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Business Segments
 9 Months Ended
Sep. 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 September 30,
 
For the Nine Months Ended September 30,
 
2014
 
2013
 
2014
 
2013
Revenues from external customers
 
 
 
 
 
 
 
North America/HME
$
124,258

 
$
146,454

 
$
383,109

 
$
448,547

Institutional Products Group
25,151

 
28,083

 
76,072

 
87,135

Europe
158,505

 
150,265

 
455,263

 
429,650

Asia/Pacific
12,606

 
11,776

 
37,520

 
38,327

Consolidated
$
320,520

 
$
336,578

 
$
951,964

 
$
1,003,659

Intersegment revenues
 
 
 
 
 
 
 
North America/HME
$
20,730

 
$
20,427

 
$
60,084

 
$
59,443

Institutional Products Group
1,414

 
1,254

 
5,840

 
4,243

Europe
2,681

 
1,890

 
6,494

 
6,156

Asia/Pacific
7,694

 
6,411

 
20,044

 
19,417

Consolidated
$
32,519

 
$
29,982

 
$
92,462

 
$
89,259

Restructuring charges before income taxes
 
 
 
 
 
 
 
North America/HME
$
3,041

 
$
1,210

 
$
4,689

 
$
4,837

Institutional Products Group
591

 
36

 
2,308

 
237

Europe
69

 
542

 
1,030

 
722

Asia/Pacific
376

 
96

 
380

 
1,202

Consolidated
$
4,077

 
$
1,884

 
$
8,407

 
$
6,998

Earnings (loss) before income taxes
 
 
 
 
 
 
 
North America/HME
$
(22,568
)
 
$
(11,563
)
 
$
(54,821
)
 
$
(37,808
)
Institutional Products Group
(7,275
)
 
1,010

 
(7,636
)
 
1,955

Europe
12,181

 
13,136

 
33,190

 
27,344

Asia/Pacific
(1,736
)
 
(2,233
)
 
(6,835
)
 
(9,871
)
All Other (1)
(6,977
)
 
(6,354
)
 
(18,723
)
 
(17,515
)
Consolidated
$
(26,375
)
 
$
(6,004
)
 
$
(54,825
)
 
$
(35,895
)
   ________________________
(1)
Consists of un-allocated corporate SG&A costs and intercompany profits, which do not meet the quantitative criteria for determining reportable segments.