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Statement of Cash Flows (Unaudited) (USD $)
In Thousands
9 Months Ended
Sep. 30, 2011
Sep. 30, 2010
Cash flows from operating activities:  
Net earnings$ 240,569$ 182,091
Adjustments to reconcile net earnings to net cash provided by operating activities:  
Amortization of convertible debt discount17,08415,818
Depreciation and other amortization106,333119,188
Provision for bad debt8,3507,024
Write-off of deferred debt issuance costs3,2182,301
Share-based compensation expense23,73824,173
Deferred income tax benefit(24,957)(48,946)
Excess tax benefit from share-based payment arrangements(2,393)(1,426)
Change in assets and liabilities:  
Decrease in accounts receivable, net1,10114,829
Decrease (increase) in inventories, net11,659(53,353)
Decrease in prepaid expenses and other2,5473,927
Increase (decrease) in accounts payable(21,994)5,212
Increase (decrease) in accrued expenses and other32,826(18,117)
Increase (decrease) in tax liabilities, net27,118(9,227)
Decrease in deferred income taxes, net(2,039)(10,379)
Net cash provided by operating activities423,160233,115
Cash flows from investing activities:  
Additions to property, plant and equipment(89,029)(63,255)
Decrease (increase) in inventory to be converted into equipment for short-term rental(7,047)9,771
Dispositions of property, plant and equipment1,1861,557
Increase in identifiable intangible assets and other non-current assets(19,093)(9,632)
Net cash used by investing activities(113,983)(61,559)
Cash flows from financing activities:  
Repayments of long-term debt and capital lease obligations(20,734)(185,059)
Proceeds from exercise of stock options42,60610,383
Proceeds from the purchase of stock in ESPP and other4,1073,452
Excess tax benefit from share-based payment arrangements2,3931,426
Purchase of immature shares for minimum tax withholdings(3,797)(1,134)
Payments of debt issuance costs related to KCI's pending merger(827)0
Refinancing of senior credit facility:  
Proceeds from borrowings on refinancing of senior credit facility146,0120
Repayments on senior credit facility - due 2013(123,346)0
Payment of debt issuance costs(14,676)0
Net cash provided (used) by financing activities31,738(170,932)
Effect of exchange rate changes on cash and cash equivalents(725)(484)
Net increase in cash and cash equivalents340,190140
Cash and cash equivalents, beginning of period316,603263,157
Cash and cash equivalents, end of period656,793263,297
Cash paid for:  
Interest, including cash paid under interest rate swap agreements23,75235,894
Income taxes, net of refunds$ 86,265$ 139,728