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Stericycle

srcl · NASDAQ Industrials
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Ticker srcl
Exchange NASDAQ
Sector Industrials
Industry Waste Management
Employees 10,000+
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FY2018 Annual Report · Stericycle
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Annual Report

We protect what matters.

2018 ANNUAL REPORT

A Message from Cindy Miller

Dear Fellow Shareholders:
During 2018, Stericycle protected the brands and businesses of our more than one million customers 
worldwide with our compliance services while executing on a multi-year Business Transformation. 
Entering 2019, I am focused on continuing to position the business for the long term, as well as finding 
ways to help us serve our customers better, faster and smarter today. As CEO-elect taking on my new 
role in the year in which Stericycle celebrates its 30th anniversary, I am excited to lead the Company 
during this critical time. 

Adapting to Market Evolution
Stericycle is a great company. We hold a market leading  
position in our core service lines, maintain a vast infrastructure  
unmatched by any of our peers, and enjoy strong, long-term  
partnerships with many of our customers and suppliers.  
However, our business is facing new challenges as the  
markets we serve evolve, and these changes have impacted  
our financial performance. Importantly, we have a  
comprehensive Business Transformation under way to  
improve our results and strengthen our business, as well as  
a refreshed leadership team committed to executing this  
transformation. We are confident these changes will benefit  
our customers, suppliers, team members and, of course,  
our shareholders.

2018 Highlights

Revenue: $3,485 million

Adjusted EBITDA: $744 million

Adjusted EPS: $4.45 

New Leadership to Drive Culture Change
As we prepare the organization for the opportunities that lie ahead, we have appointed new leaders 
to help take us through the journey, including William Seward as Chief Commercial Officer, Richard 
Moore as EVP North America, Joseph Reuter as Chief People Officer, and our CFO Dan Ginnetti will 
transition to become EVP International. Together, the entire leadership team and I are committed to  
transforming Stericycle’s culture to one based on standard processes, data-driven decision-making 
and metrics-based accountability. This shift in culture, supported by technology, will enable our team 
members to more effectively provide solutions to our customers that protect people and brands, 
promote health and safeguard the environment.

Progress on our Business Transformation
As part of the Business Transformation, last year we introduced our plan to implement a global 
enterprise resource planning (ERP) platform. Our ERP platform remains on track for implementation 
in the U.S. and Canada throughout 2020 and internationally throughout 2021. This platform will deliver 
meaningful benefits, including access to more robust and sophisticated real-time data, greater 
efficiencies from streamlined processes, the elimination of redundancies, and improvements to the 
overall customer experience. For 2019, our focus is on the successful completion of the build, test and 
train phases of the ERP platform. 

2018 ANNUAL REPORT

In 2018, we achieved our targets for our Business Transformation initiatives, including $64 million 
in EBITDA savings and the simplification of our portfolio through the divestitures of three non-core 
businesses. In early 2019, we divested a text messaging business in the United Kingdom and are 
continuing to pursue strategic alternatives for our Communications and Related Services business as 
well as other non-core assets.

Strong Business Fundamentals
Much of our confidence in our ability to adapt, evolve and grow is due to our strong fundamentals 
and market outlook for the coming years. Regulatory oversight shows no signs of waning, and the 
market size of our core services is growing. Specifically, medical waste demand continues to grow 
based on the aging population and increasing consumption of healthcare, and secure information 
destruction continues to grow due to increasing concern for data privacy and a continued trend to 
outsource this service. 

Focused on Driving Shareholder Value in 2018 and Beyond
This is a time of positive change for Stericycle. We recognize that there is substantial work to do  
and are confident in our plan to pave the way for a stronger future for Stericycle. 

Together with our more than 22,500 team members who work tirelessly on behalf of our  
customers day in and day out, we look forward to capturing the opportunity before us, driving 
profitable growth across the business, and enhancing shareholder value. Thank you for your 
continued support of Stericycle.

Cindy Miller
President and Chief Operating Officer
Chief Executive Officer Elect

2018 ANNUAL REPORT

Directors and Executive Management

B O A R D   O F   D I R E C T O R S

Robert S. Murley 
Chairman

Charles A. Alutto
Chief Executive Officer

Cindy J. Miller
President and Chief Operating Officer 
Chief Executive Officer Elect

Brian P. Anderson 
Chair – Audit Committee

Lynn Dorsey Bleil 
Chair – Nominating and  
Governance Committee
Member – Compensation  
Committee

E X E C U T I V E   O F F I C E R S

Charles A. Alutto
Chief Executive Officer 

Cindy J. Miller
President and Chief Operating Officer 
Chief Executive Officer Elect

Daniel V. Ginnetti
Executive Vice President and  
Chief Financial Officer

William J. Seward
Executive Vice President and  
Chief Commercial Officer

Thomas D. Brown 
Chair – Compensation Committee 
Member – Nominating and  
Governance Committee 

Thomas F. Chen 
Member – Compensation Committee 

J. Joel Hackney, Jr.
Member – Nominating and  
Governance Committee

Veronica M. Hagen 
Member – Audit Committee 
Member – Nominating and  
Governance Committee

Stephen C. Hooley
Member – Compensation Committee

Mark C. Miller 
Former Chairman  
and Chief Executive Officer

Kay G. Priestly 
Member – Audit Committee

Mike S. Zafirovski 
Member – Compensation Committee 
Member – Nominating and  
Governance Committee

Kurt M. Rogers
Executive Vice President and 
General Counsel

Michael S. Weisman
Executive Vice President and  
Chief Ethics and Compliance Officer

Joseph A. Reuter
Executive Vice President and  
Chief People Officer

Richard M. Moore
Executive Vice President of  
North America

David W. Stahl
Executive Vice President and  
Chief Information Officer

S. Cory White
Executive Vice President of  
Communication and Related Services

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
(cid:3)(cid:3) ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 2018
or
(cid:4)(cid:4) 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
(State or other jurisdiction of incorporation or organization)

36-3640402
(IRS Employer Identification Number)

28161 North Keith Drive
,
Lake Forest, Illinois 60045
(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:

Common stock, par value $.01 per share
(Title of each class)

Nasdaq Global Select Market
(Name of each exchange on which registered)

Securities registered pursuant to Section 12(g) of the Act:     None
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. YES (cid:3)
 NO (cid:4)
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. YES 
(cid:4) NO (cid:3)
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 reports), and (2) has been subject to such filing requirements for the past 90 days. YES (cid:3) NO (cid:4)
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 (cid:3) NO (cid:4)
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and
will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by
reference in Part III of this Form 10-K, or any amendment to this Form 10-K. (cid:4)
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  definition  of  "large  accelerated  filer",  "accelerated
filer" "smaller reporting company," and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer (cid:3)
Smaller reporting company (cid:4)

Accelerated filer (cid:4)
Emerging Growth Company (cid:4)

Non-accelerated filer (cid:4)

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. (cid:4)
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). YES (cid:4) NO (cid:3)
The aggregate market value of voting and non-voting common equity held by non-affiliates computed by reference to the
price at which common equity was last sold as of the last business day of the registrant’s most recently completed second 
fiscal quarter (June 30, 2018): $5,596,897,370.
On February 25, 2019, there were 90,703,162 shares of the Registrant’s Common Stock outstanding.

DOCUMENTS INCORPORATED BY REFERENCE
Information required by Items 10, 11, 12 and 13 of Part III of this Report is incorporated by reference from the Registrant’s 
definitive Proxy Statement for the 2019 Annual Meeting of Stockholders to be held on May 22, 2019.

Table of Contents

PART I.

Item 1.  Business

Item 1A.  Risk Factors

Item 1B.  Unresolved Staff Comments

Item 2.  Properties

Item 3.  Legal Proceedings

Item 4.  Mine Safety Disclosures

PART II.

Item 5.  Market Price for Registrant's Common Equity, Related Stockholder Matters and Issuer 

Purchase of Equity Securities

Item 6.  Selected Financial Data

Item 7.  Management's Discussion and Analysis of Financial Condition and Results of 
Operations

Item 7A.  Quantitative and Qualitative Disclosures about Market Risk

Item 8.  Financial Statements and Supplementary Data

Item 9.  Changes in and Disagreements with Accountants on Accounting and Financial
Disclosure

Item 9A.  Controls and Procedures

Item 9B.  Other Information

PART III.

Item 10.  Directors, Executive Officers and Corporate Governance

Item 11.  Executive Compensation

Item 12.  Security Ownership of Certain Beneficial Owners and Management and Related
Stockholder Matters

Item 13.  Certain Relationships and Related Transactions, and Director Independence

Item 14.  Principal Accountant Fees and Services

PART IV.

Item 15.  Exhibits and Financial Statement Schedules

Item 16.  Form 10-K Summary

SIGNATURES

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PART I

PART I

Disclosure Regarding Forward-Looking Statements

Unless the context requires otherwise, the “Company”, “Stericycle”, we," "us" or "our" refers to Stericycle, 
Inc., a Delaware corporation, and its subsidiaries on a consolidated basis.

This  document  may  contain  forward-looking  statements  that  involve  risks  and  uncertainties,  some  of 
which  are  beyond  our  control  (for  example,  general  economic  and  market  conditions).    In  particular,
statements  pertaining  to  our  acquisition  activity,  business  transformation,  future  dividend  policy,  capital 
expenditures,  cost  savings  initiatives  and  remediation  efforts  with  respect  to  identified  material 
weaknesses  contain  forward-looking  statements.      When  we  use  words  such  as  "believes,"  "expects," 
"anticipates,"  "estimates"  or  similar  expressions,  we  are  making  forward-looking  statements.    Actual
results could differ significantly from the results described here.  Factors that could cause such differences 
include  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 ERP or execute on Business Transformation initiatives and achieve the anticipated benefits 
and cost savings, charges related to the portfolio rationalization strategy or the failure of this strategy to
achieve  the  desired  results,  failure  to  consummate  a  strategic  alternative  transaction  with  respect  to 
Communication  and  Related  Services  or  other  non-core  businesses,  potential  charges  related  to  a
strategic alternative transaction with respect to Communication and Related Services, or the failure of any
such  transaction  to  achieve  desired  results,  the  obligations  to  service  substantial  indebtedness  and
comply with the covenants and restrictions contained in private placement notes and credit agreements,
political, economic, inflationary, currency and other risks related to our foreign operations, the outcome of 
pending  or  future  litigation  including  litigation  with  respect  to  the  U.S.  Foreign  Corrupt  Practices  Act, 
changing  market  conditions  in  the  healthcare  industry,  competition  and  demand  for  services  in  the
regulated  waste  and  secure  information  destruction  industries,  changes  in  the  demand  and  price  for
recycled paper, failure to maintain an effective system of internal control over financial reporting, delays in 
implementing remediation efforts with respect to existing material weakness, identification of additional 
material  weaknesses,  failure  of  current  remediation  efforts  to  address  existing  material  weaknesses,
disruptions in or attacks on information technology systems, as well as other factors described in filings
with  the  U.S.  Securities  and  Exchange  Commission,  including  this  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.    To  the  extent  permitted  under  applicable  law,  we  make  no
commitment to disclose any subsequent revisions to forward-looking statements.

2018 10-K Annual Report

Stericycle, Inc.  •  3

PART I

Item 1. Business

Overview

Services

Incorporated in 1989, Stericycle is a multinational business-to-business services provider with a focus on
regulated  and  compliance  solutions.  Our  core  purpose  is  to  help  our  customers  fulfill  their  promise  by
providing  solutions  that  protect  people  and  brands,  promote  health  and  safeguard  the  environment. 
Over  our  nearly  30-year  history,  Stericycle  has  developed  the  scale,  expertise  and  experience  to  handle
many complicated and often behind-the-scenes services that allow our more than one million customers 
to focus on running their business.  As of December 31, 2018, we served customers in all 50 states of the 
United States (“U.S.”), Puerto Rico, and in 21 other countries.

We are one of the leading providers in our service lines, which include:

Service line

Revenue Service Categoryg y

Medical waste management services
(including reusable sharps disposal
management services)

Pharmaceutical waste services

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

Medical Waste and Compliance
Solutions

Medical Waste and Compliance
Solutions

Medical Waste and Compliance
Solutions

Hazardous waste management 
services

Retail and Healthcare - Medical 
Waste and Compliance Solutions

Industrial - Manufacturing and
Industrial Services

Secure Information Destruction
Services

Communication and Related Services

Communication and Related Services

Secure information destruction
(including document and hard drive
destruction services)

Live voice and automated
communication services including
afterhours answering, appointment 
scheduling, appointment reminders, 
secure messaging, and event 
registration

Regulated recall and returns
management communication, 
logistics, and data management
services for expired, withdrawn or 
recalled products

2018 10-K Annual Report

Stericycle, Inc.  •  4

PART I

Operations for our full portfolio of services are established in the U.S., Canada, Ireland, the Netherlands,
and Spain.  We offer all of our services, except for hazardous waste management, in the United Kingdom
(“U.K.”).  Only regulated waste operations are in Argentina, Brazil, Chile, Japan, Mexico, Portugal, Republic
of  Korea,  and  Romania.    Only  secure  information  destruction  services  are  provided  in  Australia,  Austria, 
Belgium,  France,  Germany,  Luxembourg,  and  Singapore.    Secure  information  destruction  services  under 
the  Shred-it®  brand  are  also  provided  in  the  United  Arab  Emirates  through  a  joint  venture  with  the 
Company’s portion of income reported as an equity investment.

Our worldwide network includes leased and owned properties which include the following:

307

Transfer
Sites

251

Processing
Facilities

14

Communication
Centers

67

Office 
Locations

2

Landfill
Locations

2018 10-K Annual Report

Stericycle, Inc.  •  5

PART I

We  are  currently  headquartered  in  Lake  Forest,  Illinois  but  have  recently  executed  a  lease  for  a  new
headquarters in Bannockburn, Illinois, which we expect to occupy beginning in 2019.

Customers

Our  broad  offering  of  services  appeals  to  a  wide  range  of  small  and  large  business  customers.    The
majority of our customers are healthcare businesses (hospitals, physician, and dental practices, outpatient
clinics,  long-term  care  facilities,  etc.).    We  also  provide  services  to  retailers,  manufacturers,  financial 
services providers, professional services providers, governmental entities, and other businesses.

We  serve  customers  in  all  50  U.S.  states,  Puerto  Rico,  and  21  other  countries  worldwide.    No  single
customer  accounts  for  more  than  1.1%  of  our  total  revenues,  and  our  top  ten  customers  collectively
account for approximately 6.3% of total revenues.  We provide service to the majority of our customers
under multi-year contracts.  Although we generally have several standard contracts, terms vary depending 
upon the customer’s service requirements, types of services, and geographies.

Segments

Our three operating segments are:
(cid:129) Domestic and Canada Regulated Waste and Compliance Services (“Domestic and Canada RCS”)
(cid:129) International Regulated Waste and Compliance Services (“International RCS”)
(cid:129) Domestic Communication and Related Services (“Domestic CRS”)

Revenues  by  service  for  each  of  the  operating  segments  for  the  years  ended  December  31,  2018,  2017, 
and 2016, respectively were as follows:

In millions

Domestic and Canada RCS
Medical Waste and Compliance Solutions
Secure Information Destruction Services
Manufacturing and Industrial Services
Communication and Related Services (Canada only)

Total

International RCS
Medical Waste and Compliance Solutions
Secure Information Destruction Services
Manufacturing and Industrial Services
Communication and Related Services

Total

Domestic CRS
Communication and Related Services

$

$

$

$

$

2018

Years ended December 31,
2017

2016

1,496.1
778.3
270.4
29.3
2,574.1

436.5
132.7
58.8
27.1
655.1

$

$

$

$

1,538.5
704.9
275.0
33.5
2,551.9

485.1
118.5
76.1
27.9
707.6

$

$

$

$

1,548.0
634.7
294.3
31.8
2,508.8

515.0
112.8
87.1
36.8
751.7

256.7

$

321.2

$

301.8

2018 10-K Annual Report

Stericycle, Inc.  •  6

PART I

Domestic  CRS  does  not  consistently  meet  the  quantitative  criteria  to  be  a  separate  reportable  segment
and therefore is included in the “All Other” reporting segment along with costs related to our corporate 
headquarters and shared services functions.

Item  7. 
Financial  and  other  information  related  to  our  reporting  segments  is  included  in  Part  II,
Management’s Discussion and Analysis of Financial Condition and Results of Operations and Part II, Item 8. 
Financial Statements and Supplementary Data; Note 17 - Segment Reporting.

Our Business Model

Regulated Business-to-Business Operations

We focus on providing business-to-business services in areas of operations that are highly regulated.  By 
helping  our  customers  maintain  compliance  with  complex  regulations,  we  protect  people  and  brands,
promote  health,  and  safeguard  the  environment.    Governmental  legislation  and  regulation  increasingly
requires  the  proper  handling  and  disposal  of  items  such  as  medical  waste,  hazardous  waste,
pharmaceutical  waste,  and  personal  confidential  information.    Regulated  waste  can  be  defined  as  any
material with government-imposed guidelines for handling the material for transportation or disposal.
(cid:129) Medical  waste,  such  as  needles,  syringes,  gloves,  cultures,  and  potentially  infectious  agents,  blood 

and blood products, can potentially cause an infectious disease.

(cid:129)

(cid:129) Hazardous  waste  is  designated  and  governed  by  federal  and  local  environmental  protection 
agencies.  It  generally  includes  waste  that  is  considered  dangerous  or  potentially  harmful  to  our
health or the environment during transportation and disposal.
Pharmaceutical  waste  may  be  hazardous  or  nonhazardous  and  consists  of  expired,  recalled,  or
otherwise unused pharmaceuticals.
Personal confidential information includes documents and e-media containing protected healthcare
information, financial information, or other confidential information.

(cid:129)

Small Customers with Recurring Service Needs

We  also  focus  on  serving  smaller  businesses  which  often  have  an  even  greater  need  for  support  with 
compliance matters because they tend to lack the specialized staff that is found at larger businesses.  With
a  small  business,  regulatory  and  compliance  matters  are  often  managed  by  a  business  owner,  office 
manager,  or  facility  supervisor  who  manage  multiple  functions  for  the  organization  and  often  lack  the
time and resources to properly investigate and comply with a wide range of regulations that may impact 
their operations.

Organic Growth from New Customers and Additional Services 

As  a  leading  provider  of  regulated  and  compliance  solutions,  we  continue  to  focus  on  enhancing  our
service offerings and platforms to exceed customer expectations.  We have developed a strong and loyal
customer  base,  with,  we  believe,  a  revenue  retention  rate  of  approximately  90%  (based  on  our  internal 
customer  attrition  analysis)  and  have  been  able  to  leverage  these  customer  relationships  to  provide
additional  services.    Our  growth  strategy  focuses  on  securing  new  customer  relationships  and  selling
additional services to existing customers.

2018 10-K Annual Report

Stericycle, Inc.  •  7

PART I

Growth through Acquisition

The  various  regulated  waste  and  compliance,  including  secure  documentation  destruction,  services  that
we provide tend to be in highly fragmented industries.  We have proven that acquisitions are a steady and
efficient  way  to  scale  operations,  build  critical  customer  density  for  transportation  and  treatment 
operations,  and  enter  new  markets  or  geographies,  as  well  as  provide  opportunity  to  introduce  our
additional  services  to  the  acquired  customers.    In  our  early  history,  acquisitions  were  a  key  strategy  to 
rapidly building our customer base and route density in the United States.  We have been able to expand
internationally through acquisition and now serve customers in 20 international markets outside the U.S. 
Stericycle has completed over 500 acquisitions, with 21, completed during 2018. We expect to continue 
our  acquisition  strategy,  remaining  focused  on  small,  highly  accretive,  tuck-in  acquisitions  that  broaden
our various service capabilities while creating value for our shareholders.

Business Transformation

Stericycle is focused on driving long-term growth and profitability and delivering enhanced shareholder 
value.    As  part  of  our  business  strategy,  in  the  third  quarter  of  2017,  we  initiated  a  comprehensive
multiyear  Business  Transformation  with  the  objective  to  improve  long-term  operational  and  financial
performance.    The  Business  Transformation  is  based  on  a  strategic  vision  to  build  a  best-in-class
enterprise  performance  management  (“EPM”)  operating  model  and  includes  streamlining  our  portfolio, 
realigning our processes and organizational structure to drive efficiency, and implementing an enterprise
resource planning (“ERP”) system. 

Key initiatives of the Business Transformation include:

(cid:129) Portfolio  Rationalization:   Executing  on  a  comprehensive  review  of  the  Company’s  global  service 

lines to identify and pursue the divestiture of non-strategic assets.

(cid:129) Operational Optimization:  Standardizing route planning logistics, modernizing field operations, and 

driving network efficiency across facilities.

(cid:129) Organizational  Excellence  and  Efficiency:    Redesigning  the  Company’s  organizational  structure  to

optimize resources and align around a global shared business services model.

(cid:129) Commercial  Excellence:    Aligning  our  sales  and  service  organizations  around  the  customer,
standardizing  our  customer  relationship  management  process,  and  expanding  customer  self-service 
options.

(cid:129) Strategic  Sourcing:    Reducing  spend  through  global  procure-to-pay  processes  and  leveraging

organizational scale.

Execution  of  the  Business  Transformation  began  in  2017  with  the  identification  and  validation  of  key
transformational opportunities as well as an organizational restructuring which occurred during the fourth
quarter  of  2017.    Execution  of  the  Business  Transformation  is  expected  to  continue  with  the
implementation of an enterprise resource planning system in the U.S. and Canada during 2020 followed
by the international rollout beginning in 2021.

On  August  2,  2018,  we  announced,  as  part  of  the  Portfolio  Rationalization  strategy  within  Business
Transformation  that  we  are  pursuing  strategic  alternatives  for  the  recall  and  communications  services 
which are non-core Communication & Related Services business (“CRS”), demonstrating our commitment

2018 10-K Annual Report

Stericycle, Inc.  •  8

PART I

to streamlining our portfolio.  The process, which is being conducted with the assistance of financial and 
legal  advisers,  is  considering  a  range  of  strategic  alternatives  for  CRS,  with  a  focus  on  pursuing  the
outcome that will drive the most value for Stericycle shareholders.

Refer  to Item  7.  Management’s  Discussion  and  Analysis  of  Financial  Condition  and  Results  of  Operations 
and Item 8. Financial Statements and Supplementary Data; Note 4 – Restructuring, Divestitures, and Assets
Held For Sale.

Market Size and Growth Potential

We provide a wide range of services across multiple market segments and industries.  Based on various
industry studies and management’s estimates, we estimate the size of the global market for the services 
we provide, in the geographies where we currently operate is approximately $38 billion (including global 
markets with established regulatory frameworks for medical waste plus global markets in which Stericycle 
operates  for  hazardous  waste,  information  destruction  and  communication  services.    Growth  in  this
industry in which we operate is driven by a number of factors, including:

• Aging Population:  The average age of the population in the countries where we operate is rising.  As
people age, they typically require more medical attention and a wider variety of tests, procedures, and
medications, leading to an increase in the quantity of regulated medical waste, hazardous waste, and 
pharmaceutical  waste,  as  well  as  an  increase  in  confidential  healthcare  records  requiring  secure 
destruction.

• Pressure to Reduce Healthcare Costs While Improving Outcomes:  The healthcare industry is under 
pressure to reduce costs and at the same time improve healthcare outcomes for patients served.  By 
outsourcing  services  not  directly  tied  to  the  delivery  of  healthcare  services,  these  organizations  can 
potentially  reduce  costs  and  improve  staff  efficiencies.    By  leveraging  third  party  experts,  healthcare 
organizations may also limit their potential liability for regulatory compliance.

• Enforcement  of  Waste  Regulations:    Enforcement  of  regulations  relating  to  the  management  of 
regulated  waste  is  increasing.    Penalties  for  violations  can  be  costly  and  high  profile,  thereby 
impacting a business’ overall reputation.  Greater enforcement combined with higher penalties results
in  more  compliance  and  a  corresponding  increase  in  potential  customers.    We  believe  that  many
businesses are unaware either of the need for proper training of employees or of applicable regulatory
requirements.

• Increased  Business  Focus  on  Sustainability:    Businesses  large  and  small  are  continuing  to  realize
that  a  focus  on  sustainability  is  now  essential  to  operating  efficiently  and  meeting  the  increasing
demands of customers for environmental responsibility.  Such pressures are driving proper disposal of 
pharmaceuticals, recycling efforts, creative disposal efforts for unused inventory, shred-all policies for 
paper, and other initiatives supported by our services.

• Regulation of Privacy and Information Security and Concerns over Data Breaches:  The continued 
development and growth of the secure information destruction industry has been driven, in part, by 
the  need  for  compliance  with  increasing  government  regulation  with  respect  to  privacy  and 
information  security.    These  regulations  take  different  forms,  with  some  requiring  organizations  to
establish  reasonable  measures  to  protect  against  loss,  theft  and  unauthorized  access,  use  and 
disclosure,  and  others  imposing  data  retention  requirements  that  require  businesses  to  destroy  or 
render anonymous personal information when it’s no longer required for a legal or legitimate business

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purpose.    Secure  information  destruction  services  are  increasingly  a  standard  measure  that
organizations use to meet their legal safeguarding and retention requirements.

• Market  Expansion  Due  to  Increased  Outsourcing:    With  regard  to  secure  information  destruction
services and communication services, we believe significant market growth will come from increased
reliance  on  outsourced  service  providers.    Many  small  businesses  currently  do  not  use  services  or 
manage  these  needs  with  internal  resources  and  solutions.    Opportunity  exists  to  convert  these 
businesses as the trend to outsource support services continues.

Competitive Strengths

We believe that we benefit from the following competitive strengths, among others:

• Strong  Service  Relationships  with  Customers:    We  offer  our  customers  necessary  services  which
require  routine  access  to  their  facilities,  operating  information,  or  customer  data.    This  relationship, 
supported  by  a  history  of  strong  service,  allows  us  access  to  decision  makers  to  offer  additional 
opportunities.

• Long-term Contracts:  The majority of services we provide involve long-term contracts that are often 

renewed.

• Established  Network  of  Processing  and  Transportation  Locations  in  Each  Country:    We  believe
that our infrastructure network results in an efficient operation with alternate treatment or destruction 
options  for  our  customers.    The  scale  of  our  network  also  provides  us  the  ability  to  be  the  single-
source provider for customers with multiple locations across the country and gives us the flexibility to 
quickly  redirect  services  or  operations  to  another  location  if  the  need  arises  due  to  severe  weather, 
power outages, or other disruptions.

• Routing  Logistics:    Within  our  logistics-based  services  lines,  we  maintain  a  vast  transportation 
network that is focused on route efficiency.  This advantage has been built from a deliberate focus on
route  density  and  technological  investments  to  optimize  routing  at  both  the  individual  truck  and
geographic  market  level.    Our  Business  Transformation  and  ERP  implementation  will  improve  our
routing efficiencies by providing the opportunity to leverage our infrastructure across services lines.  

• Industry Leadership and Expertise:  Based on our infrastructure and revenues, we maintain a global
leadership  position  across  our  various  services  lines,  including  regulated  medical  waste,  retail  and 
healthcare  hazardous  waste,  secure  information  destruction,  and  product  recalls  and  returns.    We
attract and retain highly experienced team members who have a deep understanding of the industries
they serve, the regulatory climate, and the evolving needs of the customers we serve.  We collaborate
regularly  with  a  wide  range  of  stakeholders  and  interest  groups.  We  proactively  work  with 
organizations  like  the  CDC,  DEA,  OSHA,  EPA,  and  many  other  government  and  regulatory  bodies,
including  law  enforcement.    Our  experts  are  frequent  speakers  at  hospital  networks,  industry  trade
associations, and actively engage in numerous community meetings each year.

• Secure Management of Information for Destruction:  With the acquisition of Shred-it, Stericycle is
the  global  leader  in  secure  information  destruction.    Our  processes  for  managing  information  for
destruction meet or exceed the requirements of the National Association for Information Destruction
(“NAID”)  AAA  Certification  and  support  our  customers’  requirements  to  comply  with  the  Gramm-
Leach-Bliley  Act  (“GLBA”),  the  Fair  and  Accurate  Credit  Transaction  Act  (“FACTA”),  and  Health
Insurance  Portability  and  Accountability  Act  (“HIPAA”)  Privacy  Rules  in  the  U.S.,  the  General  Data 

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Protection  Regulation  (“GDPR”)  covering  the  European  Union  (“EU”),  and  other  data  security
regulations abroad.

• Broad Range of Services:  We leverage our expertise in specialty waste and compliance to offer our
  Offering  multiple  services  reduces
customers  a  broad  range  of  complementary  services. 
administrative  burden  for  our  customers  as  fewer  vendors  are  required.    Additionally,  we  believe 
loyalty among customers is stronger when more than one service is leveraged.

Regulated Waste and Compliance Service Operations

Collection and Transportation

The collection process for regulated waste streams begins at the customer location with segregation.  To
assure  regulatory  compliance,  we  will  not  accept  material  from  customers  unless  it  complies  with  our
waste acceptance protocols and is properly stored or packaged in containers that we have either supplied 
or approved.

Our fleet of vehicles then collects containers at the customer location.  The majority of collected waste is 
then  transported  directly  to  one  of  our  processing  facilities  or  to  one  of  our  transfer  stations  until  it’s 
transported  to  a  processing  facility.    Our  use  of  transfer  stations  in  a  "hub  and  spoke"  configuration
improves the efficiency of our collection and transportation operations by expanding the geographic area
that  a  particular  processing  facility  can  serve,  thereby  increasing  the  utilization  of  the  facility  and  the 
volume of waste that it processes.

Processing

Site

Transfer Site

Customer

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Processing and Disposal of Regulated Medical Waste

Upon  arrival  at  a  processing  facility,  containers  or  boxes  of  regulated  waste  undergo  a  quality  control
process  to  verify  that  they  do  not  contain  any  unacceptable  substances.  Any  container  or  box  that  is
discovered to contain unacceptable waste goes through a corrective action process which could include
redirecting  the  waste,  returning  the  waste  to  the  customer,  and/or  notifying  the  appropriate  regulatory 
authorities.  From  there,  regulated  medical  waste  is  processed  using  one  of  several  treatments  or
processing technologies, predominantly at one of our wholly-owned facilities:

• Autoclaving:  Autoclaving is the primary method of medical waste treatment.  This process relies on

steam at high temperature and pressure to kill pathogens and render materials non-infectious.

• Alternative Technologies:  We use a number of different non-incineration alternatives to autoclaves,
predominantly  outside  of  the  U.S.    The  processes  used  by  these  technologies  are  similar,  as  the 
regulated waste is heated to a specified temperature for a required time to kill the pathogens.  This is
not always under pressure.  Depending on local requirements, the waste may be shredded before or 
after treatment to render it unrecognizable.

• Incineration:    Incineration  burns  regulated  waste  at  elevated  temperatures  and  reduces  it  to  ash.
Incineration reduces the volume of waste, and it is the recommended treatment and disposal option
for some types of regulated waste such as anatomical waste, residues from chemotherapy procedures, 
and  non-hazardous  pharmaceutical  waste.    Air  emissions  from  incinerators  can  contain  certain
byproducts  that  are  subject  to  federal,  state,  and  in  some  cases,  local  regulation.    In  some
circumstances, the ash byproduct of incineration may be regulated.

Upon completion of the particular treatment process, the resulting waste or incinerator ash is transported 
for  disposal  in  a  landfill  owned  by  unaffiliated  third  parties.    In  some  countries,  where  permitted  by 
regulation, the treated waste is recovered, including recovery as fuel in waste-to-energy processes.

Processing and Disposal of Hazardous Wastes

Our technicians receive hazardous wastes either as expired goods requiring deconstruction or as defined 
hazardous wastes.  Expired goods are deconstructed to recover metals and plastics for recycling thereby 
minimizing the total volume of waste disposed of as hazardous waste.  Materials that are predefined as
hazardous upon collection are bulked together or consolidated at treatment storage and disposal facilities 
for more efficient transport to the final disposal or processing destination.  Whenever possible, we seek
sustainable  solutions  for  managing  materials  including  alternative  uses,  recovery  processes,  recycling
options, fuel blending, or energy recovery.  When sustainable options do not exist, these wastes are sent 
to third parties for incineration, landfill or water treatment.

Destruction and Recycling of Secure Information

If  not  shredded  on  site  in  a  Shred-it®  truck  with  proprietary  information  destruction  technology, 
documents are sent to a shredding facility for secure destruction.  Documents are cross-cut shredded and
then baled to be sold as sorted office paper (“SOP”) for recycling.

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Communication and Related Services Overview

Our  Communication  Solutions  service  line  provides  a  broad  range  of  live  voice  and  automated  service 
offerings to assist our clients in delivering a best in class communications stream with their patients and 
customers.    Our  team  serves  as  a  client  representative  providing  answering  services,  appointment
scheduling,  appointment  reminders,  event  registration,  and  other  necessary  communications.    Providing 
these  solutions  requires  sophisticated  information  management  systems  to  redirect  calls,  store  and 
quickly  retrieve  live  voice  protocols  or  client  data,  send  automated  communications,  or  provide  easily 
accessible reporting and activity details to our customers.  Beyond the information management system 
infrastructure,  call  center  staffing  and  proper  education  levels  are  critical  to  our  success.    We  leverage
sophisticated workflow analysis and staffing tools to ensure appropriate resources are in place in order to 
handle call volumes quickly and consistently across our multiple call centers during peak volumes.

Our Expert Solutions service line specializes in partnering with automotive, food/beverage, medical device,
pharmaceutical,  consumer  goods  manufacturers,  and  retailers  to  support  them  through  critical  recalls,
retrievals,  or  audit  processes  to  ensure  brand  protection.    Services  could  include  notification  services  to 
impacted customers, call center services to support a recall or retrieval, removing impacted product from
distribution, processing recalled product and supporting remedy requirements, and compliance reporting. 
These solutions are highly customized based on the product being recalled or retrieved and the specific
needs of the client.

Competition

The industries and markets in which we operate are highly competitive, and barriers to entry are low.  Our
competitors  consist  of  many  different  types  of  service  providers,  including  national,  regional,  and  local 
companies.  In the regulated waste and secure information destruction industries, another major source of 
competition  is  on-site  management.    For  regulated  medical  waste,  some  large-quantity  generators, 
particularly hospitals, may choose an onsite autoclave or other treatment process.  For secure information
destruction, many businesses may choose to use small, on-site shredders for their documents.  Similarly,
customers could handle recalls or communication needs internally.

In addition, we face potential competition from businesses that are attempting to commercialize a wide
range of technologies that directly or indirectly reduce the need for regulated medical waste, hazardous 
waste or secure information destruction services.

Governmental Regulation

The  regulated  medical  waste,  hazardous  waste,  secure  information  destruction,  and  recall  industries  are 
subject  to  numerous  regulations.    In  many  countries  there  are  multiple  regulatory  agencies  at  the  local
and national level that affect our customers or our services.  This regulatory framework imposes a variety 
of  compliance  requirements,  including  requirements  to  obtain  and  maintain  government  permits.    We 
maintain  numerous  governmental  permits,  registrations,  and  licenses  to  conduct  our  business  in  the 
jurisdictions in which we operate.  Our permits vary by jurisdiction based upon our activities within that 
jurisdiction  and  on  the  applicable  laws  and  regulations  of  that  jurisdiction.    These  permits  grant  us  the 
authority, among other things:

(cid:129) to construct and operate collection, transfer, and processing facilities;

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(cid:129) to transport regulated waste within and between relevant jurisdictions; and
(cid:129) to handle particular regulated substances.

Our  permits  may  be  subject  to  modification  or  revocation  by  the  issuing  authority  and,  in  some 
jurisdictions, are subject to periodic renewal.  Periodic renewals may be subject to public participation and 
can lead to additional regulatory oversight.  We are also subject to regulations that govern the definition,
generation,  segregation,  handling,  packaging,  transportation,  treatment,  storage  and  disposal  of 
regulated  waste.    In  addition,  we  are  subject  to  extensive  regulations  to  ensure  public  and  employee
health and safety at the federal, state and local levels.

U.S. Federal and Foreign Regulation

We  are  subject  to  substantial  regulations  enacted  and  enforced  by  the  U.S.  government  and  by  the 
governments  of  the  foreign  jurisdictions  in  which  we  conduct  regulated  waste  and  secure  information 
destruction operations.  The regulatory requirements with which we must comply vary from jurisdiction to 
jurisdiction.  The laws governing our domestic and international operations generally consist of statutes, 
legislation,  and  regulations  concerning  environmental  protection,  employee  health  and  welfare,
transportation,  the  use  of  the  mail,  ethical  business  conduct,  and  proper  handling  and  management  of 
regulated waste streams, controlled substances, and personal and confidential information.

Environmental Protection

Certain service lines within our business are subject to extensive and evolving environmental regulations
in  all  of  the  geographies  in  which  we  operate.    Generally,  the  environmental  laws  we  are  subject  to
regulate the handling, transporting, and disposing of hazardous and non-hazardous waste, the release or
potential release of hazardous substances into the environment, the discharge of pollutants into streams, 
rivers, groundwater, and other surface waters, and the emission of pollutants into the air.  The principal 
environmental laws that govern our operations in the U.S. are state environmental regulatory agencies as
they  provide  the  specific  legislative  and/or  regulatory  frameworks  which  require  the  management  and
treatment of regulated medical waste.  Additionally, the Resource Conservation and Recovery Act of 1976 
("RCRA"),  the  Comprehensive  Environmental  Response,  Compensation  and  Liability  Act  of  1980 
("CERCLA"), and the Clean Air Act of 1970 are the federal regulations that affect management of certain 
aspects of regulated medical waste and all RCRA hazardous wastes.  CERCLA and state laws similar to it
may impose strict, joint and several liabilities on the current and former owners and operators of facilities 
from which release of hazardous substances has occurred and on the generators and transporters of the
hazardous substances that come to be located at these facilities.  The 10 incinerators we currently operate
in  the  U.S.  must  comply  with  the  emissions  standards  imposed  by  the  applicable  states  permitting 
authorities pursuant to regulations promulgated under the Clean Air Act as well as state and/or municipal 
waste permit requirements.

Examples of environmental laws applicable to our international operations include the Waste Framework
Directive,  Environmental  Liabilities  Directive,  Industrial  Emissions  Directive  and  the  Shipments  of  Waste 
Regulations in the EU, Ley 154 (Residuos Patogenicos) in Argentina, Lei 12.305/2010 (Lei Ordinária) Institui
A  Política  Nacional  De  Resíduos  Sólidos  in  Brazil,  and  the  Canadian  Environmental  Protection  Act  and
related regulations in Canada.  Additional environmental laws at the federal and/or local levels apply to
regulated waste management in other markets in which we conduct business.

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PART I

Employee Health and Welfare

We are subject to numerous regulations promulgated to protect and promote worker health and welfare
through the implementation and enforcement of standards designed to prevent illness, injury and death 
in the workplace.  The primary U.S. federal laws relating to employee health and welfare applicable to our
business  are  in  the  Occupational  Safety  and  Health  Act  of  1970  ("OSHA"),  which  establishes  specific
employer  responsibilities  including  engineering  controls,  administrative  controls,  training,  policies  and
programs  complying  with  the  regulations,  and  recordkeeping  and  reporting,  all  in  an  effort  to  ensure  a 
safe workplace.  Various OSHA standards apply to almost all aspects of our operations and govern such 
matters  as  exposure  to  blood-borne  pathogens,  hazard  communication,  personal  and  protective 
equipment.

Examples  of  employee  health  and  welfare  laws  applicable  to  our  international  operations  include  the
European  Framework  Directive  on  Safety  and  Health  at  Work  (Directive  89/391  EEC),  and  various 
provisions  of  the  Canada  Labour  Code  and  related  occupational  safety  and  health  regulations  in  the
provinces and territories of Canada.

Transportation

Various laws regulating the transportation of waste and other potentially hazardous materials also apply 
to  the  services  we  provide.    In  the  U.S.,  the  Department  of  Transportation  ("DOT")  has  promulgated
regulations  which  deal  with  two  different  aspects  of  transportation:  hazardous  materials  transport  and 
safety  in  transportation.    These  regulations  are  defined  within  the  Pipeline  Hazardous  Materials  Safety
Administration ("PHMSA") and the Federal Motor Carrier Safety Administration ("FMCSA").  These federal
requirements plus additional state requirements are closely monitored internally.  Due to our fleet size we
are  regularly  subject  to  road  side  inspections.    These  inspections  have  a  cumulative  effect  on  our
compliance history and require us to remain in good standing so as not to jeopardize our permits.

Examples  of  transportation  laws  applicable  to  our  international  operations  include  the  Directive  on  the 
Inland  Transportation  of  Dangerous  Goods  in  the  EU  and  the  Transport  of  Dangerous  Goods  Act  and
related  regulations  in  Canada,  and  globally  the  International  Maritime  Dangerous  Goods  Code  and  the 
IATA Dangerous Goods Regulations.

Document Management

Numerous  laws  and  regulations  require  proper  protection  of  confidential  customer  information  by
business parties that have access to such information.  In the U.S., the most commonly cited regulations 
include  the  Fair  and  Accurate  Credit  Transaction  Act  (“FACTA”)  Final  Disposal  Rule,  the  FACTA  Red  Flag 
Rule,  the  Health  Insurance  Portability  and  Accountability  Act  (“HIPAA”)  Privacy  Rule,  and  the  Gramm-
Leach  Bliley  Act  (“GLBA”).    Furthermore  the  General  Data  Protection  Regulation  (“GDPR”)  provides  the 
framework for data privacy and data protection for companies that conduct business in Europe.

For  the  transportation  of  secure  information  for  destruction,  we  are  regulated  by  the  U.S.  DOT  as  a 
commercial motor carrier.  The processes for the destruction of secure information destruction processes
are  not  regulated  by  any  government  agency.    However,  the  National  Association  of  Information
Destruction (“NAID”) maintains a certification to ensure that destruction processes support the needs of 
organizations  to  meet  laws  and  regulations  relating  to  the  protection  of  confidential  information.    We 
currently hold the NAID AAA Certification for our operations in North America.  Further, the Payment Card

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Industry  ("PCI")  Security  Standards  Council  has  developed  Data  Security  Standards  which  are  imposed
upon merchants utilizing credit cards and require destruction of documents and media in accordance with 
their standards.

Ethical Business Conduct

Various international regulations governing ethical business practices apply to our business, including but
not limited to, the U.S. Foreign Corrupt Practices Act (“FCPA”), the U.K. Bribery Act (“Bribery Act”), and the 
Brazilian Clean Companies Act.  These laws may apply to our business on both a global and local basis,
and  ban  unethical  behavior  such  as  the  payment  of  bribes  to  government  officials  for  the  purpose  of 
gaining  an  improper  business  advantage,  improper  maintenance  of  our  books  and  records,  as  well  as
other financial transparency requirements.

Use of the Mail in the U.S.

The United States Postal Service ("USPS") has its own set of specific regulations defined in Publication 52 
which governs the use of the postal system for mailing of hazardous, restricted and perishable materials. 
More specifically, mailback management offerings for sharps, medical waste, and pharmaceutical wastes,
require us to obtain and maintain authorization permits from the USPS.  We have obtained permits from
the  USPS  to  conduct  our  "mail-back"  programs  which  provide  a  convenient  service  for  customers  who
need such a service with approved containers for "sharps" (needles, knives, broken glass, and the like) or 
other regulated wastes to be sent directly to a treatment facility.

Controlled Substances

Our service offerings for the recall, return and/or destruction of controlled substance pharmaceuticals are 
subject to numerous laws and regulations under various international federal agencies, such as the Drug
Enforcement Administration ("DEA") in the U.S. and the Home Office Drugs and Firearm Licensing Unit in
the U.K.  These regulations apply to both the closed loop management of controlled substances as well as 
the return of unused controlled substances from consumers.  These regulations typically require facilities 
to  obtain  a  controlled  substance  registration  in  addition  to  other  pharmaceutical  licenses  and  meet 
certain criteria in order to collect, process, and dispose of controlled substances.  These regulations have 
very  strict  requirements  for  the  management  of  employees,  the  type  of  security  within  facilities, 
recordkeeping, and the reporting of all controlled substances managed at the facility.  Much like our other
permitting, the registration must be updated regularly and subjects us to inspection and enforcement.

U.S. and Foreign Local Regulation

We  conduct  business  in  all  50  U.S.  States  and  Puerto  Rico.    Because  the  U.S.  EPA  does  not  promulgate
regulations for regulated medical waste at a national level, each state has its own regulations related to
the  handling,  treatment,  and  storage  of  regulated  medical  waste.    Many  states  have  followed
requirements similar to the Medical Waste Tracking Act of 1988 or have placed medical waste regulations
under  solid  waste  regulations.    Hazardous  waste  in  the  U.S.  is  regulated  under  the  RCRA.    In  addition, 
certain  states  may have their own regulations  for  handling, treatment and storage of hazardous wastes.  
Regulated  garbage  (sometimes  referred  to  as  “APHIS  waste”  taken  from  the  Animal  Plant  and  Health 
Inspection Service) is another area of regulatory requirements we are subject to pursuant to regulations 
promulgated  by  the  U.S.  Department  of  Agriculture  ("USDA")  and  Customers  and  Border  Patrol.    The
USDA typically inspects our facilities receiving such APHIS waste on a quarterly basis.

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In each state where we operate a processing facility or a transfer station, we are required to comply with 
varying state and local laws and regulations which may also require a specific operating plan.  In addition,
many local governments have ordinances and regulations, such as zoning or wastewater regulations that
affect  our  operations.    Similarly,  our  international  operations  are  subject  to  regulations  enacted  and 
enforced  at  the  provincial,  municipal,  and  local  levels  of  government  in  addition  to  the  national 
regulations with which we must comply.

Patents, Trademarks and Proprietary Rights

Stericycle  holds  eight  patents  in  the  U.S.,  Canada,  and  Australia  for  the  recovery  of  reusable  medical 
devices in a sharps container and holds two patents (U.S. and Canada) for the processing and updating of 
event-related information using automated reminders.  With the acquisition of Shred-it, we hold patents
in the U.S. and Canada for a three-staged shredder, with one patent application pending in the EU.  We
also  hold  patents  in  the  U.S.,  Canada,  and  the  EU  for  Securshield®,  our  proprietary  locks  for  shredding
containers.

We own federal registrations for a number of trademarks/service marks including Stericycle®, SRCL, Steri-
Safe®,  Stericycle  ExpertRECALL®,  Sustainable  Solutions®,  CSRX,  LiveAnswer®,  Shred-it®,  Securit®,
Community  Shred-it®,  Making  Sure  it’s  Secure®,  and  our  company  logo  service  mark  consisting  of  a
nine-circle  design.    We  also  hold  international  registrations  for  Stericycle,  the  nine-circle  design  used  in 
our logo, and the Shred-it® name and design.

Potential Liability and Insurance

The  regulated  waste  industry  involves  potentially  significant  risks  of  statutory,  contractual,  tort,  and 
common law liability claims.  Potential liability claims could involve, for example:

• cleanup costs;

• personal injury;

• damage to the environment;

• employee matters;

• property damage; or

• alleged negligence or professional errors or omissions in the planning or performance of work.

We could also be subject to fines or penalties in connection with violations of regulatory requirements.

We  carry  several  insurance  coverages  including  property,  workers  compensation,  general  liability,
employer’s liability, pollution liability, privacy and security liability, event management, cyber-liability, and
miscellaneous professional services errors and omissions coverages. We also carry umbrella policies that
cover  general  liability,  auto  and  employers  liability.   We  regularly  evaluate  other  lines  of  coverage  to 

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respond to specific business needs but consider our current insurance coverage to be sufficient to meet
regulatory as well as customer requirements and to protect our employees, assets, and operations.

Executive Officers of the Registrant

The following table contains certain information regarding our nine current executive officers:

Name

Charles A. Alutto

Cindy J. Miller

Daniel V. Ginnetti

Kurt M. Rogers

William J. Seward

Joseph A. Reuter

David W. Stahl

Michael S. Weisman

Richard M. Moore

Position

Chief Executive Officer

President  and Chief Operating Officer

Executive Vice President and Chief Financial Officer

Executive Vice President, General Counsel and Corporate Secretary

Executive Vice President and Chief Commercial Officer

Executive Vice President and Chief People Officer

Executive Vice President and Chief Information Officer

Executive Vice President and Chief Ethics and Compliance Officer

Executive Vice President of North American Operations

Age

53

56

50

47

51

57

53

60

57

Charlie  Alutto  has  served  as  Chief  Executive  Officer  since  October  2018  and  as  a  Director  since 
November 2012. From January 2013 until September 2018, he served as our President and Chief Executive 
Officer.  He joined us in May 1997 following our acquisition of the company where he was then employed. 
He became an executive officer in February 2011 and served as President, Stericycle USA.  He previously
held  various  management  positions  with  us,  including  Vice  President  and  Managing  Director  of  SRCL 
Europe and Corporate Vice President of our large quantity generator business unit.  Mr. Alutto earned a
bachelor  of  science  degree  from  Providence  College  and  a  masters  of  business  administration  from  St.
John’s University.

r

Cindy Miller joined us as President and Chief Operating Officer in October, 2018.  She was appointed as a
Director  effective  February  28,  2019.    She  previously  served  as  President,  Global  Freight  Forwarding  for
United Parcel Service (“UPS”) and had a 30-year career with UPS starting as a driver and progressing to 
district manager for operating regions in the U.S. and then managing director for regions in Europe, the 
Middle East, and Africa before becoming President of the European region.  Ms. Miller received a bachelor
of  arts  degree  from  Pennsylvania  State  University  and  an  Executive  MBA  from  the  London  Business 
School.

Dan Ginnetti was appointed Chief Financial Officer (”CFO”) in August, 2014.  He joined Stericycle as Area 
Vice  President  of  Finance  in  2003.    In  2004  he  was  promoted  to  Area  Vice  President  for  Stericycle’s 
Western, and later, Midwestern business units.  Following that, he was promoted to Senior Vice President
of  Operations  for  the  U.S.  and  Canada.    He  returned  to  financial  management  in  2013,  becoming  Vice
President of Corporate Finance and then CFO in August 2014.  Prior to joining Stericycle, Mr. Ginnetti held 
various finance and accounting positions with The Ralph M. Parsons Company, a worldwide engineering
firm,  and  Ryan  Herco  Products  Corp.,  a  national  industrial  plastics  distributor.    Mr.  Ginnetti  received  a
bachelor of science degree from the University of California, Santa Barbara.

Kurt Rogers was named Executive Vice President, General Counsel and Corporate Secretary in July 2017. 
Mr. Rogers previously served as Chief Legal Officer and Secretary of Vonage Holdings Corp., a publicly-
listed software technology and communications company, for more than seven years.  Earlier, Mr. Rogers
was  a  partner  with  international  law  firms  Bingham  McCutchen  LLP  (now  Morgan,  Lewis  &  Bockius  LLP)
and Latham & Watkins LLP and as an associate with Rogers & Wells LLP (now Clifford Chance LLP), where

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Stericycle, Inc.  •  18

PART I

he  represented  clients  in  litigation,  intellectual  property  and  other  matters.    Mr.  Rogers  received  a 
bachelor of science degree in Industrial and Labor Relations from Cornell University and his juris doctor 
degree from Cornell Law School.

Bill Seward joined Stericycle as Executive Vice President and Chief Commercial Officer in February 2019.  
Prior to joining Stericycle, Mr. Seward spent 28 years with UPS, most recently as President of UPS' North 
American export business since 2016 and President of International Sales from 2012 to 2015.  His previous 
experience includes three years as Vice President of European Region Sales, two years as Vice President of 
Northeast U.S. Regional Sales and previous other sales, marketing, and staff roles.  Mr. Seward received a 
bachelor of arts degree from the University at Albany (SUNY).

Joe  Reuter  joined  Stericycle  as  Executive  Vice  President  and  Chief  People  Officer  in  January  2019.  
Previously, Mr. Reuter served as President, International Human Resources at UPS, since April 2016.  Prior
to  that,  he  served  as  Vice  President  of  the  Europe  Region  human  resources  for  three  years  and  Vice 
President  of  Human  Resources  for  the  Global  Freight  Forwarding  business  for  one  year.    He  began  his
career  as  a  parcel  service  provider  and  supervisor  before  moving  into  the  human  resources  field  and
supporting  UPS  operating  districts  across  the  U.S.  with  increasingly  larger  areas  of  responsibility.   Mr. 
Reuter received a bachelor of arts degree from the University of South Dakota.

David Stahl was named Executive Vice President and Chief Information Officer in April 2018 after serving 
as Senior Vice President for approximately 18 months.  Prior to joining Stericycle, Mr. Stahl served as the 
Chief  Information  Officer  at  Hillshire  Brands  Company  for  two  years,  where  he  implemented  an  IT
transformation,  and  as  Chief  Information  Officer  at  Duracell  (a  Berkshire  Hathaway  Company)  for  two 
years,  where  he  established  a  new  operating  platform  for  Duracell  following  its  separation  from  the 
Procter  &  Gamble  Company.    He  also  spent  eight  years  with  Tellabs,  Inc.  in  roles  of  increasing
responsibility  within  quality  and  IT,  as  well  as  quality  roles  with  Underwriters  Laboratories,  3Com 
Corporation,  and  Emerson  Electronics.    Mr.  Stahl  received  a  bachelor  of  science  degree  from  Ohio
Northern University.

Michael Weisman joined Stericycle as Executive Vice President and Chief Ethics and Compliance Officer 
in April, 2018.  Mr. Weisman previously served as Chief Ethics and Compliance Officer for The Kraft Heinz 
Company, a publicly-listed packaged foods company, which he joined through Kraft Foods in July of 2015.
Prior to the merger with Heinz Foods he served as Chief Counsel, Compliance for Kraft Foods from July
2014 and as Vice President, Ethics and Compliance for U.S. Foods and Career Education Corporation from 
February, 2013.  He was also with the law firm Katten Muchin Rosenman, LLP for more than 10 years, four
as  partner,  and  served  as  a  member  of  the  firm's  White  Collar  Defense,  Internal  Investigations  and
Compliance  Practice  Group.    Mr.  Weisman  received  a  bachelor  of  science  degree  from  the  University  of 
Illinois and his juris doctor degree from Chicago-Kent College of Law.

Rich Moore joined Stericycle as Executive Vice President of North American Operations in January 2019.  
Prior to joining Stericycle, Mr. Moore spent 30 years with UPS, most recently as President of UPS' Illinois
District  since  2016.    Previously  he  served  for  three  years  as  Vice  President  of  European  Operations,  five
years  as  President  of  the  Northeast  District,  and  three  years  as  District  Manager  for  Utah,  Idaho,  and 
Southern  Nevada,  in  addition  to  other  operations  and  transportation  staff  roles.    Mr.  Moore  received  a 
bachelor  of  science  degree  from  Manhattan  College  and  a  masters  of  business  administration  from
National Louis University.

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Stericycle, Inc.  •  19

PART I

Employees

At December 31, 2018 we had approximately 22,500 full time employees of which approximately 1,700 are
covered by collective bargaining agreements.

Available Information

We maintain an internet website, www.stericycle.com, which provides a variety of information about the 
Company  and  where  the  Company’s  Annual  Reports  on  Form  10-K,  Quarterly  Reports  on  Form  10-Q, 
Current Reports on Form 8-K, and all amendments to those reports are available free of charge, as soon
as  reasonably  practicable,  following  the  time  they  are  filed  with  or  furnished  to  the  Securities  and 
Exchange Commission (“SEC”).  Reports and proxy and information statements that are filed electronically
with the SEC are available on the SEC’s website, www.sec.gov.g

y

Item 1A. Risk Factors

Our  consolidated  results  of  operations,  financial  position,  cash  flows  and  reputation  can  be  adversely
affected by various risks.  These risks include the principal factors listed below and the other matters set
forth  in  this  Form  10-K.    There  may  be  additional  risks  of  which  we  are  not  presently  aware  or  that  we 
currently believe are immaterial that could have an adverse impact on our business.

We  are  subject  to  extensive  governmental  regulation,  which  is  frequently  difficult,  expensive  and 
time-consuming  with  which  to  comply;  noncompliance  could  adversely  affect  our  operations  and 
efforts to grow our business results.

The regulated waste management and secure information destruction industries are subject to extensive
federal, state and local laws and regulations relating to the collection, transportation, packaging, labeling,
handling, documentation, reporting, treatment and disposal of regulated waste and the proper handling
and  protection  of  personal  and  confidential  information.    Our  business  requires  us  to  obtain  many
permits,  authorizations,  approvals,  certificates,  and  other  types  of  governmental  permissions  and  to
comply  with  various  regulations  in  every  jurisdiction  in  which  we  operate.    Federal,  state  and  local 
regulations change often, and new regulations are frequently adopted.  Changes in the regulations could
require us to obtain new permits or to change the way in which we operate our business.  We might be 
unable  to  obtain  the  new  permits  that  we  require,  and  the  cost  of  compliance  with  new  or  changed
regulations could be significant.

Many of the permits that we require, especially those to build and operate processing plants and transfer
facilities, are difficult and time-consuming to obtain.  They may also contain conditions or restrictions that 
limit our ability to operate efficiently, and they may not be issued as quickly as we need them (or at all).  If 
we cannot obtain the permits, or if they contain unfavorable conditions, it could substantially impair our 
operations and reduce our revenues and/or profitability.

If  we  encounter  regulatory  compliance  issues  in  the  course  of  operating  our  businesses,  we  may 
experience  adverse  publicity,  which  may  intensify  if  such  non-compliance  results  in  civil  or  criminal
liability.    This  adverse  publicity  may  harm  our  reputation,  and  result  in  difficulties  in  attracting  new 
customers, or retaining existing customers.

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Stericycle, Inc.  •  20

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The  level  of  governmental  enforcement  of  environmental  and  other  regulations  has  an  uncertain 
effect on our business and could reduce the demand for our services.

We  believe  that  strict  enforcement  of  laws  and  regulations  relating  to  regulated  waste  collection  and
treatment, the proper handling and protection of personal and confidential information, and recalls and 
retrieval of products by governmental authorities can have a positive effect on our business.  These laws
and  regulations  increase  the  demand  for  our  services.    Relaxation  of  enforcement,  government
shutdowns,  or  other  changes  in  governmental  regulation  of  regulated  waste,  personal  and  confidential
information or products to be recalled or retrieved could increase the number of competitors we face or 
reduce or delay the need for our services.

Unfavorable  market  conditions,  including  those  driven  by  economic  or  social  trends,  may  impact 
the  volume  of  regulated  wastes  or  personal  and  confidential  information  we  collect  from 
customers.

The  compliance-based  services  we  provide  rely  on  the  generation  of  regulated  wastes  or  personal  and
confidential information by our customers.  The amount of material generated by our customers may be 
impacted  by  macro-economic  trends  associated  with  manufacturing  and  industrial  markets,  healthcare
market dynamics, and trends associated with electronic and digital record keeping.  Many of our services 
are  provided  on  a  subscription  basis  with  a  monthly  fee  to  minimize  short-term  or  cyclical  variability 
associated with these factors.  However, some of our services are provided on a transactional basis, and 
long-term  trends  resulting  from  these  factors  could  reduce  the  demand  for  our  services,  whether  we
provide them on a subscription or transactional basis.

We may experience difficulties executing on our multiyear Business Transformation.

We began a comprehensive, multiyear Business Transformation during the third quarter of 2017 with the
intent of implementing a global enterprise performance management (“EPM”) operating model.  This new 
operating model is expected to standardize global end-to-end processes, align the company around key 
performance  indicators,  improve  data  management  and  decision  making,  and  improve  the  Company’s 
profitability.    A  global  enterprise  resource  planning  (“ERP”)  system  is  the  central  component  of  our
Business Transformation and will become the backbone of our performance management model.  With an 
ERP, we will integrate our services lines and geographies onto one operating system.  In addition to the
implementation  of  a  best-in-class  system,  there  are  five  key  initiatives  of  the  Business  Transformation 
which include: portfolio rationalization, operational optimization, organizational excellence and efficiency, 
commercial excellence, and strategic sourcing.

There  is  no  assurance  that  the  Business  Transformation  will  achieve  the  anticipated  benefits  that  we
expect.  Further, the ERP platform will require significant investment of human and financial resources and
we  may  experience  significant  delays,  increased  costs  and  other  difficulties.    If  the  execution  of  our
Business Transformation fails to achieve its intended benefits, our business, financial condition, and results 
of operation could be adversely affected.

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PART I

Restrictions  in  our  private  placement  notes  and  our  Credit  Agreement  could  adversely  affect  our 
business,  financial  condition,  results  of  operations,  ability  to  make  distributions  and  value  of  our 
securities.

Our private placement notes and Credit Agreement entered as of November 17, 2017 (as amended, the
“Credit  Agreement”)  contain  customary  affirmative  covenants,  including,  among  others,  covenants
pertaining  to  the  delivery  of  financial  statements;  certain  financial  covenants;  notices  of  default  and 
certain  other  material  events;  payment  of  obligations;  preservation  of  corporate  existence,  rights,
privileges,  permits,  licenses,  franchises  and  intellectual  property;  maintenance  of  property  and  insurance
and compliance with laws, as well as customary negative covenants, including, among others, limitations
on  the  incurrence  of  liens,  investments  and  indebtedness;  mergers  and  certain  other  fundamental 
changes;  dispositions  of  assets;  restricted  payments;  changes  in  our  line  of  business;  transactions  with 
affiliates and burdensome agreements.  These covenants could affect our ability to operate our business, 
increase the amount of interest expense we ultimately pay pursuant to the Credit Agreement and private 
placement notes, and may limit our ability to take advantage of potential business opportunities as they 
arise.

Our  ability  to  comply  with  the  covenants  and  restrictions  contained  in  the  private  placement  notes  and
our  Credit  Agreement  may  be  affected  by  events  beyond  our  control,  including  prevailing  economic,
financial,  and  industry  conditions.    If  market  or  other  economic  conditions  deteriorate,  our  ability  to 
comply with these covenants may be impaired.  A failure to comply with these provisions could result in a
default  or  an  event  of  default.    Upon  an  event  of  default,  unless  waived,  the  lenders  could  elect  to
terminate their commitments, cease making further loans, require cash collateralization of letters of credit, 
cause their loans to become due and payable in full and force us and our subsidiaries into bankruptcy or
liquidation.  If the payment of our debt is accelerated, our assets may be insufficient to repay such debt in
full, and the holders of our stock could experience a partial or total loss of their investment.  See Part II,
Item  7.  Management’s  Discussion  and  Analysis  of  Financial  Condition  and  Results  of  Operations,  Liquidity 
and Capital Resources.

Servicing debt and funding other obligations requires a significant amount of cash, and our ability 
to generate sufficient cash depends on many factors, some of which are beyond our control.

Our ability to make payments on and refinance our indebtedness and to fund our operations and capital
expenditures, including capital expenditures associated with our Business Transformation, depends on our 
ability to generate cash flow and secure financing in the future.  Our ability to generate future cash flow 
depends, among other things, upon:

(cid:129) future operating performance;
(cid:129) general economic conditions;
(cid:129) competition; and
(cid:129) litigation, legislative and regulatory factors affecting our operations and business.

Some of these factors are beyond our control.  There is no assurance that our business will generate cash
flow from operations or that future debt or equity financings will be available to us to enable us to pay 
our indebtedness or to fund other needs.  As a result, we may need to refinance all or a portion of our
indebtedness on or before maturity.  There is no assurance that we will be able to refinance any of our

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Stericycle, Inc.  •  22

PART I

indebtedness on favorable terms, or at all.  Any inability to generate sufficient cash flow or refinance our
indebtedness on favorable terms could have an adverse effect on our financial condition.

The amount of our indebtedness could adversely affect our business.

As of December 31, 2018, we had a total of $2.8 billion of outstanding indebtedness, including long-term
debt and short-term debt and not reduced by unamortized debt issuance costs.  We also have the ability
to incur additional indebtedness subject to our financial covenants.

Our leverage could have adverse consequences on our business, including the following:

(cid:129) we may be required to dedicate a substantial portion of our available cash to payments of principal 

and interest on our indebtedness;

(cid:129) our ability to access credit markets on terms we deem acceptable may be impaired; and
(cid:129) we may be limited in our flexibility to adjust to changing market conditions.

Risks from our international operations could adversely affect our business, financial condition and 
results of operations.

We have established operations in the U.S. and 20 other countries.  Foreign operations carry special risks
including:

(cid:129) exchange rate and interest rate fluctuations;
(cid:129) substantial inflation in certain markets;
(cid:129) dependence in certain markets on government entities as customers;
(cid:129) delays in the collection of accounts receivable related to certain government funding practices;
(cid:129) government controls;
(cid:129) import and export license requirements;
(cid:129) political or economic instability;
(cid:129) changes in or compliance with U.S., local or other applicable laws and regulations, including laws and 
regulations concerning anti-corruption, anti-bribery (i.e. FCPA, U.K. Bribery Act and similar laws), global
trade, trade sanctions, competition, privacy and data protection;

(cid:129) trade restrictions;
(cid:129) changes in tariffs and taxes;
(cid:129) industry or macro-economic trends;
(cid:129) permitting and regulatory standards;
(cid:129) differences in local laws, regulations, practices, and business customs;
(cid:129) restrictions on repatriating foreign profits back to the U.S. or movement of funds to other countries;
(cid:129) difficulties in staffing and managing international operations;
(cid:129) increases and volatility in labor costs; and
(cid:129) property ownership restrictions in certain countries.

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Stericycle, Inc.  •  23

PART I

Any  of  the  foregoing  or  other  factors  associated  with  doing  business  abroad  could  adversely  affect  our 
business, financial condition and results of operations.

We  have  operations  in  Latin  America,  and  changes  in  the  business,  regulatory,  political  or  social 
climate  could  adversely  affect  our  operations  there,  which  could  adversely  affect  our  results  of 
operations and growth plans.

We  have  business  operations  in  Argentina,  Brazil,  Chile  and  Mexico.    Doing  business  in  those  countries 
exposes  us  to  risks  related  to  political  instability,  corruption,  economic  volatility,  social  unrest,  tax  and 
foreign investment policies, public safety and security, and uncertain application of laws and regulations.  
Consequently, actions or events in any of those countries that are beyond our control could restrict our
ability  to  operate  there  or  otherwise  adversely  affect  the  profitability  of  those  operations.  Furthermore, 
changes in the business, regulatory or political climate in any of those countries, or significant fluctuations
in currency exchange rates, could affect our ability to continue our operations there, which could have a 
material adverse impact on our prospects, results of operations and cash flows.

We face continuing risks relating to compliance with the FCPA and other anti-corruption and anti-
bribery laws.

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  Department  of 
Justice (“DOJ”) has notified the Company that it is investigating this matter in parallel with the SEC.  The 
Company is cooperating with these agencies.  The Company is also conducting 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  has  found
evidence of improper conduct.  These matters (and other matters which may arise or of which we become
aware in the future) may be deemed to violate the FCPA and other anti-corruption and anti-bribery laws.  
Such determinations could subject us to, among other things, enforcement actions by the SEC or the DOJ 
or  other  regulatory  bodies,  fines,  penalties,  or  litigation,  which  could  adversely  affect  our  business,
financial condition and results of operations.  In addition, any significant settlement amount may require
us to incur additional indebtedness, adversely affect our liquidity and ability to service our indebtedness, 
or  require  us  to  restructure  or  amend  the  terms  of  our  indebtedness.    See Part  II,  Item  8.  Financial 
Statements  and  Supplementary  Data;  Note  19  –  Legal  Proceedings  in  the  Consolidated  Financial
Statements for more information regarding currently pending legal proceedings.

We are subject to a number of pending lawsuits.

We are a defendant in a number of pending lawsuits and may be named as a defendant in future lawsuits.  
These  current  and  future  matters  may  result  in  significant  liabilities  and  diversion  of  our  management’s
time,  attention  and  resources.    Given  the  uncertain  nature  of  litigation  generally,  we  are  not  able  in  all
cases  to  estimate  the  amount  or  range  of  loss  that  could  result  from  an  unfavorable  outcome  in  these 
matters.  In view of these uncertainties, the outcome of these matters may result in charges in excess of 
any  established  reserves  and,  to  the  extent  available,  liability  insurance.    Protracted  litigation,  including 
any  adverse  outcomes,  may  have  an  adverse  impact  on  our  reputation,  business,  financial  condition  or 
results of operations.  In addition, any significant judgment or settlement amount may require us to incur
additional indebtedness, adversely affect our liquidity and ability to service our indebtedness, or require 
Item 8. Financiall Statements and
us to restructure or amend the terms of our indebtedness.  See Part II, Item 8. Financial Statements and 

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Stericycle, Inc.  •  24

PART I

Supplementaryy  Data; 
information regarding currently pending legal proceedings.

Note  19  -

Legal  Proceedings  in  the  Consolidated  Financial  Statements  for  more

Changing  market  conditions  in  the  healthcare  industry,  including  healthcare  consolidation  and 
healthcare reform, could drive down our profits and slow our growth.

Within the U.S., the healthcare industry is evolving to meet competing demands for increased healthcare
coverage  of  a  growing  and  aging  population  and  economic  pressures  to  reduce  healthcare  costs.    As  a 
result  of  these  dynamics,  hospital  networks  are  consolidating  physician  practices  into  their  networks,
independent practices are consolidating together, and healthcare providers are focused on cutting costs 
within their businesses.  These changes exert downward pricing pressure, including the impact of Group
Purchasing  Organization  (“GPO”)  rebates  and  administrative  fees,  on  services  that  we  provide  to 
healthcare  customers  which  could  adversely  affect  our  profitability  and  growth.    Commitments  made  in 
connection with the settlement of the small quantity medical customer contract class action lawsuits (the
“MDL  Action”),  as  discussed  in  Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data;  Note  19  -
Legal  Proceedings  may  affect  our  ability  to  increase  prices  in  the  future  and  a  deterioration  in  our 
customer  relationships  as  a  result  of  the  MDL  Action  may  affect  our  ability  to  sell  additional  services  to 
our customers, both of which could adversely affect our profitability and growth.

Item  8.  Financiall  Statements  and d Supplementaryy  Data; 

Aggressive pricing  by  existing competitors and the entrance of new competitors could drive down
our profits and slow our growth.

The industries in which we participate are very competitive because of low barriers to entry, among other 
reasons.  This competition has required us in the past to reduce our prices to our customers, may require 
us to reduce our prices in the future or may affect our ability to increase prices in the future.  Substantial 
price reductions or our inability to increase prices could significantly reduce our earnings.

We face direct competition from a large number of small, local competitors.  Because it requires very little 
financial  investment  to  compete  in  the  collection  and  transportation  of  regulated  wastes  or  the  secure 
destruction  of  personal  and  confidential  information,  there  are  many  regional  and  local  companies  in
these industries.  We face competition from these businesses, and competition from them is likely to exist 
in  new  locations  to  which  we  may  expand  in  the  future.    In  addition,  large  national  companies  with
substantial resources operate in the markets we serve.  For example, in the U.S., Waste Management, Inc., 
Clean Harbors, Inc., and Iron Mountain Incorporated all offer competing services.

If  we  fail  to  maintain  an  effective  system  of  internal  controls  over  financial  reporting,  including
remediating known material weaknesses in our internal controls as of December 31, 2018, we may 
not  be  able  to  report  our  financial  results  timely  and  accurately  or  prevent  fraud,  which  could 
adversely affect investor confidence in our company, our results of operations and our stock price.

As disclosed in more detail in Part II, Item 9A. Controls and Procedures of this Report, we have identified
material  weaknesses  as  of  December  31,  2018,  in  our  internal  controls  over  financial  reporting.    Due  to
these  material  weaknesses,  we  have  also  concluded  our  internal  control  over  financial  reporting  was 
ineffective as of December 31, 2018.

Notwithstanding  the  material  weaknesses  that  existed  as  of  December  31,  2018,  management  has 
concluded that the consolidated financial statements included in this Annual Report fairly present, in all 
material respects, our financial position, results of operations and cash flows as of the dates, and for the

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Stericycle, Inc.  •  25

PART I

periods, presented, in conformity with U.S. GAAP.  Our management has taken action to remediate these 
material  weaknesses,  as  discussed  in  more  detail  under  Part  II,  Item  9A.  Controls  and  Procedures  of  this
Report,  and  is  committed  to  continue  investing  significant  time  and  resources  and  taking  actions  to 
remediate the material weaknesses in our internal control over financial reporting as we work to further 
integrate  acquisitions,  streamline  disparate  information  technology  systems,  and  enhance  our  control
environment.  Any failure to maintain or implement required new or improved controls, or any difficulties
we  encounter  in  their  implementation,  could  result  in  additional  significant  deficiencies  or  material 
weaknesses,  and  result  in  material  misstatements  in  our  financial  statements  that  could  result  in  a 
restatement of financial statements. 

Attacks  on  our  information  technology  systems  could  damage  our  reputation,  negatively  impact 
our businesses and expose us to litigation risk.

We  use  computers  in  substantially  all  aspects  of  our  business  operations.    We  also  use  mobile  devices, 
social networking and other online activities to connect with our employees and our customers.  We rely
heavily  on  various  proprietary  and  third-party  information  systems.    Our  reputation  for  the  secure
handling of customer and other sensitive information is critical to the success of our business.  Although
we  have  implemented  safeguards  and  taken  steps  to  prevent  potential  cyber  incidents  and  security 
breaches,  our  preventative  measures  may  not  be  entirely  effective  as  our  information  technology  and 
network  infrastructure  may  still  be  vulnerable  to  attacks  by  hackers  or  breaches  due  to  employee  error,
malfeasance, computer viruses, power outages, natural disasters, acts of terrorism or other disruptions.  A
cybersecurity  incident  and  breach  of  our  information  systems  could  lead  to  theft,  destruction,
misappropriation  or  release  of  sensitive  and/or  confidential  information  or  intellectual  property  which 
could result in business disruption, negative publicity, violation of privacy laws, loss of customers, brand
damage, adverse financial and operational results, and potential litigation.

Our management depends on relevant and reliable information for decision-making purposes, including 
key  performance  indicators  and  financial  reporting.    A  lack  of  relevant  and  reliable  information  could 
preclude  us  from  optimizing  our  overall  performance.    Any  significant  loss  of  data,  failure  to  maintain 
reliable data, disruptions affecting our information systems, or delays or difficulties in transitioning to new 
systems could adversely affect our business, financial condition and results of operations.  In addition, our
ability to continue to operate our businesses without significant interruption in the event of a disaster or
other disruption depends in part on the ability of our information systems to operate in accordance with
our  disaster  recovery  and  business  continuity  plans.    If  our  information  systems  fail  and  our  redundant
systems  or  disaster  recovery  plans  are  not  adequate  to  address  such  failures,  or  if  our  business
interruption insurance does not sufficiently compensate us for any losses that we may incur, our revenues 
and  profits  could  be  reduced  and  the  reputation  of  our  brands  and  our  business  could  be  adversely
affected.    In  addition,  remediation  of  such  problems  could  result  in  significant,  unplanned  capital 
investments.

Fluctuations  in  the  commodity  market  related  to  the  demand  and  price  for  recycled  paper  may 
affect our business, financial condition and results of operations.

We  sell  nearly  all  of  the  shredded  paper  from  our  secure  information  destruction  business  to  paper
companies and recycled paper brokers.  Sorted office paper is marketed as a commodity and is subject to
significant  demand  and  price  fluctuations  beyond  our  control.    Historically,  economic  and  market  shifts, 
fluctuations in capacity and changes in foreign currency exchange rates have created cyclical changes in 
prices,  sales  volume  and  margins  for  pulp  and  paper  products.    The  length  and  magnitude  of  industry

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Stericycle, Inc.  •  26

PART I

cycles have varied over time and by product, but generally reflect changes in macroeconomic conditions
and  levels  of  industry  capacity.    The  overall  levels  of  demand  for  the  pulp  and  paper  products,  and 
consequently its sales and profitability, reflect fluctuations in levels of end-user demand, which depend in
part on general macroeconomic conditions in North America and worldwide, as well as increasing use of 
digitalization.    As  a  result,  the  market  demand  for  recycled  paper  can  be  volatile  due  to  factors  beyond 
our  control.    Lack  of  demand  for  our  shredded  paper  material  could  adversely  affect  our  business,
financial condition and results of operations.

We  may  incur  significant  charges  as  a  result  of  our  portfolio  optimization  strategy;  our  portfolio
optimization strategy may not achieve the desired results.

As  part  of  our  long-term  strategy  for  improving  our  profitability  and  return  on  invested  capital,  we 
continue  to  evaluate  the  performance  of  our  entire  portfolio  of  assets  and  businesses.    Based  on  this 
evaluation, we may sell certain assets or businesses or exit particular markets.  Any divestitures resulting
from this strategy may cause us to record significant write-offs, including those related to goodwill and 
other intangible assets.  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  our  portfolio  optimization  strategy  could  have  a  material  adverse  effect  on  our 
business, financial condition or results of operations.

A  change  or  deterioration  in  our  relations  with  our  employees  or  an  increase  in  labor  and 
employment costs could have a materially adverse effect on our business, financial condition and 
results of operations.

Labor  and  employment  is  one  of  our  highest  costs  and  increases  in  employment  costs  could  materially 
affect  our  cost  structure  and  our  profitability.   We  compete  with  other  businesses  in  our  markets  for
qualified  employees  and  the  labor  supply  is  sometimes  tight  in  our  markets.   A  shortage  of  qualified
employees  or  further  unionization  would  require  us  to  incur  additional  costs  related  to  wages  and
benefits; inefficiencies in operations; unanticipated costs in sourcing temporary or third party labor; legal 
fees and interference with customer relationships.

The  Company  is  a  party  to  15  collective  bargaining  agreements  in  the  U.S.  and  Canada,  covering
approximately  700  employees,  or  approximately  4.0%,  of  our  total  U.S.  and  Canadian  workforce  and
further agreements and works councils covering approximately 1,000 employees in our other international
locations.  These agreements expire on a scheduled basis depending upon the negotiated length of the 
contract’s  term.    Collective  bargaining  agreement  negotiations  occur  every  year  depending  upon  which 
agreements expire and whether one or both parties seek the modification of terms.

There can be no assurance that we will be able to negotiate the terms of future agreements with unions in
a manner acceptable to the Company.  There is also no guarantee that current non-union employees will 
not  seek  union  representation  resulting  in  additional  collective  bargaining  agreements  with  associated
increased  costs  to  the  Company.    Potential  work  disruptions  from  labor  disputes  may  disrupt  our
businesses  and  adversely  affect  our  brand,  customer  relations,  financial  condition  and  results  of 
operations.

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Stericycle, Inc.  •  27

PART I

If we are unable to acquire regulated waste, secure information destruction and other businesses,
our revenue and profit growth may be slowed.

Historically,  our  growth  strategy  has  been  based  in  part  on  our  ability  to  acquire  and  integrate  other 
businesses.  We do not know whether in the future we will be able to:

(cid:129) identify suitable businesses to buy;
(cid:129) complete the purchase of those businesses on terms acceptable to us; and
(cid:129) avoid or overcome any concerns expressed by regulators.

We  compete  with  other  potential  buyers  for  the  acquisition  of  regulated  waste  and  secure  information
destruction  companies  and  other  businesses.    This  competition  may  result  in  fewer  opportunities  to 
purchase companies that are for sale.  It may also result in higher purchase prices for the businesses that 
we want to purchase.

We  also  do  not  know  whether  our  growth  strategy  will  continue  to  be  effective.    Our  business  is
significantly  larger  than  before,  and  new  acquisitions  may  not  provide  the  incremental  benefits  that  we
have obtained in the past.

The  implementation  of  our  acquisition  strategy  could  be  affected  in  certain  instances  by  the
concerns of federal, state and foreign regulators, which could result in our not being able to realize 
the full synergies or profitability of particular acquisitions.

We  may  become  subject  to  inquiries  and  investigations  by  federal,  state  or  foreign  antitrust  or  other
regulators from time to time in the course of completing acquisitions of other regulated waste and secure
information destruction businesses.  In order to obtain regulatory clearance for a particular acquisition, we 
could be required to modify certain operating practices of the acquired business or to divest ourselves of 
one  or  more  assets  of  the  acquired  business.    Changes  in  the  terms  of  our  acquisitions  required  by 
regulators  or  agreed  to  by  us  in  order  to  settle  regulatory  investigations  could  impede  our  acquisition 
strategy  or  reduce  the  anticipated  synergies  or  profitability  of  our  acquisitions.    The  likelihood  and 
outcome  of  inquiries  and  investigations  from  federal,  state  or  foreign  regulators  in  the  course  of 
completing acquisitions cannot be predicted.

We may not realize the synergies and growth opportunities that are anticipated from acquisitions.

The benefits we expect to achieve as a result of acquisitions that we complete will depend, in part, on our
ability to realize targeted synergies and anticipated growth opportunities.  Our success in realizing these 
synergies  and  growth  opportunities,  and  the  timing  of  this  realization,  depends  on  the  successful 
integration  of  other  business  and  operations  with  our  pre-existing  business  and  operations.    Even  if  we 
are able to integrate these businesses and operations successfully, this integration may not result in the 
realization  of  the  full  benefits  of  the  synergies  and  growth  opportunities  we  currently  expect  within  the
anticipated time frame or at all.

We will incur integration costs in connection with our acquisition strategy.

Our business strategy includes growth through acquisition.  Each acquisition includes a detailed execution
plan to integrate the acquired operations into Stericycle’s existing infrastructure to achieve synergies.  We 

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Stericycle, Inc.  •  28

PART I

expect to incur costs to implement such cost savings measures.  We anticipate that we will incur certain 
non-recurring  charges  in  connection  with  this  integration,  including  costs  and  charges  associated  with 
integrating  operations,  processes  and  systems  and  valuations  and  purchase  accounting  activities.    We
cannot  identify  the  timing,  nature  and  amount  of  all  such  charges.    The  significant  acquisition-related
integration costs could adversely affect our results of operations in the period in which such charges are 
recognized  or  our  cash  flow  in  the  period  in  which  any  related  costs  are  actually  paid.    We  believe  that 
synergies  will  come  from  the  elimination  of  duplicative  costs  such  as  selling,  general  and  administrative
expenses, as well as the realization of other efficiencies related to the integration of the businesses such 
as  the  optimization  of  logistics,  truck  and  plant  utilization,  improvements  in  route  density  and  facility
optimization,  and  contact  center  efficiencies.    We  also  believe  such  synergies  will  offset  incremental
acquisition-related costs over time, but this net benefit may not be achieved in the near term, or at all.

Market  conditions  could  adversely  change  and  our  earnings  could  decline  resulting  in  charges  to 
impair intangible assets, such as goodwill.

As  a  result  of  our  various  acquisitions,  the  Consolidated  Balance  Sheet  at  December 31,  2018  contains
goodwill  of  $3.2  billion  and  other  intangible  assets,  net  of  accumulated  amortization  of  $1.6  billion.    In 
accordance  with  Accounting  Standards  Codification  Topic  350,  Intangibles  –  Goodwill  and  Other,  we 
evaluate  on  an  ongoing  basis  whether  facts  and  circumstances  indicate  any  impairment  to  the  value  of 
indefinite-lived intangible assets such as goodwill.  As circumstances after an acquisition can change, we 
may  not  realize  the  value  of  these  intangible  assets.    During  2018  and  2017,  we  wrote  off  $16.0  million
and $21.0 million, respectively, of operating permits, tradenames and customer relationships.  Additionally
in 2018, we recognized $358.7 million of non-cash goodwill impairment charges related to our Domestic 
CRS  and  Latin  America  reporting  units.    In  2017,  we  recognized  $65.0  million  of  non-cash  goodwill 
impairment charges related to our Latin America reporting unit.  We recognized these impairments due to
a reduction of forecasted future cash flows in each reporting unit, as discussed in the Impairment section
of Part II, Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations 
and  Item  8.  Financial  Statements  and  Supplementary  Data;  Note  6  –  Goodwill  and  Other  Intangible
Assets.  The recognition of any potential future impairments could have a material adverse impact on our
results of operations.

r

The handling of regulated waste exposes us to the risk of environmental liabilities.

As  a  company  engaged  in  regulated  waste  management,  we  face  risks  of  liability  for  environmental
contamination.    The  federal  Comprehensive  Environmental  Response,  Compensation  and  Liability  Act  of 
1980 ("CERCLA") and similar state laws impose strict liability on current or former owners and operators of 
facilities  that  release  hazardous  substances  into  the  environment  as  well  as  on  the  businesses  that 
generate  those  substances  and  the  businesses  that  transport  them  to  our  facilities.    Responsible  parties 
may  be  liable  for  substantial  investigation  and  clean-up  costs  even  if  they  operated  their  businesses 
properly and complied with applicable federal and state laws and regulations.  Liability under CERCLA may 
be  joint  and  several,  which  means  that  if  we  were  found  to  be  a  business  with  responsibility  for  a
particular CERCLA site, we could be required to pay the entire cost of the investigation and clean-up even
if  we  were  not  the  party  responsible  for  the  release  of  the  hazardous  substance  and  other  companies 
might also be liable.

Our pollution liability insurance excludes liabilities under CERCLA.  Thus, if we were to incur liability under 
CERCLA and if we could not identify other parties responsible under the law whom we are able to compel
to contribute to our expenses, the cost to us could be substantial and could impair our profitability and 

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Stericycle, Inc.  •  29

PART I

reduce  our  liquidity.    Our  customer  service  agreements  make  clear  that  the  customer  is  responsible  for
making  sure  that  only  appropriate  materials  are  disposed  of.    If  there  were  a  claim  against  us  that  a 
customer  might  be  legally  liable  for,  we  might  not  be  successful  in  recovering  our  damages  from  the
customer, see Item 8. Financial Statements and Supplementary Data; Note 19 – Legal Proceedings. 

Tax interpretations and changes in tax regulations and legislation could adversely affect us.

Tax interpretations, regulations and legislation in the various jurisdictions in which we operate are subject 
to  measurement  uncertainty  and  the  interpretations  can  impact  net  income,  income  tax  expense  or 
recovery, and deferred income tax assets or liabilities.  Tax rules and regulations, including those relating 
to foreign jurisdictions, are subject to interpretation and require judgment by us that may be challenged
by the applicable taxation authorities upon audit.  Although we believe our assumptions, judgements and 
estimates are reasonable, changes in tax laws or our interpretation of tax laws and the resolution of any
tax audits could significantly impact the amounts provided for income taxes in our consolidated financial 
statements.

On December 22, 2017, the U.S. government enacted comprehensive tax legislation commonly referred to 
as  the  Tax  Cuts  and  Jobs  Act  (the  “Tax  Act”).    The  Tax  Act  reduced  the  U.S.  federal  statutory  tax  rate, 
broadened  the  corporate  tax  base  through  the  elimination  or  reduction  of  deductions,  exclusions,  and
credits, limited the ability of U.S. corporations to deduct interest expense, and transitioned to a territorial
tax system which allows for the repatriation of foreign earnings to the U.S. with a 100% federal dividends 
received deduction prospectively.  In addition, the Tax Act required a one-time transitional tax on foreign 
cash equivalents and previously unremitted earnings.  Several of the new provisions enacted as part of the
Tax  Act  require  clarification  and  guidance  from  the  U.S.  Internal  Revenue  Service  (“IRS”)  and  Treasury
Department.  These or other changes in U.S. tax laws could impact our profits, effective tax rate, and cash 
flows.

We  have  accumulated  net  operating  losses  (“NOLs”)  arising  from  our  operations  and  foreign  and
domestic  acquisitions  of  approximately  $344.4  million  as  of  December  31,  2018.    We  have  recognized
valuation allowances to reduce these amounts to our current estimate for NOLs that will be recoverable
against future taxable income prior to their expiration in accordance with the appropriate tax regulations. 
If our estimates change or we do not generate sufficient taxable income prior to the expiration of these
NOLs we may have to record additional valuation allowances resulting in higher income tax expense.

In  addition,  we  may  periodically  restructure  our  legal  entities  and  if  taxing  authorities  were  to  disagree
with our tax positions in connection with any such restructurings, our effective tax rate could be materially 
affected.    In  connection  with  such  restructurings  we  could  also  incur  additional  charges  associated  with
consulting fees and other charges.

We face risks associated with project work and services that are provided on a non-recurring basis.

While the majority of our business is based on long-term contracts for regularly scheduled service, we do
have a portion of revenue which is derived from short-term projects or services that we provide on a non-
recurring  basis.    Product  recall  and  retrieval  events,  one-time  purge  events  for  secure  information
destruction, and certain hazardous waste services that we provide on a project or non-recurring basis are 
not predictable in terms of frequency, size or duration.  Our customers’ need for these services could be
influenced  by  regulatory  changes,  fluctuations  in  commodity  market  performance,  natural  disasters  and

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Stericycle, Inc.  •  30

PART I

acts  of  God,  or  other  factors  beyond  our  control.    Variability  in  the  demand  for  these  services  could 
adversely affect our business, financial condition and results of operations.

The handling, transportation, and treatment of regulated waste carries with it the risk of personal 
injury to employees and others.

Our business requires our employees to handle materials that may be infectious or hazardous to life and 
property in other ways.  While we try to handle such materials with care and in accordance with accepted 
and safe methods, the possibility of accidents, leaks, spills, and acts of God always exists.

Examples of incidents that may present possible exposure to hazardous materials include:

(cid:129) truck accidents;
(cid:129) damaged or leaking containers;
(cid:129) improper storage of regulated waste by customers;
(cid:129) improper placement by customers of materials into the waste stream that we are not authorized or

able to process, such as certain body parts and tissues; or

(cid:129) malfunctioning treatment plant equipment, such as power outages, or ineffective backup systems.

Human  beings,  or  animals  could  be  injured  or  sickened  or  property  could  be  damaged  by  exposure  to 
regulated waste.  This in turn could result in lawsuits in which we are found liable for such injuries, and 
substantial damages could be awarded against us.

While we carry liability insurance intended to cover these contingencies, instances may occur that are not
insured  against  or  that  are  inadequately  insured  against.    An  uninsured  or  underinsured  loss  could  be
substantial and could impair our profitability and reduce our liquidity.

The handling of secure information for destruction exposes us to potential data security risks that 
could  result  in  monetary  damages  against  us  and  could  otherwise  damage  our  reputation,  and 
adversely affect our business, financial condition and results of operations.

The  protection  of  customer,  employee,  and  company  data  is  critical  to  our  business.    The  regulatory
environment  in  the  U.S.  and  Canada  surrounding  information  security  and  privacy  is  increasingly
demanding,  with  the  frequent  imposition  of  new  and  constantly  changing  requirements.    Certain
legislation,  including  the  FACTA,  the  HIPAA,  the  Economic  Espionage  Act  in  the  U.S.,  the  Personal
Information  Protection  and  Electronic  Documents  Act  in  Canada  and  the  General  Data  Protection 
Regulation in the EU, require documents to be securely destroyed to avoid identity theft and inadvertent
disclosure  of  confidential  and  sensitive  information.    A  significant  breach  of  customer,  employee,  or
company data could attract a substantial amount of media attention, damage our customer relationships
and reputation, and result in lost sales, fines, or lawsuits.  In addition, an increasing number of countries
have introduced and/or increased enforcement of comprehensive privacy laws or are expected to do so.  
The  continued  emphasis  on  information  security  as  well  as  increasing  concerns  about  government 
surveillance  may  lead  customers  to  request  us  to  take  additional  measures  to  enhance  security  and/or 
assume higher liability under our contracts.  As a result of legislative initiatives and customer demands, we 
may have to modify our operations to further improve data security.  Any such modifications may result in

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Stericycle, Inc.  •  31

PART I

increased  expenses  and  operational  complexity,  and  adversely  affect  our  reputation,  business,  financial 
condition and results of operations.

Our  participation  in  multi-employer  pension  plans  may  subject  us  to  liabilities  that  could 
materially adversely affect our liquidity, cash flows and results of operations.

We  participate  in  multi-employer  pension  plans  administered  by  employer  and  union  trustees.    To  the
extent  that  those  plans  are  underfunded,  the  Employee  Retirement  Income  Security  Act  of  1974,  as 
amended  by  the  Multi-Employer  Pension  Plan  Amendments  Act  of  1980  ("ERISA"),  may  subject  us  to 
substantial liabilities in the event we, whether partially or totally, cease to have obligations to contribute 
to the plans.  Under current law regarding multi-employer defined benefit plans, circumstances such as a
plan's  termination,  an  employer's  partial  or  complete  withdrawal  from,  or  the  mass  withdrawal  of  all 
contributing  employers  from,  an  underfunded  multi-employer  defined  benefit  plan  can  trigger  our
obligation  to  make  payments  to  the  plan  for  our  proportionate  share  of  the  multi-employer  plan's 
unfunded  vested  liabilities.    Furthermore,  the  Pension  Protection  Act  of  2006  added  new  funding  rules
generally  applicable  to  plan  years  beginning  after  2007  for  multi-employer  plans  that  are  classified  as
"endangered,"  "seriously  endangered,"  or  "critical"  status.    If  plans  in  which  we  participate  are  in  critical
status or underfunded, we could be required to make additional contributions.

Based  upon  the  information  available  to  us  from  plan  administrators  as  of  March  31,  2018,  one  of  the
multi-employer  pension  plans  in  which  we  participate  is  underfunded.    The  Pension  Protection  Act 
requires that underfunded pension plans improve their funding ratios within prescribed intervals based on
the level of their underfunding.  We have been notified that one plan is in "critical" status and this plan
may require additional contributions.  The amount of additional funds we may be obligated to contribute 
in the future cannot be estimated, as such amounts will be based on future levels of employee work that 
require the specific use of the union employees covered by these plans, investment returns and the level
of  underfunding  of  such  plans.    Additional  funding  could  adversely  affect  our  liquidity,  cash  flows  and 
Item 8. Financiall Statements and d Supplementary
results of operations.  For more information, see Part II, Item 8. Financial Statements and Supplementary 
Data; 
in  the  Consolidated  Financial
Statements.

Note  12  –  Retirement  and  Other  Employee  Benefit  Programs 

Increases in transportation costs may adversely affect our business and reduce our earnings.

We maintain a vast transportation network and an extensive fleet of transportation vehicles.  A significant 
increase  in  market  prices  for  trucks  or  fuel  could  adversely  affect  our  business  through  higher
transportation costs and reduce our operating margins and reported earnings.

Some  of  our  customers  have  suffered  financial  difficulties  affecting  their  credit  risk,  which  could 
negatively impact our operating results.

We provide service to a number of customers, including governmental entities and municipalities, some of 
which  have  suffered  significant  financial  difficulties  in  recent  years.    Some  of  these  entities  could  be 
unable to pay amounts owed to us or renew contracts with us at previous or increased rates.  The inability
of  our  customers  to  pay  us  in  a  timely  manner  or  to  pay  increased  prices,  particularly  large  national 
accounts, could negatively affect our operating results.

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Stericycle, Inc.  •  32

PART I

Our success depends on our executive officers and other key personnel.  If we lose key personnel or 
are unable to hire additional qualified personnel, our business may be harmed.

Our future success depends to a significant degree on the skills, experience and efforts of our executive
officers  and  key  personnel.    We  have  experienced  significant  turnover  in  our  executive  team  in  recent
periods.  The unexpected loss of the services of any of our executive officers could have an adverse effect
on our operations.  There can be no assurance that our executive succession planning, retention or hiring 
efforts will be successful.  Competition for skilled and experienced management personnel is intense, and 
our future success will also depend on our ability to attract and retain qualified personnel, and a failure to 
attract and retain new qualified personnel could have an adverse effect on our operations.

Natural  disasters  or  other  catastrophic  events  could  negatively  affect  our  business,  financial 
condition and results of operations.

Natural disasters such as hurricanes, typhoons or earthquakes could negatively affect our operations and
financial  performance.    Such  events  could  result  in  physical  damage  to  one  or  more  of  our  facilities  or 
equipment, the temporary lack of an adequate work force in a market, and the temporary disruption in
transportation services which we rely on to deliver waste to our facilities.  These events could prevent or 
delay  shipments  and  reduce  both  volumes  and  revenue.    Weather  conditions  and  other  event  driven 
special projects may also cause variations in our results.  We may be required to suspend operations in
some of our locations, which could have a material adverse effect on our business, financial condition and
results of operation.

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PART I

Item 1B. Unresolved Staff Comments

None.

Item 2. Properties

Details regarding our worldwide properties can be found under Item 1. Business.  We believe that these
processing and other facilities are adequate for our present and currently anticipated future needs.

Item 3. Legal Proceedings

See Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data;  Note  19  -
Item  8.  Financial l Statements  andd  Supplementaryy  Data; 
Consolidated Financial Statements.

Legal  Proceedings  in  the 

Item 4. Mine Safety Disclosures

Not Applicable.

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Stericycle, Inc.  •  34

PART II

PART II

Item 5. Market Price for the Registrant’s Common Equity and Related Stockholder
Matters and Issuer Purchase of Equity Securities 

The  Company’s  common  stock  is  listed  on  the  Nasdaq  Global  Select  Market  under  the  ticker  symbol 
"SRCL."  There were 88 shareholders of record as of February 25, 2019.

We  did  not  declare  or  pay  any  cash  dividends  on  our  common  stock  during  2018,  2017  or  2016.    We
currently  expect  that  we  will  retain  future  earnings  for  debt  repayment  and  use  in  the  operation  and
expansion of our business and do not anticipate paying any cash dividends on our common stock in the 
foreseeable future.

Under resolutions that our Board of Directors adopted, we have been authorized to purchase a cumulative
total of 24,621,640 shares of our common stock on the open market.  As of December 31, 2018, we had 
purchased a cumulative total of 22,219,146 shares.  No common stock purchases were made during 2018. 
See Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data;  Note  14  –  Preferred  Stock in  the 
Consolidated Financial Statements for a description of our repurchases of depository shares of mandatory 
convertible preferred stock and details of their conversion into common stock during 2018.  We applied 
the  common  stock  equivalent  of  repurchases  of  preferred  stock  against  the  number  of  shares  of  our 
common stock authorized for repurchase by the Board of Directors.

k

Performance Graph

The following graph compares the cumulative total return (i.e., share price appreciation plus dividends) on 
our common stock over the five-year period ended December 31, 2018 with the cumulative total return
for  the  same  period  on  the  S&P  500  Index,  the  Dow  Jones  U.S.  Waste &  Disposal  Services  Index,  the
Nasdaq Global Select Index, and the S&P Mid Cap 400 Index.

The  Company  has  included  the  Nasdaq  Global  Select  Market  Composite  Index,  replacing  the  Nasdaq
National  Market  Composite  Index  as  the  Company’s  common  stock  is  registered  on  the  Nasdaq  Global 
Select Market.  In addition, the Company’s common stock is no longer included as part of the S&P 500
Index,  as  of  December  31,  2018,  and  the  S&P  500  Index  will  be  excluded  from  future  performance
analysis.  Instead the Company is now included as a part of the S&P Mid Cap 400 Index which has been
included  in  the  performance  analysis  below  and  will  be  included  in  the  performance  analysis  in  future
periods.

The graph assumes that $100 was invested on December 31, 2013 in our common stock and in the shares 
represented by each of the four indices, and that all dividends were reinvested.

2018 10-K Annual Report

Stericycle, Inc.  •  35

The  stock  price  performance  of  our  common  stock  reflected  in  the  following  graph  is  not  necessarily
indicative of future performance.

PART II

Stericycle, Inc.

S&P 500 Index

Nasdaq Global Select index

S&P Mid Cap 400 Index

Dow Jones U.S. Waste & Disposal Services Index

$250.00

$225.00

$200.00

$175.00

$150.00

$125.00

$100.00

$75.00

$50.00

$25.00

12/31/2013

12/31/2014

12/31/2015

12/31/2016

12/31/2017

12/31/2018

2018 10-K Annual Report

Stericycle, Inc.  •  36

Item 6. Selected Financial Data

In millions, except per share data

Statements of (Loss) Income Data
Revenues
Depreciation and amortization
Goodwill impairment
(Loss) income from operations (1)
Mandatory convertible preferred stock dividend
Gain on repurchase of preferred stock
Net (loss) income attributable to Stericycle, Inc. common
shareholders
(Loss) earnings per common share attributable to Stericycle, 
Inc. common shareholders - diluted (2)
Statements of Cash Flow Data
Net cash from:

Operating activities
Investing activities
Financing activities
Balance Sheet Data
Cash and cash equivalents
Total assets
Long-term debt, net
Stericycle, Inc. equity (1)

PART II

2014

2018

Years Ended December 31,
2016

2017

2015

$

$ 3,485.9
255.9
358.7
(161.1)
(25.5)
16.9
(253.3)

$

3,580.7
249.5
65.0
(7.6)
(36.3)
17.3
23.4

$

3,562.3
252.5
-
433.8
(39.4)
11.3
178.2

$

2,985.9
127.4
-
487.6
(10.1)
-
256.9

2,555.6
104.6
-
556.3
-
-
326.5

$

(2.91) $

0.27

$

2.08

$

2.98

$

3.79

$

165.7
(147.5)
(25.7)

$

34.3
6,455.5
2,663.9
$ 2,587.4

$

$

$

508.6
(193.0)
(321.2)

42.2
6,988.3
2,615.3
2,896.6

$

$

$

560.8
(195.6)
(376.8)

44.2
6,980.1
2,877.3
2,805.8

$

$

$

386.1
(2,533.9)
2,185.4

55.6
7,065.2
3,040.4
2,729.9

$

$

$

448.5
(462.8)
(30.0)

22.2
4,373.3
1,527.2
1,895.0

(1) See  Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data;  Note  1  –  Basis  of  Presentation

and Summary of Significant Accounting Policies.

(2) See  Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data;  Note  15  –  (Loss)  Earnings  per 
Common  Share  ("EPS")  in  the  Consolidated  Financial  Statements  for  information  concerning  the
computation of diluted EPS.

For more details on the items below, see Part II, Item 7. Management’s Discussion and Analysis of Financial 
Condition and Results of Operations.

2018 10-K Annual Report

Stericycle, Inc.  •  37

PART II

Net (loss) income attributable to Stericycle, Inc. common shareholders (including the total negative impact 
to (Loss) earnings per share attributable to Stericycle, Inc. common shareholders), included the following
after-tax effects for each of the years ended December 31, 2018, 2017, 2016, 2015, and 2014, respectively:

In millions

After-tax charges (income)
Business Transformation
Intangible Amortization
Acquisition and Integration
Operational Optimization
Divestitures
Litigation, Settlements and Regulatory Compliance
Impairment
Other
Preferred Stock Dividends
U.S. Tax Reform
Total after-tax impacts

Negative impact to (Loss) earnings per share attributable to 
Stericycle, Inc. common shareholders - diluted

2018

Years Ended December 31,
2017

2016

2015

2014

$

$

$

61.2
97.7
7.8
22.9
16.0
74.2
314.5
25.6
27.5
8.8
656.2

7.36

$

$

$

20.0
77.4
26.2
46.8
7.1
203.5
67.2
15.3
36.3
(129.8)
370.0

4.07

$

$

$

-
83.5
38.1
40.4
23.2
4.4
1.4
4.1
39.4
-
234.5

2.45

$

$

$

-
29.8
55.4
24.0
-
39.8
-
-
10.1
-
159.1

$

-
-
27.8
10.1
-
4.0
-
-
-
-
$ 41.9

1.76

$ 0.48

For  the  purpose  of  calculating  the  impact  to  (Loss)  earnings  per  share  attributable  to  Stericycle,  Inc. 
common  shareholders,  of  our  mandatory  convertible  preferred  stock  in  the  years  ended  December  31, 
2018,  2017,  2016,  and  2015,  we  calculate  the  impact  by  excluding  the  mandatory  convertible  preferred 
stock  dividend  and  using  the  “if-converted”  method  of  share  dilution,  weighted  in  2018  for  the  period
prior to its conversion into common stock in September 2018 and weighted in 2015 for the period after 
issuance in September 2015.

2018 10-K Annual Report

Stericycle, Inc.  •  38

PART II

Item 7. Management’s Discussion and Analysis of Financial Condition and Results 
of Operations

The  following  discussion  of  Stericycle’s  financial  condition  and  results  of  operations  should  be  read  in 
conjunction  with  our  Consolidated  Financial  Statements  and  related  notes  in Part  II,  Item 8. Financial 
Statements and Supplementary Data of this Report.

Overview

Stericycle  is  a  multinational  business-to-business  services  provider  with  a  core  purpose  to  help  our 
customers fulfill their promise by providing solutions that protect people and brands, promote health, and
safeguard  the  environment.    We  are  focused  on  driving  long-term  growth,  profitability,  and  delivering 
enhanced  shareholder  value  and  operate  in  highly  regulated  markets  which,  we  believe  will  continue  to
grow as a result of a number of factors (see Part I – Item 1. Business).  We aim to take advantage of that
growth  both  organically,  by  focusing  on  enhancing  our  service  offerings  and  platforms,  and  by
acquisitions in what we believe are highly fragmented industries.  We serve customers in all 50 states of 
the United States (“U.S.”), Puerto Rico, and in 21 other countries.  As part of our business strategy, in the
third quarter of 2017, we initiated a comprehensive multi-year Business Transformation (see below).

For further information on the Company’s business, segments, and services, see Part I, Item 1. Business.

Highlights for the year ended December 31, 2018 compared to the prior year include:

(cid:129) Revenues  of  $3.49  billion,  a  decrease  of  2.6%,  driven  by  the  expected  declines  in  the  small  quantity 
(“SQ”)  medical  waste  business  and  Communication  and  Related  Services  (“CRS”),  foreign  exchange,
and divestitures, partially offset by strong organic growth in Secure Information Destruction.

(cid:129) Gross profit of $1.38 billion, a decrease of 5.9%, primarily attributable to the expected impact of SQ 
mix and pricing, non-cash impairment charges and the impact of lower call volumes and smaller recall
events  in  CRS.    We  also  continue  to  see  challenges  with  our  Latin  America  business  as  a  result  of 
prolonged market declines and cost pressures. 

(cid:129) Loss per share of $2.91, due to $358.7 million in non-cash goodwill impairment charges related to CRS

and Latin America reporting units, and other items discussed further below.

During the third quarter of 2018, we funded the $295.0 million SQ medical waste customer class action 
settlement (the “SQ settlement”). We announced during the fourth quarter of 2018 that we had reached a
proposed resolution with Plaintiffs and their counsel in the pending Securities Class Action Lawsuit. (For 
additional information, see Part II, Item 8. Financial Statements and Supplementary Data; Note 19 – Legal 
Proceedings in the Consolidated Financial Statements).

Item 8. Financial l Statements and d Supplementaryy Data; 

We entered into several amendments to the Credit Agreement, which cover our senior credit facility and 
term  loan,  and  the  various  note  purchase  agreements  which  cover  the  private  placement  notes.    These 
amendments  adjusted  the  definition  of  EBITDA  for  purposes  of  the  calculation  of,  and  allowed  for  an
increase  in,  the  permitted  Consolidated  Leverage  Ratio.    In  addition,  terms  were  added  which,  under 
certain  circumstances,  would  lead  to  increases  in  the  interest  rates  charged  on  the  senior  credit  facility, 
term loan and private placement notes.  In connection with the underlying terms, we saw an increase of 
0.25% in the interest rate charged on our senior credit facility and term loan and total increases of 0.75% 

2018 10-K Annual Report

Stericycle, Inc.  •  39

PART II

on the interest rates charged on our private placement notes.  We expect that the annual impact of these 
interest  rate  increases  on  our  Interest  Expense,  Net  will  be  approximately  $11.8  million.  (For  additional
information,  see  Part  II,  Item  8,  Financial  Statements  and  Supplementary  Data;  Note  8  –  Debt in  the 
Consolidated Financial Statements).

t

Finally,  in  September  2018,  our  Series  A  Mandatory  Convertible  Preferred  Stock  (“Series  A  Preferred 
Stock”)  was  converted,  in  accordance  with  the  terms  of  issue,  into  a  total  of  4.7  million  shares  of  our 
common  stock  (for  additional  information,  see Part  II,  Item  8.  Financial  Statements  and  Supplementary 
Item  8.  Financiall  Statements  andd  Supplementary 
in the Consolidated Financial Statements).
Data; 

Note 14 – Preferred Stock 

The following table identifies key strategies and other significant matters impacting our business for the 
years ended December 31, 2018, 2017, and 2016, respectively (amounts are stated pre-tax except when 
noted):

In millions

Pre-tax items:

Operational Optimization
Impairment (excluding goodwill)

Total included in COR

Included in Selling, general and administrative ("SG&A")

Intangible Amortization
Acquisition and Integration
Operational Optimization
Divestitures
Litigation, Settlements and Regulatory Compliance
Impairment (excluding goodwill)
Other

Total included in SG&A

Goodwill impairment

Included in Other expense, net

Capital Allocation (debt modification fees)
Total included in Other expense, net

Total pre-tax

After tax items:

U.S. Tax Reform
Total after-tax

$

$

$

$

Years Ended December 31,

2018

2017

2016

8.1
-
17.6
25.7

74.5
130.3
9.8
29.4
20.5
93.2
8.9
29.1
395.7

358.7

3.8
2.7
6.5
786.6

25.5
8.8
34.3

$

$

$

$

0.7
0.4
-
1.1

30.6
118.4
40.7
70.7
9.5
327.7
-
24.8
622.4

65.0

-
-
-
688.5

36.3
(129.8)
(93.5)

$

$

$

$

-
9.0
-
9.0

-
129.3
60.9
50.1
27.1
7.2
1.4
8.8
284.8

-

(0.6)
-
(0.6)
293.2

39.4
-
39.4

2018 10-K Annual Report

Stericycle, Inc.  •  40

PART II

The above strategies and other significant matters include the following types of activities:

Cash Charges

Closure and Exit 
Costs (1)
√

Internal (2)
√

Consulting and 
Professional Fees
√

Other (3)
√

Non-Cash 
Charges (4)
√

√

√

√

√

√

√

√

√

√

√

√

√

√

√

√

√

√

Business Transformation
Acquisition and
Integration
Operational
Optimization
Divestitures
Litigation, Settlements
and Regulatory 
Compliance
Other

(1)

(2)

(3)

(4)

Includes employee and contract termination, facility closure and clean up costs.
Includes dedicated resources, including project related incentive compensation and stock based
compensation.
Includes other costs related to each strategy e.g. software maintenance fees, changes in
contingent consideration and environmental provisions.
Includes impairments, accelerated depreciation and/or amortization and gain/loss on disposal.

Business Transformation

The Business Transformation is based on a strategic vision to build a best-in-class enterprise performance 
management  (“EPM”)  operating  model  to  enable  the  Company  to  operate  more  efficiently,  provide  an 
enhanced experience to customers, better capitalize on future growth opportunities and establish greater
controls  and  oversight  to  drive  more  consistent  results.    Additionally,  a  key  component  to  the  Business 
Transformation  is  the  implementation  of  an  enterprise  resource  planning  (“ERP”)  system  which  will
leverage  standard  processes  throughout  the  organization  to  accelerate  decision  making,  expedite
acquisition integration, remediate compliance and control issues, and enable real-time analytics.

Key initiatives of the Business Transformation include:

(cid:129) Portfolio  Rationalization:    Executing  on  a  comprehensive  review  of  the  Company’s  global  service 
lines to identify and pursue the divestiture of non-strategic assets (see divestitures section, below for
decision criteria and divestiture related charges).

(cid:129) Operational Optimization:  Standardizing route planning logistics, modernizing field operations, and 

driving network efficiency across facilities.

(cid:129) Organizational  Excellence  and  Efficiency:    Redesigning  the  Company’s  organizational  structure  to

optimize resources and align around a global shared business services model.

(cid:129) Commercial  Excellence:    Aligning  our  sales  and  service  organizations  around  the  customer,
standardizing  our  customer  relationship  management  process,  and  expanding  customer  self-service 
options.

(cid:129) Strategic  Sourcing:    Reducing  spend  through  global  procure-to-pay  processes  and  leveraging

organizational scale.

2018 10-K Annual Report

Stericycle, Inc.  •  41

PART II

Execution  of  the  Business  Transformation  began  in  2017  with  the  identification  and  validation  of  key
transformational opportunities as well as an organizational restructuring which occurred during the fourth
quarter of 2017.  Execution of the Business Transformation is expected to continue through 2022 with the
implementation  of  an  enterprise  resource  planning  system  in  the  U.S.  and  Canada  during  2020  with 
remaining international rollouts beginning in 2021.

On  August  2,  2018,  we  announced,  as  part  of  the  Portfolio  Rationalization  strategy  within  Business
Transformation,  that  we  are  pursuing  strategic  alternatives  for  non-core  CRS,  demonstrating  our 
commitment to streamlining our portfolio.  The process, which is being conducted with the assistance of 
financial and legal advisers, is considering a range of strategic alternatives for CRS, including a divestiture, 
with a focus on pursuing the outcome that will drive the most value for Stericycle shareholders.  There can 
be no assurances as to the form or timing of any transaction or if any transaction will be consummated. 
Any  potential  gain  or  loss  will  depend  on  a  number  of  factors,  such  as  our  ability  to  identify  an
appropriate strategic alternative, reach a mutual agreement with any counterparty and satisfy the closing 
conditions associated with any proposed transaction.

For the years ended December 31, 2018 and 2017 and since the program’s inception, we have recognized
the following charges and capital expenditures related to the Business Transformation:

In millions

Included in COR
Exit costs - employee termination
Other related expenses
Non-cash charges

Total included in COR

Included in SG&A
Exit costs - employee termination
Internal costs
Consulting and professional fees
Other related expenses
Non-cash charges

Total included in SG&A

Total charges

Non-cash impairment charges
Cash charges (including stock based compensation)

Capital expenditures

Years Ended December 31,

2018

2017

Cumulative Since 
Inception

$

$

$
$

$

-
0.4
7.7
8.1

3.7
15.6
44.9
8.9
1.4
74.5
82.6

9.1
73.5

18.0

$

$

$
$

$

0.7
-
-
0.7

10.8
-
16.4
1.0
2.4
30.6
31.3

2.4
28.9

10.9

$

$

$
$

$

0.7
0.4
7.7
8.8

14.5
15.6
61.3
9.9
3.8
105.1
113.9

11.5
102.4

28.9

The  Company  expects  to 
incur  additional  aggregate  charges  over  the  duration  of  Business
Transformation,  principally  aligned  with  the  ERP  implementation  timeline  discussed  above.  The  amount, 
timing  and  recognition  of  additional  charges  over  this  time  period  will  be  affected  by  the  nature  of 
spending  and  the  occurrence  of  commitments  and  triggering  events  as  defined  under  accounting
principles generally accepted in the U.S. (“GAAP”), among other factors. The asset impairment charges are
non-cash, and the remaining charges are cash costs primarily expensed or capitalized as incurred.

2018 10-K Annual Report

Stericycle, Inc.  •  42

PART II

The  Company  may  incur  more  charges  and  cash  expenditures  than  estimated  and  may  not  realize  the 
expected improvement or cost savings on its planned time frame or at all.

The  non-cash  charges  incurred  in  the  year  ended  December  31,  2018  are  discussed  in  Part  II,  Item  8.
in the Consolidated
Financial l Statements andd Supplementary y Data; 
Financial  Statements    We  may  incur  additional  non-cash  impairment  and/or  accelerated  depreciation 
charges as we continue to evolve our future information technology strategy in conjunction with our ERP
implementation. 

Note 5 – Property, Plant And Equipment 

Business Transformation charges by reportable segment for the year ended December 31, 2018 were as 
follows:

In millions

Total

$

10.8

$

0.7

$

71.1

$

82.6

Domestic and 
Canada RCS

International RCS

All Other

Total

Business Transformation charges by reportable segment for the year ended December 31, 2017 were as 
follows:

In millions

Total

$

5.5

$

4.0

$

21.8

$

31.3

Domestic and 
Canada RCS

International RCS

All Other

Total

As  part  of  our  Business  Transformation  we  are  undertaking  legal  entity  organizational  restructuring 
actions  to  assist  with  streamlining  and  simplifying  business  operations  and  to  help  lower  general  and
administrative  costs.    Such  actions  could  result  in  additional  charges  associated  with  consulting  and 
professional services, and increases in potential exposure to U.S. and foreign taxes and foreign exchange
charges.

Intangible Amortization

For the years ended December 31, 2018, 2017, and 2016, the Company recognized $130.3 million, $118.4 
million, and $129.3 million, respectively, of intangible amortization expense.  The increase is partially due
to the adjustment of the estimated useful lives of some of our customer relationship intangibles (see Part 
II, Item 8. Financial Statements and Supplementary Data; Note 6 – Goodwill and Other Intangible Assets
 in
the Consolidated Financial Statements) during 2018 with the remaining change arising from acquisitions.

Item 8. Financial l Statements andd Supplementaryy Data; 

Acquisition and Integration

We  believe  that  acquisitions  are  a  steady  and  efficient  way  to  scale  operations,  build  critical  customer 
density  for  transportation  and  treatment  operations,  and  enter  new  markets  or  geographies,  as  well  as
provide  opportunity  to  introduce  our  additional  services  to  the  acquired  customers.    We  expect  to 
continue  our  acquisition  strategy,  remaining  focused  on  small,  highly  accretive,  tuck  in  acquisitions  that
broaden our various service capabilities while creating value for our shareholders.

2018 10-K Annual Report

Stericycle, Inc.  •  43

PART II

Details  of  the  acquisitions  completed  in  the  years  ended  December  31,  2018,  2017,  and  2016  can  be
  in  the 
found  in  Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data;  Note  3  –  Acquisitions
Consolidated Financial Statements.

Item  8.  Financiall  Statements  andd  Supplementary y Data; 

Acquisition  and  integration  expenses  for  the  years  ended  December  31,  2018,  2017,  and  2016  were  as
follows:

In millions

Acquisition expenses
Integration expenses
Unfavorable (favorable) change in contingent consideration

Total

$

$

7.4
2.2
0.2
9.8

$

$

10.6
30.5
(0.4)
40.7

$

$

9.6
53.3
(2.0)
60.9

2018

Years Ended December 31,
2017

2016

Integration expenses incurred in the years ended December 31, 2018, 2017, and 2016 primarily related to
acquisitions completed in the U.S. and the fourth quarter 2015 Shred-it® acquisition.

Operational Optimization

The  Company  aims  to  achieve  a  culture  of  continuous  improvement  that  will  enhance  its  efficiency, 
effectiveness  and  competitiveness  to  improve  its  cost  base  and  cash  flow.    As  part  of  its  strategy,  the
Company has taken a number of actions to reduce operating costs and optimize operations.  For example, 
we believe plant throughput and route density are competitive strengths of Stericycle.  We maintain such
strengths  by  making  adjustments  to  our  network  of  transportation  and  treatment  facilities  to  optimize
overall logistics and processing capabilities within a service line while reducing operational costs.  As part 
of these efforts, we seek to reduce network redundancies by consolidating facilities, closing the redundant
facility, and restructuring the local organization and operation for efficiency.

Projects that are included within the Operational Optimization category were generally commenced prior 
to the announcement of our Business Transformation initiative discussed above or have been identified as 
additional items over and above those related to Business Transformation.

Operational Optimization expenses, which were all recognized in SG&A, for the year ended December 31,
2018, were as follows:

In millions

Domestic and
Canada RCS

International RCS

All Other

Total

Exit costs - employee termination
Closure and exit costs - other
Non-cash charges
Other expenses

Total

$

$

-
4.2
1.0
-
5.2

$

$

0.2
5.9
11.3
2.0
19.4

$

$

1.1
3.7
-
-
4.8

$

$

1.3
13.8
12.3
2.0
29.4

(cid:129) Domestic and Canada RCS Closure and exit costs - other related to optimizing overall logistics and 
sales  functions  and  lease  exit  costs  for  the  consolidation  of  call  centers  in  Canada  Communication
and  Related  Services  locations  and  non-cash  charges  relate  to  accelerated  depreciation  associated 
with software;

2018 10-K Annual Report

Stericycle, Inc.  •  44

PART II

(cid:129)

(cid:129)

International  RCS  Closure  and  exit  costs  -  other  relate  to  closure,  contract  exit  and  other  clean-up 
costs,  primarily  in  Latin  America  and  Japan.    Non-cash  impairment  charges  related  to  long-lived
assets,  customer  relationships,  and  operating  permits,  primarily  in  Latin  America  and  Japan,  and
rationalization of a tradename in Europe, and other expenses primarily in Japan; and

All Other Exit costs - other related to lease exit costs for the consolidation of call centers in Domestic 
Communication and Related Services locations.

Operational Optimization charges, which, except for $0.4 million recognized in COR, were recognized in 
SG&A, for the year ended December 31, 2017, were as follows:

In millions

Domestic and
Canada RCS

International RCS

All Other

Total

Exit costs - employee termination
Closure and exit costs - other
Non-cash charges
Consulting and professional fees

Total

$

$

1.1
16.1
3.1
8.9
29.2

$

$

3.7
8.8
17.0
-
29.5

$

$

0.5
5.8
5.8
0.3
12.4

$

$

5.3
30.7
25.9
9.2
71.1

(cid:129) Domestic  and  Canada  RCS  Closure  and  exit  costs  -  other  related  to  optimizing  overall  logistics  and 
sales functions. Non-cash impairment charges related to long lived assets, consulting and professional 
fees relate to costs to identify opportunities and  reduce operational redundancies;

(cid:129) International  RCS  Closure  and  exit  costs  –  employee  termination  and  closure  and  exit  costs  -  other
included amounts incurred in Latin America for rationalizing our operations and in the U.K. for facility 
rationalization  and  contract  exit  costs.    Non-cash  impairment  charges  related  to  long-lived  assets, 
operating permits, and customer relationships in Latin America and Japan; and

(cid:129) All  Other  closure  and  exit  costs  -  other  related  to  consolidating  of  call  centers  in  Domestic 
Communication  and  Related  Services  locations.    Non-cash  charges  relate  to  the  impairment  of  a
tradename  and  consulting  and  professional  fees  represented  fees  incurred  to  eliminate  operational
redundancies.

Operational Optimization charges, which, except for $9.0 million recognized in COR, were recognized in 
SG&A, for the year ended December 31, 2016, were as follows:

In millions

Domestic and
Canada RCS

International RCS

All Other

Total

Exit costs - employee termination
Closure and exit costs - other
Consulting and professional fees

Total

$

$

1.7
5.3
10.4
17.4

$

$

1.1
26.5
-
27.6

$

$

1.7
10.8
1.6
14.1

$

$

4.5
42.6
12.0
59.1

2018 10-K Annual Report

Stericycle, Inc.  •  45

PART II

(cid:129) Domestic and Canada RCS Exit costs-other related to optimizing overall logistics and sales functions 
and  the  consolidation  of  call  centers  in  Canadian  Communication  and  Related  Services  locations. 
Consulting and professional fees to identify opportunities and  reduce operational redundancies;

(cid:129) International  RCS  Exit-costs  other  related  to  charges  to  exit  certain  of  our  patient  transport  services

contracts and plant conversion expense in the U.K.; and

(cid:129) All  Other  Closure  and  exit  costs  -  other  related  to  the  consolidation  of  call  centers  in  Domestic 
Communication  and  Related  Services.    Consulting  and  professional  fees  were  incurred  to  identify
opportunities and reduce operational redundancies.

As the Company continues to consider each continuous improvement activity, the amount, the timing and 
recognition  of  charges  will  be  affected  by  the  occurrence  of  commitments  and  triggering  events  as 
defined under GAAP, among other factors.  The Company may incur more charges and cash expenditures 
than estimated and may not realize the expected improvement or cost savings on its planned time frame 
or at all.

Divestitures

The  Company  evaluates  its  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.  Our decision for divestiture is based upon the following criteria:

(cid:129) outlook for long-term market conditions,
(cid:129) potential impact to complimentary services or customer relationships,
(cid:129) ability to leverage infrastructure and customer base for growth, 
(cid:129) potential for margin improvement,
(cid:129) current divestiture value versus future divestiture value,
(cid:129) return on invested capital, and
(cid:129) implications for ERP system implementation.

During the years ended December 31, 2018, 2017, and 2016, we recognized charges totaling $12.8 million,
$9.5  million  and  $27.1  million,  respectively,  associated  with  the  divestitures  of  businesses.    Details  of 
divestitures  undertaken  in  the  years  ended  December  31,  2018,  2017,  and  2016  can  be  found  in  Part  II,
Item 8. Financiall Statements and d Supplementaryy Data; Note 4 – Restructuring, Divestitures, and Assets Held 
for Sale in the Consolidated Financial Statements.  In addition to these charges, in 2018 we incurred $7.7 
million of consulting and professional fees associated with our Portfolio Rationalization efforts, primarily 
the review of strategic alternatives for CRS.

With  the  anticipated  implementation  of  its  ERP  system,  Stericycle  will  continue  its  strategic  portfolio 
review with the intent of identifying additional non-strategic service lines or markets for divestiture prior
to the implementation of the ERP system.

2018 10-K Annual Report

Stericycle, Inc.  •  46

PART II

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  from  time  to  time
Item  8.  Financiall  Statements  and d Supplementaryy  Data;  Note  19  – 
including  the  items  detailed  in Part  II,  Item  8.  Financial  Statements 
Legal Proceedings, in the Consolidated Financial Statements.

Our  financial  results  may  also  include  considerations  of  non-recurring  matters  including  settlements,
environmental remediation, and legal related consulting and professional fees.

For the year ended December 31, 2018, we recognized $93.2 million of legal, settlement and regulatory
compliance  expenses,  consulting  and  professional  fees,  primarily  related  to  certain  litigation  matters,
including  the  provision,  net  of  insurance  recoveries,  for  the  proposed  Securities  Class  Action  Settlement
announced on December 19, 2018.

For the year ended December 31, 2017, we recognized $327.7 million of legal, settlement and regulatory
compliance  expenses,  consulting  and  professional  fees,  primarily  related  to  certain  litigation  matters,  of 
which $295.0 million was for the SQ Settlement.

For the year ended December 31, 2016, we recognized $7.2 million in regulatory compliance, consulting
and professional fees, primarily related to certain litigation matters.

See also Item 1A. Risk Factor “We are subject to a number of pending lawsuits.”

Impairment charges comprise the following for the years ended December 31, 2018, 2017, and 2016:

Impairment

In millions

Impairments included in COR

Impairments included in SG&A

Goodwill impairments:

Domestic CRS reporting unit
Latin America reporting unit

Goodwill impairments

2018

Years Ended December 31,
2017

2016

$

$

$

$

17.6

8.9

286.3
72.4
358.7

$

$

$

$

-

-

-
65.0
65.0

$

$

$

$

-

1.4

-
-
-

The impairment charges included in COR for the year ended December 31, 2018 are described in Part II,
Item  8.  Financiall  Statements  andd  Supplementaryy  Data;  Note  5  –  Property,  Plant  And  Equipment  in  the 
Consolidated Financial Statements.

As  a  result  of  our  annual  goodwill  impairment  assessment  on  October  1  and  an  interim  assessment 
performed  in  the  fourth  quarter  of  2018,  we  recognized  total  non-cash  goodwill  impairment  charges  of 
$358.7 million related to our Domestic CRS and Latin America reporting units.  The impairment charges 
are  discussed  further  below  in  the  Impairment  section  of  Part  II,  Item  7.  Management’s  Discussion  and 

2018 10-K Annual Report

Stericycle, Inc.  •  47

PART II

Analysis  of  Financial  Condition  and  Results  of  Operations  –  Goodwill  Impairment.    (For  additional 
information, see Part II, Item 8. Financial Statements and Supplementary Data; Note 6 – Goodwill and Other 
Intangible Assets in the Consolidated Financial Statements).

Item 8. Financiall Statements and d Supplementary y Data; 

–

Goodwill  impairment  charges  may  be  recognized  in  future  periods  to  the  extent  changes  in  factors  or
circumstances  occur,  including  deterioration  in  the  macro-economic  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 the Company's plans for one or more reporting units.

Other

During the years ended December 31, 2018, 2017, and 2016, we recognized $29.1 million, $24.8 million,
and $8.8 million, respectively, of consulting and professional fees related to internal control remediation
activities as well as the implementation of new accounting standards which are reflected as part of SG&A
on the Consolidated Statements of (Loss) Income.

For the year ended December 31, 2018, we recognized a foreign exchange loss of $3.8 million, in Other 
expense,  net  on  the  Consolidated  Statements  of  (Loss)  Income,  related  to  the  re-measurement  of  net
monetary assets held in Argentina as a result of its designation as a highly inflationary economy.

Capital Allocation

Stericycle  aims  to  maintain  a  structured  capital  allocation  strategy  that  balances  investment  in  the 
business, debt reduction, and returns to shareholders.

Our capital allocation items include the following types of activities:

(cid:129)

Stock issuance costs,

(cid:129) Dividends on Preferred Stock,
(cid:129) Debt modification costs in connection with related non-recurring matters,
(cid:129)

Early extinguishment of debt gains and losses, and

(cid:129) Other related expenses.

We declared and paid dividends of $25.5 million, $36.3 million, and $39.4 million to the Series A Preferred 
Stock  shareholders  during  the  years  ended  December  31,  2018,  2017,  and  2016,  respectively.    On
September  14,  2018,  in  accordance  with  their  terms  of  issuance,  all  of  the  Series  A  Preferred  Stock  was 
converted  into  common  stock  and  all  then  outstanding  shares  of  preferred  stock  and  the  associated
depositary shares were cancelled.

During  the  year  ended  December 31,  2018,  we  recognized  $2.7  million  of  debt  modification  charges
related to amending our credit agreements.  These charges have been recognized as Interest expense, net 
in the Consolidated Statements of (Loss) Income.

2018 10-K Annual Report

Stericycle, Inc.  •  48

Tax Reform

PART II

The  U.S.  Tax  Cuts  and  Jobs  Act  of  2017  (the  “Tax  Act”)  was  signed  into  law  on  December  22,  2017  and 
introduced changes including, but are not limited to, a corporate income tax rate decrease from 35% to 
21% effective for tax years beginning after December 31, 2017, the transition of U.S. international taxation 
from  a  worldwide  tax  system  to  a  territorial  system,  and  a  one-time  transition  tax  on  the  mandatory
deemed repatriation of cumulative foreign earnings as of December 31, 2017.

The  Company  calculated  the  provisional  impact  of  the  Tax  Act  on  its  year  end  2017  income  tax
benefit/provision and as a result recognized $129.8 million as an income tax benefit in the fourth quarter
of  2017.    Consistent  with  the  requirements  of  Staff  Accounting  Bulletin  No.  118  (“SAB  118”),  the  impact 
was finalized during 2018, resulting in a charge of $8.8 million.  Adjustments may be necessary in future
periods  due  to  potential  technical  corrections  to  the  Tax  Act  and/or  regulatory  guidance  that  may  be 
issued by the U.S. Internal Revenue Service. For further discussion, see Part II, Item 8. Financiall Statements
and d Supplementary y Data; 

in the Consolidated Financial Statements.

Note 9 – Income Taxes

Results of Operations:

In millions, except per share data

Years Ended December 31,

2018

2017

2016

Change 
2018 versus 
2017

Change 
2017 versus 
2016

$
3,485.9
2,109.9
1,376.0

Revenues
Cost of revenues
Gross profit
Selling, general and
1,178.4
administrative expenses
Goodwill impairment
358.7
(Loss) income from operations (161.1)
(106.0)
Interest expense, net
(8.3)
Other expense, net
(Loss) Income before income 
taxes
Income tax benefit (expense)
Net (loss) income

(275.4)
29.8
(245.6)

% of 
Revenues

% of 
Revenues

$

% of 
Revenues

$

$

100.0% 3,580.7
60.5% 2,118.2
39.5% 1,462.5

100.0% 3,562.3
59.2% 2,075.4
40.8% 1,486.9

100.0% (94.8)
58.3%
(8.3)
41.7% (86.5)

%
(2.6%)
(0.4%)
(5.9%)

$
18.4
42.8
(24.4)

%

0.5%
2.1%
(1.6%)

33.8% 1,405.1
65.0
10.3%
(7.6)
(4.6%)
(93.7)
(3.0%)
(6.6)
(0.2%)

39.2% 1,053.1
-
433.8
(97.8)
(7.9)

1.8%
(0.2%)
(2.6%)
(0.2%)

29.6% (226.7) (16.1%) 352.0
293.7 451.8% 65.0

–

33.4%
nm

12.2% (153.5)
(2.7%)
(0.2%)

(12.3) 13.1%
(1.7) 25.8%

nm (441.4) (101.8%)
(4.2%)
4.1
(16.5%)
1.3

(7.9%)
(107.9)
0.9% 150.9
43.0
(7.0%)

(3.0%)
328.1
4.2% (120.2)
1.2% 207.9

9.2% (167.5) 155.2% (436.0) (132.9%)
(3.4%) (121.1) (80.3%) 271.1 (225.5%)
(79.3%)
5.8% (288.6)

nm (164.9)

nm - percentage change not meaningful

In  analyzing  our  Company’s  performance,  it  is  necessary  to  understand  that  our  various 
Revenues:
regulated  services  share  a  common  infrastructure  and  customer  base.    We  market  our  regulated  and
compliance  services  by  offering  various  pricing  options  to  meet  our  customers’  preferences,  and
customers  move  between  these  different  billing  paradigms.    For  example,  our  customers  may  contract
with  us  for  Medical  Waste  Disposal  services  that  are  billed  based  on  the  weight  of  waste  collected, 
processed and disposed during a particular period, and in a subsequent period, the same customer could
move  to  our  standard  service,  which  packages  the  same  regulated  medical  waste  services  with  training 
and education services for a contracted subscription fee.  Another example is a customer that purchases
our Medical Waste Disposal and Sharps Disposal Management services which provides the customer with
the same regulated services under a different pricing and billing arrangement.

2018 10-K Annual Report

Stericycle, Inc.  •  49

PART II

We  do  not  track  the  movement  of  customers  between  the  various  types  of  regulated  services  we  offer.  
Although we can identify directional trends in our services, because the regulated services are similar in 
nature  and  there  are  inherent  inaccuracies  in  disaggregation,  we  analyze  revenues  on  an  aggregated
basis.    We  analyze  our  revenue  growth  by  identifying  changes  related  to  organic  growth,  acquisitions,
divestitures  and  changes  due  to  currency  exchange  fluctuations.    Organic  growth  excludes  the  effect  of 
foreign  exchange  and  acquisitions  and  divestitures  with  less  than  a  full  year  of  revenues  in  the
comparative period.

Year  over  year  movements  in  Revenues  by  Service  and  Segment  in  2018  compared  to  2017,  and  2017
compared to 2016 were as follows:

In millions

Years Ended 
December 31,

Percentage Change %

2018

2017 Change Organic Acquisitions Divestitures

Foreign 
Exchange

Change

Revenues by Service
Regulated Waste and Compliance
Services
Secure Information Destruction 
Services
Communication and Related
Services
Manufacturing and Industrial
Services

Total Revenues

$ 1,932.6 $ 2,023.6 $

(91.0)

(2.8%)

911.0

823.4

87.6

7.8%

313.1

382.6

(69.5)

(18.2%)

329.2

351.1

$ 3,485.9 $ 3,580.7 $

(21.9)
(94.8)

2.8%
(1.5%)

Revenues by Segment
Domestic and Canada RCS
International RCS
All Other

$ 2,574.1 $ 2,551.9 $

655.1
256.7

707.6
321.2

Total Revenues

$ 3,485.9 $ 3,580.7 $

22.2
(52.5)
(64.5)
(94.8)

(0.1%)
1.9%
(20.1%)
(1.5%)

0.3%

2.7%

0.1%

0.2%
0.8%

1.1%
0.4%
–
0.8%

(1.1%)

(0.9%)

(4.5%)

(0.4%)

0.5%

10.6%

–

(0.1%)

(18.2%)

(5.4%)
(1.3%)

(3.8%)
(0.7%)

(6.2%)
(2.6%)

(0.1%)
(5.9%)
–
(1.3%)

–
(3.8%)
–
(0.7%)

0.9%
(7.4%)
(20.1%)
(2.6%)

In millions

Years Ended 
December 31,

Percentage Change %

2017

2016 Change Organic Acquisitions Divestitures

Foreign 
Exchange

Change

$ 2,023.6 $ 2,063.0 $

(39.4)

(1.0%)

Revenues by Service
Regulated Waste and Compliance
Services
Secure Information Destruction 
Services
Communication and Related Services
Manufacturing and Industrial services

823.4
382.6
351.1

747.5
370.4
381.4

Total Revenues

$ 3,580.7 $ 3,562.3 $

Revenues by Segment
Domestic and Canada RCS
International RCS
All Other

$ 2,551.9 $ 2,508.8 $

707.6
321.2

751.7
301.8

Total Revenues

$ 3,580.7 $ 3,562.3 $

75.9
12.2
(30.3)
18.4

43.1
(44.1)
19.4
18.4

7.4%
2.2%
(6.1%)
0.6%

0.8%
(1.8%)
4.8%
0.6%

0.3%

2.9%
1.3%
–
0.9%

0.8%
0.9%
1.6%
0.9%

(0.9%)

(0.3%)

(1.9%)

–
–
(0.8%)
(0.6%)

–
(2.9%)
–
(0.6%)

(0.2%)
(0.2%)
(1.0%)
(0.3%)

10.2%
3.3%
(7.9%)
0.5%

0.1%
(2.1%)
0.0%
(0.3%)

1.7%
(5.9%)
6.4%
0.5%

2018 10-K Annual Report

Stericycle, Inc.  •  50

PART II

2018 compared to 2017

On  a  consolidated  basis  revenues  decreased  $94.8  million,  or  2.6%,  in  2018  to  $3.49  billion  from  $3.58
billion  in  2017.    The  decrease  was  largely  driven  by  the  expected  declines  in  the  SQ  medical  waste 
business and CRS, foreign exchange, and divestitures, partially offset by strong organic growth in Secure 
Information Destruction.

Domestic and Canada RCS revenues increased $22.2 million, or 0.9%, in 2018 to $2.57 billion from $2.55
billion in 2017.  Organic revenues declined $1.5 million, or 0.1%, as we saw declines due to the impact of 
SQ pricing.  This was partially offset by increases in Secure Information Destruction revenues as a result of 
increased pricing and related demand and pricing for recycled paper as well as organic growth from new
customers and growth in Regulated Waste and Compliance revenues from retail and our larger customers.  
Acquisitions  contributed  $27.0  million,  or  1.1%,  to  revenues.    Divestitures,  primarily  related  to  the  U.S.
clean room business, reduced revenues by $3.3 million, or 0.1%.

International RCS revenue decreased $52.5 million, or 7.4%, in 2018 to $655.1 million from $707.6 million 
in 2017.  The increase in International RCS segment organic revenues was $13.3 million, or 1.9%.  Secure
Information  Destruction  revenues  increased  as  a  result  of  increased  pricing  and  related  demand  and 
pricing  for  recycled  paper  as  well  as  organic  growth  from  new  customers,  and  the  impact  of  the  new 
General  Data  Protection  Regulation  laws  in  Europe.    We  also  saw  increases  in  Medical  Waste  and 
Compliance Revenues as a result of growth in Europe.  These increases were offset by declines due to the 
exit from our patient transport business in the U.K. and overall economic declines in several Latin America
markets.    Acquisitions  in  the  International  RCS  segment  contributed  $2.7  million,  or  0.4%,  to  revenues. 
Divestitures  related  to  the  hazardous  waste  business  in  the  U.K.  and  Secure  Information  Destruction
business in South Africa reduced revenues by $41.7 million, or 5.9%.  The effect of foreign exchange rates, 
primarily in Latin America, unfavorably impacted international revenues in 2018 by $26.8 million, or 3.8%,
as foreign currencies, notably those in Latin America, declined against the U.S. dollar.

All Other revenues, related to Domestic Communication and Related Services, decreased $64.5 million, or
20.1%, in 2018 to $256.7 million from $321.2 million in 2017.  Revenues were impacted by reductions in
CRS  volumes  due  to  smaller-sized  recall  events  as  compared  to  multiple  large-sized  recall  events
managed during 2017 and lower call volumes. 

2017 compared to 2016

On  a  consolidated  basis  revenues  increased  $18.4  million,  or  0.5%,  in  2017  to  $3.58  billion  from  $3.56
billion in 2016.

Domestic and Canada RCS revenues increased $43.1 million, or 1.7%, in 2017 to $2.55 billion from $2.51
billion in 2016.  Organic revenue growth contributed $19.0 million, or 0.8%, and acquisitions contributed 
$20.9  million,  or  0.8%,  to  revenues.    Our  Secure  Information  Destruction  revenues  were  strong  due  to 
higher  sales  activity  for  both  recurring  and  one-time  purge  services  combined  with  higher  recycling 
revenue.    The  strengthening  of  the  Canadian  dollar  had  a  favorable  impact  on  2017  revenues  by  $3.2
million, or 0.1%.  Revenue related to Manufacturing and Industrial services (“M&I”) experienced a decline
of $19.7 million from 2016, which reduced overall organic growth by 0.9%.  This decline was due to lower 
activity  from  on-call  services  related  to  softness  in  the  U.S.  industrial  market.    In  addition,  we  have 
experienced pricing pressure related to our SQ regulated waste and compliance customers resulting from
hospital consolidation of physician practices and increased competitive activities in the market.

2018 10-K Annual Report

Stericycle, Inc.  •  51

PART II

International RCS revenue decreased $44.1 million, or 5.9%, in 2017 to $707.6 million from $751.7 million 
in  2016.    2017  organic  revenue  decline  in  the  International  RCS  segment  was  $13.4  million,  or  1.8%,
primarily  due  to  exiting  certain  patient  transport  service  contracts  in  the  U.K.  and  a  decline  in  M&I 
revenue in our Latin American business.  Acquisitions in the International RCS segment contributed $6.4
million, or 0.9% to revenues.  Divestitures related to the sale of certain assets in the U.K. reduced revenues
by  $21.6  million,  or  2.9%.    The  net  effect  of  acquisitions  and  divestitures  resulted  in  a  2.0%  decrease  in
revenues  in  2017.    The  effect  of  foreign  exchange  rates  unfavorably  impacted  international  revenues  in
2017 by $15.5 million, or 2.1%, as foreign currencies declined against the U.S. dollar.

All Other revenues, related to Domestic Communication and Related Services, increased $19.4 million, or
6.4%, in 2017 to $321.2 million from $301.8 million in 2016.  Organic revenue increased $14.5 million, or
4.8%, primarily due to serving new brands across many industries and several larger non-recurring recall 
events in 2017.  Acquisitions contributed $4.9 million, or 1.6%.

Gross Profit:  

In millions

Years Ended December 31,

2018

2017

2016

Gross profit

$
1,376.0

% of 
Revenue

% of 
Revenue

$

% of 
Revenue

$

39.5% 1,462.5

40.8% 1,486.9

41.7%

Change 2018 
versus 2017

Change 2017 
versus 2016

$
(86.5)

%

(5.9%)

$
(24.4)

%

(1.6%)

Consolidated Gross profit decreased $86.5 million, or 5.9%, in 2018 to $1.38 billion from $1.46 billion in 
2017.  As a percentage of revenues, consolidated Gross profit decreased to 39.5% in 2018 compared to
40.8%  in  2017.    The  decline  in  gross  profit  was  primarily  attributable  to  the  expected  impact  of  SQ  mix 
and  pricing,  approximately  $25.7  million  of  non-cash  impairment  charges  incurred  in  the  Domestic  and
Canada RCS and All Other reportable segments and the impact of lower volumes in CRS.  Decreases were 
also due to a prolonged declining market trend and cost pressures in Latin America.

Consolidated Gross profit decreased $24.4 million, or 1.6%, in 2017 to $1.46 billion from $1.49 billion in 
2016.  As a percentage of revenues, consolidated Gross profit decreased to 40.8% in 2017 compared to
41.7% in 2016.  The decline in gross profit was primarily due to lower revenues from our M&I customers,
which  have  a  higher  fixed  cost  structure,  and  approximately  $18.0  million  of  non-cash  fixed  assets
depreciation  increases  and  write-offs.    Domestically,  pricing  pressure  on  our  SQ  regulated  waste  and 
compliance customers negatively impacted our gross profit as a percentage of revenues.

International  gross  profit  is  lower  than  domestic  gross  profit  because  our  international  operations  have 
fewer small account customers, which tend to generate higher gross profit.  Historically, our international 
operations  generate  most  of  their  revenues  from  large  account  customers,  such  as  hospitals,  publically 
funded  healthcare  organizations  and  government  bodies.  As  our  international  revenues  increase, 
consolidated  gross  profit  percentages  experience  downward  pressure  due  to  this  "business  mix"  shift,
which may be offset by additional international small account market penetration, integration savings, and
domestic business expansions.

2018 10-K Annual Report

Stericycle, Inc.  •  52

PART II

SG&A:  

In millions

SG&A

Years Ended December 31,

2018

2017

2016

$
1,178.4

% of 
Revenue

% of 
Revenue

$

% of 
Revenue

$

33.8% 1,405.1

39.2% 1,053.1

29.6%

Change 2018 
versus 2017

Change 2017 
versus 2016

$
(226.7)

%
(16.1%)

$
352.0

%
33.4%

SG&A expenses decreased $226.7 million, or 16.1%, in 2018 to $1.18 billion from $1.41 billion in 2017.  As
a percentage of revenues, SG&A decreased to 33.8% in 2018 compared to 39.2% in 2017.  The decrease
was  primarily  attributable  to  lower  charges  associated  with  key  strategies  and  significant  matters,  which
were  $395.7  million  in  2018  compared  to  $622.4  million  in  2017.    These  matters  are  discussed  above.
Additionally, there were also decreases in consulting and professional fees and bad debt expense partially
offset by an increase in incentive based compensation as achievement was at higher overall levels during
2018.

SG&A expenses increased $352.0 million, or 33.4%, in 2017 to $1.41 billion from $1.05 billion in 2016.  As
a percentage of revenues, SG&A increased to 39.2% of revenues in 2017 compared to 29.6% in 2016.  The
increase  was  primarily  attributable  to  the  impact  of  the  SQ  settlement  and  charges  associated  with  key 
strategies and significant matters discussed above, which, in aggregate, contributed $337.6 million of the 
increase.    In  addition,  there  were  increases  in  consulting  and  professional  fees,  partially  offset  by  lower
compensation and bad debt expense.

Goodwill Impairment:

Goodwill impairment was $358.7 million in 2018, compared with $65.0 million in 2017.

In our Form 10-Q for the quarter ended September 30, 2018, we disclosed that we were in the process of 
completing the October 1 annual goodwill impairment assessment and that certain of our reporting units,
including  Domestic  CRS  and  Latin  America,  were  potentially  at  risk  for  impairment  based  on  our 
preliminary  review  of  our  long  range  plan  (“LRP”)  which  was  in  the  process  of  being  finalized.  We  were 
also evaluating recent declines in our stock price and the impact on our reconciliation of the aggregate 
fair values of our reporting units to our market capitalization. 

We performed our annual goodwill assessment as of October 1, 2018, and we continued to update our
assumptions  to  reflect  certain  business  and  strategic  developments  during  the  fourth  quarter,  which
negatively impacted the estimated cash flows of certain of our reporting units and resulted in our decision 
to  also  complete  an  interim  assessment  as  of  December  31,  2018.  The  Company  determined  that  the
Domestic  CRS  and  Latin  America  reporting  units’  carrying  values  were  in  excess  of  their  estimated  fair 
values.  

Factors that contributed to the estimated fair value of the reporting units being below their carrying value
include:

(cid:129)

For Domestic CRS we experienced a progressive decrease in revenues and operating margins in
2018 due to (i) continued declines in large recall events leading to a higher level of the 
uncertainty of these occurring in future periods. (ii) recall events that have a smaller number of 

2018 10-K Annual Report

Stericycle, Inc.  •  53

PART II

units and significantly lower revenue per event than we had experienced in recent years, and (iii)
continued decline in inbound/outbound call volumes for our live voice services. We also gathered
insights from our process of evaluating strategic alternatives that we initiated in 2018; 

(cid:129)

For Latin America we continue to experience prolonged challenges and volatility in certain of our 
markets due to declining market trends and cost pressures. Revenue increases in our 
Manufacturing and Industrial (“M&I”) business due to inflationary price increases in Argentina 
have been offset by the impact of currency devaluation and the continuing declines in several
local economies.  

These challenges were factored into updates to our forecasted cash-flow assumptions during the fourth
quarter  to  reflect  our  current  outlook  and  we  made  certain  adjustments  to  the  discount  rates  used  to 
present value these forecasted cash-flows.  As a result of these impairment assessments, we recognized 
$286.3 million of non-cash goodwill impairment charges to fully impair the goodwill of our Domestic CRS 
reporting unit.  In addition, we recognized $72.4 million of non-cash goodwill impairment charges related 
to  our  Latin  America  reporting  unit.   Following  the  impairment,  the  remaining  Latin  America  reporting 
unit’s goodwill is $20 million.

During  2017,  as  a  result  of  our  annual  impairment  assessment  of  goodwill  we  recognized  a  non-cash
goodwill impairment charge for our Latin America reporting unit of $65 million.

Segment Profitability: We use Adjusted EBITDA as the primary measure of profitability for each of our
Reportable  Segments  –  see  Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data;  Note  17  – 
Segment Reporting in the Consolidated Financial Statements for an explanation of this measure.  Segment
profitability and a reconciliation of the total for segment profitability to (loss) income from operations for
each of the years ended December 31, 2018, 2017, and 2016 respectively was as follows:

Item  8.  Financial l Statements  andd  Supplementaryy  Data; 

2018 10-K Annual Report

Stericycle, Inc.  •  54

PART II

In millions

Adjusted EBITDA

RCS
International RCS
All Other
Total

Years Ended December 31,

2018

2017

2016

% of 
Segment
Revenues

$

% of 
Segment
Revenues

$

% of 
Segment
Revenues

$

Change 2018 
versus 2017

Change 2017 
versus 2016

$

%

$

%

782.4
95.6
(133.4)
744.6

30.4%
14.6%
(52.0%)
21.4%

809.5
93.7
(91.2)
812.0

31.7%
13.2%
(28.4%)
22.7%

824.9
93.1
(67.2)
850.8

32.9%
12.4%
(22.3%)
23.9%

(27.1)
1.9
(42.2)
(67.4)

(3.3%)
2.0%
46.3%
(8.3%)

(15.4)
0.6
(24.0)
(38.8)

(1.9%)
0.6%
35.7%
(4.6%)

Reconciliation to (Loss) 
income from operations:

above
Depreciation
Business Transformation
Intangible Amortization
Acquisition and
Integration
Operational
Optimization
Divestitures
Litigation, Settlements
and Regulatory 
Compliance
Impairment
Other
(Loss) income from 
operations

744.6
(125.6)
(82.6)
(130.3)

(9.8)

(29.4)
(20.5)

(93.2)
(385.2)
(29.1)

(161.1)

2018 compared to 2017

812.0
(131.1)
(31.3)
(118.4)

(40.7)

(71.1)
(9.5)

(327.7)
(65.0)
(24.8)

(7.6)

850.8
(123.2)
-
(129.3)

(60.9)

(59.1)
(27.1)

(7.2)
(1.4)
(8.8)

433.8

Adjusted EBITDA for our Domestic and Canada RCS reportable segment decreased $27.1 million, or 3.3%, 
in  2018  to  $782.4  million  from  $809.5  million  in  2017.    As  a  percentage  of  Domestic  and  Canada  RCS 
revenues,  Adjusted  EBITDA  was  30.4%  and  31.7%,  for  2018  and  2017,  respectively.    This  decrease  was
primarily  a  result  of  the  impact  of  lower  margins  caused  by  the  expected  impact  of  pricing  on  our  SQ 
medical  waste  customers  as  well  as  the  pricing  pressures  we  have  experienced  from  our  SQ  regulated
waste  and  compliance  customers  resulting  from  hospital  consolidation  of  physician  practices  and
increased competitive activities, partially offset by the impact of Business Transformation cost savings and
efficiencies.  Additionally, the overall decrease was partially offset by the benefits of increased volume and 
pricing on recycled paper.

Adjusted EBITDA for our International RCS reportable segment increased $1.9 million, or 2.0%, in 2018 to 
$95.6 million from $93.7 million in 2017.  As a percentage of International RCS revenues, Adjusted EBITDA 
was 14.6% and 13.2% for 2018 and 2017, respectively.  We experienced improvements in overall margins
in Europe as a result of our exit from some lower margin businesses.  These improvements were partially 
offset by lower margins in Latin America due to a prolonged declining market trend and costs pressures.

2018 10-K Annual Report

Stericycle, Inc.  •  55

PART II

Adjusted EBITDA for All Other decreased $42.2 million in 2018 to $(133.4) million from $(91.2) million in 
2017.    The  decrease  is  a  result  of  the  lower  revenues  in  our  Domestic  Communication  and  Related
Services business combined with disproportionally lower gross profits due to the higher fixed costs nature 
for this business.

2017 compared to 2016

Adjusted EBITDA for our Domestic and Canada RCS reportable segment decreased $15.4 million, or 1.9%, 
in  2017  to  $809.5  million  from  $824.9  million  in  2016.    As  a  percentage  of  Domestic  and  Canada  RCS 
revenues,  Adjusted  EBITDA  was  31.7%  and  32.9%  for  2017  and  2016,  respectively.    The  decrease  was  a
result of lower gross profit percentage as a result of the impacts associated with M&I customers, which 
have a higher fixed costs structure, and SQ regulated waste and compliance pricing pressures as well as 
higher costs related to wages and fuel.

Adjusted EBITDA for our International RCS reportable segment increased $0.6 million, or 0.6%, in 2017 to 
$93.7 million from $93.1 million in 2016.  As a percentage of International RCS revenues, Adjusted EBITDA 
was 13.2% and 12.4% for 2017 and 2016, respectively.  The increase was a result of the impacts on gross
margin and SG&A resulting from the divestiture of the lower margin patient transport business in the U.K.

Adjusted EBITDA for All Other decreased $24.0 million, or 35.7%, in 2017 to $(91.2) million from $(67.2) 
million in 2016.

Interest  Expense,  Net:    Interest  expense,  net  increased  in  2018  to  $106.0  million  from  $93.7  million  in
2017 due to an increase in the overall interest rates on our borrowings caused by an increase in the LIBOR
rate  and  interest  rate  adjustments  related  to  both  our  private  placement  notes  and  senior  credit  facility 
combined with an overall increase in our average outstanding debt balance primarily due to funding the 
SQ settlement payment of $295.0 million using amounts available on our senior credit facility.

In connection with the underlying terms, we saw an increase of 0.25% in the interest rate charged on our
senior  credit  facility  and  term  loan  and  total  increases  of  0.75%  on  the  interest  rates  charged  on  our 
private placement notes.  We expect that the annual impact of these late 2018 interest rate increases on
our Interest expense, net will be approximately $11.8 million.

Interest expense, net decreased in 2017 to $93.7 million from $97.8 million in 2016 due to a reduction of 
our average outstanding debt balance, partially offset by an increase in interest rates in the U.S.

Other  Expense,  Net:    Other  expense,  net  increased  in  2018  to  $8.3  million  from  $6.6  million  in  2017, 
primarily  due  to  a  $3.8  million  foreign  exchange  loss  resulting  from  the  re-measurement  of  our
Argentinian Peso denominated net monetary assets as a result of the designation, as of July 1, 2018, of 
Argentina as a highly inflationary economy.

Other expense, net decreased in 2017 to $6.6 million from $7.9 million in 2016.

Income Tax Benefit (Expense):  Income tax benefit was $29.8 million in 2018 compared to $150.9 million
in 2017.  The effective tax rates for the years 2018 and 2017 were 10.8% and 139.9%, respectively.  During
2017,  as  a  result  of  the  introduction  of  the  Tax  Act,  the  Company  recognized  an  income  tax  benefit  of 
$129.8  million  arising  from  the  revaluing  our  U.S.  net  deferred  tax  liabilities  from  35%  to  the  newly 
enacted  U.S.  corporate  income  tax  rate  of  21%,  partially  offset  by  a  one-time  transition  tax  on  our

2018 10-K Annual Report

Stericycle, Inc.  •  56

PART II

unremitted  foreign  earnings  and  profits  which  we  have  elected  to  pay  over  an  eight-year  period,  and 
expected foreign withholding taxes.  During 2018, in accordance with SAB 118, we recognized a charge of 
$8.8 million as we completed our analysis associated with the impact of the Tax Act.  In addition, in 2018 
and  2017  our  effective  rate  was  also  impacted  by  the  non-deductibility  of  the  goodwill  impairments  in 
certain jurisdictions, and valuation allowances recognized against net operating losses in several countries.

Income tax benefit was $150.9 million in 2017 compared to income tax expense of $120.2 million in 2016. 
The effective tax rates for the years 2017 and 2016 were 139.9% and 36.6%, respectively.  The change in
2017  rate,  when  compared  to  2016,  was  primarily  due  to  the  impact  of  the  Tax  Act  discussed  above, 
partially  offset  by  the  impact  of  the  non-deductibility  of  the  goodwill  impairment  charge  recognized 
during the year.

Liquidity and Capital Resources

Note  8  –  Debt 

Details  of  the  Company’s  outstanding  debt  obligations  can  be  found  in Part  II,  Item  8.  Financial 
Item  8.  Financial 
in  the  Consolidated  Financial  Statements.    The
Statements  and d Supplementaryy  Data; 
Company  believes  it  has  sufficient  liquidity  to  support  its  ongoing  operations  and  to  invest  in  future
growth for at least the next twelve months.  Operating cash flows and the Company’s $1.2 billion senior
credit  facility  are  the  Company’s  primary  sources  of  liquidity  and  are  expected  to  be  used  for,  among
other  things,  payment  of  interest  and  principal  on  the  Company’s  debt  obligations,  acquisitions,  capital
expenditures  necessary  to  support  growth  and  productivity  improvements,  including  those  associated
with our multiyear Business Transformation.

Working  Capital:    At  December 31,  2018,  our  working  capital  increased  $170.1  million  to  $14.1  million 
compared to a deficit of $156.0 million at December 31, 2017.

Current  assets  decreased  $66.1  million  in  2018  to  $747.3  million  from  $813.4  million  in  2017,  primarily 
driven  by  a  $24.5  million  decrease  in  accounts  receivable,  a  $26.5  million  decrease  in  prepaid  expenses
and  $20.8  million  decrease  in  assets  held  for  sale.    Days  sales  outstanding  (“DSO”)  was  63  days  at
December 31, 2018 and 2017.

Current liabilities decreased $236.2 million in 2018 to $733.2 million from $969.4 million in 2017, primarily 
due  to  the  payment  of  $295.0  million  related  to  the  SQ  settlement,  which  was  funded  from  available
capacity  under  our  senior  credit  facility,  partially  offset  by  a  $28.0  million  increase  in  accrued 
compensation, primarily as a result of higher incentive compensation accruals in 2018 and the timing of 
payroll  processing  with  respect  to  the  year  end  and  a  $30.6  million  increase  in  accounts  payable  in
connection  with  our  efforts  to  extend  vendor  terms  under  our  Business  Transformation  initiatives  and  a
temporary impact from the implementation of a purchase order system during the latter part of 2018.

Operating Cash Flows: Net cash from operating activities decreased $342.9 million, or 67.4%, in 2018 to 
$165.7 million from $508.6 million in 2017.  The primary drivers of this decline were the payment of the
$295.0 million SQ settlement and payments related to legal and regulatory compliance and our Business
Transformation initiatives.  These amounts were partially offset by lower tax payments as a result of losses
generated  in  the  year  and  extending  vendor  payment  terms  and  a  temporary  impact  from  the 
implementation of a purchase order system during the latter part of 2018.

Investing Cash Flows: Net cash used in investing activities decreased $45.5 million, or 23.6%, in 2018 to
$147.5 million from $193.0 million in 2017.  We used $7.8 million less cash for acquisitions in 2018 than in

2018 10-K Annual Report

Stericycle, Inc.  •  57

PART II

2017  and  generated  an  additional  $24.0  million  from  the  divestiture  of  businesses  during  2018.    Our
capital  expenditures  decreased  by  $12.2  million  in  2018  and  were  at  3.8%  and  4.0%  in  2018  and  2017,
respectively,  as  a  percentage  of  revenues.    Higher  capital  expenditures  are  expected  in  2019,  principally
associated with our Business Transformation initiatives.

Financing cash Flows: Net cash used in financing activities decreased $295.5 million, or 92.0%, in 2018 to
$25.7  million  from  $321.2  million  in  2017.    We  funded  the  $295.0  million  SQ  settlement  from  available
capacity under our senior credit facility resulting in net borrowings of $68.7 million during 2018 compared
to net repayments of $175.6 million on our senior credit facility, private placement, and term loan facility 
during 2017.  We had net repayments on our other debt, including foreign debt, capital leases, and other
long-term debt of $78.4 million during 2018 compared to $84.3 million during 2017.  We had preferred 
share repurchases of $17.2 million in 2018 compared to $34.2 million in 2017.  Dividends of $25.5 million
and $36.3 million were paid during 2018 and 2017, respectively, to holders of our Series A Preferred Stock.  
In  accordance  with  the  terms  of  issue  the  Series  A  Preferred  Stock  was  converted  to  common  stock  in 
September 2018 – see Part II, Item 8. Financial Statements and Supplementary Data; Note 14 – Preferred 
Stock in the Consolidated Financial Statements.

Item 8. Financial l Statements andd Supplementary y Data; 

Contractual Obligations

The following table summarizes our significant contractual obligations and cash commitments at 
December 31, 2018:

Payments due by period (in millions)

Long term debt (1)
Capital leases (1)
Unrecorded Obligations:

Interest on long term debt
Interest on capital leases
Non-cancelable operating lease obligations
Estimated unconditional purchase obligations

Total contractual cash obligations

$

Total

2019

2020-2021

2022-2023

2,758.4
20.3

368.3
3.6
491.9
46.9
3,689.4 $

225.2
4.1

98.2
1.4
107.0
21.3

593.5
6.9

185.4
1.2
161.4
25.6

1,933.4
3.8

84.7
0.6
94.8
-

457.2 $

974.0 $

2,117.3 $

2024 and 
After

6.3
5.5

-
0.4
128.7
-
140.9

(1)

These  amounts  represent  the  scheduled  principal  payments  related  to  our  long-term  debt  and 
capital  leases,  excluding  interest.    Included  in  amounts  due  in  2019  is  $125  million  related  to  a
private placement note for which the Company has the ability and intent to refinance (see Part II,
Item 8. Financial l Statements andd Supplementary y Data; 
in the Consolidated Financial
Statements).

Note 8 – Debt 

Payments  for  unrecognized  tax  benefits  are  excluded  from  contractual  obligations.    Based  on  the
uncertain nature of our liability for unrecognized tax benefits, we are unable to make an estimate of the
period of potential settlement, if any, with the applicable taxing authorities.

We had elected to pay our $23.5 million transition tax liability over eight years.  We are in a net receivable 
position  with  the  U.S.  Internal  Revenue  Service  (“IRS”).  As  the  amounts  become  due  they  will  be  offset 
with the amounts on deposit with the IRS.

2018 10-K Annual Report

Stericycle, Inc.  •  58

PART II

Environmental  liabilities  are  not  presented  above  but  are  accrued  on  an  undiscounted  basis  and  are
associated  with  identified  sites  where  an  assessment  has  indicated  that  cleanup  costs  are  probable  and
can be reasonably estimated but the timing of such payments is not fixed and determinable (see Part II,
Item 8. Financial l Statements andd Supplementaryy Data; 
in the 
Consolidated Financial Statements).

Note 11 – Commitments and Contingencies

As of December 31, 2018, we had $63.1 million of stand-by letters of credit outstanding against our senior 
credit facility and a further $52.2 million of stand-by letters of credit outstanding against another facility,
$63.7  million  of  surety  bonds,  and  $19.5  million  of  bank  guarantees.    The  bank  guarantees  are  issued 
mostly by our international subsidiaries for various purposes, including leases, seller notes, contracts and
permits.    The  surety  bonds  are  used  for  performance  guarantees.    Neither  the  bank  guarantees  nor  the 
surety bonds affect our ability to use our various lines of credit.

We  anticipate  that  our  operating  cash  flows,  together  with  additional  borrowings  available  under  our
senior  unsecured  credit  facility,  will  be  sufficient  to  meet  our  anticipated  future  operating  expenses,
strategic initiatives such as Business Transformation, capital expenditures and debt service obligations as 
they become due during the next 12 months and the foreseeable future.

Critical Accounting Policies and Estimates

Our  discussion  and  analysis  of  our  financial  condition  and  results  of  operations  are  based  upon  our
consolidated  financial  statements,  which  have  been  prepared  in  accordance  with  U.S.  GAAP.    The
preparation  of  these  financial  statements  requires  management  to  make  estimates,  assumptions  and 
judgments that affect the reported amounts of assets, liabilities, revenues and expenses, and the related 
disclosure  of  contingent  assets  and  liabilities.    Although  management  believes  that  its  estimates  and
assumptions  are  reasonable,  they  are  based  upon  information  available  when  they  are  made,  and 
therefore, actual results may differ from these estimates under different assumptions or conditions.  The 
Company’s  most  critical  accounting  policies  are  those  that  may  be  material  due  to  the  levels  of 
subjectivity and judgment necessary to account for highly uncertain matters or the susceptibility of such
matters to change, and those policies that have a material impact on the financial condition or operating 
performance of the Company.  Part II, Item 8. Financial l Statements andd Supplementary y Data; Note 1 – Basis
of  Presentation  and  Summary  of  Significant  Accounting  Polices  in  the  Consolidated  Financial  Statements
provides  a  detailed  description  of  all  of  our  material  accounting  policies,  however  the  Company  has 
identified the following as its most critical accounting policies and estimates.

Revenue Recognition:  The Company’s revenue recognition policy is detailed in Part II, Item 8. Financial 
Item 8. Financial
Statements andd Supplementaryy Data; Note 1 – Basis of Presentation and Summary of Significant Accounting 
Polices in the Consolidated Financial Statements.

Allowance  for  Doubtful  Accounts:    The  Company  reports  accounts  receivable  at  their  net  realizable
value, which is management’s best estimate of the cash that will ultimately be received.  We maintain an
allowance for doubtful accounts to reflect the expected uncollectability of accounts receivable based on 
historical  collection  data  and  specific  risks  identified  among  uncollected  accounts.    The  adequacy  of 
allowances for uncollectible accounts is reviewed at least quarterly, and adjusted as necessary based on 
such reviews.  A considerable amount of management’s judgment is required to assess the collectability
of  an  account,  based  on  detailed  analysis  of  the  aging  of  the  receivables,  the  creditworthiness  of  our
customers,  historical  collection  trends  and  current  economic  trends.    Accounts  receivable  written  off  in 
subsequent  periods  can  differ  from  the  allowance  for  doubtful  accounts  provided,  but  historically  our 

2018 10-K Annual Report

Stericycle, Inc.  •  59

PART II

provision has been adequate.  Allowance for doubtful accounts was $71.9 million and $65.2 million as of 
December 31, 2018 and 2017, respectively.

Intangible Asset Valuations:  The methods commonly used to value intangible assets we acquire are the 
income, market and cost approaches.  The nature and characteristics of the asset indicate which approach
is most appropriate.  Based on the analysis performed by the Company, the fair values of intangible assets 
are generally estimated using acceptable income approaches.

A  multi-period  excess  earnings  method  (“MPEEM”)  is  generally  used  to  determine  the  fair  value  of 
customer relationships.  The fair value is derived by calculating the present value of the estimated after-
tax earnings attributable to the respective intangible assets.  Key inputs and assumptions to the valuation
model are forecasted after-tax cash-flows, the identification of contributory assets and the quantification 
of  appropriate  returns  on  these  assets,  the  discount  rate  applied  to  present  value  the  cash-flows  and
attrition  rates.    Determining  an  accurate  consumption  of  benefits  from  acquired  customer  relationships
cannot  be  reliably  determined  because  the  services  we  provide  to  acquired  customers  change  from  the
base-line revenues over an extended period of time due to factors such as volume increase, price increase, 
and complementary service offerings.  Therefore, we amortize our finite-lived intangible assets using the 
straight-line method consistent with our valuation model.

A relief from royalty method is generally used to determine the fair value of tradenames.  Key inputs and
assumptions  to  the  valuation  model  are  a  reasonable  approximation  of  the  license  rate  for  the  trade
name,  forecasted  revenues  and  the  discount  rate  applied  to  present  value  the  after-tax  stream  of 
estimated royalties avoided by acquiring the trade name.

Tangible Asset Valuation:  Trucks, containers and equipment are some of the major asset classes subject 
to revaluation as a result of our acquisitions.  The indirect and direct methods of the cost approach and 
the market approach are used by the Company to value tangible personal property assets.  Following is a
description of the methodologies for estimating the fair value of the major tangible fixed asset classes:

(cid:129) The  market  approach  is  used  for  the  valuation  of  trucks.    The  market  approach  is  based  on  market 
conditions and transactions.  In the market approach, the assets being valued are compared to recent
sales  and/or  asking  prices  of  comparable  properties  or  assets.    In  using  similar  units  of  comparison,
adjustments are made to the comparable assets to account for factors such as condition, capacity, and
age.

(cid:129) The direct method of the cost approach is used in the valuation of containers.  In the direct method of 
the  cost  approach,  replacement  cost  new  (“RCN”)  is  determined  through  current  cost  information
obtained  from  original  equipment  manufacturers,  equipment  dealers  and  vendors,  and  independent 
research.

(cid:129) The  cost  of  reproduction  new  (“CRN”)  for  equipment  is  calculated  using  the  indirect  method  of  the
cost  approach.    Historical  equipment  costs  and  dates  are  used  to  calculate  the  current  CRN.    In  the 
indirect method of the cost approach, trend factors are applied to the historical costs to estimate the 
CRN  of  the  assets.    Time-adjusted  trend  factors  are  applied  to  historical  costs  using  asset  category 
specific  cost  indices  published  by  industry  sources.    The  CRN  is  then  adjusted  for  physical
deterioration and functional and economic obsolescence.

Goodwill:  Goodwill  represents  the  excess  of  the  purchase  price  and  related  costs  over  the  fair  value
assigned to the net tangible and identifiable tangibles of a business acquired.  Goodwill is not subject to

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PART II

amortization but is subject to evaluation for impairment annually as of October 1 or when an indicator of 
impairment exists.

We used a quantitative approach to assess goodwill for impairment.  The fair value of each reporting unit 
is calculated using the income approach (including discounted cash flows (“DCF”)) and validated using a 
market approach with the involvement of a third party valuation specialist.  The Company's reporting units
are: Domestic Healthcare Compliance Services, Domestic Shred-it, Domestic CRS, Domestic Environmental
Solutions, Canada, Europe, Asia Pacific and Latin America. The income approach uses expected future cash
flows of each reporting unit and discounts those cash flows to present value.  Expected future cash flows
are calculated using management assumptions of growth rates, including long-term growth rates, capital
expenditures, and cost efficiencies.  Future acquisitions are not included in the expected future cash flows. 
We use a discount rate based on a calculated weighted average cost of capital which is adjusted for each
of our reporting units based on size, country and company specific risk premiums.  The market approach 
compares the valuation multiples of similar companies to that of the associated reporting unit.  We then
reconcile  the  calculated  fair  values  to  our  market  capitalization.    The  fair  value  is  then  compared  to  its 
carrying value including goodwill.  If the fair value is in excess of its carrying value, the related goodwill is 
not  impaired.    If  the  fair  value  is  less  than  its  carrying  value,  we  recognize  an  impairment  charge  in  the 
amount that the carrying value exceeds the fair value.

The  goodwill  impairment  testing  process  involves  the  use  of  significant  assumptions,  estimates  and 
judgments, and is subject to inherent uncertainties and subjectivity in determination of the fair value of 
the  reporting  units.    Estimating  a  reporting  unit's  projected  cash  flows  involves  the  use  of  significant
assumptions,  estimates  and  judgments  with  respect  to  numerous  factors,  including  long-term  growth 
rates,  operating  margin,  including,  selling,  general  and  administrative  expense  rates,  working  capital, 
capital  expenditures,  allocation  of  shared  or  corporate  items,  among  other  factors.    These  estimates  are
based  on  internal  current  operating  plans  and  long-term  forecasts  for  each  reporting  unit.    These
projected  cash  flow  estimates  are  then  discounted,  which  necessitates  the  selection  of  an  appropriate
discount rate.  The discount rates selected reflect market-based estimates of the risks associated with the
projected cash flows of the reporting unit and also include a company specific risk premium.  The market
value comparisons of fair value require the selection of appropriate peer group companies.  In addition,
we  analyze  differences  between  the  sum  of  the  fair  value  of  the  reporting  units  and  our  total  market
capitalization for reasonableness, taking into account certain factors including control premiums.

We performed our annual goodwill assessment as of October 1, 2018, and we continued to update our
assumptions  to  reflect  certain  business  and  strategic  developments  during  the  fourth  quarter,  which
negatively impacted the estimated cash flows of certain of our reporting units and resulted in our decision 
to also complete an interim assessment as of December 31, 2018.

The  outcome  of  the  goodwill  impairment  assessments  are  discussed  further  above  in  the  Goodwill
Impairment  section  of  Part  II,  Item  7.  Management’s  Discussion  and  Analysis  of  Financial  Condition  and 
Results  of  Operations  -  Goodwill  Impairment.    (For  additional  information,  see  Part  II,  Item  8.  Financial 
Item  8.  Financial 
Statements  andd  Supplementaryy  Data; 
in  the  Consolidated
Financial Statements).

Note  6  –  Goodwill  and  Other  Intangible  Assets

A measure of sensitivity of the amount of goodwill impairment charges to key assumptions is the amount 
by  which  each  reporting  unit's  fair  value  exceeds  their  respective  carrying  value.    Subsequent  to  the
impairment charges incurred through December 31, 2018, the amount of fair value in excess of carrying
value  based  on  reporting  unit  specific  risk  premiums  considered  during  the  fourth  quarter  impairment

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assessments  is  as  follows:  for  the  Domestic  reporting  units  by  no  less  than  ten  percent  and  as  much  as 
approximately  ninety  percent,  for  the  International  reporting  units,  other  than  Latin  America,  by  no  less
than  twenty  five  percent  and  as  much  as  approximately  sixty  percent.    For  the  Latin  America  reporting
unit,  a  future  reduction  in  fair  value  may  result  in  additional  impairment  charges  after  consideration  of 
changes in carrying value at the time of the impairment assessment.  We performed sensitivity analysis on 
our estimated fair values as of December 31 2018, noting that a 50 basis point increase in the discount
rate or a 50 basis point reduction in the long-term growth rate would not result in impairments, except for 
an incremental impairment charge for our Latin America reporting unit of approximately $7 million or $4 
million,  respectively.  Following  the  impairment  charges  incurred  through  December 31,  2018,  the
Domestic  CRS  and  Latin  America  reporting  units  have  recorded  goodwill,  remaining  of  zero  and  $20 
million, net of accumulated impairment, respectively. 

The use of different assumptions, estimates or judgments in the goodwill impairment testing process may 
significantly increase or decrease the estimated fair value of a reporting unit.  Generally, changes in DCF 
estimates would have a similar effect on the estimated fair value of the reporting unit.  We believe that 
the  estimated  fair  value  used  in  measuring  the  impairment  was  based  on  reasonable  assumptions  but 
future changes in the underlying assumptions could differ due to the inherent judgment in making such 
estimates.

Other Identifiable Intangible Assets: Indefinite life intangibles are also not subject to amortization but
are assessed for impairment in the same manner as goodwill.  Indefinite lived intangibles may be assessed 
using either a qualitative or quantitative approach.  The qualitative approach first determines if it is more-
likely-than-not that the fair value of the asset is less than the carrying value.  If no such determination is 
made, then the impairment test is complete.  If, however, it is determined that there is a likely impairment, 
a  quantitative  assessment  must  then  be  made.   One  factor  in  our  determination  of  whether  to  use  the 
qualitative approach is the time elapsed since the last assessment using the quantitative approach.

We have determined that our operating permits and certain tradenames have indefinite lives due to our
ability to renew them with minimal additional cost, and therefore they are not amortized.  In the fourth 
quarter of 2018, the Company performed its annual impairment test on indefinite lived intangibles, other
than  goodwill,  using  the  qualitative  approach  for  certain  assets  and  the  quantitative  approach  for  the 
remaining assets.  The calculated fair value of our indefinite-lived intangibles is based upon, among other
things,  certain  assumptions  about  expected  future  operating  performance,  internal  and  external
processing costs, and an appropriate discount rate determined by management.

Future  changes  in  our  assumptions  or  the  interrelationship  of  the  assumptions  described  above  may 
negatively  impact  future  valuations.    In  future  measurements  of  fair  value,  adverse  changes  in
assumptions  could  result  in  impairments  of  goodwill  or  other  intangible  assets  that  would  require  non-
cash charges and may have a material effect on our financial condition and operating results.

Our finite-lived intangible assets are amortized over their useful lives using the straight-line method.  Our
customer relationships have useful lives from 5 to 25 years based upon the type of customer.  We have 
non-compete  covenant  intangibles  with  useful  lives  from  5  to  14  years.    We  also  have  tradename 
intangibles with useful lives from 4 to 40 years.

We  evaluate  the  useful  life  of  our  intangible  assets  annually  to  determine  whether  events  and 
circumstances warrant a revision to their remaining useful life and changes are reflected prospectively as 
the intangible asset is amortized over the revised remaining useful life.  In the fourth quarter of 2018, the

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Company performed its annual assessment of the useful life of its finite-lived intangibles.  The Company 
updated the useful life of its customer relationship intangibles as a result of analyzing recent quantitative
and  qualitative  observations  in  the  market  and  factors  impacting  our  business.    The  change  in  estimate
will  be  accounted  for  prospectively.    The  weighted  average  remaining  life  was  adjusted  from 
approximately 10.9 to 9.2 years to reflect the new estimated useful lives.  We estimate that there will be an
approximately 5-10% increase to annual amortization expense.

Environmental  Remediation  Liabilities:    Our  environmental  remediation  liabilities  primarily  include
costs associated with remediating air, groundwater, surface water, soil contamination, and applicable legal
costs.    To  estimate  our  ultimate  liability  at  these  sites,  we  evaluate  several  factors,  including  the  nature
and  extent  of  contamination  at  each  identified  site,  the  required  remediation  methods,  timing  of 
expenditures, and the apportionment of responsibility among the potentially responsible parties (“PRPs”) 
and the financial viability of those PRP’s.  We routinely review and evaluate sites that require remediation, 
considering  whether  we  were  an  owner,  operator,  transporter,  or generator  at  the  site,  the  amount  and
type of waste hauled to the site and the number of years we contracted with or owned the site.  Next, we
review the same information with respect to other named and unnamed PRPs.  Estimates of the cost for 
the  likely  remediation  are  then  either  developed  using  our  internal  resources  or  by  third  party
environmental  engineers  or  other  service  providers.  (For  additional  information,  see Part  II,  Item  8.
Financial l Statements  andd  Supplementaryy  Data; 
in  the 
Consolidated Financial Statements).

Note  11  –  Commitments  and  Contingencies

Income  Taxes:    We  record  a  provision  for  income  taxes  for  the  anticipated  tax  consequences  of  our
reported results of operations using the asset and liability method.  Deferred income taxes are recognized
by  applying  enacted  statutory  tax  rates  applicable  to  future  years  to  differences  between  the  financial 
statement carrying amounts of existing assets and liabilities and their respective tax basis as well as net 
operating loss and tax credit carryforwards.  The effect on deferred tax assets and liabilities of a change in
tax  rates  is  recognized  in  income  in  the  period  that  includes  the  enactment  date.    The  measurement  of 
deferred tax assets is reduced, if necessary, by a valuation allowance for any tax benefits for which future
realization is uncertain.

Although  we  believe  our  assumptions,  judgments  and  estimates  are  reasonable,  changes  in  tax  laws  or 
our interpretation of tax laws and the resolution of any tax audits could significantly impact the amounts 
provided for income taxes in our Consolidated Financial Statements.

In  evaluating  our  ability  to  recover  our  deferred  tax  assets,  in  full  or  in  part,  we  consider  all  available 
positive and negative evidence, including our past operating results, and our forecast of future earnings,
future  taxable  income  and  prudent  and  feasible  tax  planning  strategies.    The  assumptions  utilized  in
determining  future  taxable  income  require  significant  judgment  and  are  consistent  with  the  plans  and
estimates  we  are  using  to  manage  the  underlying  businesses.    Actual  operating  results  in  future  years 
could differ from our current assumptions, judgments and estimates.  However, we believe that it is more
likely  than  not  that  most  of  the  deferred  tax  assets  recognized  on  our  Consolidated  Balance  Sheets  will
ultimately  be  realized.    We  record  a  valuation  allowance  to  reduce  our  deferred  tax  assets  to  the  net 
amount  that  we  believe  is  more  likely  than  not  to  be  realized.    At  December  31,  2018,  the  valuation
allowance of $35.3 million was related to foreign net operating losses and tax deductible goodwill that we
are not expected to realize.

We  did  not  recognize  certain  tax  benefits  from  uncertain  tax  positions  within  the  provision  for  income 
taxes.  We may recognize a tax benefit only if it is more likely than not the tax position will be sustained

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PART II

on examination by the taxing authorities, based on the technical merits of the position.  The tax benefits 
recognized  in  the  financial  statements  from  such  positions  are  then  measured  based  on  the  largest 
benefit that has a greater than 50% likelihood of being realized upon settlement.  At December 31, 2018,
our  estimated  gross  unrecognized  tax  benefits  were  $64.7  million,  of  which  $61.8  million,  if  recognized,
would favorably impact our future earnings.  Due to uncertainties in any tax audit outcome, our estimates
of the ultimate settlement of our unrecognized tax positions may change and the actual tax benefits may 
differ significantly from the estimates.

In accordance with SAB 118, the Company calculated, with the involvement of a third party tax specialist 
its  provisional  tax  impact  of  the  Tax  Act  on  its  year  end  2017  income  tax  provision  and  as  a  result 
recognized an income tax (benefit) of ($129.8) million in the fourth quarter of 2017, the period in which
the  legislation  was  enacted.    During  the  allowed  measurement  period,  the  Company  completed  its
analysis and recognized adjustments, resulting in a charge of $8.8 million, to the 2017 provisional amount
during 2018.

The Tax Act also establishes global intangible low-taxed income ("GILTI") provisions that impose a tax on
foreign income in excess of a deemed return on intangible assets of foreign corporations.  The Company 
could  elect  that  its  accounting  policy  will  be  to  recognize  deferred  taxes  for  basis  differences  that  are 
expected  to  affect  the  amount  of  GILTI  inclusion  upon  reversal  or  to  recognize  taxes  on  GILTI  as  an
expense in the period incurred and chose to report on the basis that the taxes on GILTI will be recognized
in tax expense in the year it is incurred as a period expense.

For further information see Part II, Item 8. Financial Statements and Supplementary Data; Note 9 – Income
Taxes in the Consolidated Financial Statements.

Insured  and  Self-Insured  Claims:    We  have  retained  a  significant  portion  of  the  risks  related  to  our 
employee benefit, auto/fleet, general liability and workers’ compensation claims programs.  The exposure 
for unpaid claims and associated expenses, including incurred but not reported losses, are based on third
party actuarial valuations and internal estimates.  The accruals for these liabilities could be revised if future 
occurrences  or  loss  developments  significantly  differ  from  our  assumptions  used.    Estimated  recoveries
associated  with  our  insured  claims  are  recognized  as  assets  when  we  believe  that  the  receipt  of  such
amounts is probable.

Stock  Based  Compensation:    We  measure  the  cost  of  employee  services  received  in  exchange  for  an 
award of equity instruments based on the grant-date fair value of the award or on the fair value of the 
liabilities  incurred.    That  cost  is  recognized  over  the  period  during  which  an  employee  is  required  to 
provide  service  in  exchange  for  the  award—the  requisite  service  period  (usually  the  vesting  period)  for 
date vesting awards.  Performance based awards are recognized consistent with performance metrics and 
Accounting  Standards  Codification  Section  718  Compensation  –  Stock  Compensation.    No  compensation 
cost is recognized for equity instruments for which employees do not render the requisite service.

The grant-date fair value of incentive stock options (“ISOs”) and similar instruments are estimated using
option-pricing  models  adjusted  for  the  unique  characteristics  of  those  instruments  (unless  observable
market  prices  for  the  same  or  similar  instruments  are  available).    Option-pricing  models  (Black  Scholes)
include assumptions that are evaluated by a third party valuation specialist and evaluated and approved 
by  the  Vice  President  and  Treasurer  based  on  historical  experience,  current  company  trends  and
comparative analysis to industry trends.  If an equity award is modified after the grant date, incremental 

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Stericycle, Inc.  •  64

PART II

compensation cost will be recognized in an amount equal to the excess of the fair value of the modified
award over the fair value of the original award immediately before the modification.

Restricted shares (“RSUs”) awarded to an employee and Performance-based restricted stock units (“PSUs”)
awarded are measured at its fair value, once the related performance criteria have been established, which 
is the same amount for which a similarly restricted share would be issued to third parties.  A non-vested
equity share unit awarded to an employee is measured at its fair value as if it were vested and issued on
the grant date.

Forfeitures are accounted for as they occur.

For further detail, see Part II, Item 8. Financial Statements and Supplementary Data; Note 13 – Stock Based 
Compensation in the Consolidated Financial Statements.

Item 7A. Quantitative and Qualitative Disclosures about Market Risk

In  the  normal  course  of  business,  we  are  exposed  to  market  risks,  including  changes  in  interest  rates, 
certain commodity prices and foreign currency rates.

We  are  subject  to  market  risks  arising  from  changes  in  interest  rates  which  relate  primarily  to  our 
financing  activities.    We  performed  a  sensitivity  analysis  to  determine  how  market  rate  changes  might
affect  the  fair  value  of  our  market  risk-sensitive  debt  instruments.    Our  potential  additional  interest
expense  over  one  year  that  would  result  from  a  hypothetical,  instantaneous  and  unfavorable  change  of 
100 basis points in the interest rate on all of our variable rate obligations would be approximately $15.6 
million on a pre-tax basis.

We have exposure to foreign currency fluctuations.  We have subsidiaries in 20 foreign countries whose
revenues and expenses are denominated in local currency and who use local currency denominated lines 
of credit for their funding needs.  We translate results of operations of our international operations using 
an average exchange rate.  We have quantified and described the impact of foreign currency translation 
on our revenues.  We estimate, that based upon the amounts reported by individual countries during the 
year  ended  December  31,  2018  and  prevailing  exchange  rates  at  that  date  a  1%  devaluation  of  all  the 
functional currencies of each of our foreign businesses would result in a reduction of approximately $0.5
million in the Net (loss) income attributable to Stericycle, Inc. reported in our Consolidated Statements of 
(Loss) Income.

In  addition,  Argentina  is  classified  as  a  highly  inflationary  economy,  resulting  in  foreign  exchange  gains 
and losses arising from the translation of our Argentinian peso denominated net monetary assets being 
recognized in net income.  The foreign exchange loss recognized for the year ended December 31, 2018, 
was $3.8 million.  On an ongoing basis, we estimate that, based on our Argentinian Peso denominated net 
monetary  asset  position  as  of  December  31,  2018,  we  will  record  additional  exchange  losses  of 
approximately $0.1 million for each 1% devaluation from the December 31, 2018 Argentinian Peso rate of 
exchange versus the U.S. dollar.

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PART II

Item 8. Financial Statements and Supplementary Data

Report of Independent Registered Public Accounting Firm

To the Shareholders and the Board of Directors of Stericycle, Inc.

Opinion on the Financial Statements

We  have  audited  the  accompanying  consolidated  balance  sheets  of  Stericycle,  Inc.  (the  Company)  as  of 
December 31, 2018 and 2017, the related consolidated statements of (loss) income, comprehensive (loss) 
income, changes in equity and cash flows for each of the three years in the period ended December 31, 
2018,  and  the  related  notes  and financial statement schedule listed in the Index at Item 15(a)  (collectively 
referred  to  as  the  “consolidated  financial  statements”).    In  our  opinion,  the  consolidated  financial
statements present fairly, in all material respects, the financial position of the Company at December 31,
2018 and 2017, and the results of its operations and its cash flows for each of the three years in the period 
ended December 31, 2018, in conformity with U.S. generally accepted accounting principles.

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public  Company  Accounting  Oversight 
Board (United States) (PCAOB), the Company’s internal control over financial reporting as of December 31, 
2018, based on criteria established in Internal Control - Integrated Framework issued by the Committee of 
Sponsoring Organizations of the Treadway Commission (2013 framework) and our report dated February 
28, 2019 expressed an adverse opinion thereon.

Basis for Opinion

These financial statements are the responsibility of the Company’s management.  Our responsibility is to 
express  an  opinion  on  the  Company’s  financial  statements  based  on  our  audits.    We  are  a  public 
accounting  firm  registered  with  the  PCAOB  and  are  required  to  be  independent  with  respect  to  the 
Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of 
the Securities and Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB.  Those standards require that 
we plan and perform the audit to obtain reasonable assurance about whether the financial statements are
free of material misstatement, whether due to error or fraud.  Our audits included performing procedures 
to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and
performing procedures that respond to those risks.  Such procedures include examining, on a test basis, 
evidence  regarding  the  amounts  and  disclosures  in  the  financial  statements.    Our  audits  also  included
evaluating  the  accounting  principles  used  and  significant  estimates  made  by  management,  as  well  as
evaluating  the  overall  presentation  of  the  financial  statements.    We  believe  that  our  audits  provide  a
reasonable basis for our opinion.

/s/ Ernst & Young LLP

We have served as the Company’s auditor since 1991.

Chicago, Illinois
February 28, 2019

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Stericycle, Inc.  •  66

PART II

STERICYCLE, INC.
CONSOLIDATED STATEMENTS OF (LOSS) INCOME

In millions, except per share data

Revenues
Cost of revenues
Gross profit
Selling, general and administrative expenses
Goodwill impairment
(Loss) Income from operations
Other income (expense):
Interest income
Interest expense
Other expense, net
(Loss) Income before income taxes
Income tax benefit (expense)
Net (loss) income
Net loss (income) attributable to noncontrolling interests
Net (loss) income attributable to Stericycle, Inc.
Mandatory convertible preferred stock dividend
Gain on repurchase of preferred stock
Net (loss) income attributable to Stericycle, Inc. common
shareholders

(Loss) Earnings per common share attributable to Stericycle, Inc. 
common shareholders:

Basic

Diluted

Weighted average number of common shares
   Outstanding:

Basic
Diluted

$

$

$

$

Years Ended December 31,
2017

2018

2016

3,485.9 $
2,109.9
1,376.0
1,178.4
358.7
(161.1)

0.6
(106.6)
(8.3)
(275.4)
29.8
(245.6)
0.9
(244.7)
(25.5)
16.9

$

3,580.7
2,118.2
1,462.5
1,405.1
65.0
(7.6)

0.3
(94.0)
(6.6)
(107.9)
150.9
43.0
(0.6)
42.4
(36.3)
17.3

3,562.3
2,075.4
1,486.9
1,053.1
-
433.8

-
(97.8)
(7.9)
328.1
(120.2)
207.9
(1.6)
206.3
(39.4)
11.3

(253.3) $

23.4

$

178.2

(2.91) $

(2.91) $

0.27

0.27

$

$

87.1
87.1

85.3
85.6

2.10

2.08

84.9
85.6

See accompanying Notes to Consolidated Financial Statements.

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PART II

STERICYCLE, INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE 
(LOSS) INCOME

In millions

Net (loss) income

$

(245.6) $

43.0

$

207.9

Years Ended December 31,
2017

2016

2018

Other comprehensive (loss) income:
Foreign currency translation adjustments
Amortization of cash flow hedge into income, net of tax expense ($0.4, 
$0.7, and $0.8 for the years ended December 31, 2018, 2017, and 2016, 
respectively)
Change in fair value of cash flow hedge, net of tax expense (benefit)
($0.0, $0.0, and $0.0) for the years ended December 31, 2018, 2017, and 
2016, respectively)
Total other comprehensive (loss) income

Comprehensive (loss) income
Less: comprehensive (loss) income attributable to noncontrolling 
interests
Comprehensive (loss) income attributable to Stericycle, Inc. 
common shareholders

(80.3)

1.0

-
(79.3)

(324.9)

(1.9)

80.5

1.0

0.3
81.8

124.8

1.8

(86.7)

1.1

0.2
(85.4)

122.5

1.2

$

(323.0) $

123.0

$

121.3

See accompanying Notes to Consolidated Financial Statements.

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Stericycle, Inc.  •  68

STERICYCLE, INC.
CONSOLIDATED BALANCE SHEETS

In millions, except per share data

ASSETS
Current Assets:
Cash and cash equivalents
Accounts receivable, less allowance for doubtful accounts of $71.9 in 2018 and $65.2 
in 2017
Prepaid expenses
Other current assets
Assets held for sale

Total Current Assets

Property, plant and equipment, less accumulated depreciation of $678.1 in 2018 and
$603.2 in 2017
Goodwill
Intangible assets, less accumulated amortization of $499.9 in 2018 and $392.5 in 2017
Other assets
Total Assets

LIABILITIES AND EQUITY
Current Liabilities:
Current portion of long-term debt
Bank overdraft
Accounts payable
Accrued liabilities
Other current liabilities
Liabilities held for sale

Total Current Liabilities

Long-term debt, net
Deferred income taxes
Long-term tax payable
Other liabilities
Total Liabilities

Commitments and contingencies

Preferred stock (par value $0.01 per share, 1.0 shares authorized), mandatory
convertible preferred stock, Series A, 0.0 and 0.7 issued and outstanding in 2018 and
2017, respectively (see Note 14)
Common stock (par value $.01 per share, 120.0 shares authorized, 90.7 and 85.5 
issued and outstanding in 2018 and 2017, respectively)
Additional paid-in capital
Retained earnings
Accumulated other comprehensive loss

Total Stericycle, Inc.’s Equity

Noncontrolling interests

Total Equity

Total Liabilities and Equity

December 31,

2018

2017

$

34.3

$

599.6
50.0
63.4
-
747.3

743.5
3,222.2
1,637.7
104.8
6,455.5

104.3
14.8
225.8
340.8
47.5
-
733.2
2,663.9
307.3
83.3
70.7
3,858.4

$

$

-

0.9
1,162.6
1,789.2
(365.3)
2,587.4
9.7
2,597.1
6,455.5

$

$

$

$

PART II

42.2

624.1
76.5
49.8
20.8
813.4

741.0
3,604.0
1,791.5
38.4
6,988.3

119.5
7.0
195.2
588.1
54.5
5.1
969.4
2,615.3
371.1
55.8
68.1
4,079.7

-

0.9
1,153.2
2,029.5
(287.0)
2,896.6
12.0
2,908.6
6,988.3

See accompanying Notes to Consolidated Financial Statements.

2018 10-K Annual Report

Stericycle, Inc.  •  69

STERICYCLE, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS

In millions

2018

Years Ended December 31,
2017

2016

PART II

$

(245.6 ) $

43.0

$

OPERATING ACTIVITIES:
Net (loss) income
Adjustments to reconcile net (loss) income to net cash from operating activities:

Depreciation
Amortization
Stock-based compensation expense
Deferred income taxes
Asset impairment charges and loss (gain) on disposal of assets held for sale
Other, net

Changes in operating assets and liabilities, net of the effects of acquisitions and divestitures:

Accounts receivable
Prepaid expenses
Accounts payable
Accrued liabilities
Other assets and liabilities

Net cash from operating activities
INVESTING ACTIVITIES:
Capital expenditures
Payments for acquisitions, net of cash acquired
Proceeds from divestitures of businesses
Other, net
Net cash from investing activities
FINANCING ACTIVITIES:
Repayments of long-term debt and other obligations
Proceeds from foreign bank debt
Repayment of foreign bank debt
Proceeds from term loan
Repayment of term loan
Repayment of private placement of long-term note
Proceeds from senior credit facility
Repayment of senior credit facility
Proceeds from (repayment of) bank overdrafts, net
Payments of capital lease obligations
Payments of deferred financing costs
Payments for repurchase of common stock
Proceeds from issuance of common stock, net of shares withheld for tax
Payments for repurchase of mandatory convertible preferred stock
Dividends paid on mandatory convertible preferred stock
Payments to noncontrolling interests
Net cash from financing activities
Effect of exchange rate changes on cash and cash equivalents
Net change in cash and cash equivalents
Cash and cash equivalents at beginning of year
Cash and cash equivalents at end of year

SUPPLEMENTAL CASH FLOW INFORMATION:
Net issuances of obligations for acquisitions
Accrued capital expenditures
Interest paid during the year, net of capitalized interest
Income taxes paid during the year, net of refunds

$

$
$
$
$

125.6
130.3
24.1
(34.1 )
418.9
3.8

3.6
(15.6 )
9.3
(238.5 )
(16.1 )
165.7

(130.8 )
(44.7 )
25.2
2.8
(147.5 )

(64.5 )
12.1
(17.8 )
-
(47.5 )
-
1,657.2
(1,541.0 )
8.7
(8.2 )
(1.7 )
-
20.1
(17.2 )
(25.5 )
(0.4 )
(25.7 )
(0.4 )
(7.9 )
42.2
34.3

30.1
30.8
93.7
26.4

$

$
$
$
$

131.1
118.4
21.3
(290.2 )
112.2
(6.7 )

17.1
(33.9 )
22.9
363.0
10.4
508.6

(143.0 )
(52.5 )
1.2
1.3
(193.0 )

(62.1 )
13.3
(31.9 )
50.0
(100.0 )
(175.0 )
1,739.1
(1,689.7 )
2.4
(3.6 )
(2.7 )
-
10.2
(34.2 )
(36.3 )
(0.7 )
(321.2 )
3.6
(2.0 )
44.2
42.2

16.5
5.0
84.2
128.9

$

$
$
$
$

207.9

123.2
129.3
20.5
7.1
28.5
1.0

(43.1 )
(1.2 )
5.2
28.5
53.9
560.8

(136.2 )
(63.9 )
2.1
2.4
(195.6 )

(89.2 )
76.2
(84.1 )
-
(250.0 )
-
1,464.9
(1,393.3 )
(13.6 )
(5.3 )
(0.6 )
(40.8 )
37.5
(30.9 )
(39.4 )
(8.2 )
(376.8 )
0.2
(11.4 )
55.6
44.2

44.2
6.2
88.8
111.5

See accompanying Notes to Consolidated Financial Statements.

2018 10-K Annual Report

Stericycle, Inc.  •  70

STERICYCLE, INC.
CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY

PART II

Stericycle, Inc. Equity

Common 
Stock

Additional 
Paid-In 
Capital

Retained 
Earnings

Accumulated 
Other
Comprehensive 
Loss

Noncontrolling 
Interests

84.9 $ 0.8 $

1,143.0 $ 1,868.7 $

(282.6 ) $

Preferred 
Stock
0.8 $

-

In millions

Balance as of January 1, 2016
Net income
Currency translation adjustment
Change in qualifying cash flow hedge, net of 
tax
Issuance of common stock for exercise of 
options and employee stock purchases, net
Repurchase and cancellation of treasury
stock
Repurchase and cancellation of convertible 
preferred stock
Preferred stock dividend
Stock compensation expense
Payments to noncontrolling interest
Balance as of December 31, 2016
Net income
Currency translation adjustment
Change in qualifying cash flow hedge, net of 
tax
Issuance of common stock for exercise of 
options, RSU vesting and employee stock 
purchases, net
Repurchase and cancellation of convertible
preferred stock
Preferred stock dividend
Stock compensation expense
Reduction to noncontrolling interests due to
additional ownership
Balance as of December 31, 2017
Net loss
Currency translation adjustment
Change in qualifying cash flow hedge, net of 
tax
Issuance of common stock for exercise of 
options, RSU vesting and employee stock 
purchases, net
Repurchase and cancellation of convertible 
preferred stock
Conversion of convertible preferred stock to
common stock
Preferred stock dividend
Stock compensation expense
Payments to noncontrolling interest
Cumulative effect of new accounting
standard (see Note 1)
Balance as of December 31, 2018

(86.3 )

1.3

(367.6 )

79.3

1.3

(287.0 )

(79.3 )

1.0

0.7

(0.4 )

-

-

44.8

(0.1 )

-

(42.2 )

0.7

-

85.2

0.8

1,166.5

206.3

(40.8 )

11.3
(39.4 )

2,006.1
42.4

0.3

0.1

17.2

0.0

-

(51.5 )

17.3
(36.3 )

0.7

-

85.5

0.9

1,153.2

)

2,029.5
(244.7 )

0.5

4.7

-

-

(0.1 )

(0.6 )

-

-

19.4

(34.1 )

16.9

(25.5 )

13.0

Total Equit
y
2,747.9
207.9
(86.7 )

18.0 $
1.6
(0.4 )

(8.6 )
10.6
0.6
1.2

(0.4 )
12.0
(0.9 )
(1.0 )

1.3

(40.8 )

(30.9 )
(39.4 )

(8.2 )
2,816.4
43.0
80.5

1.3

(34.2 )
(36.3 )

(0.7 )
2,908.6
(245.6 )
(80.3 )

1.0

(17.2 )

-
(25.5 )

(0.4 )

(0.4 )

13.0
2,597.1

0.0 $

-

90.7 $ 0.9 $

1,162.6 $ 1,789.2 $

(365.3 ) $

9.7 $

See accompanying Notes to Consolidated Financial Statements.

2018 10-K Annual Report

Stericycle, Inc.  •  71

PART II

STERICYCLE, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(In millions, except per share data and unless otherwise indicated)

Unless the context requires otherwise, “Company”, “Stericycle”, "we," "us" or "our" refers to Stericycle, Inc. 
and its subsidiaries on a consolidated basis.

NOTE 1 – BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT 
ACCOUNTING POLICIES

Description of Business

The Company provides regulated and compliance services, which include the collection and processing of 
regulated  and  specialized  waste  for  disposal,  the  collection  of  personal  and  confidential  information  for 
secure destruction, recall and returns (“Expert Solutions”), and communication services.

We were incorporated in 1989 and today serve a diverse customer base across all 50 states of the United 
States (“U.S.”), Puerto Rico, and 21 other countries.

For further information on the Company’s business, segments and services, see Part I, Item 1. Business and 
Note 17 – Segment Reporting.

Summary of Significant Accounting Policies

Basis  of  Presentation:    The  accompanying  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  consolidated  financial  statements  were  prepared  in  accordance  with  U.S.
GAAP  and  include  the  assets,  liabilities,  revenue  and  expenses  of  all  wholly-owned  subsidiaries  and 
majority-owned subsidiaries over which the Company exercises control.  Outside stockholders' interests in 
subsidiaries are shown on the consolidated financial statements as “Noncontrolling interests."

Use  of  Estimates:    The  preparation  of  financial  statements  in  conformity  with  generally  accepted
accounting principles requires us to make estimates and assumptions that affect the amounts reported in 
the  financial  statements  and  accompanying  notes.    Some  areas  where  we  make  estimates  include  our 
allowance  for  doubtful  accounts,  credit  memo  reserve,  accrued  employee  health  and  welfare  benefits,
environmental  liabilities,  stock  compensation  expense,  income  tax  liabilities,  accrued  auto  and  workers’
compensation insurance claims, intangible asset valuations, and goodwill impairment.  Such estimates are
based on historical trends and on various other assumptions that are believed to be reasonable under the
circumstances.  Actual results could differ from our estimates.

Revenue from Contracts with Customers: In accordance with ASU No. 2014-19, “Revenue from Contracts 
with Customers” (“ASC 606”), revenue is recognized when a customer obtains control of promised goods 
or services.  The amount of revenue recognized reflects the consideration to which the Company expects 
to be entitled to receive in exchange for these good or services.  Revenue is recognized net of revenue-
based taxes assessed by governmental authorities.

2018 10-K Annual Report

Stericycle, Inc.  •  72

PART II

The Company provides regulated and compliance services, which include the collection and processing of 
regulated  and  specialized  waste  for  disposal,  the  collection  of  personal  and  confidential  information  for 
secure destruction, and Expert Solutions, and communication services.  The associated activities for each
of  these  are  a  series  of  distinct  services  that  are  substantially  the  same  and  have  the  same  pattern  of 
transfer over time; therefore, the respective services are treated as a single performance obligation.

The  Company  recognizes  revenue  by  applying  the  right  to  invoice  practical  expedient  as  our  right  to
consideration  corresponds  directly  to  the  value  provided  to  the  customer  for  performance  to  date. 
Revenues  for  our  Medical  Waste  Solutions  and  Secure  Information  Destruction  Services  are  recognized 
upon  waste  collection.    Our  Compliance  Solution  revenues  are  recognized  over  the  contractual  service
period.    Revenues  from  Hazardous  Waste  Solutions  and  Manufacturing  and  Industrial  Services  are 
recognized at the time the waste is received by a facility with an appropriate permit, either our processing 
facility  or  a  third  party.    Revenues  from  communication  services  and  Expert  Solutions  are  recognized  as 
the services are performed. Revenues from recycling of shredded paper are recognized upon delivery.

Accounts  Receivable  and  Allowance  for  Doubtful  Accounts:    Accounts  receivable  are  recorded  when
billed or when goods or services are provided.  The carrying value of our receivables is presented net of 
an  allowance  for  doubtful  accounts.    We  estimate  our  allowance  for  doubtful  accounts  based  on  past
collection  history  and  specific  risks  identified  among  uncollected  amounts.    If  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 our internal collection efforts have been exhausted.

No  single  customer  accounts  for  more  than  approximately  1.0%  of  our  accounts  receivable  or
approximately  1.1%  of  total  revenues.    During  the  year  ended  December 31,  2018,  2017,  and  2016,  bad
debt expense was $24.9 million, $32.3 million, and $41.8 million, respectively.

Contract Liability:  We record a contract liability when cash payments are received or due in advance of 
our services being performed which is classified as current in Other current liabilities on the Consolidated 
Balance  Sheets  since  the  amounts  are  earned  within  a  year.    Substantially  all  our  contract  liabilities 
outstanding  as  of  December  31,  2017  (presented  as  deferred  revenues  on  the  Consolidated  Balance
Sheets prior to the adoption of ASC 606) were recognized as revenues during 2018.  The contract liability
at December 31, 2018 was $15.0 million, the substantial portion of which is expected to be recognized as
revenue during 2019.

Contract  Acquisition  Costs: Incremental  direct  costs  of  obtaining  a  contract,  which  primarily  represent 
sales incentives, are deferred and amortized to Selling, general and administrative expenses (“SG&A”) over 
the estimated period of benefit to be derived from the cost.

Cash and Cash Equivalents:  We consider all highly liquid investments with a maturity of less than three
months when purchased to be cash equivalents.  Cash equivalents are carried at cost.

Financial  Instruments:    Our  financial  instruments  consist  of  cash  and  cash  equivalents,  accounts
receivable and payable, derivatives, and long-term debt.  Financial instruments, which potentially subject
us  to  concentrations  of  credit  risk,  consist  principally  of  accounts  receivable.    Credit  risk  on  trade
receivables  is  minimized  as  a  result  of  the  large  size  of  our  customer  base,  low  concentration  and  the
performance of ongoing credit evaluations of our customers.  We also maintain allowances for potential 
credit losses.

2018 10-K Annual Report

Stericycle, Inc.  •  73

PART II

Property,  Plant  and  Equipment:    Property,  plant  and  equipment  is  stated  at  cost. Expenditures  for 
software purchases and software developed for internal use are capitalized and included in Software. For
software  developed  for  internal  use,  external  direct  costs  for  materials  and  services  and  certain  internal 
payroll  and  related  fringe  benefit  costs  are  capitalized  as  the  costs  of  computer  software  developed  or 
obtained for internal use.

Depreciation and amortization, which includes the depreciation of assets recorded under capital leases, is 
computed using the straight-line method over the estimated useful lives of the assets as follows:

Building and improvements
Machinery and equipment
Containers
Vehicles
Office equipment and furniture
Software

2 to 40 years
2 to 30 years
2 to 20 years
2 to 10 years
2 to 20 years
2 to 10 years

Upon completion and deployment costs associated with the Enterprise Resource Planning system will be 
amortized over an estimated useful life of 10 years.

Capitalized Interest:  We capitalize interest incurred associated with projects under construction for the 
duration  of  the  asset  construction  period.    During  the  years  ended  December  31,  2018  and  2017,  we
capitalized interest of $2.9 million and $1.6 million, respectively.  No amounts were capitalized in 2016.

Goodwill  and  Other  Identifiable  Intangible  Assets:    Goodwill  represents  the  excess  of  the  purchase 
price and related costs over the fair value assigned the net tangible and identifiable tangibles of business
acquired.  Intangible assets with definite lives are amortized on a straight-line basis over their estimated 
useful lives.

Impairment of Long and Indefinite- Lived Assets:

(cid:129) Property  and  Equipment  and  Intangible  Assets  (definite-lives),  Net:    Long-lived  assets,  such  as 
property,  plant  and  equipment  and  amortizing  intangible  assets  are  reviewed  whenever  events  or
changes  in  circumstances  indicate  that  the  related  carrying  amounts  may  not  be  recoverable. 
Impairment  of  assets  with  definite-lives 
is  generally  determined  by  comparing  projected
undiscounted  cash  flows  to  be  generated  by  the  asset,  or  appropriate  grouping  of  assets,  to  its
carrying value.  If an impairment is identified, a loss is recognized equal to the excess of the asset's
net  book  value  over  its  fair  value,  and  the  cost  basis  is  adjusted.    Determining  the  extent  of  an
impairment, 
including  using 
management's judgment, cash flows directly attributable to the asset, the useful life of the asset and
residual value, if any.  When necessary, the Company uses internal cash flow estimates, quoted market 
prices  and  appraisals  as  appropriate  to  determine  fair  value.    Actual  results  could  vary  from  these 
estimates. In addition, the remaining useful life of the impaired asset is revised, if necessary.

if  any,  typically  requires  various  estimates  and  assumptions 

(cid:129) Intangible Assets (indefinite-lives), Net:  Indefinite lived intangibles may be assessed using either a 
qualitative  or  quantitative  approach.   The  qualitative  approach  first  determines  if  it  is  more-likely-
than-not that  the  fair  value  of  the  asset  is  less  than  the  carrying  value.   If  no  such  determination  is
made,  then  the  impairment  test  is  complete.   If,  however,  it  is  determined  that  there  is  a  likely 
impairment, a quantitative assessment must then be made.  One determination on whether to use the
qualitative  approach  is  the  time  since  the  last  quantitative  approach.   In  the  fourth  quarter  of  2018, 
the  Company  performed  its  annual  impairment  test  on  indefinite  lived  intangibles,  other  than 

2018 10-K Annual Report

Stericycle, Inc.  •  74

PART II

goodwill  using  the  qualitative  approach  for  certain  assets  and  the  quantitative  approach  for  the 
remaining assets.

(cid:129) Goodwill: Goodwill is tested for impairment at least annually as of October 1 of each year, or more 
frequently if an event occurs or circumstances change that would reduce the fair value of a reporting 
unit below its carrying value.

We used a quantitative approach to assess goodwill for impairment.  The fair value of each reporting 
unit is calculated using the income approach (including discounted cash flows (“DCF”)) and validated 
using  a  market  approach  with  the  involvement  of  a  third  party  valuation  specialist.    The  Company's
reporting  units  are:    Domestic  Healthcare  Compliance  Services,  Domestic  Secure  Information
Destruction, Domestic CRS, Domestic Environmental Solutions, Canada, Europe, Asia Pacific and Latin
America.  The income approach uses expected future cash flows of each reporting unit and discounts
those  cash  flows  to  present  value.   Expected  future  cash  flows  are  calculated  using  management
assumptions  of  growth  rates,  including  long-term  growth  rates,  capital  expenditures,  and  cost
efficiencies.  Future acquisitions are not included in the expected future cash flows.  We use a discount
rate  based  on  a  calculated  weighted  average  cost  of  capital  which  is  adjusted  for  each  of  our
reporting  units  based  on  size,  country  and  company  specific  risk  premiums.   The  market  approach 
compares  the  valuation  multiples  of  similar  companies  to  that  of  the  associated  reporting  unit.   We
then reconcile the calculated fair values to our market capitalization.  The fair value is then compared 
to its carrying value including goodwill.  If the fair value is in excess of its carrying value, the related
goodwill is not impaired.  If the fair value is less than its carrying value, we recognize an impairment 
charge in the amount that the carrying value exceeds the fair value.

The  goodwill  impairment  testing  process  involves  the  use  of  significant  assumptions,  estimates  and 
judgments, and is subject to inherent uncertainties and subjectivity in determination of the fair value
of  the  reporting  units.    Estimating  a  reporting  unit's  projected  cash  flows  involves  the  use  of 
significant  assumptions,  estimates  and  judgments  with  respect  to  numerous  factors,  including  long-
term  growth  rates,  operating  margin,  including  SG&A  expense  rates,  working  capital,  capital 
expenditures,  allocation  of  shared  or  corporate  items,  among  other  factors.    These  estimates  are
based  on  internal  current  operating  plans  and  long-term  forecasts  for  each  reporting  unit.    These
projected cash flow estimates are then discounted, which necessitates the selection of an appropriate
discount rate.  The discount rates selected reflect market-based estimates of the risks associated with
the projected cash flows of the reporting unit and also include a Company specific risk premium.  The
market value comparisons of fair value require the selection of appropriate peer group companies.  In
addition, we analyze differences between the sum of the fair value of the reporting units and our total
market  capitalization  for  reasonableness,  taking  into  account  certain  factors  including  control 
premiums.

The use of different assumptions, estimates or judgments in the goodwill impairment testing process 
may significantly increase or decrease the estimated fair value of a reporting unit.  Generally, changes
in  DCF  estimates  would  have  a  similar  effect  on  the  estimated  fair  value  of  the  reporting  unit.    We 
believe  that  the  estimated  fair  value  used  in  measuring  the  impairment  was  based  on  reasonable 
assumptions  but  future  changes  in  the  underlying  assumptions  could  differ  due  to  the  inherent 
judgment in making such estimates.

Goodwill impairment charges may be recognized in future periods to the extent changes in factors or
circumstances  occur,  including  deterioration  in  the  macro-economic  environment  or  in  the  equity

2018 10-K Annual Report

Stericycle, Inc.  •  75

PART II

markets, including the market value of our common shares, deterioration in our performance or our
future projections, or changes in the Company's plans for one or more reporting units.

For further discussion see Note 6 – Goodwill and Other Intangible Assets.

Long-lived assets or disposal groups classified as held for sale are valued at the lower of their carrying 
amount or fair value less estimated selling costs.  Long-lived assets are not depreciated or amortized
while classified as held for sale.

Insurance:    Our  insurance  for  workers’  compensation,  auto/fleet,  property  and  employee-related  health 
care benefits is obtained using high deductible insurance policies.  A third-party administrator is used to 
process all such claims.  We accrue these liabilities based upon the claim reserves established by the third-
party administrator, operating under our oversight, at the end of each reporting period.  Accruals include 
an  estimate  for  claims  incurred  but  not  yet  reported.    Our  workers  compensation  and  auto/fleet  and
employee health insurance benefit liability is based on our historical claims experience.

Restructuring  Charges:    Involuntary  termination  benefits  are  accrued  upon  the  commitment  to  a 
termination  plan  and  when  the  benefit  arrangement  is  communicated  to  affected  employees,  or  when 
liabilities are determined to be probable and estimable, depending on the existence of a substantive plan
for severance or termination.  Costs for one-time termination benefits in which the employee is required 
to render service until termination in order to receive the benefits are recognized ratably over the future 
service  period.    Contract  termination  costs  are  recognized  when  contracts  are  terminated  or  when  we 
cease to use the leased facility and no longer derive economic benefit from the contract.  All other exit 
costs are expensed as incurred.  For further discussion, see Note 4 – Restructuring, Divestitures, and Assets
Held For Sale.

Stock-Based Compensation:  The Company recognizes stock-based compensation expense based on the
estimate  grant-date  fair  value  for  all  stock-based  awards  which  include  stock  options,  restricted  stock 
units,  and  performance  stock  units.    Expense  is  generally  recognized  on  a  straight-line  basis  over  the 
service period during which awards are expected to vest.  We present stock-based compensation expense
within  the  Consolidated  Statements  of  (Loss)  Income  based  on  the  classification  of  the  respective
employees' cash compensation.  For further discussion, see Note 13 – Stock Based Compensation.

Income Taxes:  We are subject to income taxes in both the U.S. and numerous foreign jurisdictions.  We 
compute  our  provision  for  income  taxes  using  the  asset  and  liability  method,  under  which  deferred  tax
assets  and  liabilities  are  recognized  for  the  expected  future  tax  consequences  of  temporary  differences
between the financial reporting and tax basis of assets and liabilities and for operating loss and tax credit 
carry-forwards.  Deferred tax assets and liabilities are measured using the currently enacted tax rates that 
are expected to apply to taxable income for the years in which those tax assets and liabilities are expected
to  be  realized  or  settled.    Significant  judgments  are  required  in  order  to  determine  the  realizability  of 
these  deferred  tax  assets.    In  assessing  the  need  for  a  valuation  allowance,  we  evaluate  all  significant 
available positive and negative evidence, including historical operating results, estimates of future taxable 
income  and  the  existence  of  prudent  and  feasible  tax  planning  strategies.    Changes  in  the  expectations 
regarding  the  realization  of  deferred  tax  assets  could  materially  impact  income  tax  expense  in  future 
periods.  Tax liabilities are recognized when, in management’s judgment, a tax position does not meet the 
more  likely  than  not  (i.e.  a  likelihood  of  more  than  fifty  percent)  threshold  for  recognition.    For  tax
positions that meet the more likely than not threshold, a tax liability may still be recognized depending on
management’s  assessment  of  how  the  tax  position  will  ultimately  be  settled.    The  Company  records 

2018 10-K Annual Report

Stericycle, Inc.  •  76

PART II

interest  and  penalties  on  unrecognized  tax  benefits  in  the  provision  for  income  taxes.    For  further
discussion, see Note 9 – Income Taxes.

Lease  and  Asset  Retirement  Obligations:    The  Company  classifies  leases  at  their  inception  as  either 
operating  or  capital  leases  and  may  receive  renewal  or  expansion  options,  rent  holidays,  and  leasehold
improvement or other incentives on certain lease agreements.  The Company recognizes operating lease 
costs on a straight-line basis, taking into account adjustments for free or escalating rental payments and
deferred  payment  terms.    Additionally,  lease  incentives  are  accounted  for  as  a  reduction  of  lease  costs
over the lease term.  Rent expense associated with operating lease obligations that relate to the delivery
of our services is presented in Cost of revenues (“COR”) and the remaining is classified within SG&A on
the  Consolidated  Statements  of  (Loss)  Income.    The  Company  excludes  the  portion  of  executory  costs 
connected  with  the  leased  asset  for  the  purposes  of  determining  minimum  lease  payments  under 
Accounting  Standard  Codification  section  840  “Leases”  (“
” ASC  840”).    Minimum  lease  payments  made 
under capital leases are apportioned between interest expense and a reduction of the related capital lease
obligations,  which  are  classified  within  Accrued  liabilities  and  Current  portion  of  long-term  debt  on  the 
Consolidated Balance Sheets.

The  Company  establishes  assets  and  liabilities  for  the  present  value  of  estimated  future  costs  to  retire
long-lived  assets  at  the  termination  or  expiration  of  a  lease.    Such  assets  are  amortized  over  the  lease
term, and the recognized liabilities are accreted to the future value of the estimated retirement costs.  The
related amortization and accretion expenses are presented within COR if the leased asset is used in the
delivery  of  our  services  and  the  remaining  expenses  are  presented  within  SG&A  on  the  Consolidated
Statements of (Loss) Income.

Foreign Currency:  Assets and liabilities of foreign affiliates that use the local currency as their functional 
currency  are  translated  at  the  exchange  rate  on  the  last  day  of  the  accounting  period,  and  income
statement accounts are translated at the average rates during the period.  Related translation adjustments 
are  reported  as  a  component  of  accumulated  other  comprehensive  loss  on  the  Consolidated  Balance 
Sheets.    Foreign  currency  gains  and  losses  resulting  from  transactions  which  are  denominated  in
currencies  other  than  the  entity’s  functional  currency,  including  foreign  currency  gains  and  losses  on
intercompany balances that are not of a long-term investment nature, are included within Other expense, 
net on the Consolidated Statements of (Loss) Income.

Highly  Inflationary  Economy:    Effective  July  1,  2018,  as  a  result  of  the  three-year  cumulative  inflation
exceeding  100%,  Argentina  was  classified  as  a  highly  inflationary  economy.    Accordingly,  the  Company
recognized,  in  Other  expense,  net,  a  foreign  exchange  loss  of  $3.8  million,  during  the  year  ended 
December 31, 2018, arising from the re-measurement of our Argentinian peso denominated net monetary 
assets.

Nonmonetary assets, liabilities and related expenses are measured using historical exchange rates and do
not fluctuate with changes in the local exchange rate.

Reclassifications:  There were no material reclassifications during the current year. 

2018 10-K Annual Report

Stericycle, Inc.  •  77

PART II

New Accounting Standards:

Adoption of New Accounting Standards

Revenue Recognition

g

Effective January 1, 2018, the Company adopted ASC 606 using the modified retrospective method to all
contracts  that  were  not  completed  as  of  the  date  of  adoption.    The  results  of  operations  for  reported 
periods after January 1, 2018 are presented under this amended guidance, while prior period amounts are
reported  in  accordance  with  ASC  605  “Revenue  Recognition”,  which  is  also  referred  to  herein  as  “legacy
U.S. GAAP” or historical guidance.

6

The  impact  of  adopting  ASC  606  relates  to  (i)  the  deferral  of  certain  costs  associated  with  obtaining
contracts  with  customers,  which  were  previously  expensed  as  incurred,  but  under  the  new  guidance  are
capitalized as Other current assets and Other assets and amortized to SG&A over the expected period of 
benefit  to  be  received,  (ii)  the  write  off  of  deferred  installation  costs,  which  were  capitalized,  as  Prepaid
expenses under legacy U.S. GAAP but will be expensed as incurred under ASC 606 and (iii) an increase in
Deferred income tax liabilities with respect to the tax impact associated with these items.  We recognized 
a  net  increase  to  Retained  earnings  of  $13.0  million  as  of  January  1,  2018  for  the  cumulative  effect  of 
adopting  ASC  606.    This  was  comprised  of  $22.9  million  associated  with  the  capitalization  of  contract
acquisition  costs  offset  by  a  $4.9  million  write  off  of  deferred  installation  costs  and  $5.0  million  to 
recognize Deferred income tax liabilities.

The impact to (Loss) Income from operations from the adoption of ASC 606 was a decrease in SG&A of 
$8.8 million for the year ended December 31, 2018.

f
Definition of a Business

f

Effective January 1, 2018, the Company adopted ASU No. 2017-01, “Clarifying the Definition of a Business” 
(“ASU  2017-01”),  which  provides  guidance  to  clarify  the  definition  of  a  business  with  the  objective  of 
adding  guidance  to  assist  entities  with  evaluating  whether  transactions  should  be  accounted  for  as 
acquisitions (or disposals) of assets or businesses.  The amendments in ASU 2017-01 provide a screen to 
determine  when  an  integrated  set  of  assets  and  activities  (collectively  referred  to  as  a  “set”)  is  not  a 
business.  The screen requires that when substantially all of the fair value of the gross assets acquired (or
disposed of) is concentrated in a single identifiable asset or a group of similar identifiable assets, the set is 
not a business.  This screen reduces the number of transactions that need to be further evaluated.  If the 
screen  is  not  met,  the  amendments  require  that  to  be  considered  a  business,  a  set  must  include,  at  a 
minimum, an input and a substantive process that together significantly contribute to the ability to create
output  and  remove  the  evaluation  of  whether  a  market  participant  could  replace  the  missing  elements. 
The  guidance  in  ASU  2017-01  was  applied  in  evaluating  the  transactions  discussed  in Note  3  – 
Acquisitions, but did not otherwise impact the accompanying Consolidated Financial Statements.  Due to
the  number  of  acquisitions  the  Company  completes  in  any  year,  there  may  be  instances  where  the
acquisition will be determined to be an acquisition of assets instead of a business.  The Company expects 
that  a  majority  of  acquisitions  completed  in  any  year  will  meet  the  definition  of  a  business  under  ASU
2017-01 and that there will not be a material impact to our Consolidated Financial Statements.

2018 10-K Annual Report

Stericycle, Inc.  •  78

PART II

y
Intra-Entity Transfers of Assets Other Than Inventory 

y

f

f

On  January  1,  2018,  the  Company  adopted  the  guidance  in  ASU  No.  2016-16,  “Intra-Entity  Transfers  of 
Assets Other Than Inventory” (“ASU 2016-16”).  ASU 2016-16 requires the income tax consequences of an 
intra-entity transfer of an asset other than inventory to be recognized when the transfer occurs, instead of 
when  the  asset  is  sold  to  an  outside  party.    The  Company’s  adoption  of  ASU  2016-16  did  not  have  an
impact on the accompanying Consolidated Financial Statements.

Compensation – Stock Compensation

p

p

On January 1, 2018, the Company adopted ASU No. 2017-09, “Compensation – Stock Compensation (Topic 
718):  Scope  of  Modification  Accounting”  (“ASU  2017-09”).    ASU  2017-09  clarifies  when  to  account  for  a
change  to  the  terms  or  conditions  of  a  share-based  payment  award  as  a  modification.    Under  the  new
guidance,  modification  accounting  is  required  only  if  the  fair  value,  the  vesting  conditions,  or  the 
classification of the award (as equity or liability) changes as a result of the change in terms or conditions.  
The  Company’s  adoption  of  ASU  2017-09  did  not  have  an  impact  on  the  accompanying  Consolidated
Financial Statements.

Accounting Standards Issued But Not Yet Adopted

Leases

In  February  2016,  the  Financial  Accounting  Standards  Board  (“FASB”)  issued  ASU  No.  2016-02,  “Leases” 
(Topic  842)  (“ASU  2016-02”).    The  amended  guidance,  which  is  effective  for  the  Company  on  January  1, 
2019,  requires  the  recognition  of  lease  assets  and  lease  liabilities  on  the  balance  sheet  for  those  leases
with  terms  in  excess  of  12  months  and  currently  classified  as  operating  leases.    Disclosure  of  key
information  about  leasing  arrangements  will  also  be  required.    The  Company  elected  the  optional
transition  method  which  allows  entities  to  continue  to  apply  historical  accounting  guidance  in  the
comparative periods presented in the year of adoption.

At transition, lessees and lessors may elect to apply a package of practical expedients permitting entities
not to reassess: (i) whether any expired or existing contracts are or contain leases; (ii) lease classification 
for  any  expired  or  existing  leases  and  (iii)  whether  initial  direct  costs  for  any  expired  or  existing  leases 
qualify for capitalization under the amended guidance.  These practical expedients must be elected as a
package and consistently applied.  The Company has elected to apply the package of practical expedients
upon adoption.

The  Company  has  identified  its  leases  or  other  contracts  impacted  by  the  new  standard  and  is  in  the
process of (i) finalizing the implementation of a software solution to manage and account for leases under
the  new  standard  and  (ii)  updating  its  business  processes  and  related  policies,  systems  and  controls  to
support recognition and disclosure under the new standard.

In connection with the adoption of this standard, the Company expects it will record right-of-use assets,
primarily related to buildings and vehicles, amounting to approximately $390.0 million for contracts that 
contain operating leases.  We currently do not expect the amended guidance to have any other material
impacts on our financial statements.

2018 10-K Annual Report

Stericycle, Inc.  •  79

PART II

Derivatives and Hedgingg g

In  August  2017,  the  FASB  issued  ASU  No.  2017-12,  “Derivatives  and  Hedging”  (Topic  815):  Targeted 
Improvements  to  Accounting  for  Hedging  Activities  (“ASU  2017-12”).    ASU  2017-12  amends  the  hedge 
accounting  recognition  and  presentation  requirements  with  the  objective  of  improving  the  financial 
reporting of hedging relationships to better portray the economic results of an entity’s risk management
activities  in  its  financial  statements  and  enhance  the  transparency  and  understandability  of  hedge
transactions.    In  addition,  ASU  2017-12  makes  improvements  to  simplify  the  application  of  the  hedge
accounting guidance.  ASU 2017-12 is effective for us on January 1, 2019, with early adoption permitted.  
The Company does not expect the adoption to materially impact our Consolidated Financial Statements.

””

Financial Instrument Credit Losses

In June 2016, the FASB issued ASU No. 2016-13, “Financial Instruments – Credit Losses” (“ASU 2016-13”)
associated  with  the  measurement  of  credit  losses  on  financial  instruments.    ASU  2016-13  replaces  the
current incurred loss impairment methodology of recognizing credit losses when a loss is probable, with a
methodology  that  reflects  expected  credit  losses  and  requires  consideration  of  a  broader  range  of 
reasonable  and  supportable  information  to  assess  credit  loss  estimates.    The  amended  guidance  is 
effective  for  us  on  January  1,  2020,  with  early  adoption  permitted  beginning  January  1,  2019.    We  are
evaluating the impact on our Consolidated Financial Statements.

Implementation Costs Incurred in a Cloud Computing Arrangement

p

g

g

p

”

In  August  2018,  the  FASB  issued  ASU  2018-15,  “Goodwill  and  Other  Intangibles-  Internal  Use  Software  – 
Customer’s  Accounting  for  Implementation  Costs  Incurred  in  a  Cloud  Computing  Arrangement  That  Is  a 
Service Contract” (“ASU 2018-15”).  ASU 2018-15 aligns the requirements for capitalizing implementation
costs  incurred  in  a  hosting  arrangement  that  is  a  service  contract  with  the  requirements  for  capitalizing 
implementation  costs  for  internal-use  software.    The  accounting  for  any  hosting  contract  is  unchanged.
ASU 2018-15 is effective for us on January 1, 2020 with early adoption permitted, including adoption in 
any interim period.  We are evaluating the impact on our Consolidated Financial Statements.

NOTE 2 – REVENUES FROM CONTRACTS WITH CUSTOMERS

The Company provides regulated and compliance services, which include the collection and processing of 
regulated  and  specialized  waste  for  disposal,  the  collection  of  personal  and  confidential  information  for 
secure  destruction,  Expert  Solutions,  and  communication  services.    The  associated  activities  for  each  of 
these are a series of distinct services that are substantially the same and have the same pattern of transfer
over time; therefore, the respective services are treated as a single performance obligation.

Our  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  or  fees  based  on  contractual  rates
depending  upon  measures  including  the  volume,  weight  and  type  of  waste,  number  and  size  of  bins 
collected, weight and type of shredded paper, type of recall service 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 

2018 10-K Annual Report

Stericycle, Inc.  •  80

PART II

after invoicing based upon normal terms and conditions for our business type and the geography of the
services performed.

Disaggregation of Revenues

The following table presents our revenues disaggregated by service and primary geographical regions, for 
the  year  ended  December  31,  2018,  and  includes  a  reconciliation  of  disaggregated  revenue  to  revenue
reported  by  our  reportable  segments,  Domestic  and  Canada  Regulated  Waste  and  Compliance  Services
(“RCS”) and International RCS:

In millions

Reportable Segment

Domestic and Canada RCS

Year ended December 31, 2018
International RCS

All Other
United
States

United States

Canada

Europe

Others

Total

$

1,142.4 $

39.6

$

250.8 $

185.7

$

-

$

1,618.5

712.6
314.1
247.8
-
-

$

2,416.9 $

65.7
-
22.6
17.3
12.0
157.2

$

120.7
-
16.9
18.4
8.7
415.5 $

12.0
-
41.9
-
-
239.6

$

-
-
-
148.4
108.3
256.7

$

911.0
314.1
329.2
184.1
129.0
3,485.9

Revenues by Service:

Medical Waste and Compliance 
Solutions
Secure Information Destruction
Services
Hazardous Waste Solutions
Manufacturing and Industrial Services
Communication Services
Expert Solutions
Total

Contract Liabilities 

The  contract  liability  at  December  31,  2018  and  2017  was  $15.0  million  and  $17.9  million,  respectively.  
The  balance  in  contract  liability  as  of  December  31,  2017  was  recognized  as  revenue  during  the  year 
ended December 31, 2018.

Contract Acquisition Costs

We had $8.5 million and $23.3 million of contract acquisition costs, included in Other current assets and 
Other assets, respectively, on the Consolidated Balance Sheets as of December 31, 2018.  During the year 
ended  December  31,  2018,  we  amortized  $6.9 million  of  sales  incentives  to  SG&A.  Contract  acquisition 
costs are amortized to SG&A over a weighted average life of 6.3 years.

NOTE 3 – ACQUISITIONS

Acquisitions

During  the  years  ended  December 31,  2018,  2017,  and  2016,  the  Company  completed  21,  30,  and  31 
acquisitions, respectively.  The acquisitions completed during 2018 each met the definition of a business 
in  ASU  2017-01.    All  of  the  acquisitions  detailed  below  are  considered  to  be  complementary  to  our
existing  operations  and  fit  with  our  growth  strategy.    All  were  accounted  for  as  business  combinations 
under the applicable guidance.

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Stericycle, Inc.  •  81

PART II

The following table summarizes the locations and services of acquisitions by year:

2018 Acquisitions

Acquisition Locations
United States

Total

2017 Acquisitions

Acquisition Locations
United States and Canada
International

Total

2016 Acquisitions

Acquisition Locations
United States and Canada
International

Total

Total Number of 
Acquisitions

Regulated Waste

21
21

Total Number of 
Acquisitions

Regulated Waste

22
8
30

Service
Secure Information 
Destruction

Communication and
Related Services

19
19

-
-

Service
Secure Information 
Destruction

Communication and 
Related Services

19
3
22

1
-
1

2
2

2
5
7

Total Number of 
Acquisitions

Regulated Waste

Service
Secure Information 
Destruction

Communication and 
Related Services

21
10
31

5
6
11

15
4
19

1
-
1

The results of operations of these acquired businesses have been included in the Consolidated Statements 
of (Loss) Income from the date of the acquisition.  Pro forma results of operations for these acquisitions
are not presented because the pro forma effects, individually or in the aggregate, were not material to the
Company’s consolidated results of operations.

The following table summarizes the acquisition date fair value of consideration transferred for acquisitions 
completed during the years ended December 31, 2018, 2017, and 2016:

In millions

Cash
Promissory notes
Deferred consideration
Contingent consideration
Total purchase price

2018

2017

2016

$

$

44.8
30.0
0.6
-
75.4

$

$

52.9
25.3
1.1
0.1
79.4

$

$

55.4
40.9
4.1
1.0
101.4

The fair value of consideration transferred in a business combination is allocated to the net tangible and 
intangible assets assumed at the acquisition date, with the remaining unallocated amount recognized as
goodwill.    The  allocations  of  the  acquisition  price  for  recent  acquisitions  have  been  prepared  on  a 
preliminary  basis,  pending  completion  of  certain  intangible  asset  valuations  and  finalization  of  the
opening balance sheet.

The  following  table  summarizes  the  preliminary  purchase  price  allocations  for  current  year  acquisitions 
and  adjustments  to  purchase  price  allocations  for  prior  year  acquisitions.    As  of  December 31,  2018, 
purchase accounting had been completed for all of our acquisitions that closed prior to July 1, 2018.

2018 10-K Annual Report

Stericycle, Inc.  •  82

In millions

Current Year 
Acquisitions

Adjustments to Prior 
Year Acquisitions

Total

Fixed assets
Intangibles
Goodwill
Other assets and liabilities, net
Total purchase price allocation

$

$

7.0
34.0
32.2
2.2
75.4

$

$

5.2
10.2
(17.6)
1.6
(0.6)

$

$

PART II

12.2
44.2
14.6
3.8
74.8

During  the  year  ended  December 31,  2018,  we  recognized  an  increase  in  the  estimated  fair  value  of 
acquired  customer  relationships  from  current  year  and  prior  year  acquisitions  of  $33.5  million,  and  $9.1 
million, respectively, excluding the effect of foreign currency translation, with amortizable lives of 10 to 25 
years.

NOTE 4 – RESTRUCTURING, DIVESTITURES, AND ASSETS HELD FOR SALE

Restructuring - Business Transformation

Stericycle is focused on driving long-term growth, profitability and delivering enhanced shareholder value.  
As  part  of  our  business  strategy,  in  the  third  quarter  of  2017,  we  initiated  a  comprehensive  multiyear
Business Transformation with the objective to improve long-term operational and financial performance. 
The Business Transformation is based on a strategic vision to build a best-in-class enterprise performance 
management  (“EPM”)  operating  model  to  enable  the  Company  to  operate  more  efficiently,  provide  an 
enhanced experience to customers, better capitalize on future growth opportunities and establish greater
controls  and  oversight  to  drive  more  consistent  results.    Additionally,  a  key  component  to  the  Business 
Transformation  is  the  implementation  of  an  enterprise  resource  planning  (“ERP”)  system  which  will
leverage  standard  processes  throughout  the  organization  to  accelerate  decision  making,  expedite
acquisition integration, remediate compliance and control issues, and enable real-time analytics.

Key initiatives of the Business Transformation include:

(cid:129) Portfolio Rationalization:  Executing on a comprehensive review of the Company’s global service 

lines to identify and pursue the divestiture of non-strategic assets.

(cid:129) Operational Optimization:  Standardizing route planning logistics, modernizing field operations,

and driving network efficiency across facilities.

(cid:129) Organizational  Excellence  and  Efficiency:    Redesigning  the  Company’s  organizational  structure

to optimize resources and align around a global shared business services model.

(cid:129) Commercial  Excellence:  Aligning  our  sales  and  service  organizations  around  the  customer,
standardizing  our  customer  relationship  management  process,  and  expanding  customer  self-
service options.

(cid:129) Strategic  Sourcing:    Reducing  spend  through  global  procure-to-pay  processes  and  leveraging

organizational scale.

We  anticipate  we  will  incur  approximately  $20.0  million  of  employee  termination  charges  in  connection
with Business Transformation of which $8.0 million and $1.0 million is expected to impact our Domestic
and  Canada  RCS  and  International  reportable  segments,  respectively,  with  the  remaining  $11.0  million 
impacting All Other, see Note 17 – Segment Reporting.

2018 10-K Annual Report

Stericycle, Inc.  •  83

PART II

During  the  year  ended  December  31,  2018,  we  incurred  $3.7  million,  of  employee  termination  charges 
related  to  Business  Transformation.  The  Domestic  and  Canada  RCS  and  International  RCS  reportable 
segments incurred $3.0 million and $0.3 million, respectively, with the remaining $0.4 million impacting All
Other. These amounts were fully paid as of December 31, 2018.

In addition, during the year ended December 31, 2018, we incurred non-cash impairment charges of $9.1
million, of which $7.4 million related to software and $0.3 million related to other long-term assets in the 
Domestic and Canada RCS reportable segment, was included in COR and $1.4 million related to All Other, 
was included in SG&A, see Note 5 – Property Plant and Equipment.

During the fourth quarter of 2017, we incurred employee termination charges of $11.5 million and non-
cash  impairment  charges  of  $2.4  million  related  to  software.  Our  Domestic  and  Canada  RCS  and 
International  RCS  reportable  segments  incurred  $5.5  million  and  $3.3  million,  respectively,  with  the
remaining $5.1 million impacting All Other.  The remaining liability of $2.2 million at December 31, 2017, 
was paid in the first quarter of 2018.

Other Restructuring Charges

During  the  year  ended  December  31,  2018,  we  recognized,  in  SG&A,  employee  termination  benefits  of 
approximately $1.3 million, associated with reductions in headcount undertaken as part of non-Business 
Transformation  related  Operational  Optimization.  The  charges  were  incurred  primarily  within  our  All 
Other reporting segment and were paid by the end of the fourth quarter of 2018.

There  could  be  additional  initiatives  in  the  future  to  further  streamline  our  operations.  As  such,  the
Company expects to record further charges related to workforce reductions and/or facility rationalization
when those initiatives become probable and the related charges are estimable.

Divestitures

The  Company  incurred  the  following  non-cash  impairment  charges  and  gains  or  losses,  which  are
included in SG&A in the Consolidated Statements of (Loss) Income, associated with divestitures executed
during each of the years ended December 31, 2018, 2017, and 2016, respectively:

In millions

Domestic and Canada RCS Segment
Non-cash impairment charges

Total Domestic and Canada RCS charges

International RCS Segment
Non-cash impairment charges
Losses on divestiture of businesses in the U.K.
Gain on divestiture of South Africa business

Total International RCS charges

Total

2018

2017

2016

$

$

$

6.9
6.9

4.2
1.7
-
5.9
12.8

$

$

-
-

6.8
5.7
(3.0)
9.5
9.5

$

-
-

25.5
1.6
-
27.1
27.1

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PART II

The details associated with each of these amounts are as follows:

Domestic and Canada RCS Segment:

In  2018,  we  completed,  as  part  of  our  portfolio  rationalization,  the  sale  of  our  non-core  clean  room 
business  realizing  proceeds  of  $17.0  million.    We  recognized  non-cash  impairment  charges  related  to
goodwill ($5.8 million) and customer list intangibles ($0.5 million) and a reduction in the fair value of net 
assets ($0.6 million) in connection with reclassifying the assets and liabilities as held for sale.

International RCS Segment:

In  2018,  we  completed  the  sale  of  our  hazardous  waste  business  in  the  U.K.  for  consideration  of 
approximately $11.5 million of which $8.2 million was received in cash and $3.3 million is held in escrow,
subject  to  release  upon  renewal  of  a  lease  held  by  the  sold  business.    Prior  to  sale,  we  had  recognized 
non-cash impairment charges in connection with reclassifying the assets and liabilities as held for sale and
subsequent changes in the fair value of these assets of $4.2 million, $6.8 million and $3.8 million for the 
years ended December 31, 2018, 2017, and 2016, respectively.

In  2017,  we  sold  certain  assets  and  liabilities  in  South  Africa  for  proceeds  of  $7.3  million,  resulting  in  a 
gain of $3.0 million.

In 2017, we sold certain assets associated with our patient transport business in the U.K. for proceeds of 
$1.2  million,  resulting  in  a  net  loss  of  $5.7  million.    Non-cash  impairment  charges  of  $21.7  million  were
recognized in 2016 when the business was initially classified as held for sale.

In the fourth quarter of 2016, we sold certain assets in the U.K. for proceeds of $0.8 million, resulting in a 
loss on sale of $1.6 million.

Assets and Liabilities Held for Sale

As of December 31, 2017, certain of our international operations met the criteria to be classified as held 
for sale.  This business was subsequently sold in 2018, (see Divestitures above).

The  following  table  presents  information  related  to  the  major  classes  of  assets  and  liabilities  that  were 
classified as held for sale in the Consolidated Balance Sheet at December 31, 2017:

In millions

Total current assets
Fixed assets
Goodwill
Intangibles
Other assets

Assets held for sale

Total current liabilities
Deferred income taxes

Liabilities held for sale

2017

7.7
8.5
1.6
2.6
0.4
20.8

4.7
0.4
5.1

$

$

$

$

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PART II

We determined that the operations included in the table above did not meet the criteria to be classified 
as discontinued operations under the applicable guidance.

Subsequent Event

On February 28, 2019, the Company announced that it had closed on an agreement for the divestiture of 
the U.K.-based texting business that had been part of Communication and Related Services. 

NOTE 5 – PROPERTY, PLANT AND EQUIPMENT

Property, plant and equipment at December 31, 2018 and 2017 consisted of the following:

In millions

$

Land and improvements
Building and improvements
Machinery and equipment
Vehicles
Containers
Office equipment and furniture
Software and Enterprise Resource Planning system
Construction in progress

Total property, plant and equipment

Less: accumulated depreciation

Property, plant and equipment, net

$

2018

2017

63.8 $

243.5
345.4
178.9
296.6
126.8
65.1
101.5
1,421.6
(678.1)
743.5 $

66.2
227.6
348.2
173.3
261.3
146.3
40.8
80.5
1,344.2
(603.2)
741.0

The net book value of assets held under capital lease was $22.5 million and $11.2 million as of December
31,  2018  and  2017,  respectively.    The  majority  of  these  assets  were  included  in  building  and
improvements, machinery and equipment, and vehicles.

During the year ended December 31, 2018, we recognized $33.1 million of non-cash impairment charges 
related to software and other property plant and equipment.  The charges were recognized in and related 
to the following reportable segments:

In millions

Included in COR

Year Ended December 31, 2018

Domestic and 
Canada RCS

International RCS

All Other

Total

Other property plant and equipment

Total included in COR

Included in SG&A

Other property plant and equipment

Total included in SG&A
Total impairments

$

$

7.4
0.3
7.7

1.0
0.3
1.3
9.0

$

$

-
-
-

-
5.1
5.1
5.1

$

$

$

17.6
-
17.6

1.4

1.4
19.0

$

25.0
0.3
25.3

2.4
5.4
7.8
33.1

The  non-cash  impairment  charges  related  to  software  were  in  connection  with  our  evolving  future
information  systems  strategy,  including  the  implementation  of  a  global  ERP  system  and  it’s  impact  on 

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PART II

currently  deployed  software  as  well  as  rationalization  of  applications  used  within  each  reportable 
segment.    The  non-cash  impairment  charges  related  to  other  property,  plant  and  equipment  were  as  a 
result of the rationalization of our operations.

During  2017,  we  recognized  non-cash  impairment  charges  in  SG&A  of  $7.3  million,  related  to  property,
plant  and  equipment,  due  to  rationalizing  certain  of  our  operations,  primarily  in  the  International  RCS 
segment.  There were no property, plant and equipment impairments in 2016.

NOTE 6 – GOODWILL AND OTHER INTANGIBLE ASSETS

Goodwill:

The  changes  in  the  carrying  amount  of  goodwill  for  the  years  ended  December  31,  2018  and  2017,  by
reportable segment and for the “All Other” category, were as follows:

In millions

Domestic and 
Canada RCS

International 
RCS

All Other

Total

Balance as of January 1, 2017
Goodwill acquired during year
Purchase accounting adjustments
Impairments during the year
Impairments related to disposition and held for sale 
(see Note 4)
Changes due to foreign currency fluctuations
Balance as of December 31, 2017
Goodwill acquired during year
Purchase accounting adjustments
Impairments during the year
Impairments related to disposition and held for sale 
(see Note 4)
Changes due to foreign currency fluctuations
Balance as of December 31, 2018

$

$

2,811.8 $
36.9
(10.1)
-

-
11.6
2,850.2
32.2
(16.9)

498.4 $
4.9
1.2
(65.0)

(7.1)
34.4
466.8
-
-
(72.4)

(5.8)
(11.3)
2,848.4 $

-
(20.6)
373.8 $

280.8 $
4.7
1.5
-

-
-
287.0
-
(0.7)
(286.3)

-
-
- $

3,591.0
46.5
(7.4)
(65.0)

(7.1)
46.0
3,604.0
32.2
(17.6)
(358.7)

(5.8)
(31.9)
3,222.2

Accumulated  non-cash  impairment  charges  by  segment  as  of  December  31,  2018  and  2017  were  as 
follows:

In millions

International RCS
All Other
Total

2018

2017

$

$

137.4 $
286.3
423.7 $

65.0
-
65.0

In our Form 10-Q for the quarter ended September 30, 2018, we disclosed that we were in the process of 
completing the October 1 annual goodwill impairment assessment and that certain of our reporting units,
including  Domestic  CRS  and  Latin  America,  were  potentially  at  risk  for  impairment  based  on  our 
preliminary review of our long range plan (“LRP”) which was in the process of being finalized.  We were 
also  evaluating  recent  declines  in  our  stock  price  and  market  capitalization  and  the  impact  on  our 
reconciliation of the aggregate fair values of our reporting units to our market capitalization.

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PART II

We performed our annual goodwill assessment as of October 1, 2018, and we continued to update our
assumptions  to  reflect  certain  business  and  strategic  developments  during  the  fourth  quarter,  which
negatively impacted the estimated cash flows of certain of our reporting units and resulted in our decision 
to  also  complete  an  interim  assessment  as  of  December  31,  2018.    The  Company  determined  that  the 
Domestic  CRS  and  Latin  America  reporting  units’  carrying  values  were  in  excess  of  their  estimated  fair 
values. 

Factors that contributed to the estimated fair value of the reporting units being below their carrying value
include:

(cid:129) For Domestic CRS we experienced a progressive decrease in revenues and operating margins in 2018
due to (i) continued declines in large recall events leading to a higher level of the uncertainty of these 
occurring in future periods. (ii) recall events that have a smaller number of units and significantly lower 
revenue per event than we had experienced in recent years, and (iii) continued decline in the volume 
of  inbound/outbound  call  volumes  for  our  live  voice  services.  We  also  gathered  insights  from  our
process of evaluating strategic alternatives that we initiated in 2018;

(cid:129) For  Latin  America  we  continue  to  experience  prolonged  challenges  and  volatility  in  certain  of  our 
markets due to declining market trends and cost pressures. Revenue increases in our Manufacturing 
and Industrial (“M&I”) business due to inflationary price increases in Argentina have been offset by the
impact of currency devaluation and the continuing declines in several local economies.

These challenges were factored into updates to our forecasted cash-flow assumptions during the fourth
quarter  to  reflect  our  current  outlook  and  we  made  certain  adjustments  to  the  discount  rates  used  to 
present value these forecasted cash-flows.  As a result of these impairment assessments, we recognized 
$286.3 million of non-cash goodwill impairment charges to fully impair our Domestic CRS reporting unit. 
In  addition,  we  recognized  $72.4  million  of  non-cash  goodwill  impairment  charges  related  to  our  Latin 
America reporting unit.  Following the impairment, the remaining Latin America reporting unit’s goodwill 
is $20 million.

We  performed  our  annual  goodwill  assessment,  as  of  October  1,  2017  and  evaluated  the  impact  of 
prolonged  declining  market  trends  in  Latin  America  and  continued  softness  in  the  Company’s 
Manufacturing and Industrial regional hazardous waste business.  Our estimated cash flows were updated
to reflect these challenging conditions in Latin America and, as a result of the impairment assessment, we
recognized a $65.0 million non-cash goodwill impairment charge.  The impairment charge recognized was
the amount by which the carrying value of the Latin America reporting unit exceeded its fair value.

The  fair  value  of  reporting  units,  used  in  both  the  annual  and  any  interim  goodwill  impairment
assessments  are  classified  as  Level  3  measurements  within  the  fair  value  hierarchy  due  to  significant
unobservable  inputs  such  as  discount  rates,  projections  of  revenue,  cost  of  revenue  and  operating 
expense  growth  rates,  long-term  growth  rates  and  income  tax  rates.    The  fair  value  methodology  is
described further in Note 1 – Basis of Presentation and Summary of Significant Accounting Policies.

Current  year  adjustments  to  goodwill  for  certain  prior  year  acquisitions  are  primarily  due  to  the
finalization of intangible asset valuations among other opening balance sheet adjustments.

2018 10-K Annual Report

Stericycle, Inc.  •  88

PART II

Other Intangible Assets:

At December 31, 2018 and 2017, the values of other intangible assets were as follows:

In millions

Gross Carrying 
Amount

2018
Accumulated 
Amortization

Net Value

Gross Carrying 
Amount

2017
Accumulated 
Amortization

Net Value

Amortizable 
intangibles:
Customer relationships $
Covenants not-to-
compete
Tradenames
Other
Indefinite lived 
intangibles:
Operating permits
Tradenames
Total

$

1,591.5 $

492.0 $

1,099.5 $

1,613.4 $

381.4 $

1,232.0

5.1
3.9
12.3

3.2
1.2
3.5

1.9
2.7
8.8

7.9
6.0
17.0

5.9
1.8
3.4

2.0
4.2
13.6

212.5
312.3
2,137.6 $

-
-
499.9 $

212.5
312.3
1,637.7 $

222.3
317.4
2,184.0 $

-
-
392.5 $

222.3
317.4
1,791.5

The changes in the carrying amount of intangible assets since January 1, 2017 were as follows:

In millions

Balance as of January 1, 2017
Intangible assets acquired during the year
Valuation adjustments for prior year acquisitions
Reclassification to assets held for sale
Impairments during the year
Amortization during the year
Changes due to foreign currency fluctuations
Balance as of December 31, 2017
Intangible assets acquired during the year
Valuation adjustments for prior year acquisitions
Reclassification to assets held for sale
Impairments during the year
Amortization during the year
Changes due to foreign currency fluctuations
Balance as of December 31, 2018

Total

1,862.0
28.2
7.9
(2.6)
(21.0)
(118.4)
35.4
1,791.5
34.0
10.2
(14.4)
(16.0)
(130.3)
(37.3)
1,637.7

$

$

Our  indefinite-lived  intangible  assets  include  operating  permits  and  certain  tradenames.    We  have
determined that our operating permits and certain tradenames have indefinite lives due to our ability to
renew them with minimal additional cost, and therefore they are not amortized.  We perform our annual
impairment test as of October 1.

During 2018, 2017, and 2016, we recognized non-cash impairment charges of $16.0 million, $21.0 million,
and  $1.4  million,  respectively.    The  non-cash  impairment  charges  recognized  during  the  year  ended 
December 31, 2018 included $10.3 million related to customer relationship and permit intangibles, which
were impaired as a result of actual and forecasted business declines.  The remaining non-cash impairment 
charges incurred during the year ended December 31, 2018 and the charges in the year ended December

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PART II

31, 2017 were recognized due to rationalizing certain operations across all segments and were recognized 
in the following reportable segments:

In millions

Domestic and Canada RCS
International RCS
All Other

Total Customer Relationships and Operating Permits

$

2018

2017

2016

$

0.5
15.5
—
16.0

$

3.1
12.1
5.8
21.0

-
1.4
-
1.4

Our  finite-lived  intangible  assets  are  amortized  over  their  estimated  useful  lives  using  the  straight-line
method with each category having a weighted average remaining useful life as follows:

In years

Customer relationships
Covenants not-to-compete
Tradenames
Landfill air rights

Estimated useful lives

5-25
5-14
4-40

5-26

Weighted average
remaining useful lives
9.2
2.9
17.6

13.4

We  evaluate  the  useful  life  of  our  intangible  assets  annually  to  determine  whether  events  and 
circumstances warrant a revision to their remaining useful life and changes are reflected prospectively as 
the intangible asset is amortized over the revised remaining useful life.  In the fourth quarter of 2018, the
Company performed its annual assessment of the useful life of its finite-lived intangibles.  The Company 
updated the useful life of its customer relationship intangibles as a result of analyzing recent quantitative
and  qualitative  observations  in  the  market  and  factors  impacting  our  business.    The  change  in  estimate
will  be  accounted  for  prospectively  and  there  will  be  an  approximately  5-10%  increase  to  annual
amortization expense going forward.

During the years ended December 31, 2018, 2017, and 2016, our aggregate intangible asset amortization
expense was $130.3 million, $118.4 million, and $129.3 million, respectively.

Our estimated intangible asset amortization expense for each of the next five years (based upon foreign 
exchange rates at December 31, 2018) is as follows for the years ended December 31:

In millions
2019
2020
2021
2022
2023

$

140.2
139.1
137.1
135.0
132.3

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PART II

NOTE 7 – ACCRUED LIABILITIES AND OTHER LONG TERM LIABILITIES

Accrued liabilities consisted of the follow at December 31:

In millions

Accrued compensation
Accrued self-insurance
Accrued taxes
Accrued interest
Accrued small quantity medical waste customer class 
action legal settlement
Accrued professional services liabilities
Accrued disposal and landfill liabilities
Accrued liabilities – other
–
Total accrued liabilities

$

$

2018

2017

80.0 $
72.8
42.3
14.7

-
40.1
15.9
75.0
340.8 $

Other long term liabilities consisted of the following at December 31:

In millions

Contingent consideration
Environmental liabilities
Asset retirement obligations
Other long term liabilities

Total other long term liabilities

NOTE 8 – DEBT

2018

2017

$

$

7.5 $

28.2
19.1
15.9
70.7 $

52.0
77.9
41.2
13.6

295.0
34.3
13.2
60.9
588.1

7.8
25.1
18.2
17.0
68.1

Long-term debt consisted of the following at December 31:

In millions

$1.2 billion senior credit facility, due in 2022
$950 million term loan, due in 2022
$125 million private placement notes, due in 2019
$225 million private placement notes, due in 2020
$150 million private placement notes, due in 2021
$125 million private placement notes, due in 2022
$200 million private placement notes, due in 2022
$100 million private placement notes, due in 2023
$150 million private placement notes, due in 2023
Promissory notes and deferred consideration, weighted average maturity of 2.74 and
2.9 years for 2018 and 2017
Foreign bank debt, weighted average maturity of 1.9 years for 2018 and 1.7 years for 
2017
Obligations under capital leases
Total debt
Less: current portion of total debt
Less: unamortized debt issuance costs
Long-term portion of total debt

$

$

2018

2017

583.3
902.5
125.0
225.0
150.0
125.0
200.0
100.0
150.0

120.9

76.7
20.3
2,778.7
104.3
10.5
2,663.9

$

$

471.7
950.0
125.0
225.0
150.0
125.0
200.0
100.0
150.0

155.9

85.2
9.4
2,747.2
119.5
12.4
2,615.3

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PART II

Our  senior  credit  facility,  term  loan,  and  the  private  placement  notes  all  require  us  to  comply  with  the 
same  financial,  reporting  and  other  covenants  and  restrictions,  including  a  restriction  on  dividend 
payments.  At December 31, 2018, we were in compliance with all of our financial debt covenants.  Our
senior credit facility, term loan, and private placement notes rank pari passu to each other and all other 
unsecured debt obligations.

The weighted average interest rates on long-term debt, excluding capital leases, as of December 31, 2018
and 2017 were as follows:

$1.2 billion senior credit facility, due in 2022
$1.0 billion term loan, due in 2022
$125 million private placement notes, due in 2019
$225 million private placement notes, due in 2020
$150 million private placement notes, due in 2021
$125 million private placement notes, due in 2022
$200 million private placement notes, due in 2022
$100 million private placement notes, due in 2023
$150 million private placement notes, due in 2023
Promissory notes and deferred consideration
Foreign bank debt

2018

2017

3.77%
4.07%
3.43%
5.22%
3.64%
4.01%
3.47%
3.54%
3.93%
1.79%
5.81%

2.55%
2.83%
2.68%
4.47%
2.89%
3.26%
2.72%
2.79%
3.18%
1.49%
6.11%

During  the  second  quarter  of  2018,  in  accordance  with  the  amended  terms  (see  below),  the  Company
triggered  an  increase  of  0.5%  in  the  interest  rates  charged  on  the  private  placement  notes.    During  the
third  quarter  of  2018,  in  accordance  with  the  amended  terms  (see  below),  the  Company  triggered  an 
increase of 0.25% applicable to the interest rate charged on the senior credit facility.  During the fourth 
quarter of 2018 in accordance with the amended terms (see below), the Company triggered an increase of 
0.25% applied to the interest rates charged on the private placement notes.

Amounts committed to outstanding letters of credit and the unused portion of our senior credit facility as 
of December 31, 2018 and 2017 were as follows:

In millions

Outstanding letters of credit under Senior Credit Facility
Unused portion of the Revolving Credit Facility

$

$

63.1
553.6

130.8
597.5

2018

2017

The Company entered into a Credit Agreement (the “Credit Agreement”) dated as of November 17, 2017
that amended, restated and consolidated the Company’s existing revolver agreement dated as of June 4,
2014  and  the  Company’s  existing  term  loan  credit  agreement  dated  as  of  August  15,  2015.    The  Credit
Agreement provided for a term loan facility of $950.0 million and a revolving credit facility of $1.2 billion.  
The proceeds from this Credit Agreement were used on the closing date to refinance the loans and other
credit extensions made under the existing revolver and term loan credit facilities.  The Company applied
the  provisions  of  ASC  470-50, “Modifications  and  Extinguishments” and  accounted  for  the  refinance  as  a
modification.

”

The obligations under the Credit Agreement are unsecured.  The Credit Agreement contained a financial
covenant to maintain a Consolidated Leverage Ratio of 3.75 to 1.00 at the end of any fiscal quarter, which 
could have been increased to 4.00 to 1.00 for up to two consecutive quarters in any fiscal quarter ending 
on  or  before  September  30,  2018,  at  the  Company’s  option,  if  following  the  settlement  payment  with 

2018 10-K Annual Report

Stericycle, Inc.  •  92

PART II

respect to the small quantity (“SQ”) customer class action lawsuit (see Note 19 – Legal Proceedings), and if 
the  Consolidated  Leverage  Ratio,  on  a  pro  forma  basis,  is  greater  than  3.50  to  1.00.    The  Company
exercised this option during the third quarter of 2018.  The Credit Agreement matures on November 17,
2022.

The  Company  entered  into  amendments  to  the  Credit  Agreement  and  the  various  note  purchase 
agreements  associated  with  the  private  placement  notes,  during  the  year  ended  December  31,  2018,  as
follows:

(cid:129) An  amendment,  dated  March  23,  2018,  which  changed  the  definition  of  EBITDA  (as  defined  in  the
credit  agreements),  to  allow  for  certain  add-backs,  up  to  a  maximum  of  $200.0  million  on  a  trailing 
twelve  month  basis,  related  to  cash  charges  associated  with  Business  Transformation,  operational
optimization  and  litigation  matters,  to  the  calculation  of  EBITDA  for  debt  covenant  compliance 
purposes.

The  amendment  also  provided,  under  certain  circumstances,  for  the  adjustment  to  the  interest  rates
charged on the senior credit facility and term loan and the private placement notes.

(cid:129) An amendment, dated November 15, 2018 that applies only to the Credit Agreement, which amended 

the covenant with respect to permitted acquisitions and dispositions.

(cid:129) An amendment, dated December 19, 2018, which increases the allowable Consolidated Leverage Ratio
to 4.00 to 1.00 and continues to allow the $200.0 million of add backs for any quarter ending before 
December  31,  2019.    The  add  back  is  extended  through  the  first  quarter  of  2020  to  allow  up  to  a 
maximum of $90.0 million of aggregate expenses incurred through December 31, 2019 to be added
back.  In addition, the amendment requires that the Consolidated Leverage Ratio not be greater than
3.75 to 1.00 for any fiscal quarter ending after December 31, 2019.

In addition to the above, the interest rate charged on the private placement notes is subject to adjustment
as follows:

a)

b)

If at the end of any fiscal quarter the Unadjusted Consolidated Leverage Ratio (prior to taking into 
effect the add-backs discussed above) exceeds 3.75 to 1.00 the per annum interest rate applicable
to each series of notes shall increase by 0.50% (the “Adjusted Leverage Elevated Interest Rate”)

If  at  the  end  of  any  fiscal  quarter  ending  on  or  before  March  31,  2020,  the  unadjusted
Consolidated Leverage Ratio exceeds 3.75 to 1.00 the per-annum interest rate applicable to each
series of notes shall be increased as follows (the “Unadjusted Leverage Elevated Interest Rate”):

i.

ii.

iii.

iv.

if  the  Company  has  a  rating  of  BBB+  or  better  by  S&P  (or  an  equivalent  rating  by
another  rating  agency)  then  the  Unadjusted  Leverage  Elevated  Interest  Rate  will  be
an additional 0.50%,
if the Company has a rating of BBB by S&P (or an equivalent rating by another rating
agency)  then  the  Unadjusted  Leverage  Elevated  Interest  Rate  will  be  an  additional
0.75%,
if the Company has a rating of BBB- by S&P (or an equivalent rating by another rating 
agency)  then  the  Unadjusted  Leverage  Elevated  Interest  Rate  will  be  an  additional
1.25%,
if  the  Company  has  a  rating  of  BB+  or  worse  by  S&P  (or  an  equivalent  rating  by 
another  rating  agency)  then  the  Unadjusted  Leverage  Elevated  Interest  Rate  will  be
an additional 2.00%

2018 10-K Annual Report

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PART II

c) The Adjusted Leverage Elevated Interest Rate and Unadjusted Leverage Elevated Interest rate are
not cumulative with each other and only the greater of the two increases will apply at any given 
time.

The  Company  accounted  for  each  of  these  refinancings  as  modifications  and  as  a  result  recognized,
during the year ended December 31, 2018, $2.8 million of debt modification charges to interest expense.

The Company has the ability and intends to use some of the availability under the revolving credit facility
to  refinance  the  $125  million  private  placement  notes  due  in  2019,  and  accordingly  has  presented  the
balance of these notes within the long-term portion of total debt as of December 31, 2018.  The amount 
is however presented as part of payments due in 2019 in the table below.

Payments  due  on  long-term  debt,  excluding  capital  lease  obligations,  during  each  of  the  five  years
subsequent to December 31, 2018 are as follows:

In millions
2019
2020
2021
2022
2023
Thereafter
Total

$

$

225.2
342.2
251.3
1,678.6
254.8
6.3
2,758.4

Minimum future lease payments under capital leases are as follows:

$

In millions
2019
2020
2021
2022
2023
Thereafter
Total minimum lease payments
Less: amounts representing interest
Present value of net minimum lease payments
Less: current portion included in current portion of 
long-term debt
Long-term obligations under capital leases

$

5.4
5.6
2.6
2.3
2.1
5.9
23.9
(3.6)
20.3

(4.1)
16.2

NOTE 9 – INCOME TAXES

The U.S. and International components of (loss) income before income taxes (benefit) expense consisted 
of the following for the years ended December 31, 2018, 2017, and 2016:

In millions

United States
Foreign

Total (loss) income before income taxes

2018

2017

2016

$

$

(189.1) $
(86.3)
(275.4) $

(9.6) $

(98.3)
(107.9) $

381.1
(53.0)
328.1

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PART II

Significant components of our income tax benefit (expense) for the years ended December 31, 2018, 2017, 
and 2016 are as follows:

In millions

Current

United States – federal
–
United States - state and local
Foreign

Deferred

United States – federal
–
United States - state and local
Foreign

Total benefit (expense)

2018

2017

2016

$

$

-
(0.4)
(8.5)
(8.9)

24.4
11.2
3.1
38.7
29.8

$

$

(107.0) $
(10.0)
(7.1)
(124.1)

256.1
9.8
9.1
275.0
150.9

$

(102.0)
(11.6)
(10.6)
(124.2)

(19.1)
2.5
20.6
4.0
(120.2)

A reconciliation of the income tax provision computed at the federal statutory rate to the effective tax rate
for the years ended December 31, 2018, 2017, and 2016 are as follows:

Federal statutory income tax rate
Effect of:

State and local taxes, net of federal tax effect
Foreign tax rates
Permanent - other items
Permanent - goodwill impairment
U.S. Tax Reform Act
Valuation allowance
Stock-based compensation
Other

Effective tax rate

2018

2017

2016

21.0%

4.2%
4.2%
0.5%
(9.1%)
(3.2%)
(7.5%)
1.2%
(0.5%)
10.8%

35.0%

3.9%
(2.7%)
(2.1%)
(12.0%)
120.3%
(4.6%)
(0.6%)
2.7%
139.9%

35.0%

1.5%
2.1%
0.8%
-
-
2.1%
(1.8%)
(3.1%)
36.6%

Our deferred tax liabilities and assets at December 31, 2018 and 2017 were as follows:

In millions

Deferred tax liabilities:

Property, plant and equipment
Goodwill and intangibles
Other

Total deferred tax liabilities
Deferred tax assets:
Accrued liabilities
Net operating tax loss carry-forwards
Sec 163j carry-forward
Other

Less: valuation allowance
Total deferred tax assets
Net deferred tax liabilities

2018

2017

$

$

(68.9) $

(395.1)
(22.7)
(486.7)

84.4
88.9
13.4
39.9
(35.3)
191.3
(295.4) $

(56.4)
(490.0)
(17.2)
(563.6)

141.2
38.3
-
38.6
(16.1)
202.0
(361.6)

On December 22, 2017, the U.S. Tax Cuts and Jobs Act of 2017 (the “Tax Act”) was signed into law making
significant  changes  to  the  Internal  Revenue  Code.    Changes  include,  but  are  not  limited  to,  a  corporate

2018 10-K Annual Report

Stericycle, Inc.  •  95

PART II

income tax rate decrease from 35% to 21% effective for tax years beginning after December 31, 2017, the
transition of U.S. international taxation from a worldwide tax system to a territorial system, and a one-time 
transition tax on the mandatory deemed repatriation of cumulative foreign earnings as of December 31,
2017.  The Tax Act results in a related change in assertion on expected foreign withholding taxes.

In accordance with SAB 118 and our understanding of the Tax Act and guidance available, the Company 
calculated  the  provisional  estimate  of  the  tax  impact  of  the  Tax  Act  on  its  year  end  2017  income  tax 
benefit/provision  and  as  a  result  recognized  an  income  tax  (benefit)  of  ($129.8)  million  in  the  fourth
quarter of 2017, the period in which the legislation was enacted.  The provisional amount related to the 
re-measurement  of  certain  deferred  tax  assets  and  liabilities  based  on  the  rates  at  which  they  are
expected  to  reverse  in  the  future,  the  one-time  transition  tax  on  the  mandatory  deemed  repatriation  of 
foreign earnings and the related expected foreign withholding taxes on such earnings are reflected in the 
table below.

The net tax benefit recognized during the year ended December 31, 2017, related to the Tax Act was as
follows:

In millions
Remeasurement of net deferred tax liabilities due to enacted rate reduction
Section 965 transition tax on foreign earnings
Foreign withholding taxes on such earnings
Net tax benefit from the Tax Act

$

$

167.7
(24.3)
(13.6)
129.8

During  the  year  ended  December  31,  2018,  we  adjusted  the  provisional  amounts  recognized  as  of 
December 31, 2017 for the one-time transition tax, deferred taxes and foreign withholding taxes.  These
adjustments  resulted  in  a  net  charge  to  the  tax  provision  of  $8.8  million.  As  of  December  31,  2018,  our
accounting for the various elements of the Tax Act is complete. Adjustments may be necessary in future 
periods  due  to  potential  technical  corrections  to  the  Tax  Act  and/or  regulatory  guidance  that  may  be 
issued by the U.S. Internal Revenue Service.

Beginning in fiscal 2019, the Tax Act also establishes a provision known as global intangible low-taxed 
income ("GILTI") that imposes a tax on certain earnings of foreign subsidiaries.  The Company has made
an accounting policy election to treat GILTI taxes as a current period expense.  

Prior  to  the  enactment  of  the  Tax  Act,  the  Company  treated  the  undistributed  earnings  from  foreign
subsidiaries  as  indefinitely  reinvested.   The  Company  continues  to  assert  permanent  reinvestment  in  its 
first tier subsidiaries, but lifts the assertion on deferred foreign earnings that were taxed under the Tax Act 
on lower tier subsidiaries.  A withholding tax accrual has been recorded where appropriate.  The Company 
has  not  provided  for  deferred  taxes  on  outside  basis  differences  in  our  investments  in  our  foreign
subsidiaries  that  are  unrelated  to  unremitted  earnings  as  these  basis  differences  will  be  indefinitely
reinvested.  A determination of the unrecognized deferred taxes related to these other components of our
outstanding basis difference is not practicable to calculate.

At December 31, 2018, the net operating loss carry-forwards from both foreign and domestic operations
are approximately $350.3 million and certain of these net operating loss carry-forwards began to expire in 
2021.  The tax benefit of these net operating losses is approximately $88.9 million at December 31, 2018, 
on which a valuation allowance of $24.9 million was recognized offsetting such tax benefit.

We file income tax returns in the United States, in various states and in certain foreign jurisdictions.

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PART II

With  a  few  exceptions,  we  are  no  longer  subject  to  U.S.  federal,  state,  local,  or  non-US  income  tax
examinations by tax authorities for years prior to 2012.  The U.S. Internal Revenue Service has completed
its audit of our 2014 corporate income tax return and made no changes to our reported tax.

The  Company  has  recognized  liabilities  to  cover  certain  uncertain  tax  positions.    Such  uncertain  tax
positions relate to additional taxes that the Company may be required to pay in various tax jurisdictions.  
During the course of examinations by various taxing authorities, proposed adjustments may be asserted.  
The  Company  evaluates  such  items  on  a  case-by-case  basis  and  adjusts  the  accrual  for  uncertain  tax 
positions  as  deemed  necessary.    The  estimated  amount  of  the  liability  associated  with  the  Company’s 
uncertain tax positions that may significantly increase or decrease within the next twelve months cannot
be reasonably estimated.

The  total  amount  of  unrecognized  tax  benefit  at  December 31,  2018  is  $64.7  million.    The  amount  of 
uncertain  tax  positions  that,  if  recognized,  would  affect  the  effective  tax  rate  is  approximately  $61.8 
million.    We  recognized  interest  and  penalties  related  to  income  tax  reserves  in  the  amount  of  $0.8
million,  $0.3  million,  and  $1.3  million  for  the  years  ended  December 31,  2018,  2017,  and  2016,
respectively, as a component of income tax expense.

The  following  table  summarizes  the  aggregate  changes  in  unrecognized  tax  benefits  during  the  years 
ended December 31, 2018 and 2017:

In millions
Unrecognized tax positions as of January 1, 2017
Gross increases - tax positions in prior periods
Gross increases - current period tax positions
Settlement
Lapse of statute of limitations

Unrecognized tax positions as of December 31, 2017
Gross increases - tax positions in prior periods
Gross increases - current period tax positions
Settlement
Lapse of statute of limitations

Unrecognized tax positions as of December 31, 2018

$

$

26.7
0.7
5.1
(0.5)
(4.6)
27.4
1.1
43.5
(2.0)
(5.3)
64.7

The  table  above  includes  amounts  that  relate  to  uncertain  tax  positions  from  acquired  companies. 
Purchase agreements to acquire the stock of a target generally provide that the seller is liable for and has 
indemnified  the  Company  against  all  income  tax  liabilities  for  periods  prior  to  the  acquisition.    The 
Company will be responsible for unrecognized tax benefits and related interest and penalties for periods
after the acquisition.

The Company is considering a claim under Internal Revenue Code Section 1341 concerning the tax rate to
be applied to the small quantity customer class action settlement on the Company’s 2018 tax return.  The 
Company may request a pre-filing agreement (“PFA”) with the U.S. Internal Revenue Service related to the
treatment of this item. Once the PFA is settled any positive income tax benefit resulting from the PFA will
be recognized at that time.

The Company has established a long term receivable and an amount within the unrecognized tax positons 
above  to  reflect  its  estimate  of  the  potential  refund  should  its  claim  be  successful.    There  can  be  no
assurance that this amount or any amount will be recovered as a result of this claim.

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Stericycle, Inc.  •  97

PART II

NOTE 10 – FAIR VALUE MEASUREMENTS

Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in an
orderly  transaction  between  market  participants  at  the  measurement  date.    The  fair  value  hierarchy
distinguishes between (1) market participant assumptions developed based on market data obtained from 
independent  sources  (observable  inputs)  and  (2)  an  entity's  own  assumptions  about  market  participant 
assumptions  developed  based  on  the  best  information  available  in  the  circumstances  (unobservable 
inputs).  The fair value hierarchy consists of three broad levels as described below:

Level 1 – Quoted prices in active markets for identical assets or liabilities (highest priority).

Level 2 – Observable inputs other than quoted prices in active markets for identical assets and liabilities, 
quoted  prices  for  identical  or  similar  assets  or  liabilities  in  inactive  markets,  or  other  inputs  that  are
observable or can be corroborated by observable market data for substantially the full term of the assets
or liabilities.

Level  3  –  Inputs  that  are  generally  unobservable  and  typically  reflect  management’s  estimate  of 
assumptions that market participants would use in pricing the asset or liability (lowest priority).

Financial  assets  and  liabilities  are  classified  in  their  entirety  based  on  the  lowest  level  of  input  that  is 
significant to the fair value measurement.  Our assessment of the significance of a particular input to the
fair value measurement requires judgment, and may affect the valuation of assets and liabilities and their
placement within the fair value hierarchy levels.  The impact of our creditworthiness and non-performance
risk  has  been  considered  in  the  fair  value  measurements  noted  below.    There  were  no  movements  of 
items between fair value hierarchies in the periods presented.

At  December 31,  2018  and  2017,  we  recognized  a  $0.3  million  and  a  $0.4  million,  respectively,  asset
related  to  the  fair  value,  established  using  Level  2  inputs,  of  the  U.S.  dollar-Canadian  dollar  foreign
currency  swap  which  was  classified  as  Other  assets.    The  objective  of  the  swap  is  to  offset  the  foreign
exchange risk to the U.S. dollar equivalent cash outflows for our Canadian subsidiary.

Our contingent consideration liabilities, recorded using Level 3 inputs, in total and the amounts classified
as Other current liabilities and Other liabilities were as follows as of December 31:

In millions

Other current liabilities
Other liabilities (see Note 7)

Total contingent consideration

2018

2017

2.8
7.5
10.3

$

$

4.6
7.8
12.4

$

$

Contingent  consideration  represents  amounts  expected  to  be  paid  as  part  of  acquisition  consideration
only  if  certain  future  events  occur.    These  events  are  usually  targets  for  revenues,  earnings,  or  other 
milestones  related  to  the  business  acquired.    We  arrive  at  the  fair  value  of  contingent  consideration  by
applying  a  weighted  probability  of  potential  payment  outcomes.    The  calculation  of  these  potential
outcomes is dependent on both past financial performance and management assumptions about future 
performance.

2018 10-K Annual Report

Stericycle, Inc.  •  98

If the financial performance measures were all fully met, our maximum aggregate liability would be $13.4
million  at  December 31,  2018.    Contingent  consideration  liabilities  are  reassessed  each  reporting  period 
and  are  reflected  on  the  Consolidated  Balance  Sheets  as  part  of  Other  current  liabilities  and  Other 
liabilities.

Changes to contingent consideration are reflected in the table below:

PART II

In millions
Contingent consideration as of January 1, 2017

Increase due to current year acquisitions
Purchase accounting adjustments
Decrease due to payments
Change in fair value reflected in SG&A
Other

Contingent consideration as of December 31, 2017

Increase due to current year acquisitions
Purchase accounting adjustments
Decrease due to payments
Change in fair value reflected in SG&A
Foreign exchange fluctuations

Contingent consideration as of December 31, 2018

$

$

24.1
0.1
(9.6)
(1.5)
(0.4)
(0.3)
12.4
-
(0.4)
(1.3)
0.2
(0.6)
10.3

In  addition  to  assets  and  liabilities  that  are  recorded  at  fair  value  on  a  recurring  basis,  the  Company  is 
required to record certain assets and liabilities at fair value on a nonrecurring basis, generally as result of 
acquisitions or the re-measurement of assets resulting in impairment charges.  See Note 3 – Acquisitions,
Note  4  –  Restructuring,  Divestitures,  and  Assets  Held  for  Sale,  and  Note  6  Goodwill  And  Other  Intangible
Assets for  further  discussion  of  the  fair  value  of  assets  and  liabilities  associated  with  Acquisitions  and 
Assets Held for Sale.

Fair  Value  of  Debt:  At  December 31,  2018  and  2017,  the  estimated  fair  value  of  the  Company’s  debt
obligations, using Level 2 inputs, compared to the carrying amount was as follows:

In billions

Fair value of debt obligations
Carrying value of debt obligations

2018

2017

$

2.75 $
2.78

2.74
2.75

The  fair  values  were  estimated  using  an  income  approach  by  applying  market  interest  rates  for
comparable instruments.

Accounts  receivable,  accounts  payable  and  accrued  liabilities  are  financial  assets  and  liabilities, 
respectively, with carrying values that approximate fair value, using Level 3 inputs.

NOTE 11 – COMMITMENTS AND CONTINGENCIES

Environmental Remediation Liabilities

We record a liability for environmental remediation when such liability becomes probable and the costs or 
damages can be reasonably estimated.  We accrue environmental remediation costs, on an undiscounted 
basis, associated with identified sites where an assessment has indicated that cleanup costs are probable

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PART II

and can be reasonably estimated, but the timing of such payments is not fixed and determinable.  Such 
accruals  are  based  on  currently  available  information,  estimated  timing  of  remedial  actions,  existing 
technology, and enacted laws and regulations.  Our liability for environmental remediation is included on
the Consolidated Balance Sheets in current liabilities within Accrued liabilities and in noncurrent liabilities
within Other liabilities see Note 7 – Accrued Liabilities And Other Long term Liabilities.

At  December 31,  2018  and  2017,  the  total  environmental  remediation  liabilities  recognized  were  $33.5 
million and $30.8 million, respectively, of which $5.3 million and $5.7 million, respectively, were presented
in  Accrued  liabilities  on  the  Consolidated  Balance  Sheets.    We  project  estimated  payments  over
approximately 30 years.

Asset Retirement Obligations

We have asset retirement obligations that we are required to perform under law or contract once an asset 
is  permanently  taken  out  of  service.    Most  of  these  obligations  are  not  expected  to  be  paid  until  many 
years  in  the  future  and  are  expected  to  be  funded  from  general  company  resources  at  the  time  of 
removal.

At  December  31,  2018  and  2017,  the  total  asset  retirement  obligation  liabilities  recognized  were  $19.1 
million  and  $18.2  million,  respectively,  and  were  included  in  noncurrent  liabilities  within  Other  liabilities 
see Note 7 – Accrued Liabilities And Other Long term Liabilities.

Operating Lease Commitments

We lease various plant equipment, office furniture and equipment, motor vehicles, office and warehouse 
space,  and  landfills  under  operating  lease  agreements.    Our  leases  have  varying  terms.  The  leasesmay 
contain renewal or purchase options, escalation clauses, restrictions, penalties or other obligations that we
consider in determining minimum lease payments.

During the years ended December 31, 2018, 2017, and 2016, rent expense, including lease related costs, 
month-to-month  rentals  and  leases  with  an  initial  lease  term  of  less  than  one  year,  was  $192.1  million, 
$186.2 million, and $181.6 million, respectively, of which $178.7 million, $173.7 million, and $169.8 million,
respectively,  was  included  within  COR  with  the  remainder  included  in  SG&A  on  the  Consolidated 
Statements of (Loss) Income.

Minimum  future  rental  payments  under  non-cancelable  operating  leases  that  have  initial  or  remaining 
terms in excess of one year as of December 31, 2018 (including leases with an inception date but not yet
commenced) for each of the next five years and in the aggregate are as follows:

In millions
2019
2020
2021
2022
2023
Thereafter

$

$

107.0
88.7
72.7
54.8
40.0
128.7
491.9

2018 10-K Annual Report

Stericycle, Inc.  •  100

Unconditional Purchase Commitments

The  Company  has  entered  into  non-cancelable  arrangements  with  third-parties,  primarily  related  to
information  technology  products  and  services.    As  of  December 31,  2018,  future  payments  under  these 
contractual obligations, which are not recognized on the Consolidated Balance Sheets, were as follows:

PART II

In millions
2019
2020
2021
2022
2023
Thereafter

$

$

21.3
20.5
5.1
-
-
-
46.9

Letters of Credit, Surety Bonds and Bank Guarantees

As  of  December 31,  2018  and  2017,  we  had  $63.1  million  and  $130.8  million,  respectively,  of  stand-by
letters of credit outstanding against our senior credit facility (see Note 8 – Debt).  At December 31, 2018
we also had a further $52.2 million of stand-by letters of credit outstanding against another facility which 
was  entered  into  during  2018.    In  addition,  at  December  31,  2018  and  2017  we  had,  $63.7  million  and 
$19.0  million,  respectively,  of  surety  bonds,  and  $19.5  million  and  $15.7  million,  respectively,  of  bank 
guarantees.  The bank guarantees are issued mostly by our international subsidiaries for various purposes, 
including  leases,  seller  notes,  contracts  and  permits.    The  surety  bonds  are  used  for  performance  and 
financial  guarantees.    Neither  the  bank  guarantees  nor  the  surety  bonds  affect  our  ability  to  use  our
various lines of credit.

t

NOTE 12 – RETIREMENT AND OTHER EMPLOYEE BENEFIT PROGRAMS

Defined Contribution Plans:

We  have  a  401(k)  defined  contribution  retirement  savings  plan  (the  “Plan”)  covering  substantially  all 
domestic employees.  Each participant may elect to defer a portion of his or her compensation subject to
certain limitations.  The Company may contribute up to 50% of compensation contributed to the Plan by 
each  employee  up  to  a  maximum  of  $3,000  per  annum.    During  the  years  ended  December 31,  2018, 
2017,  and  2016,  our  contributions  were  $10.6  million,  $8.9  million,  and  $5.9  million,  respectively. 
Employees  associated  with  the  2015  Shred-it  acquisition  were  allowed  to  continue  to  participate  in  the 
former Shred-it 401(k) defined contribution retirement savings plan (the “Shred-it Plan”).  During the year
ended December 31, 2016, we made contributions of $3.4 million to the Shred-it Plan, which was officially
closed and all employees converted over to the Plan effective January 1, 2017.

The  Company  also  has  several  foreign  defined  contribution  plans,  which  require  the  Company  to 
contribute a percentage of the participating employee’s salary according to local regulations.  During the 
years  ended  December 31,  2018,  2017,  and  2016,  total  contributions  made  by  the  Company  for  these 
plans were approximately $3.1 million, $3.4 million, and $2.6 million, respectively.

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Stericycle, Inc.  •  101

PART II

Multiemployer Defined Benefit Pension Plans:

We  participate  in  two  trustee-managed  multiemployer  defined  benefit  pension  plans  (“Multiemployer 
Pension  Plans”)  for  employees  who  are  covered  by  collective  bargaining  agreements.  The  risks  of 
participating  in  these  Multiemployer  Pension  Plans  are  different  from  single-employer  plans  in  that  (i)
assets contributed to the Multiemployer Pension Plan by one employer may be used to provide benefits
to employees or former employees of other participating employers; (ii) if a participating employer stops
contributing to the Multiemployer Pension Plans, the unfunded obligations of the Multiemployer Pension
Plan may be required to be assumed by the remaining participating  employers and (iii) if we choose to
stop participating in any of our Multiemployer Pension Plans or if any event should significantly reduce or
eliminate our need to participate (such as employee layoffs or closure of a location), we may be required
to pay those plans a withdrawal amount based on the underfunded status of the plan.  Based upon the 
most  recent  information  available,  one  of  the  plans  we  participate  in  is  in  “critical”  status  due  to  an 
accumulated funding deficiency and has adopted a rehabilitation plan to address the funding deficiency 
position.

The following table outlines our participation in Multiemployer Pension Plans:

Pension Protection 
Act Zone Status (1), (3)

Company 
Contributions (4)
(in millions)

Plan 
Employer ID 
Number

Plan #

2018

2017

FIP/RP Status
(2)

2018

2017

Expiration 
Date of 
Collective 
Bargaining 
Agreements

Pension Plan Private
Sanitation Union, Local
813 IBT
Nurses And Local 813
IBT Retirement Plan

13-1975659

13-3628926

1

1

Red/
Critical

Red/
Critical

Implemented $

0.6

Green

Green

N/A $

-

6/30/2019 and 
3/31/2020

0.6

-

various dates

$

$

(1) Zone status is defined by the Department of Labor and the Pension Protection Act of 2006 and
represents the level at which the plan is funded.  Plans in the red zone are less than 65% funded, 
while  plans  in  the  green  zone  are  at  least  80%  funded.  Status  is  based  on  information  received
from the Multiemployer Pension Plans and is certified by the pension plans actuary.

(2)

The  "FIP/RP  Status"  column  indicates  Multiemployer  Pension  Plans  for  which  a  Funding
Improvement  Plan  ("FIP”)  or  a  Rehabilitation  Plan  ("RP")  has  been  implemented  or  is  pending. 
The most recent Pension Protection Act zone status available in 2018 and 2017 is for the plans’
year-end December 31, 2017 and 2016, respectively.

(3) A  Multiemployer  Pension  Plan  that  has  been  certified  as  endangered,  seriously  endangered  or 
critical  may  begin  to  levy  a  statutory  surcharge  on  contribution  rates.    Once  authorized,  the
surcharge  is  at  the  rate  of  5%  for  the  first  12  months  and  10%  for  any  periods  thereafter,  until 
certain  conditions  are  met.    Contributing  employers,  however,  may  eliminate  the  surcharge  by 
entering into a collective bargaining agreement that meets the requirements of the applicable FIP
or RP.

(4)

The Company was listed in the Form 5500 for the Pension Plan Private Sanitation Union Local 813
IBT  as  individually  significant  for  contributing  more  than  5%  of  total  contributions  to  such  plan 
during the plan years ended December 31, 2017 and 2016.  At the date these financial statements

2018 10-K Annual Report

Stericycle, Inc.  •  102

PART II

were  issued,  Forms  5500  were  not  available  for  the  Multiemployer  Pension  Plans  for  the  year
ended December 31, 2018.

NOTE 13 – STOCK BASED COMPENSATION

At December 31, 2018, we had the following incentive stock plans:

(cid:129)
(cid:129)
(cid:129)
(cid:129)
(cid:129)
(cid:129)
(cid:129)

(cid:129)

the 2017 Incentive Stock Plan, which our stockholders approved in May 2017;
the 2014 Incentive Stock Plan, which our stockholders approved in May 2014;
the 2011 Incentive Stock Plan, which our stockholders approved in May 2011;
the 2008 Incentive Stock Plan, which our stockholders approved in May 2008;
the 2005 Incentive Stock Plan, which our stockholders approved in April 2005;
the 2000 Non-statutory Stock Option plan, which expired in February 2010;
the Employee Stock Purchase Plan ("ESPP"), which our stockholders approved in May 2001 (as 
amended and restated in May 2017), and
the Canadian Employee Stock Purchase Plan (“Canada ESPP”), which our stockholders approved in
May 2016.

At December 31, 2018, we had reserved a total of 2,709,476 shares for issuance under our incentive stock
plans.

In  terms  of  the  stock  options  authorized,  the  2017  Plan,  2014  Plan,  2011  Plan,  2008  Plan,  and  the  2005
Plan  provide  for  the  grant  of  non-statutory  stock  options  ("NSOs"),  incentive  stock  options  ("ISOs"),
restricted stock units (“RSUs”), and performance-based restricted stock units (“PSUs”) intended to qualify
under Section 422 of the Internal Revenue Code; and the 2000 Plan provides for the grant of NSOs.  Our
Plans authorize awards to our officers, employees and consultants, and to our directors.

The  exercise  price  per  share  of  an  option granted  under  any  of  our  stock  option  plans  may  not  be  less 
than the closing price of a share of our common stock on the date of grant.  The maximum term of an 
option granted under any incentive stock plan may not exceed 8 or 10 years.  An option may be exercised 
only when it is vested and, in the case of an option granted to an employee (including an officer), only
while  he  or  she  remains  an  employee  and  for  a  limited  period  following  the  termination  of  his  or  her
employment.  New shares are issued upon exercise of stock options.

Employee Stock Purchase Plan:

In October 2000, our Board of Directors adopted the ESPP, which our stockholders approved in May 2001, 
and was made effective as of July 1, 2001.  The ESPP authorizes 1,299,999 shares of our common stock, 
which substantially all employees may purchase through payroll deductions at a price equal to 85% of the
fair  market  values  of  the  stock  as  of  the  end  of  the  six-month  offering  period.    An  employee's  payroll 
deductions, and stock purchase, may not exceed $5,000 during any offering period.  During 2018, 2017,
and 2016, 131,959 shares, 109,762 shares, and 88,344 shares, respectively, were issued through the ESPP.  
In May 2017, our shareholders approved an amendment to the ESPP which authorizes the issuance of an 
additional 300,000 shares.  At December 31, 2018, we had 161,372 shares available for issuance under the
ESPP plan.

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Stericycle, Inc.  •  103

PART II

In  March  2016,  our  Board  of  Directors  approved  the  Canada  ESPP,  which  our  stockholders  approved  in 
May  2016.    The  Canada  ESPP  authorizes  100,000  shares  of  our  common  stock  which  substantially  all
Canadian employees may purchase through payroll deductions, at a price equal to 95% of the fair market
values of the stock at the end of the six-month offering period.  An employee's payroll deductions, and 
stock purchase, may not exceed $5,000 during any offering period.  During 2018, 2017, and 2016, 2,283
shares,  1,766  shares,  and  756  shares,  respectively,  were  issued  through  the  Canada  ESPP.    At 
December 31, 2018, we had 95,195 shares available for issuance under the Canada ESPP plan.

Stock-Based Compensation Expense:

During  2018,  there  were  no  changes  to  our  stock  compensation  plans  or  modifications  to  outstanding
stock-based awards which would change the value of any awards outstanding.

The  following  table  presents  the  total  stock-based  compensation  expense  resulting  from  stock  option 
awards,  RSUs,  PSUs,  and  the  ESPP  and  Canada  ESPP  included  in  the  Consolidated  Statements  of  (Loss)
Income:

In millions

Selling, general and administrative - stock option plans
Selling, general and administrative - RSUs
Selling, general and administrative - PSUs
Selling, general and administrative - ESPP and Canada ESPP

Total pre-tax expense

$

$

10.8
7.2
5.1
1.0
24.1

$

$

14.7
5.2
0.2
1.2
21.3

$

$

17.4
0.9
-
2.2
20.5

2018

Years Ended December 31,
2017

2016

Stock Options:

Options  granted  to  non-employee  directors  vest  in  one  year  and  options  granted  to  officers  and
employees  generally  vest  over  five  years.    Expense  related  to  options  with graded  vesting  is  recognized
using  the  straight-line  method  over  the  vesting  period.    Stock  option  activity  for  the  year  ended
December 31, 2018 is summarized as follows:

Number of Options

Weighted Average
Exercise Price per 
Share

Weighted
Average
Remaining 
Contractual Life
(in years)

Total 
Aggregate
Intrinsic Value
(in millions)

Outstanding as of January 1, 2018
Granted
Exercised
Forfeited
Cancelled or expired
Outstanding as of December 31, 2018

Exercisable as of December 31, 2018

5,393,417
430,337
(312,302)
(267,622)
(347,444)
4,896,386

3,475,528

$

$

$

96.91
60.35
49.78
99.21
106.94
95.85

96.11

4.03

3.39

$

$

-

-

2018 10-K Annual Report

Stericycle, Inc.  •  104

PART II

At December 31, 2018, there was $19.0 million of total unrecognized compensation expense related to
stock options, which is expected to be recognized over a weighted average period of 2.59 years.

The  following  table  sets  forth  the  intrinsic  value  of  options  exercised  for  the  years  ended  December  31
2018, 2017, and 2016:

In millions

Total exercise intrinsic value of options exercised

$

4.7

$

4.8

$

26.0

2018

2017

2016

The  exercise  intrinsic  value  represents  the  total  pre-tax  intrinsic  value  (the  difference  between  the  fair
value on the trading day the option was exercised and the exercise price associated with the respective 
option).

The  Company  uses  historical  data  to  estimate  expected  life  and  volatility.    The  estimated  fair  value  of 
stock options at the time of grant using the Black-Scholes option pricing model was as follows:

Stock options granted (shares)
Weighted average fair value at grant date
Assumptions:

Expected term (in years)
Expected volatility
Expected dividend yield
Risk free interest rate

Restricted Stock Units:

2018

Years Ended December 31,
2017

$

430,337
16.79

$

456,424
19.46

$

2016

1,100,492
20.16

4.89
25.52%
—%
2.6%

4.82
22.68%
—%
1.9%

4.77
18.28%
—%
1.2%

The fair value of RSUs is based on the closing price of the Company's common stock on the date of grant
and is amortized to expense over the service period.  RSUs vest at the end of three or five years.  The 2017
Plan includes a share reserve for RSUs granted at a 1-1 ratio while our 2008, 2011, and 2014 Plans reserve 
at a 2-1 ratio.  No RSUs were granted under the 2005 Plan.

RSUs activity during the year ended December 31, 2018, is as follows:

Number of Units

Weighted Average
Grant Date 
Fair Value

Weighted Average
Remaining 
Contractual Life

Total Aggregate 
Intrinsic Value
(in millions)

Non-vested as of January 1, 2018
Granted
Vested and Released
Forfeited
Non-vested as of December 31, 2018

267,297
312,254
(59,097)
(90,644)
429,810

$

$

89.74
61.64
88.99
75.37
72.02

1.88

$

15.8

At  December 31,  2018,  there  was  $23.1  million  of  total  unrecognized  compensation  expense  related  to
RSUs, which is expected to be recognized over a weighted average period of 3.52 years.  The fair value of 
units that vested during the years ended December 31, 2018 and 2017 was $4.2 million and $2.9 million,
respectively.  There were no units that vested during the year ended December 31, 2016.

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Stericycle, Inc.  •  105

PART II

Performance-Based Restricted Stock Units:

Our  executive  officers  PSU  program  was  introduced  in  2017.    PSUs  vest,  or  not,  in  three  equal  annual
installments based on the achievement of pre-determined annual earnings per share performance goals 
as approved by the Compensation Committee.  Each of the PSU’s granted represent the right to receive
one share of the Company’s common stock at a specified future date.

In  addition,  certain  employees  have  been  granted  PSUs  which  vest,  or  not,  in  four  equal  annual 
installments based on the achievement of performance goals related to the Business Transformation, as 
approved by the Compensation Committee.

Compensation  cost  for  the  executive  and  Business  Transformation  PSU’s  has  been  recognized  based  on 
the  estimated  achievement  of  the  underlying  goals.    The  number  of  PSU’s  that  recipients  will  ultimately
receive  will  be  based  upon  the  Compensation  Committee’s  review  of  the  actual  achievement  of  these 
goals.    Each  of  the  PSU’s  granted  represent  the  right  to  receive  one  share  of  the  Company’s  common 
stock at a specified future date.

PSUs activity during the year ended December 31, 2018, is as follows:

Non-vested as of January 1, 2018
Granted
Vested and Released
Forfeited (including performance goal underachieving)
Non-vested as of December 31, 2018

Number of Units

Weighted Average
Grant Date 
Fair Value

11,149
136,496
-
(32,137)
115,508

$

$

82.85
63.79
-
70.47
63.77

The  table  above  reflects  the  maximum  number  of  shares  which  could  be  granted  upon  vesting  of  the 
executive  and  Business  Transformation  PSU’s  for  which  performance  goals  related  to  2018  have  been
established.    At  December  31,  2018,  approximately  311,000  of  additional  PSUs  exist  which  will  vest  in 
tranches based upon achievement of performance goals to be established for fiscal years 2019 through
2021.

NOTE 14 – PREFERRED STOCK

At December 31, 2018, we had 1,000,000 authorized shares of preferred stock and zero shares issued and
outstanding.    At  December 31,  2017,  we  had  1,000,000  authorized  shares  of  preferred  stock  of  which
673,380 shares were issued and outstanding.

Series  A  Mandatory  Convertible  Preferred  Stock  Offering:    On  September  15,  2015,  we  completed  a 
registered public offering of 7,700,000 depositary shares, each representing a 1/10th interest in a share of 
our  5.25%  Series  A  Mandatory  Convertible  Preferred  Stock,  par  value  $0.01  per  share  (the  "Series  A 
Preferred  Stock"),  at  a  public  offering  price  of  $100.00  per  depository  share  for  total  gross  proceeds  of 
$770.0 million.

On September 14, 2018, in accordance with their terms of issue, 638,190 shares of the Company’s Series A 
Preferred Stock, representing all of the preferred stock outstanding as of that date, were converted into a 

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Stericycle, Inc.  •  106

PART II

total  of  4.7  million  shares  of  the  Company’s  common  stock  at  a  ratio  of  7.3394  shares  of  our  common 
stock for each share of Series A Preferred Stock.

Prior  to  the  conversion  referenced  above,  dividends  on  shares  of  the  Series  A  Preferred  Stock  were 
payable  on  a  cumulative  basis  when,  as  and  if  declared  by  our  Board  of  Directors,  or  an  authorized 
committee  thereof,  at  an  annual  rate  of  5.25%  on  the  liquidation  preference  of  $1,000  per  share  (and,
correspondingly, $100.00 per share with respect to the depositary shares).  The dividends were payable in
cash,  or  subject  to  certain  limitations,  in  shares  of  our  common  stock,  or  any  combination  of  cash  and
shares  of  our  common  stock,  on  March  15,  June  15,  September  15  and  December  15  of  each  year, 
commencing on December 15, 2015, and to, and including, September 15, 2018.

We declared and paid dividends of $25.5 million, $36.3 million, and $39.4 million to the Series A Preferred 
Stock shareholders during the years ended December 31, 2018, 2017, and 2016, respectively.

The following table provides information about our repurchases of depository shares of Series A Preferred
stock, prior to the conversion referenced above, during the year ended December 31, 2018:

In millions, except share and per share data

January 1 - January 31, 2018
February 1 - February 28 , 2018
March 1 - March 31 , 2018
April 1 - April 30 , 2018
May 1 - May 31 , 2018
June 1 - June 30 , 2018
July 1 - July 31 , 2018
August 1 - August 31 , 2018
September 1 - September 30 , 2018
October 1 - October 31 , 2018
November 1 - November 30 , 2018
December 1 - December 31, 2018
Total

Number of 
Depository Shares 
Repurchased

Amount Paid for 
Repurchases

Average Price Paid 
per Share

-
151,900
-
-
150,000
-
-
50,000
-
-
-
-
351,900

$

$

-
7.4
-
-
7.4
-
-
2.4
-
-
-
-
17.2

$

$

-
49.05
-
-
49.24
-
-
47.05
-
-
-
-
48.85

For the years ended December 31, 2018, 2017, and 2016, repurchases of our depository shares resulted in
increases in retained earnings of $16.9 million, $17.3 million, and $11.3 million, respectively, because we
redeemed the depository shares at a discount.  The 351,900 depository shares repurchased during 2018
were equivalent to 35,190 shares of Series A Preferred Stock.

NOTE 15 – (LOSS) EARNINGS PER COMMON SHARE

Basic (loss) earnings per share is computed by dividing (loss) income available to common shareholders
by  the  weighted-average  number  of  shares  of  common  stock  outstanding  during  the  period.    Diluted 
earnings  per share is computed by dividing income available to common shareholders by the weighted-
average  number  of  shares  of  common  stock  outstanding  during  the  period  increased  to  include  the
number of additional shares of common stock that would have been outstanding if the potentially dilutive
securities had been issued.  Potentially dilutive securities include outstanding stock options, shares to be 
purchased  under  the  Company’s  ESPP  and  Canadian  ESPP,  RSUs,  PSUs  and,  the  impact  of  the  Series  A 
Preferred Stock prior to conversion on September 14, 2018.  The effect of potentially dilutive securities is 
reflected  in  diluted  earnings  per  share  by  application  of  the  "treasury  stock  method"  for  outstanding

2018 10-K Annual Report

Stericycle, Inc.  •  107

PART II

stock-based compensation awards.  Under the treasury stock method, an increase in the fair market value 
of the Company’s common stock can result in a greater dilutive effect from potentially dilutive securities.  
For  the  issue  of  Series  A  Preferred  Stock,  we  used  the  "if-converted  method",  weighted  for  the  period
prior  to  conversion.    Under  the  if-converted  method,  the  preferred  dividend  applicable  to  Series  A 
Preferred Stock was added back as an adjustment to the numerator.  The Series A Preferred Stock shares 
were assumed to be converted to common shares at the beginning of the period or, if later, at the time of 
issuance,  and  through  their  conversion  on  September  14,  2018,  for  the  year  ended  December  31,  2018, 
these common shares are weighted for the period the Series A Preferred Stock was outstanding with the
resulting  weighted  average  common  shares  included  in  the  denominator.    In  applying  the  if-converted
method,  conversion  is  not  assumed  for  purposes  of  computing  diluted  earnings  per  share  if  the  effect 
would  be  anti-dilutive.    The  numerator  was  also  adjusted  for  any  premium  or  discount  arising  from
redemption of the Series A Preferred Stock.

The following table sets forth the computation of basic and diluted (loss) earnings per share:

In millions, except per share data

Numerator:

Net (loss) income attributable to Stericycle, Inc.
Mandatory convertible preferred stock dividend
Gain on repurchase of preferred stock

Numerator for basic (loss) earnings per share attributable to Stericycle, 
Inc. common shareholders

Denominator:

Denominator for basic (loss) earnings per share - weighted average 
shares (1)

Effect of dilutive securities:

Stock-based compensation awards (2)
Mandatory convertible preferred stock (3)

Denominator for diluted (loss) earnings per share - adjusted weighted 
average shares and after assumed exercises

(Loss) earnings per share – Basic

–

(Loss) earnings per share – Diluted

–

$

$

$

$

Years Ended December 31,
2017

2016

2018

(244.7) $
(25.5)
16.9

$

42.4
(36.3)
17.3

206.3
(39.4)
11.3

(253.3) $

23.4

$

178.2

87.1

-
-

87.1

(2.91) $

(2.91) $

85.3

0.3
-

85.6

0.27

0.27

$

$

84.9

0.7
-

85.6

2.10

2.08

(1)

(2)

(3)

For  the  year  ended  December  31,  2018,  the  denominator  for  basic  (loss)  earnings  per  share
includes  1.4  million  shares  representing  the  weighted-average  impact  of  the  common  shares 
outstanding as a result of the Series A Preferred Stock conversion on September 14, 2018.
In 2018 options to purchase shares (in thousands) of 124, were excluded from the computation of 
diluted (loss) earnings per share due to the net loss incurred for the year.
In 2018, 2017, and 2016, the weighted average common shares (in thousands) issuable upon the 
assumed conversion of the Series A Preferred Stock totaling 3,367, 5,104, and 5,528, respectively,
were  excluded  from  the  computation  of  diluted  (loss)  earnings  per  share  as  such  conversion
would have been anti-dilutive.

In 2018, 2017, and 2016, options to purchase shares (in thousands) of 4,664, 4,724, and 3,411, respectively, 
at exercise prices of $47.52-$141.56, $62.50-$141.56, and $83.49-$141.56, respectively, were not included
in the computation of diluted (loss) earnings per share because the effect would have been anti-dilutive.

In 2018, 2017, and 2016, RSUs (in thousands) of 169, 218, and 48, respectively, were not included in the
computation of diluted (loss) earnings per share because the effect would have been anti-dilutive.

2018 10-K Annual Report

Stericycle, Inc.  •  108

PART II

During 2018 and 2017, the Company had outstanding PSUs (in thousands) that were eligible to vest into a
maximum of 116  and 11 shares of common stock, respectively, subject to the achievement of specified 
performance  conditions.    Contingently  issuable  shares  are  excluded  from  the  computation  of  diluted
earnings per share if, based on current period results, the shares would not be issuable if the end of the 
reporting  period  were  the  end  of  the  contingency  period  or  if  the  Company  incurred  a  net  loss
attributable  to  its  common  shareholders.    These  outstanding  PSUs  have  been  excluded  from  the  (loss) 
earnings per share calculation for 2018 and 2017 as the performance conditions were not satisfied as of 
the end of the respective periods.

NOTE 16 – ACCUMULATED OTHER COMPREHENSIVE LOSS

The following table sets forth the changes in the components of accumulated other comprehensive loss 
for 2018, 2017, and 2016:

In millions

Beginning balance as of January 1, 2016
Period change
Ending balance as of December 31, 2016
Period change
Ending balance as of December 31, 2017
Period change
Ending balance as of December 31, 2018

Currency Translation
(Loss) Income 
Adjustments

Unrealized Gains 
(Losses) on Cash 
Flow Hedges

Accumulated Other 
Comprehensive 
(Loss) Income

$

$

(276.0) $
(86.3)
(362.3)
79.3
(283.0)
(79.3)
(362.3) $

(6.6) $
1.3
(5.3)
1.3
(4.0)
1.0
(3.0) $

(282.6)
(85.0)
(367.6)
80.6
(287.0)
(78.3)
(365.3)

During the years ended December 31, 2018, 2017, and 2016, the unrealized gains on cash flow hedges in 
accumulated other comprehensive income stated above are presented net of tax impacts of $0.4 million,
$0.7 million, and $0.8 million, respectively.

NOTE 17 – SEGMENT REPORTING

We evaluate, oversee and manage the financial performance of three operating segments – Domestic and 
Canada Regulated Waste and Compliance, International Regulated Waste and Compliance, and Domestic 
Communication and Related Services.

Our  Domestic  and  Canada,  and  International  Regulated  Waste  and  Compliance  Services  segments 
include  medical  waste  disposal,  pharmaceutical  waste  disposal,  hazardous  waste  management,
sustainability solutions for expired or unused inventory, secure information destruction of documents and
e-media,  training  and  consulting  through  our  Steri-Safe®  and  Clinical  Services  programs,  and  other 
regulatory compliance services.

inbound/outbound 
Our  Domestic  Communication  and  Related  Services
communication, automated patient reminders, online scheduling, notifications, product retrievals, product
Domestic Communication and Related Services does not consistently meet the
quantitative  criteria  to  be  a  separate  reportable  segment  and  therefore  is  included  in  the  “All  Other” 
  and  stock-
reporting  segment  along  with  costs  related 
based compensation.

to  corporate  support,  shared  services  functions,

includes 

segment

2018 10-K Annual Report

Stericycle, Inc.  •  109

PART II

Beginning  in  the  first  quarter  of  2018,  we  changed  our  measure  of  segment  profitability  to  Adjusted 
Earnings  Before  Interest,  Tax,  Depreciation  and  Amortization  (“Adjusted  EBITDA”).  Adjusted  EBITDA  is 
Income from operations excluding certain specified items, Depreciation and Intangible Amortization.  As a 
result of this change in segment reporting, all applicable historical segment information has been revised
to conform to the new presentation.

The following tables show financial information for the Company's reportable segments:

In millions

Revenues
Domestic and Canada RCS
International RCS
All Other
Total

Depreciation
Domestic and Canada RCS
International RCS
All Other
Total

Intangible Amortization
Domestic and Canada RCS
International RCS
All Other
Total

Adjusted EBITDA
Domestic and Canada RCS
International RCS
All Other
Total

Total Assets
Domestic and Canada RCS
International RCS
All Other
Total

2018

Years Ended December 31,
2017

2016

$

$

$

$

$

$

$

$

$

$

2,574.1
655.1
256.7
3,485.9

72.5
29.7
23.4
125.6

96.7
25.3
8.3
130.3

782.4
95.6
(133.4)
744.6

5,062.5
1,110.4
282.6
6,455.5

$

$

$

$

$

$

$

$

$

$

2,551.9
707.6
321.2
3,580.7

80.3
30.9
19.9
131.1

87.6
22.7
8.1
118.4

809.5
93.7
(91.2)
812.0

4,995.0
1,333.1
660.2
6,988.3

$

$

$

$

$

$

$

$

$

$

2,508.8
751.7
301.8
3,562.3

75.4
35.1
12.7
123.2

95.7
25.7
7.9
129.3

824.9
93.1
(67.2)
850.8

5,094.1
1,357.1
528.9
6,980.1

2018 10-K Annual Report

Stericycle, Inc.  •  110

The following table reconciles the Company's primary measure of segment profitability (Adjusted EBITDA)
to (Loss) income from operations:

PART II

In millions

2018

Years Ended December 31,
2017

2016

Total reportable segment Adjusted EBITDA
Depreciation
Business Transformation
Intangible Amortization
Acquisition and Integration
Operational Optimization
Divestitures
Litigation, Settlements and Regulatory Compliance
Impairment
Other

(Loss) income from operations

$

$

$

744.6
(125.6)
(82.6)
(130.3)
(9.8)
(29.4)
(20.5)
(93.2)
(385.2)
(29.1)
(161.1) $

$

812.0
(131.1)
(31.3)
(118.4)
(40.7)
(71.1)
(9.5)
(327.7)
(65.0)
(24.8)

(7.6) $

NOTE 18 – GEOGRAPHIC AREA AND SERVICES INFORMATION

The following table presents consolidated revenues and long-lived assets by geographic region:

In millions

Revenues

United States
International:
Europe
Other international countries

Total international

Total

Long-Lived Assets
United States
International:
Europe
Other international countries

Total international

Total

2018

Years Ended December 31,
2017

2016

2,673.6

$

2,716.9

$

415.5
396.8
812.3
3,485.9

4,501.1

612.7
489.6
1,102.3
5,603.4

$

$

$

436.2
427.6
863.8
3,580.7

4,821.6

711.8
603.1
1,314.9
6,136.5

$

$

$

$

$

$

$

The following table presents consolidated revenues by service:

In millions

2018

Years Ended December 31,
2017

2016

Regulated Waste and Compliance Services
Secure Information Destruction Services
Communication and Related Services
Manufacturing and Industrial Services

Revenues

$

$

1,932.6
911.0
313.1
329.2
3,485.9

$

$

2,023.6
823.4
382.6
351.1
3,580.7

$

$

850.8
(123.2)
-
(129.3)
(60.9)
(59.1)
(27.1)
(7.2)
(1.4)
(8.8)
433.8

2,657.4

486.0
418.9
904.9
3,562.3

4,820.5

668.7
687.7
1,356.4
6,176.9

2,063.0
747.5
370.4
381.4
3,562.3

2018 10-K Annual Report

Stericycle, Inc.  •  111

PART II

NOTE 19 – LEGAL PROCEEDINGS

We operate in highly regulated industries and respond 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.  We are 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 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 Lawsuits.  Beginning on March 12, 2013, we were served with several class action
complaints  filed  in  federal  and  state  courts  in  several  jurisdictions.    These  complaints  asserted,  among
other  things,  that  we  had  imposed  unauthorized  or  excessive  price  increases  and  other  charges  on  our 
customers  in  breach  of  our  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 “MDL Action”). 

On February 16, 2017, the Court entered an order granting plaintiffs’ motion for class certification.  The 
Court certified a class of “[a]ll persons and entities that, between March 8, 2003 through the date of trial 
resided  in  the  United  States  (except  Washington  and  Alaska),  were  identified  by  Stericycle  as  ‘Small 
Quantity’  or  ‘SQ’  customer,  and  were  charged  and  paid  more  than  their  contractually-agreed  price  for
Stericycle’s medical waste disposal goods and services pursuant to Stericycle’s automated price increase 
policy.  Governmental entities whose claims were asserted in United States ex rel. Perez v. Stericycle Inc. 
shall be excluded from the class.”

2018 10-K Annual Report

Stericycle, Inc.  •  112

PART II

The parties engaged in discussions through and overseen by a mediator regarding a potential resolution
of the matter and reached an agreement in principle for settlement in July 2017, which was subsequently 
documented in a definitive settlement agreement (the “Settlement”) on October 17, 2017.  The Settlement 
provided  a  global  resolution  of  all  cases  and  claims  against  the  Company  in  the  MDL  Action.    It  also 
provided that the Company would establish a common fund of $295.0 million from which would be paid
all compensation to members of the settlement class, attorneys’ fees to class counsel, incentive awards to 
the  named  class  representatives  and  all  costs  of  notice  and  administration.    It  also  provided  that  our 
existing  contracts  with  customers  would  remain  in  force,  while  we  would  also  establish  as  part  of  the 
Settlement guidelines for future price increases and provide customers additional transparency regarding 
such  increases.    Under  the  terms  of  the  Settlement,  the  Company  admitted  no  fault  or  wrongdoing 
whatsoever,  and  it  entered  into  the  Settlement  to  avoid  the  cost  and  uncertainty  of  litigation.    The 
Settlement provided that, upon final approval by the Court following a fairness hearing, it would fully and 
finally resolve all claims against the Company alleged in the MDL Action.

The Court granted preliminary approval of the Settlement following a hearing on October 26, 2017.  The 
fairness hearing was held on March 8, 2018.  The Court granted approval of the Proposed MDL Settlement
that same day.  The Court entered final judgment on May 8, 2018.  No appeal was filed, and the Proposed
MDL Settlement became finally effective on June 7, 2018 (the “Final Settlement”).  The Company funded 
the Final Settlement on July 6, 2018.

Certain  class  members  who  have  opted  out  of  the  Final  Settlement  have  filed  lawsuits  against  the
Company, and the Company will defend and resolve those actions.  The Company has accrued its estimate 
of the probable loss for these collective matters, which is not material.

Securities  Class  Action  Lawsuit.  On  July  11,  2016,  two  purported  stockholders  filed  a  putative  class
action complaint in the U.S. District Court for the Northern District of Illinois.  The plaintiffs purported to
sue for themselves and on behalf of all purchasers of our publicly traded securities between February 7,
2013  and  April  28,  2016,  inclusive,  and  all  those  who  purchased  securities  in  our  public  offering  of 
depositary shares, each representing a 1/10th interest in a share of our mandatory convertible preferred
stock, on or around September 15, 2015.  The complaint named as defendants the Company, our directors 
and certain of our current and former officers, and certain of the underwriters in the public offering.  The
complaint purports to assert claims under Sections 11, 12(a)(2) and 15 of the Securities Act of 1933 and 
Sections 10(b) and 20(a) of the Securities Exchange Act of 1934, as well as SEC Rule 10b-5, promulgated 
thereunder.    The  complaint  alleges,  among  other  things,  that  the  Company  imposed  unauthorized  or 
excessive  price  increases  and  other  charges  on  its  customers  in  breach  of  its  contracts,  and  that
defendants failed to disclose those alleged practices in public filings and other statements issued during
the proposed class period beginning February 7, 2013 and ending April 28, 2016.

On  August  4,  2016,  plaintiffs  filed  an  Amended  Complaint  that  purports  to  assert  additional 
misrepresentations in public statements through July 28, 2016, and therefore to change the putative class 
period to the period from February 7, 2013 to July 28, 2016, inclusive.  On October 21, 2016, plaintiffs filed 
a  Corrected  Amended  Complaint  adding  the  Company  as  a  named  defendant  in  plaintiff’s  claim  under
Section  11  of  the  Securities  Act,  which  had  previously  been  asserted  only  against  the  Underwriters  and
certain officers and directors.

On November 1, 2016, the Court appointed the Public Employees’ Retirement System of Mississippi and 
the  Arkansas  Teacher  Retirement  System  as  Lead  Plaintiffs  and  their  counsel  as  Lead  Counsel.    On 
February 1, 2017, Lead Plaintiff filed a Consolidated Amended Complaint with additional purported factual

2018 10-K Annual Report

Stericycle, Inc.  •  113

PART II

material supporting the same legal claims from the prior complaints for a class period from February 7, 
2013  through  September  18,  2016.    Defendants  filed  a  motion  to  dismiss  the  Consolidated  Amended
Complaint on April 1, 2017.  On May 19, 2017, plaintiffs filed a response in opposition to the motion to
dismiss and on June 19, 2017, Defendants filed a reply brief in support of their motion.

On March 31, 2018, plaintiffs filed a further Amended Complaint, alleging additional corrective disclosures
and  extending  the  purported  class  period  through  February  21,  2018.  Defendants  filed  a  motion  to
dismiss the Consolidated Amended Complaint on May 25, 2018.  The Motion was fully briefed on July 13, 
2018, and awaited a ruling by the Court.

The parties engaged in discussions through and overseen by a mediator regarding a potential resolution
of  the  matter  and  reached  an  agreement  in  principle  for  settlement  in  December  2018  (the  “Proposed
Securities Class Action Settlement”).

As we disclosed in a current report on Form 8-K filed on December 20, 2018, the terms of the Proposed
Securities Class Action Settlement provide that the Company will establish a common fund of $45 million,
from  which  will  be  paid  all  compensation  to  members  of  the  settlement  class,  attorneys’  fees  to  class
counsel, 
incentive  awards  to  the  named  class  representatives  and  all  costs  of  notice  and
administration.  The large majority of the $45 million common fund established pursuant to the Proposed
Securities  Class  Action  Settlement  will  be  paid  by  the  Company’s  insurers.    In  the  Proposed  Securities
Class Action Settlement, we admitted no fault or wrongdoing whatsoever.  We entered into the Proposed
Securities Class Action Settlement in order to avoid the cost and uncertainty of litigation.

On  February  14,  2019,  the  Company  executed  a  definitive  written  settlement  agreement  (the 
“Settlement”), which incorporated the terms of the agreement in principle announced in December 2018.  
The  Settlement incorporated  the  terms  of  the  Proposed  Securities  Class  Action  Settlement,  described
above,  and  proposes  a  global  resolution  of  all  cases  and  claims  against  the  Company  in  the  Securities
Class  Action.    Under  the  terms  of  the  Settlement,  the  Company  admitted  no  fault  or  wrongdoing
whatsoever,  and  it  entered  into  the  Settlement  to  avoid  the  cost  and  uncertainty  of  litigation.    The 
Settlement provided that, upon final approval by the Court following a fairness hearing, it would fully and 
finally resolve all claims against the Company alleged in the Securities Class Action.

On  February  25,  2019,  plaintiffs  in  the  Securities  Class  Action  filed  Plaintiffs’  Unopposed  Motion  for  an 
Order  Preliminarily  Approving  Class  Settlement  and  Authorizing  Dissemination  of  Notice  of  Settlement 
(the  “Preliminary  Approval  Motion”).    The  Preliminary  Approval  Motion  asks  the  Court  to  preliminarily
approve the Settlement, to approve the manner and content of the notice to be given to potential class
members,  and  to  set  a  schedule  for,  among  other  things,  deadlines  for  potential  class  members  to  file 
claims,  object  to  the  Settlement,  or  seek  exclusion  from  the  Settlement  class.    The  Preliminary  Approval 
Motion is pending before the Court.

Shareholder  Derivative  Lawsuits.  On  September  1,  2016,  a  purported  stockholder  filed  a  putative
derivative  action  complaint  in  the  Circuit  Court  of  Cook  County,  Illinois  against  certain  officers  and
directors  of  the  Company,  naming  the  Company  as  nominal  defendant.    The  complaint  alleges  that 
defendants breached their fiduciary duties to the Company and its stockholders by causing the Company 
to  allegedly  overcharge  certain  customers  in  breach  of  those  customers’  contracts,  otherwise  provide 
unsatisfactory  customer  service  and  injure  customer  relationships,  and  make  materially  false  and
misleading  statements  and  omissions  regarding  the  Company’s  business,  operational  and  compliance 
policies between February 7, 2013 and the present.

2018 10-K Annual Report

Stericycle, Inc.  •  114

PART II

On March 1, 2017, another purported stockholder filed a putative derivative action complaint containing 
substantially  similar  allegations  in  the  Circuit  Court  of  Cook  County,  Illinois  against  certain  officers  and
directors  of  the  Company,  naming  the  Company  as  nominal  defendant.    The  Company  notes,  among
other things, that, in addition to failing to make the required demand on the board of directors, both of 
these filings are in violation of the Company’s Bylaws, which require any such actions to be brought in a
court in Delaware.

On June 29, 2017, the Court entered an agreed order consolidating the two putative derivative actions for 
all purposes under the caption Kausal Shah v. Charles A. Alutto, et al. On July 11, 2017, the Court entered a 
further  agreed  order  appointing  lead  counsel  for  plaintiffs  and  staying  the  action  pending  resolution  of 
the  motion  to  dismiss  the  securities  class  action  discussed  above.    Pursuant  to  the  agreed  order,
defendants  reserved  all  potential  defenses  to  both  actions,  should  the  stay  be  lifted.    On  February  14, 
2019,  the  Court  entered  an  Agreed  Order  to  Lift  Stay  and  Set  Briefing  Schedule,  under  which  the  Court 
lifted  the  stay  of  litigation,  granted  plaintiffs  leave  to  file  an  amended  complaint  on  or  before  April  15,
2019, and set a briefing schedule for a motion to dismiss by the Company.

On March 26, 2018, Alvin Janklow v. Charles A. Alutto, et al., was filed in the Federal District Court for the 
District  of  Delaware.  On  April  16,  2018,  John Brennan  v.  Charles  A.  Alutto,  et  al.,  was  filed  in  the  same 
court.    On  May  16,  2018,  the  Court  entered  an  order  consolidating Brennan  and Janklow.  On  April  18,
Brennan  cases,  and  the  Court 
2018,  the  company  filed  a  motion  to  stay  the  combined  Janklow and 
granted the Company’s motion.  On January 11, 2019, the parties stipulated to, and the Court entered an 
order, lifting the stay to allow the Company to file a motion to dismiss and setting a briefing schedule on
that motion.  On January 25, 2019, Stericycle filed its motion to dismiss; on February 25, 2019, Plaintiffs
filed an opposition to the motion; the Company has until March 12, 2019 to file a reply.

w

On April 12, 2018, Rick Siu v. Mark C. Miller, et al., was filed in Delaware Chancery Court.  By agreement of 
the  parties,  the  Siu  case  was  stayed  by  order  of  the  Court  on  May  24,  2018,  pending  resolution  of  the
motion  to  dismiss  the  securities  class  action  discussed  above.    The  parties  subsequently  engaged  in 
discussions  through  and  overseen  by  a  mediator  regarding  a  potential  resolution  of  the  matter.    On
February 25, 2019, the parties executed and filed with the Court a written Stipulation and Agreement of 
Settlement, Compromise, and Release (the “Siu Settlement”).  Under the Siu Settlement, the Defendants 
will implement and/or maintain certain corporate governance changes for a period of four years following 
approval of the settlement.  In addition, the Company will receive payment from applicable insurance in
the amount of $7.5 million, less any amounts ordered by the Court to be paid for Plaintiff’s attorneys’ fees 
and expenses or as a service award to Plaintiff.

Neither  the  Company  nor  the  Defendants  have  admitted  any  fault  or  wrongdoing  whatsoever  in
connection with the Siu Settlement, but have entered into the Siu Settlement in order to avoid the cost
and  uncertainty  of  litigation.    The  Siu  Settlement  remains  subject  to  Court  approval  at  a  final  hearing, 
which the Court has not yet scheduled.

On October 18, 2016, the Company received a letter from an attorney purporting to represent a current
stockholder  of  the  Company  demanding,  pursuant  to  Del.  Ct.  Ch.  R.  23.1,  that  the  Company’s  Board  of 
Directors take action to remedy alleged breaches of fiduciary duties by certain officers and directors of the
Company.    The  factual  allegations  set  forth  in  the  letter  were  similar  to  those  asserted  in  the  Securities
Class Action Lawsuit and the Shareholder Derivative Lawsuits.  

2018 10-K Annual Report

Stericycle, Inc.  •  115

PART II

The  Company’s  Board  of  Directors  constituted  a  Special  Demand  Review  Committee  to  investigate  the
claims  made  in  the  demand  letter  and  the  Committee  retained  independent  counsel  to  assist  with  the 
investigation.  At the conclusion of its investigation, the Committee’s counsel advised the stockholder that
the Board had completed its investigation and determined not to pursue legal action.

On  July  30,  2018,  the  purported  stockholder  on  whose  behalf  the  demand  letter  was  sent  filed  a 
stockholder  derivative  action, Damon  Turney  v.  Mark  C.  Miller,  et  al.,  in  the  Federal  District  Court  of  the
Northern  District  of  Illinois,  alleging  that  the  demand  was  wrongfully  refused.    The  company  moved  to 
dismiss  the  action  on  December  5,  2018.    The  motion  was  fully  briefed  on  February  8,  2019,  and  is
currently pending before the Court.

On  January  22,  2019,  the  Company  received  a  letter  from  an  attorney  purporting  to  represent  another
current stockholder of the Company setting forth allegations and demands substantially similar to those
previously presented in the October 18, 2016 demand letter, the Securities Class Action Lawsuit and the
Shareholder  Derivative  Lawsuits.    The  Company’s  Board  of  Directors  referred  this  letter  to  the  Special 
Demand  Review  Committee  and  its  independent  counsel  for  consideration.    After  the  Committee  had
considered the January 22, 2019 letter in light of its prior investigation, the Committee’s counsel advised
the stockholder that the Board had determined not to pursue legal action.

We  have  not  accrued  any  amounts  in  respect  of  these  lawsuits,  and  we  cannot  estimate  the  reasonably 
possible loss or the range of reasonably possible losses that we may incur.  We are unable to make such 
an estimate because (i) litigation is by its nature uncertain and unpredictable and (ii) in our judgment, the
factual  and  legal allegations  asserted  by  plaintiffs  are  sufficiently  unique  that  we  are  unable  to  identify 
other proceedings with circumstances sufficiently comparable to provide guidance in making estimates.

We intend to vigorously defend ourselves against each of the derivative lawsuits.

TCPA  Lawsuit.  On  June  3,  2016,  a  plaintiff  filed  a  putative  class  action,  captioned Ibrahim  v.  Stericycle,
Inc.,  No.  16-cv-4294  (N.D.  Ill.),  against  us  and  our  wholly-owned  subsidiary,  Stericycle  Communication
Solutions,  Inc.,  under  the  Telephone  Consumer  Protection  Act  (“TCPA”),  asserting  that  the  defendants 
called  plaintiff  and  others  in  violation  of  that  statute.    Plaintiff  challenges  our  use  of  pre-recorded 
messages that urge the owners of recalled products to return or obtain repairs for those products.

Plaintiff  seeks  certification  of  two  nationwide  classes.    One  class  includes  people  who  received  one  or
more cellular telephone calls from Stericycle featuring a prerecorded or artificial voice message relating to
a product recall, where the called party was not the same individual who, according to Stericycle’s records,
was  the  intended  recipient  of  the  call.    The  second  class  includes  people  who  received  one  or  more
cellular  telephone  calls  from  Stericycle  featuring  a  prerecorded  or  artificial  voice  message  relating  to  a
product recall after such person had communicated to Stericycle that Stericycle did not have consent to 
make any such calls to their cellular telephone number.

On  July  28,  2016,  we  answered  the  complaint,  denying  the  material  allegations  and  raising  certain
affirmative  defenses.    Among  the  asserted  defenses  is  the  “emergency”  exception  to  the  TCPA,  which 
exempts calls made to promote public health and safety.  On December 19, 2016, before any substantial 
discovery in the case, we filed a motion for summary judgment primarily on the basis of the “emergency” 
exception.    On  February  1,  2017,  plaintiff  responded  to  our  motion  by  requesting  additional  discovery. 
The court permitted plaintiff to obtain some but not all of the requested discovery, and we have provided
additional documents in response to that order.

2018 10-K Annual Report

Stericycle, Inc.  •  116

PART II

On April 5, 2017, plaintiff sought leave to file an amended complaint which would add a claim under the 
Illinois Automatic Telephone Dialers Act (which does not include an “emergency” exception) and certain
additional  allegations.    We  filed  an  opposition  to  this  motion  on  April  28,  2017,  contending  that  the 
proposed amendments are futile and that we are entitled to summary judgment.  On June 27, 2017, the 
court  permitted  plaintiff  to  file  the  amended  complaint.    We  answered  plaintiff’s  amended  complaint, 
denying  liability,  and  in  light  of  the  amended  complaint,  withdrew  our  motion  for  summary  judgment
without prejudice.  The parties conducted discovery, which closed on May 15, 2018.

On September 25, 2018, the parties stipulated to dismissal of the case with prejudice, and the Court
dismissed the case with prejudice on October 23, 2018.

FCPA  Investigation.  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 has notified the Company that it is investigating this matter in parallel with the SEC.  The 
Company is cooperating with these agencies.  The Company is also conducting 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  has  found
evidence of improper conduct.

We  have  not  accrued  any  amounts  in  respect  of  this  matter,  as  we  cannot  estimate  any  reasonably 
possible loss or any range of reasonably possible losses that we may incur.  We are unable to make such
an  estimate  because,  based  on  what  we  know  now,  in  our  judgment,  the  factual  and  legal  issues 
presented  in  this  matter  are  sufficiently  unique  that  we  are  unable  to  identify  other  circumstances
sufficiently comparable to provide guidance in making estimates.

Environmental  Matters.  Our  Environmental  Solutions  business  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 this business, we frequently become 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 us or by other parties to which either we or the prior owners of certain of its 
facilities  shipped  wastes.    From  time  to  time,  we  may  be  subject  to  fines  or  penalties  in  regulatory
proceedings relating primarily to waste treatment, storage or disposal facilities.

North  Salt  Lake,  Utah.  We  have  continued  to  toll  the  statute  of  limitations  with  the  United  States
Attorney’s  Office  for  the  District  of  Utah  (the  “USAO”)  relating  to  an  investigation  by  the  U.S. 
Environmental Protection Agency (the “EPA”) into past Clean Air Act emissions and permit requirements,
as  previously  alleged  in  the  notice  of  violation  (the  “NOV”)  issued  by  the  State  of  Utah  Division  of  Air 
Quality  (the  “DAQ”).   The  NOV  resulted  in  our  December  2014  settlement  with  the  DAQ,  as  previously 
disclosed.

The  government  indicated  that  the  matter  will  be  resolved  civilly,  not  criminally,  and  the  parties  have 
reached agreement in principle, to be documented in the form of a civil consent decree, under which the
company will undertake a Supplemental Environmental Project and pay a civil penalty under the Clean Air
Act. 

2018 10-K Annual Report

Stericycle, Inc.  •  117

PART II

The Company has accrued the total amount of the agreement in principle.

Rancho  Cordova,  California.  The  California  Department  of  Toxic  Substances  Control  (“DTSC”)  alleged 
violations  of  California’s  Hazardous  Waste  Control  Law  for  our  hazardous  waste  facility  in  Rancho
Cordova, California for the years 2011 through 2017.  DTSC referred the matter to the California Attorney
General’s  office.    On  March  3,  2016,  we  entered  into  a  tolling  agreement  with  the  Attorney  General’s
office, which was subsequently extended while the parties negotiated a resolution of the matter. 

On October 26, 2017, DTSC filed a complaint in California Superior Court in Sacramento County for civil
penalties  and  injunctive  relief  for  alleged  violations  of  California's  Hazardous  Waste  Control  Law.   On
October 15, 2018, the parties entered into a Stipulation for Entry of Order and Final Judgment on Consent,
which was entered by the Superior Court of the State of California, Sacramento County, on October 19, 
2018.  The associated penalty was paid by the Company in November 2018.

Tabasco,  Mexico.  In  late  2016,  the  National  Agency  for  Industrial  Security  and  the  Protection  of  the 
Environment for the Hydrocarbon Sector in Mexico (“ASEA”) conducted a permit compliance inspection at 
a hazardous waste treatment facility acquired by one of our subsidiaries in Dos Bocas, Tabasco, Mexico.  
ASEA subsequently claimed that the soil treatment process described in the facility’s treatment permit had
not been followed properly and issued an order imposing a fine and directing that the facility be closed 
and  that  alleged  contamination  on  a  certain  portion  of  the  facility  be  remediated.    Our  subsidiary  has 
engaged a firm of environmental technicians to assess the contamination described in the ASEA order and
to  conduct  a  broader  environmental  assessment  of  the  facility.    The  preliminary  estimate  of  the
remediation costs necessary to address the ASEA order was $2.0 million.  Our review and assessment of 
the overall facility is ongoing.  In November 2017, ASEA rescinded the prior order imposing the fine.  After 
reassessing  the  evidence  and  arguments  presented,  ASEA  issued  a  new  resolution  on  March  9,  2018, 
containing  a  lower,  revised  fine  and  including  remedial  obligations.  In  March  2018,  the  Company
submitted a proposal for remedial measures.  On April 26, 2018, the Company appealed the fines in the 
most recent order.

In  December  2018,  ASEA  approved  the  Company’s  remedial  plan  for  the  facility,  which  will  involve  an 
amendment  to  the  facility’s  permit  to  allow  for  on-site,  in-situ  remediation  of  the  one  treatment  cell
subject to ASEA’s original order. 

In  June  2018,  the  Company  instituted  both  civil  and  criminal  legal  proceedings  in  Mexico  against  the
company from which it acquired the relevant facility, seeking to hold the seller liable for any remediation
as  well  as  lost  profits  and  damages.    The  defendants  named  in  the  civil  complaint  filed  their  answers  in 
September 2018.

The Company has accrued its estimate of the probable loss and costs necessary to comply with the ASEA
order and remediate the treatment cell, which are not material.

2018 10-K Annual Report

Stericycle, Inc.  •  118

PART II

NOTE 20 – QUARTERLY FINANCIAL INFORMATION (UNAUDITED)

The following table summarizes our unaudited consolidated quarterly results of operations as reported for
2018 and 2017:

In millions, except per share data

Revenues
Gross profit
Goodwill impairment
Net (loss) income attributable to Stericycle, Inc.
Preferred stock dividend
Net (loss) income attributable to Stericycle, Inc.
common shareholders
* Basic earnings (loss) per common share
* Diluted earnings (loss) per common share

In millions, except per share data

Revenues
Gross profit
Goodwill impairment
Net income (loss) attributable to Stericycle, Inc.
Preferred stock dividend
Net income (loss) attributable to Stericycle, Inc.
common shareholders
* Basic earnings (loss) per common share
* Diluted earnings (loss) per common share

First
Quarter 
2018

Second 
Quarter 
2018

Third 
Quarter 
2018

Fourth 
Quarter 
2018

Year 2018

895.0 $
358.5
-
22.5
(8.8)

21.0
0.25 $
0.25 $

883.3 $
353.3
-
27.7
(8.3)

26.6
0.31 $
0.31 $

854.9 $
335.5
-
23.5
(8.4)

17.5
0.20 $
0.20 $

852.7 $
328.7
358.7
(318.4)
-

(318.4)

(3.51) $
(3.51) $

3,485.9
1,376.0
358.7
(244.7)
(25.5)

(253.3)
(2.91)
(2.91)

First
Quarter 
2017

Second 
Quarter 
2017

Third 
Quarter 
2017

Fourth 
Quarter 
2017

Year 2017

892.4 $
368.7
-
58.2
(9.4)

53.4
0.63 $
0.62 $

917.7 $
381.8
-
(144.0)
(9.2)

(148.8)

(1.74) $
(1.74) $

882.8 $
368.0
-
39.0
(8.9)

35.5
0.42 $
0.41 $

887.8 $
344.0
65.0
89.2
(8.8)

83.3
0.98 $
0.97 $

3,580.7
1,462.5
65.0
42.4
(36.3)

23.4
0.27
0.27

$

$
$

$

$
$

*

EPS calculated on a quarterly basis, and, as such, the amounts may not total the calculated full-
year EPS.

2018 10-K Annual Report

Stericycle, Inc.  •  119

PART II

STERICYCLE, INC.
SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS

In millions

Allowance for doubtful 
accounts
2016
2017
2018

$
$
$

Balance 
Beginning 
of Period

Charges to 
Expenses

Other Charges/ 
(Reversals) (1)

Write-offs/ 
Payments

Balance End 
of Period

$
22.3
$
49.6
65.2 $

$
41.8
$
32.3
24.9 $

$
2.7
$
2.7
(2.1) $

(17.2) $
(19.4) $
(16.1) $

49.6
65.2
71.9

(1) Amounts consist primarily of currency translation adjustments.

In millions

Valuation Allowance on Deferred
Tax Assets
2016
2017
2018

$
$
$

Balance 
Beginning of 
Period

Additions/ 
(Deductions) 
Charged to/ 
(from) Income 
Tax Expense

Other Changes
to Reserves (2)

Balance End of 
Period

17.6
15.4
16.1

$
$
$

6.9
4.5
20.6

$
$
$

(9.1) $
(3.8) $
(1.4) $

15.4
16.1
35.3

(2) 2018 amount  consists  primarily  of  release  of  valuation  allowance  on  net  operating  losses  that
ceased  upon  merger.    2017  and  2016  amounts  consist  primarily  of  valuation  allowances  on
acquired deferred tax assets from business combinations.

Item 9. Changes in and Disagreements with Accountants on Accounting and
Financial Disclosure

None.

Item 9A. Controls and Procedures

Evaluation of disclosure controls and procedures.

The term "disclosure controls and procedures" is defined in Rule 13a-15(e) of the Securities Exchange Act
of  1934  as  "controls  and  other  procedures  of  an  issuer  that  are  designed  to  ensure  that  information
required  to  be  disclosed  by  the  issuer  in  the  reports  that  it  files  or  submits  under  the  Act  is  recorded,
processed,  summarized  and  reported,  within  the  time  periods  specified  in  the  Securities  and  Exchange
Commission’s  rules  and  forms."    Our  disclosure  controls  and  procedures  are  designed  to  ensure  that
material information relating to us and our consolidated subsidiaries is accumulated and communicated 
to our management, including our Chief Executive Officer and our Chief Financial Officer, as appropriate 
to allow timely decisions regarding our required disclosures.

Our  management,  with  the  participation  of  our  Chief  Executive  Officer  and  our  Chief  Financial  Officer, 
conducted an evaluation of the effectiveness of our disclosure controls and procedures as of the end of 
the fiscal year covered by this Report.  Based upon that evaluation, our Chief Executive Officer and Chief 
Financial Officer have concluded that our disclosure controls and procedures were not effective as of the
end of the period covered by this annual report, because of material weaknesses in internal control over
financial reporting described below.

2018 10-K Annual Report

Stericycle, Inc.  •  120

PART II

Management’s Report on Internal Control Over Financial Reporting.

Management of Stericycle is responsible for establishing and maintaining adequate internal control over
financial reporting (as defined in Rules 13a-15(f) and 15d(f) under the Exchange Act). Internal control over 
financial  reporting  is  a  process  designed  to  provide  reasonable  assurance  regarding  the  reliability  of 
financial  reporting  and  the  preparation  of  financial  statements  for  external  reporting  purposes  in 
accordance  with  United  States  generally  accepted  accounting  principles  (US  GAAP).  Because  of  its 
inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements.
Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls
may  become  inadequate  because  of  changes  in  conditions,  or  that  the  degree  of  compliance  with  the 
policies  or  procedures  may  deteriorate.  A  material  weakness  is  a  deficiency,  or  a  combination  of 
deficiencies, in internal control over financial reporting, such that there is a reasonable possibility that a 
material  misstatement  of  the  company’s  annual  or  interim  financial  statements  will  not  be  prevented  or
detected on a timely basis.

Stericycle conducted an assessment of the effectiveness of its internal control over financial reporting as 
of December 31, 2018 based on the criteria established by Internal Control-Integrated Framework (2013) 
issued by the Committee of Sponsoring Organizations of the Treadway Commission (“COSO Framework”).

As of December 31, 2018, material weaknesses continue to exist in our Control Environment and Control
Activity  components  of  the  COSO  Framework.  Management  has  identified  material  weaknesses  in 
controls related to (a) not fully designing, implementing and monitoring general information technology
controls in the areas of user access and program change-management for systems supporting all of the 
Company’s  internal  control  processes;  and  (b)  the  aggregation  of  open  control  deficiencies  across  our
financial reporting processes because the controls were not fully designed and operating effectively.

As  a  result  of  the  material  weaknesses  described  above,  management  has  concluded  that,  as  of 
December 31,  2018,  our  internal  control  over  financial  reporting  was  ineffective.  Ernst  &  Young  LLP,  the
independent registered accounting firm that has audited the consolidated financial statements included in
this report, has issued an attestation report relating to our internal control over financial reporting as of 
December 31, 2018, which is included below under the heading "Report of Independent Registered Public
Accounting Firm.”

Changes in internal controls.

As described below, we have undertaken and continue to undertake significant remediation actions to
address the material weaknesses in our internal controls over financial reporting. These remediation
actions continued throughout the quarter ended December 31, 2018 but have not materially affected our
internal control over financial reporting.

Controls need to be properly designed and operating effectively for acceptable periods of time.  We have
now  designed  a  significant  number  of  controls  that  we  are  evaluating  or  awaiting  additional  testing
samples to evaluate operating effectiveness.  Due to the nature of the remediation process and the need 
to  allow  adequate  time  after  implementation  to  evaluate  and  test  the  effectiveness  of  the  controls,  no
assurance can be given as to the timing of remediation, but management intends to continue to pursue 
significant remediation efforts during 2019.

Remediation activities.

Consistent  with  Stericycle’s  Business  Transformation,  the  Company  has  advanced  an  Internal  Control
Transformation  Program  to  address  historical  material  weaknesses.  The  Company  has  previously 

2018 10-K Annual Report

Stericycle, Inc.  •  121

PART II

communicated  certain  completed  and  expected  remediation  efforts  through  prior  Form  10-K  and  Form
10-Q filings and will highlight below additional significant remediation activities undertaken in 2018. 

Financial Reporting Controls:

In connection with our Internal Control Transformation Program advanced in 2018, including incremental 
progress in the fourth quarter of 2018, Stericycle has continued to focus on improving our overall control 
environment and establishing a strong, sustainable foundation for transition into SAP in 2020. Our
remediation actions related to improving the controls over our financial statement preparation and 
reporting process include the following:

(cid:129)

(cid:129)

(cid:129)

Frequent  communications  between  our  Audit  Committee  and  management  regarding  our 
financial reporting and internal control environment.
Expanded Corporate and Business Unit Finance, Accounting and Reporting and Information
Technology teams through the addition of experienced and qualified resources.
Aligned incentive plans with sustained effective internal controls over financial reporting and 
management continuous control monitoring.

(cid:129) Delivery of additional internal controls training, as well as policy and control standardization

(cid:129)

(cid:129)

(cid:129)

(cid:129)

(cid:129)

(cid:129)

(cid:129)

(cid:129)

where possible. 
Re-designed and harmonized control objectives across all processes and locations as part of our 
SOX program standardization efforts to drive accountability and efficiency.
Re-designed and enhanced delegation of authority policy and processes, including
implementation of a systematic enabled work flow.
Issued significant and critical accounting policies at the end of 2017 and provided training to
assist our finance organization with accounting for transactions appropriately and on a timely 
basis along with compliance expectations.
Implemented a central repository for policies, quarterly checklists to confirm adherence with 
policies, account reconciliations and month end close checklists and dashboarding.
Instituted monthly legal entity and management reporting reviews of financial statements
disaggregated by key business units, regions and functional areas, to evaluate results, observe 
adherence to policies and agree on necessary actions to be taken before considering the period
closed.  Management of the respective areas meet with our corporate executives monthly in 
connection with these reviews. 
Expanded our technical accounting group within the Controllership function with responsibility to 
ensure that the accounting for complex or non-routine transactions is appropriate.
Expanded the use of specialist involvement in highly complex and technical areas of accounting,
valuation and new accounting standards adoption.
Enhanced our Disclosure Committee processes and reviews by adding experienced and 
knowledgeable members to the committee, implementing disclosure surveys to capture input
from appropriate areas and levels throughout the organization and evolving and expanding
existing processes.

General Information Technology Controls (GITCs):

During the course of 2018, Stericycle made progress in advancing foundational elements of our general 
information technology controls. These elements are providing value as we are leveraging them in the
design of our future state processes and controls within SAP, which is expected to go-live in 2020.  Our 
remediation actions related to our GITC environment include the following: 

2018 10-K Annual Report

Stericycle, Inc.  •  122

PART II

(cid:129)

(cid:129)

(cid:129)

Established policies, delivered training and implemented policies and procedures over logical 
access and general information technology controls.
Automated user access reviews.

Implemented policies and mitigating controls over incompatible segregation of duties within our 
IT systems.

Further, material weaknesses in our general information technology environment negatively impact our
ability to rely on financial data flowing through all of our business process controls, contributing to the 
overall ineffective Control Environment. As a result, we have taken steps to reduce the risk associated with 
data flowing through all of our business process controls.

We have designed our internal controls over financial reporting environment, including our standardized 
and harmonized risk and control matrices, assuming that we would achieve effective GITCs. Until we 
remediate our GITC environment, we will incur incremental effort to address the risks associated with data 
flowing through all of our business process controls.

Monitoring Activities

Our remediation actions related to monitoring our internal controls over financial reporting include the 
following:

(cid:129)

Enhanced control activities within our process to recognize revenue, also known as the Quote to
Cash cycle, that include:

o

o

Leveraging advanced technology to substantively evaluate and monitor revenue,
accounts receivable, cash receipts and other accounts and activities associated with 
revenue recognition. 

Implementing a monitoring control which leverages advanced analytical processes to 
evaluate the appropriateness of revenue related transactions across key business units 
making up a material portion of the consolidated financial statements.

Implemented systematic segregation of duties through system enabled work flow.

(cid:129)
(cid:129) Developed and implemented continuous monitoring of global financial reporting controls.

Management continues to advance the design of financial reporting controls to ensure that the level of 
precision  is  adequate  to  address  the  assessed  risks  at  an  assertion  level  and  the  period  of  operation  is
sufficient to conclude on the operating effectiveness of the controls.

When fully implemented and operational, we believe the controls we have designed or plan to design will
remediate the control deficiencies that have led to the material weaknesses we have identified and
strengthen our internal controls over financial reporting.

Notwithstanding  the  existence  of  the  material  weaknesses  as  described  above,  we  believe  that  the
consolidated financial statements in this Annual Report fairly present, in all material respects, our financial 
position, results of operations and cash flows as of the dates, and for the periods, presented, in conformity
with U.S. GAAP.

2018 10-K Annual Report

Stericycle, Inc.  •  123

PART II

Report of Independent Registered Public Accounting Firm

To the Shareholders and the Board of Directors of Stericycle, Inc.

Opinion on Internal Control over Financial Reporting

We have audited Stericycle, Inc.’s (the Company) internal control over financial reporting as of December 
31,  2018,  based  on  criteria  established  in  Internal  Control  -  Integrated  Framework  issued  by  the 
Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission  (2013  framework)  (the  COSO
criteria).    In  our  opinion,  because  of  the  effect  of  the  material  weaknesses  described  below  on  the
achievement of the objectives of the control criteria, the Company has not maintained effective internal
control over financial reporting as of December 31, 2018, based on the COSO criteria.

A  material  weakness  is  a  deficiency,  or  combination  of  deficiencies,  in  internal  control  over  financial 
reporting, such that there is a reasonable possibility that a material misstatement of the company’s annual 
or interim financial statements will not be prevented or detected on a timely basis.  The following material 
weaknesses have been identified and included in management’s assessment.  Management has identified
material weaknesses in controls related to (a) not fully designing, implementing and monitoring general
information  technology  controls  in  the  areas  of  user  access  and  program  change-management  for
systems  supporting  all  of  the  Company’s  internal  control  processes;  and  (b)  the  aggregation  of  open 
control  deficiencies  across  the  Company’s  financial  reporting  processes  because  the  controls  were  not
fully designed and operating effectively.

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public  Company  Accounting  Oversight 
Board (United States) (PCAOB), the consolidated balance sheets of the Company as of December 31, 2018
and 2017, the related consolidated statements of (loss) income, comprehensive (loss) income, changes in 
equity and cash flows for each of the three years in the period ended December 31, 2018, and the related
notes and financial statement schedule listed in the Index at Item 15(a).  These material weaknesses were 
considered  in  determining  the  nature,  timing  and  extent  of  audit  tests  applied  in  our  audit  of  the  2018
consolidated  financial  statements,  and  this  report  does  not  affect  our  report  dated  February  28,  2019, 
which expressed an unqualified opinion thereon.

Basis for Opinion

The  Company’s  management  is  responsible  for  maintaining  effective  internal  control  over  financial
reporting  and  for  its  assessment  of  the  effectiveness  of  the  internal  control  over  financial  reporting 
including in the accompanying Management’s Report on Internal Control Over Financial Reporting.  Our
responsibility is to express an opinion on the Company’s internal control over financial reporting based on
our  audit.    We  are  a  public  accounting  firm  registered  with  the  PCAOB  and  are  required  to  be 
independent  with  respect  to  the  Company  in  accordance  with  the  U.S.  federal  securities  laws  and  the
applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audit in accordance with the standards of the PCAOB.  Those standards require that we 
plan and perform the audit to obtain reasonable assurance about whether effective internal control over 
financial reporting was maintained in all material respects.

Our audit included obtaining an understanding of internal control over financial reporting, assessing the 
risk  that  a  material  weakness  exists,  testing  and  evaluating  the  design  and  operating  effectiveness  of 

2018 10-K Annual Report

Stericycle, Inc.  •  124

PART II

internal  control  based  on  the  assessed  risk,  and  performing  such  other  procedures  as  we  considered
necessary in the circumstances.  We believe that our audit provides a reasonable basis for our opinion.

Definition and Limitations of Internal Control Over Financial Reporting

A  company’s  internal  control  over  financial  reporting  is  a  process  designed  to  provide  reasonable 
assurance  regarding  the  reliability  of  financial  reporting  and  the  preparation  of  financial  statements  for
external  purposes  in  accordance  with  generally  accepted  accounting  principles.    A  company’s  internal 
control over financial reporting includes those policies and procedures that (1) pertain to the maintenance 
of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the 
assets  of  the  company;  (2)  provide  reasonable  assurance  that  transactions  are  recorded  as  necessary  to
permit  preparation  of  financial  statements  in  accordance  with  generally  accepted  accounting  principles, 
and  that  receipts  and  expenditures  of  the  company  are  being  made  only  in  accordance  with
authorizations  of  management  and  directors  of  the  company;  and  (3)  provide  reasonable  assurance
regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s
assets that could have a material effect on the financial statements.

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect 
misstatements.    Also,  projections  of  any  evaluation  of  effectiveness  to  future  periods  are  subject  to  the 
risk  that  controls  may  become  inadequate  because  of  changes  in  conditions,  or  that  the  degree  of 
compliance with the policies or procedures may deteriorate.

/s/ Ernst & Young LLP

Chicago, Illinois
February 28, 2019

Item 9B. Other Information

None.

2018 10-K Annual Report

Stericycle, Inc.  •  125

PART III

PART III

Item 10. Directors, Executive Officers and Corporate Governance

The  information  required  by  this  Item  regarding  our  directors  is  incorporated  by  reference  to  the 
information contained under the caption "Election of Directors" in our definitive proxy statement for our
2019 Annual Meeting of Stockholders to be held on May 22, 2019, to be filed pursuant to Regulation 14A.

The  information  required  by  this  Item  regarding  our  executive  officers  is  contained  under  the  caption
"Executive Officers of the Registrant" in Item 1 of Part I of this Report.

The information required by this Item regarding compliance with Section 16(a) of the Securities Exchange 
Act  of  1934  is  incorporated  by  reference  to  the  information  contained  under  the  caption  "Section  16(a) 
Beneficial  Ownership  Reporting  Compliance"  in  our  definitive  proxy  statement  for  our  2019  Annual
Meeting of Stockholders to be held on May 22, 2019, to be filed pursuant to Regulation 14A.

We have adopted a code of business conduct that applies to all of our employees.  The Code of Business 
Conduct and Ethics is available on our website, www.stericycle.com, under "About Us/Our Culture."  We
intend to satisfy the disclosure requirement under Item 5.05 of Form 8-K regarding any amendments to,
or waiver from, a provision of our Code of Business Conduct and Ethics by posting such information on
our website.

y

The information required by this Item regarding certain corporate governance matters is incorporated by 
reference  to  the  information  contained  under  the  caption  "Election  of  Directors"  in  our  definitive  proxy
statement for our 2019 Annual Meeting of Stockholders to be held on May 22, 2019, to be filed pursuant
to Regulation 14A.

Item 11. Executive Compensation

The information required by this Item is incorporated by reference to the information contained under the
caption  "Compensation  Discussion  and  Analysis"  and  following  sections  (up  to  Item 2)  in  our  definitive
proxy  statement  for  our  2019  Annual  Meeting  of  Stockholders  to  be  held  on  May 22,  2019,  to  be  filed
pursuant to Regulation 14A.

Item 12. Security Ownership of Certain Beneficial Owners and Management and 
Related Stockholder Matters

The information required by this Item is incorporated by reference to the information contained under the
captions  "Stock  Ownership"  and  "Compensation  Discussion  and  Analysis"  and  following  sections  (up  to
Item 2)  in  our  definitive  proxy  statement  for  our  2019  Annual  Meeting  of  Stockholders  to  be  held  on
May 22, 2019, to be filed pursuant to Regulation 14A.

Equity Compensation Plans

The following table summarizes information as of December 31, 2018 relating to our equity compensation
plans  pursuant  to  which  stock  option  grants,  restricted  stock  units,  performance  based  restricted  stock
units or other rights to acquire shares of our common stock may be made or issued:

2018 10-K Annual Report

Stericycle, Inc.  •  126

Equity Compensation Plan Information

p

q

y

In millions, except per share data

Plan Category
Equity compensation plans approved by our security holders (1)

PART III

Number 
of Securities 
Remaining 
Available for 
Future Issuance 
Under Equity 
Compensation 
Plans (Excluding 
Securities 
Reflected in 
Column (a))
(c)

Number of 
Securities to be 
Issued Upon 
Exercise of 
Outstanding 
Options and 
Vesting of RSUs
(a)

Weighted-Average
Exercise Price 
of Outstanding 
Options
(b)

5.8

$

92.38

3.0

(1)

These plans consist of our 2017 Incentive Compensation Plan, 2014 Incentive Compensation Plan, 
2011  Incentive  Compensation  Plan,  2008  Incentive  Stock  Plan,  2005  Incentive  Stock  Plan,  the
Employee Stock Purchase Plan and the Canadian Employee Stock Purchase Plan.

Item 13. Certain Relationships and Related Transactions, and Director 
Independence

The information required by this Item regarding our policies and procedures for the review, approval or 
ratification of transactions with related persons is incorporated by reference to the information contained 
under  the  caption  "Policy  on  Related  Party  Transactions"  in  Item 1  of  our  definitive  proxy  statement  for
our 2019 Annual Meeting of Stockholders to be held on May 22, 2019, to be filed pursuant to Regulation
14A.

The  information  required  by  this  Item  regarding  director  independence  is  incorporated  by  reference  to 
the  information  contained  in  Item 1  of  our  definitive  proxy  statement  for  our  2019  Annual  Meeting  of 
Stockholders, to be held on May 22, 2019, to be filed pursuant to Regulation 14A.

Item 14. Principal Accounting Fees and Services

Incorporated  by  reference  from  the  information  under  the  caption  "Ratification  of  the  Independent
Registered  Public  Accounting  Firm"  in  our  definitive  proxy  statement  for  our  2019  Annual  Meeting  of 
Stockholders, to be held on May 22, 2019, to be filed pursuant to Regulation 14A.

2018 10-K Annual Report

Stericycle, Inc.  •  127

PART IV

PART IV

Item 15. Exhibits and Financial Statement Schedules

(a) List of Financial Statements, Financial Statement Schedule and Exhibits

We have filed the following financial statements and financial statement schedule as part of this report:

Report of Independent Registered Public Accounting Firm

Consolidated Financial Statements of Stericycle, Inc. and Subsidiaries

Consolidated Statements of (Loss) Income for Each of the Years in the Three-Year Period 
Ended December 31, 2018

Consolidated  Statements  of  Comprehensive  (Loss)  Income  for  Each  of  the  Years  in  the 
Three-Year Period Ended December 31, 2018

Consolidated Balance Sheets as of December 31, 2018 and 2017

Consolidated  Statements  of  Cash  Flows  for  Each  of  the  Years  in  the  Three-Year  Period
Ended December 31, 2018

Consolidated  Statements  of  Changes  in  Equity  for  Each  of  the  Years  in  the  Three-Year 
Period Ended December 31, 2018

Notes to Consolidated Financial Statements

Schedule II - Valuation and Qualifying Accounts

Report  of  Independent  Registered  Public  Accounting  Firm  on  Internal  Control  Over 
Financial Reporting

g
Page

66

67

68

69

70

71

72

120

124

All  other  financial  statement  schedules  have  been  omitted  because  they  are  not  applicable  to  us  or  the 
required information is shown on the Consolidated Financial Statements or notes thereto.

We have filed the following exhibits with this report:

Exhibit Index Description

Filed with
Electronic 
Submission

3(i).1*

3(i).2*

3(i).3*

Amended and restated certificate of incorporation (incorporated by reference to Exhibit 3.1 to our
registration statement on Form S-1 declared effective on August 22, 1996 (Registration No. 333-
05665))
First certificate of amendment to amended and restated certificate of incorporation (incorporated by 
reference to Exhibit 3.1 to our current report on Form 8-K filed November 29, 1999)
Second certificate of amendment to amended and restated certificate of incorporation (incorporated 
by reference to Exhibit 3.4 to our annual report on Form 10-K for 2002)

2018 10-K Annual Report

Stericycle, Inc.  •  128

PART IV

3(i).4*

3(i).5*

3(i).6*

3(i).7*and
4.2*

3(i).8* and
4.3*

3(i).8* and 
4.4*

3(ii).1*

4.1*

4.5*

4.6*

4.7*

10.1*

10.2*

10.3*

10.4*

Third certificate of amendment to amended and restated certificate of incorporation (incorporated by 
reference to Exhibit 3.4 to our registration statement on Form S-4 declared effective on October 10, 
2007 (Registration No. 333-144613))
Fourth certificate of amendment to amended and restated certificate of incorporation (incorporated 
by reference to Exhibit 3(i).1 to our quarterly report on Form 10-Q filed August 7, 2014)
Certificate of Designation setting forth the specific rights, preferences, limitations, restrictions and 
other terms and conditions of the Series A Convertible Preferred Stock, par value $0.01 per share 
(incorporated by reference to Exhibit 3.2 to our Current Report on Form 8-K filed November 29, 1999)
Certificate of Elimination of the Certificate of Designations relating to Series A Convertible Preferred 
Stock, par value 0.01 per share (incorporated by reference to Exhibit 3.1 and 4.1 to our current report 
on Form 8-K filed September 15, 2015)
Certificate of Designations setting forth the specific rights, preferences, limitations, restrictions and 
other terms and conditions of the Mandatory Convertible Preferred Stock (incorporated by reference 
to Exhibit 4.1 to our Registration Statement on Form 8-A filed September 15, 2015)
Certificate of Elimination of the Certificate of Designations relating to 5.25% Series A Mandatory 
Convertible Preferred Stock (incorporated by reference to Exhibit 3.9 to our Quarterly Report on Form
10-Q filed November 11, 2018)
Amended and restated bylaws (incorporated by reference to Exhibit 3(ii).1 to our current report on 
Form 8-K filed June 1, 2016)
Specimen certificate for shares of our common stock, par value $.01 per share (incorporated by 
reference to Exhibit 4.1 to our registration statement on Form S-1 declared effective on August 22,
1996 (Registration No. 333-05665))
Form of certificate representing the Mandatory Convertible Preferred Stock (see Exhibits 3(i).8 and 4.3)
Deposit Agreement, dated as of September 15, 2015, between the Registrant, Wells Fargo Bank, N.A., 
acting as depositary, and the holders from time to time of the Depositary Shares (incorporated by 
reference to Exhibit 4.3 to our Registration Statement on Form 8-A filed September 15, 2015)
Form of Depositary Share (included in Exhibit 4.6)
Credit Agreement, dated as of November 17, 2017, among Stericycle, Inc. and certain subsidiaries as
borrowers, Bank of America, N.A., as administrative agent, swing line lender, a lender and a letter of 
credit issuer, other lenders party to the credit agreement, JP Morgan Chase Bank, N.A., and HSBC 
Securities (USA) Inc., as syndication agents, The Bank of Tokyo-Mitsubishi UFJ, Ltd., Sumitomo Mitsui 
Banking Corporation, and Wells Fargo Bank, National Association as co-documentation agents, and 
Merrill Lynch, Pierce, Fenner & Smith Inc., HSBC Securities (USA) Inc., and JP Morgan Chase Bank, N.A., 
as joint lead arrangers and joint bookrunners (incorporated by reference to Exhibit 10.1 to our current
report on Form 8-K filed November 20, 2017)
First Amendment, dated as of March 23, 2018, to the Credit Agreement, dated as of November 17,
2017, entered into by Stericycle Inc. and certain subsidiaries as borrowers, Bank of America, N.A., as
administrative agent, swing line lender, a lender and a letter of credit issuer and other lenders party 
thereto (incorporated by reference to Exhibit 10.1 to our Current Report on Form 8 K filed March 26, 
2018)
Second Amendment, dated as of November 15, 2018, to the Credit Agreement, dated as of November
17, 2017, entered into by Stericycle, Inc. and certain subsidiaries as borrowers, Bank of America, N.A., 
as administrative agent, swing-line lender, a lender and a letter of credit issuer and other lenders party 
thereto
Third Amendment, dated as of December 19, 2018, to the Credit Agreement, dated as of November
17, 2017, as amended, entered into by Stericycle Inc. and certain subsidiaries as borrowers, Bank of 
America, N.A., as administrative agent, swing line lender, a lender and a letter of credit issuer and 
other lenders party thereto (incorporated by reference to Exhibit 10.1 to our Current Report on Form 
8-K filed December 20, 2018)

x

2018 10-K Annual Report

Stericycle, Inc.  •  129

PART IV

Note Purchase Agreement dated as of August 18, 2010 entered into by us, as issuer and seller, and
Metropolitan Life Insurance Company, MetLife Insurance Company of Connecticut, Union Fidelity Life
Insurance Company, Allstate Life Insurance Company, Allstate Life Insurance Company of New York, 
American Heritage Life Insurance Company, New York Life Insurance Company, New York Life 
Insurance and Annuity Corporation, New York Life Insurance and Annuity Corporation Institutionally 
Owned Life Insurance Separate Account (BOLI 30C), Forethought Life Insurance Company, Hartford
Life Insurance Company, Hartford Life and Accident Insurance Company, Hartford Fire Insurance 
Company, Physicians Life Insurance Company, Nationwide Life Insurance Company, Nationwide Life 
and Annuity Insurance Company, Massachusetts Mutual Life Insurance Company, C.M. Life Insurance 
Company, RiverSource Life Insurance Company, Thrivent Financial for Lutherans, The Lincoln National 
Life Insurance Company, The Northwestern Mutual Life Insurance Company, Jackson National Life 
Insurance Company, Allianz Life Insurance Company of North America, MONY Life Insurance 
Company, AXA Equitable Life Insurance Company, CUNA Mutual Insurance Society, Southern Farm 
Bureau Life Insurance Company, Phoenix Life Insurance Company, PHL Variable Insurance Company, 
Modern Woodmen of America, United of Omaha Life Insurance Company, Companion Life Insurance 
Company, Mutual of Omaha Insurance Company, Woodmen of the World Life Insurance Society, 
Knights of Columbus, Physicians Insurance A Mutual Company, Seabright Insurance Company and
Country Life Insurance Company, as purchasers (incorporated by reference to Exhibit 10.1 to our
current report on Form 8-K filed August 27, 2010)
First Amendment, dated as of August 13, 2015, to the Note Purchase Agreement dated as of August
18, 2010, entered into by Stericycle, Inc. and Metropolitan Life Insurance Company, MetLife Insurance 
Company of Connecticut, Union Fidelity Life Insurance Company, AllState Life Insurance Company, 
AllState Life Insurance Company of New York, American Heritage Life Insurance Company, New York
Life Insurance Company, New York Life Insurance and Annuity Corporation, New York Life Insurance 
and Annuity Corporation Institutionally Owned Life Insurance Separate Account (BOLI 30C), Hartford 
Life Insurance Company, Hartford Life and Accident Insurance Company, Hartford Fire Insurance
Company, Nationwide Life Insurance Company, Nationwide Life and Annuity Insurance Company, 
Massachusetts Mutual Life Insurance Company, C.M. Life Insurance Company, RiverSource Life
Insurance Company, Thrivent Financial for Lutherans, The Lincoln National Life Insurance Company, 
The Northwestern Mutual Life Insurance Company, Jackson National Life Insurance Company, Allianz 
Life Insurance Company of North America, AXA Equitable Life Insurance Company, Southern Farm 
Bureau Life Insurance Company, Phoenix Life Insurance Company, PHL Variable Insurance Company,
Modern Woodmen of America, United of Omaha Life Insurance Company, Companion Life Insurance 
Company, Mutual of Omaha Insurance Company, Woodmen of the World Life Insurance Society, 
Knights of Columbus, Physicians Insurance A Mutual Company, CSAA Insurance Exchange and Country 
Life Insurance Company (incorporated by reference to Exhibit 2.4 to our current report on Form 8-K
filed August 19, 2015)
Second Amendment, dated as of July 28, 2017, to the Note Purchase Agreement dated as of August
18, 2010, as amended, entered into by Stericycle, Inc. and Metropolitan Life Insurance Company, 
MetLife Insurance Company of Connecticut, Union Fidelity Life Insurance Company, AllState Life 
Insurance Company, AllState Life Insurance Company of New York, American Heritage Life Insurance 
Company, New York Life Insurance Company, New York Life Insurance and Annuity Corporation, New
York Life Insurance and Annuity Corporation Institutionally Owned Life Insurance Separate Account
(BOLI 30C), Hartford Life Insurance Company, Hartford Life and Accident Insurance Company, Hartford 
Fire Insurance Company, Nationwide Life Insurance Company, Nationwide Life and Annuity Insurance 
Company, Massachusetts Mutual Life Insurance Company, C.M. Life Insurance Company, RiverSource 
Life Insurance Company, Thrivent Financial for Lutherans, The Lincoln National Life Insurance 
Company, The Northwestern Mutual Life Insurance Company, Jackson National Life Insurance 
Company, Allianz Life Insurance Company of North America, AXA Equitable Life Insurance Company, 
Southern Farm Bureau Life Insurance Company, Phoenix Life Insurance Company, PHL Variable 
Insurance Company, Modern Woodmen of America, United of Omaha Life Insurance Company, 
Companion Life Insurance Company, Mutual of Omaha Insurance Company, Woodmen of the World
Life Insurance Society, Knights of Columbus, Physicians Insurance A Mutual Company, CSAA Insurance 
Exchange and Country Life Insurance Company (incorporated by reference to Exhibit 10.3 to our 
current report on Form 8-K filed August 2, 2017)
Third Amendment, dated as of March 23, 2018, to the Note Purchase Agreement, dated as of August
18, 2010, as amended, entered into by Stericycle, Inc. and the holders of the notes party thereto
(incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K filed March 26, 2018)

10.5*

10.6*

10.7*

10.8*

2018 10-K Annual Report

Stericycle, Inc.  •  130

PART IV

10.9*

10.10*

10.11*

Fourth Amendment, dated as of December 19, 2018, to the Note Purchase Agreement, dated as of 
August 18, 2010, as amended, entered into by Stericycle, Inc. and the holders of the notes party 
thereto (incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K filed December 
20, 2018)
Note Purchase Agreement dated as of October 22, 2012 entered into by us, as issuer and seller, and
The Northwestern Mutual Life Insurance Company, Northwestern Long Term Care Insurance Company, 
The Lincoln National Life Insurance Company, ING USA Annuity and Life Insurance Company, ING Life 
Insurance and Annuity Company, Reliastar Life Insurance Company, Reliastar Life Insurance Company 
of New York, Principal Life Insurance Company, Penn Mutual Life Insurance Company, Symetra Life 
Insurance Company, Jackson National Life Insurance Company, Reassure America Life Insurance 
Company, Aviva Life and Annuity Company, Royal Neighbors of America, Thrivent Financial for
Lutherans, AXA Equitable Life Insurance Company, MONY Life Insurance Company, RiverSource Life 
Insurance Company (944), RiverSource Life Insurance Co. of New York (904), Western-Southern Life
Assurance Company, Columbus Life Insurance Company, Integrity Life Insurance Company, Integrity
Life Insurance Company Separate Account GPO, National Integrity Life Insurance Company Separate
Account GPO, Great-West Life & Annuity Insurance Company, Great-West Life & Annuity Insurance 
Company of South Carolina, Hartford Life Insurance Company, The Guardian Life Insurance Company
of America, Modern Woodmen of America, National Life Insurance Company, Trinity Universal
Insurance Company, Catholic United Financial, Occidental Life Insurance Company of North Carolina,
Western Fraternal Life Association, Southern Farm Bureau Life Insurance Company, Woodmen of the 
World Life Insurance Society, Americo Financial Life & Annuity Insurance Company, American United
Life Insurance Company, Ameritas Life Insurance Corp. of New York, Acacia Life Insurance Company, 
The Union Central Life Insurance Company, USAA Life Insurance Company, Country Life Insurance 
Company, ProAssurance Indemnity Company, Inc, ProAssurance Casualty Company, and State of 
Wisconsin Investment Board, as purchasers (incorporated by reference to Exhibit 10.1 to our current
report on Form 8-K filed October 26, 2012)
First Amendment, dated as of August 13, 2015, to the Note Purchase Agreement dated as of October 
22, 2012, entered into by Stericycle, Inc. and The Northwestern Mutual Life Insurance Company, 
Northwestern Long Term Care Insurance Company, The Lincoln National Life Insurance Company, 
Penn Mutual Life Insurance Company, Principal Life Insurance Company, Symetra Life Insurance
Company, Jackson National Life Insurance Company, Reassure America Life Insurance Company, 
Athene Annuity and Life Company (f/k/a Aviva Life and Annuity Company), Royal Neighbors of 
America, Thrivent Financial for Lutherans, AXA Equitable Life Insurance Company, RiverSource Life 
Insurance Company, RiverSource Life Insurance Co. of New York, Western-Southern Life Assurance 
Company, Columbus Life Insurance Company, Integrity Life Insurance Company, Integrity Life 
Insurance Company Separate Account GPO, National Integrity Life Insurance Company Separate 
Account GPO, Great-West Life & Annuity Insurance Company, Great-West Life & Annuity Insurance 
Company of South Carolina, Hartford Life Insurance Company, The Guardian Life Insurance Company 
of America, Modern Woodmen of America, National Life Insurance Company, Trinity Universal
Insurance Company, Catholic United Financial, Occidental Life Insurance Company of North Carolina, 
Western Fraternal Life Association, Southern Farm Life Insurance Company, Woodmen of the World
Life Insurance Society, American United Life Insurance Company, Ameritas Life Insurance Corp. 
successor by merger to Acacia Life Insurance Company, Ameritas Life Insurance Corp. successor by 
merger to The Union Central Life Insurance Company, Ameritas Life Insurance Corp. of New York, 
USAA Life Insurance Company, Country Life Insurance Company, ProAssurance Casualty Company, 
ProAssurance Indemnity Company, Inc. and State of Wisconsin Investment Board (incorporated by 
reference to Exhibit 2.3 to our current report on Form 8-K filed August 19, 2015)

2018 10-K Annual Report

Stericycle, Inc.  •  131

PART IV

Second Amendment, dated as of July 28, 2017, to the Note Purchase Agreement dated as of October
22, 2012, as amended, entered into by Stericycle, Inc. and The Northwestern Mutual Life Insurance 
Company, Northwestern Long Term Care Insurance Company, The Lincoln National Life Insurance 
Company, Penn Mutual Life Insurance Company, Principal Life Insurance Company, Symetra Life 
Insurance Company, Jackson National Life Insurance Company, Reassure America Life Insurance 
Company, Athene Annuity and Life Company (f/k/a Aviva Life and Annuity Company), Royal Neighbors 
of America, Thrivent Financial for Lutherans, AXA Equitable Life Insurance Company, RiverSource Life
Insurance Company, RiverSource Life Insurance Co. of New York, Western-Southern Life Assurance 
Company, Columbus Life Insurance Company, Integrity Life Insurance Company, Integrity Life 
Insurance Company Separate Account GPO, National Integrity Life Insurance Company Separate
Account GPO, Great-West Life & Annuity Insurance Company, Great-West Life & Annuity Insurance 
Company of South Carolina, Hartford Life Insurance Company, The Guardian Life Insurance Company
of America, Modern Woodmen of America, National Life Insurance Company, Trinity Universal
Insurance Company, Catholic United Financial, Occidental Life Insurance Company of North Carolina,
Western Fraternal Life Association, Southern Farm Life Insurance Company, Woodmen of the World
Life Insurance Society, American United Life Insurance Company, Ameritas Life Insurance Corp. 
successor by merger to Acacia Life Insurance Company, Ameritas Life Insurance Corp. successor by 
merger to The Union Central Life Insurance Company, Ameritas Life Insurance Corp. of New York, 
USAA Life Insurance Company, Country Life Insurance Company, ProAssurance Casualty Company, 
ProAssurance Indemnity Company, Inc. and State of Wisconsin Investment Board (incorporated by
reference to Exhibit 10.4 to our current report on Form 8-K filed August 2, 2017)
Third Amendment, dated as of March 23, 2018, to the Note Purchase Agreement, dated as of October 
22, 2012, as amended, entered into by Stericycle, Inc. and the holders of the notes party thereto 
(incorporated by reference to Exhibit 10.3 to our Current Report on Form 8-K filed March 26, 2018)
Fourth Amendment, dated as of December 19, 2018, to the Note Purchase Agreement, dated as of 
October 22, 2012, as amended, entered into by Stericycle, Inc. and the holders of the notes party
thereto (incorporated by reference to Exhibit 10.3 to our Current Report on Form 8-K filed December
20, 2018)
Note Purchase Agreement dated as of April 30, 2015 entered into by Stericycle, Inc., as issuer and 
seller, and New York Life Insurance Company, New York Life Insurance and Annuity Corporation, New
York Life Insurance and Annuity Corporation Institutionally Owned Life Insurance Separate Account
(BOLI 3-2), The Northwestern Mutual Life Insurance Company, The Northwestern Life Insurance 
Company for its Group Annuity Separate Account, State Farm Life Insurance Company, State Farm Life
and Accident Assurance Company, Thrivent Financial for Lutherans, AXA Equitable Life Insurance 
Company, Great-West Life & Annuity Insurance Company, the Guardian Life Insurance Company of 
America, Metropolitan Life Insurance Company, MetLife Insurance Company USA, General American 
Life Insurance Company, First MetLife Investors Insurance Company, MetLife Insurance K.K., 
Nationwide Life Insurance Company, RiverSource Life Insurance Company, RiverSource Life Insurance 
Company, RiverSource Life Insurance Co. of New York, Life Insurance Company of the Southwest, State 
of Wisconsin Investment Board, Catholic Financial Life, GuideOne Mutual Insurance Company and 
GuideOne Property & Casualty Insurance Company (incorporated by reference to Exhibit 10.1 to our 
current report on Form 8-K filed May 4, 2015)
Second Amendment, dated as of August 13, 2015, to the Note Purchase Agreement dated as of April
30, 2015, entered into by Stericycle, Inc. and New York Life Insurance Company, New York Life 
Insurance and Annuity Corporation, New York Life Insurance and Annuity Corporation Institutionally
Owned Life Insurance Separate Account (BOLI 3-2), The Northwestern Mutual Life Insurance Company, 
The Northwestern Life Insurance Company for its Group Annuity Separate Account, State Farm Life
Insurance Company, State Farm Life and Accident Assurance Company, Thrivent Financial for
Lutherans, AXA Equitable Life Insurance Company, Great-West Life & Annuity Insurance Company, The
Guardian Life Insurance Company of America, Metropolitan Life Insurance Company, MetLife 
Insurance Company USA, General American Life Insurance Company, First MetLife Investors Insurance 
Company, MetLife Insurance K.K., Nationwide Life Insurance Company, RiverSource Life Insurance 
Company, RiverSource Life Insurance Co. of New York, Life Insurance Company of the Southwest, State 
of Wisconsin Investment Board, Catholic Financial Life, GuideOne Mutual Insurance Company and
GuideOne Property & Casualty Insurance Company (incorporated by reference to Exhibit 2.2 to our
current report on Form 8-K filed August 19, 2015)

10.12*

10.13*

10.14*

10.15*

10.16*

2018 10-K Annual Report

Stericycle, Inc.  •  132

PART IV

Third Amendment, dated as of July 28, 2017, to the Note Purchase Agreement dated as of April 30, 
2015, as amended, entered into by Stericycle, Inc. and New York Life Insurance Company, New York 
Life Insurance and Annuity Corporation, New York Life Insurance and Annuity Corporation 
Institutionally Owned Life Insurance Separate Account (BOLI 3-2), The Northwestern Mutual Life 
Insurance Company, The Northwestern Life Insurance Company for its Group Annuity Separate
Account, State Farm Life Insurance Company, State Farm Life and Accident Assurance Company, 
Thrivent Financial for Lutherans, AXA Equitable Life Insurance Company, Great-West Life & Annuity 
Insurance Company, The Guardian Life Insurance Company of America, Metropolitan Life Insurance 
Company, MetLife Insurance Company USA, General American Life Insurance Company, First MetLife 
Investors Insurance Company, MetLife Insurance K.K., Nationwide Life Insurance Company, RiverSource 
Life Insurance Company, RiverSource Life Insurance Co. of New York, Life Insurance Company of the 
Southwest, State of Wisconsin Investment Board, Catholic Financial Life, GuideOne Mutual Insurance 
Company and GuideOne Property & Casualty Insurance Company (incorporated by reference to 
Exhibit 10.5 to our current report on Form 8-K filed August 2, 2017)
Fourth Amendment, dated as of March 23, 2018, to the Note Purchase Agreement, dated as of April
30, 2015, as amended, entered into by Stericycle, Inc. and the holders of the notes party thereto
(incorporated by reference to Exhibit 10.4 to our Current Report on Form 8-K filed March 26, 2018)
Fifth Amendment, dated as of December 19, 2018, to the Note Purchase Agreement, dated as of April 
30, 2015, as amended, entered into by Stericycle, Inc. and the holders of the notes party thereto 
(incorporated by reference to Exhibit 10.4 to our Current Report on Form 8-K filed December 20, 2018)
Note Purchase Agreement dated as of October 1, 2015, entered into by Stericycle, Inc. and
Metropolitan Life Insurance Company, General American Life Insurance Company, MetLife Insurance 
Company USA, Erie Family Life Insurance Company, The Northwestern Mutual Life Insurance Company,
The Northwestern Mutual Life Insurance Company for its Group Annuity Separate Account, New York
Life Insurance Company, New York Life Insurance and Annuity Corporation, New York Life Insurance 
and Annuity Corporation Institutionally Owned Life Insurance Separate Account (BOLI 3), The Bank of 
New York Mellon, State Farm Life Insurance Company, State Farm Life and Accident Assurance
Company, Nationwide Life Insurance Company, Thrivent Financial for Lutherans, Principal Life
Insurance Company, State of Wisconsin Investment Board, Auto-Owners Insurance Company, Auto-
Owners Life Insurance Company, American United Life Insurance Company, The State Life Insurance 
Company, Ameritas Life Insurance Corp., Ameritas Life Insurance Corp. of New York, PHL Variable
Insurance Company, Woodmen of the World Life Insurance Society, Horizon Blue Cross Blue Shield of 
New Jersey and Southern Farm Bureau Life Insurance Company (incorporated by reference to Exhibit 
2.1 to our current report on Form 8-K filed. October 7, 2015)
First Amendment, dated as of July 28, 2017, to the Note Purchase Agreement dated as of October 1, 
2015, entered into by Stericycle, Inc. and Metropolitan Life Insurance Company, General American Life 
Insurance Company, MetLife Insurance Company USA, Erie Family Life Insurance Company, The
Northwestern Mutual Life Insurance Company, The Northwestern Mutual Life Insurance Company for
its Group Annuity Separate Account, New York Life Insurance Company, New York Life Insurance and 
Annuity Corporation, New York Life Insurance and Annuity Corporation Institutionally Owned Life 
Insurance Separate Account (BOLI 3), The Bank of New York Mellon, State Farm Life Insurance 
Company, State Farm Life and Accident Assurance Company, Nationwide Life Insurance Company, 
Thrivent Financial for Lutherans, Principal Life Insurance Company, State of Wisconsin Investment
Board, Auto-Owners Insurance Company, Auto-Owners Life Insurance Company, American United Life 
Insurance Company, The State Life Insurance Company, Ameritas Life Insurance Corp., Ameritas Life 
Insurance Corp. of New York, PHL Variable Insurance Company, Woodmen of the World Life Insurance 
Society, Horizon Blue Cross Blue Shield of New Jersey and Southern Farm Bureau Life Insurance 
Company (incorporated by reference to Exhibit 10.6 to our current report on Form 8-K filed August 2, 
2017)
Second Amendment, dated as of March 23, 2018, to the Note Purchase Agreement, dated as of 
October 1, 2015, as amended, entered into by Stericycle, Inc. and the holders of the notes party
thereto (incorporated by reference to Exhibit 10.5 to our Current Report on Form 8-K filed March 26, 
2018)
Third Amendment, dated as of December 19, 2018, to the Note Purchase Agreement, dated as of 
October 1, 2015, as amended, entered into by Stericycle, Inc. and the holders of the notes party 
thereto (incorporated by reference to Exhibit 10.5 to our Current Report on Form 8-K filed December 
20, 2018)
2000 Non-statutory Stock Option Plan ("2000 Plan") (incorporated by reference to Exhibit 10.13 to our
annual report on Form 10-K for 2001)

10.17*

10.18*

10.19*

10.20*

10.21*

10.22*

10.23*

10.24*†

2018 10-K Annual Report

Stericycle, Inc.  •  133

PART IV

x
x

10.25*†

10.26*†

10.27*†

10.28*†

10.29*†

10.30*†

10.31*†

10.32*†

10.33*†

10.34*†

10.35*†

10.36†

10.37*†

10.38*†

10.39*†

10.40*†

10.41*†

10.42*†

10.43*†

10.44*†

10.45*†

10.46†
10.47†

10.48*†

10.49*†

10.50†

10.51*†

10.52*†

10.53*†

First amendment to 2000 Plan (incorporated by reference to Exhibit 10.14 to our annual report on 
Form 10-K for 2001)
Second amendment to 2000 Plan (incorporated by reference to Exhibit 10.15 to our annual report on
Form 10-K for 2001)
Third amendment to 2000 Plan (incorporated by reference to Exhibit 4.2 to our registration statement
on Form S-8 filed December 20, 2002 (Registration No. 333-102097))
2005 Incentive Stock Plan ("2005 Plan") (incorporated by reference to Exhibit 4.1 to our registration 
statement on Form S-8 filed August 9, 2005 (Registration No. 333-127353))
First amendment to 2005 Plan (incorporated by reference to Exhibit 10.15 to our annual report on 
Form 10-K for 2008)
2008 Incentive Stock Plan ("2008 Plan") (incorporated by reference to Exhibit 4.1 to our registration 
statement on Form S-8 filed August 8, 2008 (Registration No. 333-152877))
First amendment to 2008 Plan (incorporated by reference to Exhibit 10.19 to our annual report on 
Form 10-K for 2009)
Amendment to 2000 Plan, 2005 Plan and 2008 Plan (incorporated by reference to Exhibit 10.21 to our
annual report on Form 10-K for 2012)
2011 Incentive Stock Plan ("2011 Plan") (incorporated by reference to Exhibit 4.1 to our registration 
statement on Form S-8 filed August 9, 2011 (Registration No. 333-176165))
2014 Incentive Stock Plan ("2014 Plan") (incorporated by reference to Exhibit 4.1 to our registration 
statement on Form S-8 filed December 23, 2014 (Registration No. 333-201236))
Stericycle, Inc. 2017 Long-Term Incentive Plan ("2017 Plan") (incorporated by reference to Exhibit B to 
our Definitive Proxy Statement on Schedule 14A filed April 14, 2017)
Form of agreement for stock option grant under 2005, 2008, 2011 and 2014 Plans (incorporated by
reference to Exhibit 10.20 to our annual report on Form 10-K for 2011)
Form of agreement for restricted stock unit award under 2008, 2011 and 2014 Plans (incorporated by 
reference to Exhibit 10.21 to our annual report on Form 10-K for 2011)
Form of agreement for performance-based restricted stock unit award under 2011 and 2014 Plans 
(incorporated by reference to Exhibit 10.24 to our annual report on Form 10-K for 2016)
Form of Agreement for Stock Option Grant under 2008 Plan (incorporated by reference to Exhibit 10.1 
to our Current Report on Form 8-K filed March 15, 2018)
Form of Agreement for Stock Option Grant under 2011 Plan (incorporated by reference to Exhibit 10.2 
to our Current Report on Form 8-K filed March 15, 2018)
Form of Agreement for Stock Option Grant under 2014 Plan (incorporated by reference to Exhibit 10.3 
to our Current Report on Form 8-K filed March 15, 2018)
Form of Agreement for Stock Option Grant under 2017 Plan (incorporated by reference to Exhibit 10.4 
to our Current Report on Form 8-K filed March 15, 2018)
Form of Agreement for Restricted Stock Unit Award under 2017 Plan (incorporated by reference to
Exhibit 10.5 to our Current Report on Form 8-K filed March 15, 2018)
Form of Agreement for Performance-Based Restricted Stock Unit Award under 2017 Plan 
(incorporated by reference to Exhibit 10.6 to our Current Report on Form 8-K filed March 15, 2018)
Form of Agreement for Performance-Based Restricted Stock Unit Award (Business Transformation) 
under 2017 Plan (incorporated by reference to Exhibit 10.7 to our Current Report on Form 8-K filed 
March 15, 2018)
Form on Agreement of Stock Option Grant under 2017 Plan
Form on Agreement of Stock Option Grant under 2017 Plan
Bonus conversion program (2018 plan year) (incorporated by reference to Exhibit 10.28 to our annual
report on Form 10-K for 2017)
Amended and Restated Employee Stock Purchase Plan effective May 24, 2017 (incorporated by 
reference to Exhibit A to our Definitive Proxy Statement on Schedule 14A filed April 14, 2017)
Canadian Employee Stock Purchase Plan (incorporated by reference to Exhibit A to our Definitive
Proxy Statement on Schedule 14A filed April 15, 2016)
Plan of Compensation for Outside Directors (incorporated by reference to Exhibit 10.1 to our quarterly 
report on Form 10-Q filed August 9, 2016)
Form of Director Restricted Stock Unit Award under 2017 Plan (incorporated by reference to Exhibit
10.32 to our annual report on Form 10-K for 2017)
Form of Indemnification Agreement for Directors and Officers (incorporated by reference to Exhibit
10.29 to our annual report on Form 10-K for 2016)

2018 10-K Annual Report

Stericycle, Inc.  •  134

10.54*†

10.55*†

14*
21
23
31.1
31.2
32

99.1

101.INS

101.SCH

101.CAL

101.DEF

101.LAB

101.PRE

Executive Severance and Change in Control Plan (incorporated by reference to Exhibit 10.1 to our
current report on Form 8-K filed August 30, 2016)
Supplemental Retirement Plan (incorporated by reference to Exhibit 10.1 to our current report on 
Form 8-K filed December 30, 2016)
Code of ethics (incorporated by reference to Exhibit 10.14 to our annual report on Form 10-K for 2003)
Subsidiaries
Consent of Independent Registered Public Accounting Firm
Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer
Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer
Section 1350 Certification of Chief Executive Officer and Chief Financial Officer
Settlement Agreement dated October 17, 2017 (incorporated by reference to Exhibit 99.1 to our
Current Report on Form 8-K filed October 18, 2017)

XBRL Instance Document

XBRL Taxonomy Extension Schema Document

SBRL Taxonomy Extension Calculation Linkbase Document

XBRL Taxonomy Definition Linkbase Document

XBRL Taxonomy Extension Label Linkbase Document

XBRL Taxonomy Extension Presentation Linkbase Document

x
*
†

Filed herewith
Previously filed
Management contract or compensatory plan required to be filed pursuant to Item 601 of Regulation S-K

Item 16. Form 10-K Summary

None.

PART IV

x
x
x
x
x

x

x

x

x

x

x

2018 10-K Annual Report

Stericycle, Inc.  •  135

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this
report to be signed on its behalf by the undersigned, thereunto duly authorized.

SIGNATURES

SIGNATURES

Dated: February 28, 2019

STERICYCLE, INC.
(Registrant)
By:    /s/ DANIEL V. GINNETTI
Daniel V. Ginnetti
Executive Vice President and Chief Financial Officer 

STERICYCLE, INC.
(Registrant)
By:    /s/ Richard J. Hoffman
Richard Hoffman
Senior Vice President and Chief Accounting
Officer 

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below
by the following persons on behalf of the Registrant and in the capacities and on the dates indicated.

Dated: February 28, 2019

Name

Title

Date

/s/    CHARLES A. ALUTTO
Charles A. Alutto

/s/    DANIEL V. GINNETTI
Daniel V. Ginnetti

/s/    RICHARD J. HOFFMAN
Richard J. Hoffman

/s/   ROBERT S. MURLEY
Robert S. Murley

/s/    BRIAN P. ANDERSON
Brian P. Anderson

/s/    LYNN D. BLEIL
Lynn D. Bleil

/s/    THOMAS D. BROWN
Thomas D. Brown

/s/    THOMAS F. CHEN
Thomas F. Chen

Chief Executive Officer and Director (Principal Executive 
Officer)

February 28, 2019

Executive Vice President and Chief Financial Officer (Principal 
Financial Officer)

February 28, 2019

Senior Vice President and Chief Accounting Officer (Principal 
Accounting Officer)

February 28, 2019

Chairman of the Board of Directors

February 28, 2019

Director

Director

Director

Director

February 28, 2019

February 28, 2019

February 28, 2019

February 28, 2019

2018 10-K Annual Report

Stericycle, Inc.  •  136

/s/    VERONICA M. HAGEN
Veronica M. Hagen

/s/    CINDY J. MILLER
Cindy J. Miller

/s/    MARK C. MILLER
Mark C. Miller

/s/    KAY G. PRIESTLY
Kay G. Priestly

/s/    MIKE S. ZAFIROVSKI
Mike S. Zafirovski

Director

Director

Director

Director

Director

SIGNATURES

February 28, 2019

February 28, 2019

February 28, 2019

February 28, 2019

February 28, 2019

2018 10-K Annual Report

Stericycle, Inc.  •  137

2018 ANNUAL REPORT

Our Company  
At A Glance

Stericycle is a global business-to-business services company. We provide 
an array of highly specialized solutions serving healthcare organizations 
and commercial businesses of every size. 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, such as:

•  Regulated waste management and compliance solutions

•  Secure information destruction 

•  Environmental and sustainable solutions 

•  Brand protection solutions

•  Patient and customer communication solutions

Every organization today must comply with increasingly strict 
regulatory requirements and quality controls in the delivery of their 
core products or services. Large or small, businesses can’t always 
do it on their own. They seek out Stericycle to help them. We have the 
expertise and passion to take on many complicated and often  
behind-the-scenes services our clients don’t always know how to do  
well but that ultimately make their businesses better.

O U R   P U R P O S E :

To help our customers fulfill their  
promises by providing solutions  
that protect people and brands,  
promote health and safeguard  
the environment.

1989

FOUNDED IN 1989 

HEADQUARTERS 
LAKE FOREST, IL

2018 REVENUE OF  
$3.5 BILLION

640+ locations 
IN 21 COUNTRIES

MORE THAN 
ONE MILLION CUSTOMERS 
WORLDWIDE

22,500+ 
TEAM MEMBERS

2018 ANNUAL REPORT

Stericycle’s Global  
Sustainability Highlights

Stericycle provides essential sustainability services that help protect communities from harmful wastes, 
enable recycling and alternative use opportunities, and lead to greater consumer safety and satisfaction. 
Here is sample of the global impact we made in 2018 to protect what matters:

Medical Waste Management

1.8 BILLION POUNDS 
of Medical Waste Safely Treated

Secure Information Destruction

1.5 BILLION POUNDS  
 of Paper Recycled

Pharmaceutical Waste Disposal

85 MILLION POUNDS 
 of Drugs Safely Disposed

Hazardous Waste Service

1.2 BILLION POUNDS 
of RCRA Wastes Properly Managed

Sharps Management

56 MILLION POUNDS 
 of Plastic Diverted from Landfills

Sustainable Solutions

84 MILLION POUNDS 
of Wastes Diverted from Landfills

Maritime Solutions

83 MILLION POUNDS 
of Maritime Wastes Diverted from Landfills

Learn more about our sustainability efforts at  
stericycle.com/about-us/sustainability.

2018 ANNUAL REPORT

Corporate Information

C O M P A N Y   H E A D Q U A R T E R S

I N V E S T O R   R E L A T I O N S

Stericycle, Inc.
28161 North Keith Drive
Lake Forest, IL 60045 
800-643-0240 
stericycle.com

For information on the company, additional copies 
of this Annual Report or other information, please 
contact Stericycle at Investor@stericycle.com or  
800-643-0240 ext. 2012. You may also visit the 
Investor section on the Company website at  
Investors.stericycle.com.

I N D E P E N D E N T   A U D I T O R S

A N N U A L   M E E T I N G

Ernst & Young LLP 
155 N. Wacker Drive
Chicago, Illinois 60606

The annual meeting of stockholders will be held  
at 8:30am CT on Wednesday, May 22, 2019 at: 
Loews Chicago O’Hare Hotel
5300 North River Road
Rosemont, IL 60018

T R A N S F E R   A G E N T

N A S D A Q®   S Y M B O L

EQ Shareowner Services 
1110 Centre Pointe Curve, Suite #101 
Mendota Heights, MN 55120-4100

SRCL

S A F E   H A R B O R   S T A T E M E N T

This document may contain forward-looking statements that involve risks and uncertainties, some of which are beyond our control (for example, general economic 

and market conditions). In particular, statements pertaining to our acquisition activity, business transformation, future dividend policy, capital expenditures, cost 

savings initiatives and remediation efforts with respect to identified material weaknesses contain forward-looking statements.  When we use words such as “believes,” 

“expects,” “anticipates,” “estimates” or similar expressions, we are making forward-looking statements. Actual results could differ significantly from the results 

described here. Factors that could cause such differences include 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 ERP or execute on Business Transformation initiatives and achieve 

the anticipated benefits and cost savings, charges related to the portfolio rationalization strategy or the failure of this strategy to achieve the desired results, failure 

to consummate a strategic alternative transaction with respect to Communication and Related Services or other non-core businesses, potential charges related to a 

strategic alternative transaction with respect to Communication and Related Services, or the failure of any such transaction to achieve desired results, the obligations 

to service substantial indebtedness and comply with the covenants and restrictions contained in private placement notes and credit agreements, political, economic, 

inflationary, currency and other risks related to our foreign operations, the outcome of pending or future litigation including litigation with respect to the U.S. Foreign 

Corrupt Practices Act, changing market conditions in the healthcare industry, competition and demand for services in the regulated waste and secure information 

destruction industries, changes in the demand and price for recycled paper, failure to maintain an effective system of internal control over financial reporting, delays in 

implementing remediation efforts with respect to existing material weakness, identification of additional material weaknesses, failure of current remediation efforts to 

address existing material weaknesses, disruptions in or attacks on information technology systems, as well as other factors described in 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. To the extent 

permitted under applicable law, we make no commitment to disclose any subsequent revisions to forward-looking statements.

28161 N. Keith Drive
Lake Forest, IL 60045

800-643-0240 | stericycle.com

© 2019 Stericycle, Inc. All rights reserved.