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Business Segments (Tables)
 6 Months Ended
Jun. 30, 2018
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
(in thousands)
For the Three Months Ended June 30,
 
For the Six Months Ended June 30,
 
2018
 
2017
 
2018
 
2017
Revenues from external customers
 
 
 
 
 
 
 
Europe
$
138,896

 
$
128,485

 
$
270,210

 
$
247,993

NA/HME
79,867

 
77,689

 
159,649

 
161,951

IPG
13,704

 
15,320

 
28,591

 
31,693

Asia/Pacific
13,685

 
12,023

 
24,762

 
23,603

Consolidated
$
246,152

 
$
233,517

 
$
483,212

 
$
465,240

Intersegment revenues
 
 
 
 
 
 
 
Europe
$
4,877

 
$
3,738

 
$
8,734

 
$
7,413

NA/HME
23,804

 
21,050

 
47,307

 
43,145

IPG
229

 
975

 
318

 
1,743

Asia/Pacific
5,254

 
3,896

 
10,914

 
7,756

Consolidated
$
34,164

 
$
29,659

 
$
67,273

 
$
60,057

Restructuring charges before income taxes
 
 
 
 
 
 
 
Europe
$
108

 
$
514

 
$
401

 
$
1,204

NA/HME
(11
)
 
3,928

 
86

 
6,170

Asia/Pacific
247

 
545

 
258

 
896

Consolidated
$
344

 
$
4,987

 
$
745

 
$
8,270

Operating income (loss)
 
 
 
 
 
 
 
Europe
$
5,171

 
$
7,077

 
$
11,765

 
$
12,177

NA/HME
(8,420
)
 
(12,395
)
 
(16,558
)
 
(21,821
)
IPG
1,163

 
1,472

 
2,761

 
3,370

Asia/Pacific
1,570

 
(118
)
 
2,542

 
(548
)
All Other
(5,901
)
 
(6,735
)
 
(11,674
)
 
(11,245
)
Charge expense related to restructuring activities
(344
)
 
(4,987
)
 
(745
)
 
(8,270
)
Consolidated operating loss
(6,761
)
 
(15,686
)
 
(11,909
)
 
(26,337
)
Net gain (loss) on convertible debt derivatives
21

 
(1,051
)
 
124

 
(150
)
Net Interest expense
(6,828
)
 
(4,596
)
 
(13,541
)
 
(9,026
)
Loss before income taxes
$
(13,568
)
 
$
(21,333
)
 
$
(25,326
)
 
$
(35,513
)
 
 
 
 
 
 
 
 
Revenue from External Customer [Line Items]  
Revenue from External Customers by Products and Services [Table Text Block]
Net sales by product, are as follows (in thousands):
 
For the Three Months Ended June 30,
 
For the Six Months Ended June 30,
 
2018
 
2017
 
2018
 
2017
Europe
 
 
 
 
 
 
 
Lifestyle
$
69,621

 
$
64,128

 
$
137,612

 
$
125,932

Mobility and Seating
58,411

 
53,526

 
110,184

 
100,458

Respiratory Therapy
6,480

 
6,634

 
13,242

 
13,750

Other(1)
4,384

 
4,197

 
9,172

 
7,853

 
$
138,896

 
$
128,485

 
$
270,210

 
$
247,993

NA/HME
 
 
 
 
 
 
 
Lifestyle
$
31,573

 
$
31,045

 
$
62,207

 
$
63,294

Mobility and Seating
31,063

 
27,170

 
60,228

 
54,061

Respiratory Therapy
16,959

 
18,826

 
36,691

 
43,309

Other(1)
272

 
648

 
523

 
1,287

 
$
79,867

 
$
77,689

 
$
159,649

 
$
161,951

Institutional Products Group
 
 
 
 
 
 
 
Continuing Care
$
13,704

 
$
15,320

 
$
28,591

 
$
31,693

 
 
 
 
 
 
 
 
Asia/Pacific
 
 
 
 
 
 
 
Mobility and Seating
$
8,448

 
$
7,108

 
$
15,339

 
$
13,716

Lifestyle
2,736

 
2,637

 
5,001

 
4,873

Continuing Care
447

 
671

 
734

 
1,846

Respiratory Therapy
522

 
306

 
646

 
649

Other(1)
1,532

 
1,301

 
3,042

 
2,519

 
$
13,685

 
$
12,023

 
$
24,762

 
$
23,603

 
 
 
 
 
 
 
 
Total Consolidated
$
246,152

 
$
233,517

 
$
483,212

 
$
465,240

   ________________________
(1)
Includes various services, including repair services, equipment rentals and external contracting.