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Condensed Consolidated Statements of Cash Flows (Unaudited) (USD $)
In Thousands, unless otherwise specified
6 Months Ended
Jun. 30, 2014
Jun. 30, 2013
Cash flows from operating activities:    
Net (loss) income $ (3,191)us-gaap_NetIncomeLoss $ 436us-gaap_NetIncomeLoss
Adjustments to reconcile net (loss) income to net cash provided by operating activities:    
Depreciation and amortization 11,516us-gaap_DepreciationDepletionAndAmortization 10,285us-gaap_DepreciationDepletionAndAmortization
Amortization of debt costs 362us-gaap_AmortizationOfFinancingCosts 360us-gaap_AmortizationOfFinancingCosts
Amortization of exclusivity agreements 1,467ofix_AmortizationOfExclusivityAgreements 688ofix_AmortizationOfExclusivityAgreements
Provision for doubtful accounts 858us-gaap_ProvisionForDoubtfulAccounts 2,192us-gaap_ProvisionForDoubtfulAccounts
Deferred income taxes (452)us-gaap_DeferredIncomeTaxExpenseBenefit 222us-gaap_DeferredIncomeTaxExpenseBenefit
Share-based compensation 2,373us-gaap_ShareBasedCompensation 3,437us-gaap_ShareBasedCompensation
Excess income tax benefit on employee stock-based compensation (40)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities (82)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
Other (1,390)us-gaap_OtherNoncashIncomeExpense 2,352us-gaap_OtherNoncashIncomeExpense
Change in operating assets and liabilities:    
Trade accounts receivable 6,760us-gaap_IncreaseDecreaseInAccountsReceivable 14,825us-gaap_IncreaseDecreaseInAccountsReceivable
Inventories 2,234us-gaap_IncreaseDecreaseInInventories (11,478)us-gaap_IncreaseDecreaseInInventories
Prepaid expenses and other current assets (16,245)ofix_IncreaseDecreaseInPrepaidExpenseAndOtherCurrentAssets 5,215ofix_IncreaseDecreaseInPrepaidExpenseAndOtherCurrentAssets
Trade accounts payable (4,959)us-gaap_IncreaseDecreaseInAccountsPayable (3,452)us-gaap_IncreaseDecreaseInAccountsPayable
Other current liabilities 18,981us-gaap_IncreaseDecreaseInOtherCurrentLiabilities 11,795us-gaap_IncreaseDecreaseInOtherCurrentLiabilities
Long-term assets (169)us-gaap_IncreaseDecreaseInOtherNoncurrentAssets (1,494)us-gaap_IncreaseDecreaseInOtherNoncurrentAssets
Long-term liabilities (231)us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities (1,164)us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities
Net cash provided by operating activities (17,874)us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations 34,137us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
Cash flows from investing activities:    
Capital expenditures for property, plant and equipment (6,138)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (12,826)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Capital expenditures for intangible assets (119)us-gaap_PaymentsToAcquireIntangibleAssets (651)us-gaap_PaymentsToAcquireIntangibleAssets
Purchase of other investments   (776)us-gaap_PaymentsToAcquireOtherInvestments
Sale of other investments 32us-gaap_ProceedsFromSaleOfOtherInvestments   
Net cash used in investing activities (6,225)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations (14,253)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
Cash flows from financing activities:    
Net proceeds from issuance of common shares 9,520us-gaap_ProceedsFromIssuanceOfCommonStock 2,188us-gaap_ProceedsFromIssuanceOfCommonStock
Repayment of bank borrowings, net   (16)us-gaap_ProceedsFromRepaymentsOfShortTermDebt
Changes in restricted cash (21,406)us-gaap_ProceedsFromRepaymentsOfRestrictedCashFinancingActivities 721us-gaap_ProceedsFromRepaymentsOfRestrictedCashFinancingActivities
Repurchase of treasury shares   (26,868)us-gaap_PaymentsForRepurchaseOfCommonStock
Excess income tax benefit on employee stock-based awards 40us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 82us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
Net cash used in financing activities (11,846)us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations (23,893)us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
Effect of exchange rate changes on cash 192us-gaap_EffectOfExchangeRateOnCashAndCashEquivalentsContinuingOperations (389)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalentsContinuingOperations
Net increase (decrease) in cash and cash equivalents (5)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease (4,398)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at the beginning of the period 28,924us-gaap_CashAndCashEquivalentsAtCarryingValue 30,767us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at the end of the period $ 28,919us-gaap_CashAndCashEquivalentsAtCarryingValue $ 26,369us-gaap_CashAndCashEquivalentsAtCarryingValue