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Business Segments (Tables)
 6 Months Ended
Jun. 30, 2014
Segment Reporting, Disclosure of Entity's Reportable Segments [Abstract]  
Schedule of Segment Reporting Information, by Segment [Table Text Block]
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.