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Restructuring and integration expense (Tables)
6 Months Ended
Jun. 30, 2020
Restructuring and Related Activities [Abstract]  
Restructuring and integration expense

Restructuring and integration expense is reflected on the consolidated statements of comprehensive income (loss) as follows:
 
 
Quarter Ended
June 30,
 
Six Months Ended
June 30,
(in thousands)
 
2020
 
2019
 
2020
 
2019
Total cost of revenue
 
$
28

 
$
155

 
$
857

 
$
946

Operating expenses
 
20,354

 
17,342

 
38,008

 
22,834

Restructuring and integration expense
 
$
20,382

 
$
17,497


$
38,865


$
23,780



Restructuring and integration expense for each period was comprised of the following:
 
 
Quarter Ended
June 30,
 
Six Months Ended
June 30,
(in thousands)
 
2020
 
2019
 
2020
 
2019
External consulting fees
 
$
11,337

 
$
10,101

 
$
22,238

 
$
12,247

Employee severance benefits
 
5,035

 
2,697

 
10,118

 
4,761

Internal labor
 
1,128

 
3,789

 
2,981

 
5,850

Other
 
2,882

 
910

 
3,528

 
922

Restructuring and integration expense
 
$
20,382

 
$
17,497

 
$
38,865

 
$
23,780


Changes in restructuring and integration accruals
Changes in our restructuring and integration accruals were as follows:
(in thousands)
 
Employee severance benefits
Balance, December 31, 2019
 
$
3,459

Charges
 
10,630

Reversals
 
(512
)
Payments
 
(7,625
)
Balance, June 30, 2020
 
$
5,952