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Business Segments
3 Months Ended
Mar. 31, 2018
Segment Reporting [Abstract]  
Business Segments
Business Segments

The company operates in four primary business segments: NA/HME, IPG, Europe and Asia/Pacific. Both the NA/HME and IPG segments operate in the Americas. The NA/HME segment sells each of the three primary product lines, which includes: lifestyle, mobility and seating, and respiratory therapy products. IPG sells long-term care medical equipment, health care furnishings and accessory products. Europe and Asia/Pacific sell product lines similar to those of NA/HME and IPG. 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.

Segment performance is measured and resources are allocated based on a number of factors, with the primary profit or loss measure being segment operating profit (loss). Segment operating profit
(loss) represents net sales less cost of products sold less selling general and administrative expenses. Segment operating profit (loss) excludes unallocated corporate general and administrative expenses not allocated to the segments and intersegment sales and profit eliminations, which are included in All Other. In addition, segment operating profit (loss) further excludes charges related to restructuring activities, asset impairments and gain on sale of business (as applicable).

Segment operating income (loss), is used by the CODM for purposes of making decisions about allocating resources to a segment and assessing its performance. In addition, this metric is reviewed by the company’s Board of Directors regarding segment performance and is a key metric in the performance management assessment of the company's employees.
(in thousands)
For the Three Months Ended March 31,
 
2018
 
2017
Revenues from external customers
 
 
 
Europe
$
131,314

 
$
119,508

NA/HME
79,782

 
84,262

IPG
14,887

 
16,373

Asia/Pacific
11,077

 
11,580

Consolidated
$
237,060

 
$
231,723

Intersegment revenues
 
 
 
Europe
$
3,857

 
$
3,675

NA/HME
23,503

 
22,095

IPG
89

 
768

Asia/Pacific
5,660

 
3,860

Consolidated
$
33,109

 
$
30,398

Restructuring charges before income taxes
 
 
 
Europe
$
293

 
$
690

NA/HME
97

 
2,242

Asia/Pacific
11

 
351

Consolidated
$
401

 
$
3,283

Operating income (loss)
 
 
 
Europe
$
6,594

 
$
5,100

NA/HME
(8,138
)
 
(9,426
)
IPG
1,598

 
1,898

Asia/Pacific
972

 
(430
)
All Other
(5,773
)
 
(4,510
)
Charge expense related to restructuring activities
(401
)
 
(3,283
)
Consolidated operating loss
(5,148
)
 
(10,651
)
Net gain on convertible debt derivatives
103

 
901

Net Interest expense
(6,713
)
 
(4,430
)
Loss before income taxes
$
(11,758
)
 
$
(14,180
)