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Restructuring (Tables)
6 Months Ended
Jun. 30, 2020
Restructuring and Related Activities [Abstract]  
Restructuring and Related Costs 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 $137 of lease exit costs.
The following table summarizes the activity related to the restructuring reserves for the DRG Acquisition Integration:
DRG Acquisition IntegrationSeverance and Related Benefit Costs
Costs Associated with Exit and Disposal Costs 1
Total
Reserve balance as of December 31, 2019$—  $—  $—  
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.