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Exit and Realignment Costs
12 Months Ended
Dec. 31, 2021
Restructuring and Related Activities [Abstract]  
Exit and Realignment Costs Exit and Realignment Costs
We periodically incur exit and realignment and other charges associated with optimizing our operations which includes the consolidation of certain distribution centers, warehouses, our client engagement center and IT restructuring charges. These charges also include costs associated with our strategic organizational realignment which include reorganization costs, certain professional fees, costs to streamline administrative functions and processes, divestiture related costs, and other items.
Exit and realignment charges by segment for the years ended December 31, 2021, 2020 and 2019 were as follows:
Year ended December 31,202120202019
Global Solutions$22,243 $22,093 $9,133 
Global Products8,866 3,839 5,264 
Total exit and realignment charges$31,109 $25,932 $14,397 
The following table summarizes the activity related to exit and realignment cost accruals through December 31, 2021:        
Total
Accrued exit and realignment charges, December 31, 2018$7,477 
Provision for exit and realignment activities:
Severance6,008 
Information system restructuring costs2,531 
Other5,858 
Cash payments(13,712)
Accrued exit and realignment charges, December 31, 20198,162 
Provision for exit and realignment activities:
Severance5,623 
Information system restructuring costs2,119 
Lease obligations1,051 
Other6,519 
Cash payments(20,328)
Accrued exit and realignment charges, December 31, 20203,146 
Provision for exit and realignment activities:
Severance9,191 
Information system restructuring costs4,752 
Lease obligations440 
Other5,564 
Cash payments(14,787)
Accrued exit and realignment charges, December 31, 2021$8,306 
In addition to the exit and realignment accruals in the preceding table, we also incurred $11.2 million of costs that were expensed as incurred for the year ended December 31, 2021, which primarily includes $9.6 million of wind-down costs related to Fusion5. We also incurred $10.6 million of costs that were expensed as incurred for the year ended December 31, 2020, including $4.9 million in impairment charges related to our client engagement center right-of-use asset, $3.7 million in loss on the sale of certain Fusion5 assets and $2.0 million in other asset charges.
We expect material additional costs in 2022 for activities that were initiated through December 31, 2021. Additionally, we anticipate new actions will be taken in 2022 that will incur costs similar to prior years.
Acquisition-related and exit and realignment charges presented in our consolidated statements of operations includes acquisition-related charges of $3.0 million, $11.8 million and $15.7 million for the years ended December 31, 2021, 2020 and 2019. Acquisition-related charges in 2021 consisted primarily of costs related to the pending Apria transaction. Acquisition-related charges in 2020 and 2019 consisted primarily of transition costs for the Halyard acquisition.