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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, 2014
Dec. 31, 2013
Income Tax Disclosure [Abstract]    
Intangible assets and goodwill $ 4,067us-gaap_DeferredTaxAssetsGoodwillAndIntangibleAssets $ 4,798us-gaap_DeferredTaxAssetsGoodwillAndIntangibleAssets
Inventories and related reserves 19,525us-gaap_DeferredTaxAssetsInventory 20,769us-gaap_DeferredTaxAssetsInventory
Deferred revenue and cost of goods sold 10,826ofix_DeferredTaxAssetsDeferredRevenueAndExpenses 11,577ofix_DeferredTaxAssetsDeferredRevenueAndExpenses
Other accruals and reserves 5,371ofix_DeferredTaxAssetsAccruedExpensesAndReserves 4,778ofix_DeferredTaxAssetsAccruedExpensesAndReserves
Accrued compensation 5,004us-gaap_DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefits 3,942us-gaap_DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefits
Allowance for doubtful accounts 2,094us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts 2,040us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
Accrued interest 17,555ofix_DeferredTaxAssetsDeferredExpenseInterest 18,063ofix_DeferredTaxAssetsDeferredExpenseInterest
Net operating loss carryforwards 34,514us-gaap_DeferredTaxAssetsOperatingLossCarryforwards 34,979us-gaap_DeferredTaxAssetsOperatingLossCarryforwards
Other, net 1,202ofix_DeferredTaxAssetsLiabilitiesOtherNet 893ofix_DeferredTaxAssetsLiabilitiesOtherNet
Total 100,158us-gaap_DeferredTaxAssetsGross 101,839us-gaap_DeferredTaxAssetsGross
Valuation allowance (37,438)us-gaap_DeferredTaxAssetsValuationAllowance (31,772)us-gaap_DeferredTaxAssetsValuationAllowance
Deferred tax asset 62,720us-gaap_DeferredTaxAssetsNet 70,067us-gaap_DeferredTaxAssetsNet
Withholding taxes (229)ofix_DeferredTaxLiabilitiesWithholdingTaxes (13,026)ofix_DeferredTaxLiabilitiesWithholdingTaxes
Property, plant and equipment (6,766)us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment (7,674)us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment
Deferred tax liability (6,995)us-gaap_DeferredTaxLiabilities (20,700)us-gaap_DeferredTaxLiabilities
Net deferred tax assets 55,725us-gaap_DeferredTaxAssetsLiabilitiesNet 49,367us-gaap_DeferredTaxAssetsLiabilitiesNet
Reported as:    
Current deferred tax assets 37,413us-gaap_DeferredTaxAssetsNetCurrent 39,999us-gaap_DeferredTaxAssetsNetCurrent
Non-current deferred tax assets 18,541us-gaap_DeferredTaxAssetsNetNoncurrent 22,394us-gaap_DeferredTaxAssetsNetNoncurrent
Non-current deferred tax liability (229)us-gaap_DeferredTaxLiabilitiesNoncurrent (13,026)us-gaap_DeferredTaxLiabilitiesNoncurrent
Net deferred tax assets $ 55,725us-gaap_DeferredTaxAssetsLiabilitiesNet $ 49,367us-gaap_DeferredTaxAssetsLiabilitiesNet