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Business Segments
12 Months Ended
Dec. 31, 2012
Segment Reporting [Abstract]  
Business Segments
Business Segments

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

The NA/HME segment sells each of three primary product lines, which includes: lifestyle, mobility and seating and respiratory therapy products. The Institutional Products Group sells or rents long-term care medical equipment, health care furnishings and accessory products. Europe and Asia/Pacific sell the same product lines as NA/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.

The information by segment is as follows (in thousands): 
 
2012
 
2011
 
2010
Revenues from external customers
 
 
 
 
 
North America/HME
$
693,285

 
$
746,782

 
$
738,441

Institutional Products Group
148,648

 
124,121

 
97,419

Europe
546,543

 
544,537

 
506,069

Asia/Pacific
66,985

 
86,199

 
82,635

Consolidated
$
1,455,461

 
$
1,501,639

 
$
1,424,564

Intersegment revenues
 
 
 
 
 
North America/HME
$
104,291

 
$
88,188

 
$
83,316

Institutional Products Group
7,041

 
6,567

 
5,571

Europe
11,043

 
9,308

 
10,165

Asia/Pacific
32,587

 
32,876

 
33,616

Consolidated
$
154,962

 
$
136,939

 
$
132,668

Depreciation and amortization
 
 
 
 
 
North America/HME
$
12,190

 
$
12,814

 
$
15,674

Institutional Products Group
8,312

 
4,942

 
1,995

Europe
12,738

 
15,799

 
13,620

Asia/Pacific
4,505

 
4,645

 
4,941

All Other (1)
273

 
212

 
191

Discontinued Operations
$
575

 
$
471

 
$
383

Consolidated
$
38,593

 
$
38,883

 
$
36,804

Net interest expense (income)
 
 
 
 
 
North America/HME
$
2,046

 
$
5,893

 
$
18,990

Institutional Products Group
4,378

 
2,729

 
530

Europe
(1,292
)
 
(1,754
)
 
721

Asia/Pacific
3,304

 
2,945

 
2,790

Consolidated
$
8,436

 
$
9,813

 
$
23,031

Earnings (loss) before income taxes from continuing operations
 
 
 
 
 
North America/HME
$
3,563

 
$
35,477

 
$
48,164

Institutional Products Group
11,029

 
12,378

 
9,130

Europe
31,488

 
33,579

 
39,344

Asia/Pacific
(11,795
)
 
(35,141
)
 
6,754

All Other (1)
(24,311
)
 
(55,431
)
 
(79,448
)
Consolidated
$
9,974

 
$
(9,138
)
 
$
23,944

Assets
 
 
 
 
 
North America/HME (2)
$
280,383

 
$
295,457

 
$
336,367

Institutional Products Group
118,190

 
117,626

 
67,506

Europe
683,751

 
689,596

 
660,620

Asia/Pacific (2)
39,605

 
50,604

 
92,322

All Other (1)
37,208

 
35,713

 
36,541

Discontinued Operations
103,157

 
92,058

 
87,044

Consolidated
$
1,262,294

 
$
1,281,054

 
$
1,280,400

 
 
 
 
 
 
 
2012
 
2011
 
2010
Long-lived assets
 
 
 
 
 
North America/HME (2)
$
62,853

 
$
68,190

 
$
81,426

Institutional Products Group
93,184

 
95,010

 
49,291

Europe
493,446

 
518,382

 
510,728

Asia/Pacific (2)
8,034

 
10,896

 
52,565

All Other (1)
36,828

 
35,361

 
36,105

Discontinued Operations

 
24,445

 
24,126

Consolidated
$
694,345

 
$
752,284

 
$
754,241

Expenditures for assets
 
 
 
 
 
North America/HME
$
6,959

 
$
9,189

 
$
7,407

Institutional Products Group
5,517

 
3,612

 
2,663

Europe
4,604

 
4,876

 
4,448

Asia/Pacific
2,439

 
3,480

 
2,224

All Other (1)

 
214

 
207

Discontinued Operations
$
572

 
$
789

 
$
404

Consolidated
$
20,091

 
$
22,160

 
$
17,353

   ________________________
(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 and impairment charges recognized related to limited partnership investments.

(2)
IPG and NA/HME assets and long-lived assets included decreases of $677,000 and $96,000 due to intangible asset impairment write-offs in 2012. The 2011 Asia/Pacific assets and long-lived assets decrease includes decreases of 39,729,000 and $201,000 due to goodwill and intangible asset write-offs, respectively. NA/HME assets and long-lived assets included decreases of $7,990,000 and $508,000 due to the goodwill and intangible asset impairment write-offs, respectively, in 2011. The 2011 IPG assets and long-lived assets decrease includes a decrease of $1,052,000 related to intangible asset impairment write-offs in 2011.

Net sales by product, are as follows (in thousands):
 
 
2012
 
2011
 
2010
North America/HME
 
 
 
 
 
Lifestyle Products
$
288,443

 
$
295,342

 
$
297,888

Mobility and Seating
257,886

 
284,633

 
294,792

Respiratory Therapy
134,892

 
153,468

 
131,260

Other(1)
12,064

 
13,339

 
14,501


$
693,285

 
$
746,782

 
$
738,441

Institutional Products Group
 
 
 
 
 
Continuing Care
$
148,648

 
$
124,121

 
$
97,419

Europe
 
 
 
 
 
Lifestyle Products
$
285,707

 
$
293,425

 
$
289,577

Mobility and Seating
204,613

 
209,732

 
183,271

Respiratory Therapy
42,700

 
27,866

 
20,493

Other(1)
13,523

 
13,514

 
12,728


$
546,543

 
$
544,537

 
$
506,069

Asia/Pacific
 
 
 
 
 
Mobility and Seating
$
31,410

 
$
36,483

 
$
38,226

Lifestyle Products
15,448

 
20,151

 
21,216

Continuing Care
2,795

 
2,825

 
2,700

Respiratory Therapy
700

 
682

 
1,021

Other(1)
16,632

 
26,058

 
19,472

 
$
66,985

 
$
86,199

 
$
82,635

Total Consolidated
$
1,455,461

 
$
1,501,639

 
$
1,424,564

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

No single customer accounted for more than 3.9% of the company’s sales.