Acquisition, Restructuring and Other Expense

Acquisition, restructuring and other expense consists of the following:



	Three Months Ended March 31,
	2016		2015

Restructuring costs included in cost of sales	$	864	$	2,329

Restructuring costs	$	2,791	$	6,180
Business acquisition costs	9,045		—
Acquisition, restructuring and other expense included in selling and administrative expense	$	11,836	$	6,180

Debt refinancing costs included in other expense	$	2,942	$	—

During the three months ended March 31, 2016, we incurred $9.0 million in costs associated with the January 4, 2016 acquisition of SurgiQuest, Inc. as further described in Note 14. These costs include investment banking fees, consulting fees, legal fees and integration related costs.

During the three months ended March 31, 2016, we incurred a $2.7 million charge related to an agreement between the Company and JP Morgan Chase Bank, N.A. and recorded a loss on the early extinguishment of debt of $0.3 million in conjunction with the fifth amended and restated senior credit agreement as further described in Note 15.

During 2016 and 2015, we continued our operational restructuring plan. The consolidation of our Centennial, Colorado manufacturing operations into other existing CONMED manufacturing facilities is substantially complete. We incurred $0.9 million and $2.3 million in costs associated with the operational restructuring during the three months ended March 31, 2016 and 2015, respectively. These costs were charged to cost of sales and include severance and other charges associated with the consolidation.

In conjunction with the consolidation of our Centennial, Colorado manufacturing operations, the facility is currently held for sale and classified in prepaids and other current assets in the consolidated condensed balance sheet. The net book value of this facility at March 31, 2016 was $3.1 million.

During 2016 and 2015, we restructured certain selling and administrative functions and incurred severance and other related costs in the amount of $2.8 million and $6.2 million for the three months ended March 31, 2016 and 2015, respectively.

We have recorded an accrual in current and other long term liabilities of $3.9 million at March 31, 2016 mainly related to severance costs associated with the restructuring. Below is a rollforward of the costs incurred and cash expenditures associated with these activities during the three months ended March 31, 2016 and 2015:



	2016			2015

Balance as of January 1,	$	7,175		$	8,254

Expenses incurred	3,655			8,509

Payments made	(6,955		)	(7,885		)

Balance at March 31,	$	3,875		$	8,878