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Products, Major Customer, Concentration of Credit Risk Market Segment Breakdown (Tables)
12 Months Ended
Dec. 31, 2014
Market Segment Breakdown [Abstract]  
Revenue from External Customers by Products and Services [Table Text Block]
 
 
2014
 
2013
 
2012
Infusion therapy
 
$
215,982

 
$
220,982

 
$
226,092

Critical care
 
55,074

 
54,326

 
58,926

Oncology
 
36,949

 
37,075

 
29,957

Other
 
1,255

 
1,333

 
1,894

 
 
$
309,260

 
$
313,716

 
$
316,869

 
 
 
 
 
 
 
Schedule of Disclosure on Geographic Areas, Long-Lived Assets in Individual Foreign Countries by Country [Table Text Block]

 
 
As of December 31,
 
 
2014
 
2013
Mexico
 
$
51,554

 
49,454

Slovakia
 
16,643

 
18,422

Italy
 
4,855

 
5,428

Germany
 
638

 
547

Total foreign
 
$
73,690

 
$
73,851

United States
 
151,024

 
139,150

Worldwide total
 
$
224,714

 
$
213,001