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Goodwill
12 Months Ended
Dec. 31, 2020
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill
The following table reflects changes in the carrying amount of goodwill for the years ended December 31, 2020 and 2019:

In thousandsDevice SolutionsNetworked SolutionsOutcomesTotal Company
Goodwill balance at January 1, 2019$55,259 $918,495 $142,779 $1,116,533 
Goodwill acquired— (4,938)(1,040)(5,978)
Effect of change in exchange rates(329)(5,469)(850)(6,648)
Goodwill balance at December 31, 201954,930 908,088 140,889 1,103,907 
Goodwill allocated to business sold(3,000)— — (3,000)
Effect of change in exchange rates1,284 25,726 3,999 31,009 
Goodwill balance at December 31, 2020$53,214 $933,814 $144,888 $1,131,916 

The accumulated goodwill impairment losses at December 31, 2020 and 2019 were $676.5 million. The goodwill impairment losses were originally recognized in 2011 and 2013.

We recognized a $3.0 million reduction in Device Solutions goodwill as part of our loss on sale of business. Refer to Note 18: Sale of Business for additional information on the transaction.

We test goodwill for impairment each year as of October 1, or more frequently should a significant impairment indicator occur. As part of the impairment test, we may elect to perform an assessment of qualitative factors. If this qualitative assessment indicates that it is more likely than not that the fair value of a reporting unit, including goodwill, is less than its carrying amount, or if we elect to bypass the qualitative assessment, we would then proceed with the impairment test. The impairment test involves comparing the fair values of the reporting units to their carrying amounts. If the carrying amount of a reporting unit exceeds its fair value, we first evaluate the long-lived assets within the reporting unit for impairment and then recognize a goodwill impairment loss in an amount equal to any excess.

Determining the fair value of a reporting unit is judgmental in nature and involves the use of significant estimates and assumptions. We forecast discounted future cash flows at the reporting unit level using risk-adjusted discount rates and estimated future revenues and operating costs, which take into consideration factors such as existing backlog, expected future orders, supplier contracts, and expectations of competitive, business and economic environments. We also identify similar publicly traded companies and develop a correlation, referred to as a multiple, to apply to the operating results of the reporting units. These combined fair values are then reconciled to the aggregate market value of our common stock on the date of valuation, while considering a reasonable control premium.

Changes in market demand, fluctuations in the markets in which we operate, the volatility and decline in the worldwide equity markets, and a decline in our market capitalization could unfavorably impact the remaining carrying value of our goodwill, which could have a significant effect on our current and future results of operations and financial position. Due to a decline in our updated long-term forecast for the Device Solutions reporting unit, we completed an interim quantitative goodwill impairment test during the third quarter of 2020. After determining the estimated fair value of this reporting unit, we concluded there was no impairment to be recognized.