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v2.4.1.9

CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified | 12 Months Ended
--- | ---
Dec. 31, 2014 | Dec. 31, 2013 | Dec. 31, 2012
OPERATING ACTIVITIES: |  |  |
Net income (loss) | $ 34,004 us-gaap_NetIncomeLoss | $ (21,067)us-gaap_NetIncomeLoss | $ 41,204 us-gaap_NetIncomeLoss
Adjustments to reconcile net income (loss) to net cash provided by operating activities: |  |  |
Depreciation and amortization | 61,128 us-gaap_DepreciationDepletionAndAmortization | 47,010 us-gaap_DepreciationDepletionAndAmortization | 52,611 us-gaap_DepreciationDepletionAndAmortization
Non-cash impairment charges | 790 us-gaap_AssetImpairmentCharges | 47,078 us-gaap_AssetImpairmentCharges | 0 us-gaap_AssetImpairmentCharges
Deferred income tax provision (benefit) | (964)us-gaap_DeferredIncomeTaxExpenseBenefit | (13,145)us-gaap_DeferredIncomeTaxExpenseBenefit | 1,537 us-gaap_DeferredIncomeTaxExpenseBenefit
Share-based compensation | 15,105 us-gaap_ShareBasedCompensation | 10,393 us-gaap_ShareBasedCompensation | 9,051 us-gaap_ShareBasedCompensation
Amortization of debt issuance costs | 2,571 us-gaap_AmortizationOfFinancingCosts | 2,298 us-gaap_AmortizationOfFinancingCosts | 2,725 us-gaap_AmortizationOfFinancingCosts
Non-cash interest expense | 7,104 us-gaap_AccretionExpense | 6,463 us-gaap_AccretionExpense | 8,520 us-gaap_AccretionExpense
Payment of accreted interest | 0 iart_PaymentOfAccretedInterestCashFlow | 0 iart_PaymentOfAccretedInterestCashFlow | (30,617)iart_PaymentOfAccretedInterestCashFlow
Loss on disposal of property and equipment | 1,201 us-gaap_GainLossOnDispositionOfAssets | 1,965 us-gaap_GainLossOnDispositionOfAssets | 1,312 us-gaap_GainLossOnDispositionOfAssets
Excess tax benefits from stock-based compensation arrangements | (1,384)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities | (270)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities | (3,634)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
Change in fair value of contingent consideration | (764)us-gaap_OtherNoncashIncomeExpense | 0 us-gaap_OtherNoncashIncomeExpense | 0 us-gaap_OtherNoncashIncomeExpense
Changes in assets and liabilities, net of business acquisitions: |  |  |
Accounts receivable | (16,145)us-gaap_IncreaseDecreaseInAccountsReceivable | (2,892)us-gaap_IncreaseDecreaseInAccountsReceivable | 3,783 us-gaap_IncreaseDecreaseInAccountsReceivable
Inventories | (27,006)us-gaap_IncreaseDecreaseInInventories | (35,505)us-gaap_IncreaseDecreaseInInventories | (711)us-gaap_IncreaseDecreaseInInventories
Prepaid expenses and other current assets | 8,070 us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets | 4,823 us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets | (3,067)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
Other non-current assets | (1,744)us-gaap_IncreaseDecreaseInOtherOperatingAssets | 441 us-gaap_IncreaseDecreaseInOtherOperatingAssets | (553)us-gaap_IncreaseDecreaseInOtherOperatingAssets
Accounts payable, accrued expenses and other current liabilities | 2,427 us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities | 9,945 us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities | (21,071)us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
Deferred revenue | 1,118 us-gaap_IncreaseDecreaseInDeferredRevenue | 697 us-gaap_IncreaseDecreaseInDeferredRevenue | (1,051)us-gaap_IncreaseDecreaseInDeferredRevenue
Other non-current liabilities | (6,048)us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities | (4,966)us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities | (939)us-gaap_IncreaseDecreaseInOtherNoncurrentLiabilities
Net cash provided by operating activities | 79,463 us-gaap_NetCashProvidedByUsedInOperatingActivities | 53,268 us-gaap_NetCashProvidedByUsedInOperatingActivities | 59,100 us-gaap_NetCashProvidedByUsedInOperatingActivities
INVESTING ACTIVITIES: |  |  |
Cash used in business acquisitions, net of cash acquired | (320,921)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired | (2,980)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired | (7,278)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Purchases of property and equipment | (41,921)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment | (47,851)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment | (69,031)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Sales of property and equipment | 0 us-gaap_ProceedsFromSaleOfPropertyPlantAndEquipment | 535 us-gaap_ProceedsFromSaleOfPropertyPlantAndEquipment | 0 us-gaap_ProceedsFromSaleOfPropertyPlantAndEquipment
Purchases of short-term investments | 0 us-gaap_PaymentsToAcquireShortTermInvestments | 0 us-gaap_PaymentsToAcquireShortTermInvestments | (67,907)us-gaap_PaymentsToAcquireShortTermInvestments
Maturities of short-term investments | 0 us-gaap_ProceedsFromSaleOfShortTermInvestments | 0 us-gaap_ProceedsFromSaleOfShortTermInvestments | 64,940 us-gaap_ProceedsFromSaleOfShortTermInvestments
Other changes in intangible assets | (475)us-gaap_PaymentsForProceedsFromOtherInvestingActivities | 0 us-gaap_PaymentsForProceedsFromOtherInvestingActivities | 0 us-gaap_PaymentsForProceedsFromOtherInvestingActivities
Net cash used in investing activities | (363,317)us-gaap_NetCashProvidedByUsedInInvestingActivities | (50,296)us-gaap_NetCashProvidedByUsedInInvestingActivities | (79,276)us-gaap_NetCashProvidedByUsedInInvestingActivities
FINANCING ACTIVITIES: |  |  |
Borrowings under senior credit facility | 425,000 us-gaap_ProceedsFromIssuanceOfSecuredDebt | 30,000 us-gaap_ProceedsFromIssuanceOfSecuredDebt | 155,000 us-gaap_ProceedsFromIssuanceOfSecuredDebt
Repayments under senior credit facility | (195,000)us-gaap_RepaymentsOfSecuredDebt | (165,000)us-gaap_RepaymentsOfSecuredDebt | (12,812)us-gaap_RepaymentsOfSecuredDebt
Proceeds from the issuance of common stock, net of issuance costs | 0 us-gaap_ProceedsFromIssuanceOfCommonStock | 152,458 us-gaap_ProceedsFromIssuanceOfCommonStock | 0 us-gaap_ProceedsFromIssuanceOfCommonStock
Payment of liability component of convertible notes | 0 us-gaap_RepaymentsOfConvertibleDebt | 0 us-gaap_RepaymentsOfConvertibleDebt | (134,383)us-gaap_RepaymentsOfConvertibleDebt
Payment of capital lease obligation | (605)us-gaap_RepaymentsOfLongTermCapitalLeaseObligations | 0 us-gaap_RepaymentsOfLongTermCapitalLeaseObligations | 0 us-gaap_RepaymentsOfLongTermCapitalLeaseObligations
Debt issuance costs | (3,210)us-gaap_PaymentsOfDebtIssuanceCosts | (1,053)us-gaap_PaymentsOfDebtIssuanceCosts | (385)us-gaap_PaymentsOfDebtIssuanceCosts
Proceeds from exercised stock options | 15,215 us-gaap_ProceedsFromStockOptionsExercised | 2,344 us-gaap_ProceedsFromStockOptionsExercised | 696 us-gaap_ProceedsFromStockOptionsExercised
Excess tax benefits from stock-based compensation arrangements | 1,384 us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities | 270 us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities | 3,634 us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
Net cash provided by financing activities | 242,784 us-gaap_NetCashProvidedByUsedInFinancingActivities | 19,019 us-gaap_NetCashProvidedByUsedInFinancingActivities | 11,750 us-gaap_NetCashProvidedByUsedInFinancingActivities
Effect of exchange rate changes on cash and cash equivalents | (7,550)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents | 1,685 us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents | 4,556 us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Net increase (decrease) in cash and cash equivalents | (48,620)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease | 23,676 us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease | (3,870)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of period | 120,614 us-gaap_CashAndCashEquivalentsAtCarryingValue | 96,938 us-gaap_CashAndCashEquivalentsAtCarryingValue | 100,808 us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of period | $ 71,994 us-gaap_CashAndCashEquivalentsAtCarryingValue | $ 120,614 us-gaap_CashAndCashEquivalentsAtCarryingValue | $ 96,938 us-gaap_CashAndCashEquivalentsAtCarryingValue

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- Definition Amount of cash inflow (outflow) from investing activities, including discontinued operations. Investing activity cash flows include making and collecting loans and acquiring and disposing of debt or equity instruments and property, plant, and equipment and other productive assets. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 24 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3521-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 26 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3574-108585 + Details
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- Definition Amount of cash inflow (outflow) from operating activities, including discontinued operations. Operating activity cash flows include transactions, adjustments, and changes in value not defined as investing or financing activities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3602-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 24 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3521-108585 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 25 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3536-108585 + Details
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- Definition The portion of profit or loss for the period, net of income taxes, which is attributable to the parent. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3602-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 260 -SubTopic 10 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6371337&loc=d3e3550-109257 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Other Comprehensive Income -URI http://asc.fasb.org/extlink&oid=6519514 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Net Income -URI http://asc.fasb.org/extlink&oid=6518256 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 225 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-04.19) -URI http://asc.fasb.org/extlink&oid=6879464&loc=d3e573970-122913 Reference 6: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.18) -URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688 Reference 7: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 225 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-04.22) -URI http://asc.fasb.org/extlink&oid=6879464&loc=d3e573970-122913 Reference 8: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 19 -Article 5 Reference 9: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 04 -Paragraph 20 -Article 9 + Details
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- Definition The net cash outflow or inflow from other investing activities. This element is used when there is not a more specific and appropriate element in the taxonomy. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3095-108585 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 9 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3098-108585 + Details
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- Definition The cash outflow paid to third parties in connection with debt origination, which will be amortized over the remaining maturity period of the associated long-term debt. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (e) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3291-108585 + Details
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- Definition The cash outflow associated with the acquisition of a business, net of the cash acquired from the purchase. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3213-108585 + Details
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- Definition The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale; includes cash outflows to pay for construction of self-constructed assets. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3213-108585 + Details
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- Definition The cash outflow for securities or other assets acquired, which qualify for treatment as an investing activity and are to be liquidated, if necessary, within the current operating cycle. Includes cash flows from securities classified as trading securities that were acquired for reasons other than sale in the short-term. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3213-108585 + Details
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- Definition The cash inflow from the additional capital contribution to the entity. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3255-108585 + Details
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- Definition The cash inflow from amounts received from issuance of long-term debt that is wholly or partially secured by collateral. Excludes proceeds from tax exempt secured debt. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3255-108585 + Details
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- Definition The cash inflow from the sale of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3179-108585 + Details
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- Definition The cash inflow from sales of all investments, including securities and other assets, having ready marketability and intended by management to be liquidated, if necessary, within the current operating cycle. Includes cash flows from securities classified as trading securities that were acquired for reasons other than sale in the short-term. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3179-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 + Details
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- Definition The cash inflow associated with the amount received from holders exercising their stock options. This item inherently excludes any excess tax benefit, which the entity may have realized and reported separately. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 718 -SubTopic 10 -Section 50 -Paragraph 2 -Subparagraph (j) -URI http://asc.fasb.org/extlink&oid=6415400&loc=d3e5070-113901 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3255-108585 + Details
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- Definition The cash outflow from the repayment of a long-term debt instrument which can be exchanged for a specified amount of another security, typically the entity's common stock, at the option of the issuer or the holder. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3291-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 + Details
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- Definition The cash outflow for the obligation for a lease meeting the criteria for capitalization (with maturities exceeding one year or beyond the operating cycle of the entity, if longer). + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3291-108585 + Details
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- Definition The cash outflow to repay long-term debt that is wholly or partially secured by collateral. Excludes repayments of tax exempt secured debt. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3291-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 + Details
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