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 June 30, 2013

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 August 5, 2013 was 81,753,992.

ALERE INC.

REPORT ON FORM 10-Q

For the Quarterly Period Ended June 30, 2013

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, as amended, for the fiscal year ended December 31, 2012 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. Financial Statements		3
a) Consolidated Statements of Operations for the Three and Six Months Ended June 30, 2013 and 2012		3
b) Consolidated Statements of Comprehensive Income (Loss) for the Three and Six Months Ended June  30, 2013 and 2012		4
c) Consolidated Balance Sheets as of June 30, 2013 and December 31, 2012		5
d) Consolidated Statements of Cash Flows for the Six Months Ended June 30, 2013 and 2012		6
e) Notes to Consolidated Financial Statements		7
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations		38
Item 3. Quantitative and Qualitative Disclosures About Market Risk		49
Item 4. Controls and Procedures		49
PART II. OTHER INFORMATION		49
Item 6. Exhibits		49
SIGNATURES		51

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 June 30,						Six Months Ended June 30,
	2013			2012			2013			2012
Net product sales	$	521,562		$	463,425		$	1,029,838		$	939,212
Services revenue		237,558			233,855			464,467			426,289
Net product sales and services revenue		759,120			697,280			1,494,305			1,365,501
License and royalty revenue		4,865			3,237			8,929			6,145
Net revenue		763,985			700,517			1,503,234			1,371,646
Cost of net product sales		253,189			222,498			506,267			448,052
Cost of services revenue		124,810			120,559			244,968			211,419
Cost of net product sales and services revenue		377,999			343,057			751,235			659,471
Cost of license and royalty revenue		1,499			1,852			3,255			3,496
Cost of net revenue		379,498			344,909			754,490			662,967
Gross profit		384,487			355,608			748,744			708,679
Operating expenses:
Research and development		40,500			40,447			81,954			79,447
Sales and marketing		159,422			159,322			315,878			317,900
General and administrative		140,161			121,485			276,019			241,920
Total operating expenses		340,083			321,254			673,851			639,267
Operating income		44,404			34,354			74,893			69,412
Interest expense, including amortization of original issue discounts and deferred financing costs		(92,453	)		(55,531	)		(149,852	)		(106,258	)
Other income (expense), net		1,063			3,811			593			15,642
Loss before provision (benefit) for income taxes		(46,986	)		(17,366	)		(74,366	)		(21,204	)
Provision (benefit) for income taxes		17,867			(489	)		(19,004	)		(1,944	)
Loss before equity earnings of unconsolidated entities, net of tax		(64,853	)		(16,877	)		(55,362	)		(19,260	)
Equity earnings of unconsolidated entities, net of tax		4,551			3,998			7,485			7,410
Net loss		(60,302	)		(12,879	)		(47,877	)		(11,850	)
Less: Net income (loss) attributable to non-controlling interests		267			36			242			(149	)
Net loss attributable to Alere Inc. and Subsidiaries		(60,569	)		(12,915	)		(48,119	)		(11,701	)
Preferred stock dividends		(5,309	)		(5,279	)		(10,559	)		(10,588	)
Net loss available to common stockholders	$	(65,878	)	$	(18,194	)	$	(58,678	)	$	(22,289	)
Basic and diluted net loss per common share attributable to Alere Inc. and Subsidiaries:	$	(0.81	)	$	(0.23	)	$	(0.72	)	$	(0.28	)
Weighted-average shares-basic and diluted		81,311			80,375			81,255			80,307

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

3

ALERE INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS

(unaudited)

(in thousands)

	Three Months Ended June 30,						Six Months Ended June 30,
	2013			2012			2013			2012
Net loss	$	(60,302	)	$	(12,879	)	$	(47,877	)	$	(11,850	)
Other comprehensive income (loss), before tax:
Changes in cumulative translation adjustment		(34,428	)		(36,777	)		(109,783	)		(838	)
Unrealized gains on available for sale securities		—			359			—			790
Unrealized gains (losses) on hedging instruments		—			(652	)		11			455
Minimum pension liability adjustment		99			4			704			(120	)
Other comprehensive income (loss), before tax		(34,329	)		(37,066	)		(109,068	)		287
Income tax provision (benefit) related to items of other comprehensive income		—			—			—			—
Other comprehensive income (loss), net of tax		(34,329	)		(37,066	)		(109,068	)		287
Comprehensive loss		(94,631	)		(49,945	)		(156,945	)		(11,563	)
Less: Comprehensive income (loss) attributable to non-controlling interests		267			36			242			(149	)
Comprehensive loss attributable to Alere Inc. and Subsidiaries	$	(94,898	)	$	(49,981	)	$	(157,187	)	$	(11,414	)

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)

	June 30, 2013			December 31, 2012
ASSETS
Current assets:
Cash and cash equivalents	$	320,547		$	328,346
Restricted cash		9,919			3,076
Marketable securities		889			904
Accounts receivable, net of allowances of $57,939 and $36,395 at June 30, 2013 and December 31, 2012, respectively		553,760			524,332
Inventories, net		356,753			337,121
Deferred tax assets		60,849			67,722
Prepaid expenses and other current assets		106,360			145,236
Total current assets		1,409,077			1,406,737
Property, plant and equipment, net		530,467			534,469
Goodwill		3,095,798			3,048,405
Other intangible assets with indefinite lives		57,346			36,451
Finite-lived intangible assets, net		1,811,951			1,834,225
Deferred financing costs, net, and other non-current assets		89,383			108,857
Investments in unconsolidated entities		96,197			90,491
Deferred tax assets		9,786			8,293
Total assets	$	7,100,005		$	7,067,928
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt	$	50,539		$	60,232
Current portion of capital lease obligations		5,958			6,684
Accounts payable		178,552			169,974
Accrued expenses and other current liabilities		425,379			411,919
Total current liabilities		660,428			648,809
Long-term liabilities:
Long-term debt, net of current portion		3,808,302			3,628,675
Capital lease obligations, net of current portion		11,685			12,917
Deferred tax liabilities		390,012			428,188
Other long-term liabilities		197,781			166,635
Total long-term liabilities		4,407,780			4,236,415
Commitments and contingencies (Note 16)
Stockholders’ equity:
Series B preferred stock, $0.001 par value (liquidation preference: $709,763 at June 30, 2013 and December 31, 2012); Authorized: 2,300 shares; Issued: 2,065 shares at June 30, 2013 and December 31, 2012; Outstanding: 1,774 shares at June 30, 2013 and December 31, 2012		606,468			606,468
Common stock, $0.001 par value; Authorized: 200,000 shares; Issued: 89,036 shares at June 30, 2013 and 88,576 shares at December 31, 2012; Outstanding: 81,357 shares at June 30, 2013 and 80,897 shares at December 31, 2012		89			89
Additional paid-in capital		3,304,273			3,299,935
Accumulated deficit		(1,613,092	)		(1,564,973	)
Treasury stock, at cost, 7,679 shares at June 30, 2013 and December 31, 2012		(184,971	)		(184,971	)
Accumulated other comprehensive income (loss)		(85,195	)		23,874
Total stockholders’ equity		2,027,572			2,180,422
Non-controlling interests		4,225			2,282
Total equity		2,031,797			2,182,704
Total liabilities and equity	$	7,100,005		$	7,067,928

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)

	Six Months Ended June 30,
	2013			2012
Cash Flows from Operating Activities:
Net loss	$	(47,877	)	$	(11,850	)
Adjustments to reconcile net loss to net cash provided by operating activities:
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs		10,176			10,731
Depreciation and amortization		213,904			211,622
Non-cash charges for sale of inventories revalued at the date of acquisition		1,172			4,681
Non-cash stock-based compensation expense		8,800			8,242
Impairment of inventory		26			5
Impairment of long-lived assets		2,815			219
(Gain) loss on sale of fixed assets		1,301			(5,872	)
Equity earnings of unconsolidated entities, net of tax		(7,485	)		(7,410	)
Deferred income taxes		(44,052	)		(27,400	)
Loss on extinguishment of debt		35,603			—
Other non-cash items		(727	)		(883	)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net		(38,326	)		(5,431	)
Inventories, net		(52,104	)		(4,412	)
Prepaid expenses and other current assets		(3,319	)		16,866
Accounts payable		11,850			(14,247	)
Accrued expenses and other current liabilities		24,846			(366	)
Other non-current liabilities		(17,844	)		(8,265	)
Net cash provided by operating activities		98,759			166,230
Cash Flows from Investing Activities:
(Increase) decrease in restricted cash		(6,843	)		5,888
Purchases of property, plant and equipment		(64,617	)		(69,461	)
Proceeds from sale of property, plant and equipment		4,640			21,677
Cash paid for acquisitions, net of cash acquired		(165,963	)		(310,240	)
Cash received from equity method investments		10,574			6,556
Cash paid for marketable securities		—			226
(Increase) decrease in other assets		17,013			(7,714	)
Net cash used in investing activities		(205,196	)		(353,068	)
Cash Flows from Financing Activities:
Cash paid for financing costs		(9,018	)		(2,013	)
Cash paid for contingent purchase price consideration		(26,638	)		(6,500	)
Proceeds from issuance of common stock, net of issuance costs		7,772			8,697
Proceeds from issuance of long-term debt		435,467			199,234
Payments on long-term debt		(437,816	)		(29,884	)
Net proceeds under revolving credit facilities		166,540			42,487
Payments on short-term debt		—			(6,240	)
Cash paid for dividends		(10,646	)		(10,646	)
Excess tax benefits on exercised stock options		166			210
Principal payments on capital lease obligations		(3,488	)		(3,319	)
Other		(18,953	)		(2,577	)
Net cash provided by financing activities		103,386			189,449
Foreign exchange effect on cash and cash equivalents		(4,748	)		1,955
Net increase (decrease) in cash and cash equivalents		(7,799	)		4,566
Cash and cash equivalents, beginning of period		328,346			299,173
Cash and cash equivalents, end of period	$	320,547		$	303,739

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, 2012 included information and footnotes necessary for such presentation and were included in our Annual Report on Form 10-K, as amended, filed with the Securities and Exchange Commission, or SEC, on March 1, 2013. 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, 2012.

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 June 30, 2013, 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):

	June 30, 2013		December 31, 2012
Raw materials	$	108,032	$	99,498
Work-in-process		83,427		89,895
Finished goods		165,294		147,728
	$	356,753	$	337,121

(4) Stock-based Compensation

We recorded stock-based compensation expense in our consolidated statements of operations for the three and six months ended June 30, 2013 and 2012, respectively, as follows (in thousands):

	Three Months Ended June 30,						Six Months Ended June 30,
	2013			2012			2013			2012
Cost of net revenue	$	278		$	263		$	510		$	532
Research and development		783			856			1,530			1,627
Sales and marketing		906			913			1,622			1,830
General and administrative		2,710			2,336			5,138			4,253
		4,677			4,368			8,800			8,242
Benefit for income taxes		(496	)		(874	)		(1,358	)		(1,415	)
	$	4,181		$	3,494		$	7,442		$	6,827

7

(5) Net Loss per Common Share

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

	Three Months Ended June 30,						Six Months Ended June 30,
	2013			2012			2013			2012
Numerator:
Net loss	$	(60,302	)	$	(12,879	)	$	(47,877	)	$	(11,850	)
Preferred stock dividends		(5,309	)		(5,279	)		(10,559	)		(10,588	)
Less: Net income (loss) attributable to non-controlling interest		267			36			242			(149	)
Net loss available to common stockholders	$	(65,878	)	$	(18,194	)	$	(58,678	)	$	(22,289	)
Denominator:
Weighted-average common shares outstanding — basic and diluted		81,311			80,375			81,255			80,307
Basic and diluted net loss per common share attributable to Alere Inc. and Subsidiaries	$	(0.81	)	$	(0.23	)	$	(0.72	)	$	(0.28	)

The following potential dilutive securities were not included in the calculation of diluted net loss per common share because the inclusion thereof would be antidilutive (in thousands):

	Three Months Ended June 30,				Six Months Ended June 30,
	2013		2012		2013		2012
Denominator:
Options to purchase shares of common stock		9,798		9,022		9,798		9,022
Warrants		4		110		4		110
Conversion shares related to 3% convertible senior subordinated notes		3,411		3,411		3,411		3,411
Conversion shares related to subordinated convertible promissory notes		27		27		27		27
Conversion shares related to Series B convertible preferred stock		10,239		10,239		10,239		10,239
Total number of antidilutive potentially issuable shares of common stock excluded from diluted common shares outstanding		24,097		23,355		24,097		23,355

(6) Stockholders’ Equity and Non-controlling Interests

(a) Preferred Stock

For the three and six months ended June 30, 2013, Series B preferred stock dividends amounted to $5.3 million and $10.6 million, respectively, and for the three and six months ended June 30, 2012, Series B preferred stock dividends amounted to $5.3 million and $10.6 million, respectively, which reduced earnings available to common stockholders for purposes of calculating net loss per common share for each of the respective periods. As of July 15, 2013, payments have been made covering all dividend periods through June 30, 2013.

The Series B preferred stock dividends for the three and six months ended June 30, 2013 and 2012 were paid in cash.

8

(b) Changes in Stockholders’ Equity and Non-controlling Interests

A summary of the changes in stockholders’ equity and non-controlling interests comprising total equity for the six months ended June 30, 2013 and 2012 is provided below (in thousands):

	Six Months Ended June 30,
	2013								2012
	Total Stockholders’ Equity			Non- controlling Interests		Total Equity			Total Stockholders’ Equity			Non- controlling Interests			Total Equity
Equity, beginning of period	$	2,180,422		$	2,282	$	2,182,704		$	2,229,234		$	2,340		$	2,231,574
Exercise of common stock options, warrants and shares issued under employee stock purchase plan		7,772			—		7,772			8,697			—			8,697
Preferred stock dividends		(10,646	)		—		(10,646	)		(10,646	)		—			(10,646	)
Stock-based compensation related to grants of common stock options		8,800			—		8,800			8,242			—			8,242
Excess tax benefits on exercised stock options		(1,589	)		—		(1,589	)		(261	)		—			(261	)
Non-controlling interest from acquisition		—			1,701		1,701			—			—			—
Purchase of subsidiary shares from non-controlling interests		—			—		—			(35,079	)		—			(35,079	)
Net income (loss)		(48,119	)		242		(47,877	)		(11,701	)		(85	)		(11,786	)
Total other comprehensive income (loss)		(109,068	)		—		(109,068	)		287			—			287
Equity, end of period	$	2,027,572		$	4,225	$	2,031,797		$	2,188,773		$	2,255		$	2,191,028

(7) 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 and six months ended June 30, 2013, we expensed acquisition-related costs of $0.4 million and $1.3 million, respectively, in general and administrative expense. During the three and six months ended June 30, 2012, we expensed acquisition-related costs of $3.8 million and $5.3 million, respectively, in general and administrative expense.

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

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. The estimated useful lives of the individual categories of intangible assets were 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 intangible 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 2013

(i) Epocal

On February 1, 2013, we acquired Epocal, Inc., or Epocal, located in Ottawa, Canada, a provider of technologies that support blood gas and electrolyte testing at the point of care. The preliminary aggregate purchase price was approximately $248.5 million, which consisted of $173.5 million in cash and a contingent consideration obligation with an aggregate acquisition date fair value of $75.0 million. The operating results of Epocal are included in our professional diagnostics reporting unit and business segment. The amount allocated to goodwill from this acquisition is not deductible for tax purposes.

9

(ii) Other acquisitions in 2013

During the six months ended June 30, 2013, we acquired the following businesses for a preliminary aggregate purchase price of $46.5 million, which included cash payments totaling $35.4 million, contingent consideration obligations with an aggregate acquisition date fair value of $0.8 million, deferred purchase price consideration with an acquisition date fair value of $0.6 million and an $8.1 million bargain purchase gain.

• certain assets of PT Mega Medika Mandiri, or Mega Medika, located in South Jakarta, Indonesia, a distributor of infectious disease products to the Indonesian marketplace as well as materials for vaccines to a pharmaceutical customer (Acquired January 2013)

• Discount Diabetic, LLC, or Discount Diabetic, located in Phoenix, Arizona, a provider of blood glucose monitoring products, including diabetes testing systems and test strips and other products (Acquired April 2013)

• the Medicare fee for service assets of Liberty Medical, or the Liberty business, located in Port St. Lucie, Florida, a leading mail order provider of diabetes testing supplies serving the needs of both Type 1 and Type 2 diabetic patients (Acquired April 2013)

• 51% share in Cardio Selfcare B.V., or Cardio Selfcare, located in Ede, the Netherlands, a developer of innovative software for the healthcare industry that develops and licenses software and sells medical devices to enable patients to perform medical self-care, including thrombosis self-care (Acquired May 2013)

The operating results of Mega Medika, Discount Diabetic, the Liberty business and Cardio Selfcare are included in our professional diagnostics reporting unit and business segment.

Our consolidated statement of operations for the three and six months ended June 30, 2013 included revenue totaling approximately $32.5 million and $32.9 million, respectively, related to these businesses. Goodwill has been recognized in the Mega Medika and Cardio Selfcare acquisitions and amounted to approximately $0.9 million. The goodwill related to the Mega Medika acquisition is deductible for tax purposes.

With respect to our acquisition of the Liberty business, the purchase price of the acquisition has been allocated to the net tangible and intangible assets acquired, with the excess of the fair value of assets acquired over the purchase price recorded as a bargain purchase gain. The $8.1 million bargain purchase gain has been recorded in other income (expense), net in our consolidated statement of operations and is not recognized for tax purposes. The bargain purchase gain resulted from our operating cost structure which we believe will allow us to operate this business more cost effectively than the sellers.

A summary of the preliminary fair values of the net assets acquired for the acquisitions consummated in 2013 is as follows (in thousands):

	Epocal		Other		Total
Current assets(1)	$	12,111	$	10,848	$	22,959
Property, plant and equipment		1,267		1,669		2,936
Goodwill		99,443		939		100,382
Intangible assets		164,400		41,468		205,868
Other non-current assets		17,610		29		17,639
Total assets acquired		294,831		54,953		349,784
Current liabilities		2,643		2,603		5,246
Non-current liabilities		43,727		5,804		49,531
Total liabilities assumed		46,370		8,407		54,777
Net assets acquired		248,461		46,546		295,007
Less:
Contingent consideration		75,000		809		75,809
Fair value of non-controlling interest		—		1,683		1,683
Bargain purchase gain		—		8,062		8,062
Deferred purchase price consideration		—		618		618
Cash paid	$	173,461	$	35,374	$	208,835

⁽¹⁾  Includes approximately $3.1 million of acquired cash.

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

	Epocal		Other		Total		Weighted- average Useful Life
Core technology and patents	$	119,700	$	—	$	119,700		20.0 years
Software		—		515		515		10.0 years
Trademarks and trade names		20,500		10		20,510		19.2 years
Customer relationships		—		35,127		35,127		11.4 years
Other		—		5,816		5,816		3.0 years
In-process research and development		24,200		—		24,200		N/A
Total intangible assets	$	164,400	$	41,468	$	205,868

(b) Acquisitions in 2012

During 2012, we acquired the following businesses for a preliminary aggregate purchase price of $494.5 million, which included cash payments totaling $418.9 million and contingent consideration obligations with aggregate acquisition date fair values of $75.6 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)

• eScreen, Inc., or eScreen, headquartered in Overland Park, Kansas, a technology-enabled provider of employment drug screening solutions for hiring and maintaining healthier and more efficient workforces (Acquired April 2012)

• MedApps Holding Company, Inc., or MedApps, headquartered in Scottsdale, Arizona, a developer of innovative remote health monitoring solutions that deliver efficient cost-effective connectivity between patient, care provider and electronic medical records (Acquired July 2012)

• Amedica Biotech, Inc., or Amedica, located in Hayward, California, a company focused on the development and manufacture of in vitro diagnostic tests (Acquired July 2012)

• DiagnosisOne, Inc., or DiagnosisOne, located in Lowell, Massachusetts, a software company that provides clinical analytics technology and data-driven content to hospitals, physician groups, insurers and governments (Acquired July 2012)

• Seelen Care Laege-og & Hospitalsartikler ApS, or Seelen, located in Holstebro, Denmark, a distributor of consumables, instruments and equipment to doctors, specialists and physiotherapists (Acquired August 2012)

• certain assets of Diagnostik Nord, or Diagnostik, located in Schwerin, Germany, a company focused on the sale of drug screening and in vitro diagnostic medical devices and a provider of diagnostic solutions (Acquired September 2012)

• Healthcare Connections Limited, or HCC, located in Buckinghamshire, United Kingdom, an occupational health provider specializing in employment medical programs, preventative health schemes and drug and alcohol sample collection services (Acquired November 2012)

• the diagnostic division of Medial spol. s.r.o., subsequently renamed Alere s.r.o., located in Prague, Czech Republic, a distributor of laboratory diagnostic devices, devices operating in the point-of-care testing regime, diagnostic kits and tests for biochemistry, hematology, and microbiology (Acquired November 2012)

• certain assets of Quantum Diagnostics, or Quantum Australia, located in Australia, an on-line medical supply company that provides a range of affordable drug and alcohol tests for personal, business and professional medical use (Acquired November 2012)

• certain assets of NationsHealth, Inc., or NationsHealth, headquartered in Sunrise, Florida, a privately-owned mail-order provider of diabetes home-testing products and supplies, and a share acquisition of NationsHealth’s subsidiary in the Philippines, or NationsHealth Philippines (Acquired December 2012)

• Branan Medical Corporation, or Branan, headquartered in Irvine, California, a manufacturer of drugs of abuse testing products (Acquired December 2012)

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The operating results of Alere Lda, AmMed, eScreen, MedApps, Amedica, Seelen, Diagnostik, HCC, Alere s.r.o., Quantum Australia, NationsHealth and Branan are included in our professional diagnostics reporting unit and business segment. The operating results of Wellogic UAE and DiagnosisOne are included in our health information solutions 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 and six months ended June 30, 2012 included revenue totaling approximately $10.6 million and $11.9 million, respectively, related to the businesses that were acquired during that period. Goodwill has been recognized in all of these acquisitions and amounted to approximately $249.3 million. Goodwill related to the acquisitions of AmMed, Diagnostik and the U.S.-based assets of NationsHealth, which totaled $8.8 million, is deductible for tax purposes. The goodwill related to the remaining 2012 acquisitions is not 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)	$	47,201
Property, plant and equipment		9,029
Goodwill		249,294
Intangible assets		325,223
Other non-current assets		8,662
Total assets acquired		639,409
Current liabilities		28,307
Non-current liabilities		116,580
Total liabilities assumed		144,887
Net assets acquired		494,522
Less:
Contingent consideration		75,620
Cash paid	$	418,902

⁽¹⁾  Includes approximately $3.8 million of acquired cash.

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	$	148,103		18.7 years
Trademarks and trade names		19,390		18.3 years
Customer relationships		136,485		18.1 years
Non-competition agreements		1,118		5.1 years
Other		15,227		9.2 years
In-process research and development		4,900		N/A
Total intangible assets	$	325,223

(8) Restructuring Plans

The following table sets forth aggregate restructuring charges recorded in our consolidated statements of operations for the three and six months ended June 30, 2013 and 2012 (in thousands):

	Three Months Ended June 30,				Six Months Ended June 30,
Statement of Operations Caption	2013		2012		2013		2012
Cost of net revenue	$	729	$	25	$	1,352	$	989
Research and development		645		14		645		638
Sales and marketing		159		200		1,258		1,027
General and administrative		6,511		1,126		8,681		4,239
Total operating expenses		8,044		1,365		11,936		6,893

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	Three Months Ended June 30,				Six Months Ended June 30,
Statement of Operations Caption	2013		2012		2013		2012
Interest expense, including amortization of original issue discounts and deferred financing costs		62		50		117		110
Total charges	$	8,106	$	1,415	$	12,053	$	7,003

(a) 2013 Restructuring Plans

In 2013, management developed cost reduction efforts within our professional diagnostics business segment, including businesses in our Europe and Asia Pacific regions. Additionally, management is continuing to improve efficiencies within our health information solutions business segment, including winding down a small portion of this business, which resulted in charges associated with the impairment of related fixed and intangible assets. The following table summarizes the restructuring activities related to our 2013 restructuring plans for the three and six months ended June 30, 2013 (in thousands):

	Three Months Ended June 30, 2013
	Professional Diagnostics		Health Information Solutions			Total
Severance-related costs	$	1,251	$	(11	)	$	1,240
Facility and transition costs		337		241			578
Cash charges		1,588		230			1,818
Fixed asset and inventory impairments		—		170			170
Intangible asset impairments		—		2,596			2,596
Total charges	$	1,588	$	2,996		$	4,584

	Six Months Ended June 30, 2013
	Professional Diagnostics		Health Information Solutions		Total
Severance-related costs	$	2,084	$	58	$	2,142
Facility and transition costs		350		241		591
Cash charges		2,434		299		2,733
Fixed asset and inventory impairments		—		170		170
Intangible asset impairments		—		2,596		2,596
Total charges	$	2,434	$	3,065	$	5,499

We anticipate incurring approximately $1.0 million in additional costs under our 2013 restructuring plans related primarily to our professional diagnostics business segment in Europe and may develop additional plans over the remainder of 2013. As of June 30, 2013, $0.4 million in severance and contract cancellation costs arising under our 2013 restructuring plans remain unpaid.

(b) 2012 Restructuring Plans

In 2012, management developed cost reduction plans within our professional diagnostics business segment, including the integration of our businesses in Brazil, Europe and the United States. Additionally, management developed new plans to continue our efforts to reduce costs within our health information solutions business segment, including the termination of certain projects, which resulted in charges for the impairment of related fixed and intangible assets. The following table summarizes the restructuring activities related to our 2012 restructuring plans for the three and six months ended June 30, 2013 and 2012 and since inception (in thousands):

	Three Months Ended June  30,				Six Months Ended June  30,				Since Inception
Professional Diagnostics	2013		2012		2013		2012
Severance-related costs	$	26	$	345	$	88	$	2,318	$	4,820
Facility and transition costs		19		—		82		—		201

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	Three Months Ended June  30,				Six Months Ended June  30,				Since Inception
Professional Diagnostics	2013		2012		2013		2012
Cash charges		45		345		170		2,318		5,021
Fixed asset impairments		—		—		—		—		304
Total charges	$	45	$	345	$	170	$	2,318	$	5,325

	Three Months Ended June  30,						Six Months Ended June  30,					Since Inception
Health Information Solutions	2013			2012			2013			2012
Severance-related costs	$	529		$	422		$	2,348		$	1,219	$	5,393
Facility and transition costs		3,612			125			4,271			125		5,505
Other exit costs		32			—			52			—		67
Cash charges		4,173			547			6,671			1,344		10,965
Fixed asset and inventory impairments		75			—			75			—		2,764
Intangible asset impairments		—			—			—			—		2,988
Other non-cash charges		(908	)		(5	)		(953	)		—		(984	)
Total charges	$	3,340		$	542		$	5,793		$	1,344	$	15,733

We anticipate incurring approximately $0.6 million in additional transition and other facility costs under these plans related primarily to our health information solutions business segment through 2014. As of June 30, 2013, $5.7 million in severance and exit costs under these plans remain unpaid.

(c) 2011, 2010 and 2008 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 information solutions and professional diagnostics business segments. Management also developed plans within our professional diagnostics business segment to consolidate operating activities among certain of our U.S., European and Asia Pacific subsidiaries, including transferring the manufacturing of our Panbio products from Australia to our Standard Diagnostics facility in South Korea and eliminating redundant costs among our newly-acquired Axis-Shield subsidiaries. Additionally, within our health information solutions 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.

In 2010, management developed several plans to reduce costs and improve efficiencies within our health information solutions and professional diagnostics business segments. Additionally in 2008, management developed and initiated plans to transition the business of Cholestech to our San Diego, California facility.

The following table summarizes the restructuring activities related to our 2011, 2010 and 2008 restructuring plans for the three and six months ended June 30, 2013 and 2012 and since inception (in thousands):

	Three Months Ended June  30,					Six Months Ended June  30,				Since Inception
Professional Diagnostics	2013			2012		2013		2012
Severance-related costs	$	(54	)	$	310	$	196	$	2,275	$	19,909
Facility and transition costs		161			161		330		884		7,557
Other exit costs		15			17		31		36		729
Cash charges		122			488		557		3,195		28,195
Fixed asset and inventory impairments		—			—		—		134		6,374
Total charges	$	122		$	488	$	557	$	3,329	$	34,569

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	Three Months Ended June  30,					Six Months Ended June  30,					Since Inception
Health Information Solutions	2013		2012			2013		2012
Severance-related costs	$	—	$	—		$	—	$	—		$	6,901
Facility and transition costs		—		(87	)		—		(173	)		8,010
Other exit costs		15		33			34		74			546
Cash charges		15		(54	)		34		(99	)		15,457
Fixed asset and inventory impairments		—		85			—		85			1,114
Intangible asset impairments		—		—			—		—			2,935
Other non-cash charges		—		—			—		—			761
Total charges	$	15	$	31		$	34	$	(14	)	$	20,267

	Three Months Ended June  30,				Six Months Ended June  30,				Since Inception
Corporate and Other	2013		2012		2013		2012
Severance-related costs	$	—	$	9	$	—	$	26	$	1,219
Cash charges		—		9		—		26		1,219
Fixed asset and inventory impairments		—		—		—		—		3
Total charges	$	—	$	9	$	—	$	26	$	1,222

We anticipate incurring approximately $1.1 million in additional costs under these plans related primarily to our professional diagnostics business segment. A majority of these additional costs relate to the transfer of the Panbio product manufacturing to Korea and are for severance and facility exit costs. We may also incur impairment charges on assets as plans are finalized. We do not anticipate incurring significant additional costs under these plans related to our health information solutions business segment. As of June 30, 2013, $2.5 million in cash charges remain unpaid, primarily related to facility lease obligations.

(d) Restructuring Reserves

The following table summarizes our restructuring reserves related to the plans described above, of which $6.3 million is included in accrued expenses and other current liabilities and $2.3 million is included in other long-term liabilities on our accompanying consolidated balance sheets (in thousands):

	Severance- related Costs			Facility  and Transition Costs			Other Exit Costs			Total
Balance, December 31, 2012	$	3,167		$	2,429		$	622		$	6,218
Cash charges		4,774			5,274			117			10,165
Payments		(5,462	)		(2,042	)		(146	)		(7,650	)
Currency adjustments		(166	)		(8	)		—			(174	)
Balance, June 30, 2013	$	2,313		$	5,653		$	593		$	8,559

(9) Long-term Debt

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

	June 30, 2013		December 31, 2012
A term loans(1)(2)	$	855,313	$	878,438
B term loans(1)		908,813		913,438
Incremental B-1 term loans(1)		246,250		247,500
Incremental B-2 term loans(1)		195,891		196,739
Revolving line of credit(1)		197,500		22,500
7.25% Senior notes		450,000		450,000
7.875% Senior notes		—		1,809
9% Senior subordinated notes		—		392,933
8.625% Senior subordinated notes		400,000		400,000

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	June 30, 2013			December 31, 2012
6.5% Senior subordinated notes		425,000			—
3% Convertible senior subordinated notes		150,000			150,000
Other lines of credit		405			31,957
Other		29,669			3,593
		3,858,841			3,688,907
Less: Current portion		(50,539	)		(60,232	)
	$	3,808,302		$	3,628,675

⁽¹⁾  Incurred under our secured credit facility.

⁽²⁾  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 accompanying consolidated statements of operations for the three and six months ended June 30, 2013 and 2012, respectively, as follows (in thousands):

	Three Months Ended June 30,				Six Months Ended June 30,
	2013		2012		2013		2012
Secured credit facility (1)	$	25,657	$	27,097	$	52,932	$	49,948
7.25% Senior notes		8,480		—		16,836		—
7.875% Senior notes (2)		1		5,755		137		11,513
9% Senior subordinated notes (3)		43,649		10,363		54,043		20,717
8.625% Senior subordinated notes		9,274		9,275		18,547		18,549
6.5% Senior subordinated notes		3,013		—		3,013		—
3% Senior subordinated convertible notes		1,246		1,246		2,492		2,492
	$	91,320	$	53,736	$	148,000	$	103,219

⁽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 the three and six months ended June 30, 2013, the amounts include $0.8 million and $1.8 million, respectively, related to the amortization of fees paid for certain debt modifications. For the three and six months ended June 30, 2012, the amount includes $1.3 million and $2.6 million, respectively, related to the amortization of fees paid for certain debt modifications.

⁽²⁾  For the six months ended June 30, 2013, this amount includes an approximate $0.2 million loss recorded in connection with the repurchase of our 7.875% senior notes.

⁽³⁾  An approximate $35.6 million loss in connection with the repurchase of our 9% senior subordinated notes has been included in each of the three and six-month periods for 2013. Included in the $35.6 million is $19.0 million related to tender offer consideration and call premium which has been classified within cash flow from financing activities in our consolidated statement of cash flows.

(a) Secured Credit Facility

The following summarizes the material terms of our secured credit facility that have changed significantly since December 31, 2012. All other terms of our secured credit facility as described in our Annual Report on Form 10-K, as amended, for the year ended December 31, 2012, but omitted below, have not changed since that date.

On March 22, 2013, we and certain of our subsidiaries entered into a fourth amendment to the credit agreement that governs our secured credit facility, or the credit agreement. The fourth amendment provides for 50 basis point reductions in the interest rate margins applicable to the “B” term loans, the “Incremental B-1” term loans and the “Incremental B-2” term loans and certain other changes. Under the terms of the credit agreement as amended by the fourth amendment, the “B” term loans, the “Incremental B-1” term loans and the “Incremental B-2” term loans bear interest at a rate per annum of, at our option, either (i) the Base Rate, as defined in the credit agreement, plus an applicable margin, which varies between 2.00% and 2.75% depending on our consolidated secured leverage ratio, or (ii) the Eurodollar Rate, as defined in the credit agreement, plus an applicable margin, which varies between 3.00% and 3.75% depending on 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. Furthermore, under the terms of the credit agreement as amended by the fourth amendment, we may make optional prepayments of the term loans under our secured credit facility from time to time without any premium or penalty, except that if, on or before September 22, 2013, we repay or prepay any “B” term loans, “Incremental B-1” term loans or “Incremental B-2” term loans with the

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proceeds of, or convert any “B” term loans, “Incremental B-1” term loans or “Incremental B-2” term loans into, any new term loans bearing interest with an effective yield (as defined in the credit agreement) less than the effective yield applicable to the “B” term loans, the “Incremental B-1” term loans or the “Incremental B-2” term loans, as applicable, we must pay a premium equal to 1.0% of the principal amount of the “B” term loans, “Incremental B-1” term loans or “Incremental B-2” term loans so repaid, prepaid or converted.

(b) 6.5% Senior Subordinated Notes

On May 24, 2013, we sold a total of $425.0 million aggregate principal amount of 6.5% senior subordinated notes due 2020, or the 6.5% senior subordinated notes, in a private placement to initial purchasers, who agreed to resell the notes only to qualified institutional buyers and to persons outside the United States; we sold the 6.5% senior subordinated notes at an initial offering price of 100%. Net proceeds from this offering amounted to $417.7 million, which were net of the underwriters’ commissions and offering expenses totaling approximately $7.3 million.

The 6.5% senior subordinated notes were issued under a supplemental indenture dated May 24, 2013, or the 6.5% Indenture. The 6.5% senior subordinated notes accrue interest at the rate of 6.5% per annum. Interest on the 6.5% senior subordinated notes is payable semi-annually on June 15 and December 15, beginning on December 15, 2013. The 6.5% senior subordinated notes mature on June 15, 2020, unless earlier redeemed.

We may, at our option, redeem the 6.5% senior subordinated notes, in whole or part, at any time (which may be more than once) on or after June 15, 2016, by paying the principal amount of the notes being redeemed plus a declining premium, plus accrued and unpaid interest to (but excluding) the redemption date. The premium declines from 3.250% during the twelve months on and after June 15, 2016 to 1.625% during the twelve months on and after June 15, 2017 to zero on and after June 15, 2018. In addition, we may, at our option, at any time (which may be more than once) before May 24, 2015, redeem up to 10% of the aggregate principal amount of the 6.5% senior subordinated notes in each of the two twelve-month periods preceding May 24, 2015 at a redemption price of 103% of the principal amount thereof plus accrued and unpaid interest to (but excluding) the redemption date. In addition, at any time (which may be more than once) prior to June 15, 2016, we may, at our option, redeem up to 35% of the aggregate principal amount of the 6.5% senior subordinated notes with money that we raise in certain equity offerings, so long as (i) we pay 106.5% of the principal amount of the notes being redeemed, plus accrued and unpaid interest to (but excluding) the redemption date; (ii) we redeem the 6.5% senior subordinated notes within 90 days of completing such equity offering; and (iii) at least 65% of the aggregate principal amount of the 6.5% senior subordinated notes remains outstanding afterwards. In addition, at any time (which may be more than once) prior to June 15, 2016, we may, at our option, redeem some or all of the 6.5% senior subordinated notes by paying the principal amount of the 6.5% senior subordinated notes being redeemed plus a make-whole premium, plus accrued and unpaid interest to (but excluding) the redemption date.

If a change of control occurs, subject to specified conditions, we must give holders of the 6.5% senior subordinated notes an opportunity to sell their notes to us at a purchase price of 101% of the principal amount of the notes, plus accrued and unpaid interest to (but excluding) the date of the purchase.

If we or our subsidiaries engage in asset sales, we or they generally must either invest the net cash proceeds from such sales in our or their businesses within a specified period of time, repay senior indebtedness or make an offer to purchase a principal amount of the 6.5% senior subordinated notes equal to the excess net cash proceeds, subject to certain exceptions. The purchase price of the 6.5% senior subordinated notes would be 100% of their principal amount, plus accrued and unpaid interest.

The 6.5% Indenture provides that we and our subsidiaries must comply with various customary covenants. These covenants limit our ability, and the ability of our subsidiaries, to, among other things, incur additional debt; pay dividends on our or their capital stock or redeem, repurchase or retire our or their capital stock or subordinated debt; make certain investments; create liens on assets; transfer or sell assets; engage in transactions with our or their affiliates; create restrictions on the ability of our or their subsidiaries to pay dividends or make loans, asset transfers or other payments to us and our subsidiaries; issue capital stock of subsidiaries; engage in any business, other than our or their existing businesses and related businesses; enter into sale and leaseback transactions; incur layered indebtedness; and consolidate or merge with any person (other than certain affiliates) or transfer all or substantially all of our assets or the aggregate assets of us and our subsidiaries. These covenants are subject to certain important exceptions and qualifications, which are set forth in the 6.5% Indenture. At any time the 6.5% senior subordinated notes are rated investment grade, certain covenants will be suspended with respect to them.

The 6.5% Indenture contains customary events of default entitling the trustee or the holders of the 6.5% senior subordinated notes to declare all amounts owed pursuant to the 6.5% senior subordinated notes immediately payable if any such event of default occurs.

The 6.5% senior subordinated notes are our senior subordinated unsecured obligations, are subordinated in right of payment to all of our existing and future senior debt, including our borrowings under our secured credit facility and our 7.25% senior notes, and

17

are equal in right of payment with our 8.625% senior subordinated notes and our 3% convertible senior subordinated notes. Our obligations under the 6.5% senior subordinated notes and the 6.5% Indenture are fully and unconditionally guaranteed, jointly and severally, on a senior subordinated unsecured basis by certain of our domestic subsidiaries, and the obligations of such domestic subsidiaries under their guarantees are subordinated in right of payment to all of their existing and future senior debt. See Note 19 for guarantor financial information.

(c) 9% Senior Subordinated Notes

On May 24, 2013, we used $200.6 million of the net proceeds of our sale of the 6.5% senior subordinated notes to purchase $190.6 million outstanding principal amount of our 9% senior subordinated notes due 2016, or the 9% senior subordinated notes, pursuant to our tender offer for these notes. The purchased 9% senior subordinated notes represented approximately 47.7% of the total then-outstanding principal amount of the 9% senior subordinated notes.

On June 24, 2013, we redeemed the remaining $209.4 million outstanding principal amount of the 9% senior subordinated notes pursuant to our optional redemption right under the indenture under which the 9% senior subordinated notes were issued, and we subsequently terminated this indenture.

(10) Derivative Financial Instruments

We may 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.

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 was the undiscounted foreign currency spot rate risk on forecasted foreign currency revenue. As of December 31, 2012, all of the acquired foreign currency forward contracts were settled. We report the effective portion of the gain or loss on a cash flow hedge as a component of other comprehensive income, and it was subsequently reclassified into net earnings in the period in which the hedged transaction affected net earnings or the forecasted transaction was no longer probable of occurring.

The following table summarizes the effect of derivative instruments in our accompanying consolidated statement of operations (in thousands):

Derivative Instruments	Location of Gain (Loss) Recognized in Income	Amount of  Loss Recognized During the  Three Months Ended June 30, 2012			Amount of  Gain Recognized During the  Six Months Ended June 30, 2012
Foreign currency forward contracts	Other comprehensive income (loss)	$	(652	)	$	455
Total gain (loss)	Other comprehensive income (loss)	$	(652	)	$	455

(11) 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.

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.

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.

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The following tables present information about our assets and liabilities that are measured at fair value on a recurring basis as of June 30, 2013 and December 31, 2012, and indicates the fair value hierarchy of the valuation techniques we utilized to determine such fair value (in thousands):

Description	June 30, 2013		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Unobservable Inputs (Level 3)
Assets:
Marketable securities	$	889	$	889	$	—	$	—
Total assets	$	889	$	889	$	—	$	—
Liabilities:
Contingent consideration obligations (1)	$	233,051	$	—	$	—	$	233,051
Total liabilities	$	233,051	$	—	$	—	$	233,051

Description	December 31, 2012		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Unobservable Inputs (Level 3)
Assets:
Marketable securities	$	904	$	904	$	—	$	—
Total assets	$	904	$	904	$	—	$	—
Liabilities:
Contingent consideration obligations (1)	$	176,172	$	—	$	—	$	176,172
Total liabilities	$	176,172	$	—	$	—	$	176,172

⁽¹⁾  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. Significant increases or decreases in any of these inputs could result in a significantly higher or lower fair value measurement. 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 six months ended June 30, 2013 were as follows (in thousands):

Fair value of contingent consideration obligations, January 1, 2013	$	176,172
Acquisition date fair value of contingent consideration obligations recorded		75,815
Net reclassifications		(12	)
Foreign currency		(460	)
Payments		(34,739	)
Present value accretion		3,402
Adjustments, net (income) expense		12,873
Fair value of contingent consideration obligations, June 30, 2013	$	233,051

At June 30, 2013 and December 31, 2012, 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 $3.9 billion and $3.9 billion, respectively, at June 30, 2013. The carrying amount and estimated fair value of our long-term debt were $3.7 billion at December 31, 2012. 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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(12) 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 June 30,						Six Months Ended June 30,
	2013			2012			2013			2012
Service cost	$	—		$	—		$	—		$	—
Interest cost		180			199			361			397
Expected return on plan assets		(154	)		(153	)		(309	)		(305	)
Amortization of prior service costs		102			104			205			208
Realized losses		—			—			—			—
Net periodic benefit cost	$	128		$	150		$	257		$	300

(13) 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 information solutions, 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 and six months ended June 30, 2013 and 2012 is as follows (in thousands):

	Professional Diagnostics		Health Information Solutions			Consumer Diagnostics		Corporate and Other			Total
Three Months Ended June 30, 2013:
Net revenue	$	603,762	$	134,775		$	25,448	$	—		$	763,985
Operating income (loss)	$	72,896	$	(11,759	)	$	3,404	$	(20,137	)	$	44,404
Depreciation and amortization	$	86,856	$	20,725		$	1,080	$	273		$	108,934
Non-cash charge associated with acquired inventory	$	711	$	—		$	—	$	—		$	711
Restructuring charge	$	1,740	$	6,304		$	—	$	—		$	8,044
Stock-based compensation	$	—	$	—		$	—	$	4,677		$	4,677
Three Months Ended June 30, 2012:
Net revenue	$	540,110	$	138,590		$	21,817	$	—		$	700,517
Operating income (loss)	$	63,251	$	(12,666	)	$	2,699	$	(18,930	)	$	34,354
Depreciation and amortization	$	83,413	$	24,065		$	1,178	$	244		$	108,900
Restructuring charge	$	817	$	539		$	—	$	9		$	1,365
Stock-based compensation	$	—	$	—		$	—	$	4,368		$	4,368
Six Months Ended June 30, 2013:
Net revenue	$	1,186,254	$	268,982		$	47,998	$	—		$	1,503,234
Operating income (loss)	$	132,736	$	(25,652	)	$	5,684	$	(37,875	)	$	74,893
Depreciation and amortization	$	169,650	$	41,462		$	2,233	$	559		$	213,904
Non-cash charge associated with acquired inventory	$	1,172	$	—		$	—	$	—		$	1,172
Restructuring charge	$	3,129	$	8,807		$	—	$	—		$	11,936
Stock-based compensation	$	—	$	—		$	—	$	8,800		$	8,800
Six Months Ended June 30, 2012:
Net revenue	$	1,058,467	$	269,374		$	43,805	$	—		$	1,371,646
Operating income (loss)	$	133,430	$	(32,022	)	$	3,064	$	(35,060	)	$	69,412
Depreciation and amortization	$	160,881	$	47,839		$	2,437	$	465		$	211,622
Non-cash charge associated with acquired inventory	$	4,681	$	—		$	—	$	—		$	4,681
Restructuring charge	$	5,611	$	1,256		$	—	$	26		$	6,893

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	Professional Diagnostics		Health Information Solutions		Consumer Diagnostics		Corporate and Other		Total
Stock-based compensation	$	—	$	—	$	—	$	8,242	$	8,242
Assets:
As of June 30, 2013	$	6,254,068	$	561,786	$	199,423	$	84,728	$	7,100,005
As of December 31, 2012	$	6,214,847	$	593,172	$	192,748	$	67,161	$	7,067,928

The following tables summarize our net revenue from the professional diagnostics and health information solutions reporting segments by groups of similar products and services for the three and six months ended June 30, 2013 and 2012 (in thousands):

Professional Diagnostics Segment:	Three Months Ended June 30,				Six Months Ended June 30,
	2013		2012		2013		2012
Cardiology	$	118,436	$	125,597	$	233,369	$	264,423
Infectious disease		157,706		137,821		347,550		288,837
Toxicology		165,884		159,922		314,933		281,662
Diabetes		74,905		36,797		124,988		64,958
Other		82,666		76,736		157,385		152,442
Net product sales and services revenue		599,597		536,873		1,178,225		1,052,322
License and royalty revenue		4,165		3,237		8,029		6,145
Professional diagnostics net revenue	$	603,762	$	540,110	$	1,186,254	$	1,058,467

Health Information Solutions Segment:	Three Months Ended June 30,				Six Months Ended June 30,
	2013		2012		2013		2012
Disease and case management	$	52,578	$	54,512	$	106,704	$	107,894
Wellness		27,230		29,567		53,530		56,591
Women’s & children’s health		29,256		31,313		58,336		61,084
Patient self-testing services		25,711		23,198		50,412		43,805
Health management net revenue	$	134,775	$	138,590	$	268,982	$	269,374

(14) 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 payable to the joint venture of $1.1 million as of June 30, 2013 and a net receivable from the joint venture of $2.3 million as of December 31, 2012. Included in the $1.1 million payable balance as of June 30, 2013 is approximately $1.5 million of costs incurred in connection with our 2008 SPD-related restructuring plans. Included in the $2.3 million receivable balance as of December 31, 2012 is approximately $1.6 million of costs incurred in connection with our 2008 SPD-related restructuring plans. We have also recorded a long-term receivable totaling approximately $12.1 million and $14.6 million as of June 30, 2013 and December 31, 2012, 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 $9.2 million and $6.9 million as of June 30, 2013 and December 31, 2012, 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 $18.2 million and $35.3 million during the three and six months ended June 30, 2013, respectively, and $14.5 million and $31.6 million during the three and six months ended June 30, 2012, respectively. Additionally, services revenue generated pursuant to the long-term services agreement with the joint venture totaled $0.3 million and $0.6 million during the three and six months ended June 30, 2013, respectively, and $0.3 million and $0.6 million during the three and six months ended June 30, 2012, respectively. 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,

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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 $9.6 million and $7.3 million of trade receivables which are included in accounts receivable on our accompanying consolidated balance sheets as of June 30, 2013 and December 31, 2012, respectively, and $23.1 million and $21.3 million of trade accounts payable which are included in accounts payable on our accompanying consolidated balance sheets as of June 30, 2013 and December 31, 2012, respectively. During the six months ended June 30, 2013 and 2012, we received $10.8 million and $6.1 million, respectively, in cash from SPD as a return of capital.

The following table summarizes our related party balances with SPD within our consolidated balance sheets (in thousands):

Balance Sheet Caption:	June 30, 2013		December 31, 2012
Accounts receivable, net of allowances	$	9,591	$	7,317
Prepaid expenses and other current assets	$	9,209	$	9,161
Deferred financing costs, net, and other non-current assets	$	12,134	$	14,629
Accounts payable	$	23,131	$	21,258
Accrued expenses and other current liabilities	$	1,119	$	—

(15) Other Arrangements

On February 19, 2013, we entered into an agreement with the Bill and Melinda Gates Foundation, or the Gates Foundation, whereby we were awarded a grant by the Gates Foundation in the amount of $21.6 million to support the development and commercialization of a validated, low-cost, nucleic-acid assay for clinical Tuberculosis, or TB, detection and drug-resistance test cartridges and adaptation of an analyzer platform capable of operation in rudimentary laboratories in low-resource settings. In connection with this agreement, we also entered into a loan agreement with the Gates Foundation, or the Gates Loan Agreement, which provides for the making of subordinated term loans by the Gates Foundation to us from time to time, subject to the achievement of certain milestones, in an aggregate principal amount of up to $20.6 million. Funding under the Gates Loan Agreement will be used in connection with the purchase of equipment for an automated high-throughput manufacturing line and other uses as necessary for the manufacture of the TB and HIV-related products. All loans under the Gates Loan Agreement are evidenced by promissory notes that we have executed and delivered to the Gates Foundation, bear interest at the rate of 3% per annum and, except to the extent earlier repaid by us, mature and are required to be repaid in full on December 31, 2019. As of June 30, 2013, we had borrowed no amounts under the Gates Loan Agreement. As of June 30, 2013, we had received approximately $7.9 million in grant-related funding from the Gates Foundation, which was recorded as restricted cash and deferred grant funding. The deferred grant funding is classified within accrued expenses and other current liabilities on our accompanying consolidated balance sheet. As qualified expenditures are incurred under the terms of the grant, we use the deferred funding to recognize a reduction of our related qualified research and development expenditures. For the three and six months ended June 30, 2013, we recognized approximately $1.8 million and $2.4 million, respectively, of qualified expenditures, which were recorded as an offset to our research and development expenses.

(16) Material Contingencies

Acquisition-related Contingent Consideration Obligations

The following summarizes our principal contractual acquisition-related contingent consideration obligations as of June 30, 2013 that have changed significantly since December 31, 2012. Other acquisition-related contingent consideration obligations that were presented in our Annual Report on Form 10-K, as amended, for the year ended December 31, 2012, but which are omitted below, represent those that have not changed significantly since that date.

• Accordant

With respect to Accordant, the terms of the acquisition agreement require us to pay an earn-out upon successfully meeting certain revenue and cash collection targets starting after the second anniversary of the acquisition date and completed prior to the third anniversary of the acquisition date. An earn-out totaling $4.5 million was earned and accrued as of December 31, 2012. A payment of $1.5 million was made during each of the first and second quarters of 2013 and the remaining payment will be made in a final installment of $1.5 million during the third quarter of 2013.

• Alere Healthcare

With respect to Alere Healthcare, the terms of the acquisition agreement require us to pay an earn-out upon successfully meeting certain revenue and operating income targets during each of the calendar years 2010 through 2012. The 2012 portion of the earn-out totaling $0.3 million, which was previously accrued at December 31, 2012, was paid during the second quarter of 2013. No further contingent consideration obligations related to this acquisition exist as of June 30, 2013.

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• Alere S.A.

With respect to Alere S.A., the terms of the acquisition agreement require us to pay an earn-out upon successfully meeting certain revenue and EBITDA targets during each of the calendar years 2011 through 2016. The remaining earn-out was settled for BRL 6.9 million (approximately $3.1 million at June 30, 2013). A payment of BRL 2.9 million will be paid during the third quarter of 2013 and the remaining BRL 4.0 million will be paid in 48 equal monthly installments beginning in August 2013. The present value of the settlement totaling BRL 6.1 million (approximately $2.8 million at June 30, 2013) was accrued at June 30, 2013. No further contingent consideration obligations related to this acquisition exist as of June 30, 2013.

• Amedica

With respect to Amedica, the terms of the acquisition agreement require us to make earn-out payments upon successfully meeting certain financial targets during each of the calendar years 2012 and 2013. The 2012 portion of the earn-out totaling $6.9 million, which was previously accrued at December 31, 2012, was paid during the second quarter of 2013. The maximum remaining amount of the earn-out payments is $8.1 million.

• Branan

With respect to Branan, the terms of the acquisition agreement require us to pay earn-outs upon successfully achieving various regulatory product approval milestones by the second anniversary of the acquisition date. Four milestones were achieved during 2012, resulting in an accrual totaling approximately $2.0 million as of December 31, 2012. During the first quarter of 2013, two additional milestones were achieved, resulting in an incremental accrual of $1.0 million. Payment of these earn-outs was made during the first quarter of 2013. The maximum remaining amount of the earn-out payments is $2.0 million.

• Epocal

With respect to Epocal, the terms of the acquisition agreement require us to pay earn-outs and management incentive payments upon successfully meeting certain product development and United States Food and Drug Administration regulatory approval milestones from the date of acquisition through December 31, 2018. The maximum amount of the earn-out payments is $90.5 million, of which $15.0 million was paid at the acquisition closing date. The maximum amount of the management incentive payments is $9.4 million.

• Immunalysis

With respect to Immunalysis, the terms of the acquisition agreement require us to pay earn-outs upon successfully meeting certain gross profit targets during each of the calendar years 2010 through 2012. During the second quarter of 2013, it was determined that the 2012 earn-out totaling $1.7 million had been achieved and payment was made during the same quarter. No further contingent consideration obligations related to this acquisition exist as of June 30, 2013.

Additionally, we had a contractual contingent obligation to pay up to $3.0 million in compensation to certain executives of Immunalysis in accordance with the acquisition agreement that, to the extent earned, was paid out in connection with the contingent consideration payable to the former shareholders of Immunalysis, for each of the calendar years 2010, 2011 and 2012. Payment of the 2012 compensation totaling $1.0 million, which was previously accrued at December 31, 2012, was made during the second quarter of 2013. No further such compensation obligations related to this acquisition exist as of June 30, 2013.

• MedApps

With respect to MedApps, the terms of the acquisition agreement require us to make earn-out payments upon achievement of certain technological and product development milestones through January 15, 2015. A portion of the earn-out, totaling $3.0 million, was earned and paid during the second quarter of 2013. The maximum remaining amount of the earn-out payments is $18.2 million.

• NationsHealth

With respect to NationsHealth, the terms of the acquisition agreement require us to pay an earn-out upon successfully meeting certain operational targets within one year of the acquisition date. During the second quarter of 2013, the earn-out was accrued for a settlement amount of $2.0 million, which will be paid during the third quarter of 2013. No further contingent consideration obligations related to this acquisition exist as of June 30, 2013.

• ROAR

With respect to Forensics Limited, or ROAR, the terms of the acquisition agreement require us to pay an earn-out upon successfully meeting certain EBITDA targets during 2012 through 2014. Payment of the 2012 earn-out totaling approximately £1.0 million (approximately $1.5 million), which was previously accrued at December 31, 2012, was made during the first quarter of 2013. The maximum remaining amount of the earn-out payments is £9.5 million (approximately $14.4 million at June 30, 2013).

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(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, 2013, we adopted ASU No. 2012-02, Intangibles — Goodwill and Other (Topic 350): Testing Indefinite-Lived Intangible Assets for Impairment, or ASU 2012-02. ASU 2012-02 allows an entity the option to first assess qualitative factors to determine whether the existence of events and circumstances indicates that it is more likely than not that the indefinite-lived intangible asset is impaired. If an entity concludes that it is not more likely than not that the indefinite-lived intangible asset is impaired, then the entity is not required to take further action. However, if an entity concludes otherwise, then it is required to determine the fair value of the indefinite-lived intangible asset and perform the quantitative impairment test by comparing the fair value with the carrying amount. An entity also has the option to bypass the qualitative assessment for any indefinite-lived intangible asset in any period and proceed directly to performing the quantitative impairment test. An entity will be able to resume performing the qualitative assessment in any subsequent period. The adoption of this standard is not expected to have an impact on our financial position, results of operations, comprehensive income or cash flows.

(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

We have a 50/50 joint venture, called SPD, 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. We recorded earnings of $4.2 million and $6.7 million during the three and six months ended June 30, 2013, respectively, and losses of $3.3 million and $6.1 million during the three and six months ended June 30, 2012, 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 or losses, as applicable, for the respective periods.

(b) TechLab

We own 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. We recorded earnings of $0.5 million and $0.8 million during the three and six months ended June 30, 2013, respectively, and earnings of $0.5 million and $1.2 million during the three and six months ended June 30, 2012, 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):

	Three Months Ended June 30,				Six Months Ended June 30,
Combined Condensed Results of Operations:	2013		2012		2013		2012
Net revenue	$	54,669	$	58,308	$	103,824	$	110,833
Gross profit	$	35,591	$	35,585	$	72,704	$	70,764
Net income after taxes	$	9,429	$	7,691	$	15,006	$	14,684

Combined Condensed Balance Sheet:	June 30, 2013		December 31, 2012
Current assets	$	80,378	$	79,842
Non-current assets		37,211		38,991
Total assets	$	117,589	$	118,833
Current liabilities	$	36,842	$	45,084
Non-current liabilities		6,261		6,791
Total liabilities	$	43,103	$	51,875

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(19) Guarantor Financial Information

Our 7.25% senior notes due 2018, our 8.625% senior subordinated notes due 2018, and our 6.5% senior subordinated notes due 2020 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 June 30, 2013 and December 31, 2012, the related statements of operations and statements of comprehensive income (loss) for each of the three and six months ended June 30, 2013 and 2012, respectively, and the statements of cash flows for the six months ended June 30, 2013 and 2012, 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.

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CONSOLIDATING STATEMENT OF OPERATIONS

For the Three Months Ended June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	208,925		$	365,328		$	(52,691	)	$	521,562
Services revenue		—			218,150			19,408			—			237,558
Net product sales and services revenue		—			427,075			384,736			(52,691	)		759,120
License and royalty revenue		—			2,770			5,072			(2,977	)		4,865
Net revenue		—			429,845			389,808			(55,668	)		763,985
Cost of net product sales		887			117,550			180,947			(46,195	)		253,189
Cost of services revenue		—			120,287			9,717			(5,194	)		124,810
Cost of net product sales and services revenue		887			237,837			190,664			(51,389	)		377,999
Cost of license and royalty revenue		—			18			4,458			(2,977	)		1,499
Cost of net revenue		887			237,855			195,122			(54,366	)		379,498
Gross profit (loss)		(887	)		191,990			194,686			(1,302	)		384,487
Operating expenses:
Research and development		6,229			16,157			18,114			—			40,500
Sales and marketing		1,413			81,203			76,806			—			159,422
General and administrative		14,477			74,174			51,510			—			140,161
Total operating expenses		22,119			171,534			146,430			—			340,083
Operating income (loss)		(23,006	)		20,456			48,256			(1,302	)		44,404
Interest expense, including amortization of original issue discounts and deferred financing costs		(91,660	)		(6,382	)		(3,071	)		8,660			(92,453	)
Other income (expense), net		(5,607	)		5,636			9,695			(8,661	)		1,063
Income (loss) before provision (benefit) for income taxes		(120,273	)		19,710			54,880			(1,303	)		(46,986	)
Provision (benefit) for income taxes		(10,360	)		12,042			16,750			(565	)		17,867
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax		(109,913	)		7,668			38,130			(738	)		(64,853	)
Equity earnings (losses) of subsidiaries, net of tax		49,045			(559	)		—			(48,486	)		—
Equity earnings of unconsolidated entities, net of tax		566			—			4,027			(42	)		4,551
Net income (loss)		(60,302	)		7,109			42,157			(49,266	)		(60,302	)
Less: Net income attributable to non-controlling interests		—			—			267			—			267
Net income (loss) attributable to Alere Inc. and Subsidiaries		(60,302	)		7,109			41,890			(49,266	)		(60,569	)
Preferred stock dividends		(5,309	)		—			—			—			(5,309	)
Net income (loss) available to common stockholders	$	(65,611	)	$	7,109		$	41,890		$	(49,266	)	$	(65,878	)

26

CONSOLIDATING STATEMENT OF OPERATIONS

For the Three Months Ended June 30, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	206,818		$	286,145		$	(29,538	)	$	463,425
Services revenue		—			217,717			16,138			—			233,855
Net product sales and services revenue		—			424,535			302,283			(29,538	)		697,280
License and royalty revenue		—			9,590			2,602			(8,955	)		3,237
Net revenue		—			434,125			304,885			(38,493	)		700,517
Cost of net product sales		857			98,110			152,555			(29,024	)		222,498
Cost of services revenue		—			112,863			7,696			—			120,559
Cost of net product sales and services revenue		857			210,973			160,251			(29,024	)		343,057
Cost of license and royalty revenue		—			5			10,802			(8,955	)		1,852
Cost of net revenue		857			210,978			171,053			(37,979	)		344,909
Gross profit (loss)		(857	)		223,147			133,832			(514	)		355,608
Operating expenses:
Research and development		5,873			18,039			16,535			—			40,447
Sales and marketing		819			88,080			70,423			—			159,322
General and administrative		14,567			61,291			45,627			—			121,485
Total operating expenses		21,259			167,410			132,585			—			321,254
Operating income (loss)		(22,116	)		55,737			1,247			(514	)		34,354
Interest expense, including amortization of original issue discounts and deferred financing costs		(53,969	)		(10,946	)		(3,816	)		13,200			(55,531	)
Other income (expense), net		3,988			15,803			(2,780	)		(13,200	)		3,811
Income (loss) before provision (benefit) for income taxes		(72,097	)		60,594			(5,349	)		(514	)		(17,366	)
Provision (benefit) for income taxes		(19,750	)		25,217			(5,839	)		(117	)		(489	)
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax		(52,347	)		35,377			490			(397	)		(16,877	)
Equity earnings (losses) of subsidiaries, net of tax		38,982			(185	)		—			(38,797	)		—
Equity earnings of unconsolidated entities, net of tax		486			—			3,502			10			3,998
Net income (loss)		(12,879	)		35,192			3,992			(39,184	)		(12,879	)
Less: Net income attributable to non-controlling interests		—			—			36			—			36
Net income (loss) attributable to Alere Inc. and Subsidiaries		(12,879	)		35,192			3,956			(39,184	)		(12,915	)
Preferred stock dividends		(5,279	)		—			—			—			(5,279	)
Net income (loss) available to common stockholders	$	(18,158	)	$	35,192		$	3,956		$	(39,184	)	$	(18,194	)

27

CONSOLIDATING STATEMENT OF OPERATIONS

For the Six Months Ended June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	442,418		$	686,225		$	(98,805	)	$	1,029,838
Services revenue		—			424,321			40,146			—			464,467
Net product sales and services revenue		—			866,739			726,371			(98,805	)		1,494,305
License and royalty revenue		—			5,805			8,605			(5,481	)		8,929
Net revenue		—			872,544			734,976			(104,286	)		1,503,234
Cost of net product sales		1,835			238,144			354,163			(87,875	)		506,267
Cost of services revenue		—			235,898			18,219			(9,149	)		244,968
Cost of net product sales and services revenue		1,835			474,042			372,382			(97,024	)		751,235
Cost of license and royalty revenue		—			35			8,701			(5,481	)		3,255
Cost of net revenue		1,835			474,077			381,083			(102,505	)		754,490
Gross profit (loss)		(1,835	)		398,467			353,893			(1,781	)		748,744
Operating expenses:
Research and development		10,652			33,537			37,765			—			81,954
Sales and marketing		2,805			164,041			149,032			—			315,878
General and administrative		28,504			139,157			108,358			—			276,019
Total operating expenses		41,961			336,735			295,155			—			673,851
Operating income (loss)		(43,796	)		61,732			58,738			(1,781	)		74,893
Interest expense, including amortization of original issue discounts and deferred financing costs		(148,518	)		(13,403	)		(6,488	)		18,557			(149,852	)
Other income (expense), net		(837	)		11,895			8,092			(18,557	)		593
Income (loss) before provision (benefit) for income taxes		(193,151	)		60,224			60,342			(1,781	)		(74,366	)
Provision (benefit) for income taxes		(73,171	)		29,968			24,877			(678	)		(19,004	)
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax		(119,980	)		30,256			35,465			(1,103	)		(55,362	)
Equity earnings (losses) of subsidiaries, net of tax		71,289			(1,173	)		—			(70,116	)		—
Equity earnings of unconsolidated entities, net of tax		814			—			6,715			(44	)		7,485
Net income (loss)		(47,877	)		29,083			42,180			(71,263	)		(47,877	)
Less: Net income attributable to non-controlling interests		—			—			242			—			242
Net income (loss) attributable to Alere Inc. and Subsidiaries		(47,877	)		29,083			41,938			(71,263	)		(48,119	)
Preferred stock dividends		(10,559	)		—			—			—			(10,559	)
Net income (loss) available to common stockholders	$	(58,436	)	$	29,083		$	41,938		$	(71,263	)	$	(58,678	)

28

CONSOLIDATING STATEMENT OF OPERATIONS

For the Six Months Ended June 30, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	430,235		$	571,744		$	(62,767	)	$	939,212
Services revenue		—			394,432			31,857			—			426,289
Net product sales and services revenue		—			824,667			603,601			(62,767	)		1,365,501
License and royalty revenue		—			13,894			5,148			(12,897	)		6,145
Net revenue		—			838,561			608,749			(75,664	)		1,371,646
Cost of net product sales		1,707			204,312			304,153			(62,120	)		448,052
Cost of services revenue		—			196,506			14,913			—			211,419
Cost of net product sales and services revenue		1,707			400,818			319,066			(62,120	)		659,471
Cost of license and royalty revenue		—			10			16,383			(12,897	)		3,496
Cost of net revenue		1,707			400,828			335,449			(75,017	)		662,967
Gross profit (loss)		(1,707	)		437,733			273,300			(647	)		708,679
Operating expenses:
Research and development		11,069			35,521			32,857			—			79,447
Sales and marketing		1,876			174,417			141,607			—			317,900
General and administrative		26,198			125,935			89,787			—			241,920
Total operating expenses		39,143			335,873			264,251			—			639,267
Operating income (loss)		(40,850	)		101,860			9,049			(647	)		69,412
Interest expense, including amortization of original issue discounts and deferred financing costs		(103,685	)		(22,013	)		(7,070	)		26,510			(106,258	)
Other income (expense), net		(4,086	)		25,231			21,007			(26,510	)		15,642
Income (loss) before provision (benefit) for income taxes		(148,621	)		105,078			22,986			(647	)		(21,204	)
Provision (benefit) for income taxes		(46,748	)		41,999			2,851			(46	)		(1,944	)
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax		(101,873	)		63,079			20,135			(601	)		(19,260	)
Equity earnings (losses) of subsidiaries, net of tax		88,877			(533	)		—			(88,344	)		—
Equity earnings of unconsolidated entities, net of tax		1,146			—			6,238			26			7,410
Net income (loss)		(11,850	)		62,546			26,373			(88,919	)		(11,850	)
Less: Net loss attributable to non-controlling interests		—			—			(149	)		—			(149	)
Net income (loss) attributable to Alere Inc. and Subsidiaries		(11,850	)		62,546			26,522			(88,919	)		(11,701	)
Preferred stock dividends		(10,588	)		—			—			—			(10,588	)
Net income (loss) available to common stockholders	$	(22,438	)	$	62,546		$	26,522		$	(88,919	)	$	(22,289	)

29

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME (LOSS)

For the Three Months Ended June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	(60,302	)	$	7,109	$	42,157		$	(49,266	)	$	(60,302	)
Other comprehensive loss, before tax:
Changes in cumulative translation adjustment		(652	)		—		(33,776	)		—			(34,428	)
Minimum pension liability adjustment		—			—		99			—			99
Other comprehensive loss, before tax		(652	)		—		(33,677	)		—			(34,329	)
Income tax provision (benefit) related to items of other comprehensive income		—			—		—			—			—
Other comprehensive loss, net of tax		(652	)		—		(33,677	)		—			(34,329	)
Comprehensive income (loss)		(60,954	)		7,109		8,480			(49,266	)		(94,631	)
Less: Comprehensive income attributable to non-controlling interests		—			—		267			—			267
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	(60,954	)	$	7,109	$	8,213		$	(49,266	)	$	(94,898	)

30

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME (LOSS)

For the Three Months Ended June 30, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	(12,879	)	$	35,192	$	3,992		$	(39,184	)	$	(12,879	)
Other comprehensive income (loss), before tax:
Changes in cumulative translation adjustment		(562	)		4		(34,142	)		(2,077	)		(36,777	)
Unrealized gains on available for sale securities		356			3		—			—			359
Unrealized losses on hedging instruments		—			—		(652	)		—			(652	)
Minimum pension liability adjustment		—			—		4			—			4
Other comprehensive income (loss), before tax		(206	)		7		(34,790	)		(2,077	)		(37,066	)
Income tax provision (benefit) related to items of other comprehensive income		—			—		—			—			—
Other comprehensive income (loss), net of tax		(206	)		7		(34,790	)		(2,077	)		(37,066	)
Comprehensive income (loss)		(13,085	)		35,199		(30,798	)		(41,261	)		(49,945	)
Less: Comprehensive income attributable to non-controlling interests		—			—		36			—			36
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	(13,085	)	$	35,199	$	(30,834	)	$	(41,261	)	$	(49,981	)

31

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME (LOSS)

For the Six Months Ended June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	(47,877	)	$	29,083	$	42,180		$	(71,263	)	$	(47,877	)
Other comprehensive loss, before tax:
Changes in cumulative translation adjustment		(853	)		—		(108,930	)		—			(109,783	)
Unrealized gains on hedging instruments		—			—		11			—			11
Minimum pension liability adjustment		—			—		704			—			704
Other comprehensive loss, before tax		(853	)		—		(108,215	)		—			(109,068	)
Income tax provision (benefit) related to items of other comprehensive income		—			—		—			—			—
Other comprehensive loss, net of tax		(853	)		—		(108,215	)		—			(109,068	)
Comprehensive income (loss)		(48,730	)		29,083		(66,035	)		(71,263	)		(156,945	)
Less: Comprehensive income attributable to non-controlling interests		—			—		242			—			242
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	(48,730	)	$	29,083	$	(66,277	)	$	(71,263	)	$	(157,187	)

32

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME (LOSS)

For the Six Months Ended June 30, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	(11,850	)	$	62,546		$	26,373		$	(88,919	)	$	(11,850	)
Other comprehensive income (loss), before tax:
Changes in cumulative translation adjustment		(233	)		(302	)		1,109			(1,412	)		(838	)
Unrealized gains on available for sale securities		785			5			—			—			790
Unrealized gains on hedging instruments		17			—			438			—			455
Minimum pension liability adjustment		—			—			(120	)		—			(120	)
Other comprehensive income (loss), before tax		569			(297	)		1,427			(1,412	)		287
Income tax provision (benefit) related to items of other comprehensive income		—			—			—			—			—
Other comprehensive income (loss), net of tax		569			(297	)		1,427			(1,412	)		287
Comprehensive income (loss)		(11,281	)		62,249			27,800			(90,331	)		(11,563	)
Less: Comprehensive loss attributable to non-controlling interests		—			—			(149	)		—			(149	)
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	(11,281	)	$	62,249		$	27,949		$	(90,331	)	$	(11,414	)

33

CONSOLIDATING BALANCE SHEET

June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries		Eliminations			Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	3,467		$	64,192	$	252,888	$	—		$	320,547
Restricted cash		6,248			2,309		1,362		—			9,919
Marketable securities		—			779		110		—			889
Accounts receivable, net of allowances		—			233,549		320,211		—			553,760
Inventories, net		—			163,592		217,256		(24,095	)		356,753
Deferred tax assets		10,418			37,369		9,614		3,448			60,849
Prepaid expenses and other current assets		3,945			33,942		68,509		(36	)		106,360
Intercompany receivables		322,759			650,991		58,348		(1,032,098	)		—
Total current assets		346,837			1,186,723		928,298		(1,052,781	)		1,409,077
Property, plant and equipment, net		2,638			290,341		237,944		(456	)		530,467
Goodwill		—			1,811,304		1,284,494		—			3,095,798
Other intangible assets with indefinite lives		—			12,900		44,446		—			57,346
Finite-lived intangible assets, net		9,672			1,047,346		754,933		—			1,811,951
Deferred financing costs, net and other non-current assets		61,992			10,261		17,192		(62	)		89,383
Investments in subsidiaries		4,359,116			279,981		3,562		(4,642,659	)		—
Investments in unconsolidated entities		30,201			—		52,345		13,651			96,197
Deferred tax assets		—			—		9,786		—			9,786
Intercompany notes receivable		1,632,819			747,564		58,687		(2,439,070	)		—
Total assets	$	6,443,275		$	5,386,420	$	3,391,687	$	(8,121,377	)	$	7,100,005
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt	$	45,000		$	626	$	4,913	$	—		$	50,539
Current portion of capital lease obligations		—			3,187		2,771		—			5,958
Accounts payable		8,848			75,709		93,995		—			178,552
Accrued expenses and other current liabilities		(387,789	)		581,594		232,155		(581	)		425,379
Intercompany payables		628,617			133,465		270,014		(1,032,096	)		—
Total current liabilities		294,676			794,581		603,848		(1,032,677	)		660,428
Long-term liabilities:
Long-term debt, net of current portion		3,792,478			224		15,600		—			3,808,302
Capital lease obligations, net of current portion		—			4,743		6,942		—			11,685
Deferred tax liabilities		(18,036	)		301,061		106,542		445			390,012
Other long-term liabilities		17,972			58,061		121,810		(62	)		197,781
Intercompany notes payables		328,613			1,591,479		518,978		(2,439,070	)		—
Total long-term liabilities		4,121,027			1,955,568		769,872		(2,438,687	)		4,407,780
Stockholders’ equity		2,027,572			2,636,271		2,013,742		(4,650,013	)		2,027,572
Non-controlling interests		—			—		4,225		—			4,225
Total equity		2,027,572			2,636,271		2,017,967		(4,650,013	)		2,031,797
Total liabilities and equity	$	6,443,275		$	5,386,420	$	3,391,687	$	(8,121,377	)	$	7,100,005

34

CONSOLIDATING BALANCE SHEET

December 31, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries		Eliminations			Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	3,623		$	67,449	$	257,274	$	—		$	328,346
Restricted cash		—			1,680		1,396		—			3,076
Marketable securities		—			787		117		—			904
Accounts receivable, net of allowances		—			241,050		283,282		—			524,332
Inventories, net		—			142,413		203,230		(8,522	)		337,121
Deferred tax assets		12,193			39,601		13,138		2,790			67,722
Prepaid expenses and other current assets		(20,636	)		99,271		66,634		(33	)		145,236
Intercompany receivables		298,812			1,254,727		55,847		(1,609,386	)		—
Total current assets		293,992			1,846,978		880,918		(1,615,151	)		1,406,737
Property, plant and equipment, net		2,679			293,260		239,082		(552	)		534,469
Goodwill		—			1,820,438		1,227,967		—			3,048,405
Other intangible assets with indefinite lives		—			14,600		21,851		—			36,451
Finite-lived intangible assets, net		24,701			1,132,656		676,868		—			1,834,225
Deferred financing costs, net and other non-current assets		78,522			10,341		20,065		(71	)		108,857
Investments in subsidiaries		4,114,478			222,175		73,940		(4,410,593	)		—
Investments in unconsolidated entities		33,979			—		56,512		—			90,491
Deferred tax assets		—			782		7,511		—			8,293
Intercompany notes receivable		1,724,650			722,552		1,278		(2,448,480	)		—
Total assets	$	6,273,001		$	6,063,782	$	3,205,992	$	(8,474,847	)	$	7,067,928
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt	$	45,000		$	349	$	14,883	$	—		$	60,232
Current portion of capital lease obligations		—			3,209		3,475		—			6,684
Accounts payable		7,993			76,256		85,725		—			169,974
Accrued expenses and other current liabilities		(388,830	)		586,116		214,659		(26	)		411,919
Intercompany payables		557,578			806,507		245,300		(1,609,385	)		—
Total current liabilities		221,741			1,472,437		564,042		(1,609,411	)		648,809
Long-term liabilities:
Long-term debt, net of current portion		3,617,068			374		11,233		—			3,628,675
Capital lease obligations, net of current portion		—			5,412		7,505		—			12,917
Deferred tax liabilities		(5,329	)		333,388		100,216		(87	)		428,188
Other long-term liabilities		17,678			72,890		76,138		(71	)		166,635
Intercompany notes payables		241,421			1,630,376		576,684		(2,448,481	)		—
Total long-term liabilities		3,870,838			2,042,440		771,776		(2,448,639	)		4,236,415
Stockholders’ equity		2,180,422			2,548,905		1,867,892		(4,416,797	)		2,180,422
Non-controlling interests		—			—		2,282		—			2,282
Total equity		2,180,422			2,548,905		1,870,174		(4,416,797	)		2,182,704
Total liabilities and equity	$	6,273,001		$	6,063,782	$	3,205,992	$	(8,474,847	)	$	7,067,928

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CONSOLIDATING STATEMENT OF CASH FLOWS

For the Six Months Ended June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Cash Flows from Operating Activities:
Net income (loss)	$	(47,877	)	$	29,083		$	42,180		$	(71,263	)	$	(47,877	)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Equity (earnings) losses of subsidiaries, net of tax		(71,289	)		1,173			—			70,116			—
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs		10,041			117			18			—			10,176
Depreciation and amortization		2,499			124,375			87,042			(12	)		213,904
Non-cash charges for sale of inventories revalued at the date of acquisition		—			—			1,172			—			1,172
Non-cash stock-based compensation expense		3,476			2,459			2,865			—			8,800
Impairment of inventory		—			26			—			—			26
Impairment of long-lived assets		—			2,815			—			—			2,815
Loss on sale of fixed assets		—			625			676			—			1,301
Equity earnings of unconsolidated entities, net of tax		(814	)		—			(6,715	)		44			(7,485	)
Deferred income taxes		(9,994	)		(24,534	)		(8,902	)		(622	)		(44,052	)
Loss on extinguishment of debt		35,603			—			—			—			35,603
Other non-cash items		5,202			(327	)		(5,602	)		—			(727	)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net		—			7,502			(45,828	)		—			(38,326	)
Inventories, net		—			(33,342	)		(20,640	)		1,878			(52,104	)
Prepaid expenses and other current assets		(64,581	)		66,399			1,008			(6,145	)		(3,319	)
Accounts payable		855			1,397			9,598			—			11,850
Accrued expenses and other current liabilities		12,197			(7,377	)		14,434			5,592			24,846
Other non-current liabilities		(1,890	)		(10,891	)		(5,569	)		506			(17,844	)
Intercompany payable (receivable)		160,040			(135,316	)		(24,724	)		—			—
Net cash provided by operating activities		33,468			24,184			41,013			94			98,759
Cash Flows from Investing Activities:
Increase in restricted cash		(6,170	)		(630	)		(43	)		—			(6,843	)
Purchases of property, plant and equipment		(277	)		(29,543	)		(40,775	)		5,978			(64,617	)
Proceeds from sale of property, plant and equipment		—			5,831			4,872			(6,063	)		4,640
Cash paid for acquisitions, net of cash acquired		(157,372	)		—			(8,591	)		—			(165,963	)
Cash received from equity method investments		—			—			10,574			—			10,574
(Increase) decrease in other assets		19,321			(1,650	)		(649	)		(9	)		17,013
Net cash used in investing activities		(144,498	)		(25,992	)		(34,612	)		(94	)		(205,196	)
Cash Flows from Financing Activities:
Cash paid for financing costs		(9,018	)		—			—			—			(9,018	)
Cash paid for contingent purchase price consideration		(26,430	)		—			(208	)		—			(26,638	)
Proceeds from issuance of common stock, net of issuance costs		7,772			—			—			—			7,772
Proceeds from issuance of long-term debt		425,000			1,019			9,448			—			435,467
Payments on long-term debt		(431,845	)		(890	)		(5,081	)		—			(437,816	)
Net proceeds (payments) under revolving credit facilities		175,000			—			(8,460	)		—			166,540
Cash paid for dividends		(10,646	)		—			—			—			(10,646	)
Excess tax benefits on exercised stock options		72			39			55			—			166
Principal payments on capital lease obligations		—			(1,626	)		(1,862	)		—			(3,488	)
Other		(18,953	)		—			—			—			(18,953	)
Net cash provided by (used in) financing activities		110,952			(1,458	)		(6,108	)		—			103,386
Foreign exchange effect on cash and cash equivalents		(78	)		9			(4,679	)		—			(4,748	)
Net decrease in cash and cash equivalents		(156	)		(3,257	)		(4,386	)		—			(7,799	)
Cash and cash equivalents, beginning of period		3,623			67,449			257,274			—			328,346
Cash and cash equivalents, end of period	$	3,467		$	64,192		$	252,888		$	—		$	320,547

36

CONSOLIDATING STATEMENT OF CASH FLOWS

For the Six Months Ended June 30, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Cash Flows from Operating Activities:
Net income (loss)	$	(11,850	)	$	62,546		$	26,373		$	(88,919	)	$	(11,850	)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Equity (earnings) losses of subsidiaries, net of tax		(88,877	)		533			—			88,344			—
Non-cash interest expense, including amortization of original issue discounts and deferred financing costs		10,568			110			53			—			10,731
Depreciation and amortization		3,195			130,725			77,656			46			211,622
Non-cash charges for sale of inventories revalued at the date of acquisition		—			1,400			3,281			—			4,681
Non-cash stock-based compensation expense		2,166			3,065			3,011			—			8,242
Impairment of inventory		—			5			—			—			5
Impairment of long-lived assets		—			219			—			—			219
(Gain) loss on sale of fixed assets		—			(5,900	)		28			—			(5,872	)
Equity earnings of unconsolidated entities, net of tax		(1,146	)		—			(6,238	)		(26	)		(7,410	)
Deferred income taxes		7,771			(25,088	)		(10,037	)		(46	)		(27,400	)
Other non-cash items		(883	)		—			—			—			(883	)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net		—			6,037			(11,468	)		—			(5,431	)
Inventories, net		—			2,783			(7,640	)		445			(4,412	)
Prepaid expenses and other current assets		(372,901	)		391,876			(2,126	)		17			16,866
Accounts payable		(786	)		3,340			(16,801	)		—			(14,247	)
Accrued expenses and other current liabilities		327,975			(321,909	)		(5,918	)		(514	)		(366	)
Other non-current liabilities		(6,781	)		(1,778	)		(177	)		471			(8,265	)
Intercompany payable (receivable)		231,769			(249,211	)		17,442			—			—
Net cash provided by (used in) operating activities		100,220			(1,247	)		67,439			(182	)		166,230
Cash Flows from Investing Activities:
Decrease in restricted cash		—			12			5,876			—			5,888
Purchases of property, plant and equipment		(1,028	)		(40,545	)		(28,788	)		900			(69,461	)
Proceeds from sale of property, plant and equipment		—			21,927			495			(745	)		21,677
Cash received (paid) for acquisitions, net of cash acquired		(296,189	)		1,469			(15,520	)		—			(310,240	)
Net cash received from equity method investments		490			—			6,066			—			6,556
Proceeds from sales of marketable securities		—			223			3			—			226
(Increase) decrease in other assets		(8,973	)		2,054			(822	)		27			(7,714	)
Net cash used in investing activities		(305,700	)		(14,860	)		(32,690	)		182			(353,068	)
Cash Flows from Financing Activities:
Cash paid for financing costs		(2,013	)		—			—			—			(2,013	)
Cash paid for contingent purchase price consideration		(6,500	)		—			—			—			(6,500	)
Proceeds from issuance of common stock, net of issuance costs		8,697			—			—			—			8,697
Proceeds from issuance of long-term debt		198,000			951			283			—			199,234
Payments on long-term debt		(22,000	)		(1,090	)		(6,794	)		—			(29,884	)
Net proceeds (payments) under revolving credit facilities		47,500			(2	)		(5,011	)		—			42,487
Payments on short-term debt		(6,240	)		—			—			—			(6,240	)
Cash paid for dividends		(10,646	)		—			—			—			(10,646	)
Excess tax benefits on exercised stock options		120			74			16			—			210
Principal payments on capital lease obligations		—			(881	)		(2,438	)		—			(3,319	)
Other		—			—			(2,577	)		—			(2,577	)
Net cash provided by (used in) financing activities		206,918			(948	)		(16,521	)		—			189,449
Foreign exchange effect on cash and cash equivalents		—			(78	)		2,033			—			1,955
Net increase (decrease) in cash and cash equivalents		1,438			(17,133	)		20,261			—			4,566
Cash and cash equivalents, beginning of period		12,451			95,212			191,510			—			299,173
Cash and cash equivalents, end of period	$	13,889		$	78,079		$	211,771		$	—		$	303,739

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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 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, our ability to improve our working capital and operating margins, our expectations with respect to Apollo, our integrated health information solutions technology platform, our ability to improve care and lower healthcare costs for both providers and patients, the effect of the Affordable Care Act and other initiatives to reduce healthcare expenses, the potential for divestitures of non-core assets and the effects of any such divestitures, 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, as amended, for the year ended December 31, 2012 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 greater control of their health at home, under the supervision of their healthcare providers, by combining near-patient diagnostics, health monitoring capabilities and health information solutions. A leading global provider of point-of-care diagnostics and services, we have developed a strong commercial presence in cardiology, infectious disease, toxicology, and diabetes. Our products and services help healthcare practitioners make earlier, more effective treatment decisions and improve outcomes for individuals living with chronic disease.

During 2012, we focused on completing the foundation for this business model by expanding our presence in toxicology and diabetes through acquisitions. Our toxicology group is now a full-service provider to a broad range of domestic and foreign employers in industries that require rigorous drug testing. We built a strong presence in diabetes from the ground up. Including the effect of acquisitions completed in early 2013, we now service more than 455,000 active diabetes customers. We believe that the strong foundation that we have built in diabetes, specifically in our mail-order diabetes testing supply business, provides us with a competitive advantage in dealing with the impact that Centers for Medicare and Medicaid Services’, or CMS’, competitive bidding program, which resulted in an approximately 70% reduction in reimbursement rates effective as of July 1, 2013, is projected to have on competition and pricing in the market for diabetes testing supplies.

Core to our strategy are health information solutions that enable diagnostic data to be fed directly into an information exchange that integrates the diagnostic data with other patient-related information in a single health record. In recent periods, we have focused on acquiring health information solutions that will supplement our internally developed information solutions, including Apollo, and improve our ability to execute our business strategy. We now offer a variety of connectivity tools, software-based analytics, clinical decision support tools, and health improvement programs that enable healthcare providers to initiate earlier interventions, personalize treatment plans, lower costs by reducing hospital readmissions, and measure improvements in outcomes at both a patient and population level.

We also continue to build momentum behind our next generation of novel diagnostic platforms that we expect will drive our growth in future years. With our novel molecular diagnostic platforms in the late stages of development and nearing launch, we have now begun to refocus our research and development efforts away from long-term projects towards product enhancements and menu expansion for our existing and recently launched platforms.

We are also focused on improving our operational efficiency, including reducing selling, general and administrative expense, in order to generate dependable, long-term cash flow. Additionally, with the foundation of our business essentially complete, we expect to consider divesting of non-core businesses. We expect to use our improved cash flow, as well as the proceeds from non-core divestitures, or portions thereof, to reduce our indebtedness without compromising our core businesses.

Financial Highlights

• Net revenue increased by $63.5 million, or 9%, to $764.0 million for the three months ended June 30, 2013, from $700.5 million for the three months ended June 30, 2012. Net revenue increased by $131.6 million, or 10%, to $1.5 billion for the six months ended June 30, 2013, from $1.4 billion for the six months ended June 30, 2012.

• Gross profit increased by $28.9 million, or 8%, to $384.5 million for the three months ended June 30, 2013, from $355.6 million for the three months ended June 30, 2012. Gross profit increased by $40.1 million, or 6%, to $748.7 million for the six months ended June 30, 2013, from $708.7 million for the six months ended June 30, 2012.

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• For the three months ended June 30, 2013, we generated a net loss available to common stockholders of $65.9 million, or $0.81 per diluted common share, compared to a net loss available to common stockholders of $18.2 million, or $0.23 per diluted common share, for the three months ended June 30, 2012. For the six months ended June 30, 2013, we generated a net loss available to common stockholders of $58.7 million, or $0.72 per diluted common share, compared to a net loss available to common stockholders of $22.3 million, or $0.28 per diluted common share, for the six months ended June 30, 2012.

• Net loss for the three and six months ended June 30, 2013 includes a $35.6 million loss on extinguishment of debt in connection with the repurchase of our 9% senior subordinated notes.

Results of Operations

Where discussed, results excluding the impact of foreign 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 $61.8 million, or 9%, to $759.1 million for the three months ended June 30, 2013, from $697.3 million for the three months ended June 30, 2012. Excluding the impact of currency translation, net product sales and services revenue for the three months ended June 30, 2013 increased by $65.4 million, or 9%, compared to the three months ended June 30, 2012. Total net product sales and services revenue increased by $128.8 million, or 9%, to $1.5 billion for the six months ended June 30, 2013, from $1.4 billion for the six months ended June 30, 2012. Excluding the impact of currency translation, net product sales and services revenue for the six months ended June 30, 2013 increased by $135.7 million, or 10%, compared to the six months ended June 30, 2012. Net product sales and services revenue by business segment for the three and six months ended June 30, 2013 and 2012 are as follows (in thousands):

	Three Months Ended June 30,				%			Six Months Ended June 30,				%
	2013		2012		Change			2013		2012		Change
Professional diagnostics	$	599,597	$	536,873		12	%	$	1,178,225	$	1,052,322		12	%
Health information solutions		134,775		138,590		(3	)%		268,982		269,374		—	%
Consumer diagnostics		24,748		21,817		13	%		47,098		43,805		8	%
Net product sales and services revenue	$	759,120	$	697,280		9	%	$	1,494,305	$	1,365,501		9	%

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 and six months ended June 30, 2013 and 2012 (in thousands):

	Three Months Ended June 30				%			Six Months Ended June 30,				%
	2013		2012		Change			2013		2012		Change
Cardiology	$	118,436	$	125,597		(6	)%	$	233,369	$	264,423		(12	)%
Infectious disease		157,706		137,821		14	%		347,550		288,837		20	%
Toxicology		165,884		159,922		4	%		314,933		281,662		12	%
Diabetes		74,905		36,797		104	%		124,988		64,958		92	%
Other		82,666		76,736		8	%		157,385		152,442		3	%
Professional diagnostics net product sales and services revenue	$	599,597	$	536,873		12	%	$	1,178,225	$	1,052,322		12	%

Net product sales and services revenue from our professional diagnostics business segment increased by $62.7 million, or 12%, to $599.6 million for the three months ended June 30, 2013, from $536.9 million for the three months ended June 30, 2012. Excluding the impact of currency translation, net product sales and services revenue from our professional diagnostics business segment increased by $66.7 million, or 12%, comparing the three months ended June 30, 2013 to the three months ended June 30, 2012. Revenue increased primarily as a result of acquisitions, which contributed an aggregate of $47.4 million of the non-currency-adjusted increase. Offsetting the increase in net product sales and services revenue was a decrease in our North American flu-related net product sales during the three months ended June 30, 2013, as compared to the three months ended June 30, 2012. Net product sales from our North American flu-related sales decreased approximately $2.2 million, from $4.2 million during the three months ended June 30 2012 to $2.0 million during the three months ended June 30, 2013. Net product sales and services revenue from our professional diagnostics business segment were negatively impacted by the FDA matters related to our Alere Triage^® meter-based products. Net product sales of meter-based Triage products in the U.S. totaled $19.3 million during the three months ended June 30, 2013, as compared to $40.6 million during the three months ended June 30, 2012. Excluding the impact of acquisitions, the

39

decrease in flu-related sales during the comparable periods and the impact of the reduction in net product sales from meter-based Triage products in the U.S., the currency-adjusted organic growth for our professional diagnostics net product sales and services revenue was approximately $42.8 million, or 9%, from the three months ended June 30, 2012 to the three months ended June 30, 2013.

Within our professional diagnostics business segment, net product sales and services revenue for our cardiology business decreased by approximately $7.2 million, or 6%, to $118.4 million for the three months ended June 30, 2013, from $125.6 million for the three months ended June 30, 2012, driven principally by the impact of the FDA review of certain of our meter-based Triage products in the U.S. Net product sales and services revenue for our infectious disease business increased by approximately $19.9 million, or 14%, to $157.7 million for the three months ended June 30, 2013, from $137.8 million for the three months ended June 30, 2012. The change was driven principally by an increase in malaria-related sales during the comparable periods. Net product sales and services revenue for our toxicology business increased by approximately $6.0 million, or 4%, to $165.9 million for the three months ended June 30, 2013, from $159.9 million for the three months ended June 30, 2012, with our recent acquisitions of eScreen, Inc., or eScreen, Amedica Biotech, Inc., or Amedica, and Branan Medical Corporation, or Branan, contributing a combined net $6.3 million of the non-currency adjusted increase. Offsetting the increase in net product sales and services revenue for our toxicology business contributed by acquisitions was a $7.4 million decrease in net product sales related to our Triage toxicology products. Net product sales and services revenue from our diabetes business increased by approximately $38.1 million, or 104%, to $74.9 million for the three months ended June 30, 2013, from $36.8 million for the three months ended June 30, 2012. Net product sales and services revenue from our diabetes business increased by approximately $38.1 million, or 104%, to $74.9 million for the three months ended June 30, 2013, from $36.8 million for the three months ended June 30, 2012. The increase was primarily the result of our recent acquisitions of NationsHealth, Discount Diabetics and the Liberty business, which contributed a combined net $36.3 million of the non-currency adjusted increase. Notwithstanding the growth in our diabetes business, in light of CMS’ reduced reimbursement rates for diabetes testing supplies that took effect in July 2013, we expect that revenues from our diabetes business will decline substantially in the third quarter of 2013.

Net product sales and services revenue from our professional diagnostics business segment increased by $125.9 million, or 12%, to $1.2 billion for the six months ended June 30, 2013, from $1.1 billion for the six months ended June 30, 2012. Excluding the impact of currency translation, net product sales and services revenue from our professional diagnostics business segment increased by $135.7 million, or 10%, comparing the six months ended June 30, 2013 to the six months ended June 30, 2012. Revenue increased primarily as a result of acquisitions, which contributed an aggregate of $109.4 million of the non-currency-adjusted increase. Contributing to the increase in net product sales and services revenue was an increase in our North American flu-related net product sales during the six months ended June 30, 2013, as compared to the six months ended June 30, 2012. Net product sales from our North American flu-related sales increased approximately $25.6 million, from $10.8 million during the six months ended June 30 2012 to $36.3 million during the six months ended June 30, 2013. Net product sales and services revenue from our professional diagnostics business segment were negatively impacted by the FDA matters related to our Alere Triage^® meter-based products. Net product sales of meter-based Triage products in the U.S. totaled $40.9 million during the six months ended June 30, 2013, as compared to $91.1 million during the six months ended June 30, 2012. Excluding the impact of acquisitions, the increase in flu-related sales during the comparable periods and the impact of the reduction in net product sales from meter-based Triage products in the U.S., the currency-adjusted organic growth for our professional diagnostics net product sales and services revenue was approximately $48.5 million, or 5%, from the six months ended June 30, 2012 to the six months ended June 30, 2013.

Within our professional diagnostics business segment, net product sales and services revenue for our cardiology business decreased by approximately $31.1 million, or 12%, to $233.4 million for the six months ended June 30, 2013, from $264.4 million for the six months ended June 30, 2012, driven principally by the impact of the FDA review of certain of our meter-based Triage products in the U.S. Net product sales and services revenue for our infectious disease business increased by approximately $58.7 million, or 20%, to $347.6 million for the six months ended June 30, 2013, from $288.8 million for the six months ended June 30, 2012. The change was driven principally by an increase in malaria-related sales during the comparable periods. Net product sales and services revenue for our toxicology business increased by approximately $33.3 million, or 12%, to $314.9 million for the six months ended June 30, 2013, from $281.7 million for the six months ended June 30, 2012, with our recent acquisitions of eScreen, Amedica, and Branan, contributing a combined net $48.0 million of the non-currency adjusted increase. Partially offsetting the increase in net product sales and services revenue for our toxicology business contributed by acquisitions was a $15.3 million decrease in net product sales related to our Triage toxicology products and a reduction in commercial pricing for our pain and rehab businesses which was implemented in the second quarter of 2012. Our diabetes business increased by approximately $60.0 million, or 92%, to $125.0 million for the six months ended June 30, 2013, from $65.0 million for the six months ended June 30, 2012. Our diabetes business increased by approximately $60.0 million, or 92%, to $125.0 million for the six months ended June 30, 2013, from $65.0 million for the six months ended June 30, 2012. The increase was primarily the result of our recent acquisitions of AmMed, NationsHealth, Discount Diabetics and the Liberty business, which contributed a combined net $52.3 million of the non-currency adjusted increase.

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Health Information Solutions

The following table summarizes our net product sales and services revenue from our health information solutions business segment by groups of similar products and services for the three and six months ended June 30, 2013 and 2012 (in thousands):

	Three Months Ended June 30,				%			Six Months Ended June 30,				%
	2013		2012		Change			2013		2012		Change
Disease and case management	$	52,578	$	54,512		(4	)%	$	106,704	$	107,894		(1	)%
Wellness		27,230		29,567		(8	)%		53,530		56,591		(5	)%
Women’s & children’s health		29,256		31,313		(7	)%		58,336		61,084		(4	)%
Patient self-testing services		25,711		23,198		11	%		50,412		43,805		15	%
Health information solutions net product sales and services revenue	$	134,775	$	138,590		(3	)%	$	268,982	$	269,374		—	%

Our health information solutions net product sales and services revenue decreased by $3.8 million, or 3%, to $134.8 million for the three months ended June 30, 2013, from $138.6 million for the three months ended June 30, 2012. Net product sales and services revenues from our disease and case management, wellness and women’s and children’s health businesses each decreased during the three months ended June 30, 2013, compared to the three months ended June 30, 2012, as we experienced customer terminations, lower state enrollments in wellness programs and lower revenue from homecare services in these businesses, respectively. Our patient self-testing services net product sales and services revenue increased approximately $2.5 million, or 11%, to $25.7 million for the three months ended June 30, 2013, from $23.2 million for the three months ended June 30, 2012, principally driven by an increase in our home coagulation monitoring programs resulting from a larger patient population and a simultaneous reduction in customer attrition rates.

Our health information solutions net product sales and services revenue was $269.0 million for the six months ended June 30, 2013, and was relatively flat compared to $269.4 million for the six months ended June 30, 2012. Net product sales and service revenue from our disease and case management, wellness and women’s and children’s health businesses each decreased during the six months ended June 30, 2013, compared to the six months ended June 30, 2012, as we experienced customer terminations, lower state enrollments in wellness programs and lower revenue from homecare services in these businesses, respectively. Our patient self-testing services net product sales and services revenue increased approximately $6.6 million, or 15%, to $50.4 million for the six months ended June 30, 2013, from $43.8 million for the six months ended June 30, 2012, principally driven by an increase in our home coagulation monitoring programs resulting from a larger patient population and a simultaneous reduction in customer attrition rates.

Consumer Diagnostics

Net product sales and services revenue from our consumer diagnostics business segment revenue increased by $2.9 million, or 13%, to $24.7 million for the three months ended June 30, 2013, from $21.8 million for the three months ended June 30, 2012. Net product sales by our 50/50 joint venture with P&G, or SPD, were $47.7 million during the three months ended June 30, 2013, as compared to $51.3 million during the three months ended June 30, 2012.

Net product sales and services revenue from our consumer diagnostics business segment revenue increased by $3.3 million, or 8%, to $47.1 million for the six months ended June 30, 2013, from $43.8 million for the six months ended June 30, 2012. Net product sales by our 50/50 joint venture with P&G, or SPD, were $90.8 million during the six months ended June 30, 2013, as compared to $97.4 million during the six months ended June 30, 2012.

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 increased by approximately $1.6 million, or 50%, to $4.9 million for the three months ended June 30, 2013, from $3.2 million for the three months ended June 30, 2012. The increase in royalty revenue for the three months ended June 30, 2013, compared to the three months ended June 30, 2012, is primarily a result of new licensing agreements and higher royalties earned under existing licensing agreements.

License and royalty revenue increased by approximately $2.8 million, or 45%, to $8.9 million for the six months ended June 30, 2013, from $6.1 million for the six months ended June 30, 2012. The increase in royalty revenue for the six months ended June 30, 2013, compared to the six months ended June 30, 2012, is primarily a result of new licensing agreements and higher royalties earned under existing licensing agreements.

Gross Profit and Margin. Gross profit increased by $28.9 million, or 8%, to $384.5 million for the three months ended June 30, 2013, from $355.6 million for the three months ended June 30, 2012. The increase in gross profit during the three months ended June 30, 2013, compared to the three months ended June 30, 2012, was largely attributed to the increase in net product sales and services revenue resulting from acquisitions.

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Gross profit increased by $40.1 million, or 6%, to $748.7 million for the six months ended June 30, 2013, from $708.7 million for the six months ended June 30, 2012. The increase in gross profit during the six months ended June 30, 2013, compared to the six months ended June 30, 2012, was largely attributed to the increase in net product sales and services revenue resulting from acquisitions.

Cost of net revenue included amortization expense of $17.1 million and $17.5 million for the three months ended June 30, 2013 and 2012, respectively. Included in the cost of net revenue for the three months ended June 30, 2013 was a $0.7 million non-cash charge relating to the write-up of inventory to fair value in connection with our acquisition of Epocal.

Cost of net revenue included amortization expense of $36.3 million and $33.2 million for the six months ended June 30, 2013 and 2012, respectively, and $1.2 million and $4.7 million of non-cash charges relating to the write-up of inventory to fair value in connection with certain acquisitions during the six months ended June 30, 2013 and 2012, respectively.

Overall gross margin for each of the three and six months ended June 30, 2013 was 50%, compared to 51% and 52% for the three and six months ended June 30, 2012, respectively.

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 $26.9 million, or 8%, to $381.1 million for the three months ended June 30, 2013, from $354.2 million for the three months ended June 30, 2012. Gross profit from net product sales and services revenue increased by $37.0 million, or 5%, to $743.1 million for the six months ended June 30, 2013, from $706.0 million for the six months ended June 30, 2012. Gross profit from net product sales and services revenue by business segment for the three and six months ended June 30, 2013 and 2012 is as follows (in thousands):

	Three Months Ended June 30,				%			Six Months Ended June 30,				%
	2013		2012		Change			2013		2012		Change
Professional diagnostics	$	314,864	$	285,861		10	%	$	615,039	$	576,770		7	%
Health information solutions		60,781		62,733		(3	)%		118,131		120,102		(2	)%
Consumer diagnostics		5,476		5,629		(3	)%		9,900		9,158		8	%
Gross profit from net product sales and services revenue	$	381,121	$	354,223		8	%	$	743,070	$	706,030		5	%

Professional Diagnostics

Gross profit from our professional diagnostics net product sales and services revenue increased by $29.0 million, or 10%, to $314.9 million for the three months ended June 30, 2013, compared to $285.9 million for the three months ended June 30, 2012, principally as a result of gross profit earned on revenue from acquired businesses, as discussed above. Gross profit was negatively impacted by a decrease in our U.S. meter-based Triage product sales, as discussed above. The FDA matters relating to our meter-based Triage products also resulted in incremental costs during the three months ended June 30, 2013, principally due to unfavorable manufacturing variances and the lost margin on the reduced volume of tests sold during the three months ended June 30, 2013, as compared to the three months ended June 30, 2012. Cost of professional diagnostics net product sales and services revenue during each of the three months ended June 30, 2013 and 2012, included a non-cash charge of $0.7 million relating to the write-up of inventory to fair value in connection with a recent acquisition. Reducing gross profit during the three months ended June 30, 2013 was $0.2 million in restructuring charges.

Gross profit from our professional diagnostics net product sales and services revenue increased by $38.3 million, or 7%, to $615.0 million for the six months ended June 30, 2013, compared to $576.8 million for the six months ended June 30, 2012, principally as a result of gross profit earned on revenue from acquired businesses, as discussed above. Gross profit was negatively impacted by a decrease in our U.S. meter-based Triage product sales and a reduction in commercial pricing for our pain and rehab businesses, as discussed above. The FDA matters relating to our meter-based Triage products also resulted in incremental costs during the six months ended June 30, 2013, principally due to unfavorable manufacturing variances and the lost margin on the reduced volume of tests sold during the six months ended June 30, 2013, as compared to the three months ended June 30, 2012. Cost of professional diagnostics net product sales and services revenue during the six months ended June 30, 2013 and 2012, included a non-cash charge of $1.2 million and $4.7 million, respectively, relating to the write-up of inventory to fair value in connection with certain acquisitions. Reducing gross profit during the six months ended June 30, 2013 and 2012 was $0.4 million and $0.6 million, respectively, in restructuring charges.

Cost of professional diagnostics net product sales and services revenue included amortization expense of $15.7 million and $15.5 million during the three months ended June 30, 2013 and 2012, respectively. Cost of professional diagnostics net product sales and services revenue included amortization expense of $33.1 million and $29.4 million during the six months ended June 30, 2013 and 2012, respectively.

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As a percentage of our professional diagnostics net product sales and services revenue, gross margin for the three and six months ended June 30, 2013 was 53% and 52%, respectively, compared to 53% and 55% for the three and six months ended June 30, 2012, respectively. Increased revenue from our recently acquired toxicology businesses, which contribute lower-than-segment-average gross margin, and a decrease in our U.S. meter-based Triage product sales, which contribute higher-than-segment-average gross margin, contributed to the decrease in gross margin in the six months ended June 30, 2013 from the six months ended June 30, 2012.

Health Information Solutions

Gross profit from our health information solutions net product sales and services revenue decreased by $2.0 million, or 3%, to $60.8 million for the three months ended June 30, 2013, compared to $62.7 million for the three months ended June 30, 2012. Reducing gross profit during the three months ended June 30, 2013 and 2012 was $0.6 million and $0.1 million in restructuring charges, respectively. Gross profit from our health information solutions net product sales and services revenue decreased by $2.0 million, or 2%, to $118.1 million for the six months ended June 30, 2013, compared to $120.1 million for the six months ended June 30, 2012. Reducing gross profit during the six months ended June 30, 2013 and 2012 was $1.0 million and $0.5 million in restructuring charges, respectively.

Cost of health information solutions net product sales and services revenue included amortization expense of $1.2 million and $1.6 million during the three months ended June 30, 2013 and 2012, respectively. Cost of health information solutions net product sales and services revenue included amortization expense of $2.7 million and $3.2 million during the six months ended June 30, 2013 and 2012, respectively.

As a percentage of our health information solutions net product sales and services revenue, gross margin for the three and six months ended June 30, 2013 was 45% and 44%, respectively, compared to 45% for both the three and six months ended June 30, 2012.

Consumer Diagnostics

Gross profit from our consumer diagnostics net product sales and services revenue decreased by $0.2 million, or 3%, to $5.5 million for the three months ended June 30, 2013, from $5.6 million for the three months ended June 30, 2012. Gross profit from our consumer diagnostics net product sales and services revenue increased by $0.7 million, or 8%, to $9.9 million for the six months ended June 30, 2013, compared to $9.2 million for the six months ended June 30, 2012. The increase in gross profit 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 six months ended June 30, 2012.

Cost of consumer diagnostics net product sales and services revenue included amortization expense of $0.2 million and $0.3 million during the three months ended June 30, 2013 and 2012, respectively. Cost of consumer diagnostics net product sales and services revenue included amortization expense of $0.5 million and $0.6 million during the six months ended June 30, 2013 and 2012, respectively.

As a percentage of our consumer diagnostics net product sales and services revenue, gross margin for the three and six months ended June 30, 2013 was 22% and 21%, respectively, compared to 26% and 21% for the three and six months ended June 30, 2012, respectively.

Research and Development Expense. Research and development expense was $40.5 million for the three months ended June 30, 2013, compared to $40.4 million for the three months ended June 30, 2012. Research and development expense during the three months ended June 30, 2013 is reported net of grant funding of $1.8 million arising from the research and development funding relationship with the Bill and Melinda Gates Foundation that we entered into in February 2013. Included in research and development expense for the three months ended June 30, 2013 were restructuring charges associated with our various restructuring plans to integrate our newly-acquired businesses totaling approximately $0.6 million. Restructuring charges included in research and development expense during the three months ended June 30, 2012 totaled approximately $14,000. Amortization expense of $1.2 million and $1.5 million was included in research and development expense for the three months ended June 30, 2013 and 2012, respectively.

Research and development expense increased by $2.5 million, or 3%, to $82.0 million for the six months ended June 30, 2013, from $79.4 million for the six months ended June 30, 2012. Research and development expense during the six months ended June 30, 2013 is reported net of grant funding of approximately $2.4 million arising from the research and development funding relationship with the Bill and Melinda Gates Foundation that we entered into in February 2013. Included in research and development expense for each of the six months ended June 30, 2013 and 2012 were restructuring charges totaling approximately $0.6 million associated with our various restructuring plans to integrate our newly-acquired businesses. Amortization expense of $2.5 million and $3.9 million was included in research and development expense for the three months ended June 30, 2013 and 2012, respectively.

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Research and development expense as a percentage of net revenue was 5% for both the three and six months ended June 30, 2013, compared to 6% for both the three and six months ended June 30, 2012.

Sales and Marketing Expense. Sales and marketing expense was $159.4 million for the three months ended June 30, 2013, compared to $159.3 million for the three months ended June 30, 2012. Amortization expense of $57.3 million and $60.4 million was included in sales and marketing expense for the three months ended June 30, 2013 and 2012, respectively. Restructuring charges associated with our various restructuring plans to integrate our newly-acquired businesses totaling approximately $0.2 million were included in sales and marketing expense for each of the three months ended June 30, 2013 and 2012.

Sales and marketing expense decreased by $2.0 million, or 1%, to $315.9 million for the six months ended June 30, 2013, from $317.9 million for the six months ended June 30, 2012. The decrease in sales and marketing expense was primarily driven by lower amortization expense during the six months ended June 30, 2013, compared to the six months ended June 30, 2012. Amortization expense of $110.9 million and $118.1 million was included in sales and marketing expense for the six months ended June 30, 2013 and 2012, respectively. Restructuring charges associated with our various restructuring plans to integrate our newly-acquired businesses totaling approximately $1.3 million and $1.0 million were included in sales and marketing expense for the six months ended June 30, 2013 and 2012, respectively.

Sales and marketing expense as a percentage of net revenue was 21% for each of the three and six months ended June 30, 2013, compared to 23% for each of the three and six months ended June 30, 2012, respectively.

General and Administrative Expense. General and administrative expense increased by approximately $18.7 million, or 15%, to $140.2 million for the three months ended June 30, 2013, from $121.5 million for the three months ended June 30, 2012. The increase in general and administrative expense relates primarily to additional spending related to newly-acquired businesses. During the three months ended June 30, 2013 and 2012, we recorded expense of $5.3 million and income of $6.7 million, respectively, in connection with fair value adjustments to acquisition-related contingent consideration obligations. Acquisition-related costs of $0.4 million and $3.8 million were included in general and administrative expense for the three months ended June 30, 2013 and 2012, respectively. Restructuring charges associated with our various restructuring plans to integrate our newly-acquired businesses totaling approximately $6.5 million and $1.1 million were included in general and administrative expense for the three months ended June 30, 2013 and 2012, respectively. Amortization expense of $3.5 million and $2.0 million was included in general and administrative expense for the three months ended June 30, 2013 and 2012, respectively.

General and administrative expense increased by approximately $34.1 million, or 14%, to $276.0 million for the six months ended June 30, 2013, from $241.9 million for the six months ended June 30, 2012. The increase in general and administrative expense relates primarily to additional spending related to newly-acquired businesses. During the six months ended June 30, 2013 and 2012, we recorded expense of $16.3 million and income of $1.6 million, respectively, in connection with fair value adjustments to acquisition-related contingent consideration obligations. Acquisition-related costs of $1.3 million and $5.3 million were included in general and administrative expense for the six months ended June 30, 2013 and 2012, respectively. Restructuring charges associated with our various restructuring plans to integrate our newly-acquired businesses totaling approximately $8.7 million and $4.2 million were included in general and administrative expense for the six months ended June 30, 2013 and 2012, respectively. Amortization expense of $5.4 million and $4.1 million was included in general and administrative expense for the six months ended June 30, 2013 and 2012, respectively.

General and administrative expense as a percentage of net revenue was 18% for each of the three and six months ended June 30, 2013, compared to 17% and 18% for the three and six months ended June 30, 2012, respectively.

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 $36.9 million, or 66%, to $92.5 million for the three months ended June 30, 2013, from $55.5 million for the three months ended June 30, 2012. The increase is principally due to a $35.6 million loss recorded in connection with the repurchase of our 9% senior subordinated notes during the three months ended June 30, 2013, along with higher interest expense recorded in connection with higher overall outstanding debt balances during the second quarter of 2013, compared to the overall outstanding debt balances during the second quarter of 2012.

Interest expense increased by $43.6 million, or 41%, to $149.9 million for the six months ended June 30, 2013, from $106.3 million for the six months ended June 30, 2012. The increase is principally due to a $35.6 million loss recorded in connection with the repurchase of our 9% senior subordinated notes during the six months ended June 30, 2013, along with higher interest expense recorded in connection with higher overall outstanding debt balances during the first half of 2013, compared to the overall outstanding debt balances during the first half of 2012.

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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 June 30,									Six Months Ended June 30,
	2013			2012			Change			2013			2012			Change
Interest income	$	780		$	503		$	277		$	1,803		$	1,065		$	738
Foreign exchange gains (losses), net		926			(5,423	)		6,349			459			(6,197	)		6,656
Other		(643	)		8,731			(9,374	)		(1,669	)		20,774			(22,443	)
Total other income (expense), net	$	1,063		$	3,811		$	(2,748	)	$	593		$	15,642		$	(15,049	)

Other income of $8.7 million for the three months ended June 30, 2012 includes a $7.2 million gain recorded on the sale of property and $1.4 million of income associated with legal settlements related to intellectual property litigation. Other income of $20.8 million for the six months ended June 30, 2012 includes a $13.5 million final royalty termination payment received from Quidel, a $7.2 million gain recorded on the sale of property and $1.4 million of income associated with legal settlements related to intellectual property litigation.

Provision (Benefit) for Income Taxes. The provision (benefit) for income taxes increased to a $17.9 million provision for the three months ended June 30, 2013, from a $0.5 million benefit for the three months ended June 30, 2012. Our effective tax rate is calculated based on projected income across many different jurisdictions and can change based on the location of income, losses and credits. The change in the effective tax rate, from the three months ended June 30, 2012 to the three months ended June 30, 2013, results primarily from changes in income, as well as the jurisdictional mix of that income, during the three months ended June 30, 2013, an increase to certain tax reserves under the principles of accounting for uncertain tax positions in accordance with ASC 740, Income Taxes, and increases in certain current and prior year tax losses not benefited.

The benefit for income taxes increased by $17.1 million to $19.0 million for the six months ended June 30, 2013, from a $1.9 million benefit for the six months ended June 30, 2012. The income tax benefits for the six months ended June 30, 2013 and 2012 relate to federal, foreign and state income tax provisions and benefits. The increase in the effective income tax rate and benefit for income taxes during the six months ended June 30, 2013, compared to the six months ended June 30, 2012, is primarily a result of changes in income and the jurisdictional mix of that income, the extension of the federal research and development tax credit for 2012, an increase to certain tax reserves under the principles of accounting for uncertain tax positions in accordance with ASC 740, Income Taxes, and increases in certain current and prior year tax losses not benefited.

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 (losses) in unconsolidated entities, net of tax for the three and six months ended June 30, 2013 reflects the following: (i) our 50% interest in SPD in the amount of $4.2 million and $6.7 million, respectively, (ii) our 40% interest in Vedalab S.A., or Vedalab, in the amount of $(0.1) million and $0.1 million, respectively, and (iii) our 49% interest in TechLab, Inc., or TechLab, in the amount of $0.5 million and $0.8 million, respectively. Equity earnings in unconsolidated entities, net of tax for the three and six months ended June 30, 2012 reflects the following: (i) our 50% interest in SPD in the amount of $3.3 million and $6.1 million, respectively, (ii) our 40% interest Vedalab in the amount of $0.1 million and $0.1 million, respectively, and (iii) our 49% interest in TechLab in the amount of $0.5 million and $1.2 million, respectively.

Net Loss Available to Common Stockholders. For the three months ended June 30, 2013, we generated a net loss available to common stockholders of $65.9 million, or $0.81 per diluted common share. For the three months ended June 30, 2012, we generated a net loss available to common stockholders of $18.2 million, or $0.23 per diluted common share. Net loss available to common stockholders reflects $5.3 million of preferred stock dividends paid during each of the three months ended June 30, 2013 and 2012. For the six months ended June 30, 2013, we generated a net loss available to common stockholders of $58.7 million, or $0.72 per diluted common share. For the six months ended June 30, 2012, we generated a net loss available to common stockholders of $22.3 million, or $0.28 per diluted common share. Net loss available to common stockholders reflects $10.6 million of preferred stock dividends paid during each of the six months ended June 30, 2013 and 2012. See Note 5 of the accompanying consolidated financial statements for the calculation of net 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 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, grow our business through new product and service offerings and divest of non-core businesses and assets. As of June 30, 2013, we had $320.5 million of cash and cash equivalents, of which $245.2 million was held by domestic subsidiaries and $75.3 million was held by foreign entities. As of June 30, 2012, we had $303.7 million of cash and cash equivalents, of which $93.8 million was held by domestic subsidiaries and $209.9 million was held by foreign entities. We do not plan to repatriate cash held by foreign entities due to adverse tax implications, including incremental U.S. tax liabilities and potential foreign withholding tax liabilities.

We may also utilize our secured credit facility 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 June 30, 2013, we had outstanding borrowings totaling $197.5 million under the $250.0 million revolving line of credit under our secured credit facility, with $52.5 million available to us for additional borrowings. 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 June 30, 2013, we had $3.9 billion in outstanding indebtedness comprised of $2.4 billion under our secured credit facility, including borrowings under our revolving line of credit, $450.0 million of 7.25% senior notes due 2018, $400.0 million of 8.625% senior subordinated notes due 2018, $425.0 million of 6.5% senior subordinated notes due 2020, and $150.0 million of 3% convertible senior subordinated notes due 2016.

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 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.

	Six Months Ended June 30,
Cash Flow Summary (in thousands)	2013			2012
Net cash provided by operating activities	$	98,759		$	166,230
Net cash used in investing activities		(205,196	)		(353,068	)
Net cash provided by financing activities		103,386			189,449
Foreign exchange effect on cash and cash equivalents		(4,748	)		1,955
Net increase (decrease) in cash and cash equivalents		(7,799	)		4,566
Cash and cash equivalents, beginning of period		328,346			299,173
Cash and cash equivalents, end of period	$	320,547		$	303,739

Summary of Changes in Cash Position

Cash and cash equivalents decreased $7.8 million during the six months ended June 30, 2013, compared to an increase of $4.6 million during the six months ended June 30, 2012. Our primary sources of cash during the six months ended June 30, 2013 included $98.8 million generated by our operating activities, $435.5 million of net proceeds received in connection with long-term debt issuances, which included $425.0 million of gross proceeds received in connection with the issuance of our 6.5% senior subordinated notes, $166.5 million of net proceeds under various revolving credit facilities, which included $190.0 million borrowed against our secured credit facility revolving line-of-credit, $10.6 million return of capital related to an equity investment, $7.8 million of cash received from common stock issuances under employee stock option and stock purchase plans, $4.6 million in proceeds from the sale

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of property and equipment and a $17.0 million decrease related to other assets. Our primary uses of cash during the six months ended June 30, 2013 were $437.8 million of cash payments on long-term debt, which included $400.0 million of cash payments related to the repurchase of our 9% senior subordinated notes, $166.0 million net cash paid for acquisitions, $64.6 million of capital expenditures, $26.6 million related to payments of acquisition-related contingent consideration obligations, $19.0 million related to tender offer consideration and call premium incurred in connection with the repurchase of our 9% senior subordinated notes, $10.6 million for cash dividends paid on our Series B Preferred Stock, $9.0 million related to the payment of debt-related financing costs and $3.5 million for payment of capital lease obligations. Fluctuations in foreign currencies negatively impacted our cash balance by $4.7 million during the six months ended June 30, 2013.

Our primary sources of cash during the six months ended June 30, 2012 included $166.2 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, $47.5 million borrowed against our secured credit facility revolving line of credit, $21.7 million of proceeds received from the sale of property, plant and equipment, $8.7 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 six months ended June 30, 2012 included $310.2 million net cash paid for acquisitions, $69.5 million of capital expenditures, $29.9 million related to the repayment of long-term debt obligations, $7.7 million related to an increase in other assets, $10.6 million for cash dividends paid on our Series B Preferred stock, $6.5 million paid for contingent purchase price consideration, $6.2 million related to the repayment of short-term debt obligations and $3.3 million for payment of capital lease obligations. Fluctuations in foreign currencies positively impacted our cash balance by $2.0 million during the six months ended June 30, 2012.

Cash Flows from Operating Activities

Net cash provided by operating activities during the six months ended June 30, 2013 was $98.8 million, which resulted from a net loss of $47.9 million and $74.9 million of cash utilized by changes in net working capital requirements during the period, offset by $221.5 million of non-cash items. The $221.5 million of non-cash items included, among other items, $213.9 million related to depreciation and amortization, $10.2 million of interest expense related to the amortization of deferred financing costs and original issue discounts, $8.8 million related to non-cash stock-based compensation, $34.9 million related to other non-cash items and a $1.2 million non-cash charge related to the write up of inventory to fair value in connection with the acquisition of Epocal, Inc., or Epocal, partially offset by a $44.1 million decrease related to changes in our deferred tax assets and liabilities, which resulted in part from amortization of intangible assets, and $7.5 million in equity earnings in unconsolidated entities, net of tax.

Net cash provided by operating activities during the six months ended June 30, 2012 was $166.2 million, which resulted from a net loss of $11.9 million, $193.9 million of non-cash items and $15.9 million of cash utilized by changes in net working capital requirements during the period. The $193.9 million of non-cash items included, among other items, $211.6 million related to depreciation and amortization, a $4.7 million non-cash charge relating to the write-up of inventory to fair value in connection with the acquisition of Axis-Shield, $10.7 million of interest expense related to the amortization of deferred financing costs and original issue discounts and $8.2 million related to stock-based compensation, partially offset by a $27.4 million decrease related to changes in our deferred tax assets and liabilities, which partially resulted from amortization of intangible assets, a $7.4 million decrease attributable to equity earnings in unconsolidated entities and a $5.9 million gain on the sale of property, plant and equipment.

Cash Flows from Investing Activities

Our investing activities during the six months ended June 30, 2013 utilized $205.2 million of cash, including $166.0 million net cash paid for acquisitions, $64.6 million of capital expenditures and an increase in our restricted cash balance of $6.8 million which was principally driven by $7.9 million of cash received from the Bill and Melinda Gates Foundation, partially offset by a $10.6 million return of capital related to an equity investment, $4.6 million of proceeds received from the sale of property and equipment and a $17.0 million decrease related to other assets.

Our investing activities during the six months ended June 30, 2012 utilized $353.1 million of cash, including $310.2 million net cash paid for acquisitions, $69.5 million of capital expenditures and $7.7 million related to an increase in other assets, offset by $21.7 million of proceeds received from the sale of property, plant and equipment and a $6.1 million return of capital from SPD.

Cash Flows from Financing Activities

Net cash provided by financing activities during the six months ended June 30, 2013 was $103.4 million. Financing activities providing cash during the six months ended June 30, 2013 primarily included $435.5 million of net proceeds received in connection with long-term debt issuances , which included $425.0 million of gross proceeds received in connection with the issuance of our 6.5% senior subordinated notes, $166.5 million of net proceeds under various revolving credit facilities, which included $190.0 million borrowed against our secured credit facility revolving line-of-credit, and $7.8 million of cash received from common stock issuances under employee stock option and stock purchase plans. We utilized $437.8 million of cash payments on long-term debt, which included $400.0 million of cash payments related to the repurchase of our 9% senior subordinated notes, $26.6 million for payments of acquisition-related contingent consideration obligations, $19.0 million related to tender offer consideration and call premium incurred in connection with the repurchase of our 9% senior subordinated notes, $10.6 million for dividend payments related to our Series B preferred stock, $9.0 million related to the payment of debt-related financing costs and $3.5 million for payment of capital lease obligations.

47

Net cash provided by financing activities during the six months ended June 30, 2012 was $189.4 million. Financing activities providing cash during the six months ended June 30, 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, $47.5 million borrowed against our secured credit facility revolving line of credit and $8.7 million of cash received from common stock issuances under employee stock option and stock purchase plans. We utilized approximately $29.9 million in connection with the repayment of long-term debt obligations, $6.2 million for the repayment of short-term debt obligations, $10.6 million for cash dividends paid on our Series B Preferred stock, $6.5 million paid for contingent purchase price consideration and $3.3 million for payment of capital lease obligations.

As of June 30, 2013, we had an aggregate of $17.6 million in outstanding capital lease obligations which are payable through 2018.

Income Taxes

As of December 31, 2012, we had approximately $60.6 million of domestic NOL and domestic capital loss carryforwards, approximately $981.1 million of state NOL carryforwards and $211.6 million of foreign NOL and foreign capital loss carryforwards, which either expire on various dates through 2032 or can be carried forward indefinitely. As of December 31, 2012, we had approximately $57.7 million of domestic research and development, foreign tax and alternative minimum tax credits which either expire on various dates through 2031 or can be carried forward indefinitely. These loss carryforwards and tax credits may be available to reduce future federal, state and foreign taxable income, if any, and are subject to review and possible adjustment by the appropriate tax authorities.

Furthermore, all domestic losses and credits are subject to the limitations imposed by Sections 382 and 383 of the Internal Revenue Code, 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%. Sections 382 and 383 impose an annual limitation on the use of these losses or credits 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 credits 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 June 30, 2013.

Contractual Obligations

The following summarizes our principal contractual obligations as of June 30, 2013 that have changed significantly since December 31, 2012 and the effects such obligations are expected to have on our liquidity and cash flow in future periods. Contractual obligations that were presented in our Annual Report on Form 10-K, as amended, for the year ended December 31, 2012, but omitted below, represent those that have not changed significantly since that date.

	Payments Due by Period (in thousands)
	Total		2013		2014-2015		2016-2017		Thereafter
Long-term debt obligations	$	3,860,451	$	34,812	$	97,407	$	2,450,855	$	1,277,377

With respect to our February 1, 2013 acquisition of Epocal, the terms of the acquisition agreement require us to pay earn-outs and management incentive payments upon successfully meeting certain product development and United States Food and Drug Administration regulatory approval milestones from the date of acquisition through December 31, 2018. The maximum amount of the earn-out payments is $90.5 million, of which $15.0 million was paid at the acquisition closing date. The maximum amount of the management incentive payments is $9.4 million.

Critical Accounting Policies

The discussion and analysis of our financial condition and results of operations are 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

48

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 December 31, 2012. 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, as amended for the year ended December 31, 2012.

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 Annual Report on Form 10-K, as amended, for the year ended December 31, 2012. There have been no material changes to our market risks or management of such risks since that date.

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 6. EXHIBITS

Exhibits:

Exhibit No.	Description
4.1	Fourteenth Supplemental Indenture to Indenture dated as of May 12, 2009 (to add the guarantees of Alere Informatics, Inc., Alere Wellogic, LLC, ATS Laboratories, Inc., Avee Laboratories Inc., eScreen, Inc., Global Analytical Development LLC, Ionian Technologies Inc., Pembrooke Occupational Health, Inc., Screen Tox, Inc., and Standing Stone, Inc.) dated as of April 3, 2013 among Alere Informatics, Inc., Alere Wellogic, LLC, ATS Laboratories, Inc., Avee Laboratories Inc., eScreen, Inc., Global Analytical Development LLC, Ionian Technologies Inc., Pembrooke Occupational Health, Inc., Screen Tox, Inc., and Standing Stone, Inc., as guarantors, the Company as issuer, the other guarantor subsidiaries named therein, as guarantors, and U.S. Bank National Association, as trustee (incorporated by reference to Exhibit 4.13 to Alere Informatics, Inc., Alere Wellogic, LLC, ATS Laboratories, Inc., Avee Laboratories Inc., eScreen, Inc., Global Analytical Development LLC, Ionian Technologies Inc., Pembrooke Occupational Health, Inc., Screen Tox, Inc., and Standing Stone, Inc.’s Registration Statement on Form 8-A, filed on April 3, 2013)
4.2	Fifteenth Supplemental Indenture to Indenture dated as of May 12, 2009 (to add the guarantees of Alere Informatics, Inc., Alere Wellogic, LLC, ATS Laboratories, Inc., Avee Laboratories Inc., eScreen, Inc., Global Analytical Development LLC, Ionian Technologies Inc., Pembrooke Occupational Health, Inc., Screen Tox, Inc., and Standing

49

Exhibit No.	Description
	Stone, Inc.) dated as of April 3, 2013 among Alere Informatics, Inc., Alere Wellogic, LLC, ATS Laboratories, Inc., Avee Laboratories Inc., eScreen, Inc., Global Analytical Development LLC, Ionian Technologies Inc., Pembrooke Occupational Health, Inc., Screen Tox, Inc., and Standing Stone, Inc., as guarantors, the Company as issuer, the other guarantor subsidiaries named therein, as guarantors, and U.S. Bank National Association, as trustee (incorporated by reference to Exhibit 4.2 to the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2013)
4.3	Sixteenth Supplemental Indenture to Indenture dated as of August 11, 2009 (to add the guarantees of Alere Informatics, Inc., Alere Wellogic, LLC, ATS Laboratories, Inc., Avee Laboratories Inc., eScreen, Inc., Global Analytical Development LLC, Ionian Technologies Inc., Pembrooke Occupational Health, Inc., Screen Tox, Inc., and Standing Stone, Inc.), dated as of April 3, 2013, by and among the Company, the subsidiary guarantors named therein and Bank of New York Mellon Trust Company, N.A., as trustee (incorporated by reference to Exhibit 4.6 of the Company’s Registration Statement on Form S-4 (File No. 333-187776))
4.4	Sixteenth Supplemental Indenture, dated as of May 24, 2013 to Indenture dated as of May 12, 2009 by and among the Company, the subsidiary guarantors named therein and U.S. Bank National Association, as trustee (incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K, event date May 23, 2013, filed May 30, 2013)
4.5	Form of 6.5% Senior Subordinated Notes due 2020 (included in Exhibit 4.4)
4.6	Registration Rights Agreement, dated as of May 24, 2013, by and among the Company, the guarantors named therein, and Goldman, Sachs & Co., Jefferies LLC and Credit Suisse Securities (USA) LLC, as representatives of the Initial Purchasers (incorporated by reference to Exhibit 4.3 to the Company’s Current Report on Form 8-K, event date May 23, 2013, filed May 30, 2013)
10.1	Purchase Agreement dated May 13, 2013 among Alere Inc., the subsidiary guarantors named therein and Goldman, Sachs & Co., Jefferies LLC and Credit Suisse Securities (USA) LLC, as Representatives of the Initial Purchasers (incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K, event date May 10, 2013, filed May 16, 2013)
*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 and Six Months Ended June 30, 2013 and 2012, (b) our Consolidated Statements of Comprehensive Income for the Three and Six Months Ended June 30, 2013 and 2012, (c) our Consolidated Balance Sheets as of June 30, 2013 and December 31, 2012, (d) our Consolidated Statements of Cash Flows for the Six Months Ended June 30, 2013 and 2012 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: August 8, 2013	/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(s) 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(s) 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: August 8, 2013	/S/ RON ZWANZIGER
	Ron Zwanziger Chairman, President and Chief Executive Officer

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(s) 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(s) 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: August 8, 2013	/S/ DAVID TEITEL
	David Teitel Chief Financial Officer

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 June 30, 2013 (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: August 8, 2013
	/S/ RON ZWANZIGER
	Ron Zwanziger Chief Executive Officer
Date: August 8, 2013
	/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.

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Guarantor Financial Information - Additional Information (Detail)	Jun. 30, 2013	May 24, 2013	Dec. 31, 2012	Jun. 30, 2012
7.25% Senior Notes [Member]
Debt Instrument [Line Items]
Interest rate of debt instrument	7.25%		7.25%	7.25%
8.625% Senior Subordinated Notes [Member]
Debt Instrument [Line Items]
Interest rate of debt instrument	8.625%		8.625%	8.625%
6.5% Senior Subordinated Notes [Member]
Debt Instrument [Line Items]
Interest rate of debt instrument	6.50%	6.50%	6.50%	6.50%
9% Senior Subordinated Notes [Member]
Debt Instrument [Line Items]
Interest rate of debt instrument	9.00%	9.00%	9.00%	9.00%

XML

Guarantor Financial Information - Consolidating Statement of Comprehensive Income (Loss) (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Condensed Financial Statements, Captions [Line Items]
Net income (loss)	$ (60,302)	$ (12,879)	$ (47,877)	$ (11,850)
Other comprehensive income (loss), before tax:
Changes in cumulative translation adjustment	(34,428)	(36,777)	(109,783)	(838)
Unrealized gains on available for sale securities		359		790
Unrealized gains on hedging instruments		(652)	11	455
Minimum pension liability adjustment	99	4	704	(120)
Other comprehensive income (loss), before tax	(34,329)	(37,066)	(109,068)	287
Income tax provision (benefit) related to items of other comprehensive income
Other comprehensive income (loss), net of tax	(34,329)	(37,066)	(109,068)	287
Comprehensive income (loss)	(94,631)	(49,945)	(156,945)	(11,563)
Less: Comprehensive income (loss) attributable to non-controlling interests	267	36	242	(149)
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	(94,898)	(49,981)	(157,187)	(11,414)
Issuer [Member]
Condensed Financial Statements, Captions [Line Items]
Net income (loss)	(60,302)	(12,879)	(47,877)	(11,850)
Other comprehensive income (loss), before tax:
Changes in cumulative translation adjustment	(652)	(562)	(853)	(233)
Unrealized gains on available for sale securities		356		785
Unrealized gains on hedging instruments				17
Other comprehensive income (loss), before tax	(652)	(206)	(853)	569
Income tax provision (benefit) related to items of other comprehensive income
Other comprehensive income (loss), net of tax	(652)	(206)	(853)	569
Comprehensive income (loss)	(60,954)	(13,085)	(48,730)	(11,281)
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	(60,954)	(13,085)	(48,730)	(11,281)
Guarantor Subsidiaries [Member]
Condensed Financial Statements, Captions [Line Items]
Net income (loss)	7,109	35,192	29,083	62,546
Other comprehensive income (loss), before tax:
Changes in cumulative translation adjustment		4		(302)
Unrealized gains on available for sale securities		3		5
Other comprehensive income (loss), before tax		7		(297)
Income tax provision (benefit) related to items of other comprehensive income
Other comprehensive income (loss), net of tax		7		(297)
Comprehensive income (loss)	7,109	35,199	29,083	62,249
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	7,109	35,199	29,083	62,249
Non-Guarantor Subsidiaries [Member]
Condensed Financial Statements, Captions [Line Items]
Net income (loss)	42,157	3,992	42,180	26,373
Other comprehensive income (loss), before tax:
Changes in cumulative translation adjustment	(33,776)	(34,142)	(108,930)	1,109
Unrealized gains on hedging instruments		(652)	11	438
Minimum pension liability adjustment	99	4	704	(120)
Other comprehensive income (loss), before tax	(33,677)	(34,790)	(108,215)	1,427
Income tax provision (benefit) related to items of other comprehensive income
Other comprehensive income (loss), net of tax	(33,677)	(34,790)	(108,215)	1,427
Comprehensive income (loss)	8,480	(30,798)	(66,035)	27,800
Less: Comprehensive income (loss) attributable to non-controlling interests	267	36	242	(149)
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	8,213	(30,834)	(66,277)	27,949
Eliminations [Member]
Condensed Financial Statements, Captions [Line Items]
Net income (loss)	(49,266)	(39,184)	(71,263)	(88,919)
Other comprehensive income (loss), before tax:
Changes in cumulative translation adjustment		(2,077)		(1,412)
Other comprehensive income (loss), before tax		(2,077)		(1,412)
Income tax provision (benefit) related to items of other comprehensive income
Other comprehensive income (loss), net of tax		(2,077)		(1,412)
Comprehensive income (loss)	(49,266)	(41,261)	(71,263)	(90,331)
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$ (49,266)	$ (41,261)	$ (71,263)	$ (90,331)

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Fair Value Measurements

6 Months Ended

Jun. 30, 2013

Fair Value Disclosures [Abstract]

Fair Value Measurements

(11) 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.

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.

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 following tables present information about our assets and liabilities that are measured at fair value on a recurring basis as of June 30, 2013 and December 31, 2012, and indicates the fair value hierarchy of the valuation techniques we utilized to determine such fair value (in thousands):

Description	June 30, 2013		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Unobservable Inputs (Level 3)
Assets:
Marketable securities	$	889	$	889	$	—	$	—
Total assets	$	889	$	889	$	—	$	—
Liabilities:
Contingent consideration obligations (1)	$	233,051	$	—	$	—	$	233,051
Total liabilities	$	233,051	$	—	$	—	$	233,051

Description	December 31, 2012		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Unobservable Inputs (Level 3)
Assets:
Marketable securities	$	904	$	904	$	—	$	—
Total assets	$	904	$	904	$	—	$	—
Liabilities:
Contingent consideration obligations (1)	$	176,172	$	—	$	—	$	176,172
Total liabilities	$	176,172	$	—	$	—	$	176,172

⁽¹⁾  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. Significant increases or decreases in any of these inputs could result in a significantly higher or lower fair value measurement. 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 six months ended June 30, 2013 were as follows (in thousands):

Fair value of contingent consideration obligations, January 1, 2013	$	176,172
Acquisition date fair value of contingent consideration obligations recorded		75,815
Net reclassifications		(12	)
Foreign currency		(460	)
Payments		(34,739	)
Present value accretion		3,402
Adjustments, net (income) expense		12,873
Fair value of contingent consideration obligations, June 30, 2013	$	233,051

At June 30, 2013 and December 31, 2012, 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 $3.9 billion and $3.9 billion, respectively, at June 30, 2013. The carrying amount and estimated fair value of our long-term debt were $3.7 billion at December 31, 2012. 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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Restructuring Plans - Aggregate Charges Associated with Restructuring Plans Recorded in Operating Income (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Restructuring Cost and Reserve [Line Items]
Restructuring charges			$ 10,165
Cost of Net Revenue [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	729	25	1,352	989
Research and Development [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	645	14	645	638
Sales and Marketing [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	159	200	1,258	1,027
General and Administrative [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	6,511	1,126	8,681	4,239
Operating Expenses [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	8,044	1,365	11,936	6,893
Interest Expense [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	62	50	117	110
Total Charges [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	$ 8,106	$ 1,415	$ 12,053	$ 7,003

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Consolidated Balance Sheets (USD $) In Thousands, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012
Current assets:
Cash and cash equivalents	$ 320,547	$ 328,346
Restricted cash	9,919	3,076
Marketable securities	889	904
Accounts receivable, net of allowances of $57,939 and $36,395 at June 30, 2013 and December 31, 2012, respectively	553,760	524,332
Inventories, net	356,753	337,121
Deferred tax assets	60,849	67,722
Prepaid expenses and other current assets	106,360	145,236
Total current assets	1,409,077	1,406,737
Property, plant and equipment, net	530,467	534,469
Goodwill	3,095,798	3,048,405
Other intangible assets with indefinite lives	57,346	36,451
Finite-lived intangible assets, net	1,811,951	1,834,225
Deferred financing costs, net, and other non-current assets	89,383	108,857
Investments in unconsolidated entities	96,197	90,491
Deferred tax assets	9,786	8,293
Total assets	7,100,005	7,067,928
Current liabilities:
Current portion of long-term debt	50,539	60,232
Current portion of capital lease obligations	5,958	6,684
Accounts payable	178,552	169,974
Accrued expenses and other current liabilities	425,379	411,919
Total current liabilities	660,428	648,809
Long-term liabilities:
Long-term debt, net of current portion	3,808,302	3,628,675
Capital lease obligations, net of current portion	11,685	12,917
Deferred tax liabilities	390,012	428,188
Other long-term liabilities	197,781	166,635
Total long-term liabilities	4,407,780	4,236,415
Commitments and contingencies (Note 16)
Stockholders' equity:
Series B preferred stock, $0.001 par value (liquidation preference: $709,763 at June 30, 2013 and December 31, 2012); Authorized: 2,300 shares; Issued: 2,065 shares at June 30, 2013 and December 31, 2012; Outstanding: 1,774 shares at June 30, 2013 and December 31, 2012	606,468	606,468
Common stock, $0.001 par value; Authorized: 200,000 shares; Issued: 89,036 shares at June 30, 2013 and 88,576 shares at December 31, 2012; Outstanding: 81,357 shares at June 30, 2013 and 80,897 shares at December 31, 2012	89	89
Additional paid-in capital	3,304,273	3,299,935
Accumulated deficit	(1,613,092)	(1,564,973)
Treasury stock, at cost, 7,679 shares at June 30, 2013 and December 31, 2012	(184,971)	(184,971)
Accumulated other comprehensive income (loss)	(85,195)	23,874
Total stockholders' equity	2,027,572	2,180,422
Non-controlling interests	4,225	2,282
Total equity	2,031,797	2,182,704
Total liabilities and equity	$ 7,100,005	$ 7,067,928

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Stock-based Compensation

6 Months Ended

Jun. 30, 2013

Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]

Stock-based Compensation

(4) Stock-based Compensation

We recorded stock-based compensation expense in our consolidated statements of operations for the three and six months ended June 30, 2013 and 2012, respectively, as follows (in thousands):

	Three Months Ended June 30,						Six Months Ended June 30,
	2013			2012			2013			2012
Cost of net revenue	$	278		$	263		$	510		$	532
Research and development		783			856			1,530			1,627
Sales and marketing		906			913			1,622			1,830
General and administrative		2,710			2,336			5,138			4,253
		4,677			4,368			8,800			8,242
Benefit for income taxes		(496	)		(874	)		(1,358	)		(1,415	)
	$	4,181		$	3,494		$	7,442		$	6,827

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Equity Investments

6 Months Ended

Jun. 30, 2013

Equity Method Investments And Joint Ventures [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

We have a 50/50 joint venture, called SPD, 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. We recorded earnings of $4.2 million and $6.7 million during the three and six months ended June 30, 2013, respectively, and losses of $3.3 million and $6.1 million during the three and six months ended June 30, 2012, 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 or losses, as applicable, for the respective periods.

(b) TechLab

We own 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. We recorded earnings of $0.5 million and $0.8 million during the three and six months ended June 30, 2013, respectively, and earnings of $0.5 million and $1.2 million during the three and six months ended June 30, 2012, 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):

	Three Months Ended June 30,				Six Months Ended June 30,
Combined Condensed Results of Operations:	2013		2012		2013		2012
Net revenue	$	54,669	$	58,308	$	103,824	$	110,833
Gross profit	$	35,591	$	35,585	$	72,704	$	70,764
Net income after taxes	$	9,429	$	7,691	$	15,006	$	14,684

Combined Condensed Balance Sheet:	June 30, 2013		December 31, 2012
Current assets	$	80,378	$	79,842
Non-current assets		37,211		38,991
Total assets	$	117,589	$	118,833
Current liabilities	$	36,842	$	45,084
Non-current liabilities		6,261		6,791
Total liabilities	$	43,103	$	51,875

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Financial Information by Segment - Performance of Our Operating Segments Based on Revenue and Operating Income (Loss) (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012	Dec. 31, 2012
Segment Reporting Information [Line Items]
Net revenue	$ 763,985	$ 700,517	$ 1,503,234	$ 1,371,646
Operating income (loss)	44,404	34,354	74,893	69,412
Depreciation and amortization			213,904	211,622
Non-cash charge associated with acquired inventory			1,172	4,681
Restructuring charge			10,165
Stock-based compensation			8,800	8,242
Assets	7,100,005		7,100,005		7,067,928
Operating Segments [Member]
Segment Reporting Information [Line Items]
Net revenue	763,985	700,517	1,503,234	1,371,646
Operating income (loss)	44,404	34,354	74,893	69,412
Depreciation and amortization	108,934	108,900	213,904	211,622
Non-cash charge associated with acquired inventory	711		1,172	4,681
Restructuring charge	8,044	1,365	11,936	6,893
Stock-based compensation	4,677	4,368	8,800	8,242
Assets	7,100,005		7,100,005		7,067,928
Professional Diagnostics [Member]
Segment Reporting Information [Line Items]
Net revenue	603,762	540,110	1,186,254	1,058,467
Professional Diagnostics [Member] | Operating Segments [Member]
Segment Reporting Information [Line Items]
Net revenue	603,762	540,110	1,186,254	1,058,467
Operating income (loss)	72,896	63,251	132,736	133,430
Depreciation and amortization	86,856	83,413	169,650	160,881
Non-cash charge associated with acquired inventory	711		1,172	4,681
Restructuring charge	1,740	817	3,129	5,611
Assets	6,254,068		6,254,068		6,214,847
Health Information Solutions [Member] | Operating Segments [Member]
Segment Reporting Information [Line Items]
Net revenue	134,775	138,590	268,982	269,374
Operating income (loss)	(11,759)	(12,666)	(25,652)	(32,022)
Depreciation and amortization	20,725	24,065	41,462	47,839
Restructuring charge	6,304	539	8,807	1,256
Assets	561,786		561,786		593,172
Consumer Diagnostics [Member] | Operating Segments [Member]
Segment Reporting Information [Line Items]
Net revenue	25,448	21,817	47,998	43,805
Operating income (loss)	3,404	2,699	5,684	3,064
Depreciation and amortization	1,080	1,178	2,233	2,437
Assets	199,423		199,423		192,748
Corporate and Other [Member] | Operating Segments [Member]
Segment Reporting Information [Line Items]
Operating income (loss)	(20,137)	(18,930)	(37,875)	(35,060)
Depreciation and amortization	273	244	559	465
Restructuring charge		9		26
Stock-based compensation	4,677	4,368	8,800	8,242
Assets	$ 84,728		$ 84,728		$ 67,161

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Restructuring Plans - Cash Activity for Restructuring Reserves (Detail) (USD $) In Thousands, unless otherwise specified	6 Months Ended
	Jun. 30, 2013
Restructuring Cost and Reserve [Line Items]
Restructuring Reserve, Beginning Balance	$ 6,218
Cash charges	10,165
Payments	(7,650)
Currency adjustments	(174)
Restructuring Reserve, Ending Balance	8,559
Severance-Related Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring Reserve, Beginning Balance	3,167
Cash charges	4,774
Payments	(5,462)
Currency adjustments	(166)
Restructuring Reserve, Ending Balance	2,313
Facility and Transition Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring Reserve, Beginning Balance	2,429
Cash charges	5,274
Payments	(2,042)
Currency adjustments	(8)
Restructuring Reserve, Ending Balance	5,653
Other Exit Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring Reserve, Beginning Balance	622
Cash charges	117
Payments	(146)
Restructuring Reserve, Ending Balance	$ 593

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Defined Benefit Pension Plan

6 Months Ended

Jun. 30, 2013

Compensation And Retirement Disclosure [Abstract]

Defined Benefit Pension Plan

(12) 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 June 30,						Six Months Ended June 30,
	2013			2012			2013			2012
Service cost	$	—		$	—		$	—		$	—
Interest cost		180			199			361			397
Expected return on plan assets		(154	)		(153	)		(309	)		(305	)
Amortization of prior service costs		102			104			205			208
Realized losses		—			—			—			—
Net periodic benefit cost	$	128		$	150		$	257		$	300

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Stockholders' Equity and Non-controlling Interests - Summary of Changes in Stockholders' Equity and Non-controlling Interests Comprising Total Equity (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Equity And Noncontrolling Interests [Line Items]
Equity, beginning of period			$ 2,182,704	$ 2,231,574
Exercise of common stock options, warrants and shares issued under employee stock purchase plan			7,772	8,697
Preferred stock dividends			(10,646)	(10,646)
Stock-based compensation related to grants of common stock options			8,800	8,242
Excess tax benefits on exercised stock options			(1,589)	(261)
Non-controlling interest from acquisition			1,701
Purchase of subsidiary shares from non-controlling interests				(35,079)
Net income (loss)	(60,302)	(12,879)	(47,877)	(11,850)
Total other comprehensive income (loss)	(34,329)	(37,066)	(109,068)	287
Equity, end of period	2,031,797	2,191,028	2,031,797	2,191,028
Issuer [Member]
Equity And Noncontrolling Interests [Line Items]
Equity, beginning of period			2,180,422	2,229,234
Exercise of common stock options, warrants and shares issued under employee stock purchase plan			7,772	8,697
Preferred stock dividends			(10,646)	(10,646)
Stock-based compensation related to grants of common stock options			8,800	8,242
Excess tax benefits on exercised stock options			(1,589)	(261)
Purchase of subsidiary shares from non-controlling interests				(35,079)
Net income (loss)			(48,119)	(11,701)
Total other comprehensive income (loss)			(109,068)	287
Equity, end of period	2,027,572	2,188,773	2,027,572	2,188,773
Non-controlling Interests [Member]
Equity And Noncontrolling Interests [Line Items]
Equity, beginning of period			2,282	2,340
Non-controlling interest from acquisition			1,701
Net income (loss)			242	(85)
Equity, end of period	$ 4,225	$ 2,255	$ 4,225	$ 2,255

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Guarantor Financial Information - Consolidating Statement of Cash Flows (Detail) (USD $) In Thousands, unless otherwise specified	6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012
Cash Flows from Operating Activities:
Net income (loss)	$ (47,877)	$ (11,850)
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 deferred financing costs	10,176	10,731
Depreciation and amortization	213,904	211,622
Non-cash charges for sale of inventories revalued at the date of acquisition	1,172	4,681
Non-cash stock-based compensation expense	8,800	8,242
Impairment of inventory	26	5
Impairment of long-lived assets	2,815	219
(Gain) loss on sale of fixed assets	1,301	(5,872)
Equity earnings of unconsolidated entities, net of tax	(7,485)	(7,410)
Deferred income taxes	(44,052)	(27,400)
Loss on extinguishment of debt	35,603
Other non-cash items	(727)	(883)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net	(38,326)	(5,431)
Inventories, net	(52,104)	(4,412)
Prepaid expenses and other current assets	(3,319)	16,866
Accounts payable	11,850	(14,247)
Accrued expenses and other current liabilities	24,846	(366)
Other non-current liabilities	(17,844)	(8,265)
Net cash provided by operating activities	98,759	166,230
Cash Flows from Investing Activities:
(Increase) decrease in restricted cash	(6,843)	5,888
Purchases of property, plant and equipment	(64,617)	(69,461)
Proceeds from sale of property, plant and equipment	4,640	21,677
Cash paid for acquisitions, net of cash acquired	(165,963)	(310,240)
Cash received from sales of marketable securities		226
Net cash received from equity method investments	10,574	6,556
(Increase) decrease in other assets	17,013	(7,714)
Net cash used in investing activities	(205,196)	(353,068)
Cash Flows from Financing Activities:
Cash paid for financing costs	(9,018)	(2,013)
Cash paid for contingent purchase price consideration	(26,638)	(6,500)
Proceeds from issuance of common stock, net of issuance costs	7,772	8,697
Proceeds from issuance of long-term debt	435,467	199,234
Payments on long-term debt	(437,816)	(29,884)
Net proceeds under revolving credit facilities	166,540	42,487
Payments on short-term debt		(6,240)
Cash paid for dividends	(10,646)	(10,646)
Excess tax benefits on exercised stock options	166	210
Principal payments on capital lease obligations	(3,488)	(3,319)
Other	(18,953)	(2,577)
Net cash provided by (used in) financing activities	103,386	189,449
Foreign exchange effect on cash and cash equivalents	(4,748)	1,955
Net increase (decrease) in cash and cash equivalents	(7,799)	4,566
Cash and cash equivalents, beginning of period	328,346	299,173
Cash and cash equivalents, end of period	320,547	303,739
Issuer [Member]
Cash Flows from Operating Activities:
Net income (loss)	(47,877)	(11,850)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Equity in earnings of subsidiaries, net of tax	(71,289)	(88,877)
Non-cash interest expense, including amortization of original issue discounts and deferred financing costs	10,041	10,568
Depreciation and amortization	2,499	3,195
Non-cash stock-based compensation expense	3,476	2,166
Equity earnings of unconsolidated entities, net of tax	(814)	(1,146)
Deferred income taxes	(9,994)	7,771
Loss on extinguishment of debt	35,603
Other non-cash items	5,202	(883)
Changes in assets and liabilities, net of acquisitions:
Prepaid expenses and other current assets	(64,581)	(372,901)
Accounts payable	855	(786)
Accrued expenses and other current liabilities	12,197	327,975
Other non-current liabilities	(1,890)	(6,781)
Intercompany payable (receivable)	160,040	231,769
Net cash provided by operating activities	33,468	100,220
Cash Flows from Investing Activities:
(Increase) decrease in restricted cash	(6,170)
Purchases of property, plant and equipment	(277)	(1,028)
Cash paid for acquisitions, net of cash acquired	(157,372)	(296,189)
Net cash received from equity method investments		490
(Increase) decrease in other assets	19,321	(8,973)
Net cash used in investing activities	(144,498)	(305,700)
Cash Flows from Financing Activities:
Cash paid for financing costs	(9,018)	(2,013)
Cash paid for contingent purchase price consideration	(26,430)	(6,500)
Proceeds from issuance of common stock, net of issuance costs	7,772	8,697
Proceeds from issuance of long-term debt	425,000	198,000
Payments on long-term debt	(431,845)	(22,000)
Net proceeds under revolving credit facilities	175,000	47,500
Payments on short-term debt		(6,240)
Cash paid for dividends	(10,646)	(10,646)
Excess tax benefits on exercised stock options	72	120
Other	(18,953)
Net cash provided by (used in) financing activities	110,952	206,918
Foreign exchange effect on cash and cash equivalents	(78)
Net increase (decrease) in cash and cash equivalents	(156)	1,438
Cash and cash equivalents, beginning of period	3,623	12,451
Cash and cash equivalents, end of period	3,467	13,889
Guarantor Subsidiaries [Member]
Cash Flows from Operating Activities:
Net income (loss)	29,083	62,546
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Equity in earnings of subsidiaries, net of tax	1,173	533
Non-cash interest expense, including amortization of original issue discounts and deferred financing costs	117	110
Depreciation and amortization	124,375	130,725
Non-cash charges for sale of inventories revalued at the date of acquisition		1,400
Non-cash stock-based compensation expense	2,459	3,065
Impairment of inventory	26	5
Impairment of long-lived assets	2,815	219
(Gain) loss on sale of fixed assets	625	(5,900)
Deferred income taxes	(24,534)	(25,088)
Other non-cash items	(327)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net	7,502	6,037
Inventories, net	(33,342)	2,783
Prepaid expenses and other current assets	66,399	391,876
Accounts payable	1,397	3,340
Accrued expenses and other current liabilities	(7,377)	(321,909)
Other non-current liabilities	(10,891)	(1,778)
Intercompany payable (receivable)	(135,316)	(249,211)
Net cash provided by operating activities	24,184	(1,247)
Cash Flows from Investing Activities:
(Increase) decrease in restricted cash	(630)	12
Purchases of property, plant and equipment	(29,543)	(40,545)
Proceeds from sale of property, plant and equipment	5,831	21,927
Cash paid for acquisitions, net of cash acquired		1,469
Cash received from sales of marketable securities		223
(Increase) decrease in other assets	(1,650)	2,054
Net cash used in investing activities	(25,992)	(14,860)
Cash Flows from Financing Activities:
Proceeds from issuance of long-term debt	1,019	951
Payments on long-term debt	(890)	(1,090)
Net proceeds under revolving credit facilities		(2)
Excess tax benefits on exercised stock options	39	74
Principal payments on capital lease obligations	(1,626)	(881)
Net cash provided by (used in) financing activities	(1,458)	(948)
Foreign exchange effect on cash and cash equivalents	9	(78)
Net increase (decrease) in cash and cash equivalents	(3,257)	(17,133)
Cash and cash equivalents, beginning of period	67,449	95,212
Cash and cash equivalents, end of period	64,192	78,079
Non-Guarantor Subsidiaries [Member]
Cash Flows from Operating Activities:
Net income (loss)	42,180	26,373
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 deferred financing costs	18	53
Depreciation and amortization	87,042	77,656
Non-cash charges for sale of inventories revalued at the date of acquisition	1,172	3,281
Non-cash stock-based compensation expense	2,865	3,011
(Gain) loss on sale of fixed assets	676	28
Equity earnings of unconsolidated entities, net of tax	(6,715)	(6,238)
Deferred income taxes	(8,902)	(10,037)
Other non-cash items	(5,602)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net	(45,828)	(11,468)
Inventories, net	(20,640)	(7,640)
Prepaid expenses and other current assets	1,008	(2,126)
Accounts payable	9,598	(16,801)
Accrued expenses and other current liabilities	14,434	(5,918)
Other non-current liabilities	(5,569)	(177)
Intercompany payable (receivable)	(24,724)	17,442
Net cash provided by operating activities	41,013	67,439
Cash Flows from Investing Activities:
(Increase) decrease in restricted cash	(43)	5,876
Purchases of property, plant and equipment	(40,775)	(28,788)
Proceeds from sale of property, plant and equipment	4,872	495
Cash paid for acquisitions, net of cash acquired	(8,591)	(15,520)
Cash received from sales of marketable securities	211	3
Net cash received from equity method investments	10,574	6,066
(Increase) decrease in other assets	(649)	(822)
Net cash used in investing activities	(34,612)	(32,690)
Cash Flows from Financing Activities:
Cash paid for contingent purchase price consideration	(208)
Proceeds from issuance of long-term debt	9,448	283
Payments on long-term debt	(5,081)	(6,794)
Net proceeds under revolving credit facilities	(8,460)	(5,011)
Excess tax benefits on exercised stock options	55	16
Principal payments on capital lease obligations	(1,862)	(2,438)
Other		(2,577)
Net cash provided by (used in) financing activities	(6,108)	(16,521)
Foreign exchange effect on cash and cash equivalents	(4,679)	2,033
Net increase (decrease) in cash and cash equivalents	(4,386)	20,261
Cash and cash equivalents, beginning of period	257,274	191,510
Cash and cash equivalents, end of period	252,888	211,771
Eliminations [Member]
Cash Flows from Operating Activities:
Net income (loss)	(71,263)	(88,919)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Equity in earnings of subsidiaries, net of tax	70,116	88,344
Depreciation and amortization	(12)	46
Equity earnings of unconsolidated entities, net of tax	44	(26)
Deferred income taxes	(622)	(46)
Changes in assets and liabilities, net of acquisitions:
Inventories, net	1,878	445
Prepaid expenses and other current assets	(6,145)	17
Accrued expenses and other current liabilities	5,592	(514)
Other non-current liabilities	506	471
Net cash provided by operating activities	94	(182)
Cash Flows from Investing Activities:
Purchases of property, plant and equipment	5,978	900
Proceeds from sale of property, plant and equipment	(6,063)	(745)
(Increase) decrease in other assets	(9)	27
Net cash used in investing activities	$ (94)	$ 182

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Long-Term Debt - Long-Term Debt Balances Outstanding (Detail) (USD $) In Thousands, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012	Jun. 30, 2013 A term loans [Member]	Dec. 31, 2012 A term loans [Member]	Jun. 30, 2013 B term loans [Member]	Dec. 31, 2012 B term loans [Member]	Jun. 30, 2013 Incremental B-1 Term Loans [Member]	Dec. 31, 2012 Incremental B-1 Term Loans [Member]	Jun. 30, 2013 Incremental B-2 Term Loans [Member]	Dec. 31, 2012 Incremental B-2 Term Loans [Member]	Jun. 30, 2013 Revolving Line of Credit [Member]	Dec. 31, 2012 Revolving Line of Credit [Member]	Jun. 30, 2013 7.25% Senior Notes [Member]	Dec. 31, 2012 7.25% Senior Notes [Member]	Dec. 31, 2012 7.875% Senior Notes [Member]	Dec. 31, 2012 9% Senior Subordinated Notes [Member]	Jun. 30, 2013 8.625% Senior Subordinated Notes [Member]	Dec. 31, 2012 8.625% Senior Subordinated Notes [Member]	Jun. 30, 2013 6.5% Senior Subordinated Notes [Member]	May 24, 2013 6.5% Senior Subordinated Notes [Member]	Jun. 30, 2013 3% Convertibles Senior Subordinated Notes [Member]	Dec. 31, 2012 3% Convertibles Senior Subordinated Notes [Member]	Jun. 30, 2013 Other Lines of Credit [Member]	Dec. 31, 2012 Other Lines of Credit [Member]	Jun. 30, 2013 Other [Member]	Dec. 31, 2012 Other [Member]
Debt Instrument [Line Items]
Long-term debt, Total	$ 3,858,841	$ 3,688,907	$ 855,313	$ 878,438	$ 908,813	$ 913,438	$ 246,250	$ 247,500	$ 195,891	$ 196,739	$ 197,500	$ 22,500	$ 450,000	$ 450,000	$ 1,809	$ 392,933	$ 400,000	$ 400,000	$ 425,000	$ 425,000	$ 150,000	$ 150,000	$ 405	$ 31,957	$ 29,669	$ 3,593
Less: Current portion	(50,539)	(60,232)
Long-term debt, after discount, Total	$ 3,808,302	$ 3,628,675

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Related Party Transactions (Tables)

6 Months Ended

Jun. 30, 2013

Related Party Transactions [Abstract]

Related Party Balances with SPD within Consolidated Balance Sheets

The following table summarizes our related party balances with SPD within our consolidated balance sheets (in thousands):

Balance Sheet Caption:	June 30, 2013		December 31, 2012
Accounts receivable, net of allowances	$	9,591	$	7,317
Prepaid expenses and other current assets	$	9,209	$	9,161
Deferred financing costs, net, and other non-current assets	$	12,134	$	14,629
Accounts payable	$	23,131	$	21,258
Accrued expenses and other current liabilities	$	1,119	$	—

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Inventories (Tables)

6 Months Ended

Jun. 30, 2013

Inventory Disclosure [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):

	June 30, 2013		December 31, 2012
Raw materials	$	108,032	$	99,498
Work-in-process		83,427		89,895
Finished goods		165,294		147,728
	$	356,753	$	337,121

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Recent Accounting Pronouncements (Policies)

6 Months Ended

Jun. 30, 2013

Accounting Changes And Error Corrections [Abstract]

Intangibles - Goodwill and Other

Recently Adopted Standards

Effective January 1, 2013, we adopted ASU No. 2012-02, Intangibles — Goodwill and Other (Topic 350): Testing Indefinite-Lived Intangible Assets for Impairment, or ASU 2012-02. ASU 2012-02 allows an entity the option to first assess qualitative factors to determine whether the existence of events and circumstances indicates that it is more likely than not that the indefinite-lived intangible asset is impaired. If an entity concludes that it is not more likely than not that the indefinite-lived intangible asset is impaired, then the entity is not required to take further action. However, if an entity concludes otherwise, then it is required to determine the fair value of the indefinite-lived intangible asset and perform the quantitative impairment test by comparing the fair value with the carrying amount. An entity also has the option to bypass the qualitative assessment for any indefinite-lived intangible asset in any period and proceed directly to performing the quantitative impairment test. An entity will be able to resume performing the qualitative assessment in any subsequent period. The adoption of this standard is not expected to have an impact on our financial position, results of operations, comprehensive income or cash flows.

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Net Loss Per Common Share - Potential Dilutive Securities Not Included in Calculation of Diluted Net Loss Per Common Share (Parenthetical) (Detail) (Convertible Shares Related to 3% Convertible Senior Subordinated Notes [Member])	Jun. 30, 2013	Jun. 30, 2012
Convertible Shares Related to 3% Convertible Senior Subordinated Notes [Member]
Dilutive Securities Included And Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Interest rate of debt instrument	3.00%	3.00%

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Derivative Financial Instruments (Tables)

6 Months Ended

Jun. 30, 2013

Derivative Instruments And Hedging Activities Disclosure [Abstract]

Summary of Effect of Derivative Instruments in Consolidated Statement of Operations and in Accumulated Other Comprehensive Loss

The following table summarizes the effect of derivative instruments in our accompanying consolidated statement of operations (in thousands):

Derivative Instruments	Location of Gain (Loss) Recognized in Income	Amount of  Loss Recognized During the  Three Months Ended June 30, 2012			Amount of  Gain Recognized During the  Six Months Ended June 30, 2012
Foreign currency forward contracts	Other comprehensive income (loss)	$	(652	)	$	455
Total gain (loss)	Other comprehensive income (loss)	$	(652	)	$	455

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Guarantor Financial Information (Tables)

6 Months Ended

Jun. 30, 2013

Text Block [Abstract]

Consolidating Statement of Operations

CONSOLIDATING STATEMENT OF OPERATIONS

For the Three Months Ended June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	208,925		$	365,328		$	(52,691	)	$	521,562
Services revenue		—			218,150			19,408			—			237,558
Net product sales and services revenue		—			427,075			384,736			(52,691	)		759,120
License and royalty revenue		—			2,770			5,072			(2,977	)		4,865
Net revenue		—			429,845			389,808			(55,668	)		763,985
Cost of net product sales		887			117,550			180,947			(46,195	)		253,189
Cost of services revenue		—			120,287			9,717			(5,194	)		124,810
Cost of net product sales and services revenue		887			237,837			190,664			(51,389	)		377,999
Cost of license and royalty revenue		—			18			4,458			(2,977	)		1,499
Cost of net revenue		887			237,855			195,122			(54,366	)		379,498
Gross profit (loss)		(887	)		191,990			194,686			(1,302	)		384,487
Operating expenses:
Research and development		6,229			16,157			18,114			—			40,500
Sales and marketing		1,413			81,203			76,806			—			159,422
General and administrative		14,477			74,174			51,510			—			140,161
Total operating expenses		22,119			171,534			146,430			—			340,083
Operating income (loss)		(23,006	)		20,456			48,256			(1,302	)		44,404
Interest expense, including amortization of original issue discounts and deferred financing costs		(91,660	)		(6,382	)		(3,071	)		8,660			(92,453	)
Other income (expense), net		(5,607	)		5,636			9,695			(8,661	)		1,063
Income (loss) before provision (benefit) for income taxes		(120,273	)		19,710			54,880			(1,303	)		(46,986	)
Provision (benefit) for income taxes		(10,360	)		12,042			16,750			(565	)		17,867
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax		(109,913	)		7,668			38,130			(738	)		(64,853	)
Equity earnings (losses) of subsidiaries, net of tax		49,045			(559	)		—			(48,486	)		—
Equity earnings of unconsolidated entities, net of tax		566			—			4,027			(42	)		4,551
Net income (loss)		(60,302	)		7,109			42,157			(49,266	)		(60,302	)
Less: Net income attributable to non-controlling interests		—			—			267			—			267
Net income (loss) attributable to Alere Inc. and Subsidiaries		(60,302	)		7,109			41,890			(49,266	)		(60,569	)
Preferred stock dividends		(5,309	)		—			—			—			(5,309	)
Net income (loss) available to common stockholders	$	(65,611	)	$	7,109		$	41,890		$	(49,266	)	$	(65,878	)

CONSOLIDATING STATEMENT OF OPERATIONS

For the Three Months Ended June 30, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	206,818		$	286,145		$	(29,538	)	$	463,425
Services revenue		—			217,717			16,138			—			233,855
Net product sales and services revenue		—			424,535			302,283			(29,538	)		697,280
License and royalty revenue		—			9,590			2,602			(8,955	)		3,237
Net revenue		—			434,125			304,885			(38,493	)		700,517
Cost of net product sales		857			98,110			152,555			(29,024	)		222,498
Cost of services revenue		—			112,863			7,696			—			120,559
Cost of net product sales and services revenue		857			210,973			160,251			(29,024	)		343,057
Cost of license and royalty revenue		—			5			10,802			(8,955	)		1,852
Cost of net revenue		857			210,978			171,053			(37,979	)		344,909
Gross profit (loss)		(857	)		223,147			133,832			(514	)		355,608
Operating expenses:
Research and development		5,873			18,039			16,535			—			40,447
Sales and marketing		819			88,080			70,423			—			159,322
General and administrative		14,567			61,291			45,627			—			121,485
Total operating expenses		21,259			167,410			132,585			—			321,254
Operating income (loss)		(22,116	)		55,737			1,247			(514	)		34,354
Interest expense, including amortization of original issue discounts and deferred financing costs		(53,969	)		(10,946	)		(3,816	)		13,200			(55,531	)
Other income (expense), net		3,988			15,803			(2,780	)		(13,200	)		3,811
Income (loss) before provision (benefit) for income taxes		(72,097	)		60,594			(5,349	)		(514	)		(17,366	)
Provision (benefit) for income taxes		(19,750	)		25,217			(5,839	)		(117	)		(489	)
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax		(52,347	)		35,377			490			(397	)		(16,877	)
Equity earnings (losses) of subsidiaries, net of tax		38,982			(185	)		—			(38,797	)		—
Equity earnings of unconsolidated entities, net of tax		486			—			3,502			10			3,998
Net income (loss)		(12,879	)		35,192			3,992			(39,184	)		(12,879	)
Less: Net income attributable to non-controlling interests		—			—			36			—			36
Net income (loss) attributable to Alere Inc. and Subsidiaries		(12,879	)		35,192			3,956			(39,184	)		(12,915	)
Preferred stock dividends		(5,279	)		—			—			—			(5,279	)
Net income (loss) available to common stockholders	$	(18,158	)	$	35,192		$	3,956		$	(39,184	)	$	(18,194	)

CONSOLIDATING STATEMENT OF OPERATIONS

For the Six Months Ended June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	442,418		$	686,225		$	(98,805	)	$	1,029,838
Services revenue		—			424,321			40,146			—			464,467
Net product sales and services revenue		—			866,739			726,371			(98,805	)		1,494,305
License and royalty revenue		—			5,805			8,605			(5,481	)		8,929
Net revenue		—			872,544			734,976			(104,286	)		1,503,234
Cost of net product sales		1,835			238,144			354,163			(87,875	)		506,267
Cost of services revenue		—			235,898			18,219			(9,149	)		244,968
Cost of net product sales and services revenue		1,835			474,042			372,382			(97,024	)		751,235
Cost of license and royalty revenue		—			35			8,701			(5,481	)		3,255
Cost of net revenue		1,835			474,077			381,083			(102,505	)		754,490
Gross profit (loss)		(1,835	)		398,467			353,893			(1,781	)		748,744
Operating expenses:
Research and development		10,652			33,537			37,765			—			81,954
Sales and marketing		2,805			164,041			149,032			—			315,878
General and administrative		28,504			139,157			108,358			—			276,019
Total operating expenses		41,961			336,735			295,155			—			673,851
Operating income (loss)		(43,796	)		61,732			58,738			(1,781	)		74,893
Interest expense, including amortization of original issue discounts and deferred financing costs		(148,518	)		(13,403	)		(6,488	)		18,557			(149,852	)
Other income (expense), net		(837	)		11,895			8,092			(18,557	)		593
Income (loss) before provision (benefit) for income taxes		(193,151	)		60,224			60,342			(1,781	)		(74,366	)
Provision (benefit) for income taxes		(73,171	)		29,968			24,877			(678	)		(19,004	)
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax		(119,980	)		30,256			35,465			(1,103	)		(55,362	)
Equity earnings (losses) of subsidiaries, net of tax		71,289			(1,173	)		—			(70,116	)		—
Equity earnings of unconsolidated entities, net of tax		814			—			6,715			(44	)		7,485
Net income (loss)		(47,877	)		29,083			42,180			(71,263	)		(47,877	)
Less: Net income attributable to non-controlling interests		—			—			242			—			242
Net income (loss) attributable to Alere Inc. and Subsidiaries		(47,877	)		29,083			41,938			(71,263	)		(48,119	)
Preferred stock dividends		(10,559	)		—			—			—			(10,559	)
Net income (loss) available to common stockholders	$	(58,436	)	$	29,083		$	41,938		$	(71,263	)	$	(58,678	)

CONSOLIDATING STATEMENT OF OPERATIONS

For the Six Months Ended June 30, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	430,235		$	571,744		$	(62,767	)	$	939,212
Services revenue		—			394,432			31,857			—			426,289
Net product sales and services revenue		—			824,667			603,601			(62,767	)		1,365,501
License and royalty revenue		—			13,894			5,148			(12,897	)		6,145
Net revenue		—			838,561			608,749			(75,664	)		1,371,646
Cost of net product sales		1,707			204,312			304,153			(62,120	)		448,052
Cost of services revenue		—			196,506			14,913			—			211,419
Cost of net product sales and services revenue		1,707			400,818			319,066			(62,120	)		659,471
Cost of license and royalty revenue		—			10			16,383			(12,897	)		3,496
Cost of net revenue		1,707			400,828			335,449			(75,017	)		662,967
Gross profit (loss)		(1,707	)		437,733			273,300			(647	)		708,679
Operating expenses:
Research and development		11,069			35,521			32,857			—			79,447
Sales and marketing		1,876			174,417			141,607			—			317,900
General and administrative		26,198			125,935			89,787			—			241,920
Total operating expenses		39,143			335,873			264,251			—			639,267
Operating income (loss)		(40,850	)		101,860			9,049			(647	)		69,412
Interest expense, including amortization of original issue discounts and deferred financing costs		(103,685	)		(22,013	)		(7,070	)		26,510			(106,258	)
Other income (expense), net		(4,086	)		25,231			21,007			(26,510	)		15,642
Income (loss) before provision (benefit) for income taxes		(148,621	)		105,078			22,986			(647	)		(21,204	)
Provision (benefit) for income taxes		(46,748	)		41,999			2,851			(46	)		(1,944	)
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax		(101,873	)		63,079			20,135			(601	)		(19,260	)
Equity earnings (losses) of subsidiaries, net of tax		88,877			(533	)		—			(88,344	)		—
Equity earnings of unconsolidated entities, net of tax		1,146			—			6,238			26			7,410
Net income (loss)		(11,850	)		62,546			26,373			(88,919	)		(11,850	)
Less: Net loss attributable to non-controlling interests		—			—			(149	)		—			(149	)
Net income (loss) attributable to Alere Inc. and Subsidiaries		(11,850	)		62,546			26,522			(88,919	)		(11,701	)
Preferred stock dividends		(10,588	)		—			—			—			(10,588	)
Net income (loss) available to common stockholders	$	(22,438	)	$	62,546		$	26,522		$	(88,919	)	$	(22,289	)

Consolidating Statement of Comprehensive Income

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME (LOSS)

For the Three Months Ended June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	(60,302	)	$	7,109	$	42,157		$	(49,266	)	$	(60,302	)
Other comprehensive loss, before tax:
Changes in cumulative translation adjustment		(652	)		—		(33,776	)		—			(34,428	)
Minimum pension liability adjustment		—			—		99			—			99
Other comprehensive loss, before tax		(652	)		—		(33,677	)		—			(34,329	)
Income tax provision (benefit) related to items of other comprehensive income		—			—		—			—			—
Other comprehensive loss, net of tax		(652	)		—		(33,677	)		—			(34,329	)
Comprehensive income (loss)		(60,954	)		7,109		8,480			(49,266	)		(94,631	)
Less: Comprehensive income attributable to non-controlling interests		—			—		267			—			267
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	(60,954	)	$	7,109	$	8,213		$	(49,266	)	$	(94,898	)

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME (LOSS)

For the Three Months Ended June 30, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	(12,879	)	$	35,192	$	3,992		$	(39,184	)	$	(12,879	)
Other comprehensive income (loss), before tax:
Changes in cumulative translation adjustment		(562	)		4		(34,142	)		(2,077	)		(36,777	)
Unrealized gains on available for sale securities		356			3		—			—			359
Unrealized losses on hedging instruments		—			—		(652	)		—			(652	)
Minimum pension liability adjustment		—			—		4			—			4
Other comprehensive income (loss), before tax		(206	)		7		(34,790	)		(2,077	)		(37,066	)
Income tax provision (benefit) related to items of other comprehensive income		—			—		—			—			—
Other comprehensive income (loss), net of tax		(206	)		7		(34,790	)		(2,077	)		(37,066	)
Comprehensive income (loss)		(13,085	)		35,199		(30,798	)		(41,261	)		(49,945	)
Less: Comprehensive income attributable to non-controlling interests		—			—		36			—			36
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	(13,085	)	$	35,199	$	(30,834	)	$	(41,261	)	$	(49,981	)

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME (LOSS)

For the Six Months Ended June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	(47,877	)	$	29,083	$	42,180		$	(71,263	)	$	(47,877	)
Other comprehensive loss, before tax:
Changes in cumulative translation adjustment		(853	)		—		(108,930	)		—			(109,783	)
Unrealized gains on hedging instruments		—			—		11			—			11
Minimum pension liability adjustment		—			—		704			—			704
Other comprehensive loss, before tax		(853	)		—		(108,215	)		—			(109,068	)
Income tax provision (benefit) related to items of other comprehensive income		—			—		—			—			—
Other comprehensive loss, net of tax		(853	)		—		(108,215	)		—			(109,068	)
Comprehensive income (loss)		(48,730	)		29,083		(66,035	)		(71,263	)		(156,945	)
Less: Comprehensive income attributable to non-controlling interests		—			—		242			—			242
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	(48,730	)	$	29,083	$	(66,277	)	$	(71,263	)	$	(157,187	)

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME (LOSS)

For the Six Months Ended June 30, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	(11,850	)	$	62,546		$	26,373		$	(88,919	)	$	(11,850	)
Other comprehensive income (loss), before tax:
Changes in cumulative translation adjustment		(233	)		(302	)		1,109			(1,412	)		(838	)
Unrealized gains on available for sale securities		785			5			—			—			790
Unrealized gains on hedging instruments		17			—			438			—			455
Minimum pension liability adjustment		—			—			(120	)		—			(120	)
Other comprehensive income (loss), before tax		569			(297	)		1,427			(1,412	)		287
Income tax provision (benefit) related to items of other comprehensive income		—			—			—			—			—
Other comprehensive income (loss), net of tax		569			(297	)		1,427			(1,412	)		287
Comprehensive income (loss)		(11,281	)		62,249			27,800			(90,331	)		(11,563	)
Less: Comprehensive loss attributable to non-controlling interests		—			—			(149	)		—			(149	)
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	(11,281	)	$	62,249		$	27,949		$	(90,331	)	$	(11,414	)

Consolidating Balance Sheet

CONSOLIDATING BALANCE SHEET

June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries		Eliminations			Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	3,467		$	64,192	$	252,888	$	—		$	320,547
Restricted cash		6,248			2,309		1,362		—			9,919
Marketable securities		—			779		110		—			889
Accounts receivable, net of allowances		—			233,549		320,211		—			553,760
Inventories, net		—			163,592		217,256		(24,095	)		356,753
Deferred tax assets		10,418			37,369		9,614		3,448			60,849
Prepaid expenses and other current assets		3,945			33,942		68,509		(36	)		106,360
Intercompany receivables		322,759			650,991		58,348		(1,032,098	)		—
Total current assets		346,837			1,186,723		928,298		(1,052,781	)		1,409,077
Property, plant and equipment, net		2,638			290,341		237,944		(456	)		530,467
Goodwill		—			1,811,304		1,284,494		—			3,095,798
Other intangible assets with indefinite lives		—			12,900		44,446		—			57,346
Finite-lived intangible assets, net		9,672			1,047,346		754,933		—			1,811,951
Deferred financing costs, net and other non-current assets		61,992			10,261		17,192		(62	)		89,383
Investments in subsidiaries		4,359,116			279,981		3,562		(4,642,659	)		—
Investments in unconsolidated entities		30,201			—		52,345		13,651			96,197
Deferred tax assets		—			—		9,786		—			9,786
Intercompany notes receivable		1,632,819			747,564		58,687		(2,439,070	)		—
Total assets	$	6,443,275		$	5,386,420	$	3,391,687	$	(8,121,377	)	$	7,100,005
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt	$	45,000		$	626	$	4,913	$	—		$	50,539
Current portion of capital lease obligations		—			3,187		2,771		—			5,958
Accounts payable		8,848			75,709		93,995		—			178,552
Accrued expenses and other current liabilities		(387,789	)		581,594		232,155		(581	)		425,379
Intercompany payables		628,617			133,465		270,014		(1,032,096	)		—
Total current liabilities		294,676			794,581		603,848		(1,032,677	)		660,428
Long-term liabilities:
Long-term debt, net of current portion		3,792,478			224		15,600		—			3,808,302
Capital lease obligations, net of current portion		—			4,743		6,942		—			11,685
Deferred tax liabilities		(18,036	)		301,061		106,542		445			390,012
Other long-term liabilities		17,972			58,061		121,810		(62	)		197,781
Intercompany notes payables		328,613			1,591,479		518,978		(2,439,070	)		—
Total long-term liabilities		4,121,027			1,955,568		769,872		(2,438,687	)		4,407,780
Stockholders’ equity		2,027,572			2,636,271		2,013,742		(4,650,013	)		2,027,572
Non-controlling interests		—			—		4,225		—			4,225
Total equity		2,027,572			2,636,271		2,017,967		(4,650,013	)		2,031,797
Total liabilities and equity	$	6,443,275		$	5,386,420	$	3,391,687	$	(8,121,377	)	$	7,100,005

CONSOLIDATING BALANCE SHEET

December 31, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries		Eliminations			Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	3,623		$	67,449	$	257,274	$	—		$	328,346
Restricted cash		—			1,680		1,396		—			3,076
Marketable securities		—			787		117		—			904
Accounts receivable, net of allowances		—			241,050		283,282		—			524,332
Inventories, net		—			142,413		203,230		(8,522	)		337,121
Deferred tax assets		12,193			39,601		13,138		2,790			67,722
Prepaid expenses and other current assets		(20,636	)		99,271		66,634		(33	)		145,236
Intercompany receivables		298,812			1,254,727		55,847		(1,609,386	)		—
Total current assets		293,992			1,846,978		880,918		(1,615,151	)		1,406,737
Property, plant and equipment, net		2,679			293,260		239,082		(552	)		534,469
Goodwill		—			1,820,438		1,227,967		—			3,048,405
Other intangible assets with indefinite lives		—			14,600		21,851		—			36,451
Finite-lived intangible assets, net		24,701			1,132,656		676,868		—			1,834,225
Deferred financing costs, net and other non-current assets		78,522			10,341		20,065		(71	)		108,857
Investments in subsidiaries		4,114,478			222,175		73,940		(4,410,593	)		—
Investments in unconsolidated entities		33,979			—		56,512		—			90,491
Deferred tax assets		—			782		7,511		—			8,293
Intercompany notes receivable		1,724,650			722,552		1,278		(2,448,480	)		—
Total assets	$	6,273,001		$	6,063,782	$	3,205,992	$	(8,474,847	)	$	7,067,928
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt	$	45,000		$	349	$	14,883	$	—		$	60,232
Current portion of capital lease obligations		—			3,209		3,475		—			6,684
Accounts payable		7,993			76,256		85,725		—			169,974
Accrued expenses and other current liabilities		(388,830	)		586,116		214,659		(26	)		411,919
Intercompany payables		557,578			806,507		245,300		(1,609,385	)		—
Total current liabilities		221,741			1,472,437		564,042		(1,609,411	)		648,809
Long-term liabilities:
Long-term debt, net of current portion		3,617,068			374		11,233		—			3,628,675
Capital lease obligations, net of current portion		—			5,412		7,505		—			12,917
Deferred tax liabilities		(5,329	)		333,388		100,216		(87	)		428,188
Other long-term liabilities		17,678			72,890		76,138		(71	)		166,635
Intercompany notes payables		241,421			1,630,376		576,684		(2,448,481	)		—
Total long-term liabilities		3,870,838			2,042,440		771,776		(2,448,639	)		4,236,415
Stockholders’ equity		2,180,422			2,548,905		1,867,892		(4,416,797	)		2,180,422
Non-controlling interests		—			—		2,282		—			2,282
Total equity		2,180,422			2,548,905		1,870,174		(4,416,797	)		2,182,704
Total liabilities and equity	$	6,273,001		$	6,063,782	$	3,205,992	$	(8,474,847	)	$	7,067,928

Consolidating Statement of Cash Flows

CONSOLIDATING STATEMENT OF CASH FLOWS

For the Six Months Ended June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Cash Flows from Operating Activities:
Net income (loss)	$	(47,877	)	$	29,083		$	42,180		$	(71,263	)	$	(47,877	)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Equity (earnings) losses of subsidiaries, net of tax		(71,289	)		1,173			—			70,116			—
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs		10,041			117			18			—			10,176
Depreciation and amortization		2,499			124,375			87,042			(12	)		213,904
Non-cash charges for sale of inventories revalued at the date of acquisition		—			—			1,172			—			1,172
Non-cash stock-based compensation expense		3,476			2,459			2,865			—			8,800
Impairment of inventory		—			26			—			—			26
Impairment of long-lived assets		—			2,815			—			—			2,815
Loss on sale of fixed assets		—			625			676			—			1,301
Equity earnings of unconsolidated entities, net of tax		(814	)		—			(6,715	)		44			(7,485	)
Deferred income taxes		(9,994	)		(24,534	)		(8,902	)		(622	)		(44,052	)
Loss on extinguishment of debt		35,603			—			—			—			35,603
Other non-cash items		5,202			(327	)		(5,602	)		—			(727	)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net		—			7,502			(45,828	)		—			(38,326	)
Inventories, net		—			(33,342	)		(20,640	)		1,878			(52,104	)
Prepaid expenses and other current assets		(64,581	)		66,399			1,008			(6,145	)		(3,319	)
Accounts payable		855			1,397			9,598			—			11,850
Accrued expenses and other current liabilities		12,197			(7,377	)		14,434			5,592			24,846
Other non-current liabilities		(1,890	)		(10,891	)		(5,569	)		506			(17,844	)
Intercompany payable (receivable)		160,040			(135,316	)		(24,724	)		—			—
Net cash provided by operating activities		33,468			24,184			41,013			94			98,759
Cash Flows from Investing Activities:
Increase in restricted cash		(6,170	)		(630	)		(43	)		—			(6,843	)
Purchases of property, plant and equipment		(277	)		(29,543	)		(40,775	)		5,978			(64,617	)
Proceeds from sale of property, plant and equipment		—			5,831			4,872			(6,063	)		4,640
Cash paid for acquisitions, net of cash acquired		(157,372	)		—			(8,591	)		—			(165,963	)
Cash received from equity method investments		—			—			10,574			—			10,574
(Increase) decrease in other assets		19,321			(1,650	)		(649	)		(9	)		17,013
Net cash used in investing activities		(144,498	)		(25,992	)		(34,612	)		(94	)		(205,196	)
Cash Flows from Financing Activities:
Cash paid for financing costs		(9,018	)		—			—			—			(9,018	)
Cash paid for contingent purchase price consideration		(26,430	)		—			(208	)		—			(26,638	)
Proceeds from issuance of common stock, net of issuance costs		7,772			—			—			—			7,772
Proceeds from issuance of long-term debt		425,000			1,019			9,448			—			435,467
Payments on long-term debt		(431,845	)		(890	)		(5,081	)		—			(437,816	)
Net proceeds (payments) under revolving credit facilities		175,000			—			(8,460	)		—			166,540
Cash paid for dividends		(10,646	)		—			—			—			(10,646	)
Excess tax benefits on exercised stock options		72			39			55			—			166
Principal payments on capital lease obligations		—			(1,626	)		(1,862	)		—			(3,488	)
Other		(18,953	)		—			—			—			(18,953	)
Net cash provided by (used in) financing activities		110,952			(1,458	)		(6,108	)		—			103,386
Foreign exchange effect on cash and cash equivalents		(78	)		9			(4,679	)		—			(4,748	)
Net decrease in cash and cash equivalents		(156	)		(3,257	)		(4,386	)		—			(7,799	)
Cash and cash equivalents, beginning of period		3,623			67,449			257,274			—			328,346
Cash and cash equivalents, end of period	$	3,467		$	64,192		$	252,888		$	—		$	320,547

CONSOLIDATING STATEMENT OF CASH FLOWS

For the Six Months Ended June 30, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Cash Flows from Operating Activities:
Net income (loss)	$	(11,850	)	$	62,546		$	26,373		$	(88,919	)	$	(11,850	)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Equity (earnings) losses of subsidiaries, net of tax		(88,877	)		533			—			88,344			—
Non-cash interest expense, including amortization of original issue discounts and deferred financing costs		10,568			110			53			—			10,731
Depreciation and amortization		3,195			130,725			77,656			46			211,622
Non-cash charges for sale of inventories revalued at the date of acquisition		—			1,400			3,281			—			4,681
Non-cash stock-based compensation expense		2,166			3,065			3,011			—			8,242
Impairment of inventory		—			5			—			—			5
Impairment of long-lived assets		—			219			—			—			219
(Gain) loss on sale of fixed assets		—			(5,900	)		28			—			(5,872	)
Equity earnings of unconsolidated entities, net of tax		(1,146	)		—			(6,238	)		(26	)		(7,410	)
Deferred income taxes		7,771			(25,088	)		(10,037	)		(46	)		(27,400	)
Other non-cash items		(883	)		—			—			—			(883	)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net		—			6,037			(11,468	)		—			(5,431	)
Inventories, net		—			2,783			(7,640	)		445			(4,412	)
Prepaid expenses and other current assets		(372,901	)		391,876			(2,126	)		17			16,866
Accounts payable		(786	)		3,340			(16,801	)		—			(14,247	)
Accrued expenses and other current liabilities		327,975			(321,909	)		(5,918	)		(514	)		(366	)
Other non-current liabilities		(6,781	)		(1,778	)		(177	)		471			(8,265	)
Intercompany payable (receivable)		231,769			(249,211	)		17,442			—			—
Net cash provided by (used in) operating activities		100,220			(1,247	)		67,439			(182	)		166,230
Cash Flows from Investing Activities:
Decrease in restricted cash		—			12			5,876			—			5,888
Purchases of property, plant and equipment		(1,028	)		(40,545	)		(28,788	)		900			(69,461	)
Proceeds from sale of property, plant and equipment		—			21,927			495			(745	)		21,677
Cash received (paid) for acquisitions, net of cash acquired		(296,189	)		1,469			(15,520	)		—			(310,240	)
Net cash received from equity method investments		490			—			6,066			—			6,556
Proceeds from sales of marketable securities		—			223			3			—			226
(Increase) decrease in other assets		(8,973	)		2,054			(822	)		27			(7,714	)
Net cash used in investing activities		(305,700	)		(14,860	)		(32,690	)		182			(353,068	)
Cash Flows from Financing Activities:
Cash paid for financing costs		(2,013	)		—			—			—			(2,013	)
Cash paid for contingent purchase price consideration		(6,500	)		—			—			—			(6,500	)
Proceeds from issuance of common stock, net of issuance costs		8,697			—			—			—			8,697
Proceeds from issuance of long-term debt		198,000			951			283			—			199,234
Payments on long-term debt		(22,000	)		(1,090	)		(6,794	)		—			(29,884	)
Net proceeds (payments) under revolving credit facilities		47,500			(2	)		(5,011	)		—			42,487
Payments on short-term debt		(6,240	)		—			—			—			(6,240	)
Cash paid for dividends		(10,646	)		—			—			—			(10,646	)
Excess tax benefits on exercised stock options		120			74			16			—			210
Principal payments on capital lease obligations		—			(881	)		(2,438	)		—			(3,319	)
Other		—			—			(2,577	)		—			(2,577	)
Net cash provided by (used in) financing activities		206,918			(948	)		(16,521	)		—			189,449
Foreign exchange effect on cash and cash equivalents		—			(78	)		2,033			—			1,955
Net increase (decrease) in cash and cash equivalents		1,438			(17,133	)		20,261			—			4,566
Cash and cash equivalents, beginning of period		12,451			95,212			191,510			—			299,173
Cash and cash equivalents, end of period	$	13,889		$	78,079		$	211,771		$	—		$	303,739

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Business Combinations - Additional Information (Detail) (USD $)	3 Months Ended		6 Months Ended		12 Months Ended		6 Months Ended	1 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012	Dec. 31, 2012	Jun. 30, 2013 Cardio Selfcare [Member]	Jun. 30, 2013 Liberty Business [Member]	Feb. 01, 2013 Epocal [Member]	Jun. 30, 2013 Epocal [Member]	Jun. 30, 2013 Other [Member]
Business Acquisition [Line Items]
General and administrative expense related to acquisition	$ 400,000	$ 3,800,000	$ 1,300,000	$ 5,300,000
Preliminary aggregate purchase price					494,500,000			248,500,000		46,500,000
Total cash payments	208,835,000		208,835,000		418,902,000			173,500,000	173,461,000	35,374,000
Acquisition date fair value investment	75,809,000		75,809,000		75,620,000			75,000,000	75,000,000	809,000
Deferred purchase price consideration	618,000		618,000							618,000
Bargain purchase gain			8,062,000				8,100,000			8,062,000
Percentage of incremental ownership interest						51.00%
Total revenue related to acquisition	32,500,000	10,600,000	32,900,000	11,900,000
Goodwill	3,095,798,000	249,300,000	3,095,798,000	249,300,000	3,048,405,000				99,443,000	939,000
Goodwill deductible for tax purposes		$ 8,800,000		$ 8,800,000

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Business Combinations (Tables)

6 Months Ended

Jun. 30, 2013

Business Combinations [Abstract]

Preliminary Fair Values of Net Assets Acquired for Acquisitions

A summary of the preliminary fair values of the net assets acquired for the acquisitions consummated in 2013 is as follows (in thousands):

	Epocal		Other		Total
Current assets(1)	$	12,111	$	10,848	$	22,959
Property, plant and equipment		1,267		1,669		2,936
Goodwill		99,443		939		100,382
Intangible assets		164,400		41,468		205,868
Other non-current assets		17,610		29		17,639
Total assets acquired		294,831		54,953		349,784
Current liabilities		2,643		2,603		5,246
Non-current liabilities		43,727		5,804		49,531
Total liabilities assumed		46,370		8,407		54,777
Net assets acquired		248,461		46,546		295,007
Less:
Contingent consideration		75,000		809		75,809
Fair value of non-controlling interest		—		1,683		1,683
Bargain purchase gain		—		8,062		8,062
Deferred purchase price consideration		—		618		618
Cash paid	$	173,461	$	35,374	$	208,835

⁽¹⁾  Includes approximately $3.1 million of acquired cash.

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)	$	47,201
Property, plant and equipment		9,029
Goodwill		249,294
Intangible assets		325,223
Other non-current assets		8,662
Total assets acquired		639,409
Current liabilities		28,307
Non-current liabilities		116,580
Total liabilities assumed		144,887
Net assets acquired		494,522
Less:
Contingent consideration		75,620
Cash paid	$	418,902

⁽¹⁾  Includes approximately $3.8 million of acquired cash.

Intangible Assets Acquired and their Respective Fair Values and Weighted-Average Useful Lives

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

	Epocal		Other		Total		Weighted- average Useful Life
Core technology and patents	$	119,700	$	—	$	119,700		20.0 years
Software		—		515		515		10.0 years
Trademarks and trade names		20,500		10		20,510		19.2 years
Customer relationships		—		35,127		35,127		11.4 years
Other		—		5,816		5,816		3.0 years
In-process research and development		24,200		—		24,200		N/A
Total intangible assets	$	164,400	$	41,468	$	205,868

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	$	148,103		18.7 years
Trademarks and trade names		19,390		18.3 years
Customer relationships		136,485		18.1 years
Non-competition agreements		1,118		5.1 years
Other		15,227		9.2 years
In-process research and development		4,900		N/A
Total intangible assets	$	325,223

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Fair Value Measurements - Changes in Fair Value of Contingent Consideration Obligations (Detail) (USD $) In Thousands, unless otherwise specified	6 Months Ended
	Jun. 30, 2013
Fair Value Assets And Liabilities Measured On Recurring Basis [Abstract]
Fair value of contingent consideration obligations, January 1, 2013	$ 176,172
Acquisition date fair value of contingent consideration obligations recorded	75,815
Net reclassifications	(12)
Foreign currency	(460)
Payments	(34,739)
Present value accretion	3,402
Adjustments, net (income) expense	12,873
Fair value of contingent consideration obligations, June 30, 2013	$ 233,051

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Material Contingencies - Additional Information (Detail)			6 Months Ended								3 Months Ended					12 Months Ended		12 Months Ended			12 Months Ended
	Jun. 30, 2013 USD ($)	Dec. 31, 2012 USD ($)	Jun. 30, 2013 Epocal [Member] USD ($)	Feb. 01, 2013 Epocal [Member] USD ($)	Mar. 31, 2013 Branan [Member] USD ($)	Dec. 31, 2012 Branan [Member] USD ($)	Jun. 30, 2013 ROAR [Member] USD ($)	Jun. 30, 2013 ROAR [Member] GBP (£)	Mar. 31, 2013 ROAR [Member] USD ($)	Mar. 31, 2013 ROAR [Member] GBP (£)	Jun. 30, 2013 Accordant [Member] USD ($)	Mar. 31, 2013 Accordant [Member] USD ($)	Dec. 31, 2012 Accordant [Member] USD ($)	Jun. 30, 2013 Alere Healthcare [Member] USD ($)	Dec. 31, 2012 Alere Healthcare [Member] USD ($)	Dec. 31, 2012 Alere S.A. [Member] BRL Installment	Jun. 30, 2013 Alere S.A. [Member] USD ($)	Dec. 31, 2012 Amedica [Member] USD ($)	Dec. 31, 2012 Immunalysis [Member] USD ($)	Jun. 30, 2013 Immunalysis [Member] USD ($)	Dec. 31, 2012 MedApps [Member] USD ($)	Jun. 30, 2013 Nations Health [Member] USD ($)	Dec. 31, 2012 Nations Health [Member] USD ($)
Business Acquisition, Contingent Consideration [Line Items]
Payable contingent cash consideration remaining			$ 90,500,000			$ 2,000,000							$ 4,500,000
Earn-out cash paid	208,835,000	418,902,000	173,461,000	173,500,000							1,500,000	1,500,000
Payments in installments during the third quarter											1,500,000
Accrued earn-out payments	75,809,000	75,620,000	75,000,000	75,000,000										0	300,000	6,100,000	2,800,000			0		0
Maximum remaining amount of earn-out payment																6,900,000	3,100,000
Cash earn-out payment																2,900,000							2,000,000
Remaining payments in installments																4,000,000
Number of Installment paid																48
Contingent consideration obligations related to acquisition																	0
Payable contingent cash consideration																		6,900,000	1,700,000		3,000,000
Maximum remaining amount of earn-out payment					2,000,000		14,400,000	9,500,000										8,100,000
Contractual obligation																			3,000,000
Compensation related to contractual contingent obligation earned and accrued																			1,000,000	0
Accrued earn - out payments									1,500,000	1,000,000											18,200,000
Incremental accrual					1,000,000
Cash paid on the day of acquisition			15,000,000
Maximum amount of management incentive payments			$ 9,400,000

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Fair Value Measurements - Fair Value Assets and Liabilities Measured on Recurring Basis, Valuation Techniques (Detail) (USD $) In Thousands, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012
Liabilities:
Contingent consideration obligations	$ 233,051	$ 176,172
Fair Value, Measurements, Recurring [Member]
Assets:
Marketable securities	889	904
Total assets	889	904
Liabilities:
Contingent consideration obligations	233,051	176,172
Total liabilities	233,051	176,172
Quoted Prices in Active Markets (Level 1) [Member] | Fair Value, Measurements, Recurring [Member]
Assets:
Marketable securities	889	904
Total assets	889	904
Significant Other Observable Inputs (Level 2) [Member] | Fair Value, Measurements, Recurring [Member]
Assets:
Marketable securities
Total assets
Liabilities:
Contingent consideration obligations
Total liabilities
Unobservable Inputs (Level 3) [Member] | Fair Value, Measurements, Recurring [Member]
Liabilities:
Contingent consideration obligations	233,051	176,172
Total liabilities	$ 233,051	$ 176,172

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Stock-based Compensation - Stock-based Compensation Expense (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock-based compensation	$ 4,677	$ 4,368	$ 8,800	$ 8,242
Benefit for income taxes	(496)	(874)	(1,358)	(1,415)
Stock-based compensation, net of tax	4,181	3,494	7,442	6,827
Cost of Net Revenue [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock-based compensation	278	263	510	532
Research and Development [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock-based compensation	783	856	1,530	1,627
Sales and Marketing [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock-based compensation	906	913	1,622	1,830
General and Administrative [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Stock-based compensation	$ 2,710	$ 2,336	$ 5,138	$ 4,253

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Related Party Transactions - Additional Information (Detail) (USD $)	6 Months Ended			3 Months Ended		6 Months Ended		3 Months Ended		6 Months Ended			12 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Dec. 31, 2012	Jun. 30, 2013 Sales Revenue Services [Member]	Jun. 30, 2012 Sales Revenue Services [Member]	Jun. 30, 2013 Sales Revenue Services [Member]	Jun. 30, 2012 Sales Revenue Services [Member]	Jun. 30, 2013 Sales revenue goods [Member]	Jun. 30, 2012 Sales revenue goods [Member]	Jun. 30, 2013 Sales revenue goods [Member]	Jun. 30, 2012 Sales revenue goods [Member]	Jun. 30, 2013 Swiss Precision Diagnostics [Member]	Dec. 31, 2012 Swiss Precision Diagnostics [Member]	May 31, 2007 Swiss Precision Diagnostics [Member]
Related Party Transaction [Line Items]
Joint venture ownership percentage with P&G														50.00%
Net receivable to joint venture	$ 0		$ 2,300,000
Restructuring charges	10,165,000											1,100,000	1,500,000
Long-term receivables cost related to restructuring plan	12,100,000		14,600,000
Customer receivables associated with revenue earned after SPD was completed have been classified as other receivables	9,200,000		6,900,000
Revenue from joint venture				18,200,000	14,500,000	35,300,000	31,600,000	300,000	300,000	600,000	600,000
Trade receivables from joint venture	9,600,000		7,300,000
Trade payable to joint venture	23,100,000		21,300,000
Cash (return of investment) from SPD	$ 10,800,000	$ 6,100,000

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Guarantor Financial Information

6 Months Ended

Jun. 30, 2013

Text Block [Abstract]

Guarantor Financial Information

(19) Guarantor Financial Information

Our 7.25% senior notes due 2018, our 8.625% senior subordinated notes due 2018, and our 6.5% senior subordinated notes due 2020 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 June 30, 2013 and December 31, 2012, the related statements of operations and statements of comprehensive income (loss) for each of the three and six months ended June 30, 2013 and 2012, respectively, and the statements of cash flows for the six months ended June 30, 2013 and 2012, 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 June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	208,925		$	365,328		$	(52,691	)	$	521,562
Services revenue		—			218,150			19,408			—			237,558
Net product sales and services revenue		—			427,075			384,736			(52,691	)		759,120
License and royalty revenue		—			2,770			5,072			(2,977	)		4,865
Net revenue		—			429,845			389,808			(55,668	)		763,985
Cost of net product sales		887			117,550			180,947			(46,195	)		253,189
Cost of services revenue		—			120,287			9,717			(5,194	)		124,810
Cost of net product sales and services revenue		887			237,837			190,664			(51,389	)		377,999
Cost of license and royalty revenue		—			18			4,458			(2,977	)		1,499
Cost of net revenue		887			237,855			195,122			(54,366	)		379,498
Gross profit (loss)		(887	)		191,990			194,686			(1,302	)		384,487
Operating expenses:
Research and development		6,229			16,157			18,114			—			40,500
Sales and marketing		1,413			81,203			76,806			—			159,422
General and administrative		14,477			74,174			51,510			—			140,161
Total operating expenses		22,119			171,534			146,430			—			340,083
Operating income (loss)		(23,006	)		20,456			48,256			(1,302	)		44,404
Interest expense, including amortization of original issue discounts and deferred financing costs		(91,660	)		(6,382	)		(3,071	)		8,660			(92,453	)
Other income (expense), net		(5,607	)		5,636			9,695			(8,661	)		1,063
Income (loss) before provision (benefit) for income taxes		(120,273	)		19,710			54,880			(1,303	)		(46,986	)
Provision (benefit) for income taxes		(10,360	)		12,042			16,750			(565	)		17,867
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax		(109,913	)		7,668			38,130			(738	)		(64,853	)
Equity earnings (losses) of subsidiaries, net of tax		49,045			(559	)		—			(48,486	)		—
Equity earnings of unconsolidated entities, net of tax		566			—			4,027			(42	)		4,551
Net income (loss)		(60,302	)		7,109			42,157			(49,266	)		(60,302	)
Less: Net income attributable to non-controlling interests		—			—			267			—			267
Net income (loss) attributable to Alere Inc. and Subsidiaries		(60,302	)		7,109			41,890			(49,266	)		(60,569	)
Preferred stock dividends		(5,309	)		—			—			—			(5,309	)
Net income (loss) available to common stockholders	$	(65,611	)	$	7,109		$	41,890		$	(49,266	)	$	(65,878	)

CONSOLIDATING STATEMENT OF OPERATIONS

For the Three Months Ended June 30, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	206,818		$	286,145		$	(29,538	)	$	463,425
Services revenue		—			217,717			16,138			—			233,855
Net product sales and services revenue		—			424,535			302,283			(29,538	)		697,280
License and royalty revenue		—			9,590			2,602			(8,955	)		3,237
Net revenue		—			434,125			304,885			(38,493	)		700,517
Cost of net product sales		857			98,110			152,555			(29,024	)		222,498
Cost of services revenue		—			112,863			7,696			—			120,559
Cost of net product sales and services revenue		857			210,973			160,251			(29,024	)		343,057
Cost of license and royalty revenue		—			5			10,802			(8,955	)		1,852
Cost of net revenue		857			210,978			171,053			(37,979	)		344,909
Gross profit (loss)		(857	)		223,147			133,832			(514	)		355,608
Operating expenses:
Research and development		5,873			18,039			16,535			—			40,447
Sales and marketing		819			88,080			70,423			—			159,322
General and administrative		14,567			61,291			45,627			—			121,485
Total operating expenses		21,259			167,410			132,585			—			321,254
Operating income (loss)		(22,116	)		55,737			1,247			(514	)		34,354
Interest expense, including amortization of original issue discounts and deferred financing costs		(53,969	)		(10,946	)		(3,816	)		13,200			(55,531	)
Other income (expense), net		3,988			15,803			(2,780	)		(13,200	)		3,811
Income (loss) before provision (benefit) for income taxes		(72,097	)		60,594			(5,349	)		(514	)		(17,366	)
Provision (benefit) for income taxes		(19,750	)		25,217			(5,839	)		(117	)		(489	)
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax		(52,347	)		35,377			490			(397	)		(16,877	)
Equity earnings (losses) of subsidiaries, net of tax		38,982			(185	)		—			(38,797	)		—
Equity earnings of unconsolidated entities, net of tax		486			—			3,502			10			3,998
Net income (loss)		(12,879	)		35,192			3,992			(39,184	)		(12,879	)
Less: Net income attributable to non-controlling interests		—			—			36			—			36
Net income (loss) attributable to Alere Inc. and Subsidiaries		(12,879	)		35,192			3,956			(39,184	)		(12,915	)
Preferred stock dividends		(5,279	)		—			—			—			(5,279	)
Net income (loss) available to common stockholders	$	(18,158	)	$	35,192		$	3,956		$	(39,184	)	$	(18,194	)

CONSOLIDATING STATEMENT OF OPERATIONS

For the Six Months Ended June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	442,418		$	686,225		$	(98,805	)	$	1,029,838
Services revenue		—			424,321			40,146			—			464,467
Net product sales and services revenue		—			866,739			726,371			(98,805	)		1,494,305
License and royalty revenue		—			5,805			8,605			(5,481	)		8,929
Net revenue		—			872,544			734,976			(104,286	)		1,503,234
Cost of net product sales		1,835			238,144			354,163			(87,875	)		506,267
Cost of services revenue		—			235,898			18,219			(9,149	)		244,968
Cost of net product sales and services revenue		1,835			474,042			372,382			(97,024	)		751,235
Cost of license and royalty revenue		—			35			8,701			(5,481	)		3,255
Cost of net revenue		1,835			474,077			381,083			(102,505	)		754,490
Gross profit (loss)		(1,835	)		398,467			353,893			(1,781	)		748,744
Operating expenses:
Research and development		10,652			33,537			37,765			—			81,954
Sales and marketing		2,805			164,041			149,032			—			315,878
General and administrative		28,504			139,157			108,358			—			276,019
Total operating expenses		41,961			336,735			295,155			—			673,851
Operating income (loss)		(43,796	)		61,732			58,738			(1,781	)		74,893
Interest expense, including amortization of original issue discounts and deferred financing costs		(148,518	)		(13,403	)		(6,488	)		18,557			(149,852	)
Other income (expense), net		(837	)		11,895			8,092			(18,557	)		593
Income (loss) before provision (benefit) for income taxes		(193,151	)		60,224			60,342			(1,781	)		(74,366	)
Provision (benefit) for income taxes		(73,171	)		29,968			24,877			(678	)		(19,004	)
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax		(119,980	)		30,256			35,465			(1,103	)		(55,362	)
Equity earnings (losses) of subsidiaries, net of tax		71,289			(1,173	)		—			(70,116	)		—
Equity earnings of unconsolidated entities, net of tax		814			—			6,715			(44	)		7,485
Net income (loss)		(47,877	)		29,083			42,180			(71,263	)		(47,877	)
Less: Net income attributable to non-controlling interests		—			—			242			—			242
Net income (loss) attributable to Alere Inc. and Subsidiaries		(47,877	)		29,083			41,938			(71,263	)		(48,119	)
Preferred stock dividends		(10,559	)		—			—			—			(10,559	)
Net income (loss) available to common stockholders	$	(58,436	)	$	29,083		$	41,938		$	(71,263	)	$	(58,678	)

CONSOLIDATING STATEMENT OF OPERATIONS

For the Six Months Ended June 30, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net product sales	$	—		$	430,235		$	571,744		$	(62,767	)	$	939,212
Services revenue		—			394,432			31,857			—			426,289
Net product sales and services revenue		—			824,667			603,601			(62,767	)		1,365,501
License and royalty revenue		—			13,894			5,148			(12,897	)		6,145
Net revenue		—			838,561			608,749			(75,664	)		1,371,646
Cost of net product sales		1,707			204,312			304,153			(62,120	)		448,052
Cost of services revenue		—			196,506			14,913			—			211,419
Cost of net product sales and services revenue		1,707			400,818			319,066			(62,120	)		659,471
Cost of license and royalty revenue		—			10			16,383			(12,897	)		3,496
Cost of net revenue		1,707			400,828			335,449			(75,017	)		662,967
Gross profit (loss)		(1,707	)		437,733			273,300			(647	)		708,679
Operating expenses:
Research and development		11,069			35,521			32,857			—			79,447
Sales and marketing		1,876			174,417			141,607			—			317,900
General and administrative		26,198			125,935			89,787			—			241,920
Total operating expenses		39,143			335,873			264,251			—			639,267
Operating income (loss)		(40,850	)		101,860			9,049			(647	)		69,412
Interest expense, including amortization of original issue discounts and deferred financing costs		(103,685	)		(22,013	)		(7,070	)		26,510			(106,258	)
Other income (expense), net		(4,086	)		25,231			21,007			(26,510	)		15,642
Income (loss) before provision (benefit) for income taxes		(148,621	)		105,078			22,986			(647	)		(21,204	)
Provision (benefit) for income taxes		(46,748	)		41,999			2,851			(46	)		(1,944	)
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax		(101,873	)		63,079			20,135			(601	)		(19,260	)
Equity earnings (losses) of subsidiaries, net of tax		88,877			(533	)		—			(88,344	)		—
Equity earnings of unconsolidated entities, net of tax		1,146			—			6,238			26			7,410
Net income (loss)		(11,850	)		62,546			26,373			(88,919	)		(11,850	)
Less: Net loss attributable to non-controlling interests		—			—			(149	)		—			(149	)
Net income (loss) attributable to Alere Inc. and Subsidiaries		(11,850	)		62,546			26,522			(88,919	)		(11,701	)
Preferred stock dividends		(10,588	)		—			—			—			(10,588	)
Net income (loss) available to common stockholders	$	(22,438	)	$	62,546		$	26,522		$	(88,919	)	$	(22,289	)

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME (LOSS)

For the Three Months Ended June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	(60,302	)	$	7,109	$	42,157		$	(49,266	)	$	(60,302	)
Other comprehensive loss, before tax:
Changes in cumulative translation adjustment		(652	)		—		(33,776	)		—			(34,428	)
Minimum pension liability adjustment		—			—		99			—			99
Other comprehensive loss, before tax		(652	)		—		(33,677	)		—			(34,329	)
Income tax provision (benefit) related to items of other comprehensive income		—			—		—			—			—
Other comprehensive loss, net of tax		(652	)		—		(33,677	)		—			(34,329	)
Comprehensive income (loss)		(60,954	)		7,109		8,480			(49,266	)		(94,631	)
Less: Comprehensive income attributable to non-controlling interests		—			—		267			—			267
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	(60,954	)	$	7,109	$	8,213		$	(49,266	)	$	(94,898	)

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME (LOSS)

For the Three Months Ended June 30, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	(12,879	)	$	35,192	$	3,992		$	(39,184	)	$	(12,879	)
Other comprehensive income (loss), before tax:
Changes in cumulative translation adjustment		(562	)		4		(34,142	)		(2,077	)		(36,777	)
Unrealized gains on available for sale securities		356			3		—			—			359
Unrealized losses on hedging instruments		—			—		(652	)		—			(652	)
Minimum pension liability adjustment		—			—		4			—			4
Other comprehensive income (loss), before tax		(206	)		7		(34,790	)		(2,077	)		(37,066	)
Income tax provision (benefit) related to items of other comprehensive income		—			—		—			—			—
Other comprehensive income (loss), net of tax		(206	)		7		(34,790	)		(2,077	)		(37,066	)
Comprehensive income (loss)		(13,085	)		35,199		(30,798	)		(41,261	)		(49,945	)
Less: Comprehensive income attributable to non-controlling interests		—			—		36			—			36
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	(13,085	)	$	35,199	$	(30,834	)	$	(41,261	)	$	(49,981	)

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME (LOSS)

For the Six Months Ended June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	(47,877	)	$	29,083	$	42,180		$	(71,263	)	$	(47,877	)
Other comprehensive loss, before tax:
Changes in cumulative translation adjustment		(853	)		—		(108,930	)		—			(109,783	)
Unrealized gains on hedging instruments		—			—		11			—			11
Minimum pension liability adjustment		—			—		704			—			704
Other comprehensive loss, before tax		(853	)		—		(108,215	)		—			(109,068	)
Income tax provision (benefit) related to items of other comprehensive income		—			—		—			—			—
Other comprehensive loss, net of tax		(853	)		—		(108,215	)		—			(109,068	)
Comprehensive income (loss)		(48,730	)		29,083		(66,035	)		(71,263	)		(156,945	)
Less: Comprehensive income attributable to non-controlling interests		—			—		242			—			242
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	(48,730	)	$	29,083	$	(66,277	)	$	(71,263	)	$	(157,187	)

CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME (LOSS)

For the Six Months Ended June 30, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Net income (loss)	$	(11,850	)	$	62,546		$	26,373		$	(88,919	)	$	(11,850	)
Other comprehensive income (loss), before tax:
Changes in cumulative translation adjustment		(233	)		(302	)		1,109			(1,412	)		(838	)
Unrealized gains on available for sale securities		785			5			—			—			790
Unrealized gains on hedging instruments		17			—			438			—			455
Minimum pension liability adjustment		—			—			(120	)		—			(120	)
Other comprehensive income (loss), before tax		569			(297	)		1,427			(1,412	)		287
Income tax provision (benefit) related to items of other comprehensive income		—			—			—			—			—
Other comprehensive income (loss), net of tax		569			(297	)		1,427			(1,412	)		287
Comprehensive income (loss)		(11,281	)		62,249			27,800			(90,331	)		(11,563	)
Less: Comprehensive loss attributable to non-controlling interests		—			—			(149	)		—			(149	)
Comprehensive income (loss) attributable to Alere Inc. and Subsidiaries	$	(11,281	)	$	62,249		$	27,949		$	(90,331	)	$	(11,414	)

CONSOLIDATING BALANCE SHEET

June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries		Eliminations			Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	3,467		$	64,192	$	252,888	$	—		$	320,547
Restricted cash		6,248			2,309		1,362		—			9,919
Marketable securities		—			779		110		—			889
Accounts receivable, net of allowances		—			233,549		320,211		—			553,760
Inventories, net		—			163,592		217,256		(24,095	)		356,753
Deferred tax assets		10,418			37,369		9,614		3,448			60,849
Prepaid expenses and other current assets		3,945			33,942		68,509		(36	)		106,360
Intercompany receivables		322,759			650,991		58,348		(1,032,098	)		—
Total current assets		346,837			1,186,723		928,298		(1,052,781	)		1,409,077
Property, plant and equipment, net		2,638			290,341		237,944		(456	)		530,467
Goodwill		—			1,811,304		1,284,494		—			3,095,798
Other intangible assets with indefinite lives		—			12,900		44,446		—			57,346
Finite-lived intangible assets, net		9,672			1,047,346		754,933		—			1,811,951
Deferred financing costs, net and other non-current assets		61,992			10,261		17,192		(62	)		89,383
Investments in subsidiaries		4,359,116			279,981		3,562		(4,642,659	)		—
Investments in unconsolidated entities		30,201			—		52,345		13,651			96,197
Deferred tax assets		—			—		9,786		—			9,786
Intercompany notes receivable		1,632,819			747,564		58,687		(2,439,070	)		—
Total assets	$	6,443,275		$	5,386,420	$	3,391,687	$	(8,121,377	)	$	7,100,005
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt	$	45,000		$	626	$	4,913	$	—		$	50,539
Current portion of capital lease obligations		—			3,187		2,771		—			5,958
Accounts payable		8,848			75,709		93,995		—			178,552
Accrued expenses and other current liabilities		(387,789	)		581,594		232,155		(581	)		425,379
Intercompany payables		628,617			133,465		270,014		(1,032,096	)		—
Total current liabilities		294,676			794,581		603,848		(1,032,677	)		660,428
Long-term liabilities:
Long-term debt, net of current portion		3,792,478			224		15,600		—			3,808,302
Capital lease obligations, net of current portion		—			4,743		6,942		—			11,685
Deferred tax liabilities		(18,036	)		301,061		106,542		445			390,012
Other long-term liabilities		17,972			58,061		121,810		(62	)		197,781
Intercompany notes payables		328,613			1,591,479		518,978		(2,439,070	)		—
Total long-term liabilities		4,121,027			1,955,568		769,872		(2,438,687	)		4,407,780
Stockholders’ equity		2,027,572			2,636,271		2,013,742		(4,650,013	)		2,027,572
Non-controlling interests		—			—		4,225		—			4,225
Total equity		2,027,572			2,636,271		2,017,967		(4,650,013	)		2,031,797
Total liabilities and equity	$	6,443,275		$	5,386,420	$	3,391,687	$	(8,121,377	)	$	7,100,005

CONSOLIDATING BALANCE SHEET

December 31, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries		Non-Guarantor Subsidiaries		Eliminations			Consolidated
ASSETS
Current assets:
Cash and cash equivalents	$	3,623		$	67,449	$	257,274	$	—		$	328,346
Restricted cash		—			1,680		1,396		—			3,076
Marketable securities		—			787		117		—			904
Accounts receivable, net of allowances		—			241,050		283,282		—			524,332
Inventories, net		—			142,413		203,230		(8,522	)		337,121
Deferred tax assets		12,193			39,601		13,138		2,790			67,722
Prepaid expenses and other current assets		(20,636	)		99,271		66,634		(33	)		145,236
Intercompany receivables		298,812			1,254,727		55,847		(1,609,386	)		—
Total current assets		293,992			1,846,978		880,918		(1,615,151	)		1,406,737
Property, plant and equipment, net		2,679			293,260		239,082		(552	)		534,469
Goodwill		—			1,820,438		1,227,967		—			3,048,405
Other intangible assets with indefinite lives		—			14,600		21,851		—			36,451
Finite-lived intangible assets, net		24,701			1,132,656		676,868		—			1,834,225
Deferred financing costs, net and other non-current assets		78,522			10,341		20,065		(71	)		108,857
Investments in subsidiaries		4,114,478			222,175		73,940		(4,410,593	)		—
Investments in unconsolidated entities		33,979			—		56,512		—			90,491
Deferred tax assets		—			782		7,511		—			8,293
Intercompany notes receivable		1,724,650			722,552		1,278		(2,448,480	)		—
Total assets	$	6,273,001		$	6,063,782	$	3,205,992	$	(8,474,847	)	$	7,067,928
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt	$	45,000		$	349	$	14,883	$	—		$	60,232
Current portion of capital lease obligations		—			3,209		3,475		—			6,684
Accounts payable		7,993			76,256		85,725		—			169,974
Accrued expenses and other current liabilities		(388,830	)		586,116		214,659		(26	)		411,919
Intercompany payables		557,578			806,507		245,300		(1,609,385	)		—
Total current liabilities		221,741			1,472,437		564,042		(1,609,411	)		648,809
Long-term liabilities:
Long-term debt, net of current portion		3,617,068			374		11,233		—			3,628,675
Capital lease obligations, net of current portion		—			5,412		7,505		—			12,917
Deferred tax liabilities		(5,329	)		333,388		100,216		(87	)		428,188
Other long-term liabilities		17,678			72,890		76,138		(71	)		166,635
Intercompany notes payables		241,421			1,630,376		576,684		(2,448,481	)		—
Total long-term liabilities		3,870,838			2,042,440		771,776		(2,448,639	)		4,236,415
Stockholders’ equity		2,180,422			2,548,905		1,867,892		(4,416,797	)		2,180,422
Non-controlling interests		—			—		2,282		—			2,282
Total equity		2,180,422			2,548,905		1,870,174		(4,416,797	)		2,182,704
Total liabilities and equity	$	6,273,001		$	6,063,782	$	3,205,992	$	(8,474,847	)	$	7,067,928

CONSOLIDATING STATEMENT OF CASH FLOWS

For the Six Months Ended June 30, 2013

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Cash Flows from Operating Activities:
Net income (loss)	$	(47,877	)	$	29,083		$	42,180		$	(71,263	)	$	(47,877	)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Equity (earnings) losses of subsidiaries, net of tax		(71,289	)		1,173			—			70,116			—
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs		10,041			117			18			—			10,176
Depreciation and amortization		2,499			124,375			87,042			(12	)		213,904
Non-cash charges for sale of inventories revalued at the date of acquisition		—			—			1,172			—			1,172
Non-cash stock-based compensation expense		3,476			2,459			2,865			—			8,800
Impairment of inventory		—			26			—			—			26
Impairment of long-lived assets		—			2,815			—			—			2,815
Loss on sale of fixed assets		—			625			676			—			1,301
Equity earnings of unconsolidated entities, net of tax		(814	)		—			(6,715	)		44			(7,485	)
Deferred income taxes		(9,994	)		(24,534	)		(8,902	)		(622	)		(44,052	)
Loss on extinguishment of debt		35,603			—			—			—			35,603
Other non-cash items		5,202			(327	)		(5,602	)		—			(727	)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net		—			7,502			(45,828	)		—			(38,326	)
Inventories, net		—			(33,342	)		(20,640	)		1,878			(52,104	)
Prepaid expenses and other current assets		(64,581	)		66,399			1,008			(6,145	)		(3,319	)
Accounts payable		855			1,397			9,598			—			11,850
Accrued expenses and other current liabilities		12,197			(7,377	)		14,434			5,592			24,846
Other non-current liabilities		(1,890	)		(10,891	)		(5,569	)		506			(17,844	)
Intercompany payable (receivable)		160,040			(135,316	)		(24,724	)		—			—
Net cash provided by operating activities		33,468			24,184			41,013			94			98,759
Cash Flows from Investing Activities:
Increase in restricted cash		(6,170	)		(630	)		(43	)		—			(6,843	)
Purchases of property, plant and equipment		(277	)		(29,543	)		(40,775	)		5,978			(64,617	)
Proceeds from sale of property, plant and equipment		—			5,831			4,872			(6,063	)		4,640
Cash paid for acquisitions, net of cash acquired		(157,372	)		—			(8,591	)		—			(165,963	)
Cash received from equity method investments		—			—			10,574			—			10,574
(Increase) decrease in other assets		19,321			(1,650	)		(649	)		(9	)		17,013
Net cash used in investing activities		(144,498	)		(25,992	)		(34,612	)		(94	)		(205,196	)
Cash Flows from Financing Activities:
Cash paid for financing costs		(9,018	)		—			—			—			(9,018	)
Cash paid for contingent purchase price consideration		(26,430	)		—			(208	)		—			(26,638	)
Proceeds from issuance of common stock, net of issuance costs		7,772			—			—			—			7,772
Proceeds from issuance of long-term debt		425,000			1,019			9,448			—			435,467
Payments on long-term debt		(431,845	)		(890	)		(5,081	)		—			(437,816	)
Net proceeds (payments) under revolving credit facilities		175,000			—			(8,460	)		—			166,540
Cash paid for dividends		(10,646	)		—			—			—			(10,646	)
Excess tax benefits on exercised stock options		72			39			55			—			166
Principal payments on capital lease obligations		—			(1,626	)		(1,862	)		—			(3,488	)
Other		(18,953	)		—			—			—			(18,953	)
Net cash provided by (used in) financing activities		110,952			(1,458	)		(6,108	)		—			103,386
Foreign exchange effect on cash and cash equivalents		(78	)		9			(4,679	)		—			(4,748	)
Net decrease in cash and cash equivalents		(156	)		(3,257	)		(4,386	)		—			(7,799	)
Cash and cash equivalents, beginning of period		3,623			67,449			257,274			—			328,346
Cash and cash equivalents, end of period	$	3,467		$	64,192		$	252,888		$	—		$	320,547

CONSOLIDATING STATEMENT OF CASH FLOWS

For the Six Months Ended June 30, 2012

(in thousands)

	Issuer			Guarantor Subsidiaries			Non-Guarantor Subsidiaries			Eliminations			Consolidated
Cash Flows from Operating Activities:
Net income (loss)	$	(11,850	)	$	62,546		$	26,373		$	(88,919	)	$	(11,850	)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Equity (earnings) losses of subsidiaries, net of tax		(88,877	)		533			—			88,344			—
Non-cash interest expense, including amortization of original issue discounts and deferred financing costs		10,568			110			53			—			10,731
Depreciation and amortization		3,195			130,725			77,656			46			211,622
Non-cash charges for sale of inventories revalued at the date of acquisition		—			1,400			3,281			—			4,681
Non-cash stock-based compensation expense		2,166			3,065			3,011			—			8,242
Impairment of inventory		—			5			—			—			5
Impairment of long-lived assets		—			219			—			—			219
(Gain) loss on sale of fixed assets		—			(5,900	)		28			—			(5,872	)
Equity earnings of unconsolidated entities, net of tax		(1,146	)		—			(6,238	)		(26	)		(7,410	)
Deferred income taxes		7,771			(25,088	)		(10,037	)		(46	)		(27,400	)
Other non-cash items		(883	)		—			—			—			(883	)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net		—			6,037			(11,468	)		—			(5,431	)
Inventories, net		—			2,783			(7,640	)		445			(4,412	)
Prepaid expenses and other current assets		(372,901	)		391,876			(2,126	)		17			16,866
Accounts payable		(786	)		3,340			(16,801	)		—			(14,247	)
Accrued expenses and other current liabilities		327,975			(321,909	)		(5,918	)		(514	)		(366	)
Other non-current liabilities		(6,781	)		(1,778	)		(177	)		471			(8,265	)
Intercompany payable (receivable)		231,769			(249,211	)		17,442			—			—
Net cash provided by (used in) operating activities		100,220			(1,247	)		67,439			(182	)		166,230
Cash Flows from Investing Activities:
Decrease in restricted cash		—			12			5,876			—			5,888
Purchases of property, plant and equipment		(1,028	)		(40,545	)		(28,788	)		900			(69,461	)
Proceeds from sale of property, plant and equipment		—			21,927			495			(745	)		21,677
Cash received (paid) for acquisitions, net of cash acquired		(296,189	)		1,469			(15,520	)		—			(310,240	)
Net cash received from equity method investments		490			—			6,066			—			6,556
Proceeds from sales of marketable securities		—			223			3			—			226
(Increase) decrease in other assets		(8,973	)		2,054			(822	)		27			(7,714	)
Net cash used in investing activities		(305,700	)		(14,860	)		(32,690	)		182			(353,068	)
Cash Flows from Financing Activities:
Cash paid for financing costs		(2,013	)		—			—			—			(2,013	)
Cash paid for contingent purchase price consideration		(6,500	)		—			—			—			(6,500	)
Proceeds from issuance of common stock, net of issuance costs		8,697			—			—			—			8,697
Proceeds from issuance of long-term debt		198,000			951			283			—			199,234
Payments on long-term debt		(22,000	)		(1,090	)		(6,794	)		—			(29,884	)
Net proceeds (payments) under revolving credit facilities		47,500			(2	)		(5,011	)		—			42,487
Payments on short-term debt		(6,240	)		—			—			—			(6,240	)
Cash paid for dividends		(10,646	)		—			—			—			(10,646	)
Excess tax benefits on exercised stock options		120			74			16			—			210
Principal payments on capital lease obligations		—			(881	)		(2,438	)		—			(3,319	)
Other		—			—			(2,577	)		—			(2,577	)
Net cash provided by (used in) financing activities		206,918			(948	)		(16,521	)		—			189,449
Foreign exchange effect on cash and cash equivalents		—			(78	)		2,033			—			1,955
Net increase (decrease) in cash and cash equivalents		1,438			(17,133	)		20,261			—			4,566
Cash and cash equivalents, beginning of period		12,451			95,212			191,510			—			299,173
Cash and cash equivalents, end of period	$	13,889		$	78,079		$	211,771		$	—		$	303,739

XML

Consolidated Statements of Cash Flows (USD $) In Thousands, unless otherwise specified	6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012
Cash Flows from Operating Activities:
Net loss	$ (47,877)	$ (11,850)
Adjustments to reconcile net loss to net cash provided by operating activities:
Non-cash interest expense, including amortization of original issue discounts and write-off of deferred financing costs	10,176	10,731
Depreciation and amortization	213,904	211,622
Non-cash charges for sale of inventories revalued at the date of acquisition	1,172	4,681
Non-cash stock-based compensation expense	8,800	8,242
Impairment of inventory	26	5
Impairment of long-lived assets	2,815	219
(Gain) loss on sale of fixed assets	1,301	(5,872)
Equity earnings of unconsolidated entities, net of tax	(7,485)	(7,410)
Deferred income taxes	(44,052)	(27,400)
Loss on extinguishment of debt	35,603
Other non-cash items	(727)	(883)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net	(38,326)	(5,431)
Inventories, net	(52,104)	(4,412)
Prepaid expenses and other current assets	(3,319)	16,866
Accounts payable	11,850	(14,247)
Accrued expenses and other current liabilities	24,846	(366)
Other non-current liabilities	(17,844)	(8,265)
Net cash provided by operating activities	98,759	166,230
Cash Flows from Investing Activities:
(Increase) decrease in restricted cash	(6,843)	5,888
Purchases of property, plant and equipment	(64,617)	(69,461)
Proceeds from sale of property, plant and equipment	4,640	21,677
Cash paid for acquisitions, net of cash acquired	(165,963)	(310,240)
Cash received from equity method investments	10,574	6,556
Cash paid for marketable securities		226
(Increase) decrease in other assets	17,013	(7,714)
Net cash used in investing activities	(205,196)	(353,068)
Cash Flows from Financing Activities:
Cash paid for financing costs	(9,018)	(2,013)
Cash paid for contingent purchase price consideration	(26,638)	(6,500)
Proceeds from issuance of common stock, net of issuance costs	7,772	8,697
Proceeds from issuance of long-term debt	435,467	199,234
Payments on long-term debt	(437,816)	(29,884)
Net proceeds under revolving credit facilities	166,540	42,487
Payments on short-term debt		(6,240)
Cash paid for dividends	(10,646)	(10,646)
Excess tax benefits on exercised stock options	166	210
Principal payments on capital lease obligations	(3,488)	(3,319)
Other	(18,953)	(2,577)
Net cash provided by financing activities	103,386	189,449
Foreign exchange effect on cash and cash equivalents	(4,748)	1,955
Net increase (decrease) in cash and cash equivalents	(7,799)	4,566
Cash and cash equivalents, beginning of period	328,346	299,173
Cash and cash equivalents, end of period	$ 320,547	$ 303,739

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Cash and Cash Equivalents

6 Months Ended

Jun. 30, 2013

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 June 30, 2013, our cash equivalents consisted of money market funds.

XML

Net Loss Per Common Share

6 Months Ended

Jun. 30, 2013

Earnings Per Share [Abstract]

Net Loss Per Common Share

(5) Net Loss per Common Share

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

	Three Months Ended June 30,						Six Months Ended June 30,
	2013			2012			2013			2012
Numerator:
Net loss	$	(60,302	)	$	(12,879	)	$	(47,877	)	$	(11,850	)
Preferred stock dividends		(5,309	)		(5,279	)		(10,559	)		(10,588	)
Less: Net income (loss) attributable to non-controlling interest		267			36			242			(149	)
Net loss available to common stockholders	$	(65,878	)	$	(18,194	)	$	(58,678	)	$	(22,289	)
Denominator:
Weighted-average common shares outstanding — basic and diluted		81,311			80,375			81,255			80,307
Basic and diluted net loss per common share attributable to Alere Inc. and Subsidiaries	$	(0.81	)	$	(0.23	)	$	(0.72	)	$	(0.28	)

The following potential dilutive securities were not included in the calculation of diluted net loss per common share because the inclusion thereof would be antidilutive (in thousands):

	Three Months Ended June 30,				Six Months Ended June 30,
	2013		2012		2013		2012
Denominator:
Options to purchase shares of common stock		9,798		9,022		9,798		9,022
Warrants		4		110		4		110
Conversion shares related to 3% convertible senior subordinated notes		3,411		3,411		3,411		3,411
Conversion shares related to subordinated convertible promissory notes		27		27		27		27
Conversion shares related to Series B convertible preferred stock		10,239		10,239		10,239		10,239
Total number of antidilutive potentially issuable shares of common stock excluded from diluted common shares outstanding		24,097		23,355		24,097		23,355

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Equity Investments - Additional Information (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended		3 Months Ended		6 Months Ended			3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013 Swiss Precision Diagnostics [Member]	Jun. 30, 2012 Swiss Precision Diagnostics [Member]	Jun. 30, 2013 Swiss Precision Diagnostics [Member]	Jun. 30, 2012 Swiss Precision Diagnostics [Member]	May 31, 2007 Swiss Precision Diagnostics [Member]	Jun. 30, 2013 TechLab [Member]	Jun. 30, 2012 TechLab [Member]	Jun. 30, 2013 TechLab [Member]	Jun. 30, 2012 TechLab [Member]	May 31, 2006 TechLab [Member]
Schedule of Equity Method Investments [Line Items]
Equity earnings (losses) of unconsolidated entities, net of tax	$ 4,551	$ 3,998	$ 7,485	$ 7,410	$ 4,200	$ (3,300)	$ 6,700	$ (6,100)		$ 500	$ 500	$ 800	$ 1,200
Ownership percentage									50.00%					49.00%

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Inventories

6 Months Ended

Jun. 30, 2013

Inventory Disclosure [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):

	June 30, 2013		December 31, 2012
Raw materials	$	108,032	$	99,498
Work-in-process		83,427		89,895
Finished goods		165,294		147,728
	$	356,753	$	337,121

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Cash and Cash Equivalents - Additional Information (Detail)	6 Months Ended
	Jun. 30, 2013
Cash And Cash Equivalents [Abstract]
Cash investments maturity period	Three months or less

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Stock-based Compensation (Tables)

6 Months Ended

Jun. 30, 2013

Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]

Stock-based Compensation Expense

We recorded stock-based compensation expense in our consolidated statements of operations for the three and six months ended June 30, 2013 and 2012, respectively, as follows (in thousands):

	Three Months Ended June 30,						Six Months Ended June 30,
	2013			2012			2013			2012
Cost of net revenue	$	278		$	263		$	510		$	532
Research and development		783			856			1,530			1,627
Sales and marketing		906			913			1,622			1,830
General and administrative		2,710			2,336			5,138			4,253
		4,677			4,368			8,800			8,242
Benefit for income taxes		(496	)		(874	)		(1,358	)		(1,415	)
	$	4,181		$	3,494		$	7,442		$	6,827

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Restructuring Plans (Tables)

6 Months Ended

Jun. 30, 2013

Restructuring And Related Activities [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 and six months ended June 30, 2013 and 2012 (in thousands):

	Three Months Ended June 30,				Six Months Ended June 30,
Statement of Operations Caption	2013		2012		2013		2012
Cost of net revenue	$	729	$	25	$	1,352	$	989
Research and development		645		14		645		638
Sales and marketing		159		200		1,258		1,027
General and administrative		6,511		1,126		8,681		4,239
Total operating expenses		8,044		1,365		11,936		6,893
Interest expense, including amortization of original issue discounts and deferred financing costs		62		50		117		110
Total charges	$	8,106	$	1,415	$	12,053	$	7,003

Restructuring Activities Related to Restructuring Plans

The following table summarizes the restructuring activities related to our 2013 restructuring plans for the three and six months ended June 30, 2013 (in thousands):

	Three Months Ended June 30, 2013
	Professional Diagnostics		Health Information Solutions			Total
Severance-related costs	$	1,251	$	(11	)	$	1,240
Facility and transition costs		337		241			578
Cash charges		1,588		230			1,818
Fixed asset and inventory impairments		—		170			170
Intangible asset impairments		—		2,596			2,596
Total charges	$	1,588	$	2,996		$	4,584

	Six Months Ended June 30, 2013
	Professional Diagnostics		Health Information Solutions		Total
Severance-related costs	$	2,084	$	58	$	2,142
Facility and transition costs		350		241		591
Cash charges		2,434		299		2,733
Fixed asset and inventory impairments		—		170		170
Intangible asset impairments		—		2,596		2,596
Total charges	$	2,434	$	3,065	$	5,499

The following table summarizes the restructuring activities related to our 2012 restructuring plans for the three and six months ended June 30, 2013 and 2012 and since inception (in thousands):

	Three Months Ended June  30,				Six Months Ended June  30,				Since Inception
Professional Diagnostics	2013		2012		2013		2012
Severance-related costs	$	26	$	345	$	88	$	2,318	$	4,820
Facility and transition costs		19		—		82		—		201
Cash charges		45		345		170		2,318		5,021
Fixed asset impairments		—		—		—		—		304
Total charges	$	45	$	345	$	170	$	2,318	$	5,325

	Three Months Ended June  30,						Six Months Ended June  30,					Since Inception
Health Information Solutions	2013			2012			2013			2012
Severance-related costs	$	529		$	422		$	2,348		$	1,219	$	5,393
Facility and transition costs		3,612			125			4,271			125		5,505
Other exit costs		32			—			52			—		67
Cash charges		4,173			547			6,671			1,344		10,965
Fixed asset and inventory impairments		75			—			75			—		2,764
Intangible asset impairments		—			—			—			—		2,988
Other non-cash charges		(908	)		(5	)		(953	)		—		(984	)
Total charges	$	3,340		$	542		$	5,793		$	1,344	$	15,733

The following table summarizes the restructuring activities related to our 2011, 2010 and 2008 restructuring plans for the three and six months ended June 30, 2013 and 2012 and since inception (in thousands):

	Three Months Ended June  30,					Six Months Ended June  30,				Since Inception
Professional Diagnostics	2013			2012		2013		2012
Severance-related costs	$	(54	)	$	310	$	196	$	2,275	$	19,909
Facility and transition costs		161			161		330		884		7,557
Other exit costs		15			17		31		36		729
Cash charges		122			488		557		3,195		28,195
Fixed asset and inventory impairments		—			—		—		134		6,374
Total charges	$	122		$	488	$	557	$	3,329	$	34,569

	Three Months Ended June  30,					Six Months Ended June  30,					Since Inception
Health Information Solutions	2013		2012			2013		2012
Severance-related costs	$	—	$	—		$	—	$	—		$	6,901
Facility and transition costs		—		(87	)		—		(173	)		8,010
Other exit costs		15		33			34		74			546
Cash charges		15		(54	)		34		(99	)		15,457
Fixed asset and inventory impairments		—		85			—		85			1,114
Intangible asset impairments		—		—			—		—			2,935
Other non-cash charges		—		—			—		—			761
Total charges	$	15	$	31		$	34	$	(14	)	$	20,267

	Three Months Ended June  30,				Six Months Ended June  30,				Since Inception
Corporate and Other	2013		2012		2013		2012
Severance-related costs	$	—	$	9	$	—	$	26	$	1,219
Cash charges		—		9		—		26		1,219
Fixed asset and inventory impairments		—		—		—		—		3
Total charges	$	—	$	9	$	—	$	26	$	1,222

Cash Activity for Restructuring Reserves

The following table summarizes our restructuring reserves related to the plans described above, of which $6.3 million is included in accrued expenses and other current liabilities and $2.3 million is included in other long-term liabilities on our accompanying consolidated balance sheets (in thousands):

	Severance- related Costs			Facility  and Transition Costs			Other Exit Costs			Total
Balance, December 31, 2012	$	3,167		$	2,429		$	622		$	6,218
Cash charges		4,774			5,274			117			10,165
Payments		(5,462	)		(2,042	)		(146	)		(7,650	)
Currency adjustments		(166	)		(8	)		—			(174	)
Balance, June 30, 2013	$	2,313		$	5,653		$	593		$	8,559

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Other Arrangements - Additional Information (Detail) (USD $) In Millions, unless otherwise specified	1 Months Ended	3 Months Ended	6 Months Ended
	Feb. 19, 2013	Jun. 30, 2013	Jun. 30, 2013
Gates Foundation [Member]
Agreements [Line Items]
Revenue from grant awarded	$ 21.6
Cash received from grant-related funding			7.9
Qualified expenditures		1.8	2.4
Gates Loan Agreement [Member]
Agreements [Line Items]
Aggregate principal amount of subordinated term loan	$ 20.6
Loan bearing interest rate		3.00%	3.00%
Maturity date			Dec. 31, 2019

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Financial Information by Segment (Tables)

6 Months Ended

Jun. 30, 2013

Segment Reporting [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 and six months ended June 30, 2013 and 2012 is as follows (in thousands):

	Professional Diagnostics		Health Information Solutions			Consumer Diagnostics		Corporate and Other			Total
Three Months Ended June 30, 2013:
Net revenue	$	603,762	$	134,775		$	25,448	$	—		$	763,985
Operating income (loss)	$	72,896	$	(11,759	)	$	3,404	$	(20,137	)	$	44,404
Depreciation and amortization	$	86,856	$	20,725		$	1,080	$	273		$	108,934
Non-cash charge associated with acquired inventory	$	711	$	—		$	—	$	—		$	711
Restructuring charge	$	1,740	$	6,304		$	—	$	—		$	8,044
Stock-based compensation	$	—	$	—		$	—	$	4,677		$	4,677
Three Months Ended June 30, 2012:
Net revenue	$	540,110	$	138,590		$	21,817	$	—		$	700,517
Operating income (loss)	$	63,251	$	(12,666	)	$	2,699	$	(18,930	)	$	34,354
Depreciation and amortization	$	83,413	$	24,065		$	1,178	$	244		$	108,900
Restructuring charge	$	817	$	539		$	—	$	9		$	1,365
Stock-based compensation	$	—	$	—		$	—	$	4,368		$	4,368
Six Months Ended June 30, 2013:
Net revenue	$	1,186,254	$	268,982		$	47,998	$	—		$	1,503,234
Operating income (loss)	$	132,736	$	(25,652	)	$	5,684	$	(37,875	)	$	74,893
Depreciation and amortization	$	169,650	$	41,462		$	2,233	$	559		$	213,904
Non-cash charge associated with acquired inventory	$	1,172	$	—		$	—	$	—		$	1,172
Restructuring charge	$	3,129	$	8,807		$	—	$	—		$	11,936
Stock-based compensation	$	—	$	—		$	—	$	8,800		$	8,800
Six Months Ended June 30, 2012:
Net revenue	$	1,058,467	$	269,374		$	43,805	$	—		$	1,371,646
Operating income (loss)	$	133,430	$	(32,022	)	$	3,064	$	(35,060	)	$	69,412
Depreciation and amortization	$	160,881	$	47,839		$	2,437	$	465		$	211,622
Non-cash charge associated with acquired inventory	$	4,681	$	—		$	—	$	—		$	4,681
Restructuring charge	$	5,611	$	1,256		$	—	$	26		$	6,893
Stock-based compensation	$	—	$	—		$	—	$	8,242		$	8,242
Assets:
As of June 30, 2013	$	6,254,068	$	561,786		$	199,423	$	84,728		$	7,100,005
As of December 31, 2012	$	6,214,847	$	593,172		$	192,748	$	67,161		$	7,067,928

Summary of Company's Net Revenue from Professional Diagnostics and Health Information Solutions Reporting Segments by Groups of Similar Products and Services

The following tables summarize our net revenue from the professional diagnostics and health information solutions reporting segments by groups of similar products and services for the three and six months ended June 30, 2013 and 2012 (in thousands):

Professional Diagnostics Segment:	Three Months Ended June 30,				Six Months Ended June 30,
	2013		2012		2013		2012
Cardiology	$	118,436	$	125,597	$	233,369	$	264,423
Infectious disease		157,706		137,821		347,550		288,837
Toxicology		165,884		159,922		314,933		281,662
Diabetes		74,905		36,797		124,988		64,958
Other		82,666		76,736		157,385		152,442
Net product sales and services revenue		599,597		536,873		1,178,225		1,052,322
License and royalty revenue		4,165		3,237		8,029		6,145
Professional diagnostics net revenue	$	603,762	$	540,110	$	1,186,254	$	1,058,467

Health Information Solutions Segment:	Three Months Ended June 30,				Six Months Ended June 30,
	2013		2012		2013		2012
Disease and case management	$	52,578	$	54,512	$	106,704	$	107,894
Wellness		27,230		29,567		53,530		56,591
Women’s & children’s health		29,256		31,313		58,336		61,084
Patient self-testing services		25,711		23,198		50,412		43,805
Health management net revenue	$	134,775	$	138,590	$	268,982	$	269,374

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Related Party Transactions - Related Party Balances with SPD within Consolidated Balance Sheets (Detail) (USD $) In Thousands, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012
Related Party Transaction [Line Items]
Accounts receivable, net of allowances	$ 553,760	$ 524,332
Prepaid expenses and other current assets	106,360	145,236
Deferred financing costs, net, and other non-current assets	89,383	108,857
Accounts payable	178,552	169,974
Accrued expenses and other current liabilities	425,379	411,919
Related Party Transaction [Member]
Related Party Transaction [Line Items]
Accounts receivable, net of allowances	9,591	7,317
Prepaid expenses and other current assets	9,209	9,161
Deferred financing costs, net, and other non-current assets	12,134	14,629
Accounts payable	23,131	21,258
Accrued expenses and other current liabilities	$ 1,119

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Restructuring Plans - Additional Information (Detail) (USD $) In Millions, unless otherwise specified	6 Months Ended
	Jun. 30, 2013
Restructuring Cost and Reserve [Line Items]
Restructuring reserve accrued expenses and other current liabilities	$ 6.3
Restructuring reserve other long-term liabilities	2.3
2013 Restructuring Plans [Member] | Professional Diagnostics Business Segment [Member]
Restructuring Cost and Reserve [Line Items]
Cash charges remain unpaid	1.0
Additional costs	0.4
2012 Restructuring Plans [Member] | Professional Diagnostics Business Segment [Member]
Restructuring Cost and Reserve [Line Items]
Additional costs	5.7
2012 Restructuring Plans [Member] | Health Information Solutions [Member]
Restructuring Cost and Reserve [Line Items]
Additional costs	0.6
2011, 2010 and 2008 Restructuring Plans [Member] | Professional Diagnostics Business Segment [Member]
Restructuring Cost and Reserve [Line Items]
Additional costs	1.1
2011, 2010 and 2008 Restructuring Plans [Member] | Health Information Solutions [Member]
Restructuring Cost and Reserve [Line Items]
Cash charges remain unpaid	$ 2.5

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Business Combinations - Preliminary Fair Values of Net Assets Acquired for Acquisitions (Detail) (USD $) In Thousands, unless otherwise specified	6 Months Ended					6 Months Ended
	Jun. 30, 2013	Dec. 31, 2012	Jun. 30, 2012	Jun. 30, 2013 Epocal [Member]	Feb. 01, 2013 Epocal [Member]	Jun. 30, 2013 Other [Member]
Business Acquisition [Line Items]
Current assets	$ 22,959	$ 47,201		$ 12,111		$ 10,848
Property, plant and equipment	2,936	9,029		1,267		1,669
Goodwill	3,095,798	3,048,405	249,300	99,443		939
Intangible assets	205,868	325,223		164,400		41,468
Other non-current assets	17,639	8,662		17,610		29
Total assets acquired	349,784	639,409		294,831		54,953
Current liabilities	5,246	28,307		2,643		2,603
Non-current liabilities	49,531	116,580		43,727		5,804
Total liabilities assumed	54,777	144,887		46,370		8,407
Net assets acquired	295,007	494,522		248,461		46,546
Contingent consideration	75,809	75,620		75,000	75,000	809
Fair value of non-controlling interest	1,683					1,683
Bargain purchase gain	8,062					8,062
Deferred purchase price consideration	618					618
Cash paid	$ 208,835	$ 418,902		$ 173,461	$ 173,500	$ 35,374

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Net Loss Per Common Share - Potential Dilutive Securities Not Included in Calculation of Diluted Net Loss Per Common Share (Detail) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Denominator:
Total number of antidilutive potentially issuable shares of common stock excluded from diluted common shares outstanding	24,097	23,355	24,097	23,355
Options to Purchase Common Stock [Member]
Denominator:
Total number of antidilutive potentially issuable shares of common stock excluded from diluted common shares outstanding	9,798	9,022	9,798	9,022
Warrants [Member]
Denominator:
Total number of antidilutive potentially issuable shares of common stock excluded from diluted common shares outstanding	4	110	4	110
Convertible Shares Related to 3% Convertible Senior Subordinated Notes [Member]
Denominator:
Total number of antidilutive potentially issuable shares of common stock excluded from diluted common shares outstanding	3,411	3,411	3,411	3,411
Subordinated Convertible Promissory Notes [Member]
Denominator:
Total number of antidilutive potentially issuable shares of common stock excluded from diluted common shares outstanding	27	27	27	27
Convertible Preferred Stock Series B [Member]
Denominator:
Total number of antidilutive potentially issuable shares of common stock excluded from diluted common shares outstanding	10,239	10,239	10,239	10,239

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Consolidated Statements of Comprehensive Loss (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Statement Of Income And Comprehensive Income [Abstract]
Net loss	$ (60,302)	$ (12,879)	$ (47,877)	$ (11,850)
Other comprehensive income (loss), before tax:
Changes in cumulative translation adjustment	(34,428)	(36,777)	(109,783)	(838)
Unrealized gains on available for sale securities		359		790
Unrealized gains (losses) on hedging instruments		(652)	11	455
Minimum pension liability adjustment	99	4	704	(120)
Other comprehensive income (loss), before tax	(34,329)	(37,066)	(109,068)	287
Income tax provision (benefit) related to items of other comprehensive income
Other comprehensive income (loss), net of tax	(34,329)	(37,066)	(109,068)	287
Comprehensive loss	(94,631)	(49,945)	(156,945)	(11,563)
Less: Comprehensive income (loss) attributable to non-controlling interests	267	36	242	(149)
Comprehensive loss attributable to Alere Inc. and Subsidiaries	$ (94,898)	$ (49,981)	$ (157,187)	$ (11,414)

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Restructuring Plans

6 Months Ended

Jun. 30, 2013

Restructuring And Related Activities [Abstract]

Restructuring Plans

(8) Restructuring Plans

The following table sets forth aggregate restructuring charges recorded in our consolidated statements of operations for the three and six months ended June 30, 2013 and 2012 (in thousands):

	Three Months Ended June 30,				Six Months Ended June 30,
Statement of Operations Caption	2013		2012		2013		2012
Cost of net revenue	$	729	$	25	$	1,352	$	989
Research and development		645		14		645		638
Sales and marketing		159		200		1,258		1,027
General and administrative		6,511		1,126		8,681		4,239
Total operating expenses		8,044		1,365		11,936		6,893
Interest expense, including amortization of original issue discounts and deferred financing costs		62		50		117		110
Total charges	$	8,106	$	1,415	$	12,053	$	7,003

(a) 2013 Restructuring Plans

In 2013, management developed cost reduction efforts within our professional diagnostics business segment, including businesses in our Europe and Asia Pacific regions. Additionally, management is continuing to improve efficiencies within our health information solutions business segment, including winding down a small portion of this business, which resulted in charges associated with the impairment of related fixed and intangible assets. The following table summarizes the restructuring activities related to our 2013 restructuring plans for the three and six months ended June 30, 2013 (in thousands):

	Three Months Ended June 30, 2013
	Professional Diagnostics		Health Information Solutions			Total
Severance-related costs	$	1,251	$	(11	)	$	1,240
Facility and transition costs		337		241			578
Cash charges		1,588		230			1,818
Fixed asset and inventory impairments		—		170			170
Intangible asset impairments		—		2,596			2,596
Total charges	$	1,588	$	2,996		$	4,584

	Six Months Ended June 30, 2013
	Professional Diagnostics		Health Information Solutions		Total
Severance-related costs	$	2,084	$	58	$	2,142
Facility and transition costs		350		241		591
Cash charges		2,434		299		2,733
Fixed asset and inventory impairments		—		170		170
Intangible asset impairments		—		2,596		2,596
Total charges	$	2,434	$	3,065	$	5,499

We anticipate incurring approximately $1.0 million in additional costs under our 2013 restructuring plans related primarily to our professional diagnostics business segment in Europe and may develop additional plans over the remainder of 2013. As of June 30, 2013, $0.4 million in severance and contract cancellation costs arising under our 2013 restructuring plans remain unpaid.

(b) 2012 Restructuring Plans

In 2012, management developed cost reduction plans within our professional diagnostics business segment, including the integration of our businesses in Brazil, Europe and the United States. Additionally, management developed new plans to continue our efforts to reduce costs within our health information solutions business segment, including the termination of certain projects, which resulted in charges for the impairment of related fixed and intangible assets. The following table summarizes the restructuring activities related to our 2012 restructuring plans for the three and six months ended June 30, 2013 and 2012 and since inception (in thousands):

	Three Months Ended June  30,				Six Months Ended June  30,				Since Inception
Professional Diagnostics	2013		2012		2013		2012
Severance-related costs	$	26	$	345	$	88	$	2,318	$	4,820
Facility and transition costs		19		—		82		—		201
Cash charges		45		345		170		2,318		5,021
Fixed asset impairments		—		—		—		—		304
Total charges	$	45	$	345	$	170	$	2,318	$	5,325

	Three Months Ended June  30,						Six Months Ended June  30,					Since Inception
Health Information Solutions	2013			2012			2013			2012
Severance-related costs	$	529		$	422		$	2,348		$	1,219	$	5,393
Facility and transition costs		3,612			125			4,271			125		5,505
Other exit costs		32			—			52			—		67
Cash charges		4,173			547			6,671			1,344		10,965
Fixed asset and inventory impairments		75			—			75			—		2,764
Intangible asset impairments		—			—			—			—		2,988
Other non-cash charges		(908	)		(5	)		(953	)		—		(984	)
Total charges	$	3,340		$	542		$	5,793		$	1,344	$	15,733

We anticipate incurring approximately $0.6 million in additional transition and other facility costs under these plans related primarily to our health information solutions business segment through 2014. As of June 30, 2013, $5.7 million in severance and exit costs under these plans remain unpaid.

(c) 2011, 2010 and 2008 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 information solutions and professional diagnostics business segments. Management also developed plans within our professional diagnostics business segment to consolidate operating activities among certain of our U.S., European and Asia Pacific subsidiaries, including transferring the manufacturing of our Panbio products from Australia to our Standard Diagnostics facility in South Korea and eliminating redundant costs among our newly-acquired Axis-Shield subsidiaries. Additionally, within our health information solutions 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.

In 2010, management developed several plans to reduce costs and improve efficiencies within our health information solutions and professional diagnostics business segments. Additionally in 2008, management developed and initiated plans to transition the business of Cholestech to our San Diego, California facility.

The following table summarizes the restructuring activities related to our 2011, 2010 and 2008 restructuring plans for the three and six months ended June 30, 2013 and 2012 and since inception (in thousands):

	Three Months Ended June  30,					Six Months Ended June  30,				Since Inception
Professional Diagnostics	2013			2012		2013		2012
Severance-related costs	$	(54	)	$	310	$	196	$	2,275	$	19,909
Facility and transition costs		161			161		330		884		7,557
Other exit costs		15			17		31		36		729
Cash charges		122			488		557		3,195		28,195
Fixed asset and inventory impairments		—			—		—		134		6,374
Total charges	$	122		$	488	$	557	$	3,329	$	34,569

	Three Months Ended June  30,					Six Months Ended June  30,					Since Inception
Health Information Solutions	2013		2012			2013		2012
Severance-related costs	$	—	$	—		$	—	$	—		$	6,901
Facility and transition costs		—		(87	)		—		(173	)		8,010
Other exit costs		15		33			34		74			546
Cash charges		15		(54	)		34		(99	)		15,457
Fixed asset and inventory impairments		—		85			—		85			1,114
Intangible asset impairments		—		—			—		—			2,935
Other non-cash charges		—		—			—		—			761
Total charges	$	15	$	31		$	34	$	(14	)	$	20,267

	Three Months Ended June  30,				Six Months Ended June  30,				Since Inception
Corporate and Other	2013		2012		2013		2012
Severance-related costs	$	—	$	9	$	—	$	26	$	1,219
Cash charges		—		9		—		26		1,219
Fixed asset and inventory impairments		—		—		—		—		3
Total charges	$	—	$	9	$	—	$	26	$	1,222

We anticipate incurring approximately $1.1 million in additional costs under these plans related primarily to our professional diagnostics business segment. A majority of these additional costs relate to the transfer of the Panbio product manufacturing to Korea and are for severance and facility exit costs. We may also incur impairment charges on assets as plans are finalized. We do not anticipate incurring significant additional costs under these plans related to our health information solutions business segment. As of June 30, 2013, $2.5 million in cash charges remain unpaid, primarily related to facility lease obligations.

(d) Restructuring Reserves

The following table summarizes our restructuring reserves related to the plans described above, of which $6.3 million is included in accrued expenses and other current liabilities and $2.3 million is included in other long-term liabilities on our accompanying consolidated balance sheets (in thousands):

	Severance- related Costs			Facility  and Transition Costs			Other Exit Costs			Total
Balance, December 31, 2012	$	3,167		$	2,429		$	622		$	6,218
Cash charges		4,774			5,274			117			10,165
Payments		(5,462	)		(2,042	)		(146	)		(7,650	)
Currency adjustments		(166	)		(8	)		—			(174	)
Balance, June 30, 2013	$	2,313		$	5,653		$	593		$	8,559

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Consolidated Balance Sheets (Parenthetical) (USD $) In Thousands, except Per Share data, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012
Statement Of Financial Position [Abstract]
Accounts receivable, allowances	$ 57,939	$ 36,395
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	89,036	88,576
Common stock, shares outstanding	81,357	80,897
Treasury stock, shares	7,679	7,679

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Long-Term Debt - Long-Term Debt Balances Outstanding (Parenthetical) (Detail)	Jun. 30, 2013	May 24, 2013	Dec. 31, 2012	Jun. 30, 2012
7.25% Senior Notes [Member]
Debt Instrument [Line Items]
Long-term debt, Interest rate	7.25%		7.25%	7.25%
7.875% Senior Notes [Member]
Debt Instrument [Line Items]
Long-term debt, Interest rate	7.875%		7.875%	7.875%
9% Senior Subordinated Notes [Member]
Debt Instrument [Line Items]
Long-term debt, Interest rate	9.00%	9.00%	9.00%	9.00%
8.625% Senior Subordinated Notes [Member]
Debt Instrument [Line Items]
Long-term debt, Interest rate	8.625%		8.625%	8.625%
6.5% Senior Subordinated Notes [Member]
Debt Instrument [Line Items]
Long-term debt, Interest rate	6.50%	6.50%	6.50%	6.50%
3% Convertibles Senior Subordinated Notes [Member]
Debt Instrument [Line Items]
Long-term debt, Interest rate	3.00%		3.00%	3.00%

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Consolidated Statements of Operations (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Income Statement [Abstract]
Net product sales	$ 521,562	$ 463,425	$ 1,029,838	$ 939,212
Services revenue	237,558	233,855	464,467	426,289
Net product sales and services revenue	759,120	697,280	1,494,305	1,365,501
License and royalty revenue	4,865	3,237	8,929	6,145
Net revenue	763,985	700,517	1,503,234	1,371,646
Cost of net product sales	253,189	222,498	506,267	448,052
Cost of services revenue	124,810	120,559	244,968	211,419
Cost of net product sales and services revenue	377,999	343,057	751,235	659,471
Cost of license and royalty revenue	1,499	1,852	3,255	3,496
Cost of net revenue	379,498	344,909	754,490	662,967
Gross profit	384,487	355,608	748,744	708,679
Operating expenses:
Research and development	40,500	40,447	81,954	79,447
Sales and marketing	159,422	159,322	315,878	317,900
General and administrative	140,161	121,485	276,019	241,920
Total operating expenses	340,083	321,254	673,851	639,267
Operating income	44,404	34,354	74,893	69,412
Interest expense, including amortization of original issue discounts and deferred financing costs	(92,453)	(55,531)	(149,852)	(106,258)
Other income (expense), net	1,063	3,811	593	15,642
Loss before provision (benefit) for income taxes	(46,986)	(17,366)	(74,366)	(21,204)
Provision (benefit) for income taxes	17,867	(489)	(19,004)	(1,944)
Loss before equity earnings of unconsolidated entities, net of tax	(64,853)	(16,877)	(55,362)	(19,260)
Equity earnings of unconsolidated entities, net of tax	4,551	3,998	7,485	7,410
Net income (loss)	(60,302)	(12,879)	(47,877)	(11,850)
Less: Net income (loss) attributable to non-controlling interests	267	36	242	(149)
Net loss attributable to Alere Inc. and Subsidiaries	(60,569)	(12,915)	(48,119)	(11,701)
Preferred stock dividends	(5,309)	(5,279)	(10,559)	(10,588)
Net loss available to common stockholders	$ (65,878)	$ (18,194)	$ (58,678)	$ (22,289)
Basic and diluted net loss per common share attributable to Alere Inc. and Subsidiaries:	$ (0.81)	$ (0.23)	$ (0.72)	$ (0.28)
Weighted-average shares-basic and diluted	81,311	80,375	81,255	80,307

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Business Combinations - Preliminary Fair Values of Net Assets Acquired for Acquisitions (Parenthetical) (Detail) (USD $) In Millions, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012
Business Combinations [Abstract]
Cash acquired	$ 3.1	$ 3.8

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Guarantor Financial Information - Consolidating Balance Sheet (Detail) (USD $) In Thousands, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012	Jun. 30, 2012	Dec. 31, 2011
Current assets:
Cash and cash equivalents	$ 320,547	$ 328,346	$ 303,739	$ 299,173
Restricted cash	9,919	3,076
Marketable securities	889	904
Accounts receivable, net of allowances	553,760	524,332
Inventories, net	356,753	337,121
Deferred tax assets	60,849	67,722
Prepaid expenses and other current assets	106,360	145,236
Total current assets	1,409,077	1,406,737
Property, plant and equipment, net	530,467	534,469
Goodwill	3,095,798	3,048,405	249,300
Other intangible assets with indefinite lives	57,346	36,451
Finite-lived intangible assets, net	1,811,951	1,834,225
Deferred financing costs, net and other non-current assets	89,383	108,857
Investments in unconsolidated entities	96,197	90,491
Deferred tax assets	9,786	8,293
Total assets	7,100,005	7,067,928
Current liabilities:
Current portion of long-term debt	50,539	60,232
Current portion of capital lease obligations	5,958	6,684
Accounts payable	178,552	169,974
Accrued expenses and other current liabilities	425,379	411,919
Total current liabilities	660,428	648,809
Long-term liabilities:
Long-term debt, net of current portion	3,808,302	3,628,675
Capital lease obligations, net of current portion	11,685	12,917
Deferred tax liabilities	390,012	428,188
Other long-term liabilities	197,781	166,635
Total long-term liabilities	4,407,780	4,236,415
Stockholders' equity	2,027,572	2,180,422
Non-controlling interests	4,225	2,282
Total equity	2,031,797	2,182,704	2,191,028	2,231,574
Total liabilities and equity	7,100,005	7,067,928
Issuer [Member]
Current assets:
Cash and cash equivalents	3,467	3,623	13,889	12,451
Restricted cash	6,248
Deferred tax assets	10,418	12,193
Prepaid expenses and other current assets	3,945	(20,636)
Intercompany receivables	322,759	298,812
Total current assets	346,837	293,992
Property, plant and equipment, net	2,638	2,679
Finite-lived intangible assets, net	9,672	24,701
Deferred financing costs, net and other non-current assets	61,992	78,522
Investments in subsidiaries	4,359,116	4,114,478
Investments in unconsolidated entities	30,201	33,979
Intercompany notes receivable	1,632,819	1,724,650
Total assets	6,443,275	6,273,001
Current liabilities:
Current portion of long-term debt	45,000	45,000
Accounts payable	8,848	7,993
Accrued expenses and other current liabilities	(387,789)	(388,830)
Intercompany payables	628,617	557,578
Total current liabilities	294,676	221,741
Long-term liabilities:
Long-term debt, net of current portion	3,792,478	3,617,068
Deferred tax liabilities	(18,036)	(5,329)
Other long-term liabilities	17,972	17,678
Intercompany notes payables	328,613	241,421
Total long-term liabilities	4,121,027	3,870,838
Stockholders' equity	2,027,572	2,180,422
Total equity	2,027,572	2,180,422
Total liabilities and equity	6,443,275	6,273,001
Guarantor Subsidiaries [Member]
Current assets:
Cash and cash equivalents	64,192	67,449	78,079	95,212
Restricted cash	2,309	1,680
Marketable securities	779	787
Accounts receivable, net of allowances	233,549	241,050
Inventories, net	163,592	142,413
Deferred tax assets	37,369	39,601
Prepaid expenses and other current assets	33,942	99,271
Intercompany receivables	650,991	1,254,727
Total current assets	1,186,723	1,846,978
Property, plant and equipment, net	290,341	293,260
Goodwill	1,811,304	1,820,438
Other intangible assets with indefinite lives	12,900	14,600
Finite-lived intangible assets, net	1,047,346	1,132,656
Deferred financing costs, net and other non-current assets	10,261	10,341
Investments in subsidiaries	279,981	222,175
Deferred tax assets		782
Intercompany notes receivable	747,564	722,552
Total assets	5,386,420	6,063,782
Current liabilities:
Current portion of long-term debt	626	349
Current portion of capital lease obligations	3,187	3,209
Accounts payable	75,709	76,256
Accrued expenses and other current liabilities	581,594	586,116
Intercompany payables	133,465	806,507
Total current liabilities	794,581	1,472,437
Long-term liabilities:
Long-term debt, net of current portion	224	374
Capital lease obligations, net of current portion	4,743	5,412
Deferred tax liabilities	301,061	333,388
Other long-term liabilities	58,061	72,890
Intercompany notes payables	1,591,479	1,630,376
Total long-term liabilities	1,955,568	2,042,440
Stockholders' equity	2,636,271	2,548,905
Total equity	2,636,271	2,548,905
Total liabilities and equity	5,386,420	6,063,782
Non-Guarantor Subsidiaries [Member]
Current assets:
Cash and cash equivalents	252,888	257,274	211,771	191,510
Restricted cash	1,362	1,396
Marketable securities	110	117
Accounts receivable, net of allowances	320,211	283,282
Inventories, net	217,256	203,230
Deferred tax assets	9,614	13,138
Prepaid expenses and other current assets	68,509	66,634
Intercompany receivables	58,348	55,847
Total current assets	928,298	880,918
Property, plant and equipment, net	237,944	239,082
Goodwill	1,284,494	1,227,967
Other intangible assets with indefinite lives	44,446	21,851
Finite-lived intangible assets, net	754,933	676,868
Deferred financing costs, net and other non-current assets	17,192	20,065
Investments in subsidiaries	3,562	73,940
Investments in unconsolidated entities	52,345	56,512
Deferred tax assets	9,786	7,511
Intercompany notes receivable	58,687	1,278
Total assets	3,391,687	3,205,992
Current liabilities:
Current portion of long-term debt	4,913	14,883
Current portion of capital lease obligations	2,771	3,475
Accounts payable	93,995	85,725
Accrued expenses and other current liabilities	232,155	214,659
Intercompany payables	270,014	245,300
Total current liabilities	603,848	564,042
Long-term liabilities:
Long-term debt, net of current portion	15,600	11,233
Capital lease obligations, net of current portion	6,942	7,505
Deferred tax liabilities	106,542	100,216
Other long-term liabilities	121,810	76,138
Intercompany notes payables	518,978	576,684
Total long-term liabilities	769,872	771,776
Stockholders' equity	2,013,742	1,867,892
Non-controlling interests	4,225	2,282
Total equity	2,017,967	1,870,174
Total liabilities and equity	3,391,687	3,205,992
Eliminations [Member]
Current assets:
Inventories, net	(24,095)	(8,522)
Deferred tax assets	3,448	2,790
Prepaid expenses and other current assets	(36)	(33)
Intercompany receivables	(1,032,098)	(1,609,386)
Total current assets	(1,052,781)	(1,615,151)
Property, plant and equipment, net	(456)	(552)
Deferred financing costs, net and other non-current assets	(62)	(71)
Investments in subsidiaries	(4,642,659)	(4,410,593)
Investments in unconsolidated entities	13,651
Intercompany notes receivable	(2,439,070)	(2,448,480)
Total assets	(8,121,377)	(8,474,847)
Current liabilities:
Accrued expenses and other current liabilities	(581)	(26)
Intercompany payables	(1,032,096)	(1,609,385)
Total current liabilities	(1,032,677)	(1,609,411)
Long-term liabilities:
Deferred tax liabilities	445	(87)
Other long-term liabilities	(62)	(71)
Intercompany notes payables	(2,439,070)	(2,448,481)
Total long-term liabilities	(2,438,687)	(2,448,639)
Stockholders' equity	(4,650,013)	(4,416,797)
Total equity	(4,650,013)	(4,416,797)
Total liabilities and equity	$ (8,121,377)	$ (8,474,847)

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Equity Investments - Financial Information for SPD and Techlab on Combined Condensed Balance Sheets (Detail) (USD $) In Thousands, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012
Equity Method Investments And Joint Ventures [Abstract]
Current assets	$ 80,378	$ 79,842
Non-current assets	37,211	38,991
Total assets	117,589	118,833
Current liabilities	36,842	45,084
Non-current liabilities	6,261	6,791
Total liabilities	$ 43,103	$ 51,875

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Net Loss Per Common Share (Tables)

6 Months Ended

Jun. 30, 2013

Earnings Per Share [Abstract]

Computation of Basic and Diluted Net Loss Per Common Share

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

	Three Months Ended June 30,						Six Months Ended June 30,
	2013			2012			2013			2012
Numerator:
Net loss	$	(60,302	)	$	(12,879	)	$	(47,877	)	$	(11,850	)
Preferred stock dividends		(5,309	)		(5,279	)		(10,559	)		(10,588	)
Less: Net income (loss) attributable to non-controlling interest		267			36			242			(149	)
Net loss available to common stockholders	$	(65,878	)	$	(18,194	)	$	(58,678	)	$	(22,289	)
Denominator:
Weighted-average common shares outstanding — basic and diluted		81,311			80,375			81,255			80,307
Basic and diluted net loss per common share attributable to Alere Inc. and Subsidiaries	$	(0.81	)	$	(0.23	)	$	(0.72	)	$	(0.28	)

Potential Dilutive Securities Not Included in Calculation of Diluted Net Loss Per Common Share

The following potential dilutive securities were not included in the calculation of diluted net loss per common share because the inclusion thereof would be antidilutive (in thousands):

	Three Months Ended June 30,				Six Months Ended June 30,
	2013		2012		2013		2012
Denominator:
Options to purchase shares of common stock		9,798		9,022		9,798		9,022
Warrants		4		110		4		110
Conversion shares related to 3% convertible senior subordinated notes		3,411		3,411		3,411		3,411
Conversion shares related to subordinated convertible promissory notes		27		27		27		27
Conversion shares related to Series B convertible preferred stock		10,239		10,239		10,239		10,239
Total number of antidilutive potentially issuable shares of common stock excluded from diluted common shares outstanding		24,097		23,355		24,097		23,355

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Recent Accounting Pronouncements

6 Months Ended

Jun. 30, 2013

Accounting Changes And Error Corrections [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, 2013, we adopted ASU No. 2012-02, Intangibles — Goodwill and Other (Topic 350): Testing Indefinite-Lived Intangible Assets for Impairment, or ASU 2012-02. ASU 2012-02 allows an entity the option to first assess qualitative factors to determine whether the existence of events and circumstances indicates that it is more likely than not that the indefinite-lived intangible asset is impaired. If an entity concludes that it is not more likely than not that the indefinite-lived intangible asset is impaired, then the entity is not required to take further action. However, if an entity concludes otherwise, then it is required to determine the fair value of the indefinite-lived intangible asset and perform the quantitative impairment test by comparing the fair value with the carrying amount. An entity also has the option to bypass the qualitative assessment for any indefinite-lived intangible asset in any period and proceed directly to performing the quantitative impairment test. An entity will be able to resume performing the qualitative assessment in any subsequent period. The adoption of this standard is not expected to have an impact on our financial position, results of operations, comprehensive income or cash flows.

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Net Loss Per Common Share - Computation of Basic and Diluted Net Loss Per Common Share (Detail) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Numerator:
Net loss	$ (60,302)	$ (12,879)	$ (47,877)	$ (11,850)
Preferred stock dividends	(5,309)	(5,279)	(10,559)	(10,588)
Less: Net income (loss) attributable to non-controlling interest	267	36	242	(149)
Net loss available to common stockholders	$ (65,878)	$ (18,194)	$ (58,678)	$ (22,289)
Weighted-average common shares outstanding - basic and diluted	81,311	80,375	81,255	80,307
Basic and diluted net loss per common share attributable to Alere Inc. and Subsidiaries	$ (0.81)	$ (0.23)	$ (0.72)	$ (0.28)

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Guarantor Financial Information - Consolidating Statement of Operations (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Condensed Financial Statements, Captions [Line Items]
Net product sales	$ 521,562	$ 463,425	$ 1,029,838	$ 939,212
Services revenue	237,558	233,855	464,467	426,289
Net product sales and services revenue	759,120	697,280	1,494,305	1,365,501
License and royalty revenue	4,865	3,237	8,929	6,145
Net revenue	763,985	700,517	1,503,234	1,371,646
Cost of net product sales	253,189	222,498	506,267	448,052
Cost of services revenue	124,810	120,559	244,968	211,419
Cost of net product sales and services revenue	377,999	343,057	751,235	659,471
Cost of license and royalty revenue	1,499	1,852	3,255	3,496
Cost of net revenue	379,498	344,909	754,490	662,967
Gross profit (loss)	384,487	355,608	748,744	708,679
Operating expenses:
Research and development	40,500	40,447	81,954	79,447
Sales and marketing	159,422	159,322	315,878	317,900
General and administrative	140,161	121,485	276,019	241,920
Total operating expenses	340,083	321,254	673,851	639,267
Operating income (loss)	44,404	34,354	74,893	69,412
Interest expense, including amortization of original issue discounts and deferred financing costs	(92,453)	(55,531)	(149,852)	(106,258)
Other income (expense), net	1,063	3,811	593	15,642
Income (loss) before provision (benefit) for income taxes	(46,986)	(17,366)	(74,366)	(21,204)
Provision (benefit) for income taxes	17,867	(489)	(19,004)	(1,944)
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax	(64,853)	(16,877)	(55,362)	(19,260)
Equity earnings of unconsolidated entities, net of tax	4,551	3,998	7,485	7,410
Net income (loss)	(60,302)	(12,879)	(47,877)	(11,850)
Less: Net income attributable to non-controlling interests	267	36	242	(149)
Net income (loss) attributable to Alere Inc. and Subsidiaries	(60,569)	(12,915)	(48,119)	(11,701)
Preferred stock dividends	(5,309)	(5,279)	(10,559)	(10,588)
Net income (loss) available to common stockholders	(65,878)	(18,194)	(58,678)	(22,289)
Issuer [Member]
Condensed Financial Statements, Captions [Line Items]
Cost of net product sales	887	857	1,835	1,707
Cost of net product sales and services revenue	887	857	1,835	1,707
Cost of net revenue	887	857	1,835	1,707
Gross profit (loss)	(887)	(857)	(1,835)	(1,707)
Operating expenses:
Research and development	6,229	5,873	10,652	11,069
Sales and marketing	1,413	819	2,805	1,876
General and administrative	14,477	14,567	28,504	26,198
Total operating expenses	22,119	21,259	41,961	39,143
Operating income (loss)	(23,006)	(22,116)	(43,796)	(40,850)
Interest expense, including amortization of original issue discounts and deferred financing costs	(91,660)	(53,969)	(148,518)	(103,685)
Other income (expense), net	(5,607)	3,988	(837)	(4,086)
Income (loss) before provision (benefit) for income taxes	(120,273)	(72,097)	(193,151)	(148,621)
Provision (benefit) for income taxes	(10,360)	(19,750)	(73,171)	(46,748)
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax	(109,913)	(52,347)	(119,980)	(101,873)
Equity earnings (losses) of subsidiaries, net of tax	49,045	38,982	71,289	88,877
Equity earnings of unconsolidated entities, net of tax	566	486	814	1,146
Net income (loss)	(60,302)	(12,879)	(47,877)	(11,850)
Net income (loss) attributable to Alere Inc. and Subsidiaries	(60,302)	(12,879)	(47,877)	(11,850)
Preferred stock dividends	(5,309)	(5,279)	(10,559)	(10,588)
Net income (loss) available to common stockholders	(65,611)	(18,158)	(58,436)	(22,438)
Guarantor Subsidiaries [Member]
Condensed Financial Statements, Captions [Line Items]
Net product sales	208,925	206,818	442,418	430,235
Services revenue	218,150	217,717	424,321	394,432
Net product sales and services revenue	427,075	424,535	866,739	824,667
License and royalty revenue	2,770	9,590	5,805	13,894
Net revenue	429,845	434,125	872,544	838,561
Cost of net product sales	117,550	98,110	238,144	204,312
Cost of services revenue	120,287	112,863	235,898	196,506
Cost of net product sales and services revenue	237,837	210,973	474,042	400,818
Cost of license and royalty revenue	18	5	35	10
Cost of net revenue	237,855	210,978	474,077	400,828
Gross profit (loss)	191,990	223,147	398,467	437,733
Operating expenses:
Research and development	16,157	18,039	33,537	35,521
Sales and marketing	81,203	88,080	164,041	174,417
General and administrative	74,174	61,291	139,157	125,935
Total operating expenses	171,534	167,410	336,735	335,873
Operating income (loss)	20,456	55,737	61,732	101,860
Interest expense, including amortization of original issue discounts and deferred financing costs	(6,382)	(10,946)	(13,403)	(22,013)
Other income (expense), net	5,636	15,803	11,895	25,231
Income (loss) before provision (benefit) for income taxes	19,710	60,594	60,224	105,078
Provision (benefit) for income taxes	12,042	25,217	29,968	41,999
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax	7,668	35,377	30,256	63,079
Equity earnings (losses) of subsidiaries, net of tax	(559)	(185)	(1,173)	(533)
Net income (loss)	7,109	35,192	29,083	62,546
Net income (loss) attributable to Alere Inc. and Subsidiaries	7,109	35,192	29,083	62,546
Net income (loss) available to common stockholders	7,109	35,192	29,083	62,546
Non-Guarantor Subsidiaries [Member]
Condensed Financial Statements, Captions [Line Items]
Net product sales	365,328	286,145	686,225	571,744
Services revenue	19,408	16,138	40,146	31,857
Net product sales and services revenue	384,736	302,283	726,371	603,601
License and royalty revenue	5,072	2,602	8,605	5,148
Net revenue	389,808	304,885	734,976	608,749
Cost of net product sales	180,947	152,555	354,163	304,153
Cost of services revenue	9,717	7,696	18,219	14,913
Cost of net product sales and services revenue	190,664	160,251	372,382	319,066
Cost of license and royalty revenue	4,458	10,802	8,701	16,383
Cost of net revenue	195,122	171,053	381,083	335,449
Gross profit (loss)	194,686	133,832	353,893	273,300
Operating expenses:
Research and development	18,114	16,535	37,765	32,857
Sales and marketing	76,806	70,423	149,032	141,607
General and administrative	51,510	45,627	108,358	89,787
Total operating expenses	146,430	132,585	295,155	264,251
Operating income (loss)	48,256	1,247	58,738	9,049
Interest expense, including amortization of original issue discounts and deferred financing costs	(3,071)	(3,816)	(6,488)	(7,070)
Other income (expense), net	9,695	(2,780)	8,092	21,007
Income (loss) before provision (benefit) for income taxes	54,880	(5,349)	60,342	22,986
Provision (benefit) for income taxes	16,750	(5,839)	24,877	2,851
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax	38,130	490	35,465	20,135
Equity earnings of unconsolidated entities, net of tax	4,027	3,502	6,715	6,238
Net income (loss)	42,157	3,992	42,180	26,373
Less: Net income attributable to non-controlling interests	267	36	242	(149)
Net income (loss) attributable to Alere Inc. and Subsidiaries	41,890	3,956	41,938	26,522
Net income (loss) available to common stockholders	41,890	3,956	41,938	26,522
Eliminations [Member]
Condensed Financial Statements, Captions [Line Items]
Net product sales	(52,691)	(29,538)	(98,805)	(62,767)
Net product sales and services revenue	(52,691)	(29,538)	(98,805)	(62,767)
License and royalty revenue	(2,977)	(8,955)	(5,481)	(12,897)
Net revenue	(55,668)	(38,493)	(104,286)	(75,664)
Cost of net product sales	(46,195)	(29,024)	(87,875)	(62,120)
Cost of services revenue	(5,194)		(9,149)
Cost of net product sales and services revenue	(51,389)	(29,024)	(97,024)	(62,120)
Cost of license and royalty revenue	(2,977)	(8,955)	(5,481)	(12,897)
Cost of net revenue	(54,366)	(37,979)	(102,505)	(75,017)
Gross profit (loss)	(1,302)	(514)	(1,781)	(647)
Operating expenses:
Operating income (loss)	(1,302)	(514)	(1,781)	(647)
Interest expense, including amortization of original issue discounts and deferred financing costs	8,660	13,200	18,557	26,510
Other income (expense), net	(8,661)	(13,200)	(18,557)	(26,510)
Income (loss) before provision (benefit) for income taxes	(1,303)	(514)	(1,781)	(647)
Provision (benefit) for income taxes	(565)	(117)	(678)	(46)
Income (loss) before equity earnings (losses) of subsidiaries and unconsolidated entities, net of tax	(738)	(397)	(1,103)	(601)
Equity earnings (losses) of subsidiaries, net of tax	(48,486)	(38,797)	(70,116)	(88,344)
Equity earnings of unconsolidated entities, net of tax	(42)	10	(44)	26
Net income (loss)	(49,266)	(39,184)	(71,263)	(88,919)
Net income (loss) attributable to Alere Inc. and Subsidiaries	(49,266)	(39,184)	(71,263)	(88,919)
Net income (loss) available to common stockholders	$ (49,266)	$ (39,184)	$ (71,263)	$ (88,919)

XML

Restructuring Plans - Restructuring Activities Related to Restructuring Plans (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended		66 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013
Restructuring Cost and Reserve [Line Items]
Restructuring charges			$ 10,165
Severance-Related Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges			4,774
Facility and Transition Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges			5,274
Other Exit Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges			117
2013 Restructuring Plans [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	4,584		5,499
2013 Restructuring Plans [Member] | Severance-Related Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	1,240		2,142
2013 Restructuring Plans [Member] | Facility and Transition Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	578		591
2013 Restructuring Plans [Member] | Cash Charges [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	1,818		2,733
2013 Restructuring Plans [Member] | Fixed Asset and Inventory Impairments [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	170		170
2013 Restructuring Plans [Member] | Intangible Asset Impairments [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	2,596		2,596
Professional Diagnostics Business Segment [Member] | 2013 Restructuring Plans [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	1,588		2,434
Professional Diagnostics Business Segment [Member] | 2013 Restructuring Plans [Member] | Severance-Related Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	1,251		2,084
Professional Diagnostics Business Segment [Member] | 2013 Restructuring Plans [Member] | Facility and Transition Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	337		350
Professional Diagnostics Business Segment [Member] | 2013 Restructuring Plans [Member] | Cash Charges [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	1,588		2,434
Professional Diagnostics Business Segment [Member] | 2012 Restructuring Plans [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	45	345	170	2,318	5,325
Professional Diagnostics Business Segment [Member] | 2012 Restructuring Plans [Member] | Severance-Related Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	26	345	88	2,318	4,820
Professional Diagnostics Business Segment [Member] | 2012 Restructuring Plans [Member] | Facility and Transition Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	19		82		201
Professional Diagnostics Business Segment [Member] | 2012 Restructuring Plans [Member] | Cash Charges [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	45	345	170	2,318	5,021
Professional Diagnostics Business Segment [Member] | 2012 Restructuring Plans [Member] | Fixed Asset and Inventory Impairments [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges					304
Professional Diagnostics Business Segment [Member] | 2011, 2010 and 2008 Restructuring Plans [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	122	488	557	3,329	34,569
Professional Diagnostics Business Segment [Member] | 2011, 2010 and 2008 Restructuring Plans [Member] | Severance-Related Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	(54)	310	196	2,275	19,909
Professional Diagnostics Business Segment [Member] | 2011, 2010 and 2008 Restructuring Plans [Member] | Facility and Transition Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	161	161	330	884	7,557
Professional Diagnostics Business Segment [Member] | 2011, 2010 and 2008 Restructuring Plans [Member] | Cash Charges [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	122	488	557	3,195	28,195
Professional Diagnostics Business Segment [Member] | 2011, 2010 and 2008 Restructuring Plans [Member] | Fixed Asset and Inventory Impairments [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges				134	6,374
Professional Diagnostics Business Segment [Member] | 2011, 2010 and 2008 Restructuring Plans [Member] | Other Exit Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	15	17	31	36	729
Health Information Solutions [Member] | 2013 Restructuring Plans [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	2,996		3,065
Health Information Solutions [Member] | 2013 Restructuring Plans [Member] | Severance-Related Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	(11)		58
Health Information Solutions [Member] | 2013 Restructuring Plans [Member] | Facility and Transition Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	241		241
Health Information Solutions [Member] | 2013 Restructuring Plans [Member] | Cash Charges [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	230		299
Health Information Solutions [Member] | 2013 Restructuring Plans [Member] | Fixed Asset and Inventory Impairments [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	170		170
Health Information Solutions [Member] | 2013 Restructuring Plans [Member] | Intangible Asset Impairments [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	2,596		2,596
Health Information Solutions [Member] | 2012 Restructuring Plans [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	3,340	542	5,793	1,344	15,733
Health Information Solutions [Member] | 2012 Restructuring Plans [Member] | Severance-Related Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	529	422	2,348	1,219	5,393
Health Information Solutions [Member] | 2012 Restructuring Plans [Member] | Facility and Transition Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	3,612	125	4,271	125	5,505
Health Information Solutions [Member] | 2012 Restructuring Plans [Member] | Cash Charges [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	4,173	547	6,671	1,344	10,965
Health Information Solutions [Member] | 2012 Restructuring Plans [Member] | Fixed Asset and Inventory Impairments [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	75		75		2,764
Health Information Solutions [Member] | 2012 Restructuring Plans [Member] | Intangible Asset Impairments [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges					2,988
Health Information Solutions [Member] | 2012 Restructuring Plans [Member] | Other Exit Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	32		52		67
Health Information Solutions [Member] | 2012 Restructuring Plans [Member] | Other Non-Cash Charges [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	(908)	(5)	(953)		(984)
Health Information Solutions [Member] | 2011, 2010 and 2008 Restructuring Plans [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	15	31	34	(14)	20,267
Health Information Solutions [Member] | 2011, 2010 and 2008 Restructuring Plans [Member] | Severance-Related Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges					6,901
Health Information Solutions [Member] | 2011, 2010 and 2008 Restructuring Plans [Member] | Facility and Transition Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges		(87)		(173)	8,010
Health Information Solutions [Member] | 2011, 2010 and 2008 Restructuring Plans [Member] | Cash Charges [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	15	(54)	34	(99)	15,457
Health Information Solutions [Member] | 2011, 2010 and 2008 Restructuring Plans [Member] | Fixed Asset and Inventory Impairments [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges		85		85	1,114
Health Information Solutions [Member] | 2011, 2010 and 2008 Restructuring Plans [Member] | Intangible Asset Impairments [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges					2,935
Health Information Solutions [Member] | 2011, 2010 and 2008 Restructuring Plans [Member] | Other Exit Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges	15	33	34	74	546
Health Information Solutions [Member] | 2011, 2010 and 2008 Restructuring Plans [Member] | Other Non-Cash Charges [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges					761
Corporate and Other [Member] | 2011, 2010 and 2008 Restructuring Plans [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges		9		26	1,222
Corporate and Other [Member] | 2011, 2010 and 2008 Restructuring Plans [Member] | Severance-Related Costs [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges		9		26	1,219
Corporate and Other [Member] | 2011, 2010 and 2008 Restructuring Plans [Member] | Cash Charges [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges		9		26	1,219
Corporate and Other [Member] | 2011, 2010 and 2008 Restructuring Plans [Member] | Fixed Asset and Inventory Impairments [Member]
Restructuring Cost and Reserve [Line Items]
Restructuring charges					$ 3

XML

Fair Value Measurements - Additional Information (Detail) (USD $)	Jun. 30, 2013	Dec. 31, 2012
Debt Disclosure [Abstract]
Estimated fair value of our long-term debt	$ 3,900,000,000	$ 3,700,000,000
Carrying amount of our long-term debt	$ 3,858,841,000	$ 3,688,907,000

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Equity Investments (Tables)

6 Months Ended

Jun. 30, 2013

Equity Method Investments And Joint Ventures [Abstract]

Financial Information for SPD and Techlab on Combined Condensed Results of Operations

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

	Three Months Ended June 30,				Six Months Ended June 30,
Combined Condensed Results of Operations:	2013		2012		2013		2012
Net revenue	$	54,669	$	58,308	$	103,824	$	110,833
Gross profit	$	35,591	$	35,585	$	72,704	$	70,764
Net income after taxes	$	9,429	$	7,691	$	15,006	$	14,684

Financial Information for SPD and Techlab on Combined Condensed Balance Sheets

Combined Condensed Balance Sheet:	June 30, 2013		December 31, 2012
Current assets	$	80,378	$	79,842
Non-current assets		37,211		38,991
Total assets	$	117,589	$	118,833
Current liabilities	$	36,842	$	45,084
Non-current liabilities		6,261		6,791
Total liabilities	$	43,103	$	51,875

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Fair Value Measurements (Tables)

6 Months Ended

Jun. 30, 2013

Fair Value Disclosures [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 June 30, 2013 and December 31, 2012, and indicates the fair value hierarchy of the valuation techniques we utilized to determine such fair value (in thousands):

Description	June 30, 2013		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Unobservable Inputs (Level 3)
Assets:
Marketable securities	$	889	$	889	$	—	$	—
Total assets	$	889	$	889	$	—	$	—
Liabilities:
Contingent consideration obligations (1)	$	233,051	$	—	$	—	$	233,051
Total liabilities	$	233,051	$	—	$	—	$	233,051

Description	December 31, 2012		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Unobservable Inputs (Level 3)
Assets:
Marketable securities	$	904	$	904	$	—	$	—
Total assets	$	904	$	904	$	—	$	—
Liabilities:
Contingent consideration obligations (1)	$	176,172	$	—	$	—	$	176,172
Total liabilities	$	176,172	$	—	$	—	$	176,172

⁽¹⁾  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. Significant increases or decreases in any of these inputs could result in a significantly higher or lower fair value measurement. 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 Fair Value of Contingent Consideration Obligations

Changes in the fair value of our Level 3 contingent consideration obligations during the six months ended June 30, 2013 were as follows (in thousands):

Fair value of contingent consideration obligations, January 1, 2013	$	176,172
Acquisition date fair value of contingent consideration obligations recorded		75,815
Net reclassifications		(12	)
Foreign currency		(460	)
Payments		(34,739	)
Present value accretion		3,402
Adjustments, net (income) expense		12,873
Fair value of contingent consideration obligations, June 30, 2013	$	233,051

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Defined Benefit Pension Plan (Tables)

6 Months Ended

Jun. 30, 2013

Compensation And Retirement Disclosure [Abstract]

Net Periodic Benefit Costs

The net periodic benefit costs are as follows (in thousands):

	Three Months Ended June 30,						Six Months Ended June 30,
	2013			2012			2013			2012
Service cost	$	—		$	—		$	—		$	—
Interest cost		180			199			361			397
Expected return on plan assets		(154	)		(153	)		(309	)		(305	)
Amortization of prior service costs		102			104			205			208
Realized losses		—			—			—			—
Net periodic benefit cost	$	128		$	150		$	257		$	300

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Business Combinations

6 Months Ended

Jun. 30, 2013

Business Combinations [Abstract]

Business Combinations

(7) 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 and six months ended June 30, 2013, we expensed acquisition-related costs of $0.4 million and $1.3 million, respectively, in general and administrative expense. During the three and six months ended June 30, 2012, we expensed acquisition-related costs of $3.8 million and $5.3 million, respectively, in general and administrative expense.

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

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. The estimated useful lives of the individual categories of intangible assets were 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 intangible 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 2013

(i) Epocal

On February 1, 2013, we acquired Epocal, Inc., or Epocal, located in Ottawa, Canada, a provider of technologies that support blood gas and electrolyte testing at the point of care. The preliminary aggregate purchase price was approximately $248.5 million, which consisted of $173.5 million in cash and a contingent consideration obligation with an aggregate acquisition date fair value of $75.0 million. The operating results of Epocal are included in our professional diagnostics reporting unit and business segment. The amount allocated to goodwill from this acquisition is not deductible for tax purposes.

(ii) Other acquisitions in 2013

During the six months ended June 30, 2013, we acquired the following businesses for a preliminary aggregate purchase price of $46.5 million, which included cash payments totaling $35.4 million, contingent consideration obligations with an aggregate acquisition date fair value of $0.8 million, deferred purchase price consideration with an acquisition date fair value of $0.6 million and an $8.1 million bargain purchase gain.

• certain assets of PT Mega Medika Mandiri, or Mega Medika, located in South Jakarta, Indonesia, a distributor of infectious disease products to the Indonesian marketplace as well as materials for vaccines to a pharmaceutical customer (Acquired January 2013)

• Discount Diabetic, LLC, or Discount Diabetic, located in Phoenix, Arizona, a provider of blood glucose monitoring products, including diabetes testing systems and test strips and other products (Acquired April 2013)

• the Medicare fee for service assets of Liberty Medical, or the Liberty business, located in Port St. Lucie, Florida, a leading mail order provider of diabetes testing supplies serving the needs of both Type 1 and Type 2 diabetic patients (Acquired April 2013)

• 51% share in Cardio Selfcare B.V., or Cardio Selfcare, located in Ede, the Netherlands, a developer of innovative software for the healthcare industry that develops and licenses software and sells medical devices to enable patients to perform medical self-care, including thrombosis self-care (Acquired May 2013)

The operating results of Mega Medika, Discount Diabetic, the Liberty business and Cardio Selfcare are included in our professional diagnostics reporting unit and business segment.

Our consolidated statement of operations for the three and six months ended June 30, 2013 included revenue totaling approximately $32.5 million and $32.9 million, respectively, related to these businesses. Goodwill has been recognized in the Mega Medika and Cardio Selfcare acquisitions and amounted to approximately $0.9 million. The goodwill related to the Mega Medika acquisition is deductible for tax purposes.

With respect to our acquisition of the Liberty business, the purchase price of the acquisition has been allocated to the net tangible and intangible assets acquired, with the excess of the fair value of assets acquired over the purchase price recorded as a bargain purchase gain. The $8.1 million bargain purchase gain has been recorded in other income (expense), net in our consolidated statement of operations and is not recognized for tax purposes. The bargain purchase gain resulted from our operating cost structure which we believe will allow us to operate this business more cost effectively than the sellers.

A summary of the preliminary fair values of the net assets acquired for the acquisitions consummated in 2013 is as follows (in thousands):

	Epocal		Other		Total
Current assets(1)	$	12,111	$	10,848	$	22,959
Property, plant and equipment		1,267		1,669		2,936
Goodwill		99,443		939		100,382
Intangible assets		164,400		41,468		205,868
Other non-current assets		17,610		29		17,639
Total assets acquired		294,831		54,953		349,784
Current liabilities		2,643		2,603		5,246
Non-current liabilities		43,727		5,804		49,531
Total liabilities assumed		46,370		8,407		54,777
Net assets acquired		248,461		46,546		295,007
Less:
Contingent consideration		75,000		809		75,809
Fair value of non-controlling interest		—		1,683		1,683
Bargain purchase gain		—		8,062		8,062
Deferred purchase price consideration		—		618		618
Cash paid	$	173,461	$	35,374	$	208,835

⁽¹⁾  Includes approximately $3.1 million of acquired cash.

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

	Epocal		Other		Total		Weighted- average Useful Life
Core technology and patents	$	119,700	$	—	$	119,700		20.0 years
Software		—		515		515		10.0 years
Trademarks and trade names		20,500		10		20,510		19.2 years
Customer relationships		—		35,127		35,127		11.4 years
Other		—		5,816		5,816		3.0 years
In-process research and development		24,200		—		24,200		N/A
Total intangible assets	$	164,400	$	41,468	$	205,868

(b) Acquisitions in 2012

During 2012, we acquired the following businesses for a preliminary aggregate purchase price of $494.5 million, which included cash payments totaling $418.9 million and contingent consideration obligations with aggregate acquisition date fair values of $75.6 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)

• eScreen, Inc., or eScreen, headquartered in Overland Park, Kansas, a technology-enabled provider of employment drug screening solutions for hiring and maintaining healthier and more efficient workforces (Acquired April 2012)

• MedApps Holding Company, Inc., or MedApps, headquartered in Scottsdale, Arizona, a developer of innovative remote health monitoring solutions that deliver efficient cost-effective connectivity between patient, care provider and electronic medical records (Acquired July 2012)

• Amedica Biotech, Inc., or Amedica, located in Hayward, California, a company focused on the development and manufacture of in vitro diagnostic tests (Acquired July 2012)

• DiagnosisOne, Inc., or DiagnosisOne, located in Lowell, Massachusetts, a software company that provides clinical analytics technology and data-driven content to hospitals, physician groups, insurers and governments (Acquired July 2012)

• Seelen Care Laege-og & Hospitalsartikler ApS, or Seelen, located in Holstebro, Denmark, a distributor of consumables, instruments and equipment to doctors, specialists and physiotherapists (Acquired August 2012)

• certain assets of Diagnostik Nord, or Diagnostik, located in Schwerin, Germany, a company focused on the sale of drug screening and in vitro diagnostic medical devices and a provider of diagnostic solutions (Acquired September 2012)

• Healthcare Connections Limited, or HCC, located in Buckinghamshire, United Kingdom, an occupational health provider specializing in employment medical programs, preventative health schemes and drug and alcohol sample collection services (Acquired November 2012)

• the diagnostic division of Medial spol. s.r.o., subsequently renamed Alere s.r.o., located in Prague, Czech Republic, a distributor of laboratory diagnostic devices, devices operating in the point-of-care testing regime, diagnostic kits and tests for biochemistry, hematology, and microbiology (Acquired November 2012)

• certain assets of Quantum Diagnostics, or Quantum Australia, located in Australia, an on-line medical supply company that provides a range of affordable drug and alcohol tests for personal, business and professional medical use (Acquired November 2012)

• certain assets of NationsHealth, Inc., or NationsHealth, headquartered in Sunrise, Florida, a privately-owned mail-order provider of diabetes home-testing products and supplies, and a share acquisition of NationsHealth’s subsidiary in the Philippines, or NationsHealth Philippines (Acquired December 2012)

• Branan Medical Corporation, or Branan, headquartered in Irvine, California, a manufacturer of drugs of abuse testing products (Acquired December 2012)

The operating results of Alere Lda, AmMed, eScreen, MedApps, Amedica, Seelen, Diagnostik, HCC, Alere s.r.o., Quantum Australia, NationsHealth and Branan are included in our professional diagnostics reporting unit and business segment. The operating results of Wellogic UAE and DiagnosisOne are included in our health information solutions 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 and six months ended June 30, 2012 included revenue totaling approximately $10.6 million and $11.9 million, respectively, related to the businesses that were acquired during that period. Goodwill has been recognized in all of these acquisitions and amounted to approximately $249.3 million. Goodwill related to the acquisitions of AmMed, Diagnostik and the U.S.-based assets of NationsHealth, which totaled $8.8 million, is deductible for tax purposes. The goodwill related to the remaining 2012 acquisitions is not 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)	$	47,201
Property, plant and equipment		9,029
Goodwill		249,294
Intangible assets		325,223
Other non-current assets		8,662
Total assets acquired		639,409
Current liabilities		28,307
Non-current liabilities		116,580
Total liabilities assumed		144,887
Net assets acquired		494,522
Less:
Contingent consideration		75,620
Cash paid	$	418,902

⁽¹⁾  Includes approximately $3.8 million of acquired cash.

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	$	148,103		18.7 years
Trademarks and trade names		19,390		18.3 years
Customer relationships		136,485		18.1 years
Non-competition agreements		1,118		5.1 years
Other		15,227		9.2 years
In-process research and development		4,900		N/A
Total intangible assets	$	325,223

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Derivative Financial Instruments - Summary of Effect of Derivative Instruments in Consolidated Statement of Operations and in Accumulated Other Comprehensive Loss (Detail) (Other Comprehensive Income (Loss) [Member], USD $) In Thousands, unless otherwise specified	3 Months Ended	6 Months Ended
	Jun. 30, 2012	Jun. 30, 2012
Derivative Instruments [Line Items]
Amount of Gain (loss) Recognized	$ (652)	$ 455
Foreign Currency Forward Contracts [Member]
Derivative Instruments [Line Items]
Amount of Gain (loss) Recognized	$ (652)	$ 455

XML

Stockholders' Equity and Non-controlling Interests (Tables)

6 Months Ended

Jun. 30, 2013

Equity [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 six months ended June 30, 2013 and 2012 is provided below (in thousands):

	Six Months Ended June 30,
	2013								2012
	Total Stockholders’ Equity			Non- controlling Interests		Total Equity			Total Stockholders’ Equity			Non- controlling Interests			Total Equity
Equity, beginning of period	$	2,180,422		$	2,282	$	2,182,704		$	2,229,234		$	2,340		$	2,231,574
Exercise of common stock options, warrants and shares issued under employee stock purchase plan		7,772			—		7,772			8,697			—			8,697
Preferred stock dividends		(10,646	)		—		(10,646	)		(10,646	)		—			(10,646	)
Stock-based compensation related to grants of common stock options		8,800			—		8,800			8,242			—			8,242
Excess tax benefits on exercised stock options		(1,589	)		—		(1,589	)		(261	)		—			(261	)
Non-controlling interest from acquisition		—			1,701		1,701			—			—			—
Purchase of subsidiary shares from non-controlling interests		—			—		—			(35,079	)		—			(35,079	)
Net income (loss)		(48,119	)		242		(47,877	)		(11,701	)		(85	)		(11,786	)
Total other comprehensive income (loss)		(109,068	)		—		(109,068	)		287			—			287
Equity, end of period	$	2,027,572		$	4,225	$	2,031,797		$	2,188,773		$	2,255		$	2,191,028

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Inventories - Inventories are Stated at the Lower of Cost (First in, First out) or Market (Detail) (USD $) In Thousands, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012
Inventory Disclosure [Abstract]
Raw materials	$ 108,032	$ 99,498
Work-in-process	83,427	89,895
Finished goods	165,294	147,728
Inventories, net	$ 356,753	$ 337,121

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Derivative Financial Instruments

6 Months Ended

Jun. 30, 2013

Derivative Instruments And Hedging Activities Disclosure [Abstract]

Derivative Financial Instruments

(10) Derivative Financial Instruments

We may 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.

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 was the undiscounted foreign currency spot rate risk on forecasted foreign currency revenue. As of December 31, 2012, all of the acquired foreign currency forward contracts were settled. We report the effective portion of the gain or loss on a cash flow hedge as a component of other comprehensive income, and it was subsequently reclassified into net earnings in the period in which the hedged transaction affected net earnings or the forecasted transaction was no longer probable of occurring.

The following table summarizes the effect of derivative instruments in our accompanying consolidated statement of operations (in thousands):

Derivative Instruments	Location of Gain (Loss) Recognized in Income	Amount of  Loss Recognized During the  Three Months Ended June 30, 2012			Amount of  Gain Recognized During the  Six Months Ended June 30, 2012
Foreign currency forward contracts	Other comprehensive income (loss)	$	(652	)	$	455
Total gain (loss)	Other comprehensive income (loss)	$	(652	)	$	455

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Equity Investments - Financial Information for SPD and Techlab on Combined Condensed Results of Operations (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Equity Method Investments And Joint Ventures [Abstract]
Net revenue	$ 54,669	$ 58,308	$ 103,824	$ 110,833
Gross profit	35,591	35,585	72,704	70,764
Net income after taxes	$ 9,429	$ 7,691	$ 15,006	$ 14,684

XML

Stockholders' Equity and Non-controlling Interests

6 Months Ended

Jun. 30, 2013

Equity [Abstract]

Stockholders' Equity and Non-controlling Interests

(6) Stockholders’ Equity and Non-controlling Interests

(a) Preferred Stock

For the three and six months ended June 30, 2013, Series B preferred stock dividends amounted to $5.3 million and $10.6 million, respectively, and for the three and six months ended June 30, 2012, Series B preferred stock dividends amounted to $5.3 million and $10.6 million, respectively, which reduced earnings available to common stockholders for purposes of calculating net loss per common share for each of the respective periods. As of July 15, 2013, payments have been made covering all dividend periods through June 30, 2013.

The Series B preferred stock dividends for the three and six months ended June 30, 2013 and 2012 were paid in cash.

(b) Changes in Stockholders’ Equity and Non-controlling Interests

A summary of the changes in stockholders’ equity and non-controlling interests comprising total equity for the six months ended June 30, 2013 and 2012 is provided below (in thousands):

	Six Months Ended June 30,
	2013								2012
	Total Stockholders’ Equity			Non- controlling Interests		Total Equity			Total Stockholders’ Equity			Non- controlling Interests			Total Equity
Equity, beginning of period	$	2,180,422		$	2,282	$	2,182,704		$	2,229,234		$	2,340		$	2,231,574
Exercise of common stock options, warrants and shares issued under employee stock purchase plan		7,772			—		7,772			8,697			—			8,697
Preferred stock dividends		(10,646	)		—		(10,646	)		(10,646	)		—			(10,646	)
Stock-based compensation related to grants of common stock options		8,800			—		8,800			8,242			—			8,242
Excess tax benefits on exercised stock options		(1,589	)		—		(1,589	)		(261	)		—			(261	)
Non-controlling interest from acquisition		—			1,701		1,701			—			—			—
Purchase of subsidiary shares from non-controlling interests		—			—		—			(35,079	)		—			(35,079	)
Net income (loss)		(48,119	)		242		(47,877	)		(11,701	)		(85	)		(11,786	)
Total other comprehensive income (loss)		(109,068	)		—		(109,068	)		287			—			287
Equity, end of period	$	2,027,572		$	4,225	$	2,031,797		$	2,188,773		$	2,255		$	2,191,028

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Basis of Presentation of Financial Information

6 Months Ended

Jun. 30, 2013

Accounting Policies [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, 2012 included information and footnotes necessary for such presentation and were included in our Annual Report on Form 10-K, as amended, filed with the Securities and Exchange Commission, or SEC, on March 1, 2013. 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, 2012.

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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Business Combinations - Intangible Assets Acquired and their Respective Fair Values and Weighted-Average Useful Lives (Detail) (USD $) In Thousands, unless otherwise specified	6 Months Ended	12 Months Ended
	Jun. 30, 2013	Dec. 31, 2012
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Total intangible assets	$ 205,868	$ 325,223
Weighted-average Useful Life	0 years	0 years
In-Process Research and Development [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Acquired indefinite-lived intangible asset, amount	24,200	4,900
Epocal [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Total intangible assets	164,400
Epocal [Member] | In-Process Research and Development [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Acquired indefinite-lived intangible asset, amount	24,200
Other [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Total intangible assets	41,468
Core Technology and Patents [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount	119,700	148,103
Weighted-average Useful Life	20 years	18 years 8 months 12 days
Core Technology and Patents [Member] | Epocal [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount	119,700
Trademarks and Trade Names [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount	20,510	19,390
Weighted-average Useful Life	19 years 2 months 12 days	18 years 3 months 18 days
Trademarks and Trade Names [Member] | Epocal [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount	20,500
Trademarks and Trade Names [Member] | Other [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount	10
Customer Relationships [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount	35,127	136,485
Weighted-average Useful Life	11 years 4 months 24 days	18 years 1 month 6 days
Customer Relationships [Member] | Other [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount	35,127
Non-Competition Agreements [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount		1,118
Weighted-average Useful Life		5 years 1 month 6 days
Other [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount	5,816	15,227
Weighted-average Useful Life	3 years	9 years 2 months 12 days
Other [Member] | Other [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount	5,816
Software [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount	515
Weighted-average Useful Life	10 years
Software [Member] | Other [Member]
Acquired Finite And Indefinite Lived Intangible Assets [Line Items]
Acquired finite-lived intangible asset, amount	$ 515

XML

Stockholders' Equity and Non-controlling Interests - Additional Information (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Class of Stock [Line Items]
Preferred stock dividends	$ 5,309	$ 5,279	$ 10,559	$ 10,588
Series B Preferred Stock [Member]
Class of Stock [Line Items]
Preferred stock dividends	$ 5,300	$ 5,300	$ 10,600	$ 10,600

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Long-Term Debt (Tables)

6 Months Ended

Jun. 30, 2013

Debt Disclosure [Abstract]

Long-Term Debt Balances Outstanding

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

	June 30, 2013			December 31, 2012
A term loans(1)(2)	$	855,313		$	878,438
B term loans(1)		908,813			913,438
Incremental B-1 term loans(1)		246,250			247,500
Incremental B-2 term loans(1)		195,891			196,739
Revolving line of credit(1)		197,500			22,500
7.25% Senior notes		450,000			450,000
7.875% Senior notes		—			1,809
9% Senior subordinated notes		—			392,933
8.625% Senior subordinated notes		400,000			400,000
6.5% Senior subordinated notes		425,000			—
3% Convertible senior subordinated notes		150,000			150,000
Other lines of credit		405			31,957
Other		29,669			3,593
		3,858,841			3,688,907
Less: Current portion		(50,539	)		(60,232	)
	$	3,808,302		$	3,628,675

⁽¹⁾  Incurred under our secured credit facility.

⁽²⁾  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 accompanying consolidated statements of operations for the three and six months ended June 30, 2013 and 2012, respectively, as follows (in thousands):

	Three Months Ended June 30,				Six Months Ended June 30,
	2013		2012		2013		2012
Secured credit facility (1)	$	25,657	$	27,097	$	52,932	$	49,948
7.25% Senior notes		8,480		—		16,836		—
7.875% Senior notes (2)		1		5,755		137		11,513
9% Senior subordinated notes (3)		43,649		10,363		54,043		20,717
8.625% Senior subordinated notes		9,274		9,275		18,547		18,549
6.5% Senior subordinated notes		3,013		—		3,013		—
3% Senior subordinated convertible notes		1,246		1,246		2,492		2,492
	$	91,320	$	53,736	$	148,000	$	103,219

⁽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 the three and six months ended June 30, 2013, the amounts include $0.8 million and $1.8 million, respectively, related to the amortization of fees paid for certain debt modifications. For the three and six months ended June 30, 2012, the amount includes $1.3 million and $2.6 million, respectively, related to the amortization of fees paid for certain debt modifications.

⁽²⁾  For the six months ended June 30, 2013, this amount includes an approximate $0.2 million loss recorded in connection with the repurchase of our 7.875% senior notes.

⁽³⁾  An approximate $35.6 million loss in connection with the repurchase of our 9% senior subordinated notes has been included in each of the three and six-month periods for 2013. Included in the $35.6 million is $19.0 million related to tender offer consideration and call premium which has been classified within cash flow from financing activities in our consolidated statement of cash flows.

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Defined Benefit Pension Plan - Net Periodic Benefit Costs (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Compensation And Retirement Disclosure [Abstract]
Service cost
Interest cost	180	199	361	397
Expected return on plan assets	(154)	(153)	(309)	(305)
Amortization of prior service costs	102	104	205	208
Realized losses
Net periodic benefit cost	$ 128	$ 150	$ 257	$ 300

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Long-Term Debt - Long-Term Debt Interest Expense (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Debt Instrument [Line Items]
Long-term debt issuance cost	$ 91,320	$ 53,736	$ 148,000	$ 103,219
Secured Credit Facility [Member]
Debt Instrument [Line Items]
Long-term debt issuance cost	25,657	27,097	52,932	49,948
7.25% Senior Notes [Member]
Debt Instrument [Line Items]
Long-term debt issuance cost	8,480		16,836
7.875% Senior Notes [Member]
Debt Instrument [Line Items]
Long-term debt issuance cost	1	5,755	137	11,513
9% Senior Subordinated Notes [Member]
Debt Instrument [Line Items]
Long-term debt issuance cost	43,649	10,363	54,043	20,717
8.625% Senior Subordinated Notes [Member]
Debt Instrument [Line Items]
Long-term debt issuance cost	9,274	9,275	18,547	18,549
6.5% Senior Subordinated Notes [Member]
Debt Instrument [Line Items]
Long-term debt issuance cost	3,013		3,013
3% Convertibles Senior Subordinated Notes [Member]
Debt Instrument [Line Items]
Long-term debt issuance cost	$ 1,246	$ 1,246	$ 2,492	$ 2,492

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Financial Information by Segment

6 Months Ended

Jun. 30, 2013

Segment Reporting [Abstract]

Financial Information by Segment

(13) 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 information solutions, 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 and six months ended June 30, 2013 and 2012 is as follows (in thousands):

	Professional Diagnostics		Health Information Solutions			Consumer Diagnostics		Corporate and Other			Total
Three Months Ended June 30, 2013:
Net revenue	$	603,762	$	134,775		$	25,448	$	—		$	763,985
Operating income (loss)	$	72,896	$	(11,759	)	$	3,404	$	(20,137	)	$	44,404
Depreciation and amortization	$	86,856	$	20,725		$	1,080	$	273		$	108,934
Non-cash charge associated with acquired inventory	$	711	$	—		$	—	$	—		$	711
Restructuring charge	$	1,740	$	6,304		$	—	$	—		$	8,044
Stock-based compensation	$	—	$	—		$	—	$	4,677		$	4,677
Three Months Ended June 30, 2012:
Net revenue	$	540,110	$	138,590		$	21,817	$	—		$	700,517
Operating income (loss)	$	63,251	$	(12,666	)	$	2,699	$	(18,930	)	$	34,354
Depreciation and amortization	$	83,413	$	24,065		$	1,178	$	244		$	108,900
Restructuring charge	$	817	$	539		$	—	$	9		$	1,365
Stock-based compensation	$	—	$	—		$	—	$	4,368		$	4,368
Six Months Ended June 30, 2013:
Net revenue	$	1,186,254	$	268,982		$	47,998	$	—		$	1,503,234
Operating income (loss)	$	132,736	$	(25,652	)	$	5,684	$	(37,875	)	$	74,893
Depreciation and amortization	$	169,650	$	41,462		$	2,233	$	559		$	213,904
Non-cash charge associated with acquired inventory	$	1,172	$	—		$	—	$	—		$	1,172
Restructuring charge	$	3,129	$	8,807		$	—	$	—		$	11,936
Stock-based compensation	$	—	$	—		$	—	$	8,800		$	8,800
Six Months Ended June 30, 2012:
Net revenue	$	1,058,467	$	269,374		$	43,805	$	—		$	1,371,646
Operating income (loss)	$	133,430	$	(32,022	)	$	3,064	$	(35,060	)	$	69,412
Depreciation and amortization	$	160,881	$	47,839		$	2,437	$	465		$	211,622
Non-cash charge associated with acquired inventory	$	4,681	$	—		$	—	$	—		$	4,681
Restructuring charge	$	5,611	$	1,256		$	—	$	26		$	6,893
Stock-based compensation	$	—	$	—		$	—	$	8,242		$	8,242
Assets:
As of June 30, 2013	$	6,254,068	$	561,786		$	199,423	$	84,728		$	7,100,005
As of December 31, 2012	$	6,214,847	$	593,172		$	192,748	$	67,161		$	7,067,928

The following tables summarize our net revenue from the professional diagnostics and health information solutions reporting segments by groups of similar products and services for the three and six months ended June 30, 2013 and 2012 (in thousands):

Professional Diagnostics Segment:	Three Months Ended June 30,				Six Months Ended June 30,
	2013		2012		2013		2012
Cardiology	$	118,436	$	125,597	$	233,369	$	264,423
Infectious disease		157,706		137,821		347,550		288,837
Toxicology		165,884		159,922		314,933		281,662
Diabetes		74,905		36,797		124,988		64,958
Other		82,666		76,736		157,385		152,442
Net product sales and services revenue		599,597		536,873		1,178,225		1,052,322
License and royalty revenue		4,165		3,237		8,029		6,145
Professional diagnostics net revenue	$	603,762	$	540,110	$	1,186,254	$	1,058,467

Health Information Solutions Segment:	Three Months Ended June 30,				Six Months Ended June 30,
	2013		2012		2013		2012
Disease and case management	$	52,578	$	54,512	$	106,704	$	107,894
Wellness		27,230		29,567		53,530		56,591
Women’s & children’s health		29,256		31,313		58,336		61,084
Patient self-testing services		25,711		23,198		50,412		43,805
Health management net revenue	$	134,775	$	138,590	$	268,982	$	269,374

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Long-Term Debt

6 Months Ended

Jun. 30, 2013

Debt Disclosure [Abstract]

Long-Term Debt

(9) Long-term Debt

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

	June 30, 2013			December 31, 2012
A term loans(1)(2)	$	855,313		$	878,438
B term loans(1)		908,813			913,438
Incremental B-1 term loans(1)		246,250			247,500
Incremental B-2 term loans(1)		195,891			196,739
Revolving line of credit(1)		197,500			22,500
7.25% Senior notes		450,000			450,000
7.875% Senior notes		—			1,809
9% Senior subordinated notes		—			392,933
8.625% Senior subordinated notes		400,000			400,000
6.5% Senior subordinated notes		425,000			—
3% Convertible senior subordinated notes		150,000			150,000
Other lines of credit		405			31,957
Other		29,669			3,593
		3,858,841			3,688,907
Less: Current portion		(50,539	)		(60,232	)
	$	3,808,302		$	3,628,675

⁽¹⁾  Incurred under our secured credit facility.

⁽²⁾  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 accompanying consolidated statements of operations for the three and six months ended June 30, 2013 and 2012, respectively, as follows (in thousands):

	Three Months Ended June 30,				Six Months Ended June 30,
	2013		2012		2013		2012
Secured credit facility (1)	$	25,657	$	27,097	$	52,932	$	49,948
7.25% Senior notes		8,480		—		16,836		—
7.875% Senior notes (2)		1		5,755		137		11,513
9% Senior subordinated notes (3)		43,649		10,363		54,043		20,717
8.625% Senior subordinated notes		9,274		9,275		18,547		18,549
6.5% Senior subordinated notes		3,013		—		3,013		—
3% Senior subordinated convertible notes		1,246		1,246		2,492		2,492
	$	91,320	$	53,736	$	148,000	$	103,219

⁽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 the three and six months ended June 30, 2013, the amounts include $0.8 million and $1.8 million, respectively, related to the amortization of fees paid for certain debt modifications. For the three and six months ended June 30, 2012, the amount includes $1.3 million and $2.6 million, respectively, related to the amortization of fees paid for certain debt modifications.

⁽²⁾  For the six months ended June 30, 2013, this amount includes an approximate $0.2 million loss recorded in connection with the repurchase of our 7.875% senior notes.

⁽³⁾  An approximate $35.6 million loss in connection with the repurchase of our 9% senior subordinated notes has been included in each of the three and six-month periods for 2013. Included in the $35.6 million is $19.0 million related to tender offer consideration and call premium which has been classified within cash flow from financing activities in our consolidated statement of cash flows.

(a) Secured Credit Facility

The following summarizes the material terms of our secured credit facility that have changed significantly since December 31, 2012. All other terms of our secured credit facility as described in our Annual Report on Form 10-K, as amended, for the year ended December 31, 2012, but omitted below, have not changed since that date.

On March 22, 2013, we and certain of our subsidiaries entered into a fourth amendment to the credit agreement that governs our secured credit facility, or the credit agreement. The fourth amendment provides for 50 basis point reductions in the interest rate margins applicable to the “B” term loans, the “Incremental B-1” term loans and the “Incremental B-2” term loans and certain other changes. Under the terms of the credit agreement as amended by the fourth amendment, the “B” term loans, the “Incremental B-1” term loans and the “Incremental B-2” term loans bear interest at a rate per annum of, at our option, either (i) the Base Rate, as defined in the credit agreement, plus an applicable margin, which varies between 2.00% and 2.75% depending on our consolidated secured leverage ratio, or (ii) the Eurodollar Rate, as defined in the credit agreement, plus an applicable margin, which varies between 3.00% and 3.75% depending on 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. Furthermore, under the terms of the credit agreement as amended by the fourth amendment, we may make optional prepayments of the term loans under our secured credit facility from time to time without any premium or penalty, except that if, on or before September 22, 2013, we repay or prepay any “B” term loans, “Incremental B-1” term loans or “Incremental B-2” term loans with the proceeds of, or convert any “B” term loans, “Incremental B-1” term loans or “Incremental B-2” term loans into, any new term loans bearing interest with an effective yield (as defined in the credit agreement) less than the effective yield applicable to the “B” term loans, the “Incremental B-1” term loans or the “Incremental B-2” term loans, as applicable, we must pay a premium equal to 1.0% of the principal amount of the “B” term loans, “Incremental B-1” term loans or “Incremental B-2” term loans so repaid, prepaid or converted.

(b) 6.5% Senior Subordinated Notes

On May 24, 2013, we sold a total of $425.0 million aggregate principal amount of 6.5% senior subordinated notes due 2020, or the 6.5% senior subordinated notes, in a private placement to initial purchasers, who agreed to resell the notes only to qualified institutional buyers and to persons outside the United States; we sold the 6.5% senior subordinated notes at an initial offering price of 100%. Net proceeds from this offering amounted to $417.7 million, which were net of the underwriters’ commissions and offering expenses totaling approximately $7.3 million.

The 6.5% senior subordinated notes were issued under a supplemental indenture dated May 24, 2013, or the 6.5% Indenture. The 6.5% senior subordinated notes accrue interest at the rate of 6.5% per annum. Interest on the 6.5% senior subordinated notes is payable semi-annually on June 15 and December 15, beginning on December 15, 2013. The 6.5% senior subordinated notes mature on June 15, 2020, unless earlier redeemed.

We may, at our option, redeem the 6.5% senior subordinated notes, in whole or part, at any time (which may be more than once) on or after June 15, 2016, by paying the principal amount of the notes being redeemed plus a declining premium, plus accrued and unpaid interest to (but excluding) the redemption date. The premium declines from 3.250% during the twelve months on and after June 15, 2016 to 1.625% during the twelve months on and after June 15, 2017 to zero on and after June 15, 2018. In addition, we may, at our option, at any time (which may be more than once) before May 24, 2015, redeem up to 10% of the aggregate principal amount of the 6.5% senior subordinated notes in each of the two twelve-month periods preceding May 24, 2015 at a redemption price of 103% of the principal amount thereof plus accrued and unpaid interest to (but excluding) the redemption date. In addition, at any time (which may be more than once) prior to June 15, 2016, we may, at our option, redeem up to 35% of the aggregate principal amount of the 6.5% senior subordinated notes with money that we raise in certain equity offerings, so long as (i) we pay 106.5% of the principal amount of the notes being redeemed, plus accrued and unpaid interest to (but excluding) the redemption date; (ii) we redeem the 6.5% senior subordinated notes within 90 days of completing such equity offering; and (iii) at least 65% of the aggregate principal amount of the 6.5% senior subordinated notes remains outstanding afterwards. In addition, at any time (which may be more than once) prior to June 15, 2016, we may, at our option, redeem some or all of the 6.5% senior subordinated notes by paying the principal amount of the 6.5% senior subordinated notes being redeemed plus a make-whole premium, plus accrued and unpaid interest to (but excluding) the redemption date.

If a change of control occurs, subject to specified conditions, we must give holders of the 6.5% senior subordinated notes an opportunity to sell their notes to us at a purchase price of 101% of the principal amount of the notes, plus accrued and unpaid interest to (but excluding) the date of the purchase.

If we or our subsidiaries engage in asset sales, we or they generally must either invest the net cash proceeds from such sales in our or their businesses within a specified period of time, repay senior indebtedness or make an offer to purchase a principal amount of the 6.5% senior subordinated notes equal to the excess net cash proceeds, subject to certain exceptions. The purchase price of the 6.5% senior subordinated notes would be 100% of their principal amount, plus accrued and unpaid interest.

The 6.5% Indenture provides that we and our subsidiaries must comply with various customary covenants. These covenants limit our ability, and the ability of our subsidiaries, to, among other things, incur additional debt; pay dividends on our or their capital stock or redeem, repurchase or retire our or their capital stock or subordinated debt; make certain investments; create liens on assets; transfer or sell assets; engage in transactions with our or their affiliates; create restrictions on the ability of our or their subsidiaries to pay dividends or make loans, asset transfers or other payments to us and our subsidiaries; issue capital stock of subsidiaries; engage in any business, other than our or their existing businesses and related businesses; enter into sale and leaseback transactions; incur layered indebtedness; and consolidate or merge with any person (other than certain affiliates) or transfer all or substantially all of our assets or the aggregate assets of us and our subsidiaries. These covenants are subject to certain important exceptions and qualifications, which are set forth in the 6.5% Indenture. At any time the 6.5% senior subordinated notes are rated investment grade, certain covenants will be suspended with respect to them.

The 6.5% Indenture contains customary events of default entitling the trustee or the holders of the 6.5% senior subordinated notes to declare all amounts owed pursuant to the 6.5% senior subordinated notes immediately payable if any such event of default occurs.

The 6.5% senior subordinated notes are our senior subordinated unsecured obligations, are subordinated in right of payment to all of our existing and future senior debt, including our borrowings under our secured credit facility and our 7.25% senior notes, and are equal in right of payment with our 8.625% senior subordinated notes and our 3% convertible senior subordinated notes. Our obligations under the 6.5% senior subordinated notes and the 6.5% Indenture are fully and unconditionally guaranteed, jointly and severally, on a senior subordinated unsecured basis by certain of our domestic subsidiaries, and the obligations of such domestic subsidiaries under their guarantees are subordinated in right of payment to all of their existing and future senior debt. See Note 19 for guarantor financial information.

(c) 9% Senior Subordinated Notes

On May 24, 2013, we used $200.6 million of the net proceeds of our sale of the 6.5% senior subordinated notes to purchase $190.6 million outstanding principal amount of our 9% senior subordinated notes due 2016, or the 9% senior subordinated notes, pursuant to our tender offer for these notes. The purchased 9% senior subordinated notes represented approximately 47.7% of the total then-outstanding principal amount of the 9% senior subordinated notes.

On June 24, 2013, we redeemed the remaining $209.4 million outstanding principal amount of the 9% senior subordinated notes pursuant to our optional redemption right under the indenture under which the 9% senior subordinated notes were issued, and we subsequently terminated this indenture.

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Financial Information by Segment - Summary of Company's Net Revenue from Professional Diagnostics and Health Information Solutions Reporting Segments by Groups of Similar Products and Services (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Segment Reporting Information [Line Items]
Net product sales and services revenue	$ 759,120	$ 697,280	$ 1,494,305	$ 1,365,501
License and royalty revenue	4,865	3,237	8,929	6,145
Net revenue	763,985	700,517	1,503,234	1,371,646
Professional Diagnostics [Member]
Segment Reporting Information [Line Items]
Net product sales and services revenue	599,597	536,873	1,178,225	1,052,322
License and royalty revenue	4,165	3,237	8,029	6,145
Net revenue	603,762	540,110	1,186,254	1,058,467
Health Information Solutions [Member]
Segment Reporting Information [Line Items]
Net revenue	134,775	138,590	268,982	269,374
Cardiology [Member] | Professional Diagnostics [Member]
Segment Reporting Information [Line Items]
Net product sales and services revenue	118,436	125,597	233,369	264,423
Infectious Disease [Member] | Professional Diagnostics [Member]
Segment Reporting Information [Line Items]
Net product sales and services revenue	157,706	137,821	347,550	288,837
Toxicology [Member] | Professional Diagnostics [Member]
Segment Reporting Information [Line Items]
Net product sales and services revenue	165,884	159,922	314,933	281,662
Diabetes [Member] | Professional Diagnostics [Member]
Segment Reporting Information [Line Items]
Net product sales and services revenue	74,905	36,797	124,988	64,958
Other [Member] | Professional Diagnostics [Member]
Segment Reporting Information [Line Items]
Net product sales and services revenue	82,666	76,736	157,385	152,442
Disease and Case Management [Member] | Health Information Solutions [Member]
Segment Reporting Information [Line Items]
Net product sales and services revenue	52,578	54,512	106,704	107,894
Wellness [Member] | Health Information Solutions [Member]
Segment Reporting Information [Line Items]
Net product sales and services revenue	27,230	29,567	53,530	56,591
Women's & Children's Health [Member] | Health Information Solutions [Member]
Segment Reporting Information [Line Items]
Net product sales and services revenue	29,256	31,313	58,336	61,084
Patient Self-testing Services [Member] | Health Information Solutions [Member]
Segment Reporting Information [Line Items]
Net product sales and services revenue	$ 25,711	$ 23,198	$ 50,412	$ 43,805

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Material Contingencies

6 Months Ended

Jun. 30, 2013

Commitments And Contingencies Disclosure [Abstract]

Material Contingencies

(16) Material Contingencies

Acquisition-related Contingent Consideration Obligations

The following summarizes our principal contractual acquisition-related contingent consideration obligations as of June 30, 2013 that have changed significantly since December 31, 2012. Other acquisition-related contingent consideration obligations that were presented in our Annual Report on Form 10-K, as amended, for the year ended December 31, 2012, but which are omitted below, represent those that have not changed significantly since that date.

• Accordant

With respect to Accordant, the terms of the acquisition agreement require us to pay an earn-out upon successfully meeting certain revenue and cash collection targets starting after the second anniversary of the acquisition date and completed prior to the third anniversary of the acquisition date. An earn-out totaling $4.5 million was earned and accrued as of December 31, 2012. A payment of $1.5 million was made during each of the first and second quarters of 2013 and the remaining payment will be made in a final installment of $1.5 million during the third quarter of 2013.

• Alere Healthcare

With respect to Alere Healthcare, the terms of the acquisition agreement require us to pay an earn-out upon successfully meeting certain revenue and operating income targets during each of the calendar years 2010 through 2012. The 2012 portion of the earn-out totaling $0.3 million, which was previously accrued at December 31, 2012, was paid during the second quarter of 2013. No further contingent consideration obligations related to this acquisition exist as of June 30, 2013.

• Alere S.A.

With respect to Alere S.A., the terms of the acquisition agreement require us to pay an earn-out upon successfully meeting certain revenue and EBITDA targets during each of the calendar years 2011 through 2016. The remaining earn-out was settled for BRL 6.9 million (approximately $3.1 million at June 30, 2013). A payment of BRL 2.9 million will be paid during the third quarter of 2013 and the remaining BRL 4.0 million will be paid in 48 equal monthly installments beginning in August 2013. The present value of the settlement totaling BRL 6.1 million (approximately $2.8 million at June 30, 2013) was accrued at June 30, 2013. No further contingent consideration obligations related to this acquisition exist as of June 30, 2013.

• Amedica

With respect to Amedica, the terms of the acquisition agreement require us to make earn-out payments upon successfully meeting certain financial targets during each of the calendar years 2012 and 2013. The 2012 portion of the earn-out totaling $6.9 million, which was previously accrued at December 31, 2012, was paid during the second quarter of 2013. The maximum remaining amount of the earn-out payments is $8.1 million.

• Branan

With respect to Branan, the terms of the acquisition agreement require us to pay earn-outs upon successfully achieving various regulatory product approval milestones by the second anniversary of the acquisition date. Four milestones were achieved during 2012, resulting in an accrual totaling approximately $2.0 million as of December 31, 2012. During the first quarter of 2013, two additional milestones were achieved, resulting in an incremental accrual of $1.0 million. Payment of these earn-outs was made during the first quarter of 2013. The maximum remaining amount of the earn-out payments is $2.0 million.

• Epocal

With respect to Epocal, the terms of the acquisition agreement require us to pay earn-outs and management incentive payments upon successfully meeting certain product development and United States Food and Drug Administration regulatory approval milestones from the date of acquisition through December 31, 2018. The maximum amount of the earn-out payments is $90.5 million, of which $15.0 million was paid at the acquisition closing date. The maximum amount of the management incentive payments is $9.4 million.

• Immunalysis

With respect to Immunalysis, the terms of the acquisition agreement require us to pay earn-outs upon successfully meeting certain gross profit targets during each of the calendar years 2010 through 2012. During the second quarter of 2013, it was determined that the 2012 earn-out totaling $1.7 million had been achieved and payment was made during the same quarter. No further contingent consideration obligations related to this acquisition exist as of June 30, 2013.

Additionally, we had a contractual contingent obligation to pay up to $3.0 million in compensation to certain executives of Immunalysis in accordance with the acquisition agreement that, to the extent earned, was paid out in connection with the contingent consideration payable to the former shareholders of Immunalysis, for each of the calendar years 2010, 2011 and 2012. Payment of the 2012 compensation totaling $1.0 million, which was previously accrued at December 31, 2012, was made during the second quarter of 2013. No further such compensation obligations related to this acquisition exist as of June 30, 2013.

• MedApps

With respect to MedApps, the terms of the acquisition agreement require us to make earn-out payments upon achievement of certain technological and product development milestones through January 15, 2015. A portion of the earn-out, totaling $3.0 million, was earned and paid during the second quarter of 2013. The maximum remaining amount of the earn-out payments is $18.2 million.

• NationsHealth

With respect to NationsHealth, the terms of the acquisition agreement require us to pay an earn-out upon successfully meeting certain operational targets within one year of the acquisition date. During the second quarter of 2013, the earn-out was accrued for a settlement amount of $2.0 million, which will be paid during the third quarter of 2013. No further contingent consideration obligations related to this acquisition exist as of June 30, 2013.

• ROAR

With respect to Forensics Limited, or ROAR, the terms of the acquisition agreement require us to pay an earn-out upon successfully meeting certain EBITDA targets during 2012 through 2014. Payment of the 2012 earn-out totaling approximately £1.0 million (approximately $1.5 million), which was previously accrued at December 31, 2012, was made during the first quarter of 2013. The maximum remaining amount of the earn-out payments is £9.5 million (approximately $14.4 million at June 30, 2013).

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Related Party Transactions

6 Months Ended

Jun. 30, 2013

Related Party Transactions [Abstract]

Related Party Transactions

(14) 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 payable to the joint venture of $1.1 million as of June 30, 2013 and a net receivable from the joint venture of $2.3 million as of December 31, 2012. Included in the $1.1 million payable balance as of June 30, 2013 is approximately $1.5 million of costs incurred in connection with our 2008 SPD-related restructuring plans. Included in the $2.3 million receivable balance as of December 31, 2012 is approximately $1.6 million of costs incurred in connection with our 2008 SPD-related restructuring plans. We have also recorded a long-term receivable totaling approximately $12.1 million and $14.6 million as of June 30, 2013 and December 31, 2012, 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 $9.2 million and $6.9 million as of June 30, 2013 and December 31, 2012, 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 $18.2 million and $35.3 million during the three and six months ended June 30, 2013, respectively, and $14.5 million and $31.6 million during the three and six months ended June 30, 2012, respectively. Additionally, services revenue generated pursuant to the long-term services agreement with the joint venture totaled $0.3 million and $0.6 million during the three and six months ended June 30, 2013, respectively, and $0.3 million and $0.6 million during the three and six months ended June 30, 2012, respectively. 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 $9.6 million and $7.3 million of trade receivables which are included in accounts receivable on our accompanying consolidated balance sheets as of June 30, 2013 and December 31, 2012, respectively, and $23.1 million and $21.3 million of trade accounts payable which are included in accounts payable on our accompanying consolidated balance sheets as of June 30, 2013 and December 31, 2012, respectively. During the six months ended June 30, 2013 and 2012, we received $10.8 million and $6.1 million, respectively, in cash from SPD as a return of capital.

The following table summarizes our related party balances with SPD within our consolidated balance sheets (in thousands):

Balance Sheet Caption:	June 30, 2013		December 31, 2012
Accounts receivable, net of allowances	$	9,591	$	7,317
Prepaid expenses and other current assets	$	9,209	$	9,161
Deferred financing costs, net, and other non-current assets	$	12,134	$	14,629
Accounts payable	$	23,131	$	21,258
Accrued expenses and other current liabilities	$	1,119	$	—

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Document and Entity Information	6 Months Ended
	Jun. 30, 2013	Aug. 05, 2013
Document Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2013
Document Fiscal Year Focus	2013
Document Fiscal Period Focus	Q2
Entity Registrant Name	ALERE INC.
Entity Central Index Key	0001145460
Current Fiscal Year End Date	--12-31
Entity Filer Category	Large Accelerated Filer
Entity Common Stock, Shares Outstanding		81,753,992

XML

Other Arrangements

6 Months Ended

Jun. 30, 2013

Text Block [Abstract]

Other Arrangements

(15) Other Arrangements

On February 19, 2013, we entered into an agreement with the Bill and Melinda Gates Foundation, or the Gates Foundation, whereby we were awarded a grant by the Gates Foundation in the amount of $21.6 million to support the development and commercialization of a validated, low-cost, nucleic-acid assay for clinical Tuberculosis, or TB, detection and drug-resistance test cartridges and adaptation of an analyzer platform capable of operation in rudimentary laboratories in low-resource settings. In connection with this agreement, we also entered into a loan agreement with the Gates Foundation, or the Gates Loan Agreement, which provides for the making of subordinated term loans by the Gates Foundation to us from time to time, subject to the achievement of certain milestones, in an aggregate principal amount of up to $20.6 million. Funding under the Gates Loan Agreement will be used in connection with the purchase of equipment for an automated high-throughput manufacturing line and other uses as necessary for the manufacture of the TB and HIV-related products. All loans under the Gates Loan Agreement are evidenced by promissory notes that we have executed and delivered to the Gates Foundation, bear interest at the rate of 3% per annum and, except to the extent earlier repaid by us, mature and are required to be repaid in full on December 31, 2019. As of June 30, 2013, we had borrowed no amounts under the Gates Loan Agreement. As of June 30, 2013, we had received approximately $7.9 million in grant-related funding from the Gates Foundation, which was recorded as restricted cash and deferred grant funding. The deferred grant funding is classified within accrued expenses and other current liabilities on our accompanying consolidated balance sheet. As qualified expenditures are incurred under the terms of the grant, we use the deferred funding to recognize a reduction of our related qualified research and development expenditures. For the three and six months ended June 30, 2013, we recognized approximately $1.8 million and $2.4 million, respectively, of qualified expenditures, which were recorded as an offset to our research and development expenses.

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Long-Term Debt - Additional Information (Detail) (USD $)	6 Months Ended		1 Months Ended	6 Months Ended	1 Months Ended	6 Months Ended			1 Months Ended
	Jun. 30, 2013	Dec. 31, 2012	Mar. 22, 2013 Secured Credit Facility [Member]	Jun. 30, 2013 Secured Credit Facility [Member]	May 24, 2013 6.5% Senior Subordinated Notes [Member]	Jun. 30, 2013 6.5% Senior Subordinated Notes [Member]	Dec. 31, 2012 6.5% Senior Subordinated Notes [Member]	Jun. 30, 2012 6.5% Senior Subordinated Notes [Member]	May 24, 2013 9% Senior Subordinated Notes [Member]	Jun. 30, 2013 9% Senior Subordinated Notes [Member]	Jun. 24, 2013 9% Senior Subordinated Notes [Member]	Dec. 31, 2012 9% Senior Subordinated Notes [Member]	Jun. 30, 2012 9% Senior Subordinated Notes [Member]	Mar. 22, 2013 Minimum [Member] Secured Credit Facility [Member]	Mar. 22, 2013 Maximum [Member] Secured Credit Facility [Member]
Debt Instrument [Line Items]
Basis point reductions in interest rate margins			0.50%
Consolidated secured leverage ratio, Base Rate														2.00%	2.75%
Consolidated secured leverage ratio, Eurodollar Rate														3.00%	3.75%
Floor rate applicable to term loans based on Eurodollar rate				1.00%
Percentage of principal to be paid as premium	1.00%
Long-term debt, Total	$ 3,858,841,000	$ 3,688,907,000			$ 425,000,000	$ 425,000,000						$ 392,933,000
Interest rate of debt instrument					6.50%	6.50%	6.50%	6.50%	9.00%	9.00%		9.00%	9.00%
Initial Offering Price					100.00%
Net Proceeds from public offering					417,700,000
Net underwriter's commissions					7,300,000
Debt Instrument, Maturity Date						Jun. 15, 2020
Percentage of redemption premium for period one						3.25%
Percentage of redemption premium for period two						1.625%
Percentage of redemption premium for period three						10.00%
Percentage of principal amount used for redemption price						103.00%
Percentage of aggregate principal amount redeemed						35.00%
Percentage of aggregate principal amount redeemed paid						106.50%
Percentage of aggregate principal amount outstanding						65.00%
Period of redemption of notes						90 days
Percentage of aggregate of principal amount to be sold						101.00%
Percentage of purchase price of aggregate principal amount						100.00%
Percentage of outstanding principle amount									47.70%
Remaining outstanding principal amount											$ 209,400,000

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Long-Term Debt - Long-Term Debt Interest Expense (Parenthetical) (Detail) (USD $) In Millions, unless otherwise specified	3 Months Ended		6 Months Ended					6 Months Ended			6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013 7.25% Senior Notes [Member]	Dec. 31, 2012 7.25% Senior Notes [Member]	Jun. 30, 2012 7.25% Senior Notes [Member]	Jun. 30, 2013 7.875% Senior Notes [Member]	Dec. 31, 2012 7.875% Senior Notes [Member]	Jun. 30, 2012 7.875% Senior Notes [Member]	Jun. 30, 2013 9% Senior Subordinated Notes [Member]	May 24, 2013 9% Senior Subordinated Notes [Member]	Dec. 31, 2012 9% Senior Subordinated Notes [Member]	Jun. 30, 2012 9% Senior Subordinated Notes [Member]	Jun. 30, 2013 8.625% Senior Subordinated Notes [Member]	Dec. 31, 2012 8.625% Senior Subordinated Notes [Member]	Jun. 30, 2012 8.625% Senior Subordinated Notes [Member]	Jun. 30, 2013 6.5% Senior Subordinated Notes [Member]	May 24, 2013 6.5% Senior Subordinated Notes [Member]	Dec. 31, 2012 6.5% Senior Subordinated Notes [Member]	Jun. 30, 2012 6.5% Senior Subordinated Notes [Member]	Jun. 30, 2013 3% Convertibles Senior Subordinated Notes [Member]	Dec. 31, 2012 3% Convertibles Senior Subordinated Notes [Member]	Jun. 30, 2012 3% Convertibles Senior Subordinated Notes [Member]
Debt Instrument [Line Items]
Long-term debt interest rate					7.25%	7.25%	7.25%	7.875%	7.875%	7.875%	9.00%	9.00%	9.00%	9.00%	8.625%	8.625%	8.625%	6.50%	6.50%	6.50%	6.50%	3.00%	3.00%	3.00%
Amortization fee	$ 0.8	$ 1.3	$ 1.8	$ 2.6
Loss in repurchase of senior notes								0.2			35.6
Tender offer consideration and call premium amount											$ 19