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RESTRUCTURING AND INTEGRATION EXPENSE
12 Months Ended
Dec. 31, 2022
Restructuring and Related Activities [Abstract]  
RESTRUCTURING AND INTEGRATION EXPENSE
Restructuring and integration expense consists of costs related to the consolidation and migration of certain applications and processes, including our financial and sales management systems. It also includes costs related to the integration of acquired businesses into our systems and processes. These costs primarily consist of information technology consulting, project management services and internal labor, as well as other costs associated with our initiatives, such as training, travel, relocation and costs associated with facility closures. In addition, we recorded employee severance costs related to these initiatives, as well as our ongoing cost reduction initiatives across functional areas. We are currently pursuing several initiatives designed to focus on our growth strategy and to increase our efficiency. Restructuring and integration expense is not allocated to our reportable business segments.

Restructuring and integration expense is reflected on the consolidated statements of income as follows for the years ended December 31:
(in thousands)202220212020
Total cost of revenue$607 $4,197 $3,465 
Operating expenses62,529 54,750 75,874 
Restructuring and integration expense$63,136 $58,947 $79,339 
Restructuring and integration expense was comprised of the following for the years ended December 31:
(in thousands)202220212020
External consulting fees$32,067 $26,676 $44,096 
Employee severance benefits12,829 9,076 17,628 
Internal labor7,989 7,948 7,568 
Other10,251 15,247 10,047 
Restructuring and integration expense$63,136 $58,947 $79,339 
Our restructuring and integration accruals are included in accrued liabilities on the consolidated balance sheets and represent expected cash payments required to satisfy the remaining severance obligations to those employees already terminated and those expected to be terminated under our various initiatives. The majority of the employee reductions, as well as the related severance payments, are expected to be completed by mid-2023, utilizing cash from operations.

Changes in our restructuring and integration accruals were as follows:
(in thousands)Employee severance benefits
Balance, December 31, 2019
$3,459 
Charges19,025 
Reversals(1,397)
Payments(14,289)
Balance, December 31, 2020
6,798 
Charges10,897 
Reversals(1,821)
Payments(10,202)
Balance, December 31, 2021
5,672 
Charges13,782 
Reversals(953)
Payments(9,973)
Balance, December 31, 2022
$8,528 

The charges and reversals presented in the rollforward of our restructuring and integration accruals do not include items charged directly to expense as incurred, as those items are not reflected in accrued liabilities on the consolidated balance sheets.