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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
________________________________________________________
FORM 10-Q
________________________________________________________
[Mark One]
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 30, 2021
or
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from to
Commission File Number 1-37556
________________________________________________________
Stericycle, Inc.
(Exact name of registrant as specified in its charter)
________________________________________________________
Delaware 36-3640402
(State or other jurisdiction of incorporation or organization) (IRS Employer Identification Number)
2355 Waukegan Road
Bannockburn, Illinois 60015
(Address of principal executive offices, including zip code)
(847) 367-5910
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
Title of each class Trading Symbol(s) Name of each exchange on which registered
Common Stock, par value $0.01 per share SRCL Nasdaq Global Select Market
Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x No ¨
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes x No ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of "large accelerated filer," "accelerated filer,” "smaller reporting company," and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer ☒
Smaller reporting company ☐
Accelerated filer ☐
Emerging growth company ☐
Non-accelerated filer ☐
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C 7262(b)) by the registered public accounting firm that prepared or issued its audit report. ☒
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes No x
On August 2, 2021, there were 91,854,225 shares of the Registrant’s Common Stock outstanding.


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Glossary of Defined Terms
Unless the context requires otherwise, the “Company,” “Stericycle,” "we," "us" or "our" refers to Stericycle, Inc. on a consolidated basis. The Company also uses several other terms in this Quarterly Report on Form 10-Q, most of
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which are explained or defined below:
Abbreviation Description
2020 Form 10-K Annual report on Form 10-K for the year ended December 31, 2020
Adjusted Income from Operations Income from Operations adjusted for certain items discussed in Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
ARP Act American Rescue Plan Act of 2021
ASC 740
Accounting Standards Codification Topic 740 "Income Taxes"
ASEA Agencia de Seguridad, Energia y Ambiente
ASU Accounting Standards Update
CAA 2021 Consolidated Appropriations Act, 2021
CARES Act U.S. Coronavirus Aid, Relief, and Economic Security Act enacted into law on March 27, 2020
Clean Air Act The Clean Air Act of 1970
Credit Agreement Defined Debt Leverage Ratio
As of any date of determination, the ratio of (a) (i) Consolidated Funded Indebtedness as of such date minus (ii) Unrestricted Cash as of such date to (b) Consolidated EBITDA for the period of four fiscal quarters most recently ended on or prior to such date, as defined in the Fifth Amendment.
COR Cost of revenues
COSO Framework Internal Control Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission
COVID-19 The global novel coronavirus disease 2019 outbreak, which the World Health Organization declared as to be a pandemic
Credit Agreement Credit Agreement dated November 17, 2017 by and among the Company and certain of its subsidiaries named therein, Bank of America, N.A., as administrative agent, and the other financial institutions party thereto as amended
CRS Communication and Related Services
DAQ Division of Air Quality
DEA Drug Enforcement Administration. The Drug Enforcement Administration (DEA) is a division of the US Department of Justice. It is the federal agency which regulates the manufacture, dispensing, storage, and shipment of controlled substances including medications with human abuse potential.
DOJ U.S. Department of Justice
Domestic Environmental Solutions Hazardous Waste Solutions and Manufacturing and Industrial Services
DSO Days Sales Outstanding, defined as the average number of days that it takes a company to collect payment after revenue has been recorded, computed as the trailing twelve months of Revenues for the period ended DSO, divided by the Accounts Receivable balance at the end of the period.
DTSC Department of Toxic Substances Control
EBITDA Earnings Before Interest, Taxes, Depreciation & Amortization. Another common financial term utilized by Stericycle to analyze the core profitability of the business before interest, tax, depreciation and amortization.
EPA U.S. Environmental Protection Agency
ERP Enterprise Resource Planning
Exchange Act U.S. Securities Exchange Act of 1934
Expert Solutions Recall and Return Services
FASB Financial Accounting Standards Board
FCPA U.S. Foreign Corrupt Practices Act
Fourth Amendment Fourth Amendment to the Credit Agreement, dated as of June 14, 2019
Fifth Amendment Fifth Amendment to the Credit Agreement, dated as of February 25, 2020
HSA Healthcare Service Agreement with Buyer
International Operating segment including Europe, Middle East, Asia Pacific and Latin America Business operations outside of North America
IRS U.S. Internal Revenue Service
North America Operating segment in North America, including Puerto Rico
NOV Notice of Violation
Other Costs Represents corporate enabling and shared services functions costs, annual incentive and stock-based compensation
PFA Pre-filing agreement with the U.S. Internal Revenue Service
Purchase Agreement Stock Purchase Agreement, dated as of February 6, 2020, by and between Stericycle, Inc., and the Buyer
PSU Performance-based restricted stock unit
ROU Right-of-use
RSU Restricted stock unit
RWCS Regulated Waste and Compliance Services. Stericycle business unit that provides regulated medical waste services.
SEC U.S. Securities and Exchanges Commission
Senior Credit Facility The Company's $1.2 billion senior credit facility due in November of 2022 granted under the terms of the Credit Agreement
Senior Notes 5.375% ($600.0 million) Senior Notes due July 2024 and 3.875% ($500.0 million) Senior Notes due January 2029
SG&A Selling, general and administrative expenses
SID Secure Information Destruction Services business unit that provides regulated confidential customer material shredding services.
SOP Sorted office paper
SQ Settlement Small quantity medical waste customers class action settlement of $295.0 million
Term Loans Advances made by any lender under the Term Facility
TSA Transition Services Agreement
U.K. United Kingdom
U.S. United States of America
U.S. GAAP U.S. Generally Accepted Accounting Principles
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PART I – FINANCIAL INFORMATION
Item 1. Financial Statements (Unaudited)

STERICYCLE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF INCOME (LOSS)
(Unaudited)
In millions, except per share data
Three Months Ended June 30, Six Months Ended June 30,
2021 2020 2021 2020
Revenues $ 672.7  $ 598.2  $ 1,340.7  $ 1,383.2 
Cost of revenues 403.6  368.5  810.2  866.9 
Gross profit 269.1  229.7  530.5  516.3 
Selling, general and administrative expenses 213.5  201.0  415.8  459.7 
Divestiture losses (gains), net —  3.8  —  62.1 
Income (loss) from operations 55.6  24.9  114.7  (5.5)
Interest expense, net (17.9) (19.3) (36.3) (44.3)
Other income (expense), net 0.7  (1.0) —  (3.9)
Income (loss) before income taxes 38.4  4.6  78.4  (53.7)
Income tax (expense) benefit (9.1) (8.7) (22.9) 29.7 
Net income (loss) 29.3  (4.1) 55.5  (24.0)
Net income attributable to noncontrolling interests —  (0.4) (0.1) (0.6)
Net income (loss) attributable to Stericycle, Inc. common shareholders $ 29.3  $ (4.5) $ 55.4  $ (24.6)
Earnings (loss) per common share attributable to Stericycle, Inc. common shareholders:
Basic $ 0.32  $ (0.05) $ 0.60  $ (0.27)
Diluted $ 0.32  $ (0.05) $ 0.60  $ (0.27)
Weighted average number of common shares outstanding:
Basic 91.8  91.4  91.7  91.4 
Diluted 92.1  91.4  92.1  91.4 
See accompanying Notes to Condensed Consolidated Financial Statements.
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STERICYCLE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(Unaudited)
In millions
Three Months Ended June 30, Six Months Ended June 30,
2021 2020 2021 2020
Net income (loss) $ 29.3  $ (4.1) $ 55.5  $ (24.0)
Other comprehensive income (loss):
Currency translation adjustments 6.7  10.3  (6.4) (28.8)
Total other comprehensive income (loss) 6.7  10.3  (6.4) (28.8)
 
Comprehensive income (loss) 36.0  6.2  49.1  (52.8)
Less: comprehensive income attributable to noncontrolling interests 0.1  0.4  —  0.7 
Comprehensive income (loss) attributable to Stericycle, Inc. common shareholders $ 35.9  $ 5.8  $ 49.1  $ (53.5)
See accompanying Notes to Condensed Consolidated Financial Statements.

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STERICYCLE, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited)
In millions, except per share data
June 30, 2021 December 31, 2020
ASSETS
Current Assets:
Cash and cash equivalents $ 61.7  $ 53.3 
Accounts receivable, less allowance for doubtful accounts of $49.1 in 2021 and $56.2 in 2020
402.7  380.7 
Prepaid expenses 32.2  63.0 
Other current assets 51.8  55.5 
Total Current Assets 548.4  552.5 
Property, plant and equipment, less accumulated depreciation of $662.2 in 2021 and $629.7 in 2020
713.3  701.3 
Operating lease right-of-use assets 360.4  365.0 
Goodwill 2,814.2  2,819.3 
Intangible assets, less accumulated amortization of $701.1 in 2021 and $641.6 in 2020
1,027.2  1,087.4 
Other assets 53.6  56.4 
Total Assets $ 5,517.1  $ 5,581.9 
LIABILITIES AND EQUITY
Current Liabilities:
Current portion of long-term debt $ 95.5  $ 91.0 
Bank overdrafts 2.4  — 
Accounts payable 176.9  181.2 
Accrued liabilities 269.7  289.4 
Operating lease liabilities 86.3  86.2 
Other current liabilities 45.9  49.3 
Total Current Liabilities 676.7  697.1 
Long-term debt, net 1,604.5  1,689.1 
Long-term operating lease liabilities 293.1  299.0 
Deferred income taxes 369.9  380.4 
Long-term taxes payable 19.7  22.7 
Other liabilities 59.7  59.2 
Total Liabilities 3,023.6  3,147.5 
Commitments and contingencies
EQUITY
Common stock (par value $0.01 per share, 120.0 shares authorized, 91.8 and 91.6 issued and outstanding in 2021 and 2020, respectively)
0.9  0.9 
Additional paid-in capital 1,244.6  1,234.0 
Retained earnings 1,438.0  1,382.6 
Accumulated other comprehensive loss (193.7) (187.4)
Total Stericycle, Inc.’s Equity 2,489.8  2,430.1 
Noncontrolling interests 3.7  4.3 
Total Equity 2,493.5  2,434.4 
Total Liabilities and Equity $ 5,517.1  $ 5,581.9 
See accompanying Notes to Condensed Consolidated Financial Statements.
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Table of Contents
STERICYCLE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
In millions
Six Months Ended June 30,
2021 2020
OPERATING ACTIVITIES:
Net income (loss) $ 55.5  $ (24.0)
Adjustments to reconcile net income (loss) to net cash from operating activities:
Depreciation 50.4  57.0 
Intangible amortization 59.9  63.1 
Stock-based compensation expense 12.2  12.9 
Deferred income taxes (8.8) (2.7)
Divestiture losses (gains), net —  62.1 
Asset impairments, loss on disposal of property plant and equipment and other charges —  12.3 
Other, net 2.2  4.0 
Changes in operating assets and liabilities, net of the effects of divestitures:
Accounts receivable (22.8) 42.5 
Prepaid expenses 30.9  (17.6)
Accounts payable (7.2) (21.4)
Accrued liabilities (11.0) (1.3)
Other assets and liabilities (11.5) 20.4 
Net cash from operating activities 149.8  207.3 
INVESTING ACTIVITIES:
Capital expenditures (59.7) (74.6)
(Payments) proceeds from divestiture of businesses (0.7) 427.7 
Other, net 2.0  (0.8)
Net cash from investing activities (58.4) 352.3 
FINANCING ACTIVITIES:
Repayments of long-term debt and other obligations (11.6) (16.9)
Proceeds from foreign bank debt —  0.6 
Repayments of foreign bank debt (0.2) (2.9)
Repayments of term loan (104.3) (388.1)
Proceeds from senior credit facility 648.0  608.1 
Repayments of senior credit facility (610.6) (745.6)
Proceeds (repayments) from bank overdrafts, net 2.3  (1.6)
Payments of capital lease obligations (2.0) (2.1)
Payments of debt issuance costs —  (1.4)
Proceeds from issuance of common stock, net of (payments of) taxes from withheld shares (3.6) (1.1)
Payments to noncontrolling interest (0.6) — 
Net cash from financing activities (82.6) (551.0)
Effect of exchange rate changes on cash and cash equivalents (0.4) (1.3)
Net change in cash and cash equivalents 8.4  7.3 
Cash and cash equivalents at beginning of period 53.3  34.7 
Cash and cash equivalents at end of period $ 61.7  $ 42.0 
SUPPLEMENTAL CASH FLOW INFORMATION:
Interest paid, net of capitalized interest $ 23.0  $ 45.5 
Income taxes paid (refunded), net $ 8.1  $ 0.6 
Capital expenditures in Accounts payable $ 14.9  $ 9.0 
See accompanying Notes to Condensed Consolidated Financial Statements.
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STERICYCLE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY
(Unaudited)
In millions
Stericycle, Inc. Equity
Common Stock Additional Paid-In
Capital
Retained Earnings Accumulated Other
Comprehensive Loss
Noncontrolling Interests Total Equity
Shares Amount
Balance as of April 1, 2021 91.8  $ 0.9  $ 1,235.9  $ 1,408.7  $ (200.3) $ 3.6  $ 2,448.8 
Net income —  —  29.3  —  —  29.3 
Currency translation adjustment —  —  —  —  6.6  0.1  6.7 
Issuance of common stock for incentive stock programs, net of (payments of) taxes from withheld shares —  —  1.6  —  —  —  1.6 
Stock-based compensation expense —  —  7.1  —  —  —  7.1 
Changes to noncontrolling interest —  —  —  —  —  —  — 
Balance as of June 30, 2021 91.8  $ 0.9  $ 1,244.6  $ 1,438.0  $ (193.7) $ 3.7  $ 2,493.5 
In millions
Stericycle, Inc. Equity
Common Stock Additional Paid-In
Capital
Retained Earnings Accumulated Other
Comprehensive Loss
Noncontrolling Interests Total Equity
Shares Amount
Balance as of April 1, 2020 91.4  $ 0.9  $ 1,212.7  $ 1,419.8  $ (357.2) $ 4.0  $ 2,280.2 
Net loss —  —  —  (4.5) —  0.4  (4.1)
Currency translation adjustment —  —  —  —  10.2  0.1  10.3 
Issuance of common stock for incentive stock programs, net of (payments of) taxes from withheld shares 0.1  —  1.9  —  —  —  1.9 
Stock-based compensation expense —  —  7.8  —  —  —  7.8 
Balance as of June 30, 2020 91.5  $ 0.9  $ 1,222.4  $ 1,415.3  $ (347.0) $ 4.5  $ 2,296.1 

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In millions
Stericycle, Inc. Equity
Common Stock Additional Paid-In
Capital
Retained Earnings Accumulated Other
Comprehensive Loss
Noncontrolling Interests Total Equity
Shares Amount
Balance as of December 31, 2020 91.6  $ 0.9  $ 1,234.0  $ 1,382.6  $ (187.4) $ 4.3  $ 2,434.4 
Net income —  —  55.4  —  0.1  55.5 
Currency translation adjustment —  —  —  —  (6.3) (0.1) (6.4)
Issuance of common stock for incentive stock programs, net of (payments of) taxes from withheld shares 0.2  —  (1.6) —  —  —  (1.6)
Stock-based compensation expense —  —  12.2  —  —  —  12.2 
Changes to noncontrolling interest —  —  —  —  —  (0.6) (0.6)
Balance as of June 30, 2021 91.8  $ 0.9  $ 1,244.6  $ 1,438.0  $ (193.7) $ 3.7  $ 2,493.5 
In millions
Stericycle, Inc. Equity
Common Stock Additional Paid-In
Capital
Retained Earnings Accumulated Other
Comprehensive Loss
Noncontrolling Interests Total Equity
Shares Amount
Balance as of December 31, 2019 91.2  $ 0.9  $ 1,205.7  $ 1,442.4  $ (318.1) $ 3.8  $ 2,334.7 
Net loss —  —  —  (24.6) —  0.6  (24.0)
Currency translation adjustment —  —  —  —  (28.9) 0.1  (28.8)
Issuance of common stock for incentive stock programs, net of (payments of) taxes from withheld shares 0.3  —  3.8  —  —  —  3.8 
Stock-based compensation expense —  —  12.9  —  —  —  12.9 
Cumulative effect of adopting ASU 2016-13 —  —  —  (2.5) —  —  (2.5)
Balance as of June 30, 2020 91.5  $ 0.9  $ 1,222.4  $ 1,415.3  $ (347.0) $ 4.5  $ 2,296.1 
See accompanying Notes to Condensed Consolidated Financial Statements.









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Table of Contents
NOTE 1 – BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Summary of Significant Accounting Policies
Basis of Presentation: The accompanying unaudited Condensed Consolidated Financial Statements include the accounts of Stericycle, Inc. and its subsidiaries. All intercompany accounts and transactions have been eliminated in consolidation. The Company's Condensed Consolidated Financial Statements were prepared in accordance with U.S. GAAP and include the assets, liabilities, revenues, and expenses of all wholly owned subsidiaries and majority-owned subsidiaries over which the Company exercises control. Outside shareholders' interests in subsidiaries are shown on the Condensed Consolidated Financial Statements as “Noncontrolling interests".
The accompanying unaudited Condensed Consolidated Financial Statements as of June 30, 2021 and for the three and six months ended June 30, 2021 and 2020 have been prepared pursuant to the rules and regulations of the SEC for interim reporting and, therefore, do not include all information and footnote disclosures normally included in audited financial statements prepared in conformity with U.S. GAAP. In the opinion of management, however, all adjustments, consisting of normal recurring adjustments necessary to present fairly the results of operations, financial position and cash flows have been made. These Condensed Consolidated Financial Statements should be read in conjunction with the consolidated financial statements and notes thereto included in the 2020 Form 10-K. The results of operations for any interim period are not necessarily indicative of the results of operations to be expected for the full year or any other period.
Use of Estimates: The preparation of financial statements in conformity with generally accepted accounting principles requires the Company to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. Some areas where the Company makes estimates include its allowance for doubtful accounts, credit memo reserve, accrued employee health and welfare benefits, contingent liabilities, asset retirement obligations, stock-based compensation expense, income tax liabilities, accrued auto and workers’ compensation self-insured claims, operating lease ROU assets and lease liabilities, intangible asset and long-lived asset valuations, assets held for sale, and goodwill impairment. Actual results may differ from those estimates.
Adoption of New Accounting Standards
Simplifying the Accounting for Income Taxes
In December 2019, the FASB issued ASU 2019-12, “Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes” (“ASU 2019-12”). ASU 2019-12 attempts to simplify aspects of accounting for franchise taxes and enacted changes in tax laws or rates and clarifies the accounting for transactions that result in a step-up in the tax basis of goodwill. ASU 2019-12 was effective for public business entities for fiscal years beginning after December 15, 2020, including interim periods within that fiscal year. The Company adopted ASU 2019-12 on January 1, 2021 and there was no material impact on the Company’s Condensed Consolidated Financial Statements.
NOTE 2 – REVENUES FROM CONTRACTS WITH CUSTOMERS
The Company provides RWCS, which provide collection and processing of regulated and specialized waste, including medical, pharmaceutical and hazardous waste, for disposal and compliance programs and communication solutions, and SID Services, which provide for the collection of personal and confidential information for secure destruction and recycling of shredded paper.
The Company’s customers typically enter into a contract for the provision of services on a regular and scheduled basis, e.g., weekly, monthly or on an as needed basis over the contract term. Under the contract terms, the Company receives fees based on a monthly, quarterly or annual rate and/or fees based on contractual rates depending upon measures including the volume, weight, and type of waste, number and size of containers collected, weight and type of shredded paper, and number of call minutes.
Amounts are invoiced based on the terms of the underlying contract either on a regular basis, e.g., monthly or quarterly, or as services are performed and are generally due within a short period of time after invoicing based upon normal terms and conditions for our business type and the geography of the services performed.
Disaggregation of Revenues
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In the first quarter of 2021, we updated our service lines to include Communication Solutions (formally part of CRS) in RWCS. This reclassification was driven by the divestiture of the Company's global product recall business (Expert Solutions) in December of 2020 and the remaining Communication Solutions service line synergies with the Company's RWCS customers. For 2020 periods presented, amounts have been recast to reflect this change.
In millions
Three Months Ended June 30, Six Months Ended June 30,
2021 2020 2021 2020
Revenue by Service
Regulated Waste and Compliance Services $ 463.0  $ 445.7  $ 936.6  $ 1,012.6 
Secure Information Destruction Services 209.7  152.5  404.1  370.6 
Total Revenues $ 672.7  $ 598.2  $ 1,340.7  $ 1,383.2 
North America
Regulated Waste and Compliance Services $ 362.2  $ 353.9  $ 729.0  $ 822.5 
Secure Information Destruction Services 180.4  137.4  347.3  323.4 
Total North America Segment $ 542.6  $ 491.3  $ 1,076.3  $ 1,145.9 
International
Regulated Waste and Compliance Services $ 100.8  $ 91.8  $ 207.6  $ 190.1 
Secure Information Destruction Services 29.3  15.1  56.8  47.2 
Total International Segment $ 130.1  $ 106.9  $ 264.4  $ 237.3 
Contract Liabilities
Contract liabilities at June 30, 2021 and December 31, 2020 were $9.7 million and $8.8 million, respectively. Contract liabilities as of June 30, 2021 are expected to be recognized in Revenues, as the amounts are earned, which will be over the next 12 months.
Contract Acquisition Costs
The Company’s incremental direct costs of obtaining a contract, which consist primarily of sales incentives, are deferred and amortized to SG&A over a weighted average estimated period of benefit of 6.5 years.
During the three months ended June 30, 2021 and 2020, the Company amortized $3.1 million and $2.6 million, respectively, of deferred sales incentives to SG&A. During the six months ended June 30, 2021 and 2020, the Company amortized $6.1 million and $5.2 million, respectively, of deferred sales incentives to SG&A.
Total contract acquisition costs, net of accumulated amortization, were classified as follows:
In millions
  June 30, 2021 December 31, 2020
Other current assets $ 11.6  $ 11.1 
Other assets 32.0  31.1 
Total contract acquisition costs $ 43.6  $ 42.2 

Allowance for Doubtful Accounts
The Company estimates its allowance for doubtful accounts based on past collection history and specific risks identified among uncollected amounts, as well as management’s expectation of future economic conditions. If current or expected future economic trends, events, or changes in circumstances indicate that specific receivable balances may be impaired, further consideration is given to the collectability of those balances and the allowance is adjusted accordingly. Past-due receivable balances are written off when the Company’s internal collection efforts have been exhausted. The changes in allowance for doubtful accounts were reported as follows:
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In millions
Total
Balance as of December 31, 2020 $ 56.2 
Bad debt expense, net of recoveries 1.8 
Write-offs (9.4)
Other changes(1)
0.5 
Balance as of June 30, 2021 $ 49.1 
(1) Amount consists primarily of currency translation adjustments
NOTE 3 – RESTRUCTURING, DIVESTITURES AND IMPAIRMENTS

Restructuring

There were no restructuring charges during the three and six months ended June 30, 2021 and 2020, respectively.
Divestitures

On August 4, 2021, the Company entered into an agreement for the sale of its operations in Japan for proceeds of approximately $10.0 million. Revenues of operations in Japan were approximately 1% of our consolidated annual revenues for 2020. As of June 30, 2021, the operations in Japan did not meet the assets held for sale criteria. The transaction is expected to result in a third quarter non-cash divestiture pre-tax loss of approximately $15.0 million, of which $4.0 million relates to the reclassification of accumulated currency translation adjustments to earnings.

On April 6, 2020, the Company completed the sale of all of the outstanding equity interests of its Domestic Environmental Solutions business for approximately $462.5 million. In the first quarter of 2020, the Company recognized an impairment charge of $58.3 million, inclusive of $10.8 million of related deal costs. In the second quarter of 2020, the Company recognized an incremental loss on the sale of the business of $3.8 million driven by working capital adjustments. These charges are reported as Divestiture losses (gains), net in the Company’s Condensed Consolidated Statements of Income (Loss). The estimated fair value was generated using Level 3 inputs.
Impairments
Impairments for the period were reported as follows:
In millions
Three Months Ended June 30, Six Months Ended June 30,
2021 2020 2021 2020
Impairments
Asset Impairment - COR $ —  $ 6.8  $ —  $ 6.8 
Asset Impairment - SG&A —  1.5  —  5.5 
Total Impairments $ —  $ 8.3  $ —  $ 12.3 
North America
Asset Impairment - COR $ —  $ 6.1  $ —  $ 6.1 
Asset Impairment - SG&A —  0.1  —  4.1 
Total North America Segment $ —  $ 6.2  $ —  $ 10.2 
International
Asset Impairment - COR $ —  $ 0.7  $ —  $ 0.7 
Asset Impairment - SG&A —  1.4  —  1.4 
Total International Segment $ —  $ 2.1  $ —  $ 2.1 

Asset impairments for the three and six months ended June 30, 2020, in North America includes charges associated with rationalization of software application assets and intangibles assets as a result of a discontinuation of a service line, and in International, includes charges associated with certain property, plant and equipment assets and operating permit intangible assets primarily in Brazil.
NOTE 4 – GOODWILL AND OTHER INTANGIBLE ASSETS
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Goodwill
Changes in the carrying amount of goodwill by reportable segment were as follows:
In millions
North America International Total
Balance as of December 31, 2020 $ 2,448.8  $ 370.5  $ 2,819.3 
Changes due to foreign currency fluctuations (5.1) (5.1)
Balance as of June 30, 2021 $ 2,448.8  $ 365.4  $ 2,814.2 
Intangible Assets
Intangible assets were as follows:
In millions
June 30, 2021 December 31, 2020
Gross Carrying Amount Accumulated Amortization Net Value Gross Carrying Amount Accumulated Amortization Net Value
Amortizable intangibles:
Customer relationships $ 1,313.7  $ 687.2  $ 626.5  $ 1,314.9  $ 630.2  $ 684.7 
Covenants not-to-compete 3.5  3.2  0.3  3.5  3.0  0.5 
Tradenames 3.6  1.3  2.3  3.6  1.3  2.3 
Operating permits 13.6  8.8  4.8  11.5  6.5  5.0 
Other 0.6  0.6  —  0.6  0.6  — 
Indefinite lived intangibles:
Operating permits 77.0  —  77.0  79.6  —  79.6 
Tradenames 316.3  —  316.3  315.3  —  315.3 
Total $ 1,728.3  $ 701.1  $ 1,027.2  $ 1,729.0  $ 641.6  $ 1,087.4 
Changes in the carrying amount of intangible assets were as follows:
In millions
Total
Balance as of December 31, 2020 $ 1,087.4 
Amortization during the period (59.9)
Changes due to foreign currency fluctuations (0.3)
Balance as of June 30, 2021 $ 1,027.2 
The estimated amortization expense for each of the next five years (based upon exchange rates at June 30, 2021) is as follows for the years ending December 31:
In millions
2021 (remainder) $ 58.5 
2022 115.8 
2023 111.9 
2024 110.6 
2025 90.1 
NOTE 5 – LONG-TERM DEBT
The Company’s long-term debt consisted of the following:
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In millions
June 30, 2021 December 31, 2020
$1.2 billion Senior Credit Facility, due in November 2022
$ 210.4  $ 173.3 
$1.3 billion Term Loan, due in November 2022
318.3  422.5 
$600 million Senior Notes, due in 2024
600.0  600.0 
$500 million Senior Notes, due in 2029
500.0  500.0 
Promissory notes and deferred consideration weighted average maturity 1.9 years at 2021 and 2.1 years at 2020
30.6  42.3 
Foreign bank debt weighted average maturity 0.9 years at 2021 and 1.1 years at 2020
30.1  32.3 
Obligations under finance leases 23.5  24.8 
Total debt 1,712.9  1,795.2 
Less: current portion of total debt 95.5  91.0 
Less: unamortized debt issuance costs 12.9  15.1 
Long-term portion of total debt $ 1,604.5  $ 1,689.1 
The estimated fair value of our debt approximated $1.75 billion and $1.86 billion as of June 30, 2021 and December 31, 2020, respectively. These fair value amounts were estimated using an income approach by applying market interest rates for comparable instruments and developed based on inputs classified as Level 2.
On February 25, 2020, the Company executed a Fifth Amendment, which amended the Credit Agreement.
As of June 30, 2021, the Company was in compliance with its Credit Agreement Defined Debt Leverage Ratio covenant, with an actual ratio of 3.06 to 1.00, which was below the allowed maximum ratio of 4.75 to 1.00 as set forth in the Fifth Amendment. The Credit Agreement Defined Debt Leverage Ratio is 4.75 to 1.00 for fiscal quarters ending on or before December 31, 2021 and 4.25 to 1.00 for fiscal quarters ending on or after March 31, 2022.
Amounts committed to outstanding letters of credit and the unused portion of the Company’s Senior Credit Facility were as follows:
In millions
June 30, 2021 December 31, 2020
Outstanding letters of credit under Senior Credit Facility $ 97.5  $ 79.5 
Unused portion of the Senior Credit Facility 892.1  947.2 

NOTE 6 – INCOME TAXES

The Company reported income tax expense of $9.1 million and $8.7 million for the three months ended June 30, 2021 and 2020, respectfully. The effective tax rates for the three months ended June 30, 2021 and 2020 were 23.7% and 189.1%, respectively. The tax rate for the three months ended June 30, 2021 reflects (i) a tax benefit associated with matter that was subject to a PFA with the IRS as further described below, (ii) losses in jurisdictions that are not eligible for tax benefits on account of valuation allowances, and (iii) equity-based compensation awards expiring without a tax benefit. The effective tax rate for the three months ended June 30, 2020 reflects (i) equity-based compensation awards expiring without a tax benefit and (ii) non-deductible divestiture charges.

The Company reported an income tax expense of $22.9 million for the six months ended June 30, 2021 compared to an income tax benefit of $29.7 million for the six months ended June 30, 2020. The effective tax rates for the six months ended June 30, 2021 and 2020 were 29.2% and 55.3%, respectively. The effective tax rate for the six months ended June 30, 2021, reflects (i) a tax benefit associated with a tax matter that was subject to a PFA with the IRS, (ii) losses in jurisdictions that are not eligible for tax benefits on account of valuation allowances and (iii) equity-based compensation awards expiring without a tax benefit. The effective tax rate for the six months ended June 30, 2020, reflects (i) a $39.4 million tax benefit related to the CARES Act, (ii) the tax impact from a divestiture impairment which was primarily non-deductible, and (iii) equity-based compensation awards expiring without a tax benefit.

In response to the COVID-19 pandemic the government too the following tax related government actions:
On March 11, 2021, the President signed into law the ARP Act, a legislative package which is generally not significant to the Company's current business; however, the Company will continue to assess the ARP Act on an ongoing basis.
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On December 27, 2020, the President signed the CAA 2021, which provides several business tax relief provisions, which are generally not significant to the Company's current business; however, the Company will continue to assess the CAA 2021 on an ongoing basis.
On March 27, 2020, the President signed into law the CARES Act, which was a substantial tax-and-spending package. As a result of the CARES Act tax law changes, for the year ended December 31, 2020, we recognized a $44.4 million tax benefit related to our ability to carryback net operating losses to prior years that had higher tax rates. Note that in the first quarter of 2020, the Company recognized an initial $39.4 million tax benefit; in the fourth quarter of 2020, upon finalizing the 2019 federal income tax return which impacted the carryback to prior years, the Company recognized an incremental $5.0 million tax benefit. In July 2020, the Company received a cash refund of $48.0 million, and in December 2020, the Company received $64.2 million (of which $62.0 million was the cash refund claim, and $2.2 million was interest income). A remaining carryback claim of less than $1.0 million associated with the finalization of the 2019 U.S. federal income tax return was filed with the IRS and the refund was received in June of 2021.
Similar tax provisions and other stimulus measures have been granted either before or after June 30, 2021 by certain foreign and U.S. state jurisdictions, which the Company continues to evaluate and apply, if applicable. 
The Company filed a PFA with the IRS related to a claim under Internal Revenue Code Section 1341 concerning the tax rate to be applied to the SQ Settlement on the Company’s 2018 tax return. As a result of the enactment of the CARES Act, the Company was able to realize a benefit at the higher tax rate in prior years on a portion of the SQ Settlement. In 2020, in consideration of the CARES Act, the Company revised the PFA, a portion of the long-term receivable previously established for the Section 1341 claim was reclassified to a current income tax receivable and the related uncertain tax position was released as part of the tax benefit recognized in 2020.

Subsequently in late 2020, the Company amended the 2018 tax return to reduce the Section 1341 benefit as a result of discussions with the IRS as part of the PFA program. Consequently, the remaining long-term receivable established for the Section 1341 claim and the corresponding uncertain tax position was reclassified to a current income tax receivable and current income tax liability, respectively, as both are expected to settle in cash in 2021. In April 2021, the Company was advised that the IRS completed its review of the 2018 tax return and took no exception to the Section 1341 benefit. Consequently, the Company recorded a tax benefit of approximately $5.5 million in the second quarter of 2021 associated with the Section 1341 claim.
NOTE 7 – EARNINGS (LOSS) PER COMMON SHARE
Basic earnings per share is computed by dividing Net Income (Loss) by the number of weighted average common shares outstanding during the reporting period. Diluted earnings per share is calculated to give effect to all potentially dilutive common shares that were outstanding during the reporting period, only in the periods in which such effect is dilutive. The following table shows the effect of stock-based awards on the weighted average number of shares outstanding used in calculating diluted earnings per share:
In millions of shares
Three Months Ended June 30, Six Months Ended June 30,
2021 2020 2021 2020
Weighted average common shares outstanding - basic 91.8  91.4  91.7  91.4 
Incremental shares outstanding related to stock-based awards 0.3  —  0.4  — 
Weighted average common shares outstanding - diluted 92.1  91.4  92.1  91.4 
In periods of net loss, stock-based awards are anti-dilutive and therefore excluded from the earnings (loss) per share calculation.
In thousands
Three Months Ended June 30, Six Months Ended June 30,
2021 2020 2021 2020
Options excluded from computation of diluted earnings (loss) per share 1,958  3,258  2,131  3,538 
RSUs excluded from computation of diluted earnings (loss) per share 354  239 
PSUs are offered to key employees and are subject to achievement of specified performance conditions. Contingently issuable shares are excluded from the computation of diluted earnings per share based on current
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period results. The shares would not be issuable if the end of the reporting period were the end of the contingency period. If such goals are not met, no compensation expense is recognized, and any previously recognized compensation expense is reversed.
NOTE 8 – SEGMENT REPORTING
The Company evaluates, oversees, and manages the financial performance of two operating and reportable segments – North America and International.
The following tables show financial information for the Company's reportable segments:
In millions
Three Months Ended June 30, Six Months Ended June 30,
2021 2020 2021 2020
Revenues
North America $ 542.6  $ 491.3  $ 1,076.3  $ 1,145.9 
International 130.1  106.9  264.4  237.3 
Total $ 672.7  $ 598.2  $ 1,340.7  $ 1,383.2 
Adjusted Income from Operations
North America $ 159.6  $ 140.5  $ 317.2  $ 290.0 
International 15.6  1.8  28.2  16.9 
Other Costs (69.5) (57.0) (129.7) (127.8)
Total $ 105.7  $ 85.3  $ 215.7  $ 179.1 
The following table reconciles the Company's primary measure of segment profitability, Adjusted Income from Operations, to Income (loss) from operations:
In millions
Three Months Ended June 30, Six Months Ended June 30,
2021 2020 2021 2020
Total Reportable Segment Adjusted Income from Operations $ 105.7  $ 85.3  $ 215.7  $ 179.1 
Adjusting Items:
ERP Implementation (17.3) (9.2) (35.2) (27.2)
Intangible Amortization (30.1) (31.2) (59.9) (63.1)
Divestitures (including Divestiture (losses) gains, net) (0.4) (6.2) (1.6) (67.5)
Litigation, Settlements and Regulatory Compliance (2.3) (4.2) (4.3) (8.6)
Asset Impairments —  (8.3) —  (12.3)
Other —  (1.3) —  (5.9)
Income (loss) from operations $ 55.6  $ 24.9  $ 114.7  $ (5.5)
NOTE 9 - COMMITMENTS AND CONTINGENCIES
Legal Proceedings

The Company operates in highly regulated industries and responds to regulatory inquiries or investigations from time to time that may be initiated for a variety of reasons. At any given time, the Company has matters at various stages of resolution with the applicable government authorities. The Company is also routinely involved in actual or threatened legal actions, including those involving alleged personal injuries and commercial, employment, environmental, tax, and other issues. The outcomes of these matters are not within the Company’s complete control and may not be known for prolonged periods of time. In some actions, claimants seek damages, as well as other relief, including injunctive relief, that could require significant expenditures or result in lost revenue.

In accordance with applicable accounting standards, the Company establishes an accrued liability for loss contingencies related to legal and regulatory matters when the loss is both probable and reasonably estimable. If the reasonable estimate of a probable loss is a range, and no amount within the range is a better estimate than any other, the minimum amount of the range is accrued. If a loss is not probable or a probable loss is not reasonably
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estimable, no liability is recorded. When determining the estimated loss or range of loss, significant judgment is required to estimate the amount and timing of a loss to be recorded. These accruals represent management’s best estimate of probable losses and, in such cases, there may be an exposure to loss in excess of the amounts accrued. Estimates of probable losses resulting from litigation and regulatory proceedings are difficult to predict. Legal and regulatory matters inherently involve significant uncertainties based on, among other factors, the jurisdiction and stage of the proceedings, developments in the applicable facts or law, and the unpredictability of the ultimate determination of the merits of any claim, any defenses the Company may assert against that claim, and the amount of any damages that may be awarded. The Company’s accrued liabilities for loss contingencies related to legal and regulatory matters may change in the future as a result of new developments, including, but not limited to, the occurrence of new legal matters, changes in the law or regulatory environment, adverse or favorable rulings, newly discovered facts relevant to the matter, or changes in the strategy for the matter. Regardless of the outcome, litigation can have an adverse impact on the Company because of defense and settlement costs, diversion of management resources and other factors.

Contract Class Action and Opt Out Lawsuits. Beginning on March 12, 2013, the Company was served with several class action complaints filed in federal and state courts in several jurisdictions. These complaints asserted, among other things, that the Company had imposed unauthorized or excessive price increases and other charges on its customers in breach of its contracts and in violation of the Illinois Consumer Fraud and Deceptive Business Practices Act. The complaints sought certification of the lawsuit as a class action and the award to class members of appropriate damages and injunctive relief. These related actions were ultimately transferred to the United States District Court for the Northern District of Illinois for centralized pretrial proceedings.

The parties engaged in discussions through and overseen by a mediator regarding a potential resolution of the matter and reached a settlement agreement, as previously disclosed, which settlement agreement obtained court approval on March 8, 2018. Under the terms of the SQ Settlement, the Company admitted no fault or wrongdoing whatsoever, and it entered into the SQ Settlement to avoid the cost and uncertainty of litigation.

Certain class members who have opted out of the SQ Settlement have filed lawsuits against the Company, and the Company is defending and intends to resolve those actions. The Company has made an accrual in respect of these collective matters consistent with its accrual policies described above, which is not material.

Government Investigations. On June 12, 2017, the SEC issued a subpoena to the Company, requesting documents and information relating to the Company’s compliance with the FCPA or other foreign or domestic anti-corruption laws with respect to certain of the Company’s operations in Latin America. In addition, the DOJ notified the Company that it was investigating this matter in parallel with the SEC. The Company is cooperating with these agencies and certain foreign authorities. The Company also conducted an internal investigation of these and other matters, including outside of Latin America, under the oversight of the Audit Committee of the Board of Directors and with the assistance of outside counsel, and this investigation found evidence of improper conduct.

As part of the FCPA investigation discussed above, the SEC has requested certain additional information from the Company. On July 29, 2019, the SEC issued a subpoena to the Company requesting documents relating to the Company’s pricing practices concerning small quantity customers, as alleged in the Contract Class Action previously discussed. The Company is cooperating with the SEC’s request. We have begun meeting with these agencies to engage in discussions about potential resolution of these matters, but these discussions are in a preliminary stage.

In addition, the Company has been informed that the office of the United States Attorney for the Southern District of New York is conducting an investigation into compliance with the False Claims Act and other federal statutes in connection with the collection, transportation and disposal of hazardous waste by the Company’s former ESOL business unit. The Company has also been informed that the State of California Department of Justice has opened an investigation related to the Company’s collection, transportation, and disposal of waste generated by government customers in California. The Company is cooperating with these investigations.

The Company has not accrued any amounts in respect of the foregoing U.S. government investigation matters, as it cannot estimate any reasonably possible loss or any range of reasonably possible losses that the Company may incur. The Company is unable to make such an estimate because, based on what the Company knows now, in the
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Company’s judgment, the factual and legal issues presented in these matters are sufficiently unique that the Company is unable to identify other circumstances sufficiently comparable to provide guidance in making estimates.

Environmental and Regulatory Matters. The Company is regulated by federal, state and local laws enacted to regulate the discharge of materials into the environment, the generation, transportation and disposal of waste, and the cleanup of contaminated soil and groundwater and protection of the environment. Because of the highly regulated nature of its business, the Company frequently becomes a party to legal or administrative proceedings involving various governmental authorities and other interested parties. The issues involved in these proceedings generally relate to alleged violations of existing permits and licenses or alleged responsibility under federal or state Superfund laws to remediate contamination at properties owned either by the Company or by other parties to which either the Company or the prior owners of certain of its facilities shipped waste. From time to time, the Company may be subject to fines or penalties in regulatory proceedings relating primarily to waste treatment, storage or disposal facilities.

Effective April 6, 2020, the Company completed the divestiture of its Domestic Environmental Solutions business, including the facility in Rancho Cordova, California, to Harsco Corporation. Pursuant to the Purchase Agreement, the Company may have liability under certain indemnification claims for matters relating to those Environmental Solutions facilities, including potentially with respect to the investigations by the Southern District of New York and California Department of Justice described above and the Rancho Cordova, California, and DEA Investigation matters discussed below.

North Salt Lake, Utah. On May 10, 2021, the United States District Court for the District of Utah approved a settlement between the Company and the United States DOJ that resolved an investigation by the EPA into alleged past Clean Air Act and permit violations, as previously disclosed. Under the resulting civil consent decree the Company paid a civil penalty, which is not material, and has begun working with the local Davis County School District on a Supplemental Environmental Project that will replace older, higher-emission school buses with new, more efficient buses to reduce pollution and protect the local environment. The Company has accrued the amount remaining to be spent under the Supplemental Environmental Project, which is not material.

Rancho Cordova, California. On June 25 and 26, 2018, the California DTSC conducted a Compliance Enforcement Inspection of the Company’s former Environmental Solutions facility in Rancho Cordova, California. On February 14, 2020, DTSC filed an action in the Superior Court for the State of California, Sacramento County Division, alleging violations of California’s Hazardous Waste Control Law and the facility’s hazardous waste permit arising from the inspection. That action is ongoing.

Separately, on August 15, 2019, the Company received from DTSC a written Intent to Deny Hazardous Waste Facility Permit application for the Rancho Cordova facility. A public hearing was held on September 22, 2019, and the public comment period closed on October 25, 2019. The Company entered a written submission as part of that process. On August 27, 2020, DTSC issued a Notice of Denial of Hazardous Waste Facility Permit Application and on September 25, 2020, the Company filed a Petition for Review, which instituted an administrative appeal of DTSC’s action, which is currently pending.

The Company is vigorously defending itself in all of the Rancho Cordova, California matters. The Company has not accrued any amounts in respect of these matters and cannot estimate the reasonably possible loss or the range of reasonably possible losses that it may incur. The Company is unable to make such an estimate because (i) litigation is by its nature uncertain and unpredictable and (ii) in the Company’s judgment, the factual and legal allegations asserted by DTSC are sufficiently unique that it is unable to identify other proceedings with circumstances sufficiently comparable to provide guidance in making estimates.

DEA Investigation. On February 11, 2020, the Company received an administrative subpoena from the DEA, which executed a search warrant at the Company’s former Environmental Solutions facility at Rancho Cordova, California and an administrative inspection warrant at the Company’s former facility in Indianapolis, Indiana for materials related to the former Environmental Solutions business of collecting, transporting, and destroying controlled substances from retail customers (the “ESOL Retail Controlled Substances Business”). On that same day, agents from the DTSC executed a separate search warrant at the Rancho Cordova facility. Since that time, the U.S. Attorney’s Office for the Eastern District of California (“USAO EDCA”) has been overseeing criminal and civil investigations of the ESOL Retail Controlled Substances Business. The USAO EDCA has informed the Company that it may have civil liability under the Controlled Substances Act related to the Domestic Environmental Solutions
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Retail Controlled Substances Business. The Company is cooperating with the civil and criminal investigations, which are ongoing.
The Company has not accrued any amounts in respect of these investigations and cannot estimate the reasonably possible loss or any range of reasonably possible losses that the Company may incur. The Company is unable to make such an estimate because, based on what the Company knows now, in the Company’s judgment, the factual and legal issues presented in this matter are sufficiently unique that the Company is unable to identify other circumstances sufficiently comparable to provide guidance in making estimates.

European Retrovirus Investigations. In conjunction with Europol, governmental authorities of Spain, Portugal, and Romania have conducted coordinated inspections of a large number of medical waste management facilities, including Stericycle facilities, relating to the transportation, management and disposal of waste that may be infected with the COVID-19 virus, and related matters. The inspections have resulted in proceedings in Spain and Portugal. The Company intends to vigorously defend itself in these proceedings.

The Company has not accrued any amounts in respect of these investigations, as it cannot estimate the reasonably possible loss or any range of reasonably possible losses that the Company may incur. The Company is unable to make such an estimate because, based on what the Company knows now, in the Company’s judgment, the factual and legal issues presented in this matter are sufficiently unique that the Company is unable to identify other circumstances sufficiently comparable to provide guidance in making estimates.
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Safe Harbor Statement

This document may contain forward-looking statements as defined in the Private Securities Litigation Reform Act of 1995. When we use words such as “believes”, “expects”, “anticipates”, “estimates”, “may”, “plan”, “will”, “goal”, or similar expressions, we are making forward-looking statements. Forward-looking statements are prospective in nature and are not based on historical facts, but rather on current expectations and projections of our management about future events and are therefore subject to risks and uncertainties, which could cause actual results to differ materially from the future results expressed or implied by the forward-looking statements. Factors that could cause such differences include, among others, developments in the COVID-19 pandemic and the resulting impact on the results of operations, long-term remote work arrangements, which may adversely affect our business, precautions we have taken to safeguard the health and safety of our team members which may make certain of our business processes less efficient, measures taken by governmental authorities to prevent the spread of the COVID-19 virus which could disrupt our supply chain, result in disruptions in transportation services and restrictions on the ability of our team members to travel, result in temporary closure of our facilities or the facilities of our customers and suppliers, affect the volume of paper processed by our secure information destruction business and the revenue generated from the sale of SOP, disruptions in our relationships with our team members as a result of certain cost-saving measures, economic disruption in the U.S. and other countries resulting from the continuation of the COVID-19 virus, changing market conditions in the healthcare industry, competition and demand for services in the regulated waste and secure information destruction industries, SOP pricing volatility, foreign exchange rate volatility in the jurisdictions in which we operate, failure to attract, hire and retain drivers and other key team members and a high quality workforce, evolving employment and compensation trends, changes in governmental regulation of the collection, transportation, treatment and disposal of regulated waste or the proper handling and protection of personal and confidential information, the level of government enforcement of regulations governing regulated waste collection and treatment or the proper handling and protection of personal and confidential information, decreases in the volume of regulated wastes or personal and confidential information collected from customers, the ability to implement our new ERP system, disruptions in or attacks on information technology systems, charges related to portfolio optimization or the failure of divestitures to achieve the desired results, failure to consummate transactions with respect to non-core businesses, the obligations to service substantial indebtedness and comply with the covenants and restrictions contained in our credit agreements and notes, a downgrade in our credit rating resulting in an increase in interest expense, political, economic, inflationary and other risks related to our foreign operations, the outcome of pending or future litigation or investigations including with respect to the U.S. Foreign Corrupt Practices Act, weather and environmental changes related to climate change, requirements of customers and investors for net carbon zero emissions strategies, and the introduction of regulations for greenhouse gases, which could negatively affect our costs to operate, failure to maintain an effective system of internal control over financial reporting, delays or failures in implementing remediation efforts with respect to potential future material weaknesses, as well as other factors described in our filings with the U.S. Securities and Exchange Commission, including our Annual Report on Form 10-K and subsequent Quarterly Reports on Forms 10-Q. As a result, past financial performance should not be considered a reliable indicator of future performance, and investors should not use historical trends to anticipate future results or trends. We disclaim any obligation to update or revise any forward-looking or other statements contained herein other than in accordance with legal and regulatory obligations.
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Overview
Stericycle is a global business-to-business services company. We provide an array of highly specialized solutions that protect the health and well-being of the people and places around us in a safe, responsible, and sustainable way. Since our founding in 1989, we have grown from a small start-up in medical waste management into a leader across a range of increasingly complex and highly regulated arenas, serving healthcare organizations and commercial businesses of every size through regulated waste and compliance services and secure information destruction services.

Key business highlights include:
RWCS organic revenue increased 7.6% in the second quarter compared to 2020.
SID organic revenue increased 34.2% in the second quarter compared to 2020 due to the ongoing economic recovery from COVID-19.
Income from operations as a percentage of revenues improved 410 basis points, or $30.7 million, in the second quarter compared to 2020.
At the beginning of August, we launched the North American finance and procurement portions of our ERP system and began our phased deployment of our commercial and operational portions for SID.
Net debt was reduced by $52.4 million in the second quarter, decreasing total net debt to approximately $1.65 billion. The Credit Agreement Defined Debt Leverage Ratio was reduced to 3.06 times as of June 30, 2021, compared to 3.89 times as of June 30, 2020.
COVID-19 Pandemic and Related Developments
In March 2020, the World Health Organization declared the COVID-19 virus outbreak a pandemic. The COVID-19 pandemic has had a global economic impact, including temporary closure of non-essential businesses worldwide and postponement of elective surgeries and preventative care. The Company continues to maintain operations within all business service offerings, although SID and maritime waste services have been significantly and adversely impacted. We are monitoring future implications of the COVID-19 pandemic and continue to take actions to manage spending to align to operational requirements.
The Company’s COVID-19 pandemic response has included efforts to protect the health and well-being of our workforce and our customers. We worked proactively with the Centers for Disease, Control and Prevention, the Occupational Safety and Health Administration, the Department of Transportation and regulatory agencies around the world to ensure readiness for proper regulated waste management. Our team demonstrated leadership and commitment to protecting what matters by working with pharmaceutical companies and government agencies to align on standards for secure and compliant COVID-19 vaccination treatment protocols. Additionally, Stericycle supports the front end of vaccination programs through our Communications Solutions business. We provide scalable patient hotlines, scheduling, and appointment reminders for vaccinations.
We have updated and implemented numerous protocols specifically to reduce risk among our front-line team members, and our strategic sourcing team has worked diligently to take measures to provide our field operations employees with appropriate personal protective equipment. We’ve implemented more rigorous cleaning protocols for all our facilities. As we continue to monitor the evolving impact of the pandemic, we have begun developing return to office protocols for our more than 7,000 employees that have been working remotely since March of 2020. Currently, we anticipate many of our employees will begin returning to the office during the fourth quarter of 2021. In support of this effort, we have encouraged our employees to get vaccinated during work hours and offered additional paid time off if vaccinated.
Like many organizations, we too have been impacted by labor shortages, particularly driver and operational team members. To date, we are addressing our internal needs through three main areas: (1) recruitment, (2) market competitive compensation and benefits, and (3) employee engagement and retention.
Stericycle collects and delivers SOP for recycling into paper products to be used in the hospitality industry including napkins, paper towels, and bathroom tissues. Recycled paper tonnage volume for the first half of 2021 was approximately 280,000, with about the same amount of volume in the first and second quarter of 2021.
Further, certain supply chain delays have impacted some of our planned 2021 capital expenditure projects.
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The impact of the COVID-19 pandemic across our revenue service categories is as follows:
Revenue Service
Category
Services Offered COVID-19 Pandemic Impact
Regulated Waste and
Compliance Services
• Regulated waste management services (including reusable sharps container disposal management services)

• Pharmaceutical waste services, including controlled substances (CsRX, Kiosk, and Seal/Send)

• Compliance programs under the Steri-Safe®, Clinical Services and First Practice Management brand names

• Hazardous waste and compliance solutions

• Maritime waste services

 Communication Solutions (including appointment reminders, secure messaging, event registration, and other communications specifically for hospitals and integrated delivery networks)
RWCS organic revenue growth over the second quarter of 2021 was 7.6%. North America Regulated Waste and Compliance Services organic revenues grew 6.4%. Of this 6.4%, approximately 3% of the growth was driven by quality of revenue initiatives, approximately 2% from COVID-19 related revenues, about 1.4 % from what we believe is elective surgery waste volumes as we saw an increase in the average weight per container, and about 1% from Communication Solutions. These were offset by about a 1% decrease due to maritime waste services revenues. International RWCS organic revenue growth was 12.2%, primarily attributable to supporting our customers through the pandemic.
Secure Information
Destruction Services
Secure information destruction (including document and hard drive destruction services) under the Shred-it® brand name which includes regular scheduled services (and processing onsite and offsite) and one-time services (select, priority and express)
While still below pre-pandemic levels, SID revenues when compared to the second quarter of 2020 increased $57.2 million, with the recovery from the pandemic accounting for $52.2 million of the increase, or organic growth of 34.2%.
In North America, Secure Information Destruction organic revenues increased $41.3 million, or 30.1%, compared to the second quarter of 2020 and International revenues increased $10.9 million, or 72.2%, compared to the second quarter of 2020, primarily driven by an increase in stops as economies continue to reopen.


Key Business Priorities
In 2021, our operational efficiency initiative matured and evolved to operational efficiency, modernization, and innovation and portfolio rationalization matured and evolved to portfolio optimization, signaling the continuing evolution of our key business priorities as we continue to transform Stericycle.

Quality of revenue – We have implemented and continue to execute against our foundational initiatives we launched to drive revenue quality. In combination with our quality of revenue initiatives, we continue to develop and deploy innovative solutions to meet unmet customer needs, strengthen customer engagement, and drive long-term organic growth.

Operational efficiency, modernization, and innovation – As we manage through complex times, we remain focused on operational efficiency, modernization, and innovation to control variable and discretionary costs and improving performance and efficiencies in our field operations. Our Engineering and Operations teams have and continue to implement operational processes and performance improvements, which have contributed to operating efficiency gains in the past several quarters. We are gaining traction on right sizing and balancing our fleet and equipment, driving efficiencies in route and long-haul execution, and optimizing our network and assets.

ERP implementation – At the beginning of August, we launched the North America finance and procurement portions of our ERP system and began our phased deployment of SID. Since the SID deployment is a phased deployment, we anticipate completing deployment to all SID facilities by the end of the fourth quarter. Following the North America ERP deployment for SID, we plan to implement the North America ERP for RWCS in 2022. As we continue throughout 2021, we will monitor the evolving pandemic dynamics that could impact our business, customers, the safety of our team members, and internal control environment and we will factor them into our deployment execution and timing decisions. As with any major system implementation, our North America ERP has the potential to cause disruption resulting in potential customer impacts and additional costs.

Debt reduction and leverage improvement – We remain committed to achieving a Credit Agreement Defined Debt Leverage Ratio below 3.00 times between 2022 and 2023. We expect to
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improve our leverage ratio through continued focus on operating margin expansion, free cash flow generation, and leveraging divestiture proceeds, if applicable. As of June 30, 2021, we improved our Credit Agreement Defined Debt Leverage Ratio to 3.06 times. Net debt was reduced $52.4 million in the second quarter, decreasing total net debt to approximately $1.65 billion.

Portfolio optimization – We completed three divestitures in 2020, including Environmental Solutions in April of 2020, operations in Argentina in August of 2020, and Expert Solutions in December of 2020. We also entered into an agreement to divest all of our operations in Japan on August 4, 2021, for approximately $10.0 million. We expect to continue evaluating opportunities to further optimize our portfolio of businesses through a combination of potential asset rationalizations, which streamlines our portfolio of businesses, and focusing more deeply on our core businesses.

Certain Key Priorities and Other Significant Matters
The following table identifies certain key priorities and other significant matters impacting our business and how they are classified in the Condensed Consolidated Statements of Income (Loss):
In millions
Three Months Ended June 30, Six Months Ended June 30,
2021 2020 2021 2020
Pre-tax items:
Included in COR
Asset Impairments $ —  $ 6.8  $ —  $ 6.8 
Total included in COR —  6.8  —  6.8 
Included in SG&A
ERP Implementation 17.3  9.2  35.2  27.2 
Intangible Amortization 30.1  31.2  59.9  63.1 
Divestitures 0.4  2.4  1.6  5.4 
Litigation, Settlements and Regulatory Compliance 2.3  4.2  4.3  8.6 
Asset Impairments —  1.5  —  5.5 
Other —  1.3  —  5.9 
Total included in SG&A 50.1  49.8  101.0  115.7 
Divestiture losses (gains), net —  3.8  —  62.1 
Total included in Income (loss) from operations 50.1  60.4  101.0  184.6 
Included in Other (income) expense, net
Other (including highly inflationary exchange loss) —  0.6  —  1.0 
Total pre-tax $ 50.1  $ 61.0  $ 101.0  $ 185.6 
After tax items:
CARES Act and Other Tax Matter $ (5.5) $ —  $ (5.5) $ (39.4)
Total after-tax $ (5.5) $ —  $ (5.5) $ (39.4)
    
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ERP Implementation
For the periods presented and for the cumulative period since the inception of the ERP Implementation, we have recognized the following, principally reported in Other Costs:
In millions
Three Months Ended June 30, Six Months Ended June 30, Cumulative Since Inception
2021 2020 2021 2020
ERP implementation
Consulting and professional fees $ 10.7  $ 1.8  $ 22.3  $ 12.2  $ 87.3 
Internal labor 2.8  3.4  5.5  7.0  35.9 
Software usage/maintenance fees 3.3  3.1  6.4  5.7  41.2 
Other related expenses 0.5  0.9  1.0  2.3  11.5 
Operating expenditures 17.3  9.2  35.2  27.2  175.9 
Capital expenditures 9.4  19.7  11.8  44.1  172.6 
Total ERP related $ 26.7  $ 28.9  $ 47.0  $ 71.3  $ 348.5 

We will continue to incur costs to develop and deploy the system, which includes additional capital expenditures, as well as costs associated with maintenance, licenses, and other related expenses. Upon the substantial implementation in the third quarter, certain costs become incremental information technology ongoing costs for running the new system. Additionally, we will continue to incur costs to maintain the legacy suite of applications that are also used by our international businesses until their system portfolio is modernized.

Intangible Amortization
See table above of certain key priorities and other significant matters for intangible amortization expense from acquisitions for the periods presented and how they are classified in the Condensed Consolidated Statements of Income (Loss).
The decrease in amortization expense is a result of the reduction of Intangible assets related to divestitures. See Part I, Item I. Financial Statements; Note 3 Restructuring, Divestitures and Impairments in the Condensed Consolidated Financial Statements for further information.

Divestitures (including Divestiture losses (gains), net)
We evaluate our portfolio of services on an ongoing basis with a country-by-country and service line-by-service line approach to assess long-term potential and identify potential business candidates for divestiture.
We recognized the following Divestitures (including Divestiture losses (gains), net) in the Condensed Consolidated Statements of Income (Loss):
In millions
Three Months Ended June 30, Six Months Ended June 30,
2021 2020 2021 2020
North America Segment
Domestic Environmental Solutions business $ —  $ 3.8  $ —  $ 62.1 
Total North America charges, net —  3.8  —  62.1 
International Segment
Total International charges, net —  —  —  — 
Divestiture losses (gains), net —  3.8  —  62.1 
Consulting, professional, and other fees (in SG&A in Other Costs) 0.4  2.4  1.6  5.4 
Total Divestitures (including Divestiture losses (gains), net) $ 0.4  $ 6.2  $ 1.6  $ 67.5 
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For additional information regarding Divestiture losses (gains), net, see Part I, Item I. Financial Statements; Note 3 Restructuring, Divestitures and Impairment in the Condensed Consolidated Financial Statements.
We continue to evaluate the performance of our entire portfolio of assets and businesses focusing on optimization opportunities. Divestitures resulting from this evaluation may cause us to record significant charges, including those related to goodwill, other intangible assets, long-lived assets, and cumulative translation adjustments. In addition, divestitures we complete may not yield the targeted improvements in our business. Any charges that we are required to record or the failure to achieve the intended financial results associated with the portfolio optimization evaluation could have a material adverse effect on our business, financial condition, or results of operations.

Litigation, Settlements and Regulatory Compliance
We operate in highly regulated industries and must address regulatory inquiries or respond to investigations from time to time. We are also involved in a variety of civil litigation matters from time to time including the items detailed in Part I, Item I. Financial Statements; Note 9 – Commitments and Contingencies. Our financial results may also include considerations of non-recurring matters including settlements, environmental remediation, and legal related consulting and professional fees.
See table above of certain key priorities and other significant matters for litigation, settlement and regulatory compliance charges, primarily consulting and professional fees, contingent liability provisions and settlements, net of insurance recoveries, impacting our business for the periods presented, primarily in Other Costs, and how they are classified in the Condensed Consolidated Statements of Income (Loss).

Asset Impairments
See table above of certain key priorities and other significant matters for asset impairments for the periods presented and how they are classified in the Condensed Consolidated Statements of Income (Loss).
Impairment charges may be recognized in future periods to the extent changes in factors or circumstances occur, including deterioration in the macroeconomic environment or in the equity markets, including the market value of our common shares, deterioration in our performance or our future projections, or changes in our plans for one or more reporting units or specified long-lived assets, among other factors.
For additional information, see Part I, Item I. Financial Statements; Note 3 – Restructuring, Divestitures and Impairment in the Condensed Consolidated Financial Statements.
Other
See table above of certain key priorities and other significant matters for other charges, primarily consulting and professional fees related to internal control remediation activities, impacting our business for the periods presented, primarily in Other Costs, and how they are classified in the Condensed Consolidated Statements of Income (Loss).
See table above of certain key priorities and other significant matters for the impact of foreign exchange re-measurement of net monetary assets held in Argentina, which was divested in August of 2020, as a result of its designation as a highly inflationary economy for the periods presented and how they are classified in the Condensed Consolidated Statements of Income (Loss).

CARES Act and Other Tax Matter
For additional information, see Part I, Item I. Financial Statements; Note 6 – Income Taxes in the Condensed Consolidated Financial Statements.

Results of Operations
Three and Six Months Ended June 30, 2021 Compared to Three and Six Months Ended June 30, 2020:
Revenues:
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We analyze revenues by revenue service category and reportable segment and were as follows:

Three Months Ended June 30,
In millions Components of Change (%)
2021 2020 Change ($) Change (%)
Organic Growth (1)
Divestitures
Foreign Exchange (2)
Revenue by Service
Regulated Waste and Compliance Services (3)
$ 463.0  $ 445.7  $ 17.3  3.9  % 7.6  % (6.1) % 2.4  %
Secure Information Destruction Services 209.7  152.5  57.2  37.5  % 34.2  % —  % 3.3  %
Total Revenues $ 672.7  $ 598.2  $ 74.5  12.5  % 14.4  % (4.5) % 2.6  %
North America
Regulated Waste and Compliance Services (3)
$ 362.2  $ 353.9  $ 8.3  2.3  % 6.4  % (4.7) % 0.6  %
Secure Information Destruction Services 180.4  137.4  43.0  31.3  % 30.1  % —  % 1.2  %
Total North America Segment $ 542.6  $ 491.3  $ 51.3  10.4  % 13.0  % (3.4) % 0.8  %
International
Regulated Waste and Compliance Services (3)
$ 100.8  $ 91.8  $ 9.0  9.8  % 12.2  % (11.4) % 9.0  %
Secure Information Destruction Services 29.3  15.1  14.2  94.0  % 72.2  % —  % 21.8  %
Total International Segment $ 130.1  $ 106.9  $ 23.2  21.7  % 20.6  % (9.8) % 10.9  %

Six Months Ended June 30,
In millions Components of Change (%)
2021 2020 Change ($) Change (%)
Organic Growth (1)
Divestitures
Foreign Exchange(2)
Revenue by Service
Regulated Waste and Compliance Services (3)
$ 936.6  $ 1,012.6  $ (76.0) (7.5  %) 6.7  % (16.0  %) 1.8  %
Secure Information Destruction Services 404.1  370.6  33.5  9.0  % 6.8  % —  % 2.2  %
Total Revenues $ 1,340.7  $ 1,383.2  $ (42.5) (3.1  %) 6.7  % (11.7  %) 1.9  %
North America
Regulated Waste and Compliance Services (3)
$ 729.0  $ 822.5  $ (93.5) (11.4  %) 4.9  % (16.7  %) 0.4  %
Secure Information Destruction Services 347.3  323.4  23.9  7.4  % 6.6  % —  % 0.8  %
Total North America Segment $ 1,076.3  $ 1,145.9  $ (69.6) (6.1  %) 5.4  % (12.0  %) 0.5  %
International
Regulated Waste and Compliance Services (3)
$ 207.6  $ 190.1  $ 17.5  9.2  % 14.4  % (12.9  %) 7.7  %
Secure Information Destruction Services 56.8  47.2  9.6  20.3  % 8.7  % —  % 11.6  %
Total International Segment $ 264.4  $ 237.3  $ 27.1  11.4  % 13.2  % (10.4  %) 8.6  %

(1)Organic growth is change in revenues which includes SOP pricing and volume and excludes the impact of divestitures and foreign exchange.
(2)The comparisons at constant currency rates (foreign exchange) reflect comparative local currency balances at prior period’s foreign exchange rates. Stericycle calculated these percentages by taking current period reported Revenues less the respective prior period reported Revenues, divided by the prior period reported Revenues, all at the respective prior period’s foreign exchange rates. This measure provides information on the change in Revenues assuming that foreign currency exchange rates have not changed between the prior and the current period. Management believes the use of this measure aids in the understanding of changes in Revenues without the impact of foreign currency.
(3)For further information, see Part I, Item I. Financial Statements; Note 2 – Revenues from Contracts with Customers in the Condensed Consolidated Financial Statements.

Revenues for the second quarter were $672.7 million, an increase of 12.5% compared to $598.2 million in the second quarter of 2020. In the second quarter, organic revenue of RWCS and SID increased 7.6% and 34.2%, respectively, largely attributable to the recovery from COVID-19 pandemic impacts, partially offset by reduced revenues of 4.5% due to the divestiture of the Environmental Solutions, Argentina and Expert Solutions businesses. Revenues for the six month period ended June 30, 2021 were $1,340.7 million, a decrease of 3.1% compared to $1,383.2 million in the six month period ended June 30, 2020. Divestitures in 2020 reduced revenues by $162.2 million or 11.7%, partially offset by an increase in organic revenues of $93.2 million or 6.7%.    

North America revenues increased $51.3 million, or 10.4%, in the second quarter of 2021 to $542.6 million from $491.3 million in the second quarter of 2020. Organic revenue increased $63.8 million or 13.0% due to the recovery
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from COVID-19 pandemic impacts and quality of revenue initiatives. Divestitures in 2020 reduced revenues by $16.7 million or 3.4%.

International revenues increased $23.2 million, or 21.7%, in the second quarter of 2021 to $130.1 million from $106.9 million in the second quarter of 2020. The increase in International organic revenue was $22.1 million, or 20.6%, attributable to the recovery from COVID-19 pandemic impacts. Divestitures in 2020 reduced revenues by $10.5 million or 9.8%. The effect of foreign exchange rates was favorable by $11.6 million, or 10.9%.

North America revenues decreased $69.6 million, or 6.1%, for the six month period ended June 30, 2021 to $1,076.3 million from $1,145.9 million for the six month period ended June 30, 2020. Divestitures reduced revenues by $137.6 million, or 12.0%, partially offset by an increase in organic revenue of $61.8 million or 5.4% primarily due to the recovery from COVID-19 pandemic impacts.
International revenues increased $27.1 million, or 11.4%, for the six month period ended June 30, 2021 to $264.4 million from $237.3 million for the six month period ended June 30, 2020. The increase in International organic revenue was $31.4 million, or 13.2%, attributable to the recovery from COVID-19 pandemic impacts, partially offset by a decrease in revenue from divestitures for $24.6 million or 10.4%. The effect of foreign exchange rates was favorable by $20.3 million or 8.6%.
Gross profit:
In millions
Three Months Ended June 30,
2021 2020 Change
$ % Revenues $ % Revenues $ %
Gross profit 269.1  40.0  % 229.7  38.4  % 39.4  17.2  %

In millions
Six Months Ended June 30,
2021 2020 Change
$ % Revenues $ % Revenues $ %
Gross profit 530.5  39.6  % 516.3  37.3  % 14.2  2.8  %

The increase in Gross profit for the three months ended June 30, 2021, as compared to 2020, was primarily due to the higher margin flow through of increased revenues primarily related to the recovery from COVID-19 pandemic impacts. The increase for the six month period ended June 30, 2021 compared to 2020 was due to the recovery from COVID-19 pandemic impacts, partially offset due to the 2020 divestitures of Domestic Environmental Solutions, Argentina, and Expert Solutions businesses. Further, we continue to incur lower charges associated with our certain key priorities and other significant matters discussed above. Gross profit as a percentage of revenues has improved, in part as divested businesses historically produced lower margins as compared to core businesses.

Our international RWCS operations generate most of their revenues from large account customers, such as hospitals, publicly funded healthcare organizations and National Trusts. Our international gross profit as a percentage of revenues is lower than North America gross profit as a percentage of revenues because our international RWCS operations have fewer small account customers, which tend to generate higher Gross profit as a percentage of revenues.
SG&A:
In millions
Three Months Ended June 30,
2021 2020 Change
$ % Revenues $ % Revenues $ %
SG&A 213.5  31.7  % 201.0  33.6  % 12.5  6.2  %


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In millions
Six Months Ended June 30,
2021 2020 Change
$ % Revenues $ % Revenues $ %
SG&A 415.8  31.0  % 459.7  33.2  % (43.9) (9.5) %

The increase in SG&A for the three months ended June 30, 2021, as compared to 2020, was due to increased selling expense as a result of quality of revenue initiatives and compensation related costs, which included the timing of merit increases. These were offset by divestiture and lower bad debt expense. The decrease in SG&A for the six months ended June 30, 2021, as compared to the prior year comparable period, was primarily due to the 2020 divestitures of the Domestic Environmental Solutions, Argentina, and Expert Solutions businesses and lower bad debt expense, partially offset by increased selling expenses and compensation related costs. Bad debt expense was lower in the three and six months ended June 30, 2021 when compared to the same periods in 2020 due to a decrease in risk of collectability associated with the impacts of the COVID-19 pandemic. Further, for the six months ended June 30, 2021, we incurred lower charges associated with certain key priorities and other significant matters discussed above.
Divestiture losses (gains), net:
In millions
Three Months Ended June 30,
2021 2020 Change
$ % Revenues $ % Revenues $ %
Divestiture losses (gains), net —  —  % 3.8  0.6  % (3.8) (100.0) %

In millions
Six Months Ended June 30,
2021 2020 Change
$ % Revenues $ % Revenues $ %
Divestiture losses (gains), net —  —  % 62.1  4.5  % (62.1) (100.0) %

For additional information, see Part I, Item I. Financial Statements; Note 3 – Restructuring, Divestitures and Impairment in the Condensed Consolidated Financial Statements and our certain key priorities and other significant matters discussed above.

Segment Profitability:
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Segment profitability was as follows:
Three Months Ended June 30, Six Months Ended June 30,
2021 2020 Change 2021 versus 2020 2021 2020 Change 2021 versus 2020
$ % Segment Revenues $ % Segment Revenues $ % $ % Segment Revenues $ % Segment Revenues $ %
Adjusted Income from Operations
North America 159.6  29.4  % 140.5  28.6  % 19.1  13.6  % 317.2  29.5  % 290.0  25.3  % 27.2  9.4  %
International 15.6  12.0  % 1.8  1.7  % 13.8  nm 28.2  10.7  % 16.9  7.1  % 11.3  66.9  %
Other Costs (69.5) nm (57.0) nm (12.5) 21.9  % (129.7) nm (127.8) nm (1.9) nm
Total 105.7  15.7  % 85.3  14.3  % 20.4  23.9  % 215.7  16.1  % 179.1  12.9  % 36.6  20.4  %
Reconciliation to Income (loss) from operations:
Adjusted Income from Operations 105.7  85.3  215.7  179.1 
Adjusting Items Total (1)
(50.1) (60.4) (101.0) (184.6)
Income (loss) from operations 55.6  24.9  114.7  (5.5)
nm - percentage change not meaningful
(1) See Part I, Item 1. Financial Statements; Note 8 - Segment Reporting in the Condensed Consolidated Financial Statements for more detail.

Adjusted Income from Operations for North America increased $19.1 million, or 13.6%, in the second quarter of 2021 to $159.6 million from $140.5 million in the second quarter of 2020. Adjusted Income from Operations improvement was driven by higher revenues related to the recovery from COVID-19 impacts, quality of revenue initiatives, and lower bad debt expense. This improvement was partially offset by an increase in selling expenses and compensation related costs.

Adjusted Income from Operations for North America increased $27.2 million, or 9.4%, for the six months ended June 30, 2021 to $317.2 million from $290.0 million for the six months ended June 30, 2020. Adjusted Income from Operations improved due to increased revenues related to the recovery from COVID-19 impacts and lower bad debt expense, partially offset by the impact of divestitures in 2020 and higher selling expenses. Operating margin improved as a percentage of revenues, in part, as divested businesses in 2020 historically produced lower margins as compared to core businesses.

Adjusted Income from Operations for International increased $13.8 million for the second quarter of 2021 to $15.6 million from $1.8 million for the second quarter of 2020. The increase was primarily driven by higher revenues related to the recovery from COVID-19 impacts, partially offset by reduced revenues from divestitures in 2020.

Adjusted Income from Operations for International increased $11.3 million, or 66.9%, for the six month period ended June 30, 2021 to $28.2 million from $16.9 million for the six months ended June 30, 2020. The increase was primarily driven by higher revenues related to the recovery from COVID-19 impacts and favorable foreign exchange rates, partially offset by the impact of divestitures in 2020.

Adjusted Loss from Operations for Other Costs increased for the three months ended June 30, 2021 compared to 2020 period primarily as a result of higher compensation related costs.

Adjusted Loss from Operations for Other Costs increased for the six months ended June 30, 2021 compared to 2020 as a result of higher compensation related costs, partially offset by lower discretionary, information technology expenses, and lower costs associated with divested businesses in 2020.    
Interest expense, net:
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In millions
Three Months Ended June 30,
2021 2020 Change
$ % Revenues $ % Revenues $ %
Interest expense, net 17.9  2.7  % 19.3  3.2  % (1.4) (7.3) %