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Restructuring, Strategic Transaction and Integration (Notes)
6 Months Ended
Jun. 30, 2020
Restructuring and Related Activities [Abstract]  
Restructuring and Related Activities Disclosure Restructuring, Strategic Transaction and Integration
        Restructuring, strategic transaction and integration expenses were $6.5 million and $18.8 million for the three and six months ended June 30, 2020, respectively, as compared to $37.0 million and $61.4 million for the three and six months ended June 30, 2019, respectively.

Restructuring

        During the three and six months ended June 30, 2020, restructuring charges were $0.9 million and $8.1 million, respectively. During the three and six months ended June 30, 2019, restructuring charges were $6.9 million and $7.7 million, respectively. Restructuring charges for the three and six months ended June 30, 2020 were primarily related to severance and costs related to office and other facility closures. Restructuring charges for the three and six months ended June 19, 2019 were primarily related to a one-time charge to move our U.S. pump service depot to our existing Salt Lake City facility. Restructuring charges are included in the restructuring, strategic transaction and integration line item in our condensed consolidated statement of operations.

        During the year ended December 31, 2015, we incurred restructuring charges related to an agreement with Dr. Lopez, a member of our Board of Directors and a former employee in our research and development department, pursuant to which we bought out Dr. Lopez's right to employment under his then-existing employment agreement. The buy-out, including payroll taxes, is paid in equal monthly installments until December 2020.
        
        The following table summarizes the details of changes in our restructuring-related accrual for the period ended June 30, 2020 (in thousands):
Accrued Balance January 1, 2020Charges
Incurred
PaymentsCurrency
Translation
Accrued Balance
June 30, 2020
Severance pay and benefits$3,878  $3,706  $(4,219) $(83) $3,282  
Employment agreement buyout460  —  (279) —  181  
Facility closure expenses1,211  4,384  (4,239) 203  1,559  
$5,549  $8,090  $(8,737) $120  $5,022  

Strategic transaction and integration expenses
        We incurred and expensed $5.6 million and $10.7 million in strategic transaction and integration expenses during the three and six months ended June 30, 2020, respectively, as compared to $30.1 million and $53.7 million during the three and six months ended June 30, 2019, respectively. The strategic transaction and integration expenses during the three and six months ended June 30, 2020 and 2019, were primarily related to the integration of the Hospira Infusion Systems ("HIS") business acquired in 2017 from Pfizer, which for the six months ended June 30, 2020, included expenses for the migration of IT systems at our Austin facility. The strategic transaction and integration expenses during the three and six months ended June 30, 2019, included a one-time strategic supply chain restructuring charge of $22.1 million, which reduced our contracted commitments to our third party manufacturer. The six months ended June 30, 2019 also included a $12.7 million non-cash write-off of assets related to our final Pfizer separation costs.