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Restructuring
6 Months Ended
Jun. 30, 2020
Restructuring and Related Activities [Abstract]  
Restructuring Restructuring
In accordance with the applicable guidance for ASC 420, Exit or Disposal Cost Obligations, we recognized liabilities for the restructuring plans noted below when the programs were approved, the employees to be terminated were identified, the terms of the arrangement were established, it was determined changes to the plan were unlikely to occur and the arrangements were communicated to employees. The liabilities are recorded within Accrued expenses and other current liabilities in the Interim Condensed Consolidated Balance Sheets. The corresponding expenses are recorded within Restructuring and impairment in the Interim Consolidated Statements of Operations. The payments associated with these actions are expected to be completed within 12 months from the balance sheet date.
Operation Simplification and Optimization Program
During the fourth quarter of 2019, the Company approved restructuring actions designed to streamline our operations by simplifying our organization and focusing on two product groups in planned phases. The following table summarizes the activity related to the restructuring reserves for the Operation Simplification and Optimization Program:
Operation Simplification and Optimization ProgramSeverance and Related Benefit Costs
Costs Associated with Exit and Disposal Costs 1
Total
Reserve Balance as of December 31, 2019$9,506  $—  $9,506  
Expenses recorded6,574  1,180  7,754  
Payments made(6,647) —  (6,647) 
Reserve Balance as of March 31, 20209,433  1,180  10,613  
Expenses recorded4,865  2,749  7,614  
Payments made(4,297) (199) (4,496) 
Reserve Balance as of June 30, 2020$10,001  $3,730  $13,731  
1Relates primarily to location exit costs and legal and advisory fees.

The following table is a summary of charges incurred related to the Operation Simplification and Optimization Program in the three and six months ended June 30, 2020.

Three Months Ended June 30,
20202019
Severance and related benefit costs$4,865  $—  
Costs associated with exit and disposal activities1
2,749  —  
Costs associated with lease exit costs including impairment2
4,908  —  
Total$12,522  $—  
Six Months Ended June 30,
20202019
Severance and related benefit costs$11,438  $—  
Costs associated with exit and disposal activities1
3,930  —  
Costs associated with lease exit costs including impairment2
4,908  —  
Total$20,276  $—  
1Relates primarily to contract exit costs and legal and advisory fees.
2Includes $4,771 of charges related to impairment of a lease and $137 of lease exit costs.

DRG Acquisition Integration Program
During the second quarter of 2020, the Company approved restructuring actions designed to eliminate duplicative costs following the acquisition of DRG in planned phases. The following table summarizes the activity related to the restructuring reserves for the DRG Acquisition Integration:
DRG Acquisition IntegrationSeverance and Related Benefit Costs
Costs Associated with Exit and Disposal Costs 1
Total
Reserve balance as of December 31, 2019$—  $—  $—  
Expenses recorded3,312  12  3,324  
Payments made(1,252) —  (1,252) 
Reserve balance as of June 30, 2020$2,060  $12  $2,072  
1Relates primarily to legal and advisory fees.

The following table is a summary of charges incurred related to the DRG Acquisition Integration in the three and six months ended June 30, 2020.
Three Months Ended June 30,
2020
Severance and related benefit costs$3,312  
Costs associated with exit and disposal activities1
12  
Total $3,324  
Six Months Ended June 30,
2020
Severance and related benefit costs$3,312  
Costs associated with exit and disposal activities1
12  
Total$3,324  
1Relates primary to legal and advisory fees.