics business segment, including the integration of our businesses in Brazil. Additionally, management developed new plans to continue our efforts to reduce costs within our health management business segment. The following table summarizes the restructuring activities related to our 2012 restructuring plans for the three months ended March 31, 2012 (in thousands):

	Professional Diagnostics		Health Management		Total
Severance-related costs - cash	$	1,973	$	797	$	2,770
Inventory impairments - non-cash		—		5		5
Total charges	$	1,973	$	802	$	2,775

We anticipate incurring approximately $0.5 million in additional costs under our 2012 restructuring plan related to our professional diagnostics business segment in Brazil and may develop additional plans over the remainder of 2012. As of March 31, 2012, $1.9 million in severance costs remain unpaid.

(b) 2011 Restructuring Plans

In 2011, management executed a company-wide cost reduction plan, which impacted our corporate and other business segment, as well as the health management and professional diagnostics business segments. Management also developed plans within our professional diagnostics business segment to consolidate operating activities among certain of our European and Asia Pacific subsidiaries, including transferring the manufacturing of our Panbio products from Australia to our Standard Diagnostics facility in South Korea. Additionally, within our health management business segment, management executed plans to further reduce costs and improve efficiencies, as well as cease operations at our GeneCare Medical Genetics Center, Inc., or GeneCare, facility in Chapel Hill, North Carolina, and transfer the majority of our Quality Assured Services, Inc. operation in Orlando, Florida to our facility in Livermore, California. The following table summarizes the restructuring activities related to our 2011 restructuring plans for the three months ended March 31, 2012 and 2011 and since inception (in thousands):

Professional Diagnostics

	Three Months Ended March  31,				Since
	2012		2011		Inception
Severance-related costs	$	1,965	$	1,037	$	14,012
Facility and transition costs		649		—		1,010
Cash charges		2,614		1,037		15,022
Fixed asset and inventory impairments		134		524		793
Total charges	$	2,748	$	1,561	$	15,815

Health Management

	Three Months Ended March  31,					Since
	2012			2011		Inception
Severance-related costs	$	—		$	1,247	$	2,254
Facility and transition costs		(86	)		—		6,255
Other exit costs		25			—		119
Cash charges		(61	)		1,247		8,628
Fixed asset and inventory impairments		—			—		864
Intangible asset impairments		—			2,935		2,935
Other non-cash charges		—			—		761
Total charges	$	(61	)	$	4,182	$	13,188

Corporate and Other

	Three Months Ended March  31,				Since
	2012		2011		Inception
Severance-related costs	$	17	$	—	$	1,210
Cash charges		17		—		1,210
Fixed asset and inventory impairments		—		—		3
Total charges	$	17	$	—	$	1,213

We anticipate incurring approximately $2.6 million in additional costs under these plans related to our professional diagnostics business segment, primarily related to severance and facility exit costs, and may also incur impairment charges on assets as plans are finalized. We anticipate incurring approximately $1.0 million in additional costs under these plans related to our health management business segment, primarily related to facility lease obligations through 2014. As of March 31, 2012, $4.9 million in cash charges remain unpaid.

(c) 2010 and 2008 Restructuring Plans

In 2010, management developed several plans to reduce costs and improve efficiencies within our health management and professional diagnostics business segments. In May 2008, management decided to close our facility located in Bedford, England and initiated steps to cease operations at this facility and transition the manufacturing operations principally to our manufacturing facilities in Shanghai and Hangzhou, China. Additionally in 2008, management developed and initiated plans to transition the businesses of Cholestech to our San Diego, California facility. The following table summarizes the restructuring activities related to these restructuring plans for the three months ended March 31, 2012 and 2011 and since inception (in thousands):

Professional Diagnostics

	Three Months Ended March  31,				Since
	2012		2011		Inception
Severance-related costs	$	—	$	35	$	8,897
Facility and transition costs		74		382		8,386
Other exit costs		19		9		4,437
Cash charges		93		426		21,720
Fixed asset and inventory impairments		—		—		10,309
Total charges	$	93	$	426	$	32,029

Health Management

	Three Months Ended March 31,				Since
	2012		2011		Inception
Severance-related costs	$	—	$	—	$	4,647
Facility and transition costs		—		39		2,476
Other exit costs		16		40		304
Cash charges		16		79		7,427
Fixed asset and inventory impairments		—		—		165
Total charges	$	16	$	79	$	7,592

We anticipate incurring an additional $1.7 million in facility lease obligation charges related to the Cholestech plan through 2017 and do not anticipate incurring significant additional charges under the other plans. As of March 31, 2012, $1.5 million in facility related costs remain unpaid.

In addition to the restructuring charges discussed above, certain charges associated with the Bedford facility closure were borne by SPD, our 50/50 joint venture with the Procter & Gamble Company, or P&G. Of the restructuring charges recorded by SPD, 50% has been included in equity earnings of unconsolidated entities, net of tax, in our consolidated statement of operations. The following table summarizes the 50% portion of the restructuring charges borne by SPD and included in equity earnings of unconsolidated entities, net of tax, for the three months ended March 31, 2011 and since inception (in thousands):

	Three Months Ended March 31, 2011		Since Inception
Severance-related costs	$	11	$	5,797
Facility and transition costs		110		5,396
Other exit costs		—		283
Cash charges		121		11,476
Fixed asset and inventory impairments		72		4,635
Total charges included in equity earnings of unconsolidated entities, net of tax	$	193	$	16,111

We do not anticipate incurring significant additional restructuring charges under this plan.

(e) Restructuring Reserves

The following table summarizes our restructuring reserves related to the plans described above, of which $6.2 million is included in accrued expenses and other current liabilities and $2.0 million is included in other long-term liabilities on our consolidated balance sheets (in thousands):

	Severance- related Costs			Facility  and Transition Costs			Other Exit Costs			Total
Balance, December 31, 2011	$	3,380		$	5,215		$	593		$	9,188
Cash charges		4,752			637			60			5,449
Payments		(4,355	)		(2,038	)		(72	)		(6,465	)
Currency adjustments		54			4			—			58
Balance, March 31, 2012	$	3,831		$	3,818		$	581		$	8,230

XML

Long Term Debt (Details Textual) (USD $)	3 Months Ended
	Mar. 31, 2012	Mar. 28, 2012	Mar. 31, 2012 8.625% Senior subordinated notes [Member]	Mar. 31, 2011 8.625% Senior subordinated notes [Member]	Mar. 31, 2012 7.875% Senior Notes [Member]	Mar. 31, 2011 7.875% Senior Notes [Member]	Mar. 31, 2012 9% Senior subordinated notes [Member]	Mar. 31, 2011 9% Senior subordinated notes [Member]	Mar. 31, 2012 3% Senior subordinated convertible notes [Member]	Mar. 31, 2011 3% Senior subordinated convertible notes [Member]	Mar. 28, 2012 Secured credit facility [Member]	Mar. 28, 2012 Term Loan [Member]	Mar. 28, 2012 Incremental B-2 term loans [Member]
Debt Instrument [Line Items]
Interest rate of debt instrument			8.625%	8.625%	7.875%	7.875%	9.00%	9.00%	3.00%	3.00%
Aggregate term loans amount under secured credit facility		$ 200,000,000										$ 2,300,000,000	$ 200,000,000
Revolving line of credit		250,000,000									2,550,000,000
Long-term Debt (Textual) [Abstract]
Amortization of fees paid for certain debt modifications	1,300,000
Number of installments for repayments of term loans	twenty consecutive quarterly installments
Amount of periodic payment	500,000
Amount of final installment	$ 190,000,000

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Stockholders Equity and Noncontrolling Interests

3 Months Ended

Mar. 31, 2012

Stockholders' Equity and Non-controlling Interests [Abstract]

Stockholders' Equity and Non-controlling Interests

(7) Stockholders’ Equity and Non-controlling Interests

A summary of the changes in stockholders’ equity and non-controlling interests comprising total equity for the three months ended March 31, 2012 and 2011 is provided below (in thousands):

	Three Months Ended March 31,
	2012									2011
	Total Stockholders’ Equity			Non- controlling Interests			Total Equity			Total Stockholders’ Equity			Non- controlling Interests		Total Equity
Equity, beginning of period	$	2,229,234		$	2,340		$	2,231,574		$	2,575,038		$	2,688	$	2,577,726
Issuance of common stock and warrants in connection with acquisitions		—			—			—			1,000			—		1,000
Exercise of common stock options, warrants and shares issued under employee stock purchase plan		7,674			—			7,674			11,824			—		11,824
Repurchase of common stock		—			—			—			(618	)		—		(618	)
Repurchase of preferred stock		—			—			—			(49,380	)		—		(49,380	)
Preferred stock dividends		(5,323	)		—			(5,323	)		(33	)		—		(33	)
Stock-based compensation related to grants of common stock options		3,874			—			3,874			5,808			—		5,808
Excess tax benefits on exercised stock options		104			—			104			1,169			—		1,169
Net income (loss)		1,214			(137	)		1,077			215			62		277
Total other comprehensive income		37,353			—			37,353			22,260			—		22,260
Equity, end of period	$	2,274,130		$	2,203		$	2,276,333		$	2,567,283		$	2,750	$	2,570,033

A summary of the changes in redeemable non-controlling interest recorded in the mezzanine section of the balance sheet for the three months ended March 31, 2012 is provided below. There was no redeemable non-controlling interest during the three months ended March 31, 2011 (in thousands):

	Three Months Ended March  31, 2012
Redeemable non-controlling interest, beginning of period	$	2,497
Net loss		(49	)
Redeemable non-controlling interest, end of period	$	2,448

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Business Combinations

3 Months Ended

Mar. 31, 2012

Business Combinations [Abstract]

Business Combinations

(8) Business Combinations

Acquisitions are accounted for using the acquisition method and the acquired companies’ results have been included in the accompanying consolidated financial statements from their respective dates of acquisition. During the three months ended March 31, 2012 and 2011, we expensed acquisition-related costs of $1.5 million and $1.9 million, respectively, in general and administrative expense.

Our business acquisitions have historically been made at prices above the fair value of the acquired net assets, resulting in goodwill, based on our expectations of synergies by combining the businesses. These synergies include elimination of redundant facilities, functions and staffing; use of our existing commercial infrastructure to expand sales of the acquired businesses’ products; and use of the commercial infrastructure of the acquired businesses to cost-effectively expand product sales.

Net assets acquired are recorded at their fair value and are subject to adjustment upon finalization of the fair value analysis. We are not aware of any information that indicates the final fair value analysis will differ materially from the preliminary estimates. Determination of the estimated useful lives of the individual categories of intangible assets was based on the nature of the applicable intangible asset and the expected future cash flows to be derived from the intangible asset. Amortization of intangible assets with finite lives is recognized over the shorter of the respective lives of the agreement or the period of time the assets are expected to contribute to future cash flows. We amortize our finite-lived intangible assets based on patterns on which the respective economic benefits are expected to be realized.

(a) Acquisitions in 2012

During the three months ended March 31, 2012, we acquired the following businesses for a preliminary aggregate purchase price of $32.8 million, which included cash payments totaling $31.8 million and a contingent consideration obligation with an aggregate acquisition date fair value of $1.0 million.

• Reatrol Comercializacao De Produtos De Saude, LDA, subsequently renamed Alere Lda, located in Vila Nova de Gaia, Portugal, a distributor of products for drugs of abuse testing (Acquired January 2012)

• Kullgren Holding AB, or Kullgren, located in Gensta, Sweden, a company that manufactures and distributes high quality intimacy and pharmaceutical products (Acquired February 2012)

• Wellogic ME FZ-LLC, or Wellogic UAE, located in Dubai, United Arab Emirates, a company that provides development services to Alere Wellogic, LLC, which acquired the assets of Method Factory, Inc. (d/b/a Wellogic), or Wellogic, in December 2011 (Acquired February 2012)

• certain assets, primarily including customer and patient lists, of AmMed Direct LLC, or AmMed, located near Nashville, Tennessee, a privately-owned mail-order provider of home-diabetes testing products and supplies (Acquired March 2012)

The operating results of Alere Lda and AmMed are included in our professional diagnostics reporting unit and business segment. The operating results of Wellogic UAE are included in our health management reporting unit and business segment. The operating results of Kullgren are included in our consumer diagnostics reporting unit and business segment.

Our consolidated statement of operations for the three months ended March 31, 2012 included revenue totaling approximately $1.4 million related to these businesses. Goodwill has been recognized in all of the acquisitions and amounted to approximately $10.2 million. Goodwill related to the acquisition of AmMed, which totaled $7.5 million, is deductible for tax purposes. The goodwill related to the remaining 2012 acquisitions is not expected to be deductible for tax purposes.

A summary of the preliminary fair values of the net assets acquired for the acquisitions consummated in 2012 is as follows (in thousands):

Current assets (1)	$	2,112
Property, plant and equipment		1,610
Goodwill		10,185
Intangible assets		26,862
Total assets acquired		40,769
Current liabilities		1,671
Non-current liabilities		6,330
Total liabilities assumed		8,001
Net assets acquired		32,768
Less:
Contingent consideration		1,000
Cash paid	$	31,768

(1) Includes cash acquired of approximately $0.5 million.

The following are the intangible assets acquired and their respective fair values and weighted-average useful lives (dollars in thousands):

	Amount		Weighted- Average Useful Life
Core technology and patents	$	8,403		21.0 years
Trademarks and trade names		530		2.0 years
Customer relationships		17,929		7.6 years
Total intangible assets	$	26,862

(b) Acquisitions in 2011

During 2011, we acquired the following businesses for a preliminary aggregate purchase price of $787.3 million, which included cash payments totaling $603.7 million, 831,915 shares of our common stock with an acquisition date fair value of $16.2 million, a previously-held investment with a fair value totaling $113.2 million, contingent consideration obligations with an aggregate acquisition date fair value of $48.7 million and deferred purchase price consideration with an acquisition date fair value of $4.2 million.

• 90% interest in BioNote, Inc., or BioNote, headquartered in South Korea, a manufacturer of diagnostic products for the veterinary industry (Acquired January 2011). We previously owned a 10% interest in BioNote.

• assets, including domain name, of Pregnancy.org, LLC, or Pregnancy.org, a U.S.-based company providing a website for preconception, pregnancy and newborn care content, tools and sharing (Acquired January 2011)

• Home Telehealth Limited, subsequently renamed Alere Connected Health Limited, or Alere Connected Health, located in Cardiff, Wales, a company that focuses on delivering integrated, comprehensive services and programs to health and social care providers and insurers (Acquired February 2011)

• Bioeasy Diagnostica Ltda., or Bioeasy, located in Belo Horizonte, Brazil, a company that markets and sells rapid diagnostic tests and systems for laboratory diagnosis, prevention and monitoring of immunological diseases and fertility (Acquired March 2011)

• 80.92% interest in Standing Stone, Inc., or Standing Stone, located in Westport, Connecticut, a company that focuses on disease state management by enhancing the quality of care provided to patients who require long-term therapy for chronic disease management (Acquired May 2011)

• certain assets, rights, liabilities and properties of Drug Detection Devices, Inc., or 3DL, located in Alpharetta, Georgia, a distributor that promotes, markets, distributes and sells drugs of abuse diagnostic products, including consumables, point-of-care diagnostic kits and related products and services (Acquired July 2011)

• Colibri Medical AB, or Colibri, located in Helsingborg, Sweden, a distributor of point-of-care drugs of abuse diagnostic products primarily to the Scandinavian marketplace (Acquired July 2011)

• Laboratory Data Systems, Inc., or LDS, located in Tampa, Florida, a provider of healthcare software products, services, consulting and solutions (Acquired August 2011)

• certain assets, liabilities and properties of Abatek Medical LLC, or Abatek, located in Dover, New Hampshire, a distributor that promotes, markets, distributes and sells drugs of abuse diagnostic products, including consumables, point-of-care diagnostic kits and related products and services (Acquired September 2011)

• Forensics Limited, or ROAR, located in Worcestershire, United Kingdom, a company that provides forensic quality toxicology services across the United Kingdom (Acquired September 2011)

• Mahsan Diagnostika Vertriebsgesellschaft mbH, or Mahsan, located in Reinbek, Germany, a distributor of in vitro diagnostic drugs of abuse products primarily to the German marketplace (Acquired October 2011)

• Avee Laboratories Inc. and related companies, which we refer to collectively as Avee, located in Tampa, Florida, a privately-owned provider of drug testing services in the field of pain management (Acquired October 2011)

• Medical Automation Systems Inc., or MAS, located in Charlottesville, Virginia, a provider of network-based software solutions for point-of-care testing (Acquired October 2011)

• Axis-Shield plc, or Axis-Shield, located in Dundee, Scotland, a U.K. publicly traded company focused on the development and manufacture of in vitro diagnostic tests for use in clinical laboratories and at the point of care (Acquired November 2011)

• certain assets and properties of 1 Medical Distribution, Inc., or 1 Medical, located in Worthington, Ohio, a distributor that promotes, markets, distributes and sells drugs of abuse diagnostic products, including consumables, point-of-care diagnostic kits and related products and services (Acquired November 2011)

• Arriva Medical LLC, or Arriva, located in Coral Springs, Florida, a privately-owned mail-order provider of home-diabetes testing products and supplies (Acquired November 2011)

• Wellogic, headquartered in Waltham, Massachusetts, a provider of software solutions designed to connect the healthcare community (Acquired December 2011)

The operating results of BioNote, Bioeasy, 3DL, Colibri, LDS, Abatek, ROAR, Mahsan, Avee, MAS, Axis-Shield, 1 Medical and Arriva are included in our professional diagnostics reporting unit and business segment. The operating results of Pregnancy.org, Alere Connected Health, Standing Stone and Wellogic are included in our health management reporting unit and business segment.

Our consolidated statement of operations for the three months ended March 31, 2011 included revenue totaling approximately $3.0 million related to these businesses. Goodwill has been recognized in all of the acquisitions, with the exception of 1 Medical, and amounted to approximately $358.1 million. Goodwill related to the acquisitions of Pregnancy.org, 3DL, Abatek, LDS and Wellogic, which totaled $32.3 million, is expected to be deductible for tax purposes. The goodwill related to the remaining 2011 acquisitions is not expected to be deductible for tax purposes.

A summary of the preliminary fair values of the net assets acquired for the acquisitions consummated in 2011 is as follows (in thousands):

Current assets (1)	$	135,635
Property, plant and equipment		68,473
Goodwill		358,106
Intangible assets		416,624
Other non-current assets		27,679
Total assets acquired		1,006,517
Current liabilities		89,208
Non-current liabilities		129,962
Total liabilities assumed		219,170
Net assets acquired		787,347
Less:
Fair value of previously-held equity investment		113,168
Contingent consideration		48,685
Fair value of common stock issued		16,183
Loan forgiveness		1,489
Deferred purchase price consideration		4,170
Cash paid	$	603,652

(1) Includes cash acquired of approximately $23.2 million.

The following are the intangible assets acquired and their respective fair values and weighted-average useful lives (dollars in thousands):

	Amount		Weighted- Average Useful Life
Core technology and patents	$	76,659		10.1 years
Database		64		3.0 years
Trademarks and trade names		14,197		10.1 years
Customer relationships		243,725		12.3 years
Non-compete agreements		8,306		5.3 years
Software		7,400		10.9 years
Other		7,767		15.6 years
In-process research and development		58,506		N/A
Total intangible assets	$	416,624

(c) Restructuring Plans of Acquisitions

In connection with several of our acquisitions consummated during 2008 and prior, we initiated integration plans to consolidate and restructure certain functions and operations, including the costs associated with the termination of certain personnel of these acquired entities and the closure of certain of the acquired entities’ leased facilities. These costs have been recognized as liabilities assumed in connection with the acquisition of these entities and are subject to potential adjustments as certain exit activities are refined. The following table summarizes the liabilities established for exit activities related to these acquisitions and the total exit costs incurred since inception of each plan (in thousands):

	Balance at December 31, 2011		Adjustments to the Reserve (1)			Amounts Paid			Balance at March  31, 2012		Exit Costs Since Inception
Acquisition of Matria Healthcare Inc.:
Severance-related costs	$	68	$	—		$	—		$	68	$	13,664
Facility costs		395		(111	)		(36	)		248		4,674
Total costs for Matria Healthcare Inc.		463		(111	)		(36	)		316		18,338
Acquisition of Cholestech Corporation:
Severance-related costs		—		—			—			—		5,845
Facility costs		1,304		—			(55	)		1,249		2,732
Total costs for Cholestech Corporation		1,304		—			(55	)		1,249		8,577
Total costs for all plans	$	1,767	$	(111	)	$	(91	)	$	1,565	$	26,915

(1) These adjustments resulted in a change in the aggregate purchase price and related goodwill for each related acquisition.

Of the total $1.6 million liability outstanding as of March 31, 2012, $0.5 million is included in accrued expenses and other current liabilities and $1.1 million is included in other long-term liabilities.

Although we believe our plans and estimated exit costs for our acquisitions are reasonable, actual spending for exit activities may differ from current estimated exit costs.

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Long-term Debt

3 Months Ended

Mar. 31, 2012

Long-term Debt [Abstract]

Long-term Debt

(10) Long-term Debt

We had the following long-term debt balances outstanding (in thousands):

	March 31, 2012			December 31, 2011
A term loans (1)	$	909,375		$	917,188
B term loans		920,375			922,688
Incremental B-1 term loans		249,375			250,000
Incremental B-2 term loans		198,004			—
3% Senior subordinated convertible notes		150,000			150,000
9% Senior subordinated notes		391,643			391,233
7.875% Senior notes		245,849			245,621
8.625% Senior subordinated notes		400,000			400,000
Lines-of-credit		19,271			19,603
Other		32,623			32,210
		3,516,515			3,328,543
Less: Current portion		(62,932	)		(61,092	)
	$	3,453,583		$	3,267,451

(1) Includes “A” term loans and “Delayed-Draw” term loans under our secured credit facility.

In connection with our significant long-term debt issuances, we recorded interest expense, including amortization and write-offs of deferred financing costs and original issue discounts, in our consolidated statements of operations for the three months ended March 31, 2012 and 2011, respectively, as follows (in thousands):

	Three Months Ended March 31,
	2012		2011
Secured credit facility (1)	$	22,851	$	—
Former secured credit facility (2)		—		12,054
3% Senior subordinated convertible notes		1,246		1,246
9% Senior subordinated notes		10,354		9,730
7.875% Senior notes		5,758		5,365
8.625% Senior subordinated notes		9,274		8,908
	$	49,483	$	37,303

(1) Includes “A” term loans, including the “Delayed-Draw” term loans; “B” term loans; “Incremental B-1” term loans; “Incremental B-2” term loans; and revolving line of credit loans. For three months ended March 31, 2012, amount includes $1.3 million related to the amortization of fees paid for certain debt modifications.

(2) Includes loans under First Lien Credit Agreement and Second Lien Credit Agreement.

The following summarizes the material terms of our secured credit facility that have changed significantly since December 31, 2011. All other terms of our secured credit facility as described in our Annual Report on Form 10-K for the year ended December 31, 2011, but omitted below, have not changed since that date.

On March 28, 2012, we and certain of our subsidiaries entered into a third amendment to the credit agreement that governs our secured credit facility, or the credit agreement. The third amendment provides for an additional term loan facility consisting of “Incremental B-2” term loans in the aggregate principal amount of $200.0 million and thereby increases the total amount of the credit available to us under the secured credit facility to $2.55 billion in aggregate principal amount, consisting of term loans in the aggregate principal amount of $2.3 billion and, subject to our continued compliance with the credit agreement, a $250.0 million revolving line of credit; the revolving line of credit continues to include a sublimit for the issuance of letters of credit. On March 28, 2012, we borrowed the entire $200.0 million principal amount of the “Incremental B-2” term loans.

Under the terms of the third amendment, we must repay the principal amount of the “Incremental B-2” term loans in twenty consecutive quarterly installments, beginning on June 30, 2012 and continuing through March 31, 2017, in the amount of $0.5 million each, and a final installment on June 30, 2017 in the amount of $190.0 million; notwithstanding the foregoing, and subject to certain exceptions provided for in the credit agreement, in the event that any of our existing 3% senior subordinated convertible notes, 9% senior subordinated notes or 7.875% senior notes remain outstanding on the date that is six months prior to the relevant maturity date thereof, respectively, then the “Incremental B-2” term loans (as well as all other term loans and all revolving credit loans under the secured credit facility) shall instead mature in full on the relevant prior date. Otherwise, the terms and conditions, including the interest rates, that apply to the “Incremental B-2” term loans under the credit agreement are substantially the same as the terms and conditions, including the interest rates, that apply to the existing “B” term loans under the credit agreement.

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Fair Value Measurements (Details) (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012		Dec. 31, 2011
Liabilities:
Contingent consideration obligations	$ 146,301		$ 140,047
Fair Value, Measurements, Recurring [Member]
Assets:
Marketable securities	3,776		3,340
Foreign exchange forward contract	641
Total assets	4,417		3,340
Liabilities:
Foreign exchange forward contract			447	[1]
Contingent consideration obligations	146,301	[2]	140,047	[2]
Total liabilities	146,301		140,494
Fair Value, Measurements, Recurring [Member] | Quoted Prices in Active Markets (Level 1) [Member]
Assets:
Marketable securities	3,776		3,340
Total assets	3,776		3,340
Fair Value, Measurements, Recurring [Member] | Significant Other Observable Inputs (Level 2) [Member]
Assets:
Foreign exchange forward contract	641
Total assets	641
Liabilities:
Foreign exchange forward contract			447	[1]
Total liabilities			447
Fair Value, Measurements, Recurring [Member] | Unobservable Inputs (Level 3) [Member]
Liabilities:
Contingent consideration obligations	146,301	[2]	140,047	[2]
Total liabilities	$ 146,301		$ 140,047

[1] The fair value of foreign exchange forward contract was measured using readily observable market inputs, such as quotations on forward foreign exchange points and foreign interest rates

[2] The fair value measurements for our contingent consideration obligations related to the acquisitions completed after January 1, 2009 are valued using Level 3 inputs. We determine the fair value of the contingent consideration obligations based on a probability-weighted approach derived from earn-out criteria estimates and a probability assessment with respect to the likelihood of achieving the various earn-out criteria. The measurement is based upon significant inputs not observable in the market. Changes in the fair value of these contingent consideration obligations are recorded as income or expense, a component of operating income in our consolidated statements of operations. See Note 16 for additional information on the valuation of our contingent consideration obligations.

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Fair Value Measurements (Details Textual) (USD $)	Mar. 31, 2012	Dec. 31, 2011
Fair Value Measurements (Textual) [Abstract]
Carrying amount	$ 3,516,515,000	$ 3,328,543,000
Estimated fair value of our long-term debt	$ 3,500,000,000	$ 3,300,000,000

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Derivative Financial Instruments (Details Textual) In Millions, unless otherwise specified	Mar. 31, 2012 USD ($)	Mar. 31, 2012 CHF	Dec. 31, 2011 USD ($)	Dec. 31, 2011 CHF
Derivative Financial Instruments (Textual) [Abstract]
Foreign exchange forward contract notional value	$ 3.5	3.2	$ 16.6	5.4

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Derivative Financial Instruments (Tables)

3 Months Ended

Mar. 31, 2012

Derivative Financial Instruments [Abstract]

Summary of fair value of derivative instruments and the effect of derivative instruments in consolidated balance sheets and consolidated statements of operations

The following tables summarize the fair value of our derivative instruments and the effect of derivative instruments on/in our accompanying consolidated balance sheets and consolidated statements of operations (in thousands):

Derivative Instruments	Balance Sheet Caption	Fair Value at     March 31, 2012		Fair Value at     December 31,   2011
Foreign currency forward contracts	Prepaid expenses and other current assets	$	641	$	—
Foreign currency forward contracts	Accrued expenses and other current liabilities	$	—	$	447

Summary of fair value of derivative instruments and the effect of derivative instruments in consolidated statements of operations and in accumulated other comprehensive loss

Derivative Instruments	Location of Gain Recognized in Income	Amount of Gain Recognized During the Three Months Ended March 31, 2012		Amount of Gain Recognized During the Three Months Ended March 31, 2011
Foreign currency forward contracts	Other comprehensive income	$	1,107	$	—
Interest rate swap contracts	Other comprehensive income		—		1,617
Total gain	Other comprehensive income	$	1,107	$	1,617

XML

Business Combinations (Details 1) (USD $) In Thousands, unless otherwise specified	3 Months Ended	12 Months Ended
	Mar. 31, 2012 Y	Dec. 31, 2011 Y
Acquired Finite-Lived Intangible Assets [Line Items]
In-process research and development		$ 58,506
Total intangible assets	26,862	416,624
Core technology and patents [Member]
Acquired Finite-Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount	8,403	76,659
Weighted Average Useful Life	21.0	10.1
Database [Member]
Acquired Finite-Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount		64
Weighted Average Useful Life		3.0
Trademarks and trade names [Member]
Acquired Finite-Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount	530	14,197
Weighted Average Useful Life	2.0	10.1
Customer Relationships [Member]
Acquired Finite-Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount	17,929	243,725
Weighted Average Useful Life	7.6	12.3
Non-compete Agreements [Member]
Acquired Finite-Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount		8,306
Weighted Average Useful Life		5.3
Software [Member]
Acquired Finite-Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount		7,400
Weighted Average Useful Life		10.9
Other [Member]
Acquired Finite-Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount		$ 7,767
Weighted Average Useful Life		15.6

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Related Party Transactions

3 Months Ended

Mar. 31, 2012

Related Party Transactions [Abstract]

Related Party Transactions

(15) Related Party Transactions

In May 2007, we completed the formation of SPD, our 50/50 joint venture with P&G, for the development, manufacturing, marketing and sale of existing and to-be-developed consumer diagnostic products, outside the cardiology, diabetes and oral care fields. Upon completion of the arrangement to form the joint venture, we ceased to consolidate the operating results of our consumer diagnostic products business related to the joint venture and instead account for our 50% interest in the results of the joint venture under the equity method of accounting.

We had a net receivable from the joint venture of $2.1 million and $2.5 million as of March 31, 2012 and December 31, 2011, respectively. Included in the $2.1 million receivable balance as of March 31, 2012 is approximately $1.6 million of costs incurred in connection with our 2008 SPD-related restructuring plans. Included in the $2.5 million receivable balance as of December 31, 2011 is approximately $1.5 million of costs incurred in connection with our 2008 SPD-related restructuring plans. We have also recorded a long-term receivable totaling approximately $16.0 million and $15.5 million as of March 31, 2012 and December 31, 2011, respectively, related to the 2008 SPD-related restructuring plans. Additionally, customer receivables associated with revenue earned after the joint venture was completed have been classified as other receivables within prepaid and other current assets on our accompanying consolidated balance sheets in the amount of $10.7 million and $7.3 million as of March 31, 2012 and December 31, 2011, respectively. In connection with the joint venture arrangement, the joint venture bears the collection risk associated with these receivables. Sales to the joint venture under our manufacturing agreement totaled $17.1 million and $16.3 million during the three months ended March 31, 2012 and 2011, respectively. Additionally, services revenue generated pursuant to the long-term services agreement with the joint venture totaled $0.3 million during each of the three-month periods ended March 31, 2012 and 2011. Sales under our manufacturing agreement and long-term services agreement are included in net product sales and services revenue, respectively, in our accompanying consolidated statements of operations.

Under the terms of our product supply agreement, the joint venture purchases products from our manufacturing facilities in the U.K. and China. The joint venture in turn sells a portion of those tests back to us for final assembly and packaging. Once packaged, the tests are sold to P&G for distribution to third-party customers in North America. As a result of these related transactions, we have recorded $6.7 million and $8.9 million of trade receivables which are included in accounts receivable on our accompanying consolidated balance sheets as of March 31, 2012 and December 31, 2011, respectively, and $19.1 million and $19.3 million of trade accounts payable which are included in accounts payable on our accompanying consolidated balance sheets as of March 31, 2012 and December 31, 2011, respectively. During the three months ended March 31, 2012, we received $6.1 million in cash from SPD as a return of capital.

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Recent Accounting Pronouncements (Policies)

3 Months Ended

Mar. 31, 2012

Recent Accounting Pronouncements [Abstract]

Intangibles - Goodwill and Other

Effective January 1, 2012, we adopted Accounting Standards Update, or ASU, No. 2011-08, Intangibles — Goodwill and Other (Topic 350): Testing for Goodwill Impairment, or ASU 2011-08. ASU 2011-08 allows an entity the option to first assess qualitative factors to determine whether it is necessary to perform the current two-step impairment test. If an entity believes, as a result of its qualitative assessment, that it is more-likely-than-not that the fair value of a reporting unit is less than its carrying amount, the quantitative two-step impairment test is required; otherwise, no further testing is required. This update does not change the current guidance for testing other indefinite-lived intangible assets for impairment. The adoption of this standard did not have an impact on our financial position, results of operations, comprehensive income or cash flows.

Comprehensive Income - Presentation of Comprehensive Income

Effective January 1, 2012, we adopted ASU No. 2011-05, Comprehensive Income (Topic 220): Presentation of Comprehensive Income, or ASU 2011-05. ASU 2011-05 (1) eliminates the option to present the components of other comprehensive income as part of the statement of changes in stockholders’ equity; (2) requires the consecutive presentation of the statement of net income and other comprehensive income; and (3) requires an entity to present reclassification adjustments on the face of the financial statements from other comprehensive income to net income. This update does not change the items that must be reported in other comprehensive income or when an item of other comprehensive income must be reclassified to net income nor do the amendments affect how earnings per share is calculated or presented. Effective January 1, 2012, the FASB issued ASU No. 2011-12, Comprehensive Income (Topic 220): Deferral of the Effective Date for Amendments to the Presentation of Reclassifications of Items Out of Accumulated Other Comprehensive Income in Accounting Standards Update No. 2011-05, or ASU 2011-12. As these accounting standards only require enhanced disclosure, the adoption of these standards did not impact our financial position, results of operations, comprehensive income or cash flows.

ASC 323 Investments - Equity Method and Joint Ventures

We account for the results from our equity investments under the equity method of accounting in accordance with ASC 323, Investments — Equity Method and Joint Ventures, based on the percentage of our ownership interest in the business. Our equity investments primarily include the following:

(a) SPD

In May 2007, we completed the formation of SPD, our 50/50 joint venture with P&G for the development, manufacturing, marketing and sale of existing and to-be-developed consumer diagnostic products, outside the cardiology, diabetes and oral care fields. Upon completion of the arrangement to form SPD, we ceased to consolidate the operating results of our consumer diagnostics business related to SPD. For the three months ended March 31, 2012 and 2011, we recorded earnings of $2.8 million and $0.4 million, respectively, in equity earnings of unconsolidated entities, net of tax, in our accompanying consolidated statements of operations, which represented our 50% share of SPD’s net income for the respective periods.

(b) TechLab

In May 2006, we acquired 49% of TechLab, Inc., or TechLab, a privately-held developer, manufacturer and distributor of rapid non-invasive intestinal diagnostics tests in the areas of intestinal inflammation, antibiotic-associated diarrhea and parasitology. For the three months ended March 31, 2012 and 2011, we recorded earnings of $0.7 million and $0.5 million, respectively, in equity earnings of unconsolidated entities, net of tax, in our accompanying consolidated statements of operations, which represented our minority share of TechLab’s net income for the respective periods.

Fair Value Measurements- Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements

Effective January 1, 2012, we adopted ASU No. 2011-04, Fair Value Measurements (Topic 820): Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in U.S. GAAP and IFRS, or ASU 2011-04. ASU 2011-04 provides common requirements for measuring fair value and disclosing information about fair value measurements in accordance with U.S. GAAP and International Financial Reporting Standards.

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Stockholders' Equity and Non-controlling Interests (Details Textual) (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Stockholders Equity and Noncontrolling Interests (Textual) [Abstract]
Redeemable non-controlling interest	$ 2,448	$ 2,497

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Cash and Cash Equivalents (Details)	3 Months Ended
	Mar. 31, 2012
Cash and Cash Equivalents (Textual) [Abstract]
Cash investment maturity period	three months or less

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Consolidated Balance Sheets (Parenthetical) (Unaudited) (USD $) In Thousands, except Per Share data, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Consolidated Balance Sheets [Abstract]
Allowances for accounts receivable	$ 29,021	$ 24,577
Series B preferred stock, par value	$ 0.001	$ 0.001
Series B preferred stock, liquidation preference	$ 709,763	$ 709,763
Series B preferred stock, shares authorized	2,300	2,300
Series B preferred stock, shares issued	2,065	2,065
Series B preferred stock, shares outstanding	1,774	1,774
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares authorized	200,000	200,000
Common stock, shares issued	88,025	87,647
Common stock, shares outstanding	80,346	79,968
Treasury stock, shares	7,679	7,679

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Stock-based Compensation

3 Months Ended

Mar. 31, 2012

Stock-based Compensation [Abstract]

Stock-based Compensation

(4) Stock-based Compensation

We recorded stock-based compensation expense in our consolidated statements of operations for the three months ended March 31, 2012 and 2011, respectively, as follows (in thousands):

	Three Months Ended March 31,
	2012			2011
Cost of net revenue	$	269		$	350
Research and development		771			945
Sales and marketing		917			959
General and administrative		1,917			3,554
		3,874			5,808
Benefit for income taxes		(541	)		(1,286	)
	$	3,333		$	4,522

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Long Term Debt (Details) (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Long-term debt balances outstanding
Carrying amount	$ 3,516,515	$ 3,328,543
Less: Current portion	(62,932)	(61,092)
Long-term debt, after discount, Total	3,453,583	3,267,451
Term loan A [Member]
Long-term debt balances outstanding
Carrying amount	909,375	917,188
Term loans B [Member]
Long-term debt balances outstanding
Carrying amount	920,375	922,688
Incremental B-1 term loans [Member]
Long-term debt balances outstanding
Carrying amount	249,375	250,000
Incremental B-2 term loans [Member]
Long-term debt balances outstanding
Carrying amount	198,004
3% Senior subordinated convertible notes [Member]
Long-term debt balances outstanding
Carrying amount	150,000	150,000
9% Senior subordinated notes [Member]
Long-term debt balances outstanding
Carrying amount	391,643	391,233
7.875% Senior Notes [Member]
Long-term debt balances outstanding
Carrying amount	245,849	245,621
8.625% Senior subordinated notes [Member]
Long-term debt balances outstanding
Carrying amount	400,000	400,000
Lines-of-credit [Member]
Long-term debt balances outstanding
Carrying amount	19,271	19,603
Other [Member]
Long-term debt balances outstanding
Carrying amount	$ 32,623	$ 32,210

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Financial Information by Segment (Details 1) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Summary of Company's net revenue from the Professional Diagnostics and Health Management reporting segments by groups of similar products and services
Net product sales and services revenue	$ 668,221	$ 574,795
License and royalty revenue	2,908	7,669
Net revenue	671,129	582,464
Cardiology [Member]
Summary of Company's net revenue from the Professional Diagnostics and Health Management reporting segments by groups of similar products and services
Net product sales and services revenue	138,826	129,855
Infectious Disease [Member]
Summary of Company's net revenue from the Professional Diagnostics and Health Management reporting segments by groups of similar products and services
Net product sales and services revenue	151,016	140,426
Toxicology [Member]
Summary of Company's net revenue from the Professional Diagnostics and Health Management reporting segments by groups of similar products and services
Net product sales and services revenue	121,740	85,504
Diabetes [Member]
Summary of Company's net revenue from the Professional Diagnostics and Health Management reporting segments by groups of similar products and services
Net product sales and services revenue	28,161
Other products and service [Member]
Summary of Company's net revenue from the Professional Diagnostics and Health Management reporting segments by groups of similar products and services
Net product sales and services revenue	75,706	54,000
Disease and case management [Member]
Summary of Company's net revenue from the Professional Diagnostics and Health Management reporting segments by groups of similar products and services
Net product sales and services revenue	53,380	61,455
Wellness [Member]
Summary of Company's net revenue from the Professional Diagnostics and Health Management reporting segments by groups of similar products and services
Net product sales and services revenue	27,026	29,805
Women's and children's health [Member]
Summary of Company's net revenue from the Professional Diagnostics and Health Management reporting segments by groups of similar products and services
Net product sales and services revenue	29,771	28,575
Patient self-testing services [Member]
Summary of Company's net revenue from the Professional Diagnostics and Health Management reporting segments by groups of similar products and services
Net product sales and services revenue	20,607	23,228
Professional Diagnostics [Member]
Summary of Company's net revenue from the Professional Diagnostics and Health Management reporting segments by groups of similar products and services
Net product sales and services revenue	515,449	409,785
License and royalty revenue	2,908	6,027	[1]
Net revenue	518,357	415,812
Health Management [Member]
Summary of Company's net revenue from the Professional Diagnostics and Health Management reporting segments by groups of similar products and services
Net revenue	$ 130,784	$ 143,063

[1] The fair value measurements for our contingent consideration obligations related to the acquisitions completed after January 1, 2009 are valued using Level 3 inputs. We determine the fair value of the contingent consideration obligations based on a probability-weighted approach derived from earn-out criteria estimates and a probability assessment with respect to the likelihood of achieving the various earn-out criteria. The measurement is based upon significant inputs not observable in the market. Changes in the fair value of these contingent consideration obligations are recorded as income or expense, a component of operating income in our consolidated statements of operations. See Note 16 for additional information on the valuation of our contingent consideration obligations.

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Inventories (Tables)

3 Months Ended

Mar. 31, 2012

Inventories [Abstract]

Inventories are stated at the lower of cost (first in, first out) or market

Inventories are stated at the lower of cost (first in, first out) or market and are comprised of the following (in thousands):

	March 31, 2012		December 31, 2011
Raw materials	$	97,263	$	92,844
Work-in-process		68,847		72,939
Finished goods		143,811		154,486
	$	309,921	$	320,269

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Equity Investments (Details Textual) (USD $) In Thousands, unless otherwise specified	3 Months Ended					3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011	Mar. 31, 2012 Swiss Precision Diagnostics [Member]	Mar. 31, 2011 Swiss Precision Diagnostics [Member]	May 31, 2007 Swiss Precision Diagnostics [Member]	Mar. 31, 2012 Techlab [Member]	Mar. 31, 2011 Techlab [Member]	May 31, 2006 Techlab [Member]
Equity Investments (Textual) [Abstract]
Equity earnings (losses) of unconsolidated entities, net of tax	$ 3,412	$ 1,011	$ 2,800	$ 400		$ 700	$ 500
Ownership percentage					50.00%			49.00%

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Equity Investments (Tables)

3 Months Ended

Mar. 31, 2012

Equity Investments [Abstract]

Financial information for the P&G joint venture and TechLab on a combined Condensed Results of Operations

Combined Condensed Results of Operations:

	Three Months Ended March 31,
	2012		2011
Net revenue	$	52,525	$	55,554
Gross profit	$	35,179	$	35,465
Net income after taxes	$	6,993	$	1,834

Financial information for the P&G joint venture and TechLab on a combined Condensed Balance Sheets

Combined Condensed Balance Sheets:

	March 31, 2012		December 31, 2011
Current assets	$	72,019	$	84,376
Non-current assets		40,930		37,659
Total assets	$	112,949	$	122,035
Current liabilities	$	42,724	$	49,453
Non-current liabilities		8,155		6,326
Total liabilities	$	50,879	$	55,779

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Financial Information by Segment

3 Months Ended

Mar. 31, 2012

Financial Information by Segment [Abstract]

Financial Information by Segment

(14) Financial Information by Segment

Operating segments are defined as components of an enterprise about which separate financial information is available that is evaluated regularly by the chief operating decision maker, or decision-making group, in deciding how to allocate resources and in assessing performance. Our chief operating decision-making group is composed of the chief executive officer and members of senior management. Our reportable operating segments are Professional Diagnostics, Health Management, Consumer Diagnostics and Corporate and Other. Our operating results include license and royalty revenue which are allocated to Professional Diagnostics and Consumer Diagnostics on the basis of the original license or royalty agreement.

We evaluate performance of our operating segments based on revenue and operating income (loss). Segment information for the three months ended March 31, 2012 and 2011 is as follows (in thousands):

	Professional Diagnostics		Health Management			Consumer Diagnostics		Corporate and Other			Total
Three Months Ended March 31, 2012:
Net revenue	$	518,357	$	130,784		$	21,988	$	—		$	671,129
Operating income (loss)	$	70,179	$	(19,356	)	$	365	$	(16,130	)	$	35,058
Depreciation and amortization	$	82,148	$	23,774		$	1,259	$	221		$	107,402
Restructuring charge	$	4,794	$	717		$	—	$	17		$	5,528
Stock-based compensation	$	—	$	—		$	—	$	3,874		$	3,874
Three Months Ended March 31, 2011:
Net revenue	$	415,812	$	143,063		$	23,589	$	—		$	582,464
Operating income (loss)	$	60,262	$	(11,933	)	$	3,361	$	(20,785	)	$	30,905
Depreciation and amortization	$	65,249	$	28,314		$	1,259	$	153		$	94,975
Restructuring charge	$	1,978	$	4,221		$	—	$	—		$	6,199
Stock-based compensation	$	—	$	—		$	—	$	5,808		$	5,808
Assets:
As of March 31, 2012	$	5,835,623	$	613,419		$	188,454	$	251,785		$	6,889,281
As of December 31, 2011	$	5,826,756	$	624,305		$	199,422	$	22,218		$	6,672,701

The following tables summarize our net revenue from the professional diagnostics and health management reporting segments by groups of similar products and services for the three months ended March 31, 2012 and 2011 (in thousands):

Professional Diagnostics Segment

	Three Months Ended March 31,
	2012		2011
Cardiology	$	138,826	$	129,855
Infectious disease		151,016		140,426
Toxicology		121,740		85,504
Diabetes		28,161		—
Other		75,706		54,000
Net product sales and services revenue		515,449		409,785
License and royalty revenue		2,908		6,027
Professional diagnostics net revenue	$	518,357	$	415,812

Health Management Segment

	Three Months Ended March 31,
	2012		2011
Disease and case management	$	53,380	$	61,455
Wellness		27,026		29,805
Women’s & children’s health		29,771		28,575
Patient self-testing services		20,607		23,228
Health management net revenue	$	130,784	$	143,063