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Business Segments (Tables)
3 Months Ended
Mar. 31, 2018
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
(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
)