In December 2021, our management approved a new global restructuring program (the “2021 Restructuring Plan”) intended to further reduce costs and to reorganize our global operations in preparation for the spinoff of ZimVie. The 2021 Restructuring Plan is expected to result in total pre-tax restructuring charges of approximately $220 million. The pre-tax restructuring charges consist of employee termination benefits; contract terminations for sales agents; and other charges, such as consulting fees and project management expenses. The following table summarizes the liabilities recognized related to the 2021 Restructuring Plan (in millions):


	Employee
	Termination			Contract
	Benefits			Terminations			Other			Total
Balance, December 31, 2022	$	10.5		$	25.0		$	3.1		$	38.6
Expenses incurred in the three months ended March 31, 2023		2.4			14.3			1.5			18.2
Cash payments		(2.7	)		(10.4	)		(1.6	)		(14.7	)
Foreign currency exchange rate changes		0.1			0.5			-			0.6
Balance, March 31, 2023	$	10.3		$	29.4		$	3.0		$	42.7

Expense incurred since the start of the 2021 Restructuring Plan	$	55.5		$	66.1		$	28.4		$	150.0

Expense estimated to be recognized for the 2021 Restructuring Plan	$	70.0		$	100.0		$	50.0		$	220.0

In December 2019, our Board of Directors approved, and we initiated, a new global restructuring program (the “2019 Restructuring Plan”) with an objective of reducing structural costs to allow us to further invest in higher priority growth opportunities. The 2019 Restructuring Plan is expected to result in total pre-tax restructuring charges of approximately $350 million to $400 million. The pre-tax restructuring charges consist of employee termination benefits; contract terminations for facilities and sales agents; and other charges, such as consulting fees, project management expenses and relocation costs. The following table summarizes the liabilities recognized related to the 2019 Restructuring Plan (in millions):


	Employee
	Termination			Contract
	Benefits			Terminations			Other			Total
Balance, December 31, 2022	$	28.9		$	9.0		$	6.4		$	44.3
Expenses incurred in the three months ended March 31, 2023		-			-			6.1			6.1
Cash payments		(2.4	)		(1.0	)		(7.2	)		(10.6	)
Foreign currency exchange rate changes		-			-			0.1			0.1
Balance, March 31, 2023	$	26.5		$	8.0		$	5.4		$	39.9

Expense incurred since the start of the 2019 Restructuring Plan	$	108.3		$	35.0		$	140.7		$	284.0

Expense estimated to be recognized for the 2019 Restructuring Plan	$	160.0		$	35.0		$	180.0		$	375.0

For the expense estimated to be recognized for the 2019 Restructuring Plan, we have disclosed the midpoint in our estimated range of expenses.

We do not include restructuring charges in the operating profit of our reportable segments.

In our condensed consolidated statement of earnings, we report restructuring charges in our “Restructuring and other cost reduction initiatives” financial statement line item. We report the expenses for other cost reduction and optimization initiatives with restructuring expenses because these activities also have the goal of reducing costs across the organization. However, since the cost reduction initiative expenses are not considered restructuring, they have been excluded from the amounts presented in this note.