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Income Taxes - Schedule of Tax Effects of Significant Temporary Differences Comprising Deferred Tax Assets and Liabilities (Detail) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2013
Dec. 31, 2012
Income Tax Disclosure [Abstract]    
Intangible assets and goodwill $ 4,798us-gaap_DeferredTaxAssetsGoodwillAndIntangibleAssets $ 5,338us-gaap_DeferredTaxAssetsGoodwillAndIntangibleAssets
Inventories and related reserves 20,769us-gaap_DeferredTaxAssetsInventory 19,626us-gaap_DeferredTaxAssetsInventory
Deferred revenue and cost of goods sold 11,577ofix_DeferredTaxAssetsDeferredRevenueAndExpenses 12,336ofix_DeferredTaxAssetsDeferredRevenueAndExpenses
Other accruals and reserves 4,778ofix_DeferredTaxAssetsAccruedExpensesAndReserves 6,149ofix_DeferredTaxAssetsAccruedExpensesAndReserves
Accrued compensation 3,942us-gaap_DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefits 3,791us-gaap_DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefits
Allowance for doubtful accounts 2,040us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts 1,542us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
Accrued interest 18,063ofix_DeferredTaxAssetsDeferredExpenseInterest 17,995ofix_DeferredTaxAssetsDeferredExpenseInterest
Net operating loss carryforwards 34,979us-gaap_DeferredTaxAssetsOperatingLossCarryforwards 27,231us-gaap_DeferredTaxAssetsOperatingLossCarryforwards
Other, net 893ofix_DeferredTaxAssetsLiabilitiesOtherNet 590ofix_DeferredTaxAssetsLiabilitiesOtherNet
Total 101,839us-gaap_DeferredTaxAssetsGross 94,598us-gaap_DeferredTaxAssetsGross
Valuation allowance (31,772)us-gaap_DeferredTaxAssetsValuationAllowance (26,361)us-gaap_DeferredTaxAssetsValuationAllowance
Deferred tax asset 70,067us-gaap_DeferredTaxAssetsNet 68,237us-gaap_DeferredTaxAssetsNet
Withholding taxes (13,026)ofix_DeferredTaxLiabilitiesWithholdingTaxes (11,351)ofix_DeferredTaxLiabilitiesWithholdingTaxes
Property, plant and equipment (7,674)us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment (8,226)us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment
Deferred tax liability (20,700)us-gaap_DeferredTaxLiabilities (19,577)us-gaap_DeferredTaxLiabilities
Net deferred tax assets 49,367us-gaap_DeferredTaxAssetsLiabilitiesNet 48,660us-gaap_DeferredTaxAssetsLiabilitiesNet
Current deferred tax assets 39,999us-gaap_DeferredTaxAssetsNetCurrent 38,487us-gaap_DeferredTaxAssetsNetCurrent
Non-current deferred tax assets 22,394us-gaap_DeferredTaxAssetsNetNoncurrent 21,523us-gaap_DeferredTaxAssetsNetNoncurrent
Current deferred tax liability     
Non-current deferred tax liability (13,026)us-gaap_DeferredTaxLiabilitiesNoncurrent (11,350)us-gaap_DeferredTaxLiabilitiesNoncurrent
Net deferred tax assets $ 49,367us-gaap_DeferredTaxAssetsLiabilitiesNet $ 48,660us-gaap_DeferredTaxAssetsLiabilitiesNet