| Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 |
|---|---|---|---|---|---|---|---|---|---|---|---|
OPERATING ACTIVITIES: | |||||||||||
Net Income (Loss) Attributable to Parent | |||||||||||
50,201 | 60,801 | 64,743 | 74,564 | -3,519 | 34,004 | -21,067 | 41,204 | 27,989 | 65,669 | 50,955 | 27,727 |
Adjustments to reconcile net income to net cash provided by operating activities: | |||||||||||
Loss from discontinued operations, net of tax | |||||||||||
- | - | - | - | -10,370 | -2,291 | -43,094 | - | - | - | - | - |
Depreciation and amortization | |||||||||||
109,462 | 110,730 | 88,945 | 72,665 | 58,863 | 46,434 | 31,013 | 52,611 | 50,172 | 39,172 | 39,688 | 30,717 |
Non-cash in-process research and development expense | |||||||||||
64,916 | 0 | 0 | - | - | - | - | - | - | - | - | - |
Non-cash impairment charges | |||||||||||
5,764 | 4,941 | 3,290 | 0 | 380 | 790 | 340 | 0 | 0 | - | - | - |
In-process research and development | |||||||||||
- | - | - | - | - | - | - | - | - | - | 277 | 25,240 |
Deferred income tax benefit/provision | |||||||||||
-19,046 | -8,184 | -67,304 | -6,474 | -351 | -6,849 | -1,341 | 1,537 | 1,156 | 4,128 | 548 | -33,542 |
Share-based compensation | |||||||||||
21,255 | 20,779 | 21,550 | 17,310 | 15,450 | 14,554 | 9,842 | 9,051 | 26,805 | 17,209 | 15,580 | 32,635 |
Amortization of debt issuance costs | |||||||||||
5,390 | 6,270 | 2,722 | 2,529 | 2,264 | 2,571 | 2,298 | 2,725 | 3,387 | 1,490 | 2,400 | 2,431 |
Non-cash lease expense | |||||||||||
5,060 | 0 | 0 | 8,074 | 7,911 | 7,104 | 6,463 | 8,520 | 10,591 | 7,125 | 9,899 | 12,471 |
Realized loss on sale of short-term investments | |||||||||||
0 | 0 | -2,287 | 0 | 0 | - | - | - | - | - | - | - |
Loss on disposal of property and equipment | |||||||||||
-1,821 | -1,385 | -6,989 | -1,765 | -481 | -909 | -1,965 | -1,312 | 0 | 0 | - | - |
Gain on divestiture of business | |||||||||||
0 | 0 | 2,645 | 0 | 0 | - | - | - | - | - | - | - |
Non-cash valuation allowance | |||||||||||
- | - | - | - | 37,210 | 0 | 0 | - | - | - | - | - |
Change in fair value of contingent consideration and others | |||||||||||
1,119 | 1,214 | -4,710 | -13 | 177 | 764 | 0 | 0 | -164 | 3 | - | - |
Changes in assets and liabilities: | |||||||||||
Gain on bargain purchase | |||||||||||
- | - | - | - | 1,111 | 0 | 0 | - | - | - | - | - |
Payment Of Accreted Interest Cash Flow | |||||||||||
- | - | - | 42,786 | 384 | 0 | 0 | 30,617 | 0 | 6,599 | -5,391 | 0 |
Gain on convertible note repurchases | |||||||||||
- | - | - | - | - | - | - | - | - | - | -480 | 0 |
Excess tax benefits from stock-based compensation arrangements | |||||||||||
- | - | - | - | - | - | 270 | 3,634 | 848 | 3,580 | 20 | 1,590 |
Other, net | |||||||||||
- | - | - | - | - | - | - | - | - | - | - | 18 |
Changes in assets and liabilities, net of business acquisitions: | |||||||||||
Accounts receivable | |||||||||||
9,428 | 17,021 | 89,698 | 17,518 | 16,231 | 17,145 | -1,010 | -3,783 | 1,878 | 3,783 | -9,808 | 4,710 |
Inventories | |||||||||||
43,308 | -8,300 | -99 | 9,576 | 3,759 | 24,138 | 27,364 | 711 | -1,702 | 7,374 | -9,405 | -10,823 |
Prepaid expenses and other current assets | |||||||||||
-13,071 | -3,933 | 33,808 | -14,912 | 233 | -16,526 | -1,996 | 3,067 | 395 | 6,452 | -7,029 | -3,974 |
Refundable income taxes | |||||||||||
- | - | - | - | - | - | - | - | - | - | - | 18,821 |
Other non-current assets | |||||||||||
-13,156 | -1,052 | 914 | 475 | -610 | 10,914 | -1,872 | 553 | -375 | 179 | -411 | 102 |
Accounts payable, accrued expenses and other current liabilities | |||||||||||
14,666 | 3,588 | 95,321 | -414 | 8,208 | 811 | 1,334 | -21,071 | -11,842 | 6,736 | 4,550 | -17,258 |
Contract liabilities | |||||||||||
-607 | 1,504 | 3,874 | 1,251 | - | - | - | - | - | - | - | - |
Deferred revenue | |||||||||||
- | - | - | - | 136 | 1,118 | 697 | -1,051 | 104 | -457 | -289 | -372 |
Other non-current liabilities | |||||||||||
-2,059 | 391 | 23,803 | 591 | 945 | -4,357 | 1,159 | -939 | -3,154 | -7,531 | - | - |
Net cash provided by operating activities of continuing operations | |||||||||||
- | - | - | - | 117,063 | 62,945 | 53,041 | - | - | - | - | - |
Net cash used in operating activities of discontinued operations | |||||||||||
- | - | - | - | -12,209 | 20,620 | 227 | - | - | - | - | - |
Other liabilities | |||||||||||
- | - | - | - | - | - | - | - | - | - | -1,135 | 2,949 |
Net cash provided by operating activities | |||||||||||
231,433 | 199,683 | 114,544 | 116,405 | 104,854 | 83,565 | 53,268 | 59,100 | 104,328 | 105,571 | 143,235 | 72,590 |
INVESTING ACTIVITIES: | |||||||||||
Purchases of property and equipment | |||||||||||
69,537 | 77,741 | 43,503 | 47,328 | 33,413 | 38,340 | 42,301 | 69,031 | 38,425 | 37,138 | 25,238 | 13,401 |
Cash used in business acquisitions, net of cash acquired | |||||||||||
30,509 | -26,704 | 1,241,946 | -225 | 328,888 | 320,921 | 2,980 | 7,278 | 151,951 | 5,178 | 60,783 | 86,874 |
Acquired in-process research and development | |||||||||||
64,995 | 0 | 0 | - | - | - | - | - | - | - | - | - |
Change in restricted cash | |||||||||||
- | - | - | -4,165 | 4,087 | 0 | 0 | 64,940 | 0 | 0 | - | - |
Proceeds from sale of short-term investments | |||||||||||
0 | 0 | -16,951 | 0 | 0 | - | - | - | - | - | - | - |
Proceeds from note receivable | |||||||||||
752 | 910 | 483 | 0 | 0 | - | - | - | - | - | - | - |
Proceeds from sale of property and equipment | |||||||||||
37 | 422 | 293 | 316 | 1,438 | 0 | 535 | 0 | 0 | - | - | - |
Proceeds from divestiture of business | |||||||||||
0 | 0 | 46,387 | 0 | 0 | - | - | - | - | - | - | - |
Net proceeds on swaps designated as net investment hedges | |||||||||||
1,584 | 0 | 0 | - | - | - | - | - | - | - | - | - |
Other changes in intangible assets | |||||||||||
- | - | - | - | - | 475 | 0 | 0 | - | - | - | - |
Purchases of short-term investments | |||||||||||
- | - | - | - | - | - | - | 67,907 | 0 | 0 | - | - |
Net cash used in investing activities of continuing operations | |||||||||||
- | - | - | - | -364,950 | -359,736 | -44,746 | - | - | - | - | - |
Net cash used in investing activities of discontinued operations | |||||||||||
- | - | - | - | -7,060 | -3,581 | -5,550 | - | - | - | - | - |
Payments to Acquire Intangible Assets | |||||||||||
- | - | - | - | - | - | - | - | - | - | 2,331 | 0 |
Net cash used in investing activities | |||||||||||
-162,668 | -49,705 | -1,221,335 | -42,622 | -372,010 | -363,317 | -50,296 | -79,276 | -190,376 | -42,316 | -88,352 | -100,275 |
FINANCING ACTIVITIES: | |||||||||||
Proceeds from borrowings of long-term indebtedness | |||||||||||
236,900 | 171,200 | 1,307,000 | 680,000 | 545,000 | 425,000 | 30,000 | 155,000 | 145,000 | 105,000 | - | 260,000 |
Payments on debt | |||||||||||
246,100 | 660,000 | 117,000 | 511,250 | 465,625 | 195,000 | 165,000 | 12,812 | 213,437 | 16,875 | 100,000 | 0 |
Purchase of option hedge on convertible notes | |||||||||||
- | - | - | - | - | - | - | - | 42,895 | 0 | - | - |
Proceeds from the issuance of common stock, net of issuance costs | |||||||||||
0 | 349,590 | 0 | 0 | 219,669 | 0 | 152,458 | 0 | 0 | - | - | - |
Distribution to SeaSpine | |||||||||||
- | - | - | - | -47,013 | 0 | 0 | - | - | - | - | - |
Payment of liability component of convertible notes | |||||||||||
- | - | - | 184,313 | 2,519 | 0 | 0 | 134,383 | 0 | 71,351 | 78,005 | 119,558 |
Payment of capital lease obligation | |||||||||||
- | - | - | 653 | 709 | 605 | 0 | 0 | - | - | - | - |
Proceeds from Convertible Debt | |||||||||||
- | - | - | - | - | - | - | - | 186,830 | 0 | - | - |
Net cash paid for contingent consideration | |||||||||||
0 | 38,196 | 4,661 | 0 | 0 | - | - | - | - | - | - | - |
Proceeds from equity component of convertible notes | |||||||||||
- | - | - | - | - | - | - | - | 43,170 | 0 | - | - |
Proceeds from sale of stock purchase warrants | |||||||||||
- | - | - | - | - | - | - | - | 28,451 | 0 | - | - |
Payment of debt issuance costs | |||||||||||
0 | 5,037 | 19,043 | 4,530 | 1,426 | 3,210 | 1,053 | 385 | 8,064 | 6,796 | - | 0 |
Purchases of treasury stock | |||||||||||
- | - | - | - | - | - | - | - | 83,463 | 31,278 | - | 0 |
Proceeds from exercised stock options | |||||||||||
6,948 | 9,392 | 9,774 | 10,481 | 7,345 | 15,215 | 2,344 | 696 | 3,697 | 16,146 | 6,643 | 11,504 |
Cash taxes paid in net equity settlement | |||||||||||
6,514 | 7,821 | 7,123 | -4,851 | -6,580 | -2,718 | 270 | 3,634 | 848 | 3,580 | 20 | 1,590 |
Net cash provided by financing activities | |||||||||||
-8,766 | -180,872 | 1,168,947 | -15,116 | 248,142 | 238,682 | 19,019 | 11,750 | 60,137 | -1,574 | -171,342 | 153,536 |
Effect of exchange rate changes on cash and cash equivalents | |||||||||||
74 | -5,203 | 10,724 | -4,744 | -4,848 | -7,550 | 1,685 | 4,556 | -2,044 | -4,809 | 4,804 | 356 |
Net increase in cash and cash equivalents | |||||||||||
60,073 | -36,097 | 72,880 | 53,923 | -23,862 | -48,620 | 23,676 | -3,870 | -27,955 | 56,872 | -111,655 | 126,207 |