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Business Segments
 6 Months Ended
Jun. 30, 2014
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.

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): 
 
For the Three Months Ended June 30,
 
For the Six Months Ended June 30,
 
2014
 
2013
 
2014
 
2013
Revenues from external customers
 
 
 
 
 
 
 
North America/HME
$
138,678

 
$
159,327

 
$
267,788

 
$
311,209

Institutional Products Group
25,785

 
29,828

 
50,921

 
59,052

Europe
153,990

 
141,751

 
296,758

 
279,385

Asia/Pacific
12,859

 
13,854

 
24,914

 
26,551

Consolidated
$
331,312

 
$
344,760

 
$
640,381

 
$
676,197

Intersegment revenues
 
 
 
 
 
 
 
North America/HME
$
20,872

 
$
20,398

 
$
39,545

 
$
39,234

Institutional Products Group
2,853

 
1,882

 
4,426

 
2,989

Europe
2,131

 
2,313

 
3,813

 
4,266

Asia/Pacific
6,158

 
6,124

 
12,350

 
13,006

Consolidated
$
32,014

 
$
30,717

 
$
60,134

 
$
59,495

Restructuring charges before income taxes
 
 
 
 
 
 
 
North America/HME
$
845

 
$
1,948

 
$
1,648

 
$
3,627

Institutional Products Group
658

 
13

 
1,717

 
201

Europe
583

 
65

 
961

 
180

Asia/Pacific
4

 
566

 
4

 
1,106

Consolidated
$
2,090

 
$
2,592

 
$
4,330

 
$
5,114

Earnings (loss) before income taxes
 
 
 
 
 
 
 
North America/HME
$
(13,292
)
 
$
(12,222
)
 
$
(30,091
)
 
$
(23,401
)
Institutional Products Group
(110
)
 
471

 
(361
)
 
945

Europe
11,763

 
8,365

 
21,009

 
14,208

Asia/Pacific
(2,298
)
 
(5,377
)
 
(5,099
)
 
(7,638
)
All Other (1)
(6,600
)
 
(5,101
)
 
(11,746
)
 
(11,161
)
Consolidated
$
(10,537
)
 
$
(13,864
)
 
$
(26,288
)
 
$
(27,047
)
   ________________________
(1)
Consists of un-allocated corporate SG&A costs and intercompany profits, which do not meet the quantitative criteria for determining reportable segments.