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Significant Accounting Policies (Policies)
3 Months Ended
Jun. 30, 2019
Accounting Policies [Abstract]  
Basis of Accounting, Policy [Policy Text Block]
Basis of Presentation
 
The accompanying unaudited Condensed Consolidated Financial Statements have been prepared in accordance with accounting principles generally accepted in the United States (“U.S. GAAP”) for interim financial information and pursuant to the rules and regulations of the Securities and Exchange Commission. In the opinion of management, such unaudited information includes all adjustments, consisting of normal recurring adjustments necessary for a fair presentation of our financial position and results of operations. The results of operations for the interim periods are
not
necessarily indicative of results that
may
be achieved for the entire year. The financial statements and related notes do
not
include all information and footnotes required by U.S. GAAP for annual reports. This quarterly report should be read in conjunction with the consolidated financial statements included in our annual report on Form
10
-K for the year ended
March 31, 2019
.
Fair Value Measurement, Policy [Policy Text Block]
Fair Value Measurements
Our financial instruments consist primarily of cash and cash equivalents, trade accounts receivable, obligations under trade accounts payable and short and long-term debt. Due to their short-term nature, the carrying values for cash and cash equivalents, trade accounts receivable and trade accounts payable approximate fair value.  The fair value of our short term and long-term debt reflects the market rates at each period end for debt with financial ratios similar to our ratings and is classified as Level
2
within the fair value hierarchy. Our debt has a variable interest rate, so the carrying amount approximates fair value because interest rates on these instruments approximate the interest rate on debt with similar terms available to us. Assets recognized or disclosed at fair value on the consolidated financial statements on a nonrecurring basis include items such as property and equipment, operating lease assets, goodwill, and other intangible assets. These assets are measured at fair value if determined to be impaired. Except as stated below in "Acquisitions," we had
no
non-financial assets or liabilities that were measured using Level
3
inputs. There were
no
transfers between the levels of the fair value hierarchy during the
three
months ended
March 31, 2019
or
March 31, 2018,
respectively. 
Business Combinations Policy [Policy Text Block]
Acquisitions
 
During the
three
months ended
June 30, 2019
, we completed a business combination (the “IBP Acquisition”) whereby we acquired the common stock of IBP Medical GmbH, a company whose business manufactures medical meters used to test various parameters of dialysis fluid (dialysate), and the proper calibration and operation of a dialysis machine.  During the
three
months ended
June 30, 2019,
we allocated the purchase price according to the fair value of assets acquired and liabilities assumed using information obtained during due diligence and through the use of financial and other information available to us. Fair value of the assets and liabilities acquired was determined using Level
3
inputs (unobservable inputs) based on a discounted cash flow method.
New Accounting Pronouncements, Policy [Policy Text Block]
Recently
Adopted
Accounting Pronouncements
 
In
February 2016,
the FASB issued ASU 
2016
-
02,
 
Leases
(Topic
842
)
. The pronouncement requires lessees to recognize a liability for lease obligations, which represents the discounted obligation to make future minimum lease payments, and a corresponding right-of-use asset on the balance sheet for all leases with terms greater than
12
months. The guidance also requires qualitative and quantitative disclosures designed to present financial statement users with the ability to assess the amount, timing, and uncertainty of cash flows arising from leases. 
 
On
April 1, 2019,
we adopted ASU
2016
-
02
 using the modified retrospective method for all lease arrangements at the beginning of the period of adoption. Results for reporting periods beginning
April 1, 2019
are presented under ASC
842,
while prior period amounts were
not
adjusted and continue to be reported in accordance with our historic accounting under topic
840,
 
Leases. 
 The standard had a material impact on our Condensed Consolidated Balance Sheets, but did
not
have a significant impact on our Condensed Consolidated Statements of Income or our Condensed Consolidated Statements of Cash Flows. The most significant impact was the recognition of the right-of-use ("ROU") assets and lease liabilities on our Condensed Consolidated Balance Sheets.  
 
As part of adopting the new lease standard, we have made the following elections:
 
 
To carry forward the historical lease determination and classification conclusions as established under the old standard, and
not
reassess initial direct costs for existing leases;
 
Not
to apply the balance sheet recognition requirements of the new lease standard to leases with a term of
one
year or less (short-term leases); and
 
For all classes of underlying assets, to account for non-lease components of a contract separately from the lease component to which they are related.
 
As a result of the cumulative impact of adopting ASU
2016
-
02,
we recorded operating lease ROU assets of
$1,461
 and operating lease liabilities of
$1,411
 as of
April 1, 2019.
Our calculations were based on the present value of the future lease payments on the date of adoption. Refer to Note
4.
 
Leases
 for additional disclosures required by ASC
842.