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Products, Major Customer, Concentration of Credit Risk Market Segment Breakdown (Tables) | 12 Months Ended
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Dec. 31, 2015
Market Segment Breakdown [Abstract] |
Revenue from External Customers by Products and Services [Table Text Block] | The breakdown by market segment for the years ended December 31, 2015, 2014 and 2013 are as follows:
|  | 2015 |  | 2014 |  | 2013
Infusion therapy |  | $ | 244,746 |  |  | $ | 216,280 |  |  | $ | 221,192 |
Critical care |  | 54,312 |  |  | 55,074 |  |  | 54,328 |
Oncology |  | 41,447 |  |  | 36,651 |  |  | 36,857 |
Other |  | 1,163 |  |  | 1,255 |  |  | 1,339 |
|  | $ | 341,668 |  |  | $ | 309,260 |  |  | $ | 313,716 |
Schedule of Disclosure on Geographic Areas, Long-Lived Assets in Individual Foreign Countries by Country [Table Text Block] | The table below presents our gross long-lived assets by country:
|  | As of December 31,
|  | 2015 |  | 2014
Mexico |  | $ | 53,462 |  |  | 51,554 |
Slovakia(1) |  | 5,480 |  |  | 16,643 |
Italy |  | 4,418 |  |  | 4,855 |
Germany |  | 671 |  |  | 638 |
Netherlands |  | 49 |  |  | — |
Australia |  | 35 |  |  | — |
Total foreign |  | $ | 64,115 |  |  | $ | 73,690 |
United States |  | 158,933 |  |  | 151,024 |
Worldwide total |  | $ | 223,048 |  |  | $ | 224,714 |
____________________________ (1) The decrease in Slovakia long-lived assets included an $8.2 million reclass of land and building to assets held for sale, which were subsequently impaired, see Note 6, Impairment of assets held for sale.

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- Definition Tabular disclosure of the names of foreign countries in which material long-lived assets other than financial instruments, long-term customer relationships of a financial institution, mortgage and other servicing rights, deferred policy acquisition costs, and deferred tax assets are located, and amount of such long-lived assets located in that country or foreign geographic area. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 41 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=51669610&loc=d3e9038-108599 + Details
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- Definition Tabular disclosure of entity-wide revenues from external customers for each product or service or each group of similar products or services if the information is not provided as part of the reportable operating segment information. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 40 -URI http://asc.fasb.org/extlink&oid=51669610&loc=d3e9031-108599 + Details
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