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Business Segments
12 Months Ended
Dec. 31, 2013
Segment Reporting [Abstract]  
Business Segments
Business Segments

The Company operates in four primary business segments: North America/Home Medical Equipment (North America/HME), Institutional Products Group (IPG), Europe and Asia/Pacific.

The North America/HME segment sells each of three primary product lines, which includes: lifestyle, mobility and seating and respiratory therapy products. IPG sells or rents long-term care medical equipment, health care furnishings and accessory products. Europe and Asia/Pacific sell product lines similar to North America/HME and IPG. Each business segment sells to the home health care, retail and extended care markets.

The Company evaluates performance and allocates resources based on profit or loss from operations before income taxes for each reportable segment. The accounting policies of each segment are the same as those described in the summary of significant accounting policies for the Company’s consolidated financial statements. Intersegment sales and transfers are based on the costs to manufacture plus a reasonable profit element. Therefore, intercompany profit or loss on intersegment sales and transfers is not considered in evaluating segment performance except for Asia/Pacific due to its significant intercompany sales volume relative to the segment.

The information by segment is as follows (in thousands): 
 
2013
 
2012
 
2011
Revenues from external customers
 
 
 
 
 
North America/HME
$
607,094

 
$
692,657

 
$
746,782

Institutional Products Group
112,290

 
126,508

 
104,911

Europe
583,143

 
546,543

 
544,537

Asia/Pacific
49,832

 
66,985

 
86,199

Consolidated
$
1,352,359

 
$
1,432,693

 
$
1,482,429

Intersegment revenues
 
 
 
 
 
North America/HME
$
77,901

 
$
104,291

 
$
88,112

Institutional Products Group
5,304

 
6,415

 
6,567

Europe
8,272

 
11,043

 
9,308

Asia/Pacific
24,941

 
32,587

 
32,876

Consolidated
$
116,418

 
$
154,336

 
$
136,863

Depreciation and amortization
 
 
 
 
 
North America/HME
$
12,896

 
$
12,190

 
$
12,814

Institutional Products Group
8,366

 
8,017

 
4,600

Europe
12,123

 
12,738

 
15,799

Asia/Pacific
3,073

 
4,505

 
4,645

All Other (1)
275

 
273

 
212

Discontinued Operations
$
56

 
870

 
813

Consolidated
$
36,789

 
$
38,593

 
$
38,883

Net interest expense (income)
 
 
 
 
 
North America/HME
$
(1,439
)
 
$
1,254

 
$
5,040

Institutional Products Group
3,656

 
4,288

 
2,662

Europe
(53
)
 
(1,292
)
 
(1,754
)
Asia/Pacific
960

 
3,304

 
2,945

Consolidated
$
3,124

 
$
7,554

 
$
8,893

Earnings (loss) before income taxes from continuing operations
 
 
 
 
 
North America/HME
$
(45,387
)
 
$
4,315

 
$
36,297

Institutional Products Group
1,418

 
6,003

 
8,216

Europe
40,468

 
31,488

 
33,579

Asia/Pacific
(13,258
)
 
(11,795
)
 
(35,141
)
All Other (1)
(21,581
)
 
(24,311
)
 
(55,431
)
Consolidated
$
(38,340
)
 
$
5,700

 
$
(12,480
)
Assets
 
 
 
 
 
North America/HME (2)
$
250,239

 
$
280,383

 
$
295,457

Institutional Products Group (2)
84,229

 
118,190

 
117,626

Europe
693,790

 
683,751

 
689,596

Asia/Pacific (2)
31,034

 
39,605

 
50,604

All Other (1)
37,142

 
37,208

 
35,713

Assets held for sale

 
103,157

 
92,058

Consolidated
$
1,096,434

 
$
1,262,294

 
$
1,281,054

 
 
 
 
 
 
 
 
 
 
 
 
 
2013
 
2012
 
2011
Long-lived assets
 
 
 
 
 
North America/HME (2)
$
60,309

 
$
62,853

 
$
68,190

Institutional Products Group (2)
68,189

 
93,184

 
95,010

Europe
506,329

 
493,446

 
518,382

Asia/Pacific (2)
5,238

 
8,034

 
10,896

All Other (1)
36,830

 
36,828

 
35,361

Assets held for sale

 

 
24,445

Consolidated
$
676,895

 
$
694,345

 
$
752,284

Expenditures for assets
 
 
 
 
 
North America/HME
$
4,906

 
$
6,959

 
$
9,189

Institutional Products Group
3,435

 
5,376

 
3,555

Europe
4,809

 
4,604

 
4,876

Asia/Pacific
830

 
2,439

 
3,480

All Other (1)
50

 

 
214

Discontinued Operations
128

 
713

 
846

Consolidated
$
14,158

 
$
20,091

 
$
22,160

   ________________________
(1)
Consists of un-allocated corporate SG&A costs and intercompany profits, which do not meet the quantitative criteria for determining reportable segments. In addition, the “All Other” earnings (loss) before income taxes includes loss on debt extinguishment including debt finance charges, interest and fees.

(2)
IPG and North America/HME assets and long-lived assets include decreases of $1,356,000 and $167,000, respectively, due to intangible asset impairment write-offs in 2013. The 2012 IPG and North America/HME assets and long-lived assets decrease include a decrease of $677,000 and $96,000 related to intangible asset impairment write-offs in 2012. The 2011 Asia/Pacific assets and long-lived assets decrease include decreases of $39,729,000 and $201,000 due to goodwill and intangible asset write-offs, respectively. North America/HME assets and long-lived assets include decreases of $7,990,000 and $508,000 due to the goodwill and intangible asset impairment write-offs, respectively, in 2011. IPG long-lived assets decreased by $625,000 related to an intangible impairment write-off in 2011. Europe long-lived assets decreased by $427,000 related to an indefinite-lived trademark impairment in 2011.
Net sales by product, are as follows (in thousands):
 
2013
 
2012
 
2011
North America/HME
 
 
 
 
 
Lifestyle Products
$
268,041

 
$
288,443

 
$
295,342

Mobility and Seating
152,650

 
257,886

 
284,633

Respiratory Therapy
178,157

 
134,892

 
153,468

Other(1)
8,246

 
11,436

 
13,339


$
607,094

 
$
692,657

 
$
746,782

Institutional Products Group
 
 
 
 
 
Continuing Care
$
112,290

 
$
126,508

 
$
104,911

 
 
 
 
 
 
Europe
 
 
 
 
 
Lifestyle Products
$
303,225

 
$
285,707

 
$
293,425

Mobility and Seating
216,152

 
204,613

 
209,732

Respiratory Therapy
40,885

 
42,700

 
27,866

Other(1)
22,881

 
13,523

 
13,514


$
583,143

 
$
546,543

 
$
544,537

Asia/Pacific
 
 
 
 
 
Mobility and Seating
$
26,737

 
$
31,410

 
$
36,483

Lifestyle Products
12,023

 
15,448

 
20,151

Continuing Care
2,785

 
2,795

 
2,825

Respiratory Therapy
1,290

 
700

 
682

Other(1)
6,997

 
16,632

 
26,058

 
$
49,832

 
$
66,985

 
$
86,199

 
 
 
 
 
 
Total Consolidated
$
1,352,359

 
$
1,432,693

 
$
1,482,429

   ________________________
(1)
Includes various services, including repair services, equipment rentals and external contracting.
 
No single customer accounted for more than 3.5% of the Company’s sales.