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Restructuring, Strategic Transaction and Integration (Notes)
3 Months Ended
Mar. 31, 2021
Restructuring and Related Activities [Abstract]  
Restructuring and Related Activities Disclosure Restructuring, Strategic Transaction and Integration
    Restructuring, strategic transaction and integration expenses were $2.9 million and $12.3 million for the three months ended March 31, 2021, and 2020 respectively.

Restructuring

    During the three months ended March 31, 2021 and 2020, restructuring charges were $0.0 million and $7.2 million, respectively. Restructuring charges for the three months ended March 31, 2020 were primarily related to severance and costs related to office and other facility closures. Restructuring charges are included in the above restructuring, strategic transaction and integration expenses in our condensed consolidated statement of operations.
    
    The following table summarizes the details of changes in our restructuring-related accrual for the period ended March 31, 2021 (in thousands):
Accrued Balance January 1, 2021Charges
Incurred
PaymentsCurrency
Translation
Accrued Balance
March 31, 2021
Severance pay and benefits$1,858 $43 $(435)$12 $1,478 
Facility closure expenses1,563 — — 17 1,580 
$3,421 $43 $(435)$29 $3,058 

Strategic transaction and integration expenses
    We incurred and expensed $2.9 million and $5.1 million in strategic transaction and integration expenses during the three months ended March 31, 2021 and 2020, respectively, which are included in restructuring, strategic transaction and integration expenses in our condensed consolidated statement of operations. The strategic transaction and integration expenses during the three months ended March 31, 2021 were primarily related to integration costs associated with acquisitions, the Hospira Infusion Systems ("HIS") earn-out dispute with Pfizer and one-time costs incurred to comply with regulatory initiatives. The strategic transaction and integration expenses during the three months ended March 31, 2020 were primarily related to the integration of the HIS business acquired in 2017 from Pfizer, which included the migration of IT systems at our Austin facility.