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Restructuring, Strategic Transaction and Integration Restructuring, Strategic Transaction and Integration (Details) - USD ($) $ in Millions | 3 Months Ended | 6 Months Ended
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Jun. 30, 2019 | Jun. 30, 2018 | Jun. 30, 2019 | Jun. 30, 2018
Restructuring and Related Activities [Abstract] |  |  |  |
Restructuring, Impairment, and Other Activities Disclosure [Text Block] |  |  | Restructuring, Strategic Transaction and Integration Restructuring and strategic transaction and integration expenses were $37.0 million and $61.4 million for the three and six months ended June 30, 2019, respectively, as compared to $18.7 million and $40.3 million for the three and six months ended June 30, 2018, respectively. Restructuring During the three and six months ended June 30, 2019, restructuring charges were $6.9 million and $7.7 million, respectively, primarily related to severance and facility closure costs. These charges are primarily related to a one-time charge to move our U.S. pump service depot to our existing Salt Lake City facility. Restructuring charges are included in the restructuring, strategic transaction and integration line item in our condensed consolidated statement of operations. During the year ended December 31, 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, is paid in equal monthly installments until December 2020. The following table summarizes the details of changes in our restructuring-related accrual for the period ended June 30, 2019 (in thousands):
| Accrued Balance January 1, 2019 |  | Charges Incurred |  | Payments |  | Other Adjustments |  | Accrued Balance June 30, 2019
Severance pay and benefits | $ | 677 |  |  | $ | 4,880 |  |  | $ | (1,574 | ) |  | $ | — |  |  | $ | 3,983 |
Employment agreement buyout | 739 |  |  | — |  |  | (188 | ) |  | — |  |  | 551 |
Facility closure expenses | — |  |  | 2,786 |  |  | (83 | ) |  | — |  |  | 2,703 |
| $ | 1,416 |  |  | $ | 7,666 |  |  | $ | (1,845 | ) |  | $ | — |  |  | $ | 7,237 |
Strategic transaction and integration expenses We incurred and expensed $30.1 million and $53.7 million in strategic transaction and integration expenses during the three and six months ended June 30, 2019, respectively, as compared to $18.0 million and $37.8 million during the three and six months ended June 30, 2018, respectively. During the three and six months ended June 30, 2019, the strategic transaction and integration expenses included a one-time strategic supply chain restructuring charge of $22.1 million, which reduces our contracted commitments to our third party manufacturer and expenses related to the integration of the Hospira Infusion Systems ("HIS") business acquired in 2017 from Pfizer. The strategic transaction and integration expenses during the three and six months ended June 30, 2018 were primarily related to the integration of HIS. |
Restructuring, strategic transaction and integration | $ 37.0 | $ 18.7 | $ 61.4 | $ 40.3
Restructuring Costs | $ 6.9 |  | $ 7.7 |

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- Definition Restructuring, strategic transaction and integration + References No definition available. + Details
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- References No definition available. + Details
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- Definition Amount, after cash payment, of expenses associated with exit or disposal activities pursuant to an authorized plan. Excludes expenses related to a discontinued operation or an asset retirement obligation. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3602-108585 + Details
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- Definition The entire disclosure of costs incurred for restructuring including, but not limited to, exit and disposal activities, remediation, implementation, integration, asset impairment, and charges against earnings from the write-down of assets. + References No definition available. + Details
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