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Restructuring Charges (Notes)
 12 Months Ended
Dec. 31, 2018
Restructuring and Related Activities [Abstract]  
Restructuring and Related Activities Disclosure [Text Block]
RESTRUCTURING CHARGES

In 2018 and 2017, we incurred restructuring charges related to the acquisition of the HIS business (see Note 2: Acquisitions, Strategic Transaction and Integration Expenses). The restructuring charges were incurred as a result of integrating the acquired operations into our business and include severance costs related to involuntary employee terminations and facility exit costs related to the closure of the Dominican Republic manufacturing facilities acquired from Pfizer. All material charges in regard to these restructuring activities have been paid as of December 31, 2018. The cumulative amount incurred to date in connection with the HIS acquisition is $23.1 million.

In 2016, we incurred an additional 0.8 million related to the closure of our Slovakian manufacturing facility. Additionally, we incurred $0.2 million related to a one-time charge unrelated to the events disclosed in the table below.

In 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, will be paid in equal monthly installments until December 2020 and payments that will exceed one year have been accrued under long-term liabilities in our consolidated balance sheet.

The following table summarizes the activity for the restructuring-related charges discussed above and related accrual (in thousands):
 
Accrued Balance January 1, 2017
 
Charges incurred
 
Payments
 
Other Adjustments
 
Accrued Balance December 31, 2017
 
Charges incurred
 
Payments
 
Other Adjustments
 
Accrued Balance December 31, 2018
Severance pay and benefits
$
53

 
$
15,983

 
$
(15,104
)
 
$
(17
)
 
$
915

 
$
4,311

 
$
(4,549
)
 
$
—

 
$
677

Employment agreement buyout
1,477

 
—

 
(363
)
 
—

 
1,114

 
—

 
(368
)
 
(7
)
 
739

Retention and facility closure expenses
—

 
2,789

 
(2,789
)
 
—

 
—

 
160

 
(160
)
 
—

 
—

 
$
1,530

 
$
18,772

 
$
(18,256
)
 
$
(17
)
 
$
2,029

 
$
4,471

 
$
(5,077
)
 
$
(7
)
 
$
1,416