Quarterlytics / Industrials / Waste Management / Stericycle

Stericycle

srcl · NASDAQ Industrials
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Ticker srcl
Exchange NASDAQ
Sector Industrials
Industry Waste Management
Employees 10,000+
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FY2021 Annual Report · Stericycle
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ANNUAL REPORT20211

2

Dear Fellow Stockholders:In 2021, we continued to execute on our five key business priorities while driving year-over-year organic revenue growth of 5.4%. We completed two additional international divestitures and our first North American Regulated Waste and Compliance Services (“RWCS”) acquisition in over three years. We also deployed a significant portion of our North America ERP system. Additionally, we made progress in our Environmental, Social and Governance (“ESG”) journey, measurably improving our safety metrics and achieving a B- rating in our first CDP Climate Survey Change submission. I’d like to thank all of our team members and especially our front-line workers for protecting what matters. Like many organizations in 2021, we were faced with the impact of COVID-19 related illnesses tied to the Delta and Omicron variants, supply chain disruptions, inflationary cost pressures, and labor shortages. However, through these extraordinary times, our team members came together to support our customers, helping to keep the health care network running. EXECUTING ON KEY BUSINESS PRIORITIESDuring 2021, we achieved important benefits through our five key business priorities, including: • Quality of revenue:  Generated organic revenue growth of 5.4%1, including RWCS organic revenue growth of 5.6%1 and Secure Information Destruction (“SID”) organic revenue growth of 5.0%1.• Operational efficiency, modernization and innovation:  Completed a comprehensive, long-term facility planning process to enable us to optimize our facilities with a strategic and standardized operating model. We are analyzing processing capabilities, plant and transportation equipment needs, team member requirements, and potential customer implications or benefits. As part of this initiative, in 2021, we opened three new regulated waste operating facilities, upgraded five autoclave facilities, and completed 13 non-autoclave facility modernization projects.• ERP implementation:  Completed deployment of the North America ERP system for the SID business, finance and procurement processes.• Debt reduction and leverage improvement:  Reduced net debt by $173.8 million to $1.57 billion and renewed our Credit Agreement. • Portfolio optimization:  Executed two divestitures, including the divestiture of our Japan business for $11.3 million and our Canadian Environmental Solutions business for $24.4 million. We have now completed 10 divestitures since January 2019. We also completed our first acquisition of a regulated waste business in over three years for $43.4 million.ENVIRONMENTAL, SOCIAL AND GOVERNANCEIn 2021, we issued our latest Corporate Social Responsibility Report and submitted our first CDP Climate Change Survey, achieving a B- rating. Additional 2021 ESG advancements included: A Message from Cindy J. Miller4

2Net debt is calculated as total debt less cash and cash

 q
q. 
equivalents

• Continued to focus on improving safety across our business with Company-wide initiatives. Focused on  gender, racial and ethnic diversity, equity and inclusion with approximately 23% of our global team members self-identifying as women and approximately 54% of our U.S. employees self-identifying as being from a racial or ethnic minority category. • Entered into a 5-year partnership with the National Park Foundation to support wetland restoration.• Through our environmental impact initiatives, we help keep communities safer, make our oceans and waterways cleaner, reduce demand for landfill space, guard against identity theft, and reduce the need  to harvest trees for virgin pulp. In 2021, we - Treated 1.5 billion pounds of medical waste,- Diverted 104 million pounds of plastic from landfills,- Disposed of 40 million pounds of unused pharmaceuticals, and- Recycled 1.1 billion pounds of paper.LOOKING AHEADWe have another ambitious year ahead, as we continue executing on our five key business priorities. This includes driving organic revenue growth, further modernizing our operations infrastructure, beginning to deploy the ERP to North America RWCS, reducing debt and improving leverage, and remaining committed to portfolio optimization. Looking ahead, I am excited about our leadership position in the markets we serve, the strength and resiliency of our global workforce and our ability to execute across our five key business priorities as we continue to transform Stericycle.Thank you for your interest and continued support of Stericycle.Sincerely,Cindy J. MillerPresident and Chief Executive Officer2021 Financial Highlights($ millions except for EPS)Revenue:$2,646.9Income from Operations:$72.3Adjusted Income from Operations3:$352.4Diluted EPS:$(0.30)Adjusted Diluted EPS3:$2.19Cash Flow from Operations:$303.1Free Cash Flow:$186.2ANNUAL REPORT 20211 For a description of the relationship of Organic Revenue to Revenue, please refer to “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included herein.3Reconciliation of U.S. GAAP to Non-GAAP measures can be found in our February 24, 2022, Form 8-K. 4Free Cash Flow is calculated as Net cash from operating activities less Capital expenditures.BOARD OF DIRECTORSRobert S. Murley ChairmanCindy J. MillerPresident and Chief Executive Officer Member – Operations, Safety and Environmental CommitteeBrian P. Anderson Chair – Audit CommitteeLynn D. Bleil Chair – Nominating and Governance CommitteeMember – Compensation and Human Capital Committee Thomas F. Chen Member – Compensation and Human Capital Committee Member – Nominating and Governance CommitteeJ.Joel Hackney, Jr.Member – Nominating and Governance CommitteeVeronica M. Hagen Member – Audit Committee  Member – Operations, Safety and Environmental CommitteeStephen C. Hooley Chair – Compensation and Human Capital Committee  Member – Audit Committee  Member – Operations, Safety and Environmental CommitteeJames J. MartellMember – Compensation and Human Capital Committee  Member – Operations, Safety and Environmental CommitteeKay G. Priestly Member – Audit CommitteeJames L. Welch Chair – Operations, Safety and Environmental Committee Member – Audit CommitteeMike S. Zafirovski Member – Compensation and Human Capital CommitteeMember – Nominating and Governance CommitteeDirectors and Executive ManagementEXECUTIVE OFFICERSCindy J. MillerPresident and Chief Executive OfficerJanet H. ZelenkaExecutive Vice President, Chief Financial Officer   and Chief Information OfficerS.Cory WhiteExecutive Vice President and Chief Commercial OfficerJoseph A. ReuterExecutive Vice President and Chief People OfficerDominic CulottaExecutive Vice President and Chief Transformation OfficerMichael S. Weisman Executive Vice President and Chief Ethics and Compliance OfficerRichard M. MooreExecutive Vice President of North American OperationsDaniel V. GinnettiExecutive Vice President, InternationalKurt M. RogersExecutive Vice President, General Counsel and Corporate Secretary ANNUAL REPORT 2021UNITED STATES SECURITIES AND EXCHANGE COMMISSION 
Washington, D.C. 20549 
________________________________________________________________________ 
FORM 10-K 
________________________________________________________________________ 

☒☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT
OF 1934 
For the fiscal year ended December 31, 2021 
or 
☐☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE
ACT OF 1934 
For the transition period from             to 
Commission File Number 1-37556 
________________________________________________________________________ 

Stericycle, Inc. 

(Exact name of registrant as specified in its charter) 
________________________________________________________________________ 
36-3640402
(IRS Employer Identification Number) 

Delaware 
(State or other jurisdiction of incorporation 
or organization) 

2355 Waukegan Road 
Bannockburn, Illinois 60015 
(Address of principal executive offices, including zip code) 
(847) 367-5910
(Registrant’s telephone number, including area code) 
________________________________________________________________________ 
Securities registered pursuant to Section 12(b) of the Act: 

Title of each class 

Trading Symbol(s) 

Common Stock, par value $0.01 per 
share

SRCL 

Name of each exchange on which 
registered 
Nasdaq Global Select Market 

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 x No ¨ 
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  No x 
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15-(d) of the Securities 
Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such 
reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x No ¨ 
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted 
pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period 
that the registrant was required to submit such files). Yes x No 
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller 
reporting  company,  or  an  emerging  growth  company.  See  the  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 ☒
Smaller reporting company ☐

Accelerated filer ☐
Emerging Growth Company ☐
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for 
complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨ 
Indicate  by  check  mark  whether  the  registrant  has  filed  a  report  on  and  attestation  to  its  management’s  assessment  of  the 
effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C 7262(b)) 
by the registered public accounting firm that prepared or issued its audit report. ☒
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). YES ☐ NO x
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, 2021): $6,569,387,076. 
On February 22, 2022 there were 91,913,507 shares of the Registrant’s Common Stock outstanding. 

Non-accelerated filer ☐

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 2022 Annual Meeting of Stockholders. 

 
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.  [Reserved] 
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 
Item 9C. Disclosures Regarding Foreign Jurisdictions that Prevent Inspections 

 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 
Item 16.  Form 10-K Summary 

 SIGNATURES 

Page No. 

6 
20 
31 
31 
31 
31 

32 

32 
33
48
49
88
88
90
90

91
91

91

92 
92

93
96 

97 

PART I 

Glossary of Defined Terms 
Unless the context requires otherwise, the “Company”, “Stericycle”, "we", "us", or "our" refers to Stericycle, Inc. on a 
consolidated basis. The Company also uses several other terms in this Annual Report on Form 10-K, most of which 
are explained or defined below: 
Description
Abbreviation

2021 Form 10-K

Annual report on Form 10-K for the year ended December 31, 2021

Adjusted Income from 
Operations

Income from Operations adjusted for certain items discussed in Item 7. Management's Discussion and Analysis of Financial 
Condition and Results of Operations

APHIS

ARP Act

ASU

Buyer

CAA 2021

Canada ESPP

CARES Act

CDC

CFC

Clean Air Act

COR

Animal and Plant Health Inspection Service

American Rescue Plan Act of 2021

Accounting Standards Update

Harsco Corporation and CEI Holding LLC, a Delaware limited liability company and subsidiary of Harsco Corporation

Consolidated Appropriations Act, 2021

Canadian Employee Stock Purchase Plan, which was approved by stockholders in May 2016

U.S. Coronavirus Aid, Relief, and Economic Security Act enacted into law on March 27, 2020

U.S. Center for Disease Control

Controlled Foreign Corporation 

The Clean Air Act of 1970

Cost of Revenues

COSO Framework

Internal Control Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission

COVID-19

Credit Agreement

The global novel coronavirus disease 2019 outbreak, which the World Health Organization declared as to be a pandemic

Credit Agreement dated September 30, 2021 by and among the Company and certain of its subsidiaries named therein, Bank of 
America, N.A., as administrative agent, and the other financial institutions party thereto

Credit Agreement Defined 
Debt Leverage Ratio

As of any date of determination, the ratio of (a) (i) Consolidated Funded Indebtedness as of such date minus (ii) Unrestricted Cash 
as of such date to (b) Consolidated EBITDA for the period of four fiscal quarters most recently ended on or prior to such date.

Credit Facility

The Company's $1.2 billion credit facility due in September of 2026 granted under the terms of the Credit Agreement

CRS

DCF

DEA

Communication and Related Services

Discounted Cash Flows

Drug Enforcement Administration. The Drug Enforcement Administration (DEA) is a division of the US Department of Justice. It is 
the federal agency which regulates the manufacture, dispensing, storage, and shipment of controlled substances including 
medications with human abuse potential. 

Disposal Group

The divestiture of Domestic Environmental Solutions

DOJ

U.S. Department of Justice

Domestic Environmental 
Solutions

Hazardous Waste Solutions and Manufacturing and Industrial Services

DOT

U.S. Department of Transportation

DOT Recordable Accident

DSO

DTSC

EBITDA

EHS

EPA

EPS

ERISA

ERP

ESPP

EU

A DOT Recordable Accident is defined as any accident involving a commercial motor vehicle in which there was a fatality involved; 
there was a bodily injury in which a person received emergency medical attention away from the scene of the accident; or one or 
more vehicles involved in the accident had to be towed away from the scene.  The accident rate is calculated by multiplying DOT 
Recordable Accidents by 1,000,000 and dividing by total miles driven ((DOT Accidents x 1,000,000)/miles).

Days Sales Outstanding, defined as the average number of days that it takes a company to collect payment after revenue has been 
recorded, computed as the trailing twelve months of Revenues for the period ended DSO, divided by the Accounts Receivable 
balance at the end of the period.

Department of Toxic Substances Control

Earnings Before Interest, Taxes, Depreciation & Amortization. Another common financial term utilized by Stericycle to analyze the 
core profitability of the business before interest, tax, depreciation and amortization.

Environmental, Health and Safety

U.S. Environmental Protection Agency

Earnings (Loss) per share

U.S. Employee Retirement Income Security Act of 1974, as amended by the Multi-Employer Pension Amendments Act of 1980

Enterprise Resource Planning

Employee Stock Purchase Plan, which was approved by stockholders in May 2001 (as amended and restated in May 2017)

European Union

Exchange Act

Expert Solutions

U.S. Securities Exchange Act of 1934

Recall and Return Services

FACTA

FASB

FCPA

FMCSA

GDPR

GILTI

GPO

HIPAA

U.S. Fair and Accurate Credit Transaction Act

Financial Accounting Standards Board

U.S. Foreign Corrupt Practices Act

U.S. Federal Motor Carrier Safety Administration

Global Data Protection Regulation

Global Intangible Low-Taxed Income

Group Purchasing Organization

Health Insurance Portability and Accountability Act

2021 10-K Annual Report 

Stericycle, Inc.  •  3 

PART I 

HSA

IATA

IDN

Indenture

International

IRS

ISO

LATAM

LWIR

Healthcare Service Agreement with Buyer

International Air Transport Association

Integrated Delivery Network

Indenture, dated as of June 14, 2019 between the Company, the guarantors named therein and U.S. Bank National Association, as 
trustee
Operating segment including Europe, Middle East, Asia Pacific and Latin America Business operations outside of North America

U.S. Internal Revenue Service

Incentive Stock Options

Latin America (including Mexico)

Lost Workday Incident Rate ("LWIR") is the number of recordable workplace injuries (as defined by OSHA, excluding COVID-19 
cases) that resulted in an employee being unable to return to work, per 100 employees. These injuries are a more severe subset of 
the total recordable injuries. LWIR is calculated by multiplying the total number of lost time recordable workplace injuries by 200,000 
and dividing by the total hours worked ((lost time injuries x 200,000) / hours). 

M&I

Manufacturing and Industrial

North America

Operating segment in North America, including Puerto Rico

NAID

NOL

NSO

OSHA

National Association for Information Destruction

Net Operating Losses 

Non-statutory Stock Options

U.S. Occupational Safety and Health Act of 1970

Other Costs

Represents corporate enabling and shared services functions costs, annual incentive and stock-based compensation

Pension Protection Act

Pension Protection Act of 2006

PFA

PHMSA

Plans

PPE

PSU

Pre-filing agreement with the IRS

U.S. Pipeline Hazardous Materials Safety Administration

2021, 2017, 2014, 2011, 2008, and 2005 Incentive Stock Plans

Property, Plant & Equipment

Performance-based Restricted Stock Unit

Purchase Agreement

Stock Purchase Agreement, dated as of February 6, 2020, by and between Stericycle, Inc., and the Buyer

RCRA

U.S. Resource Conservation and Recovery Act of 1976

Retained Business

The Company's healthcare hazardous waste services and unused consumer pharmaceuticals take-back services

ROU

RSU

RWCS

S&P

SEC

Right-of-Use

Restricted Stock Unit

Regulated Waste and Compliance Services

Standard & Poor's

U.S. Securities and Exchanges Commission

Senior Notes

5.375% ($600.0 million) Senior Notes due July 2024 and 3.875% ($500.0 million) Senior Notes due January 2029

Series A

SG&A

SID

SOP

Series A Mandatory Convertible Preferred Stock, par value $0.01 per share

Selling, general and administrative expenses

Secure Information Destruction

Sorted Office Paper

SQ Settlement

Small quantity medical waste customers class action settlement of $295.0 million

TAS

Tax Act

Term Facility

Term Loans

Transaction

TRIR

TSA

U.K.

U.S.

USDA

U.S. GAAP

UPS

WOTC

Telephone Answering Services

U.S. Tax Cuts and Jobs Act of 2017 

Aggregate amount of commitments made by any lender under the terms of the Credit Agreement

Advances made by any lender under the Term Facility

Purchase of the ESOL Disposal Group by Buyer subject to the terms and conditions of the Purchase Agreement

The number of workplace injuries that resulted in treatment beyond first aid (as defined by OSHA, excluding COVID-19 cases) per 
100 employees. Total Recordable Injury Rate (TRIR) is calculated by multiplying the total number of recordable workplace injuries 
or illnesses by 200,000 and dividing by the total hours worked ((Injuries x 200,000) / Hours).

Transition Services Agreement

United Kingdom

United States of America

United States Department of Agriculture

U.S. Generally Accepted Accounting Principles

United Parcel Service, Inc.

Work Opportunity Tax Credit

2021 10-K Annual Report 

Stericycle, Inc.  •  4 

PART I 

PART I 
Disclosure Regarding Forward-Looking Statements 

This document may contain forward-looking statements as defined in the Private Securities Litigation Reform Act of 
1995.  When  we  use  words  such  as  “believes”,  “expects”,  “anticipates”,  “estimates”,  “may”,  “plan”,  “will”,  “goal”,  or 
similar  expressions,  we  are  making  forward-looking  statements.  Forward-looking  statements  are  prospective  in 
nature and are not based on historical facts, but rather on current expectations and projections of our management 
about future events and are therefore subject to risks and uncertainties, which could cause actual results to differ 
materially from the future results expressed or implied by the forward-looking statements. Factors that could cause 
such differences include, among others, developments in the COVID-19 pandemic and the resulting impact on the 
results of operations, long-term remote work arrangements, which may adversely affect our business, precautions 
we have taken to safeguard the health and safety of our team members which may make certain of our business 
processes less efficient, measures taken by governmental authorities to prevent the spread of the COVID-19 virus 
which could disrupt our supply chain, result in disruptions in transportation services and restrictions on the ability of 
our  team  members  to  travel,  result  in  temporary  closure  of  our  facilities  or  the  facilities  of  our  customers  and 
suppliers,  affect  the  volume  of  paper  processed  by  our  secure  information  destruction  business  and  the  revenue 
generated from the sale of SOP, inflation, labor shortages, disruptions in our relationships with our team members 
as a result of certain cost-saving measures, an economic disruption in the U.S. and other countries resulting from 
the outbreak of the COVID-19 virus, changing market conditions in the healthcare industry, competition and demand 
for  services  in  the  regulated  waste  and  secure  information  destruction  industries,  SOP  pricing  volatility,  foreign 
exchange  rate  volatility  in  the  jurisdictions  in  which  we  operate,  changes  in  governmental  regulation  of  the 
collection,  transportation,  treatment  and  disposal  of  regulated  waste  or  the  proper  handling  and  protection  of 
personal  and  confidential  information,  the  level  of  government  enforcement  of  regulations  governing  regulated 
waste  collection  and  treatment  or  the  proper  handling  and  protection  of  personal  and  confidential  information, 
decreases in the volume of regulated wastes or personal and confidential information collected from customers, the 
ability to implement our new ERP system, and disruptions resulting from deployment of our ERP system, disruptions 
in  our  supply  chain,  disruptions  in  or  attacks  on  information  technology  systems,  charges  related  to  portfolio 
optimization  or  the  failure  of  divestitures  to  achieve  the  desired  results,  failure  to  consummate  transactions  with 
respect to non-core businesses, the obligations to service substantial indebtedness and comply with the covenants 
and  restrictions  contained  in  our  credit  agreements  and  notes,  a  downgrade  in  our  credit  rating  resulting  in  an 
increase in interest expense, political, economic, inflationary and other risks related to our foreign operations, the 
outcome  of  pending  or  future  litigation  or  investigations  including  with  respect  to  the  FCPA,  weather  and 
environmental  changes  related  to  climate  change,  requirements  of  customers  and  investors  for  net  carbon  zero 
emissions  strategies,  and  the  introduction  of  regulations  for  greenhouse  gases,  which  could  negatively  affect  our 
costs to operate, failure to maintain an effective system of internal control over financial reporting, as well as other 
factors described in our filings with the SEC, including this 2021 Form 10-K and subsequent Quarterly Reports on 
Form  10-Q.  As  a  result,  past  financial  performance  should  not  be  considered  a  reliable  indicator  of  future 
performance, and investors should not use historical trends to anticipate future results or trends. We disclaim any 
obligation  to  update  or  revise  any  forward-looking  or  other  statements  contained  herein  other  than  in  accordance 
with legal and regulatory obligations. 

2021 10-K Annual Report 

Stericycle, Inc.  •  5 

PART I 

Item 1. Business 

Overview 

Company Overview 

Stericycle is a global business-to-business services company. We provide an array of highly specialized solutions 
that protect the health and well-being of the people and places around us in a safe, responsible, and sustainable 
way. Since our founding in 1989, we have grown from a small start-up in medical waste management into a leader 
across  a  range  of  increasingly  complex  and  highly  regulated  arenas,  serving  healthcare  organizations  and 
commercial businesses of every size through Regulated Waste and Compliance Services and Secure Information 
Destruction Services. 

Through  our  family  of  brands,  Stericycle  serves  customers  in  the  U.S.  and  16  other  countries  worldwide  with 
solutions  for  Regulated  Waste  and  Compliance  Services  and  Secure  Information  Destruction  Services.  To  our 
customers, team members and the communities we serve, Stericycle is a company that protects what matters. 

Our service offerings appeal to a wide range of 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.  

Segments 

Our operating segments as of December 31, 2021 are North America and International. 

Financial  and  other  information  related  to  our  reporting  segments  is  included  in  Part  II,  Item  7.  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. 

Services   

Within our operating segments, our revenues are further broken down into these service categories: 

Revenue Service Category 

Services Offered 

Regulated Waste and 
Compliance Services 

• Regulated waste management services (including Sharps
Disposable and Management Solutions)

• Compliance programs (including Steri-Safe Compliance Solutions)

• Pharmaceutical waste services, including controlled substances
(including CsRX Controlled Substance, MedDrop Medication
Collection Kiosk, and Seal&Send)

• Hazardous waste and compliance solutions

• Communication Solutions (including appointment reminders, secure
messaging, event registration, and other communications specifically
for hospitals and integrated delivery networks)

• Maritime waste services (including seaport and airport waste)

Secure Information 
Destruction Services 

• Secure information destruction (including document and hard drive
destruction services) under the Shred-it® brand name which includes
regular scheduled services (and processing onsite and offsite) and
one-time services (including select, priority and express)

2021 10-K Annual Report 

Stericycle, Inc.  •  6 

Revenues by service category for each of the operating segments were as follows: 

PART I 

In millions 

North America 
Regulated Waste and Compliance Services

Secure Information Destruction Services

Total North America Segment 

International 
Regulated Waste and Compliance Services 
Secure Information Destruction Services 

Total International Segment 

Total Revenues 

Year Ended December 31, 
2020 
2021 

$ 

1,457.5  $ 

679.0 

2,136.5 

396.5 

113.9 

510.4 

1,541.9 

647.3 

2,189.2 

388.3 

98.0 

486.3 

$ 

2,646.9  $ 

2,675.5 

See  Part  II,  Item 7.  Management’s  Discussion  and Analysis  of  Financial  Condition  and  Results  of  Operations  for 
further information on changes in revenues. 

Portfolio Optimization 

On September 1, 2021, we entered into an agreement and completed the sale of our RWCS operations in Japan for 
proceeds  of  $11.3 million.  Revenues  of  operations  in  Japan  were  approximately  1%  of  our  consolidated  annual 
revenues for 2020, which are reported in International in the RWCS revenue service category. 

On  December  6,  2021,  we  entered  into  an  agreement  and  completed  the  sale  of  our  Environmental  Solutions 
operations in Canada for proceeds of $24.4 million. Revenues of our Canada Environmental Solutions operations 
were approximately 1% of our consolidated annual revenues for 2020, which are reported in North America in the 
RWCS revenue service category. 

On December 31, 2021, we acquired a Midwest-based regulated waste business for total purchase consideration of 
$43.4 million. This acquisition strengthens our independent customer base in North America, allowing us to leverage 
a  strong  portfolio  of  customers  to  increase  overall  route  density  in  the  Midwest  region.  The  acquired  business  is 
anticipated to contribute less than 1% to the RWCS revenue service category for 2022. 

Customers 

Our service offerings appeal to a wide range of 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.  Additionally,  we  expanded  into  temporary  COVID-19  testing  and 
vaccination centers and with our non-health care PPE disposal services into distribution centers and grocery stores. 
While we manage large volumes of waste and other materials, the average volume per customer site is relatively 
small. 

No  single  customer  accounted  for  more  than  1.5%  of  our  total  revenues  and  our  top  ten  customers  collectively 
accounted for approximately 8.5% of total revenues. No single customer accounted for more than 2.9% of our total 
accounts  receivable  and  our  top  ten  outstanding  customer  balances  accounted  for  approximately  10.6%  of  total 
accounts receivable.  We have developed a strong and loyal customer base, with an estimated 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.  

As of December 31, 2021, Regulated Waste and Compliance Services are provided to customers in the U.S., Brazil, 
Canada,  Ireland,  the  Netherlands,  Portugal,  the  Republic  of  Korea,  Romania,  Spain  and  the  U.K.  Secure 
Information Destruction Services under the Shred-it® brand are provided in the U.S., Australia, Belgium, Canada, 
France,  Germany,  Ireland,  Luxembourg,  the  Netherlands,  Portugal,  Spain,  Singapore  and  the  U.K.  Secure 
Information Destruction Services are also provided in the United Arab Emirates through a joint venture.  

In the U.S. and elsewhere, 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, while other customers are leveraging GPOs to reduce healthcare costs. 

2021 10-K Annual Report 

Stericycle, Inc.  •  7 

PART I 

Our  international  RWCS  operations  generate  most  of  their  revenues  from  large  account  customers,  such  as 
hospitals, publicly funded healthcare organizations and National Trusts versus smaller customers which tend to be 
more profitable. 

Facilities and Fleet 

Our  worldwide  network  includes  a  global  fleet  of  approximately  5,900  route  trucks,  tractors,  collection  vans,  and 
small duty vehicles. We operate out of approximately 457 facilities worldwide with properties both leased and owned 
as described below: 

North America 
International
Total 

Autoclave or 
Alternative Medical 
Waste Treatment

Medical Waste 
Incinerator 
Facilities

Secure Information 
Destruction 
Processing

Transfer Stations 
(RWCS and/or SID)

Other Locations 
and/or Administrative 
Facilities

50 
32
82 

9 
16
25 

94 
25
119 

135 
56
191 

15 
25
40 

We are headquartered in Bannockburn, Illinois. 

Our Key Business Priorities 

Following  its  founding  in  1989,  Stericycle  grew  rapidly  through  acquisitions  as  the  regulated  waste  industry 
developed.  Growth from regulated waste acquisitions helped us achieve scale of infrastructure, route density and a 
leadership  position  in  many  of  the  markets  we  serve.  We  also  leveraged  acquisitions  to  enter  new  regional  and 
international  geographies  and  added  additional  services  to  our  portfolio.  As  we  grew  and  evolved,  we  operated 
without centralization and the efficiencies that come from an integrated, modern corporate structure and associated 
information systems until we shifted our focus to our five key business priorities in 2019.  

We have since advanced our transformation focusing our efforts on the following five key business priorities. 

• Quality of revenue – The services we offer help our customers meet complex regulations.  Our expertise,
infrastructure  and  service  levels  provide  a  differentiated  and  premium  brand  value  to  the  customers  we
serve.   As  such,  we  are  focused  on  improving  the  quality  of  revenue  we  deliver  through  customer  focus,
pricing for value we provide, and standardizing contracts.

• Operational efficiency, modernization, and innovation – Our day-to-day operations are shifting toward a
standardized  and  centralized  operating  model  to  optimize  processes,  drive  efficiencies  and  improve  both
safety and service. Additionally, our Engineering team is focused on driving cost efficiencies through work
measurement,  asset  optimization,  use  of  technology,  enhanced  operational  and  capital  planning,  and
expanded strategic sourcing.

•

ERP  implementation  –  Stericycle  acquired  more  than  500  companies  without  fully  integrating  certain
acquisitions  onto  centralized  information  technology  platforms.  The  resulting  disparate  operating  and
information  systems  created  significant  operational  inefficiencies  and  manual  processes.    We  expect  the
implementation  of  the  ERP  will  make  it  easier  for  our  customers  to  do  business  with  us,  drive  improved
operating  margins  through  daily  decisions  using  real-time  information  insights,  simplify  and  enhance
financial  and  operational  transparency  for  greater  accountability,  aid  in  strategic  planning,  and  streamline
operational processes.

• Debt  reduction  and  leverage  improvement  –  As  a  result  of  the  debt  accumulated  from  our  historic
acquisition strategy, debt structure and debt leverage improvement are a key focus as we aim to increase
the strength of our balance sheet, continue to invest in our business, and develop a more comprehensive
capital allocation strategy.

•

Portfolio  optimization  –  We  continue  to  focus  on  where  our  core  businesses  can  be  successful
geographically.  To  achieve  this,  we  remain  committed  to  pursuing  the  divestitures  of  service  lines  and
geographies  that  are  not  as  profitable,  have  limited  growth  potential, are  not  vertically  integrated,  are  not
essential  to  our  RWCS  and  SID  Revenue  categories,  and/or  present  the  opportunity  to  reduce  debt.
Additionally,  we  will  continue  to  evaluate  growth  opportunities  for  our  core  business  through  smaller
accretive tuck-in acquisitions.

2021 10-K Annual Report 

Stericycle, Inc.  •  8 

PART I 

For  further  details,  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  3  -  Acquisitions,  Note  4  - 
Restructuring, Divestitures, and Impairments, and Note 9 - Debt. 

Regulated Waste and Compliance Services 

Collection and Transportation 

The  collection  process  for  regulated  waste  streams  begins  at  the  customer  location  with  waste  segregation.  To 
assure  regulatory  compliance,  we  educate  our  customers  and  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 and is appropriately labeled. 

Our  team  members  then  collect  containers  at  the  customer  location  via  our  fleet  of  vehicles.  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 and Disposal of Regulated 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  waste  is 
processed using one of several treatments or processing technologies, predominantly at one of our facilities: 

•

•

•

Autoclaving: Autoclaving  is  the  primary  method  of  regulated  waste  treatment. This  process  relies  on
steam at high temperature and pressure to kill pathogens and render materials non-infectious.
Alternative  Technologies: We  use  several  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 and render materials
noninfectious.  This  is  not  always  under  pressure.  Depending  on  local  requirements,  the  waste  may  be
shredded before or after treatment to render it unrecognizable.
Incineration: While  Stericycle  strives  to  use  alternative,  non-incineration  methods  for  treating  medical
waste, incineration remains a regulatory requirement and/or a best practice in certain geographies or for
certain types of medical waste that need to be chemically destroyed. 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.   

2021 10-K Annual Report 

Stericycle, Inc.  •  9 

PART I 

In several of our incineration facilities, we use different types of waste-to-energy solutions as part of our processes. 
Stericycle has four incinerators with steam turbines that are able to generate electricity and reduce the amount of 
power required from utilities at each site. In the U.K., several of our incinerators export steam to hospitals, where 
they are co-located, to be used for facility or hot water heating, steam sterilization, and/or laundry services. Similar 
to exported steam, two of our U.K. incinerators export hot water to nearby hospitals. In the U.K. and Ireland, after 
medical waste has gone through the alternative treatment process, it is sent for beneficial reuse. This treated waste 
is sent to cement producers and used as an alternative fuel for cement kilns. 

Communication Solutions 

Our  Communication  Solutions  provides  live  voice,  online  and  automated  services  to  assist  hospitals  and  IDNs  in 
scheduling and communicating with their patients.  Our platform offers online self-scheduling opportunities for both 
appointments  and  classes  and  events  to  patients  as  well  as  access  to  live  voice  agents  to  assist  in  the  same 
capacities. Additionally,  we  offer  live  voice  support  for  post  discharge  services,  physician  referrals,  and  marketing 
campaigns. Our automated patient engagement allows for tailored communication to patients over Short Message 
Service  (SMS),  email  and  outbound  Interactive  Voice  Response  (IVR)  in  support  of  appointment  reminders, 
preparation instructions, office closures, and health and wellness campaigns.  

Providing this service requires information management systems to route 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, all while integrating with our clients' Electronic Health Record (EHRs) and Customer Relationship 
Management systems.   

Secure Information Destruction 

We  leverage  a  combination  of  off-site  and  on-site  document  destruction  methods  for  one-time  or  recurring  paper 
shredding,  x-ray  and  hard  drive  destruction.  Approximately  70%  of  collected  documents  for  secure  destruction  in 
2021  were  sent  off-site  to  geographic  consolidating  shredding  facilities  for  secure  destruction.    The  remainder  of 
collected documents are shredded on-site with shredding equipment in our vehicles.  For both methods, our service 
offerings  leverage  cross-cut  shredding  technology  to  enhance  the  security  level  of  destruction  and  can  provide 
secure chain-of-custody and Proof of Service.  

Shredded paper is then baled to be sold as SOP for recycling.  SOP consists of paper typically generated by offices 
that contains primarily white paper. It’s a higher value recyclable than mixed paper, old newspapers or magazines. 
In  2021,  Stericycle  collected  and  delivered  approximately  529,000  tons  of  SOP  for  recycling  into  paper 
products. The  volume  of  recycled  paper  in  2021  is  lower  year-over-year  primarily  because  of  pandemic  related 
impacts.  During  2021,  the  average  annual  SOP  price  was  $140  per  ton,  as  reported  by  Fastmarkets  RISI,  an 
increase of 25.1% over 2020. 

Our Business Model and Key Business Attributes 

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  require  the  proper  handling  and  disposal  of 
items  such  as  regulated  waste  and  personal  confidential  information.  Regulated  waste  can  be  defined  as  any 
material subject to government-imposed guidelines for handling the material for transportation or disposal. 

•

•

•

•

Regulated  Medical  Waste:  Regulated  medical  waste  generated  from  procedures  including  any  items
saturated with blood or other potentially infectious materials (OPIM), such as bandages, gauze, or PPE,
are considered regulated medical waste or red bag waste.

Trace  Chemotherapy  Waste:  Chemotherapy  waste  includes  empty  chemo  drug  vials,  syringes  and
needles, spill kits, IV tubing and bags, contaminated gloves and gowns, materials from spill cleanups, or
bodily fluids/waste.

Pathological  Waste:  Pathological  waste  such  as  human  or  animal  body  parts,  organs,  tissues,  and
surgical specimens (decanted of formaldehyde, formalin, or other preservatives) are packaged separately.

Sharps Waste: Sharps waste such as needles, scalpels, blades, and pipettes that have come in contact
with blood, body fluids, or microorganisms.

2021 10-K Annual Report 

Stericycle, Inc.  •  10 

PART I 

•

•

•

•

•

•

Pharmaceutical  Waste:  Pharmaceutical  waste  may  be  hazardous  or  nonhazardous  and  consists  of
expired, recalled, or otherwise unused pharmaceuticals.

Controlled  Substances  Waste:  Safely  disposing  of  controlled  substances  waste  immediately  after
patient administration to mitigate diversion and protect the environment.

Healthcare  Hazardous  Waste:  Healthcare  hazardous  waste  includes  prevalent  and  well-known  waste
streams  and  other  wastes  generated  in  smaller  quantities  that  require  proper  attention,  such  as
flammable liquids, xylene, formalin, aerosols, and universal waste.

Maritime Waste: Maritime waste include airport and seaport generated waste including gray water, black
water,  bilge  water,  sludge,  solid  waste,  recyclable  solid  waste,  RCRA  hazardous  waste, APHIS  waste,
and universal waste.

COVID-19 Waste Disposal: Medical waste and PPE waste generated through the COVID-19 pandemic
in healthcare and non-healthcare facilities, including vaccine disposal, testing and temporary healthcare
sites, and non-healthcare PPE disposal.

Personal Confidential Information: Personal confidential information includes documents and e-media
containing protected healthcare information, financial information, or other confidential information.

Growing Markets 

The  services  we  offer,  especially  our  core  services  of  regulated  waste  and  compliance  and  secure  information 
destruction, are growing or have historically grown prior to the impact of the COVID-19 pandemic.  This growth is 
driven by multiple factors: 

•

•

•

•

•

Aging  Population:    The  average  age  of  the  population  in  the  countries  in  which  we  operate  is  rising,
driving increases in healthcare and the quantity of regulated wastes generated.

Enforcement  of  Waste  Regulations:   We  operate  in  a  highly  regulated  business  where  penalties  for
violations can be costly and high profile, thereby impacting a business’ overall reputation.  We believe that
many  businesses  are  unaware  either  of  the  need  for  proper  training  of  employees  or  of  applicable
regulatory requirements, and we seek to help businesses fill this gap.

Regulation  of  Privacy  and  Information  Security  and  Concerns  over  Data  Breaches:    The  secure
information destruction total addressable market has been driven, in part, by the need for compliance with
increasing  government  regulation  and  increasing  general  concern  with  privacy  and  information  security.
Recent  regulatory  changes  reflecting  this  increased  regulatory  focus  include  the  European  GDPR;
California,  Colorado,  and  Virginia’s  comprehensive  consumer  privacy  legislation;  Canada  Personal
Information  Protection  and  Electronic  Documents Act;  moreover,  the  majority  of  states  are  working  on
comprehensive consumer privacy legislation.

Market  Expansion  Due  to  Increased  Outsourcing:   With  regard  to  Communication  Solutions,  we
believe  market  growth  will  come  from  increased  reliance  on  outsourcing  services  by  those  businesses
within the marketplace that currently do not use an outside vendor for patient engagement.

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

Stable and Recurring Customer Needs Supported by Long-term Contracts 

The services we provide most often require service on a routine and scheduled basis.  The majority of our customer 
relationships  include  long-term  contracts  ranging  from  three  to  five  years  in  length.  We  have  developed  a  strong 
and  loyal  customer  base,  with  a  revenue  retention  rate  of  approximately  90%  (based  on  our  internal  customer 
attrition analysis) in 2021. 

Established Network of Processing and Transportation Locations 

Our infrastructure network results in an expansive operational network with alternate transportation, treatment and 
destruction options for our customers.  The scale of our network also provides us the ability to be the single-source 

2021 10-K Annual Report 

Stericycle, Inc.  •  11 

PART I 

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.   

In  2021,  our  Engineering  team  completed  a  long-term  plan  focused  on  our  global  facility  network.  Our  goal  is  to 
optimize our facilities with a strategic and standardized operating model. We are analyzing processing capabilities, 
plant  and  transportation  equipment  needs,  team  member  requirements,  and  potential  customer  implications  or 
benefits.  This  planning  process  also  provided  opportunities  to  focus  on  reducing  our  environmental  impact  by 
optimizing  our  transportation  network  to  reduce  miles  driven  and  overall  greenhouse  gas  impact.  We  anticipate 
modernizing our plant equipment with new efficient technology that will also lessen our overall energy consumption 
per  operating  cycle.  In  2021,  we  opened  three  new  facilities  (California,  Ireland,  and  United  Kingdom)  and 
completed five autoclave upgrades, representing the initial steps in modernizing our global facility network which we 
plan to expand in future periods. 

Routing Logistics 

While we manage large volumes of waste and secure information for destruction, the average volume per customer 
site is relatively small and the resulting revenue per stop is low.  As such, route logistics and route efficiency are a 
core focus.  Our transportation network provides us with an advantage compared to our competition in many of the 
markets  we  serve.  Additionally,  we  have  continued  to  focus  on  route  density  and  optimizing  routing  at  both  the 
individual truck and geographic market level.  We expect that the ERP implementation will provide greater visibility 
to data which will enable routing efficiencies. 

Industry Leadership and Expertise 

Based  on  our  infrastructure  and  revenues,  we  maintain  a  global  leadership  position  across  many  of  our  services 
lines,  including  regulated  waste  and  secure  information  destruction.  We  have  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. In 2014, we 
were tasked by the Department of Transportation (DOT) and Centers for Disease Control (CDC) to dispose of waste 
from the Ebola outbreak. Stericycle also provided essential regulated medical waste disposal during the 2003 SARs 
outbreak  and  the  2009  H1N1  outbreak.  Starting  in  2020  and  continuing  throughout  2021,  the  Company  took  a 
leadership position related to the management of pandemic waste, supporting our customers and providing industry 
expertise regarding the effective management of COVID-19 waste. 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  and  industry  trade  associations  and  actively  engage  in 
numerous community meetings each year. 

Human Capital Management 

Workforce Overview 

As  of  December 31,  2021,  we  employed  over  15,000  active  team  members,  97%  of  which  were  full-time 
employees.  The efforts and dedication of our team members around the globe enable us to protect what matters 
each  day.    Additionally,  we  have  approximately  1,380  global  contingent  workers  supplementing  our  staff  to  fill 
temporary positions or as a part of a temporary-to-permanent recruiting program. 

2021 10-K Annual Report 

Stericycle, Inc.  •  12 

PART I 

Our  voluntary  turnover  rate  for  2021,  excluding  turnover  due  to  divestitures,  averaged  approximately  26%, 
compared to approximately 22% during 2020, directionally consistent with resignation rates in the United States. To 
ensure best success for recruitment and hiring in North America during 2021, we ended our reliance on third-party 
recruiting  agencies  and  built  an  internal  strategy  and  team  of  experienced  talent  acquisition  professionals. 
Additionally, we increased advertising investment, which included leveraging new social media campaigns to reach 
a wider applicant pool, and implemented market-based wage adjustments to bolster recruiting and retention. 

At the close of 2021, 12.7% of our total global workforce was covered by a collective bargaining agreement. We are 
a party to 13 collective bargaining agreements in the U.S. and Canada, covering approximately 500 employees, or 
approximately 4.6% of our total U.S. and Canadian workforce. We have additional agreements and works councils 
covering  approximately  1,500  employees  outside  of  North  America.  During  2021,  we  experienced  four  work 
stoppages for a combined total of 83 idle days during which we continued to provide services. 

At Stericycle, “We Commit to Safety Always” is one of our core values and a foundational element supporting how 
we  operate  as  a  company.    We  have  developed  and  continue  to  focus  on  improving  a  comprehensive  safety 
program to protect our team and drive our safety performance. 

We have made meaningful advancements in the development and performance of our EHS organization.  During 
2021, we demonstrated year-over-year improvement in all of our key safety metrics. We remain committed to safety 
performance improvement and kicked off a multi-faceted Safety Task Force during December 2021 to pursue key 
safety improvements more aggressively across the organization. 

Global Total Recordable Injury Rate (TRIR)
Global Lost Work Incident Rate (LWIR) 
Vehicle Incidents1 
DOT Recordable Accident Rate in the United States 

2021 
4.80 
1.78 
1,750 
0.75 

2020 
5.00 2

1.92 2
1,763 
0.89 

% Change 

4.0% Improvement 
7.3% Improvement 
0.7% Improvement 
15.7% Improvement 

1  Vehicle  Incidents  includes  any  incident,  regardless  of  severity  involving  a  vehicle  owned,  leased  or  operated  by  Stericycle, 
excluding vehicle fires. Data reported for 2020 is different from that presented in Stericycle’s 2020 Form 10-K primarily due to the 
inclusion of additional countries in which we operate.  Stericycle is now able to report vehicle incidents for all but four countries in 
which we operate. 

2 TRIR and LWIR reported for 2020 is different from that presented in Stericycle’s 2020 Form 10-K as the data was normalized 
for divestitures that occurred in 2021.   

Our  safety  improvement  journey  includes  a  comprehensive  focus  on  centralized  procedures,  processes  and 
monitoring as well as investment in new training programs to increase safety awareness. During 2021, our safety 
program expansion included the following: 

• We continued the global expansion of our award-winning SWAT (Steer, Watch, Anticipate and Take Action)

defensive driving training;

2021 10-K Annual Report 

Stericycle, Inc.  •  13 

PART I 

• We 

launched  a  new,  centrally  coordinated  Global  EHS  Audit  Program 

focused  on  conducting

comprehensive, unscheduled audits of facility operations.

• We  completed  initial  Corporate  Facility  Risk  Assessments  at  all  of  our  operational  facilities.  This
assessment  process  was  developed  to  analyze  ten  risk  categories  to  proactively  identify  and  address
potential areas of safety and compliance risk.

Diversity and Inclusion 

We are committed to driving engagement and inclusivity to bring out the best in our team and our company. 

In  2021,  23%  of  our  global  workforce  were  women  with  a  slightly  higher  proportion  of  women  holding  senior 
management and middle management roles (31% and 32%, respectively, compared to 29% and 30%, respectively, 
during  2020).  In  the  U.S.,  54%  of  our  team  members  were  from  federally  designated  racial  or  ethnic  minority 
categories at the close of 2021, compared to 53% in 2020. We are reporting only on U.S. racial and ethnic diversity, 
as the U.S. is our largest country of operation and because of the complexity of global ethnic and racial diversity 
reporting given the variations in racial and ethnic designations by country. 

2021 10-K Annual Report 

Stericycle, Inc.  •  14 

PART I 

During 2021, approximately 64% of all U.S.-based new hires in 2021 were racial or ethnically diverse, compared to 
approximately 61% during 2020. When promoting from within, approximately 49% of promotions during 2021 were 
filled by racially or ethnically diverse individuals, compared to 52% in 2020. Additionally, we hired just over 200 team 
members during 2021 who identified as U.S. Veterans.

We  also  encourage  and  support  employee  resource  groups  (ERG)  to  help  drive  engagement  and  representation. 
We have five employee resource groups supporting women, black or African Americans, Latin Americans, Veterans, 
and the LGBTQ+ (lesbian, gay, bisexual, transgender, and queer) community. We routinely leverage our ERGs to 
address important social topics with our team members through “Let’s Talk About It” video discussion.  Additionally, 
during  2021,  our  ERGs  provided  educational  communications  to  our  team  members;  hosted  speaker  events;  led 
company celebrations for Black History Month, Hispanic Heritage Month, Pride Month, Asian American and Pacific 
Islander  Month,  Veterans  Day,  and  other  days  of  diversity  awareness  or  celebration;  and  provided  mentoring 
programs for women and veterans.

During  2021,  we  expanded  our  on-going  market-based  compensation  analyses  to  include  assessing  pay  equity 
factors.  We are committed to the ongoing and routine assessment of the competitiveness and equity of our team 
members’ compensation.

Work-from-Home and Protecting Our Team as the Pandemic Continued 

As the COVID-19 pandemic continued in 2021, we continued to monitor best practices as presented by the CDC, 
OSHA, the DOT, and regulatory agencies around the world for both proper regulated waste management and team 
member  health  and  safety.    We  maintained  the  many  numerous  protocols  introduced  during  2020  specifically  to 
reduce the exposure and the potential for spreading of COVID-19 among our front-line, operations team members, 
including  rigorous  facility  cleaning  protocols,  use  of  proper  protective  equipment,  staggered  shift  times,  and 
dedicated trucks to specific drivers. Most of our administrative and office-based team members continued working 
from home for all of 2021. Our increased pandemic-related communication efforts designed to keep team members 
connected  became  standard  operating  practice.  In  addition  to  COVID-19  safety  updates  and  vaccine  information 
from  our  EHS  team,  our  ongoing  communications  included  monthly  global  leadership  conference  calls  to  review 
performance  and  priorities,  weekly  video  messages  from  the  executive  team  members,  monthly  global  manager 
meetings, and leadership development training programs and resources. 

Our Operating Environment

Competition 

The industries and markets in which we operate are highly competitive on pricing and barriers to entry are low.  Our 
competitors consist of many different types of service providers, including national, regional and local companies. 
Some  of  these  companies  provide  only  a  portion  of  the  services  of  Stericycle  for  example,  just  collection  and 
transportation,  but  not  treatment  of  regulated  waste  or  regulated  waste  compliance  services,  but  not  a  sharps 
management  program.  In  the  regulated  waste  and  secure  information  destruction  industries,  another  source  of 
competition is on-site management.

For regulated waste, some large-quantity waste 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.  In  both  regulated  waste  and  secure  information  destruction,  there  is  no  other 
competitor in North America with Stericycle’s overall scale, breadth of services, national transportation network and 
comprehensive treatment network.

Governmental Regulation 

Stericycle’s  RWCS  and  SID  services  are  subject  to  numerous  regulations,  which  are  regularly  evolving.    We  are 
subject  to  substantial  regulations  enacted  and  enforced  by  governments  within  the  U.S.  and  the  international 
jurisdictions in which we conduct operations.  In many countries there are multiple regulatory agencies at the local 
and national level that oversee our customers and/or our services.  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 and public 
health and safety; transportation; document destruction and management; data privacy; ethical business conduct; 
and  the  management  of  regulated  waste  streams,  including  regulations  that  govern  the  definition,  generation, 
segregation, handling, packaging, transportation, treatment, storage and disposal of regulated waste.

2021 10-K Annual Report 

Stericycle, Inc.  •  15 

PART I 

This  regulatory  framework  imposes  a  variety  of  compliance  requirements,  including  requirements  to  obtain  and 
maintain government permits or other authorizations. We maintain governmental permits, registrations and licenses 
to  conduct  our business throughout  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  to,  among  other  things,  construct  and  operate  transfer  and  processing  facilities; 
transport  regulated  waste  within  and  between  relevant  jurisdictions;  and  handle  particular  regulated  substances. 
Our permits, registrations and licenses may be subject to modification or revocation by the issuing authority and, in 
some  jurisdictions,  are  subject  to  periodic  renewal.   Permit  issuance  or  renewal  may  also  be  subject  to  public 
participation.  

Various international laws and regulations related to data privacy and the protection of confidential information also 
apply to Stericycle’s RWCS and SID services, including HIPAA and the CCPA in the U.S. and the GDPR in Europe. 
In  addition,  international  regulations  governing  ethical  business  practices  apply  to  our  business,  including  but  not 
limited  to,  the  FCPA,  the  U.K.  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. 

Environmental Protection 

Our  business  is  subject  to  extensive  and  evolving  environmental  regulations  in  the  geographies  in  which  we 
operate.  Generally, the environmental laws that we are subject to regulate the handling, transportation, treatment 
and disposal of waste, the release or potential release of hazardous substances into the environment, the discharge 
of  pollutants  into  waterways  and  the  emission  of  pollutants  into  the  air.   The  principal  environmental  laws  that 
govern our operations in the U.S. are the federal Clean Air Act and Clean Water Act, in addition to state laws and 
regulations governing regulated waste.  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, 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.

Employee Health and Welfare 

We are subject to numerous regulations promulgated to protect and promote employee 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 
including  engineering  controls, 
overseen  by  OSHA,  which  establishes  specific  employer  responsibilities 
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, and 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  DOT  has  established  regulations  which  deal  with  two  different  aspects  of 
transportation: hazardous materials transport and safety in transportation.  These regulations are defined within the 
PHMSA and the FMCSA.  We are regularly subject to roadside 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.

2021 10-K Annual Report 

Stericycle, Inc.  •  16 

Controlled Substances 

PART I 

Our  service  offerings  for  the  treatment  and  disposal  of  controlled  substance  pharmaceutical  waste,  from  both  the 
healthcare industry and individual consumers, are subject to numerous laws and regulations governed by various 
regulatory agencies, including the U.S. Drug Enforcement Administration (DEA). These regulations typically require 
facilities to obtain licenses or registrations, and meet other certain obligations for approval to collect, transport, treat 
and  dispose  of  pharmaceutical  waste  containing  controlled  substances.  These  regulations  can  have  very 
prescriptive 
regulatory  schemes, 
registrations/licenses must be kept current, and facilities may be subject to inspection or enforcement.

reporting.  Like  other 

recordkeeping  and 

for  security, 

requirements 

U.S. and Foreign Local Regulation for Waste Management

We conduct business in all 50 U.S. States and Puerto  Rico.  Because the EPA does not promulgate regulations for 
regulated  waste  at  a  national  level,  each  state  has  its  own  regulations  related  to  the  handling,  treatment  and 
storage of regulated waste.  Many states have followed requirements similar to the Medical Waste Tracking Act of 
1988  or  have  placed  regulated  waste  regulations  under  solid  waste  regulations.  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  USDA  and  U.S.  Custom 
and  Border Protection.  The USDA typically inspects our facilities receiving such APHIS waste on a quarterly basis.

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.

Insurance and Self-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 also could 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,  directors  and  officers 
and  miscellaneous  professional  services  errors  and  omissions  coverages.    We  also  carry  umbrella  policies  that 
cover general  liability,  automobile  and  employers  liability.   We  regularly  evaluate  other  lines  of  coverage  to  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.

Patents, Trademarks and Proprietary Rights

Stericycle  holds  a  number  of  patents  or  applications  in  the  U.S.,  Canada,  the  U.K.,  Europe  and  Australia  for 
technologies related to its business, including for the recovery of reusable medical devices in a sharps container, 
various waste container assemblies, a lockable mounting bracket for use with a waste container assembly, a three-
stage shredder, and the processing and updating of event-related information using automated reminders.  

We own federal registrations for a number of trademarks/service marks including Stericycle®, Shred-it®, We Protect What 
Matters®,  Artech®,  Community  Shred-it®,  Making  Sure 
it’s  Secure®,  Virtual  Compliance  Partner®, 
DataDefender®, the Stericycle logo service mark consisting of a nine-circle design and the Shred-it logo.  We also 
hold international registrations for Stericycle and the Stericycle and Shred-it logos, among others.

2021 10-K Annual Report 

Stericycle, Inc.  •  17 

PART I 

Information about Our Executive Officers 

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

Name 
Cindy J. Miller 
Janet H. Zelenka

S. Cory White

Joe A. Reuter

Dominic Culotta

Position 
President and Chief Executive Officer 
Executive Vice President, Chief Financial Officer and Chief Information Officer

Executive Vice President and Chief Commercial Officer

Executive Vice President and Chief People Officer

Executive Vice President and Chief Transformation Officer

Michael S. Weisman

Executive Vice President and Chief Ethics and Compliance Officer

Rich M. Moore

Daniel V. Ginnetti

Kurt M. Rogers

Executive Vice President of North American Operations

Executive Vice President, International

Executive Vice President and General Counsel

Age 
59 
63

49

60

58

63

60

53

50

Cindy  J.  Miller  has  served  as  a  Director  since  February  2019  and  became  Stericycle's  President  and  Chief 
Executive Officer in May 2019 after serving as President and Chief Operating Officer since October 2018. Prior to 
Stericycle,  Ms.  Miller  served  as  President,  Global  Freight  Forwarding  for  United  Parcel  Service  (UPS).  Ms.  Miller 
had a 30-year career with UPS, starting as a driver and progressing to district manager for operating regions in the 
United  States  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's degree from Pennsylvania State University and 
completed the Senior Executive Leadership Programme from the London School of Business. 

Janet H. Zelenka was named Executive Vice President and Chief Financial Officer in June 2019. She assumed the 
additional duties and responsibilities of Chief Information Officer in June 2020. Before joining Stericycle, she spent 
15 years with Essendant, Inc., most recently  serving as Chief  Financial  Officer  until  the company’s acquisition by 
Sycamore Partners. While at Essendant, she also served in the roles of Chief Information Officer and Senior Vice 
President of Business Integration during a transformational period for the company, and held leadership positions in 
finance, analytics, audit, and pricing. Prior to Essendant, she spent 16 years at SBC/Ameritech (AT&T) in a range of 
IT, financial, and operational roles. Ms. Zelenka has a bachelor’s degree from Rockford University and a master of 
business administration from Northern Illinois University. 

S. Cory White was appointed Executive Vice President and Chief Commercial Officer in October 2019. He joined
Stericycle in April 2019 as Executive Vice President of Communication and Related Services (CRS).  In this role Mr.
White  has  oversight  of  all  global  commercial  activity  including  sales,  account  management,  sales  operations,
customer experience, marketing, product innovation and strategy while retaining his leadership responsibility for the
Stericycle  Communications  Solutions.  Mr.  White  previously  served  as  the  Global  Chief  Commercial  Officer  for
Startek,  Inc.  for  nearly  three  years  and  as  Vice  President,  Healthcare  and  Government  Vertical  Leader,  with
Convergys, Inc. for six years. Prior to those roles, he spent 11 years with ACS Healthcare, a Xerox Company, in a
variety  of  sales  and  operational  roles  including  Senior  Vice  President  of  ACS  Healthcare  Payment  Integrity
Solutions. Mr. White has a bachelor's degree from the University of Kentucky.

Joe A. Reuter joined Stericycle as Executive Vice President and Chief People Officer in January 2019. Mr. Reuter 
previously 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’s degree from the University of South 
Dakota. 

Dominic  Culotta joined Stericycle  as Executive Vice  President and Chief  Engineer  in April 2019. He was  named 
Chief Transformation Officer in January 2021. Prior to joining Stericycle, Mr. Culotta spent 35 years with UPS, most 
recently serving six years as Vice President of Engineering for Global Freight Forwarding and eight years as Vice 
President of Engineering and Operations for  UPS'  Europe, Middle East  and Africa region while  living in Brussels, 
Belgium. In addition to his typical responsibilities in Europe, he spent extensive time integrating major acquisitions 
into  the  core  business.  Prior  to  his  international  roles,  he  had  completed  various  assignments  in  operations  and 
engineering while relocating multiple times throughout the United States. Mr. Culotta earned a bachelor’s degree in 
engineering sciences from Loyola College in Baltimore. 

2021 10-K Annual Report 

Stericycle, Inc.  •  18 

PART I 

Michael  S.  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, 
apublicly-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;  as  Vice 
President,  Ethics  and  Compliance  for  U.S.  Foods  from  February  2013;  and  as  Associate  General  Counsel, 
Compliance,  at  Career  Education  Corporation  from  2010.  He  was  also  an  associate  and  partner  with  the  law 
firm  Katten  Muchin  Rosenman,  LLP  for  more  than  10  years,  serving  as  a  member  of  the  firm's  White 
Collar  Defense,  Internal  Investigations  and  Compliance  Practice  Group.  Mr.  Weisman  received  a  bachelor’s 
degree from the  University  of Illinois and his juris doctor degree from Chicago-Kent College of Law. 

Rich M. Moore joined Stericycle as Executive Vice President of North American Operations in January 2019. Prior 
to  joining  Stericycle,  Mr.  Moore  spent  33  years  with  UPS,  most  recently  as  President  of  UPS'  Illinois  District 
since  2016.  Previous  experience  includes  three  years  as  Vice  President  of  European  Operations,  five  years  as 
President  of  the  Northeast  District,  and  three  years  as  President  Utah,  Idaho,  and  Southern  Nevada  plus 
previous  other  operations  and  transportation  staff  roles.  Mr.  Moore  has  a  bachelor’s  degree  from  Manhattan 
College and a master of business administration from National Louis University. 

Daniel V. Ginnetti became Executive Vice President, International in June 2018 after serving as Stericycle’s Chief 
Financial Officer for five years.  Mr. Ginnetti joined Stericycle as Area Vice President of Finance in 2003. In 2004 he 
was promoted to Area Vice President of Operations for Stericycle’s Western, and later, Midwestern business units. 
Following  that,  he  was  promoted  to  Senior  Vice  President  of  Operations  for  the  United  States  and  Canada.  He 
returned  to  financial  management  in  2013  becoming  Senior  Vice  President  of  Corporate  Finance  and  then 
named Executive Vice President, Chief Financial Officer in June 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  has  a  bachelor’s  degree 
in  business economics from the University of California, Santa Barbara. 

Kurt  M.  Rogers  joined  Stericycle  as  Executive  Vice  President  and  General  Counsel  in  July  2017.  Mr. 
Rogers  previously  served  as  Chief  Legal  Officer  and  Secretary  of  Vonage  Holdings  Corp.,  a 
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  he  represented  clients  in 
litigation,  intellectual  property  and  other  matters.  Mr.  Rogers  received  his  bachelor’s  degree  from  Cornell 
University and his juris doctor degree from Cornell Law School. 

Available Information 

We  maintain  an  internet  website,  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, Proxy Statements, 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  SEC.  Reports  and  proxy  and  information 
statements that are filed electronically with the SEC are available on the SEC’s website, sec.gov. 

2021 10-K Annual Report 

Stericycle, Inc.  •  19 

PART I 

Item 1A. Risk Factors 

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. 

BUSINESS, STRATEGY AND MARKET RISKS 

Our  business  is  subject  to  risks  arising  from  pandemic  diseases,  such  as  the  outbreak  of  the  COVID-19 
pandemic. 

A significant outbreak, epidemic or pandemic of contagious diseases in any geographic area in which we operate 
could  result  in  a  health  crisis  adversely  affecting  the  economies,  financial  markets  and  overall  demand  for  our 
services in such areas. In addition, any preventative or protective actions that governments implement or that we 
take in response to a health crisis, such as travel restrictions, quarantines, or facility closures, may interfere with the 
ability of our employees and vendors to perform their responsibilities. Such results could have a material adverse 
effect on our results of operations. 

The  continued  global  COVID-19  pandemic  has  created  significant  volatility,  uncertainty  and  economic  disruption. 
The extent to which the COVID-19 pandemic continues to impact our business, operations and financial results will 
depend  on  numerous  evolving  factors  that  we  may  not  be  able  to  accurately  predict,  including:  the  duration  and 
scope  of  the  pandemic;  governmental,  business  and  individuals’  actions,  including  vaccination  requirements,  that 
have been and continue to be taken in response to the pandemic; the impact of the pandemic on economic activity 
and  actions  taken  in  response;  the  effect  on  our  customers’  demand  for  our  services;  our  ability  to  provide  our 
services; the ability of our customers to pay for our services; any closures of our and our customers’ facilities; and 
the need for enhanced health and hygiene requirements or other measures taken in an attempt to counteract future 
outbreaks  in  our  or  our  customers’  facilities.  In  addition,  while  governments  around  the  world  have  enacted 
emergency relief programs designed to combat the economic impact of the pandemic, the long-term effect of such 
spending  is  uncertain  and  could  result  in  future  budgetary  restrictions  for  our  government  clients.  Any  of  these 
events  could  adversely  affect  our  business,  financial  condition  and  results  of  operations.  During  2021,  we 
experienced higher than normal driver absences due to the effects of COVID-19. 

Long-term remote work arrangements may adversely affect our business. 

Many of our team members are currently working remotely. An extended period of remote work arrangements could 
strain  our  business  continuity  plans,  introduce  operational  risk,  including  but  not  limited  to  cyber-security  risks, 
impair  the  effectiveness  of  our  internal  controls  over  financial  reporting  and  impact  our  ability  to  manage  our 
business.  

Measures taken to prevent the spread of COVID-19 virus may adversely affect our business. 

The continued spread of the COVID-19 virus, an economic slowdown attributed to the COVID-19 pandemic, and the 
measures taken by the governments of countries affected could disrupt our supply chain, make us more reliant on 
third  party  providers,  result  in  disruption  in  transportation  services  and  restrictions  on  the  ability  of  our  team 
members  to  travel,  result  in  temporary  closures  of  our  facilities  or  the  facilities  of  our  customers  and  suppliers, 
cause  certain  of  our  customers  and  suppliers  to  become  insolvent  or  permanently  cease  operations  affect  the 
volume  of  paper  which  is  processed  by  our  secure  information  destruction  business  and  the  revenue  generated 
from  the  sale  of  SOP,  decrease  the  amount  of  paper  collected  per  stop  by  our  secure  information  destruction 
business, result in an increase in the volume of COVID-related waste and require increased use of third parties to 
handle such waste, and adversely impact our business, financial condition or results of operations. We may also be 
required to cover certain costs related to team members who are quarantining due to the COVID-19 pandemic. The 
COVID-19 pandemic has also disrupted or may disrupt implementation and timing of our ERP system and certain of 
our internal business plans and strategies. 

Market conditions could adversely change and our earnings could decline as a result of the COVID-19 pandemic, 
which could result in charges to impair intangible assets, such as goodwill.  

2021 10-K Annual Report 

Stericycle, Inc.  •  20 

PART I 

We  evaluate  on  an  ongoing  basis  whether  facts  and  circumstances  indicate  any  impairment  to  the  value  of 
indefinite-lived and definite-lived intangible assets such as customer relationships and goodwill. As circumstances 
after  an  acquisition  can  change,  we  may  not  realize  the  value  of  these  intangible  assets.  We  may  be  required  to 
recognize impairments in certain of our reporting units due to a reduction of forecasted future cash flows associated 
with the effects of the COVID-19 pandemic on our business.  Further, we could experience higher customer attrition 
as certain customers cease or reduce operations.  The recognition of any potential future impairments could have a 
material adverse impact on our results of operations.   

Changing  market  conditions  in  the  healthcare  industry,  healthcare  consolidation  and  healthcare  reform, 
could adversely affect our results of operations.  

Within  the  U.S.  and  elsewhere,  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 GPO rebates and administrative fees, on 
services that we provide to healthcare customers, which could adversely affect our results of operations. 

Aggressive  pricing  by  existing  competitors  and  the  entrance  of  new  competitors  could  significantly  and 
adversely affect our results of operations.  

The industries in which we participate are highly competitive.  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. We may elect to exit or not participate in low margin customer relationships. Price reductions or 
our inability to increase prices could significantly and adversely affect our results of operations. 

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.    We  may  also  face  competition  from  competitors  employing  new  or  alternative  technologies.    In  addition, 
large  national  companies  with  substantial  resources  and  companies  funded  by  private  equity  firms  operate  in  the 
markets we serve.  

Fluctuations  in  the  commodity  market  related  to  the  demand  and  price  for  recycled  paper  affects  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, volume, revenues, and margins for pulp 
and  paper  products.    The  length  and  magnitude  of  industry  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 reflect fluctuations in levels of end-user demand, which depend in part on 
general  macroeconomic  conditions  in  North  America  and  worldwide.    We  have  experienced  a  decline  in  paper 
tonnage  collected  over  the  past  two  years  which  we  believe  is  a  reduction  in  the  consumption  of  paper  due  to 
pandemic related impacts, such as a shift to remote work and virtual learning, and it remains unclear what the future 
long-term impact will be on the paper volume we collect. 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. 

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 volume of material collected from our customers may be impacted by macro-
economic  trends  associated  with  manufacturing  and  industrial  markets,  healthcare  market  dynamics,  and  trends 
associated with an increase in work-from-home arrangements and electronic and digital record keeping.  Many of 

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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. 

OPERATIONAL RISKS 

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 laws and regulations change often, and new requirements 
are frequently adopted.  Changes in applicable laws and 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 or maintain the permits that we require, and/or 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 
waste  processing  plants  and  transfer  facilities,  are  difficult  and  time-consuming  to  obtain  and  they  may  not  be 
issued as quickly as we need them or be issued at all.  They may also contain conditions or restrictions that limit our 
ability  to  operate  efficiently.    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.  The Company is party to legal or 
administrative  proceedings  regarding  obtaining  and  maintaining  permits,  or  alleged  violations  of  existing  permit 
terms  and  related  requirements.  For  additional  information,  please  see  Part  II,  Item  8,  Financial  Statements  and 
Supplementary Data --Note 19 – Legal Proceedings in the Consolidated Financial Statements. 

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. 

The level of governmental enforcement of regulated waste and certain 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,  treatment  and 
disposal and the handling and protection of personal and confidential information, can have a positive effect on our 
business,  as  these  laws  and  regulations  may  increase  the  demand  for  our  services.    Relaxation  of  enforcement, 
government  shutdowns,  or  other  changes  in  governmental  regulation  of  regulated  waste  and  personal  and 
confidential  information  could  increase  the  number  of  competitors  we  face  or  reduce  or  delay  the  need  for  our 
services. 

Complications  with  the  implementation  of  our  ERP  system  could  adversely  impact  our  business  and 
operations.   

We rely on information systems and technology to manage our business and summarize operating results.  We are 
in  the  process  of  an  ERP  system  implementation,  which  will  replace  most  of  our  existing  operating  and  financial 
systems.    The  ERP  system  is  designed  to  accurately  maintain  the  Company’s  financial  records,  enhance 
operational  functionality  and  provide  timely  information  to  the  Company’s  management  team  related  to  the 
operation of our business.  The ERP system implementation process has required, and will continue to require, the 
investment of significant personnel and financial resources.  We may not be able to successfully implement the ERP 
system  without  experiencing  increased  costs  and  other  difficulties  and  our  planned  timeline  to  implement  the 
remaining phases of our ERP system may be delayed. If we are unable to successfully implement our ERP system 
as  planned,  our  business,  results  of  operations,  and  financial  condition  could  be  negatively  impacted.    The  SID 
North America ERP deployment impacted revenue in the third quarter of 2021. This decline was due to typical ERP 
start-up challenges, which included team members learning new processes and technology across every aspect of 

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the  business  and  onboarding  and  tuning  the  flow  of  data  elements  through  the  system. Additionally,  if  we  do  not 
effectively  implement  the  ERP  system  as  planned  or  the  ERP  system  does  not  operate  as  intended,  the 
effectiveness of our internal control over financial reporting could be adversely affected or our ability to adequately 
assess those controls could be delayed. 

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  team  members  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. Like other large, multi-national corporations, we 
are  potentially  subject  to  a  range  of  cyber  incidents,  including  but  not  limited  to  state-sponsored  cyber-attacks, 
industrial espionage, insider threats, computer denial-of-service attacks, computer viruses, ransomware and other 
malware,  data  leakage  and  compromise,  wire  fraud,  phishing  incidents  and  other  cyber  incidents.  We  previously 
experienced  an  incident  of  phishing  activity  targeting  certain  Stericycle  employee  email  accounts  and  determined 
that some of these employee email accounts containing personal information appear to have been accessed by one 
or more unauthorized parties. We found no evidence that any personal information contained in these accounts was 
itself  accessed  by  an  unauthorized  party.  In  an  abundance  of  caution,  we  notified,  and  offered  identity  protection 
services, to relevant individuals. In any cyber incident that we experience, our incident response efforts, business 
continuity  procedures  and  disaster  recovery  planning  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, breaches with respect to third-
party  systems  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.  Although  we  maintain  insurance 
coverage for various cybersecurity risks, there is no guarantee that all costs or losses incurred will be fully insured. 

Our  management  depends  on  relevant  and  reliable  information  for  decision-making  purposes,  including  key 
performance  indicators  and  financial  reporting.  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.  

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  regions  in  which  we  operate  regarding  information  security  and  privacy  is  increasingly  demanding,  with  the 
frequent imposition of new and regularly changing requirements.  Certain legislation, including FACTA, HIPAA, the 
Economic Espionage Act in the U.S., the Personal Information Protection and Electronic Documents Act in Canada 
and  the  GDPR  in  the  U.K.  and  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 
other company data could attract a substantial amount of media attention, damage our customer relationships and 
reputation, and result in lost revenues, fines, or lawsuits.  In addition, an increasing number of countries and states 
in the U.S. 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 increased expenses and operational complexity, 
and adversely affect our reputation, business, financial condition and results of operations. 

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Stericycle, Inc.  •  23 

PART I 

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

We maintain an extensive transportation network and fleet of 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.  Parts shortages due to a reduction in the availability of raw materials, supply chain 
challenges,  and  manufacturing  delays  are  expected  to  continue  to  drive  higher  prices  for  parts  and  supplies.    In 
addition,  any  increases  in  the  prices  of  fossil  fuels  are  expected  to  put  pressure  on  our  fuel  expense,  as  well  as 
parts  and  supplies  derived  from  fossil  fuels,  such  as  engine  oil,  diesel  exhaust  fluid,  tires  and  other  rubber  and 
plastic parts. 

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 16 other countries. Foreign operations carry specific risks including: 
(i) exchange rate and interest rate fluctuations; (ii) substantial inflation in certain markets; (iii) dependence in certain
markets on government entities as customers; (iv) delays in the collection of accounts receivable related to certain
government funding practices; (v) government controls; (vi) import and export license requirements; (vii) political or
economic instability, social unrest, and public safety and security; (viii) 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, UK Bribery Act and similar laws), global trade, trade sanctions, competition, privacy and data protection; (ix)
trade restrictions; (x) changes in tariffs and taxes; (xi) tax and foreign investment policies; (xii) industry or macro-
economic trends; (xiii) permitting and regulatory standards; (xiv) differences in local laws, regulations, practices, and
business  customs;  (xv)  restrictions  on  repatriating  foreign  profits  back  to  the  U.S.  or  movement  of  funds  to  other
countries;  (xvi)  difficulties  in  staffing  and  managing  international  operations;  (xvii)  increases  and  volatility  in  labor
costs; (xviii) property ownership restrictions in certain countries; and (xix) emerging trends or regulations related to
reducing the impact of climate change.  Any of the foregoing or other factors associated with doing business abroad
could adversely affect our business, financial condition and results of operations.

LEGAL, REGULATORY, AND COMPLIANCE RISKS 

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  us,  requesting  documents  and  information  relating  to  our 
compliance with the FCPA or other foreign or domestic anti-corruption laws with respect to certain of our operations 
in Latin America.  In addition, the DOJ notified us that it is investigating this matter in parallel with the SEC.  We are 
cooperating with these agencies and certain foreign authorities, and also have conducted an internal investigation 
of  these  and  other  matters,  including  outside  of  Latin America,  under  the  oversight  of  the Audit  Committee  of  the 
Board of Directors and with the assistance of outside counsel, and this investigation has found evidence of improper 
conduct. We have entered into settlement discussions with the SEC, DOJ, and Brazilian authorities with respect to 
the  foregoing  matters,  and  although  we  have  reached  agreements  in  principle  with  the  DOJ  and  with  the  SEC, 
those agreements remain to be finalized and approved.  The settlement discussions with the Brazilian authorities 
are ongoing and there is no certainty that we will be able to reach a settlement.  As a result of the foregoing, we 
recorded an aggregate accrued liability for these matters of $80.7 million as of December 31, 2021. 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, including in the pending resolutions with the DOJ and SEC.  Such 
determinations  could  subject  us  to,  among  other  things,  enforcement  actions  by  the  SEC  or  the  DOJ  or  other 
regulatory  bodies,  fines,  penalties,  oversight  by  an  independent  compliance  monitor  and/or  self-reporting 
obligations,  litigation,  or  orders  of  suspension  or  debarment,  which  could  adversely  affect  our  business,  financial 
condition and results of operations.  See Part II, Item 8 Financial Statements and Supplementary Data Note 12 – 
Commitments  and  Contingencies  and  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 

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Stericycle, Inc.  •  24 

PART I 

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 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 extensive government imposed requirements; noncompliance could result in significant 
liabilities. 

Our operations are subject to extensive federal, state and local laws and regulations.  The consequences of failure 
to  comply  with  government-imposed  regulations  and  other  requirements  can  impact  our  ability  to  service  our 
customers,  and  thus  our  operational  results.    Compliance  with  government  regulations  can  also  be  costly,  which 
impacts our overall financial condition. 

In  the  ordinary  course  of  business  we  are  routinely  involved  in  various  government  enforcement  proceedings, 
private lawsuits and other disputes alleging non-compliance with applicable regulation.  Such matters can result in 
permit revocations or denials, civil penalties or other obligations that may require significant expenditures. 

Due  to  the  nature  of  regulated  waste  services,  we  face  risk  associated  with  potential  regulation  of  emerging 
contaminants  that  may  have  been  present  in  materials  historically  collected  for  treatment  and  disposal.    Further, 
there  is  risk  of  incurring  significant  environmental  cleanup  liabilities  that  arise  due  to  our  current  operations,  pre-
existing conditions at the locations where we operate, and/or successor or predecessor liability associated with our 
portfolio optimization strategy. 

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. Furthermore, as a result of portfolio optimization efforts through which we may acquire new 
assets  or  businesses,  sell  existing  assets  or  businesses,  or  exit  particular  markets,  there  may  exist  tax  rules, 
regulations, or other matters that may be the focus of examination and challenge by applicable taxation authorities. 
Similarly,  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 portfolio optimization, we could also incur additional charges associated with consulting fees 
and other charges. 

In response to significant market volatility and disruptions to business operations resulting from the global spread of 
the COVID-19 pandemic and corresponding government relief efforts, legislatures and taxing authorities in various 
jurisdictions  in  which  we  operate  may  propose  changes  to  their  tax  rules.    These  changes  could  include 
modifications that have temporary effect, and more permanent changes. The impact of these potential new rules on 
us, our long-term tax planning, and our effective tax rate could be significant.  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. 

On  March  27,  2020,  the  President  signed  into  law  the  CARES  Act.  The  CARES  Act  provides  numerous  tax 
provisions  and  other  stimulus  measures,  including  temporary  changes  regarding  the  prior  and  future  utilization  of 
net  operating  losses,  temporary  changes  to  the  prior  and  future  limitations  on  interest  deductions,  temporary 
suspension of certain payment requirements for the employer portion of Social Security taxes, technical corrections 
from prior tax legislation for tax depreciation of certain qualified improvement property, and the creation of certain 
refundable employee retention credits. The CARES Act is highly detailed, and we will continue to assess the impact 
that various provisions will have on our business. 

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PART I 

On December 27, 2020, the President signed the CAA 2021, which provides several business tax relief provisions, 
including  (i)  extension  of  the  CFC  look-through  rule  through  2025,  (ii)  a  temporary  100%  deduction  for  business 
meals paid or incurred in 2021 and 2022, and (iii) extension of the WOTC through 2025. We will continue to assess 
the CAA 2021 with respect to the provisions that have an impact on our business. 

Further, on March 11, 2021, the President signed into law the ARP Act, a legislative package which is generally not 
significant to the Company’s current tax footprint. We will continue to assess the ARP Act on an ongoing basis. 

We have accumulated NOLs arising from our operations and foreign and domestic acquisitions of $281.6 million as 
of December 31, 2021.  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. For additional information, please see Part II, Item 8. Financial Statements and Supplementary Data; Note 
10 – Income Taxes. 

Requirements of governments, customers and investors for net carbon zero emissions strategies, and the 
introduction  of  regulations  restricting  emissions  of  “greenhouse  gases”  aimed  to  limit  climate  change, 
could negatively impact our costs to operate. 

The United Nations Climate Change Conference in Glasgow (COP26), which reaffirmed the Paris Agreement goal 
of  limiting  the  increase  in  the  global  average  temperature  to  well  below  2°C  above  pre-industrial  levels,  has 
increased focus on sustainability matters. Even prior to COP26, many of our customers have established goals for 
their  organizations  to  be  carbon  neutral  or  reduce  waste  levels,  especially  wastes  that  go  to  landfills,  and  have 
extended such goals to their key vendors and business partners.  For example, the National Health System (NHS) 
in the U.K. established a goal for its suppliers to be net zero by 2045, and, in September 2021, the NHS announced 
that  all  suppliers  of  goods  and  services  with  NHS  contracts  commencing April  2024  will  be  required  to  publish  a 
carbon reduction plan for their direct emissions.  Additionally, many investors and financial institutions believe that 
climate change will significantly influence many companies’ long-term prospects and are requesting climate change 
disclosures and commitments from their investments. 

Around the world, there are also a wide range of legislative and regulatory efforts at the state, provincial, regional 
and  federal  levels  focused  on  reducing  greenhouse  gas  emission  and  minimizing  the  impact  of  climate  change. 
These emerging legislative and regulatory efforts include, among other things, initiatives to reduce the use of fossil 
fuels,  single  use  plastics,  and  waste  volumes  sent  to  landfills.  In  California,  several  county  and  municipal 
governments have introduced zero waste to landfill goals; at least one customer has not renewed RWCS service in 
order to pursue options that avoid landfills.  We actively monitor the regulatory landscape and the potential impacts 
to our operations of such efforts. These evolving regulations and expectations could also affect certain management 
estimates,  including  long-lived  asset  useful  lives  and  asset  retirement  obligations,  which  could  adversely  impact 
results of operations. 

The  increased  focus  on  minimizing  climate  change  from  customers,  investors,  and  regulatory  bodies  may  impact 
our revenues as well as our cost of operations in the future.  

FINANCIAL AND CONTROL RISKS 

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

We continue to evaluate the performance of our portfolio of assets and businesses.  Based on this evaluation, we 
may acquire new assets or businesses and may sell certain existing assets or businesses or exit particular markets. 
Acquisitions and divestitures may not yield the targeted improvements in our business.  Divestitures involve risks, 
including difficulties in the separation of operations, services, products and personnel, disruption in our operations 
or businesses, finding a suitable purchaser, the diversion of management’s attention from our other businesses, the 
potential loss of key team members, the erosion of employee morale or customer confidence, and the retention of 
contingent liabilities, including pursuant to indemnification provisions related to the divested business.  Any charges, 
including those arising from indemnification provisions, that we are required to record or the failure to achieve the 
intended financial results associated with divestitures of businesses or assets could have a material adverse effect 
on  our  business,  financial  condition  or  results  of  operations.   Any  impairments  and  losses  on  divestiture  resulting 
from this process may cause us to record significant charges, including those related to goodwill, other intangible 
assets,  and  accumulated  currency  translation  adjustment  losses.    See  Part  II,  Item  8.  Financial  Statements  and 

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Stericycle, Inc.  •  26 

PART I 

Supplementary  Data;  Note  4  -  Restructuring,  Divestitures,  and  Impairments  in  the  Consolidated  Financial 
Statements.  Acquisitions also involve certain risks, including our ability to realize operating efficiencies, synergies 
and other benefits expected from an acquisition, diversion of management’s time and attention from other business 
concerns,  difficulties  in  retaining  key  employees,  customers  and  suppliers  of  the  acquired  business,  difficulties  in 
maintaining  uniform  standards,  controls,  policies  and  procedures  throughout  acquired  companies,  and  adverse 
effects on existing business relationships with customers and suppliers.  We may also face liability with respect to 
acquired businesses for violations of environmental laws occurring prior to the date of acquisition, and some or all of 
these liabilities may not be covered by environmental insurance secured to mitigate the risk or by indemnification 
from  the  sellers  from  which  we  acquired  these  businesses.    See  Part  II,  Item  8.  Financial  Statements  and 
Supplementary Data; Note 3 - Acquisitions in the Consolidated Financial Statements. 

Restrictions  in  our  Credit Agreement  and  our  Senior  Notes  could  adversely  affect  our  business,  financial 
condition, results of operations, ability to make distributions and the value of our securities. 

Our Credit Agreement contains 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 may limit our ability to take advantage of potential business opportunities as they arise. Our Senior Notes also 
contain certain covenants that could have a similar effect on our ability to operate our business. See Part II, Item 8. 
Financial Statements and Supplementary Data; Note 9 – Debt in the Consolidated Financial Statements. 

Our ability to comply with the covenants and restrictions contained in our Credit Agreement, along with certain of the 
covenants and restrictions contained in our Senior Notes, 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,  foreclose  against  any  assets  securing  the  debt  under  our  Credit Agreement  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  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,  on  future  operating  performance,  general  economic 
conditions, competition, and 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 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. 

Potential for rising interest rates. 

The financial markets may experience an increase in interest rates as the Federal Reserve raises interest rates in 
an effort to curb inflation. Although most of our outstanding debt is at fixed interest rates, an increase in rates would 

2021 10-K Annual Report 

Stericycle, Inc.  •  27 

PART I 

impact  our  variable  rate  debt.  Rising  interest  rates  may  also  lead  to  higher  rates  in  the  event  we  refinance  our 
outstanding fixed rate debt thereby resulting in an overall increase in interest expense. 

The amount of our indebtedness could adversely affect our business. 

As of December 31, 2021, we had a total of $1.6 billion of outstanding indebtedness, including long-term debt and 
short-term  debt  and  excluding  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: (i) we may be required to 
dedicate a substantial portion of our available cash to payments of principal and interest on our indebtedness, (ii) 
our ability to access credit markets on terms we deem acceptable may be impaired, and (iii) we may be limited in 
our flexibility to adjust to changing market conditions. 

If  we  fail  to  maintain  an  effective  system  of  internal  controls  over  financial  reporting,  including  increased 
risk associated with our ERP implementation, 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. 

Internal controls related to the operation of technology systems are critical to maintaining adequate internal control 
over financial reporting. We are implementing remedial measures and new systems and there can be no assurance 
that our efforts will be successful. These measures will result in additional technology and other expenses. If we are 
unable to maintain effective internal control over financial reporting or disclosure controls and procedures, our ability 
to  record,  process  and  report  financial  information  accurately,  and  to  prepare  financial  statements  within  required 
time  periods,  could  be  adversely  affected,  which  could  subject  us  to  litigation  or  investigations  requiring 
management  resources  and  payment  of  legal  and  other  expenses,  negatively  affect  investor  confidence  in  our 
financial statements and adversely impact our stock price. 

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, 2021 contains goodwill of 
$2.8 billion and other intangible assets, net of $964.5 million. We evaluate on an ongoing basis whether facts and 
circumstances indicate any impairment to the carrying 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 
2021, 2020, and 2019, we recognized non-cash impairment charges of $6.7 million, $11.1 million, and $17.7 million, 
respectively,  of  operating  permits,  tradenames,  and  customer  relationships.  Additionally,  in  2019  we  recognized 
$228.3  million  in  non-cash  goodwill  impairment  charges  related  to  our  reporting  units.  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  Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data;  Note  7  –  Goodwill  and  Other 
Intangible Assets.  The recognition of any potential future impairments could have a material adverse impact on our 
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,  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  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. 

2021 10-K Annual Report 

Stericycle, Inc.  •  28 

PART I 

Based  upon  the  information  available  to  us  from  plan  administrators  as  of  March  30,  2021,  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 team 
members  covered  by  these  plans,  investment  returns  and  the  level  of  underfunding  of  such  plans.    Additional 
funding could adversely affect our liquidity, cash flows, and results of operations.  For more information, see Part II, 
Item  8.  Financial  Statements  and  Supplementary  Data;  Note  13  –  Retirement  and  Other  Employee  Benefit 
Programs in the Consolidated Financial Statements. 

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, resulting in increased bad debt expense, 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 could negatively affect 
our operating results. 

RISKS RELATED TO HUMAN CAPITAL 

A change or deterioration in our relations with our team members 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 team members 
and  the  labor  supply  is  sometimes  tight  in  our  markets.    A  shortage  of  qualified  team  members  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.  Due  primarily  to  increased  demand  for  truck  drivers  and  competition  from  other  employers,  we  are 
experiencing difficulties hiring a sufficient number of qualified truck drivers.  If this condition persists, it could affect 
our ability to service our customers and affect our results of operations. 

We are a party to 13 collective bargaining agreements in the U.S. and Canada, covering approximately 500 team 
members,  or  approximately  4.6%  of  our  total  U.S.  and  Canadian  workforce  and  further  agreements  and  works 
councils  covering  approximately  1,500  team  members  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  us.  There  is  also  no  guarantee  that  current  non-union  team  members  will  not  seek  union 
representation  resulting  in  additional  collective  bargaining  agreements  with  associated  increased  costs  to  us. 
Potential work disruptions from labor disputes may disrupt our businesses and adversely affect our brand, customer 
relations, financial condition, and results of operations. During 2021 the Company experienced a total of four work 
stoppages at its facilities as a result of labor disputes. 

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

Our  business  requires  our  team  members  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, and spills (including those caused by natural disasters) always exists. 
Examples of incidents that may present possible exposure to contaminated or infectious waste or other hazardous 
materials include truck accidents, damaged or leaking containers, improper storage of regulated waste, placement 
of  prohibited  materials  into  the  waste  stream,  or  malfunctioning  plant  equipment,  such  as  power  outages,  or 
ineffective backup systems. 

2021 10-K Annual Report 

Stericycle, Inc.  •  29 

PART I 

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 generally 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. 

An inability to retain key personnel or difficulties in recruiting qualified personnel may adversely affect our 
business.  

The  labor  market  in  the  U.S.  and  globally  is  very  competitive.  Like  many  other  route-based  businesses,  we  are 
being  impacted  by  our  industry’s  driver  and  facility  team  member  shortages.    We  depend  on  the  skills,  working 
relationships,  and  continued  services  of  key  personnel,  including  our  experienced  management  team.    We  must 
hire, train and develop effective drivers and other team members.  We compete with other companies both within 
and outside of our industry for talented personnel.  In addition, employee turnover increases our cost of operations 
and  makes  it  more  difficult  to  operate  our  business.    Difficulty  in  replacing  or  adding  personnel  could  have  an 
adverse effect on our business, results of operations and financial condition. 

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.  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. 

GENERAL RISK FACTORS 

Increasing  occurrences  of  natural  disasters  or  other  catastrophic  events  caused  by  climate  change  or 
otherwise 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 operations.  While we have protocols in place for operating 
regions  frequently  impacted  by  severe  weather  changes,  continued  climate  change  may  require  additional 
protocols, processes, physical equipment, and training to minimize risks to team members, physical property, and 
operations, which could have an adverse effect on our results of operations and financial condition. 

Inflationary cost environment and supply chain disruption. 

During 2021, we experienced inflationary cost increases in our underlying expenses, including labor, supply chain 
related,  and  other  expenses.  We  may  continue  to  experience  inflationary  cost  increases  in  labor,  commodities, 
facility  and  vehicle  leases,  third  party  expenditures,  plant  equipment  and  construction  expenditures,  and  other 
expenses. We may not be able to pass all of these cost increases on to our customers. We are also experiencing 
delays  in  completing  certain  capital  projects  and  have  additional  challenges  due  to  macroeconomic  supply  chain 
disruptions. Should these conditions persist, our business, financial condition, results of operations and cash flows 
could be negatively impacted. 

2021 10-K Annual Report 

Stericycle, Inc.  •  30 

PART I 

Item 1B. Unresolved Staff Comments 

None. 

Item 2. Properties 

Information  regarding  our  worldwide  properties  can  be  found  under  Part  I,  Item  1.  Business  and  is  incorporated 
herein by reference. We believe that these processing and other facilities are adequate for our present and currently 
anticipated future needs. 

Item 3. Legal Proceedings 

Information regarding certain legal proceedings in which we are involved can be found in Part II, Item 8. Financial 
Statements and Supplementary Data; Note 19 - Legal Proceedings in the Consolidated Financial Statements and is 
incorporated herein by reference. 

Item 4. Mine Safety Disclosures 

Not Applicable. 

2021 10-K Annual Report 

Stericycle, Inc.  •  31 

PART II 

PART II 

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

Our common stock is listed on the Nasdaq Global Select Market under the ticker symbol "SRCL."  There were 81 
shareholders of record as of February 22, 2022. 

We  did  not  declare  or  pay  any  cash  dividends  on  our  common  stock  during  2021,  2020,  or  2019.  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,  2021,  we  had  purchased  a 
cumulative total of 22,219,146 shares.  No common stock purchases were made during 2021. 

Performance Graph 

The  following  graph  compares  the  cumulative  total  returns  of  Stericycle,  the  Nasdaq  Global  Select  Market 
Composite Index, the S&P Mid Cap 400 Index and the Dow Jones U.S. Waste & Disposal Services Index for the 
five-year period ended December 31, 2021. 

The graph assumes that the value for the investment in Stericycle and in each of the indices was $100 on 
December 31, 2016 and that all dividends were reinvested. 

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

Company/Index
Stericycle, Inc.

Nasdaq Global Select Market 
Composite Index

S&P Mid Cap 400 Index

Dow Jones U.S. Waste & Disposal 
Services Index

$ 

$ 

$ 

$ 

2016

2017

2018

2019

2020

2021

100.00  $ 

88.25  $ 

47.62  $ 

82.83  $ 

89.99  $ 

77.41 

100.00  $ 

100.00  $ 

128.43  $ 

114.45  $ 

123.71  $ 

100.15  $ 

167.75  $ 

124.23  $ 

239.95  $ 

138.90  $ 

295.42 

171.15 

100.00  $ 

114.84  $ 

112.82  $ 

149.86  $ 

157.08  $ 

216.71 

Item 6. Selected Financial Data 

[Reserved] 

2021 10-K Annual Report 

Stericycle, Inc.  •  32 

PART II 

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

The following discussion of our 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  2021  Form  10-K.  For  further  discussion  regarding  operating  and  financial  data  for  the  year  ended 
December 31,  2020  as  compared  to  the  year  ended  December 31,  2019,  refer  to  Part  II,  Item  7,  Management's 
Discussion and Analysis of Financial Condition and Results of Operations, in our Annual Report on Form 10-K for 
the fiscal year ended December 31, 2020.

Overview 

Stericycle is a global U.S. based business-to-business services company. We provide an array of highly specialized 
compliance-based  solutions  that  protect  people  and  brands,  promote  health  and  well-being,  and  safeguard  the 
environment. Since our founding in 1989, we have grown from a small start-up in medical waste management into a 
leader across a range of increasingly complex and highly regulated arenas, serving healthcare organizations and 
commercial businesses of every size through Regulated Waste and Compliance Services and Secure Information 
Destruction Services. 

Through  our  family  of  brands,  Stericycle  serves  customers  in  the  U.S.  and  16  other  countries  worldwide  with 
solutions  for  Regulated  Waste  and  Compliance  Services  and  Secure  Information  Destruction  Services.  To  our 
customers, team members and the communities we serve, Stericycle is a company that protects what matters. 

Our service offerings appeal to a wide range of 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.   While  we  manage  large  volumes  of  waste  and  other  materials,  the 
volume per customer site on average is relatively small.  

Highlights for the year ended December 31, 2021 compared to the prior year include: 

•

•

•

•

•

•

We completed deployment of our ERP system for North America finance and procurement processes
and SID business.

Organic  revenues  increased  5.4%,  driven  by  RWCS  organics  revenues  which  increased  5.6%  and
SID organic revenues which increased 5.0% for the year ended December 31, 2021 compared to the
prior year.

We renewed our Credit Agreement, which maintains our Revolving Credit Facility of $1.2 billion and
establishes a Term Loan Facility of $200.0 million, with new maturity dates of September 30, 2026.

We divested our RWCS operations in Japan for proceeds of $11.3 million in the third quarter of 2021
and divested our Environmental Solutions operations in Canada for proceeds of $24.4 million in the
fourth quarter of 2021, which are reported in International and North America, respectively.

We  acquired  a  Midwest-based  regulated  waste  business  in  the  fourth  quarter  of  2021  for  total
purchase consideration of $43.4 million.

We  opened  three  new  regulated  waste  facilities,  upgraded  five  autoclaves  in  2021,  completed  13
non-autoclave  facility  modernization  projects  and  completed  a  comprehensive,  long-term  facility
planning process.

For additional information, see Part II, Item 8, Financial Statements and Supplementary Data; Note 3 – Acquisitions, 
Note 4 – Restructuring, Divestitures, and Impairments and Note 9 – Debt in the Consolidated Financial Statements. 

COVID-19 Pandemic and Other Developments 

In March 2020, the World Health Organization declared the COVID-19 virus outbreak a pandemic. The COVID-19 
pandemic  has  had  a  global  economic  impact,  including  temporary  closure  of  non-essential  businesses  worldwide 
and  postponement  of  elective  surgeries  and  preventative  care.  The  Company  continues  to  maintain  operations 

2021 10-K Annual Report 

Stericycle, Inc.  •  33 

PART II 

within  all  business  service  offerings.  We  are  monitoring  future  implications  of  the  COVID-19  pandemic,  including 
COVID-19 variants, and continue to take actions to manage spending to align to operational requirements. 

Our COVID-19 pandemic response has included efforts to protect the health and well-being of our workforce and 
our customers. We worked proactively with the CDC, OSHA, the DOT and regulatory agencies around the world to 
ensure readiness for proper regulated waste management. Our team demonstrated leadership and commitment to 
protecting what matters by working with pharmaceutical companies and government agencies to align on standards 
for secure and compliant COVID-19 vaccination treatment protocols. Additionally, Stericycle supports the front end 
of vaccination programs through our Communications Solutions service line. We provide scalable patient hotlines, 
scheduling, and appointment reminders for vaccinations. 

We  have  updated  and  implemented  numerous  protocols  specifically  to  reduce  risk  among  our  front-line  team 
members, and our strategic sourcing team has worked diligently to take measures to provide our field operations 
employees  with  appropriate  personal  protective  equipment.  We’ve  implemented  more  rigorous  cleaning  protocols 
for  all  our  facilities.  Throughout  the  pandemic,  our  front-line  workers  have  continued  to  meet  the  needs  of  our 
customers. 

Like many organizations, we too have been impacted by labor shortages and higher absences, particularly among 
driver and operational team members. To date, we are addressing our internal needs through three main areas: (1) 
recruitment,  (2)  market  competitive  compensation  and  benefits,  and  (3)  employee  engagement  and  retention. 
Although we have been able to maintain near our desired staffing levels through these efforts, and that has enabled 
us  to  continue  to  support  our  customers,  labor  shortages  have  not  uniformly  impacted  our  businesses.  In  certain 
geographies  and  facilities,  we  have  experienced  more  acute  labor  shortages.  Those  locations  have  required 
additional team member overtime and re-allocation of team members to continue to support our customers.   

Over several months in the second half of 2021, we had several hundred team members absent from work due to 
Covid-related  illness.  Where  we  were  unable  to  allocate  resources  to  cover  absent  team  member  routes,  our 
transactional based revenue was negatively impacted. 

During  2021,  we  have  experienced  inflationary  cost  increases  in  our  underlying  expenses,  including  labor  and 
supply-chain  and  other  costs.  We  are  also  experiencing  delays  in  completing  certain  capital  projects  and  have 
additional  challenges  due  to  macroeconomic  supply  chain  disruptions.  We  continue  to  demonstrate  to  our 
customers the value of the services we provide. One of the strengths of our quality of revenue initiative has been 
working  to  create  a  more  flexible  pricing  model  with  the  necessary  levers  to  adjust  to  these  inflationary  cost 
challenges.  We  have  the  following  pricing  levers:  (i)  for  existing  contracts,  we  have  been  addressing  the 
standardization of contractual language and building in pricing flexibility, which affords us the opportunity to adjust 
pricing in several ways at contract anniversary and renewal, (ii) for all new customers and purchasers of our one-
time services, we have the ability to adjust our rates at point of sale, and (iii) for many customers we also have the 
ability to adjust surcharges and fees that provide inflationary cost protection for commodity and other price volatility 
(e.g. fuel, recycled paper, and environmental surcharges and a new service cost recovery fee). 

2021 10-K Annual Report 

Stericycle, Inc.  •  34 

PART II 

The impact of the COVID-19 pandemic across our revenue service categories in 2021 is as follows: 

Revenue Service 
Category 

COVID-19 Pandemic Impact 

Regulated Waste and
Compliance Services

RWCS organic revenue growth was 5.6% in 2021 compared to 2020. 

North  America  RWCS  organic  revenues  grew  4.8%  as  elective  surgeries  and  maritime  waste 
services  began  to  recover  from  the  impacts  of  the  pandemic,  although  they  remain  below  pre-
pandemic levels. 

International  RWCS  organic  revenue  growth  was  8.4%,  primarily  attributable  to  supporting  our 
customers  through  the  pandemic.  Although  International  RWCS  had  strong  organic  revenue 
growth in 2021 compared to 2020, in the fourth quarter of 2021 that growth narrowed as a result 
of  International  COVID  waste  volumes  beginning  to  decline  as  International  markets  we  serve 
begin to recover from the effects of the pandemic. 

While still below pre-pandemic levels, SID organic revenue growth was 5.0% in 2021 compared 
to 2020, primarily related to the continued recovery from the impact of the COVID-19 pandemic. 

Secure Information
Destruction Services

In  North America,  SID  organic  revenue  grew  4.3%  compared  to  2020.  When  evaluating  2021 
against pre-pandemic results from 2019, service stops remain lower by approximately 9%. 

International  organic  revenues  increased  9.4%  compared  to  2020,  primarily  related  to  the 
continued recovery from the impact of the COVID-19 pandemic. 

Recycled paper tonnage volume for 2021 was approximately 529,000 tons, compared to 567,000 
tons in 2020. Although tonnage was lower year-over-year, SOP recycling revenue in 2021 was 
higher due to higher SOP prices. 

Key Business Priorities 

In 2021, our five key business priorities were the following: 

• Quality  of  revenue  –  We  have  been  executing  against  our  foundational  initiatives  we  launched  to  drive

revenue  quality.  These  included  a  formal  cross-functional  deal  review  committee,  realignment  of  sales
incentive plans, re-organization of our commercial leadership team around our service lines, key customer
channels,  and  implementation  of  global  customer  pipeline  management  processes  for  both  Regulated
Waste  and  Compliance  Services  and  Secure  Information  Destruction.  In  combination  with  our  quality  of
revenue initiatives, we continue to develop and deploy innovative solutions to meet unmet customer needs,
strengthen customer engagement, and drive long-term organic growth.

• Operational  efficiency,  modernization  and  innovation  –  As  we  manage  through  complex  times,  we
remain  focused  on  operational  efficiency,  modernization,  and  innovation  to  control  variable  and
discretionary  costs  and  improve  performance  and  efficiencies  in  our  field  operations.  In  2021,  our
Engineering team completed a long-term planning process focused on our global facility network. Our goal
is to optimize our facilities with a strategic and standardized operating model. We are analyzing processing
capabilities, plant and transportation equipment needs, team member requirements, and potential customer
implications or benefits. In 2021, these efforts led to five facilities receiving new and upgraded autoclaves
and the opening of three new regulated waste operating facilities.

•

ERP implementation – In the third quarter of 2021, we completed deployment of our ERP system for North
America’s  finance  and  procurement  processes  and  for  North America’s  SID  business.  The  ERP  start-up
challenges  and  customer  disruptions  that  we  experienced  in  the  third  quarter  have  improved  as  we've
continued to fine tune the new technology and processes.

• Debt reduction and leverage improvement – We expect to improve our leverage ratio through continued

focus  on  operating  margin  expansion,  free  cash  flow  generation,  and  leveraging  divestiture  proceeds,  if
applicable.  We  have  reduced  total  debt  to  $1,623.7  million  at  December  31,  2021.  As  of  December  31,
2021, our Credit Agreement Defined Debt Leverage Ratio was 3.61 times.

•

Portfolio optimization – In the third quarter of 2021 in International we divested our RWCS operations in
Japan  for  proceeds  of  $11.3  million  and  in  the  fourth  quarter  of  2021  in  North America  we  divested  our
Environmental  Solutions  operations  in  Canada  for  proceeds  of  $24.4 million.  In  the  fourth  quarter,  we
completed the acquisition in North America of a Midwest-based regulated waste business for total purchase
consideration of $43.4 million.

2021 10-K Annual Report 

Stericycle, Inc.  •  35 

Certain Key Priorities and Other Significant Matters 

The following table identifies key priorities and other significant matters impacting our business (amounts are stated 
pre-tax except when noted): 

PART II 

In millions

Pre-tax items:

Included in COR
Asset Impairments

Total included in COR

Included in SG&A
ERP Implementation

Intangible Amortization

Operational Optimization

Portfolio Optimization

Litigation, Settlements and Regulatory Compliance

Asset Impairments

Other

Total included in SG&A

Divestiture (gains) losses, net

Year Ended December 31,

2021

2020

$ 

—  $ 
— 

6.8 
6.8 

59.0 

117.9 

— 

5.0 

93.2 

6.7 

— 
281.8 

50.8 

124.9 

3.1 

9.4 

20.3 

8.7 

9.1 
226.3 

(1.7)

123.6 

Total included in income (loss) from operations

280.1 

356.7 

Included in Other (income) expense, net
Other (including highly inflationary exchange loss)

Total pre-tax

After tax items:
CARES Act and Other Tax Matters

Total after-tax

$ 

$ 
$ 

— 
280.1  $ 

1.2 
357.9 

(1.9) $ 
(1.9) $ 

(44.4)
(44.4)

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

Closure and Exit 
Costs(1) 

üü

Cash Charges

Internal (2) 

üü

Consulting and 
Professional 
Fees
üü

üü

üü

üü

üü

Other (3) 

Non-Cash 
Charges (4) 

üü

üü

üü

üü

üü

üü

ERP Implementation

Operational Optimization

Portfolio Optimization

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 priority (e.g. software maintenance fees, litigation, settlement and
regulatory compliance charges, changes in contingent consideration and environmental provisions).

Includes  impairments,  accelerated  depreciation  and/or  amortization,  gain/loss  on  disposal  and
changes in deferred consideration.

2021 10-K Annual Report 

Stericycle, Inc.  •  36 

ERP Implementation 

For the years presented and for the cumulative period since the inception of the ERP Implementation, we have 
recognized the following, principally reported in Other Costs: 

PART II 

In millions 

ERP development and implementation 
Consulting and professional fees

Internal labor

Software usage/maintenance fees

Other related expenses

Operating expenditures 

Capital expenditures

Total charges and capital expenditures 

Non-cash charges

Cash charges and stock based compensation
Total operating expenditures 

Year Ended December 31, 

2021

2020

Cumulative 
Since 
Inception

$ 

41.8  $ 

21.8  $ 

106.8 

7.9 

7.5 

1.8 

59.0 

19.9 

13.1 

12.1 

3.8 

50.8 

51.3 

$ 

$ 

$ 

78.9  $ 

102.1  $ 

0.6  $ 

58.4 

59.0  $ 

2.0  $ 

48.8

50.8  $ 

39.1 

42.3 

11.5 

199.7 

180.7 

380.4 

16.2 

183.5

199.7 

As we continue to prepare to deploy the North America ERP for our operations, we will incur costs to develop and 
deploy  the  system,  which  includes  additional  capital  expenditures  as  well  as  operating  expenditures.  Upon  the 
substantial  implementation  of  North  America's  finance  and  procurement  processes  and  for  North  America's  SID 
business  in  the  third  quarter  2021,  certain  costs  became  incremental  information  technology  ongoing  costs  for 
running the new system, including maintenance, licensing, and depreciation expenses. Additionally, we will continue 
to  incur  costs  to  maintain  the  legacy  suite  of  applications  that  are  also  used  by  our  international  businesses  until 
their system portfolio is modernized or optimized. 

Intangible Amortization 

See  table  above  of  certain  key  priorities  and  other  significant  matters  for  intangible  amortization  expense  from 
acquisitions for the years presented and how they are classified in the Consolidated Statements of Loss. 

The  decrease  in  amortization  expense  is  a  result  of  the  reduction  of  intangible  assets  related  to  divestitures  and 
certain  assets  reaching  their  full  useful  lives.  See  Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data; 
Note 7 – Goodwill and Other Intangible Assets in the Consolidated Financial Statements for further information. 

For intangible amortization by segment see Part II, Item 8. Financial Statements and Supplementary Data; Note 17 
– Segment Reporting in the Consolidated Financial Statements.

Portfolio Optimization 

See table above of key priorities and other significant matters for portfolio optimization (including Divestiture (gains) 
losses,  net)  for  the  years  presented,  and  how  they  are  classified  in  the  Consolidated  Statements  of  Loss. 
Professional fees are reported in Other Costs, while the various divestitures are included in the respective segment 
in the table below.   

Divestitures 

We evaluate our portfolio of services on an ongoing basis with a country-by-country and service line-by-service line 
approach  to  assess  long-term  potential  and  identify  potential  business  candidates  for  divestiture.  Our  decisions 
regarding divestitures are based upon the following criteria: 

•

•

•

outlook for long-term market conditions;

potential impact to complementary services or customer relationships;

ability to leverage infrastructure and customer base for growth;

2021 10-K Annual Report 

Stericycle, Inc.  •  37 

PART II 

•

•

•

•

•

•

•

potential for margin improvement;

current divestiture value versus future divestiture value;

ongoing capital requirements of the business;

return on invested capital;

impact on overall leverage, including impact on debt leverage ratio;

implications for our internal control remediation efforts; and

implications for our new ERP system implementation.

We recognized the following Divestiture (gains) losses, net in the Consolidated Statements of Loss: 

In millions 

North America Segment 
Canada Environmental Solutions operations

Domestic Environmental Solutions operations

CRS businesses
Total North America charges, net 
International Segment 
Japan RWCS operations

CRS business

Argentina operations

Mexico RWCS operations

Chile RWCS operations
Total International charges, net 
Divestiture (gains) losses, net 

Year Ended December 31, 

2021 

2020 

$ 

(12.6) $ 

— 

— 
(12.6)  

10.9 

— 

— 

— 

— 
10.9 
(1.7)   $ 

$ 

— 

53.8 

(38.8)
15.0 

— 

(4.0)

112.4 

(4.9)

5.1 
108.6 

123.6 

For additional information regarding Divestiture (gains) losses, net, including significant impacts of foreign currency 
translation  adjustments,  net,  see  Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data;  Note  4  – 
Restructuring, Divestitures, and Impairments in the Consolidated Financial Statements. 

Acquisition and Integration 

A part of our portfolio optimization business priority, we are continuously evaluating the competitive environment and 
considering opportunistic acquisitions that strengthen our core businesses. Acquisitions, when appropriately valued 
and constructively integrated, are an efficient way to gain customers, scale treatment operations, and build critical 
customer density for transportation. We will be focused on smaller accretive tuck-in acquisitions. 

Details of the acquisition completed in the years ended December 31, 2021 and 2019 can be found in Part II, Item 
8. Financial Statements and Supplementary Data; Note 3 – Acquisitions in the Consolidated Financial Statements.

Operational Optimization 

See  table  above  of  certain  key  priorities  and  other  significant  matters  for  operational  optimization  for  the  years 
presented and how they are classified in the Consolidated Statements of Loss. 

As we continue to consider each operational optimization activity, the amount, timing and recognition of charges will 
be  affected  by  the  occurrence  of  commitments  and  triggering  events  as  defined  under  U.S.  GAAP,  among  other 
factors. We may incur more charges, cash expenditures, accelerated depreciation and impairments than estimated 
and may not realize the expected improvement or cost savings on the planned time frame or at all.  

For  additional  information,  see  Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data;  Note  4  – 
Restructuring, Divestitures, and Impairments in the Consolidated Financial Statements. 

2021 10-K Annual Report 

Stericycle, Inc.  •  38 

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 including the items detailed in Part II, 
Item  8.  Financial  Statements  and  Supplementary  Data;  Note  19  –  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. 

See  table  above  of  certain  key  priorities  and  other  significant  matters  for  litigation,  settlement  and  regulatory 
compliance  charges.  Among  other  things,  the  table  reflects  consulting  and  professional  fees,  contingent  liability 
provisions and settlements, net of insurance recoveries, impacting our business for the periods presented, primarily 
in  Other  Costs.  The  year  ended  December  31,  2021  reflects  an  estimated  aggregate  FCPA  settlement  accrual 
of $80.7 million.   The  table  above  also  reflects  how  these  matters  are  classified  in  the  Consolidated  Statements 
of Loss. 

Asset Impairments 

Impairment charges comprise the following: 

In millions 
Asset impairments: 
Property plant and equipment 
Impairments included in COR 

Property plant and equipment and Right of Use asset 
Customer lists, permits and tradenames 
Impairments included in SG&A 

Total Asset impairments 

Year Ended December 31, 

2021 

2020 

$ 

—  $ 

— 

2.1 

4.6 
6.7 

6.8 

6.8 

0.2 

8.5 
8.7 

$ 

6.7  $ 

15.5 

Impairment charges may be recognized in future periods to the extent changes in factors or circumstances occur, 
including  deterioration  in  the  macroeconomic  environment  or  in  the  equity  markets,  including  the  market  value  of 
our common shares, deterioration in our performance or our future projections, or changes in our plans for one or 
more reporting units or specified long-lived assets, among other factors. 

For additional information on asset impairments, see Part II, Item 8. Financial Statements and Supplementary Data; 
Note  4  -  Restructuring,  Divestitures,  and  Impairments  and  Note  7  –  Goodwill  and  Other  Intangible Assets  in  the 
Consolidated Financial Statements. 

Other 

See  table  above  of  certain  key  priorities  and  other  significant  matters  for  other  charges,  primarily  consulting  and 
professional fees related to internal control remediation activities, impacting our business for the periods presented, 
primarily in Other Costs, and how they are classified in the Consolidated Statements of Loss. 

See  table  above  of  certain  key  priorities  and  other  significant  matters  for  the  impact  of  foreign  exchange  re-
measurement  of  net  monetary  assets  held  in Argentina,  which  was  divested  in August  of  2020,  as  a  result  of  its 
designation  as  a  highly  inflationary  economy  for  the  years  presented  and  how  they  are  classified  in  the 
Consolidated Statements of Loss. 

U.S. CARES Act and Other Tax Matters 

For further discussion, see Part II, Item 8. Financial Statements and Supplementary Data; Note 10 – Income Taxes 
in the Consolidated Financial Statements. 

Results of Operations 

Revenues (including Segment Revenue): 

2021 10-K Annual Report 

Stericycle, Inc.  •  39 

PART II 

Year Ended December 31, 

In millions 

2021

2020

Change 
($)

Change 
(%)

Components of Change (%) 
Divestiture
s

Foreign 
Exchange (2) 

Organic 
Growth (1) 

Revenue by Service 
Regulated Waste and Compliance Services (4)  $  1,854.0  $  1,930.2  $ 
Secure Information Destruction Services 

792.9 

745.3 

Total Revenues 

$  2,646.9  $  2,675.5  $ 

North America 
Regulated Waste and Compliance Services (4)  $  1,457.5  $  1,541.9  $ 
Secure Information Destruction Services 

647.3 

679.0 

Total North America Segment 

$  2,136.5  $  2,189.2  $ 

(76.2) 
47.6 
(28.6)  

(84.4) 
31.7 
(52.7)  

 (3.9%) 
 6.4% 
 (1.1%)  

 (5.5%) 
 4.9% 
 (2.4%)  

International 
Regulated Waste and Compliance Services (4)  $ 
Secure Information Destruction Services 

Total International Segment 

$ 

396.5  $ 

388.3  $ 

113.9 
510.4  $ 

98.0 

486.3  $ 

8.2 

15.9 
24.1 

 2.1% 

 16.2% 
 5.0% 

 5.6 % 
 5.0 % 
 5.4 %  

 4.8 % 
 4.3 % 
 4.7 %  

 8.4 % 
 9.4 % 
 8.6 %  

 (10.6%) 
—% 
 (7.7%)  

 (10.7%) 
—% 
 (7.5%)  

 (10.3%) 
—% 
 (8.2%)  

 1.1% 

 1.4% 
 1.2% 

 0.4% 

 0.6% 
 0.4% 

 4.0% 

 6.8% 
 4.6% 

(1) Organic  growth  is  a  change  in  revenues  which  includes  SOP  (sorted  office  paper)  pricing  and  volume  and  excludes  the  impact  of

(2)

(3)

(4)

divestitures and foreign exchange.
The  comparisons  at  constant  currency  rates  (foreign  exchange)  reflect  comparative  local  currency  balances  at  prior  period’s  foreign
exchange  rates.  We  calculated  these  percentages  by  taking  current  period  reported  Revenues  less  the  respective  prior  period  reported
Revenues,  divided  by  the  prior  period  reported  Revenues,  all  at  the  respective  prior  period’s  foreign  exchange  rates.  This  measure
provides information on the change in Revenues assuming that foreign currency exchange rates have not changed between the prior and
the current period.  Management believes the use of this measure aids in the understanding of changes in Revenues without the impact of
foreign currency.
For further information, see Part II, Item 8. Financial Statements; Note 2 – Revenues from Contracts with Customers in the Consolidated
Financial Statements.
In the first quarter of 2021, we updated our service lines to include Communication Solutions (formerly part of CRS) in RWCS.

Revenues for the year ended December 31, 2021 were $2,646.9 million, a decrease of 1.1% compared to $2,675.5 
million in the prior year. The year-over-year decline in revenue was mainly due to divestitures of the Environmental 
Solutions business in the second quarter of 2020, the Argentina operations in the third quarter of 2020, the Expert 
Solutions business in the fourth quarter of 2020, the Japan RWCS operations in the third quarter of 2021, and the 
Canada  Environmental  Solutions  business  in  the  fourth  quarter  of  2021,  which  collectively  reduced  revenue  by 
$204.3 million or 7.7%. Partially offsetting these declines were organic revenue growth of $144.3 million or 5.4%, 
largely attributable to the quality of revenue initiatives, COVID-related revenues, recovery from COVID-19 pandemic 
impacts, and higher recycled paper revenues reflecting higher SOP pricing. 

North  America  revenues  decreased  $52.7  million,  or  2.4%,  for  the  year  ended  December 31,  2021  to  $2,136.5 
million from $2,189.2 million in the prior year. The year-over-year decrease was primarily due to divestitures which 
reduced revenues by $164.6 million or 7.5%.  The decline in revenue was partially offset by an increase in organic 
revenues of $102.5 million or 4.7%, largely attributable to the quality of revenue initiatives, COVID-related revenues, 
recovery from COVID-19 pandemic impacts, and higher recycled paper revenues reflecting higher SOP pricing. In 
the  third  quarter,  we  experienced  typical  ERP  start-up  challenges  in  North America  SID.  These  challenges  were 
acute  in  the  third  quarter  and  we  exited  the  fourth  quarter  and  the  full-year  with  year-over-year  organic  growth  in 
North America SID.  

International  revenues  increased  $24.1  million,  or  5.0%,  for  the  year  ended December 31,  2021  to  $510.4  million 
from $486.3 million in the prior year. The increase in International revenues was primarily due to organic revenue 
growth  of  $41.8  million,  or  8.6%,  primarily  attributable  to  the  recovery  from  COVID-19  pandemic  impacts  and  the 
favorable  effect  of  foreign  exchange  rates  of  $22.0  million,  or  4.6%. These  improvements  were  partially  offset  by 
reduced revenues from divestitures of $39.7 million or 8.2%. 

Gross Profit

In millions 

Gross profit 

Year Ended December 31, 

2021 

2020 

$

1,017.2 

% of 
Revenues
 38.4% 

$

1,053.1 

% of 
Revenues
 39.4% 

Change 2021 versus 
2020

$
(35.9)  

%
 (3.4%) 

The decrease in gross profit for the year ended December 31, 2021, as compared to 2020, was primarily due to the 
impact of divestitures, higher labor costs, additional costs incurred for typical start-up challenges associated with the 
ERP deployment, and supply chain and other inflationary costs. These were partially offset by increased revenues 

2021 10-K Annual Report 

Stericycle, Inc.  •  40 

related to quality of revenue initiatives, COVID-related revenues, recovery from COVID-19 pandemic impacts, and 
higher recycled paper revenues reflecting higher SOP pricing. Further, for the year ended December 31, 2021, we 
incurred lower charges associated with our certain key priorities and other significant matters discussed above.  

PART II 

SG&A 
In millions 

SG&A 

Year Ended December 31, 

2021 

2020 

Change 2021 versus 
2020

$
946.6 

% of 
Revenues
 35.8% 

$
897.6 

% of 
Revenues
 33.5% 

$

%

49.0 

 5.5% 

For the year ended December 31, 2021 compared to the prior year, we incurred higher SG&A charges associated 
with certain key priorities and other significant matters discussed above, primarily due to Litigation, Settlement and 
Regulatory Compliance matters which included an estimated aggregate FCPA settlement expense.  The remaining 
increases in SG&A for the year ended December 31, 2021, as compared to the prior year, was mainly due to higher 
ERP related operating expenditures and depreciation, variable spending expenses associated with organic revenue 
growth and higher labor costs. These were partially offset by changes in divestitures, net, lower bad debt expense, 
and lower incentive compensation. Bad debt expense was lower for the year ended December 31, 2021 compared 
to  the  prior  year  due  primarily  to  a  decrease  in  risk  of  collectability  associated  with  the  impacts  of  the  COVID-19 
pandemic. 

Divestitures (Gains) Losses, Net 

In millions 

Divestitures (gains) losses, net 

Year Ended December 31, 

2021 

2020 

Change 2021 versus 
2020

$

% of 
Revenues

$ 

(1.7)  

 (0.1%)   $ 

$
123.6 

% of 
Revenues

 4.6%  $ 

$
(125.3)  

%

 (101.4%) 

For additional information regarding Divestiture (gains) losses, net, including significant impacts of foreign currency
 translation  adjustments,  see  Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data;  Note  4  – 

Restructuring, Divestitures, and Impairments in the Consolidated Financial Statements. 

Segment Profitability 

The Company uses Adjusted Income from Operations as its measure of segment profitability – 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 income (loss) from operations was as follows: 

In millions 

Adjusted Income from Operations 
North America

International

Other

Total 

Reconciliation to Income from operations:

Adjusted Income from Operations
Adjusting Items Total(1) 
Income from Operations 

Change 2021 
versus 2020

$

%

% of 
Segment 
Revenues

 27.7% 

 9.6% 

nm
 14.5% 

(18.4)

 (3.0%)

7.1 

 15.3% 

(24.9)
(36.2)  

 9.4% 
 (9.3%) 

Year Ended December 31, 
2020 
2021 

% of 
Segment 
Revenues

 27.5% 

 10.5% 

nm
 13.3% 

$

587.6 

53.6 

(288.8)
352.4 

352.4
(280.1)  
72.3 

$

606.0 

46.5 

(263.9)
388.6 

388.6
(356.7)  
31.9 

nm - percentage change not meaningful 
(1) See Part II, Item 8. Financial Statements and Supplementary Data; Note 17 - Segment Reporting

2021 10-K Annual Report 

Stericycle, Inc.  •  41 

PART II 

Adjusted  Income  from  Operations  for  North  America  decreased  $18.4  million,  or  3.0%,  for  the  year  ended 
December 31,  2021  to  $587.6  million  from  $606.0  million  in  the  prior  year.   Adjusted  Income  from  Operations 
declined primarily due to typical start-up challenges associated with the ERP deployment, higher supply chain, labor 
and  other  inflationary  costs,  the  impact  of  divestitures  and  increased  selling  expenses,  partially  offset  due  to 
impacts,  higher  recycled  paper  revenues 
increased  revenues  related 
reflecting higher SOP pricing and lower bad debt expense. 

from  COVID-19 

the  recovery 

to 

Adjusted  Income  from  Operations  for  International  increased  $7.1  million,  or  15.3%,  for  the  year  ended 
December 31,  2021  to  $53.6  million  from  $46.5  million  for  the  prior  year.  The  increase  was  primarily  driven  by 
higher  revenues  related  to  higher  waste  volumes  and  the  recovery  from  COVID-19  impacts  and  favorable 
foreign  exchange  rates,  partially  offset  by  the  impact  of  divestitures.    Our  International  Adjusted  Income  from 
Operations as a  percentage  of  revenues  is  lower  than  North  America  Adjusted  Income  from  Operations  as  a 
percentage  of revenues because our International RWCS operations have fewer small account customers, which 
tend to generate higher Adjusted Income from Operations as a percentage of revenues.  

Adjusted Loss from Operations for Other Costs increased for the year ended December 31, 2021 compared to the 
prior  year  as  certain  costs  became  incremental  information  technology  ongoing  costs  for  running  the  new  ERP 
system, including maintenance, licensing, and depreciation expenses. These were partially offset by lower annual 
incentive compensation related costs, and lower costs associated with divested businesses. 

Interest Expense, Net 

In millions

Interest expense, net

Year Ended December 31,

2021

2020

Change 2021 versus 
2020

$

71.9 

% of 
Revenues
 2.7% 

$

81.9 

% of 
Revenues
 3.1% 

$
(10.0)

%
 (12.2%)

The change for the year ended December 31, 2021 as compared to the prior year was a result of lower weighted 
average debt balances. For further information see Part II, Item 8. Financial Statements and Supplementary Data; 
Note 9 – Debt in the Consolidated Financial Statements. 

Other Income (Expense), Net 

In millions

Other income (expense), net

Year Ended December 31,

2021

2020

Change 2021 versus 
2020

$

0.3 

% of 
Revenues
 0.0% 

$

(6.0)

% of 
Revenues
 (0.2%)

$

%

6.3 

 (105.0%)

Other  income  (expense),  net  is  primarily  comprised  of  foreign  exchange  gains  and  losses  including  the  re-
measurement  of  net  monetary  assets  held  in  Argentina,  prior  to  divestiture  in  August  2020,  as  a  result  of  its 
designation as a highly inflationary economy. 

Income Tax (Expense) Benefit 

In millions

Income tax (expense) benefit

nm - percentage change not meaningful 

Year Ended December 31,

2021

2020

Change 2021 versus 
2020

$
(27.5)

Effective 
Rate
 3,829.0% 

$

Effective 
Rate

0.1 

 0.2% 

$
(27.6)

%

nm

For further information, see Part II, Item 8. Financial Statements and Supplementary Data; Note 10 – Income Taxes 
in the Consolidated Financial Statements. 

2021 10-K Annual Report 

Stericycle, Inc.  •  42 

PART II 

  Liquidity and Capital Resources 

The Company believes that it has sufficient liquidity to support its ongoing operations and to invest in future growth 
to  create  value  for  its  shareholders.  Operating  cash  flows  and  the  Company’s  $1.2  billion  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 long-term debt obligations, capital expenditures necessary to support growth and 
productivity improvements. To the extent the Company needs to add additional funding options to meet additional 
liquidity requirements or diversify its funding portfolio, the Company could seek additional financing from alternative 
sources, including approaching the capital markets.   

For  further  details  concerning  these  matters  see  Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data; 
Note 9 – Debt in the Consolidated Financial Statements. 

Working Capital 

At December 31, 2021, our working capital decreased $11.6 million to a negative working capital of $156.2 million 
compared to a negative working capital of $144.6 million at December 31, 2020. This change is primarily driven by 
an  increase  in  accounts  payable  and  accrued  liabilities  (including  contingent  liabilities  related  to  an  estimated 
aggregate FCPA settlement accrual).

Current assets increased $23.0 million in 2021 to $575.5 million from $552.5 million in 2020 primarily driven by an 
increase in accounts receivable, partially offset by a decrease in prepaid expenses. 

Current liabilities increased $34.6 million in 2021 to $731.7 million from $697.1 million in 2020, primarily driven by 
an  increase  in  accounts  payable  and  accrued  liabilities  (including  contingent  liabilities  related  to  an  estimated 
aggregate FCPA settlement accrual), partially offset by a decrease in the current portion of long-term debt.

Cash Flow Summary: 

The following table shows cash flow information for the Company by activity: 

In millions 

Net cash from operating activities 
Net cash from investing activities

Net cash from financing activities

Effect of exchange rate changes on cash and cash equivalents

Net change in cash and cash equivalents 

Year Ended December 31, 

2021 

2020 

$ 

303.1  $ 

(90.1)

(207.9)

(2.8)
2.3  $ 

$ 

530.2 

381.4 

(892.5)

(0.5)
18.6 

Operating Cash Flows: Net cash from operating activities decreased $227.1 million for the year ended December 
31, 2021 to $303.1 million from $530.2 million for the prior year. The year-over-year decline of $227.1 million was 
primarily  driven  by  favorable  cash  flow  from  items  which  was  primarily  driven  by  2020  and  2021  non-recurring 
differences  $216.6 million  and  net  working  capital  changes  of  $32.5 million,  mainly  driven  by  the  timing  of  North 
America SID customer collections. These decreases were partially offset by tax refunds of $22.0 million. The non-
recurring  differences  include  (i)  CARES  Act  net  operating  loss  carryback  refunds  of  $110.0  million  in  2020,  (ii) 
government-related  payment  deferrals  in  2020  associated  with  pandemic-related  relief  and  subsequent  2021 
payments in aggregate of $48.8 million (iii) an annual incentive compensation payout of $38.6 million in 2021 versus 
a nominal payout in 2020, and (iv) advances received for services agreement related to the divestiture of Domestic 
Environmental Solutions of $19.2 million. 

DSO as of December 31, 2021, as reported was 58 days, compared to DSO of 52 days as of December 31, 2020. 
When  excluding  divested  revenues  as  of  December  31,  2021  from  the  trailing  twelve-months  DSO  calculations, 
DSO was 59 days for the year ended December 31, 2021 compared to 56 days for the prior year. This difference is 
primarily due to a delay in the North America SID customer invoicing schedule and subsequent collections due to 
the ERP deployment as well as increased revenue compared to prior year. 

Investing Cash Flows: Net cash from investing activities decreased $471.5 million for the year ended December 
31, 2021 to net cash used of $90.1 million from net cash provided of $381.4 million in the prior year. In the second 
quarter of 2020, we received $427.7 million from the divestiture of the Domestic Environmental Solutions business. 
Our  cash  paid  for  capital  expenditures  decreased  by  $2.6  million  to  $116.9  million  from  $119.5  million  primarily 
driven by $31.4 million less in ERP capital expenditures in 2021, compared to the same period in 2020.   For year 
ended December 31, 2021, cash paid for an acquisition was $10.5 million.  

2021 10-K Annual Report 

Stericycle, Inc.  •  43 

PART II 

Financing  Cash  Flows:  Net  cash  used  for  financing  activities  decreased  $684.6  million  in  the  year  ended 
December 31, 2021 to $207.9 million from $892.5 million in the prior year. Our net repayments were $197.7 million 
in the year ended December 31, 2021 compared to net repayments of $877.4 million in the prior year. The decrease 
is due primarily to lower divestiture proceeds compared to the prior year.

Contractual Obligations 

The Company’s contractual obligations and cash commitments at December 31, 2021 consisted of long term debt, 
finance and operating lease liabilities, and estimated purchase obligations. 

Long  term  debt:  For  details  regarding  long  term  obligations,  see  Part  II,  Item  8.  Financial  Statements  and 
Supplementary Data; Note 9 – Debt in the Consolidated Financial Statements. 

Lease liabilities: For details regarding short and long term finance and operating lease liabilities, see Part II, Item 
8. Financial Statements and Supplementary Data; Note 6 – Leases in the Consolidated Financial Statements.

Estimated  purchase  obligations:  The  Company’s  estimated  purchase  obligations  consist  of  agreements  to 
purchase goods and services that are entered into in the ordinary course of business. As of December 31, 2021, the 
Company's short and long term estimated purchase obligations were $58.7 million and $37.8 million, respectively. 

The Company establishes asset retirement obligations for the present value of estimated future costs to retire long-
lived assets at the termination or expiration of a lease.  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. 
For  further  details  concerning  asset  retirement  obligations,  see  Part  II,  Item  8.  Financial  Statements  and 
Supplementary Data; Note 12 – Commitments and Contingencies in the Consolidated Financial Statements. 

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. 

As of December 31, 2021, the Company had $71.4 million of stand-by letters of credit outstanding against our credit 
facility, $32.5 million of surety bonds and $24.1 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 Credit Facility, 
will  be  sufficient  to  meet  our  anticipated  future  operating  expenses,  key  business  priorities,  other  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.  Our 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  Statements  and  Supplementary  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, we have identified the following as our most critical accounting 
policies and estimates. 

Revenue Recognition 

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. 

The  Company  provides  RWCS,  which  provide  collection  and  processing  of  regulated  and  specialized  waste, 
including  medical,  pharmaceutical  and  hazardous  waste,  for  disposal  and  compliance  programs;  SID  Services, 

2021 10-K Annual Report 

Stericycle, Inc.  •  44 

PART II 

which  provide  for  the  collection  of  personal  and  confidential  information  for  secure  destruction  and  recycling  of 
shredded  paper;  and  communication  solutions  such  as  appointment  reminders,  secure  messaging,  event 
registration  and  other  communications  for  hospitals  and  IDN’s. 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. 

We recognize 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  Regulated  Waste  and 
Secure  Information  Destruction  Services  are  recognized  upon  waste  collection.    Our  compliance  services  are 
recognized  over  the  contractual  service  period.  Revenues  from  communication  solutions  are  recorded  as  the 
services are performed. 

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. The  Company  maintains  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,  as  well  as  management’s  expectation  of  future  economic  conditions. If  current  or 
expected  future  economic  trends,  events,  or  changes  in  circumstances  indicate  that  specific  receivable  balances 
may be impaired, further consideration is given to the collectability of those balances and the allowance is adjusted 
accordingly. The adequacy of allowances for uncollectible accounts is reviewed at least quarterly and adjusted as 
necessary  based  on  such  reviews. 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  the  Company’s  customers, 
historical collection trends, and current and future expected economic trends. 

Accounts receivable written off in subsequent periods can differ from the allowance for doubtful accounts provided, 
but  historically  our  provision  has  been  adequate.  Allowance  for  doubtful  accounts  was  $43.3 million  and 
$56.2 million as of December 31, 2021 and 2020, respectively. 

Impairment of Long-Lived Assets 

Property, Plant and Equipment, Right of Use Assets and Intangible Assets (definite-lives), Net: Long-lived 
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  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 impairment, if any, typically requires various estimates and assumptions 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. 

(For  additional  information,  see  Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data;  Note  5  – 
Property,  Plant  and  Equipment  and  Note  7  –  Goodwill  and  Other  Intangible  Assets  in  the  Consolidated 
Financial Statements). 

Intangible Assets (indefinite-lived): Indefinite-lived intangibles consist primarily of permits and tradenames. 
Indefinite-lived intangibles are assessed for impairment annually, as of October 1, or more frequently if an 
event occurs or circumstances change and are 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 is 
performed.   In  the  fourth  quarter  of  2021,  we  performed  our  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. 

2021 10-K Annual Report 

Stericycle, Inc.  •  45 

PART II 

Future  changes  in  our  assumptions  or  the  interrelationship  of  the  assumptions  described  above  may 
negatively impact future valuations that would require non-cash charges and may have a material effect on 
our financial condition and operating results. 

Goodwill: Goodwill is assessed for impairment annually as of October 1 of each year, or more frequently if 
an event occurs or circumstances change that could reduce the 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  DCF)  and  validated  using  a  market  approach  with  the 
involvement of a third-party valuation specialist.  Our reporting units are: Domestic RWCS, Domestic SID, 
Europe, Asia  Pacific,  Domestic  CRS,  Canada  and  Latin America  (note  the  last  three  reporting  units  have 
accumulated  goodwill  impairment  balances  equal  to  the  goodwill  gross  balance,  or  net  zero  goodwill 
carrying value). 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, 
long-term  growth  rates,  capital  expenditures  and  cost 
efficiencies. Future acquisitions or divestitures 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.  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. 

including 

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  but  not  to 
exceed the carrying value of any goodwill. 

We performed our annual goodwill assessment as of October 1, 2021. As a result of this assessment, no 
goodwill  impairment  charges  were  recognized  in  2021.  For  additional  information,  see  Part  II,  Item  8. 
Financial  Statements  and  Supplementary  Data;  Note  7  –  Goodwill  and  Other  Intangible  Assets  in  the 
Consolidated Financial Statements. 

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  its  respective  carrying  value.    As  of  the  October  1,  2021 
assessment, the estimated fair value of each reporting unit exceeded its carrying value by at least 50.0%. 
We performed sensitivity analysis on our estimated fair values, 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 for 
any of our reporting units. 

Intangible Assets Lives 

We have determined that certain of 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.   

Our finite-lived intangible assets are amortized over their useful lives using the straight-line method.  Our customer 
relationships  have  useful  lives  from  10  to  25  years  based  upon  the  type  of  customer.  We  have  non-compete 
covenant intangibles with useful lives of 5 years.  We also have tradename intangibles with useful lives from 20 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  2021,  we  performed  the  annual 
assessment  of  the  useful  life  of  our  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 decreased from approximately 8.2 years to 6.8 years to reflect the new estimated useful lives.  We 
estimate that there will be an approximate increase of 5-10% in annual intangible amortization expense. 

Assets and Liabilities Held-for-Sale 

We  classify  Long-lived  assets  or  disposal  groups  as  held-for-sale  when  management  having  the  appropriate 
authority,  generally  our  Board  of  Directors  or  certain  of  our  Executive  Officers,  commits  to  a  plan  of  sale,  the 
disposal group is ready for immediate sale, an active program to locate a buyer has been initiated and the sale is 

2021 10-K Annual Report 

Stericycle, Inc.  •  46 

PART II 

probable  and  expected  to  be  completed  within  one  year.  Once  classified  as  held-for-sale  disposal  groups  are 
valued  at  the  lower  of  their  carrying  amount  or  fair  value  less  estimated  selling  costs.  Where  the  disposal  group 
constitutes  substantially  all,  generally  more  than  90%  of  the  assets  and  liabilities  of  our  operations  in  a  foreign 
country, the balance in the cumulative currency translation adjustment associated with that country is included in the 
carrying  value  of  the  disposal  group.  If  the  carrying  value,  including  any  amount  associated  with  the  cumulative 
currency  translation  adjustment,  exceeds  the  fair  value  less  estimated  selling  costs,  a  held-for-sale  impairment 
charge is recorded to reduce the carrying value. 

The estimate for fair value is reviewed at the end of every reporting period that the disposal group is classified as 
held-for-sale and the carrying value is adjusted whenever the estimated fair value less costs to sell is less than the 
carrying value. 

Contingencies and Litigation 

We are subject to various legal proceedings, claims and regulatory matters, the outcomes of which are subject to 
significant uncertainty. We determine whether to disclose or accrue for loss contingencies based on an assessment 
of whether the risk of loss is remote, reasonably possible or probable, and whether it can be reasonably estimated. 
We  analyze  our  litigation  and  regulatory  matters  based  on  available  information  to  assess  the  potential  liabilities. 
Management’s assessment is developed based on an analysis of possible outcomes under various strategies. We 
record  and  disclose  loss  contingencies  pursuant  to  the  applicable  accounting  guidance  for  such  matters.  For 
additional  information,  see  Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data;  Note  19  –  Legal 
Proceedings in the Consolidated Financial Statements). 

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.   

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 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, 2021, our estimated gross unrecognized tax benefits 
were  $19.7  million,  of  which  $18.0 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. 

The  Tax Act  established  GILTI  provisions  that  impose  a  tax  on  foreign  income  in  excess  of  a  deemed  return  on 
intangible  assets  of  foreign  corporations.    We  recognize  the  taxes  on  GILTI  as  a  period  expense  rather  than 
recognizing  deferred  taxes  for  basis  differences  that  are  expected  to  affect  the  amount  of  GILTI  inclusion  upon 
reversal. 

2021 10-K Annual Report 

Stericycle, Inc.  •  47 

PART II 

For further information see Part II, Item 8. Financial Statements and Supplementary Data; Note 10 – Income Taxes 
in the Consolidated Financial Statements. 

Insured and Self-Insured Claims 

The  Company’s  insurance  for  workers’  compensation,  auto/fleet,  general  liability,  property  and  employee-related 
health  care  benefits  is  obtained  using  high  deductible  insurance  policies,  if  any,  meaning  that  the  Company  has 
retained  a  significant  portion  of  the  risks  related  to  the  claims  associated  with  these  programs.  The  estimated 
exposure  for  unpaid  claims  and  associated  expenses,  including  incurred  but  not  reported  losses,  is  based  on  a 
calculation performed by a third-party actuarial specialist. We use a third party to track and evaluate actual claims 
experience  and  supply  the  data  used  in  the  semi-annual  actuarial  valuation.    The  actuarial-determined  liability  is 
calculated  using  the  Company’s  historical  claims  experience.  The  accruals  for  these  liabilities  could  be  revised  if 
future  occurrences  or  loss  developments  significantly  differ  from  the  assumptions  used.    Estimated  recoveries 
associated  with  insured  claims  are  recognized  as  assets  when  the  receipt  of  such  amounts  is  probable.    At 
December 31, 2021 and 2020 we accrued $84.1 million and $78.1 million, respectively. 

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.  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.  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. 

We use the Monte Carlo simulation model to determine the fair value of PSU’s once the related performance criteria 
have  been  established.  The  fair  value  model  includes  various  assumptions,  including  the  expected  volatility  and 
expected life of the awards. Given the considerable judgment involved in these assumptions and complex modeling, 
we typically obtain assistance from third-party valuation specialists.  If an equity award is modified after the grant 
date, we assess the impact of the modification and where necessary record compensation cost calculated as any 
incremental  fair  value  of  the  modified  award  over  the  fair  value  of  the  original  award  immediately  before  the 
modification. 

For  further  detail,  see  Part  II,  Item  8.  Financial  Statements  and  Supplementary  Data;  Note  14  –  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,  including  SOP  and  diesel  fuel  and  foreign  currency  rates.  We  do  not  specifically  hedge  our 
exposure to these risks. 

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 (variable rate debt) which in aggregate as of December 31, 2021 are 27.5% of total 
aggregate debt (including fixed- and variable-rate 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 $4.5 million on a pre-tax basis. 

We have exposure to foreign currency fluctuations.  We have subsidiaries in 16 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,  2021  and 
prevailing  exchange  rates  at  that  date,  a  1%  devaluation  of  all  the  functional  currencies  of  each  of  our  foreign 
businesses  would  result  in  an  immaterial  change  to  Net  loss  attributable  to  Stericycle,  Inc.  reported  in  our 
Consolidated Statements of Loss. 

We  have  cumulative  currency  translation  adjustment  losses  as  of  December 31,  2021  of  approximately 
$218.8 million which are subject to continued fluctuations due to changes in foreign currency rates. In addition, to 
the extent that we sell substantially all of the operations within one country, similar to the transactions undertaken in 

2021 10-K Annual Report 

Stericycle, Inc.  •  48 

Japan  in  2021,  Argentina  in  2020  and  Mexico  and  Chile  in  2019,  we  would  be  required  to  recognize,  in  the 
Consolidated  Statements  of  Loss,  the  accumulated  currency  translation  losses  or  gains  associated  with  that 
country. 

The  U.K.’s  Financial  Conduct Authority,  which  regulates  LIBOR,  announced  in  2017  that  it  intends  to  phase  out 
LIBOR  by  the  end  of  2021.  The  Company’s  contracts  with  respect  to  its  borrowings  already  contain  comparable 
alternative reference rates that would automatically take effect upon the phasing out of LIBOR.  

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, 2021 and 2020, the related consolidated statements of loss, comprehensive loss (income), changes 
in equity and cash flows for each of the three years in the period ended December 31, 2021, and the related notes 
(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, 2021 and 
2020,  and  the  results  of  its  operations  and  its  cash  flows  for  each  of  the  three  years  in  the  period  ended 
December 31, 2021, 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,  2021,  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 24, 2022 expressed 
an unqualified 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 included 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. 

Critical Audit Matter 

The critical audit matter communicated below is a matter arising from the current period audit of the consolidated 
financial statements that was communicated or required to be communicated to the audit committee and that: (1) 
relates  to  accounts  or  disclosures  that  are  material  to  the  consolidated  financial  statements  and  (2)  involved  our 
especially  challenging,  subjective  or  complex  judgments. The  communication  of  the  critical  audit  matter  does  not 
alter  in  any  way  our  opinion  on  the  consolidated  financial  statements,  taken  as  a  whole,  and  we  are  not,  by 
communicating  the  critical  audit  matter  below,  providing  separate  opinions  on  the  critical  audit  matter  or  on  the 
account or disclosure to which it relates. 

2021 10-K Annual Report 

Stericycle, Inc.  •  49 

PART II 

Valuation of Goodwill 

Description of the Matter  At  December 31,  2021,  the  Company’s  goodwill  was  $2,815.7  million. As  disclosed  in 
Note 7 to the consolidated financial statements, goodwill is tested for impairment at the 
reporting  unit  level  annually  as  of  October  1,  or  more  frequently,  if  a  triggering  event 
occurs. The Company determined no reporting unit’s carrying value was in excess of its 
respective fair value. 

Auditing  management’s  goodwill  impairment  assessment  was  complex  and  highly 
judgmental  due  to  the  significant  estimation  required  in  determining  the  fair  value  of 
certain  of  the  Company’s  reporting  units.  In  particular,  the  fair  value  estimates  were 
sensitive to significant assumptions, such as discount rates, projections of revenue, and 
cost of revenue and operating expense growth rates, which are affected by expectations 
about  future  market  or  economic  conditions,  particularly  those  in  markets  with 
challenging economic conditions. 

How We Addressed the 
Matter in  
Our Audit 

We  obtained  an  understanding,  evaluated  the  design,  and  tested  the  operating 
effectiveness  of  controls  over  the  Company’s  goodwill  impairment  review  process.  For 
example,  we  tested  controls  over  management's  review  of  the  significant  assumptions 
discussed  above  used 
tested 
management's  controls  over  the  completeness  and  accuracy  of  the  underlying  data 
used in the valuation. 

fair  value  estimates.  We  also 

to  develop 

the 

To  test  the  estimated  fair  value  of  the  Company’s  reporting  units,  we  performed  audit 
procedures  that  included,  among  others,  assessing  methodologies  and  testing  the 
significant assumptions discussed above and the underlying data used by the Company 
in  its  analysis.  We  involved  our  valuation  specialists  to  review  the  Company’s  model, 
methods,  and  the  more  sensitive  assumptions  utilized  such  as  the  discount  rate.  We 
compared  the  significant  assumptions  used  by  management  to  current  industry  and 
economic trends, changes to the Company’s business model, customer base and other 
relevant  factors.  In  addition,  we  assessed  the  historical  accuracy  of  management’s 
estimates and performed sensitivity analyses of significant assumptions to evaluate the 
changes  in  the  fair  value  of  the  reporting  units  that  would  result  from  changes  in  the 
assumptions. 

/s/ Ernst & Young LLP 

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

Chicago, Illinois 
February 24, 2022 

2021 10-K Annual Report 

Stericycle, Inc.  •  50 

 
PART II 

STERICYCLE, INC. 
CONSOLIDATED STATEMENTS OF LOSS 

In millions, except per share data 

Revenues 
Cost of revenues 
Gross profit 
Selling, general and administrative expenses 
Goodwill impairment 
Divestiture (gains) losses, net 
Income (loss) from operations 
Interest expense, net 
Loss on early extinguishment of debt 
Other income (expense), net 
Income (loss) before income taxes 
Income tax (expense) benefit 
Net loss 
Net income attributable to noncontrolling interests 
Net loss attributable to Stericycle, Inc. common shareholders 
Loss per common share attributable to Stericycle, Inc. common shareholders: 
Basic 
Diluted 
Weighted average number of common shares 
Outstanding:
Basic

Diluted

Year Ended December 31, 
2020 

2019 

2021 

$ 

2,646.9  $ 

2,675.5  $ 

1,629.7 

1,017.2 

946.6 

— 
(1.7) 
72.3 
(71.9) 
— 

0.3 

0.7 
(27.5) 
(26.8)  
(1.0) 
(27.8)   $ 

(0.30)  $ 
(0.30)   $ 

1,622.4 

1,053.1 

897.6 

— 

123.6 

31.9 
(81.9) 
— 
(6.0) 
(56.0)  
0.1 
(55.9)  
(1.4) 
(57.3)   $ 

(0.63)  $ 
(0.63)   $ 

91.8 

91.8 

91.5 

91.5 

$ 

$ 

$ 

3,308.9 

2,134.4 

1,174.5 

1,055.1 

228.3 

103.0 
(211.9) 
(118.3) 
(23.1) 
(9.5) 
(362.8) 
16.8 
(346.0) 
(0.8) 
(346.8) 

(3.81) 
(3.81) 

91.0 

91.0 

See accompanying Notes to Consolidated Financial Statements.

2021 10-K Annual Report 

Stericycle, Inc.  •  51 

PART II 

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

In millions 

Net loss 

Year Ended December 31, 
2020 

2021 

2019 

$ 

(26.8)   $ 

(55.9)   $ 

(346.0) 

Other comprehensive (loss) income: 
Currency translation adjustments 
Cumulative currency translation loss realized through disposition of Japan operations 
Cumulative currency translation loss realized through disposition of Argentina operations 
Cumulative currency translation loss realized through disposition of Mexico operations 
Cumulative currency translation loss realized through disposition of Chile operations 
Amortization of cash flow hedge into income, net of tax expense ($0.2 for the year ended 
December 31, 2019) 

Change in fair value of cash flow hedge, net of tax expense ($0.1 for the year ended 
December 31, 2019) 

Accelerated amortization of interest rate lock premiums, net of tax expense ($1.1 for the 
year ended December 31, 2019) 
Total other comprehensive (loss) income 

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

(35.5) 
3.8 

— 

— 

— 

— 

— 

— 
(31.7)  

(58.5)

0.7 
(59.2)   $ 

44.0 

— 

87.2 

— 

— 

— 

— 

— 
131.2 

8.8 

— 

— 

18.9 

16.8 

0.4 

0.3 

2.3 
47.5 

75.3 

1.9 

73.4  $ 

(298.5)

1.1 
(299.6) 

See accompanying Notes to Consolidated Financial Statements.

2021 10-K Annual Report 

Stericycle, Inc.  •  52 

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 $43.3 in 2021 and $56.2 in 2020 

Prepaid expenses

Other current assets

Total Current Assets 

Property, plant and equipment, less accumulated depreciation of $658.5 in 2021 and $629.7 in 2020 

Operating lease right-of-use assets

Goodwill

Intangible assets, less accumulated amortization of $736.6 in 2021 and $641.6 in 2020 

Other assets
Total Assets 
LIABILITIES AND EQUITY 
Current Liabilities: 
Current portion of long-term debt

Bank overdraft

Accounts payable

Accrued liabilities

Operating lease liabilities

Other current liabilities

Total Current Liabilities 

Long-term debt, net

Long-term operating lease liabilities

Deferred income taxes

Long-term tax payable

Other liabilities
Total Liabilities 

Commitments and contingencies

Equity: 
Preferred stock (par value $0.01 per share, 1.0 shares authorized), mandatory convertible preferred stock, 
Series A, none issued and outstanding in 2021 and 2020 

Common stock (par value $0.01 per share, 120.0 shares authorized, 91.9 and 91.6 issued and outstanding 
in 2021 and 2020, 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, 

2021 

2020 

$ 

55.6  $ 

420.4 

45.6 

53.9 
575.5 

711.0 

344.8 

2,815.7 

964.5 

61.6 
5,473.1  $ 

19.9  $ 

1.6 

218.9 

359.6 

85.5 

46.2 
731.7 

$ 

$ 

53.3 

380.7 

63.0 

55.5 
552.5 

701.3 

365.0 

2,819.3 

1,087.4 

56.4 
5,581.9 

91.0 

— 

181.2 

289.4 

86.2 

49.3 
697.1 

1,589.8 

1,689.1 

279.8 

411.0 

19.1 

38.9 
3,070.3 

— 

0.9 

1,261.8 

1,354.8 

(218.8)
2,398.7 

4.1 
2,402.8 

299.0 

380.4 

22.7 

59.2 
3,147.5 

— 

0.9 

1,234.0 

1,382.6 

(187.4)
2,430.1 

4.3 
2,434.4 

5,581.9 

See accompanying Notes to Consolidated Financial Statements.

$ 

5,473.1  $ 

2021 10-K Annual Report 

Stericycle, Inc.  •  53 

STERICYCLE, INC. 
CONSOLIDATED STATEMENTS OF CASH FLOWS 

PART II 

In millions 

OPERATING ACTIVITIES: 
Net loss

Adjustments to reconcile net loss to net cash from operating activities:

Depreciation

Intangible amortization

Loss on early extinguishment of debt and related charges

Stock-based compensation expense

Deferred income taxes

Goodwill impairment

Divestiture (gains) losses, net

Asset impairments, gain/loss on disposal of property plant and equipment and other charges

Other, net

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

Accounts receivable

Prepaid expenses

Accounts payable

Accrued liabilities

Other assets and liabilities

Net cash from operating activities 
INVESTING ACTIVITIES: 
Capital expenditures

Payment for acquisition

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 debt

Proceeds from senior credit facility

Repayment of senior credit facility

Proceeds from (repayment of) bank overdrafts, net

Payments of finance lease obligations

Payments of debt issuance costs

Proceeds from issuance of common stock, net of (payments of) taxes from withheld shares 

Payments on early debt extinguishment

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 acquisition

Capital expenditures in accounts payable

Interest paid during the year, net of capitalized interest

Income taxes (refunded) paid during the year, net 

Year Ended December 31, 
2020 

2021 

2019 

$ 

(26.8) $ 

(55.9) $ 

(346.0)

106.0 

117.9 

— 

27.1 

29.7 

— 

(1.7)

6.7 

5.1 

(57.2)

17.0 

29.7 

85.2 

(35.6)

303.1 

(116.9)

(10.5)

35.0 

2.3 

(90.1)

(20.4)

— 

(29.6)

— 

(222.5)

— 

— 

108.6 

124.9 

— 

25.5 

32.6 

— 

123.6 

18.3 

5.1 

27.4 

68.9 

(5.5)

8.2 

48.5 

530.2 

(119.5)

— 

498.9 

2.0 

381.4 

(31.1)

1.8 

(10.7)

— 

(749.7)

— 

500.0 

1,495.0 

(1,420.2)

1,210.6 

(1,798.3)

1.9 

(3.9)

(3.9)

(3.4)

— 

(0.9)
(207.9)  
(2.8)

2.3 

53.3 

(1.7)

(4.3)

(7.3)

(0.4)

— 

(1.4)
(892.5)  
(0.5)

18.6 

34.7 

$ 

$ 

$ 

$ 

$ 

55.6  $ 

53.3  $ 

32.9  $ 

22.2  $ 

57.0  $ 

(7.8) $ 

—  $ 

11.7  $ 

75.5  $ 

(83.7) $ 

127.6 

145.2 

26.5 

17.1 

(33.9)

228.3 

103.0 

28.1 

2.5 

24.5 

(18.4)

(4.6)

(33.4)

(18.5)

248.0 

(194.2)

(0.2)

86.6 

3.8 

(104.0)

(50.4)

12.1 

(47.8)

365.0 

(95.3)

(1,075.0)

600.0 

1,752.2 

(1,575.6)

(12.5)

(4.3)

(8.8)

19.9 

(20.4)

(0.7)
(141.6) 
(2.0)

0.4 

34.3 

34.7 

0.3 

33.8 

101.5 

6.9 

See accompanying Notes to Consolidated Financial Statements. 

2021 10-K Annual Report 

Stericycle, Inc.  •  54 

PART II 

STERICYCLE, INC. 
CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY 

In millions 

Balance as of January 1, 2019 
Net loss

Currency translation adjustment

Change in qualifying cash flow hedge, net of tax

Accelerated amortization of interest rate lock premiums, net 
of tax

Issuance of common stock for exercise of options, PSU and 
RSU vesting and employee stock purchases, net

Cumulative currency translation loss realized through 
disposition of Mexico operations

Cumulative currency translation loss realized through 
disposition of Chile operations

Stock compensation expense

Changes to noncontrolling interest
Balance as of December 31, 2019 
Net loss

Currency translation adjustment

Issuance of common stock for exercise of options, PSU and 
RSU vesting and employee stock purchases, net

Cumulative currency translation loss realized through 
disposition of Argentina operations

Stock compensation expense

Change in accounting principle

Changes to noncontrolling interest
Balance as of December 31, 2020 
Net loss

Currency translation adjustment

Issuance of common stock for exercise of options, PSU and 
RSU vesting and employee stock purchases, net

Cumulative currency translation loss realized through 
disposition of Japan operations

Stock compensation expense

Changes to noncontrolling interest
Balance as of December 31, 2021 

Stericycle, Inc. Equity 

Additional 
Paid-In 
Capital

Retained 
Earnings

Accumulated 
Other 
Comprehensive 
Loss 

Noncontrolling 
Interests 

Total Equity

Common Stock

Shares

Amount

90.7 

$ 

0.9  $  1,162.6 

$  1,789.2  $ 

(365.3)   $ 

9.7  $  2,597.1 

— 

— 

— 

— 

0.5 

— 

— 

— 

— 

91.2 

— 

— 

0.4 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

0.9 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

19.7 

— 

— 

17.1 

6.3 

(346.8)

— 

— 

— 

— 

— 

— 

— 

— 

1,205.7 

1,442.4 

— 

— 

2.8 

— 

25.5 

— 

— 

(57.3)

— 

— 

— 

— 

(2.5)

— 

91.6 

0.9 

1,234.0 

1,382.6 

— 

— 

0.3 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

0.7 

— 

27.1 

— 

(27.8)

— 

— 

— 

— 

— 

— 

8.5 

0.7 

2.3 

— 

18.9 

16.8 

— 

— 

(318.1)

— 

43.5 

— 

87.2 

— 

— 

— 

(187.4)  

— 

(35.2)

— 

3.8 

— 

— 

0.8 

0.3 

— 

— 

— 

— 

— 

— 

(7.0)

3.8 

1.4 

0.5 

— 

— 

— 

— 

(1.4)

4.3 

1.0 

(0.3)

— 

— 

— 

(0.9)

(346.0)

8.8 

0.7 

2.3 

19.7 

18.9 

16.8 

17.1 

(0.7)

2,334.7 

(55.9)

44.0 

2.8 

87.2 

25.5 

(2.5)

(1.4)

2,434.4 

(26.8)

(35.5)

0.7 

3.8 

27.1 

(0.9)

91.9 

$ 

0.9  $  1,261.8 

$  1,354.8  $ 

(218.8)   $ 

4.1  $  2,402.8 

See accompanying Notes to Consolidated Financial Statements.

2021 10-K Annual Report 

Stericycle, Inc.  •  55 

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 

Incorporated  in  1989,  Stericycle  protects  people  and  brands,  promotes  health  and  well-being,  safeguards  the 
environment  and  communities,  and  reduces  risk  through  highly  specialized  Regulated  Waste  and  Compliance 
Services  and  Secure Information  Destruction  Services. The  Company  serves  customers  in  the  U.S.  and  16  other 
countries with a concentration on the growing healthcare industry. 

The Company’s segments (see Note 17 – Segment Reporting) core focus is on Regulated Waste and Compliance 
Services and Secure Information Destruction Services, and it is the leading provider of these services in terms of 
both revenue and operational infrastructure.   

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  the  Company  to  make  estimates  and  assumptions  that  affect  the  amounts  reported  in  the 
financial  statements  and  accompanying  notes.    Some  areas  where  the  Company  makes  estimates  include 
allowance  for  doubtful  accounts,  credit  memo  reserve,  contingent  liabilities,  asset  retirement  obligations,  stock 
compensation  expense,  income  tax  assets  and  liabilities,  accrued  employee  health  and  welfare  benefits,  accrued 
auto, and workers’ compensation self-insured claims, leases, acquisition related long-lived assets, goodwill and held 
for  sale  impairment  valuations.    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 these estimates. 

Revenue from Contracts with Customers: 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 goods or services.  Revenue is recognized net of revenue-based taxes 
assessed by governmental authorities. 

The  Company  provides  RWCS,  which  provide  collection  and  processing  of  regulated  and  specialized  waste, 
including  medical,  pharmaceutical  and  hazardous  waste, 
for  disposal  and  compliance  programs,  and 
communication  solutions  such  as  appointment  reminders,  secure  messaging,  event  registration  and  other 
communications  for  hospitals  and  IDN;  and  SID  Services,  which  provide  for  the  collection  of  personal  and 
confidential information for secure destruction and recycling of shredded paper.   

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  the  Company’s  right  to 
consideration corresponds directly to the value provided to the customer for performance to date. Revenues for the 
Company’s  Regulated  Waste  and  Secure  Information  Destruction  Services  are  recognized  upon  waste  collection. 
The Company’s compliance services revenues are recognized over the contractual service period.  Revenues from 
communication solutions are recognized as the services are performed. 

2021 10-K Annual Report 

Stericycle, Inc.  •  56 

PART II 

Accounts  Receivable  and  Allowance  for  Doubtful  Accounts:  Accounts  receivable  is  recorded  when  billed  or 
when  goods  or  services  are  provided.  The  carrying  value  of  the  Company’s  receivables  is  presented  net  of  an 
allowance  for  doubtful  accounts.  The  Company  estimates  its  allowance  for  doubtful  accounts  based  on  past 
collection history and specific risks identified among uncollected amounts, as well as management’s expectation of 
future  economic  conditions.  If  current  or  expected  future  economic  trends,  events,  or  changes  in  circumstances 
indicate  that  specific  receivable  balances  may  be  impaired,  further  consideration  is  given  to  the  collectability  of 
those balances and the allowance is adjusted accordingly.  Past-due receivable balances are written off when the 
Company’s internal collection efforts have been exhausted. 

No single customer accounted for more than 2.9% of the Company’s accounts receivable or approximately 1.5% of 
total  revenues.    During  the  year  ended  December 31,  2021,  2020,  and  2019  bad  debt  expense  was  $9.0  million, 
$21.7 million, and $25.7 million, respectively. 

The changes in allowance for doubtful accounts were reported as follows: 
In millions 

2021 

Year Ended December 31, 
2020 

2019 

Balances at beginning of period 
Bad debt expense, net of recoveries 
Write-offs

Other changes (1) 
Balances at end of period 

$ 

$ 

56.2 

$ 

67.9  $ 

9.0 

(20.2)

(1.7)

21.7 

(24.2)

(9.2)

43.3 

$ 

56.2  $ 

71.9 

25.7 

(23.9)

(5.8)

67.9 

(1) Amounts consist primarily of currency translation adjustments, and $0.7 million and $9.3 million relating to divestitures undertaken during 2021
and 2020, respectively. Additionally, 2020 amount includes impact of adoption of a new accounting standard.

Contract Liability:  The Company records a contract liability when cash payments are received in advance of the 
Company’s  services  being  performed  and  is  classified  as  current  in  Other  current  liabilities  on  the  Consolidated 
Balance Sheets since the amounts are earned within a year.  

Contract  Acquisition  Costs:  Incremental  direct  costs  of  obtaining  a  contract,  which  primarily  represent  sales 
incentives,  are  deferred  and  amortized  to  SG&A  over  the  estimated  period  of  benefit  to  be  derived  from  the  cost 
taking into consideration our standard contract terms and conditions and other factors.

Cash  and  Cash  Equivalents:  The  Company  considers  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:  The  Company’s  financial  instruments  consist  of  cash  and  cash  equivalents,  accounts 
receivable  and  payable,  and  long-term  debt.  Financial  instruments,  which  potentially  subject  the  Company  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 the Company’s customer base, low concentration, and the performance of ongoing 
credit evaluations of its customers. The Company also maintains allowances for potential credit losses.

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.

Depreciation  and  amortization  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 and Enterprise Resource Planning system

2 to 40 years 

2 to 30 years 

2 to 20 years 

2 to 10 years 

2 to 20 years 

2 to 10 years 

Capitalized Interest:  The Company capitalizes interest incurred associated with projects under construction for the 
duration  of  the  asset  construction  period.  During  the  years  ended  December 31,  2021,  2020,  and  2019  the 
Company capitalized interest of $0.8 million, $1.8 million, and $5.4 million, respectively.  

2021 10-K Annual Report 

Stericycle, Inc.  •  57 

Goodwill  and  Other  Identifiable  Intangible Assets:  Goodwill  represents  the  excess  of  the  purchase  price  over 
the  fair  value  assigned  the  net  tangible  and  identifiable  tangible  assets  of  businesses  acquired.  Intangible  assets 
with  definite  lives  are  amortized  on  a  straight-line  basis  over  their  estimated  useful  lives.  Certain  indefinite-lived 
permits may become subject to amortization to the extent events and circumstances warrant. 

Impairment of Long - Lived Assets: 

PART II 

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 expected to be 
generated by the asset, or asset groups, to its carrying value.  If the carrying value of the long-lived asset or 
asset  group  is  not  recoverable  on  an  undiscounted  basis,  an  impairment  is  recognized  to  the  extent  fair 
value  exceeds  carrying  value.  Determining  the  extent  of  impairment,  if  any,  typically  requires  various 
estimates and assumptions including 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. 

Intangible  Assets  (indefinite-lived):  Indefinite-lived 
intangibles  consist  primarily  of  permits  and 
tradenames.  Indefinite-lived  intangibles  are  assessed  for  impairment  annually  as  of  October  1,  or  more 
frequently if an event occurs or circumstances change, 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  is  performed. The 
Company performs its annual impairment test on indefinite-lived intangibles, using the qualitative approach 
for certain assets and the quantitative approach for the remaining assets. 

Goodwill:  Goodwill  is  assessed  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. 

The  Company  uses  a  quantitative  approach  to  assess  goodwill  for  impairment.  The  fair  value  of  each 
reporting  unit  is  calculated  using  the  income  approach  (including  DCF)  and  validated  using  a  market 
approach  with  the  involvement  of  a  third-party  valuation  specialist.  The  Company's  reporting  units 
are:  Domestic  RWCS,  Domestic  SID,  Domestic  CRS,  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 estimated using management assumptions of 
growth  rates,  including  long-term  growth  rates,  capital  expenditures  and  cost  efficiencies.   Future 
acquisitions  or  divestitures  are  not  included  in  the  expected  future  cash  flows.  The  Company  uses  a 
discount  rate  based  on  a  calculated  weighted  average  cost  of  capital  which  is  adjusted  for  each  of  its 
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.   The 
Company  then  reconciles  the  calculated  fair  values  to  its  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  carrying  value,  an  impairment  charge  is 
recognized, equivalent to the amount that the carrying value exceeds the fair value. 

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.  The  Company 
believes  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 markets, 

2021 10-K Annual Report 

Stericycle, Inc.  •  58 

PART II 

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

Assets  and  Liabilities  Held-for-Sale:  Long-lived  assets  or  disposal  groups  are  classified  as  held-for-sale  when 
management  having  the  appropriate  authority,  generally  the  Company’s  Board  of  Directors  or  certain  of  its 
Executive Officers, commits to a plan of sale, the disposal group is ready for immediate sale, an active program to 
locate  a  buyer  has  been  initiated  and  the  sale  is  probable  and  expected  to  be  completed  within  one  year.  Once 
classified  as  held-for-sale  disposal  groups  are  valued  at  the  lower  of  their  carrying  amount  or  fair  value  less 
estimated selling costs. Where the disposal group constitutes substantially all of our operations of a foreign country, 
the balance in the cumulative translation adjustment associated with that country is included in the carrying value of 
the  disposal  group.  If  the  carrying  value,  including  any  amount  associated  with  the  cumulative  translation 
adjustment,  exceeds  the  fair  value  less  estimated  selling  costs  a  held-for-sale  impairment  charge  is  recorded  to 
reduce the carrying value. 

The estimate for fair value is reviewed at the end of every reporting period that the disposal group is classified as 
held-for-sale and the carrying value adjusted whenever the estimated fair value less costs to sell is less than the 
carrying value. 

Acquisitions:  The  assets  acquired  and  liabilities  assumed  are  recorded  on  the  date  of  acquisition  at  their 
respective  estimated  fair  values,  with  any  excess  of  the  purchase  price  over  the  estimated  fair  values  of  the  net 
assets acquired recorded as goodwill. We typically use an income method to estimate the fair value of intangible 
assets,  which  is  based  on  forecasts  of  the  expected  future  cash  flows  attributable  to  the  respective  assets. 
Assumptions  inherent  in  the  valuations  reflect  a  consideration  of  other  marketplace  participants  and  include  the 
amount  and  timing  of  future  cash  flows  (including  expected  growth  rates  and  related  customer  attrition  and 
profitability) and the discount rate applied to the cash flows.  The majority of current assets acquired, and liabilities 
assumed were recorded at their carrying values as of the date of acquisition, as their carrying values approximated 
their  fair  values  due  to  their  short-term  nature. Assigning  intangible  assets  useful  lives  is  based  on  the  period  of 
substantial expected benefit derived from the asset. 

Insurance and Self-Insurance:  The Company’s insurance for workers’ compensation, auto/fleet, general liability, 
property,  and  employee-related  health  care  benefits  is  obtained  using  high  deductible  insurance  policies,  if  any, 
meaning that the Company has retained a significant portion of the risks related to the claims associated with these 
programs.  The estimated exposure for unpaid claims and associated expenses, including incurred but not reported 
losses,  is  based  on  a  calculation  performed  by  a  third-party  actuarial  specialist  using  the  Company’s  historical 
claims  experience.  The  accruals  for  these  liabilities  could  be  revised  if  future  occurrences  or  loss  developments 
significantly differ from the assumptions used.  Estimated recoveries associated with insured claims are recognized 
as assets when the receipt of such amounts is probable. 

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  beyond  a  minimum  retention 
period  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 the Company ceases to use the leased facility and no 
longer derive economic benefit from the contract.  All other exit costs are expensed as incurred. 

Stock-Based  Compensation: The  Company  recognizes  stock-based  compensation  expense  based  on  the 
estimated  grant-date  fair  value.    Expense  is  generally  recognized  on  a  straight-line  basis  over  the  period  during 
which  awards  are  expected  to  vest.    The  Company  presents  stock-based  compensation  expense  within  the 
Consolidated Statements of Loss based on the classification of the respective employees' cash compensation. The 
Company records forfeitures as they occur. 

Income Taxes:  The Company is subject to income taxes in both the U.S. and numerous foreign jurisdictions.  The 
Company  computes  its  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 reverse.  Significant judgments 
are  required  in  order  to  determine  the  realizability  of  these  deferred  tax  assets.    In  assessing  the  need  for  a 
valuation  allowance,  the  Company  evaluates  all  significant  available  positive  and  negative  evidence,  including 

2021 10-K Annual Report 

Stericycle, Inc.  •  59 

PART II 

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, an 
uncertain 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 
interest and penalties on unrecognized tax benefits in the provision for income taxes. 

Leases:  Operating leases are included in  Operating lease ROU assets,  Operating lease liabilities  and Long-term 
operating lease liabilities on the Company’s Consolidated Balance Sheets.  Finance leases are included in Property, 
plant and equipment, Current portion of long-term debt and Long-term debt on the Consolidated Balance Sheets. 

Operating  lease  ROU  assets,  Operating  lease  liabilities  and  Long-term  operating  lease  liabilities  are  recognized 
based  on  the  present  value  of  the  future  minimum  lease  payments  over  the  lease  term  at  commencement 
date.  Nearly  all  of  the  Company’s  lease  contracts  do  not  provide  a  readily  determinable  implicit  rate.  For  these 
contracts, the Company uses an estimated incremental borrowing rate, which is based on information available at 
lease commencement.   

The  Company’s  leases  generally  do  not  contain  material  variable  lease  payments  and  generally  do  not  contain 
options  to  purchase  the  leased  property,  any  material  residual  value  guarantees,  or  material  restrictive 
covenants.  At  commencement,  the  Operating  lease  ROU  asset  is  equal  to  the  lease  liability  and  is  adjusted  for 
lease  incentives  and  initial  direct  costs  incurred.  The  Company  reviews  all  options  to  extend,  terminate,  or 
purchase  its  ROU  assets  at  the  commencement  of  the  lease  and  on  an  ongoing  basis  and  accounts  for  these 
options when they are reasonably certain of being exercised.  Lease expense is recognized on a straight-line basis 
over the lease term. 

The Company has lease agreements with lease and non-lease components, including payments for common area 
maintenance and vehicle maintenance costs, which are accounted for separately, based on their underlying nature, 
for each class of underlying assets. 

In  addition,  the  Company  applies  the  short-term  lease  recognition  exemption  for leases  with  terms  at 
commencement of not greater than 12 months. 

Asset Retirement Obligations: 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 
the Company’s services and the remaining expenses are presented within SG&A on the Consolidated Statements 
of Loss. 

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 that 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 (income) expense, net on the Consolidated Statements of Loss. 

Highly  Inflationary  Economy:  Effective  July  1,  2018,  as  a  result  of  three-year  cumulative  inflation  exceeding 
100%,  Argentina  was  classified  as  a  highly  inflationary  economy.  The  Company's  Argentina  operations  were 
divested in August 2020. Accordingly, the Company recognized, in Other income (expense), net, a foreign exchange 
loss of $1.2 million and $3.3 million during the years ended December 31, 2020 and 2019, respectively, arising from 
the re-measurement of its 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. 

2021 10-K Annual Report 

Stericycle, Inc.  •  60 

PART II 

Adoption of New Accounting Standards 

Simplifying the Accounting for Income Taxes 

In  December  2019,  the  FASB  issued  ASU  2019-12,  “Income  Taxes  (Topic  740):  Simplifying  the  Accounting  for 
Income Taxes” (“ASU 2019-12”). ASU 2019-12 attempts to simplify aspects of accounting for franchise taxes and 
enacted changes in tax laws or rates and clarifies the accounting for transactions that result in a step-up in the tax 
basis of goodwill. ASU 2019-12 was effective for public business entities for fiscal years beginning after December 
15, 2020, including interim periods within that fiscal year. The Company adopted ASU 2019-12 on January 1, 2021 
and there was no material impact on the Company’s Consolidated Financial Statements. 
Financial Instrument Credit Losses 

In  June  2016,  the  FASB  issued  ASU  No.  2016-13,  “Financial  Instruments  –  Credit  Losses  (Topic  326): 
Measurement  of  Credit  Losses  on  Financial  Instruments”  (“ASU  2016-13”)  associated  with  the  measurement  of 
credit  losses  on  financial  instruments. ASU  2016-13  replaces  the  prior  incurred  loss  impairment  methodology  of 
recognizing  credit  losses  when  a  loss  was  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 was effective for the Company on January 1, 2020. The Company recognized a 
net decrease to Retained earnings in the Consolidated Financial Statements of $2.5 million as of January 1, 2020 
for the cumulative effect of adopting ASU 2016-13. 

Implementation Costs Incurred in a Cloud Computing Arrangement 

In August 2018, the FASB issued ASU 2018-15, “Intangibles - Goodwill and Other - Internal Use Software (Subtopic 
350-40):  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 was effective
on January 1, 2020 and was adopted prospectively for implementation costs incurred after the date of adoption. The
adoption of ASU 2018-15 did not have a material impact on the Consolidated Financial Statements.

Accounting Standards Issued But Not Yet Adopted 

To date, there have been no recent accounting pronouncements not yet effective that have a material, or potential 
material, impact to our Consolidated Financial Statements.

NOTE 2 – REVENUES FROM CONTRACTS WITH CUSTOMERS 

The  Company  provides  RWCS,  which  provide  collection  and  processing  of  regulated  and  specialized  waste, 
including medical, pharmaceutical and hazardous waste, for disposal and compliance programs and communication 
solutions,  and  SID  services,  which  provide  for  the  collection  of  personal  and  confidential  information  for  secure 
destruction and recycling of shredded paper.  

The Company’s customers typically enter into a contract for the provision of services on a regular and scheduled 
basis,  e.g.,  weekly,  monthly  or  on  an  as  needed  basis  over  the  contract  term,  e.g.  one-time  service.  Under  the 
contract  terms,  the  Company  receives  fees  based  on  a  monthly,  quarterly  or  annual  rate  and/or  fees  based  on 
contractual rates depending upon measures including the volume, weight, and type of waste, number and size of 
containers collected, weight and type of shredded paper, and number of call minutes. 

Amounts  are  invoiced  based  on  the  terms  of  the  underlying  contract  either  on  a  regular  basis,  e.g.,  monthly  or 
quarterly,  or  as  services  are  performed  and  are  generally  due  within  a  short  period  of  time  after  invoicing  based 
upon normal terms and conditions for our business type and the geography of the services performed. 

Disaggregation of Revenue 

In the first quarter of 2021, we updated our service lines to include Communication Solutions (formally part of CRS) 
in RWCS. This reclassification was driven by the divestiture of the Company's global product recall business (Expert 
Solutions)  in  December  of  2020  and  the  remaining  Communication  Solutions  service  line  synergies  with  the 
Company's  RWCS  customers.  For  2020  and  2019  periods  presented,  amounts  have  been  recast  to  reflect  this 
change. 

2021 10-K Annual Report 

Stericycle, Inc.  •  61 

In millions 

Revenue by Service 
Regulated Waste and Compliance Services 
Secure Information Destruction Services 

Total Revenues 

North America 
Regulated Waste and Compliance Services 
Secure Information Destruction Services 

Total North America Segment 

International 
Regulated Waste and Compliance Services 
Secure Information Destruction Services 

Total International Segment 

Contract Liabilities 

PART II 

Year Ended Year Ended December 31, 
2020 

2019 

2021 

$ 

$ 

$ 

$ 

$ 

$ 

1,854.0  $ 

792.9 
2,646.9  $ 

1,457.5  $ 

679.0 
2,136.5  $ 

396.5  $ 

113.9 
510.4  $ 

1,930.2  $ 

745.3 
2,675.5  $ 

1,541.9  $ 

647.3 
2,189.2  $ 

388.3  $ 

98.0 

486.3  $ 

2,407.0 

901.9 
3,308.9 

1,970.4 

769.5 
2,739.9 

436.6 

132.4 
569.0 

Contract liabilities at December 31, 2021 and 2020 were $9.0 million and $8.8 million, respectively.  Substantially all 
of the contract liabilities as of December 31, 2021 are expected to be recognized as revenue during the year ending 
December  31,  2022  and  substantially  all  of  the  balance  as  of  December 31,  2020  was  recognized  as  revenue 
during the year ended December 31, 2021. 

Contract Acquisition Costs 

The  Company’s  incremental  direct  costs  of  obtaining  a  contract,  which  consist  primarily  of  sales  incentives,  are 
deferred and amortized to SG&A over a weighted average estimated period of benefit of 6.5 years. 

During  the  year  ended  December 31,  2021,  2020,  and  2019  the  Company  amortized  $12.7  million,  $10.6  million, 
and $9.1 million, respectively, of deferred sales incentives to SG&A. 

Total contract acquisition costs, net of accumulated amortization, were classified as follows as of December 31: 

In millions 

Other current assets 
Other assets

Total contract acquisition costs 

NOTE 3 – ACQUISITIONS 

Acquisitions 

2021 

2020 

$ 

$ 

12.4  $ 

34.3 
46.7  $ 

11.1 

31.1 
42.2 

During  the  years  ended  December 31,  2021  and  2019,  the  Company  completed  an  acquisition  in  North America, 
respectively,  and  these  acquisitions  are  considered  to  be  complementary  to  existing  operations  and  fit  with  the 
Company’s portfolio optimization strategy, including its RWCS and SID service lines. There were no acquisitions in 
the  year  ended  December 31,  2020.  All  were  accounted  for  as  business  combinations  under  the  applicable 
guidance. 
The results of operations of these acquired businesses have been included in the Consolidated Statements of Loss 
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. 

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

2021 10-K Annual Report 

Stericycle, Inc.  •  62 

In millions 

Cash 
Promissory notes

Deferred consideration
Total purchase price 

PART II 

2021 

2019 

$ 

$ 

10.5  $ 

21.9 

11.0 
43.4  $ 

0.2 

0.3 

— 
0.5 

The  total  purchase  consideration  for  the  2021  acquisition  has  been  preliminarily  allocated  to  the  assets  and 
liabilities acquired based upon their estimated fair values as of the acquisition date, with the excess of the purchase 
price  over  the  net  assets  acquired  recorded  as  goodwill  based  on  the  strategic  benefits  to  be  achieved  and  is 
deductible for tax purposes. We are in the process of valuing all of the assets acquired in the acquisition and until 
we  have  completed  our  valuation  process,  there  may  be  adjustments  to  our  estimates  of  fair  value  and  resulting 
preliminary purchase price allocation, specifically those related to intangibles. 

The following table summarizes the purchase price allocation for the acquisitions during the years ended 
December 31: 
In millions 

Fixed assets 
Intangibles

Goodwill

Other assets and liabilities, net
Total purchase price 

2021

2019

$ 

0.5  $ 

20.0 

22.0 

0.9 

$ 

43.4  $ 

— 

0.5 

— 

— 
0.5 

The customer relationships intangible has an estimated useful life of 15 years. 

NOTE 4 – RESTRUCTURING, DIVESTITURES, AND IMPAIRMENTS  

 Restructuring – Operational Optimization 

During the year ended December 31, 2020, the Company recognized $3.1 million of Operational Optimization costs 
(see impairment related portion in table below) within our International segment related to the discontinuation of a 
service line in the U.K. 

During  the  year  ended  December  31,  2019,  the  Company  recognized  $14.5  million  of  Operational  Optimization 
costs (see impairment related portion in table below). The North America segment recognized $3.8 million of costs 
in the Domestic RWCS operations primarily related to a site relocation and costs in the Domestic CRS operations 
related  to  a  headcount  reduction  and  a  non-cash  impairment  of  intangible  assets  as  a  result  of  the  exit  from  a 
business line. The International segment recognized $10.7 million of costs related to site closures and facility exit 
charges across the EMEA and LATAM regions. 

Divestitures 

Stericycle recognized the following Divestiture (gains) losses, net in the Consolidated Statements of Loss: 

2021 10-K Annual Report 

Stericycle, Inc.  •  63 

In millions

North America Segment 
Canada Environmental Solutions operations

Domestic Environmental Solutions operations

CRS businesses
Total North America charges, net 
International Segment 
CRS businesses

Japan RWCS operations

Argentina operations

Mexico RWCS operations

Chile RWCS operations

U.K. businesses
Total International charges, net 
Divestiture (gains) losses, net 

North America Segment Divestitures: 

PART II 

Year Ended December 31, 
2020 

2021 

2019 

$ 

(12.6)

$ 

— 

$ 

— 

— 
(12.6)  

— 

10.9 

— 

— 

— 

— 

$ 

10.9 
(1.7)  $ 

53.8 

(38.8)

15.0 

(4.0)

— 

112.4 

(4.9)

5.1 

— 

108.6 

— 

— 

45.5 

45.5 

— 

— 

— 

43.2 

19.0 

(4.7)

57.5 

123.6 

$ 

103.0 

On December 1, 2021, the Company completed the sale of its Environmental Solutions operations in Canada for 
cash proceeds of $24.4 million pursuant to an agreement entered into in November.  The transaction resulted in a 
fourth  quarter  divestiture  gain  of  $12.6  million.  In  connection  with  the  closing,  the  Company  entered  into  certain 
additional ancillary agreements, including a TSA, for up to 12 months. 

On December 1, 2020, the Company entered into an agreement and completed the sale of the Company's global 
product  recall  business  (Expert  Solutions)  for  cash  proceeds  of  $78.0  million.  Expert  Solutions  business  had 
revenues  of  approximately  $75.4  million  for  the  year  ended  December  31,  2019,  primarily  reported  in  North 
America, as part of the RWCS revenue category. The Company recognized a gain on divestment of $38.8 million in 
North America and $4.0 million in International.  In connection with the closing, the Company entered into certain 
additional ancillary agreements, including a TSA for up to 12 months. 

On April 6, 2020, the Company completed the sale of all of the outstanding equity interests of its U.S. Environmental 
Solutions  business  for  cash  proceeds  of  $462.5 million,  pursuant  to  the  Purchase Agreement,  dated  February  6, 
2020. The  Purchase  Agreement  provided  for  the  divestiture  of  the  Company’s  U.S.  Environmental  Solutions 
business, exclusive of the Company’s healthcare hazardous waste services and unused consumer pharmaceutical 
take-back  services.  The  U.S.  Environmental  Solutions  business  generated  revenue  in  2019  of  $559.6  million, 
including approximately  $100.0  million  related to  the  Retained  Business,  which  is  included  in  the  RWCS  revenue 
category within our North America segment. In connection with the Purchase Agreement, the Company entered into 
an HSA and TSA with the Buyer for a period of  7  years  and 6  months,  respectively. The Company allocated and 
deferred a portion of the Transaction proceeds, $17.7 million related to the HSA and $1.5 million related to the TSA, 
which will be recognized over the applicable duration of the HSA and TSA periods, subject to specific agreement 
provisions, thereby offsetting the expenses incurred to deliver the respective services. The allocated proceeds are 
reflected as an operating cash flow on the Consolidated Statement of Cash Flows, as they are advances received 
for  services  to  be  provided  prospectively.   In  aggregate,  the  Company  recognized  impairment  charges  and 
subsequent loss on disposal of $53.8 million. Further, the Company released a $1.7 million benefit associated with 
contingent consideration related to a prior acquisition agreement connected with the divested business (Fair value - 
Level 3) that is reported in SG&A in the Company’s Consolidated Statements of Loss. 

In 2019, the Company completed the sale of the telephone answering business, TAS, and its retail pharmaceutical 
returns  business  in  the  U.S.  and  Puerto  Rico  for  cash  proceeds  of  $36.4  million  resulting  in  total  losses  of 
$45.5 million. In connection with the sale agreement for the TAS business, the Company entered into a TSA with the 
buyer for a period of up to 15 months. The Company allocated and deferred $5.1 million of the proceeds, which was 
recognized  over  the  duration  of  the  TSA  period  offsetting  the  expenses  incurred  to  deliver  the  TSA  services  that 
were not reimbursed by the buyer. 

2021 10-K Annual Report 

Stericycle, Inc.  •  64 

PART II 

International Segment Divestitures: 

On  September  1,  2021,  the  Company  completed  the  sale  of  its  RWCS  operations  in  Japan  for  cash  proceeds  of 
approximately  $11.3 million.  The  transaction  resulted  in  a  third  quarter  divestiture  loss  of  $10.9 million,  of  which 
$3.8 million related to the reclassification of accumulated currency translation adjustments to earnings. 

In August 2020, the Company entered into an agreement and completed the sale of its operations in Argentina for 
cash  proceeds  of  approximately  $3.9 million.  The  transaction resulted  in  a  loss  on  disposal  of  $112.4 million,  of 
which $87.2 million related to the balance of cumulative currency translation adjustment. 

Additionally, in December 2020, the Company recognized a $4.9 million gain related to a divestiture of a subsidiary 
in  Mexico,  and  a  $5.1  million  charge  associated  with  the  divested  business  in  Chile  (see  Note  12  – 
Commitments and Contingencies in the Consolidated Financial Statements). 

During 2019, the Company had the following divestiture activity: 

•

•

•

•

U.K. based texting business, for cash proceeds of $14.8 million, resulting in a gain of approximately
$5.1 million.

A  reduction  in  the  provision  against  a  loan  receivable  originally  arising  from  the  sale  of  our  U.K.
patient transport business, resulting in a $0.3 million gain.

Substantially  all  of  the  Company’s  operations  in  Mexico  for  nominal  consideration,  resulting  in
impairment charges and subsequent loss on disposal totaling $43.2 million, including the realization
of  a  loss  of  approximately  $18.9  million  related  to  the  balance  of  cumulative  currency  translation
adjustment.

The  Company’s  operations  in  Chile  for  cash  proceeds  of  $30.7  million,  resulting  in  a  loss  of  $19.0
million,  including  the  realization  of  a  loss  of  approximately  $16.8  million  related  to  the  balance  of
cumulative currency translation adjustment.

Impairments: 

In millions

Impairments
Operational Optimization - COR

Operational Optimization - SG&A

Asset Impairment - COR

Asset Impairment - SG&A

Total Impairments

North America
Operational Optimization - COR

Operational Optimization - SG&A

Asset Impairment - COR

Asset Impairment - SG&A

Total North America Segment

International
Operational Optimization - COR

Operational Optimization - SG&A

Asset Impairment - COR

Asset Impairment - SG&A

Total International Segment

Year Ended December 31,

2021

2020

2019

— $ 

—  $ 

—

—

6.7
6.7

2.8 

6.8 

8.7 

$ 

18.3  $ 

— $ 

—  $ 

—

—

2.1
2.1

— 

6.1 

4.2 

$ 

10.3  $ 

— $ 

—

—

4.6
4.6

$ 

—  $ 

2.8 

0.7 

4.5 
8.0  $ 

5.6 

1.7 

5.2 

16.9 
29.4 

2.0 

0.4 

1.6 

0.5 
4.5 

3.6 

1.3 

3.6 

16.4 
24.9 

$ 

$ 

$ 

$ 

$ 

$ 

Asset  impairments  in  the  year  ended  December  31,  2021,  includes  charges  of  $4.6 million  in  the  Company’s 
International reportable segment related to an impairment associated with certain customer relationship intangibles 
in  Romania  and  $2.1 million  in  North America  related  to  an  impairment  associated  with  a  Canada  site  exit. Asset 
impairments in the year ended December 31, 2020, for the Company's North America reportable segment includes 
charges  associated  with  rationalization  of  software  application  assets  and  intangible  assets  as  a  result  of  a 
discontinuation  of  a  certain  service  line,  and  the  Company's  International  reportable  segment  includes  charges 
associated with certain property, plant and equipment assets and permits primarily in the U.K.  In the year ended 

2021 10-K Annual Report 

Stericycle, Inc.  •  65 

December  31,  2019,  the  Company's  International  reportable  segment  included  impairment  charges  related  to 
customer lists and other long-lived assets in Brazil associated with an impairment review of its operations. 

Operational optimization related impairments are associated with the Company's actions to reduce operating costs 
and optimize operations.  In the year ended December 31, 2020, the Company's International reportable segment 
includes charges primarily related to the discontinuation of a service line in the U.K. In the year ended December 
31, 2019, the Company's International reportable segment includes charges related to impairments of permits and 
other  long-lived  assets  in  Europe  and  Latin  America  and  in  our  North  America  reportable  segment  for  charges 
associated with a U.S. site movement. 

PART II 

NOTE 5 – PROPERTY, PLANT AND EQUIPMENT 

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

In millions 

Land and improvements 
Building and improvements

Machinery and equipment

Fleet vehicles

Containers

Office equipment and furniture
Software and Enterprise Resource Planning system(1) 
Construction in progress(1) 

Total property, plant and equipment 

Less: accumulated depreciation

Property, plant and equipment, net 

2021 

2020 

$ 

42.4  $ 

219.7 

318.0 

142.0 

255.5 

51.0 

266.3 

74.6 

1,369.5 

(658.5)

$ 

711.0  $ 

38.7 

225.0 

323.0 

156.0 

249.7 

53.9 

88.6 

196.1 

1,331.0 

(629.7)

701.3 

(1) In the third quarter of 2021, we completed deployment of our ERP system for North America’s finance and procurement processes and for

North America’s SID business.

Property, plant and equipment impairment charges included in SG&A and COR for the years ended December 31, 
2020, and 2019, respectively, are further described in Note 4 - Restructuring, Divestitures, and Impairments in the 
Consolidated Financial Statements. 

NOTE 6 – LEASES 

The  Company  has  operating  leases  for  fleet  vehicles,  transfer  sites,  processing  facilities, communication  centers, 
corporate and regional offices, and certain equipment. 

The components of net lease cost were as follows for the years ended December 31: 

In millions 

Operating lease cost 
Finance lease cost:

Amortization of leased assets

Interest on lease liabilities

Net lease cost 

2021 

2020 

$ 

$ 

108.2  $ 

3.4 

1.1 
112.7  $ 

114.2 

4.7 

1.9 
120.8 

Short-term  lease  costs  were  $11.8  million  for  the  period  ended  December 31,  2021.  Variable  lease  cost  and 
sublease income were not material during the years ended December 31, 2021 and 2020. 

2021 10-K Annual Report 

Stericycle, Inc.  •  66 

PART II 

Supplemental cash flow information related to leases were as follows for the years ended December 31: 

In millions 

Cash paid for amounts included in the measurement of lease liabilities: 

Operating cash flows from operating leases

Operating cash flows from finance leases (interest)

Financing cash flows from finance leases (principal)

Right-of-use assets obtained in exchange for lease obligations:

Operating leases

Finance leases

2021 

2020 

$ 

107.1  $ 

1.1 

3.9 

96.8 

0.5 

117.1 

1.9 

4.3 

79.8 

1.1 

Finance  lease  assets,  net  of  accumulated  amortization,  were  $19.5  million  and  $24.8 million  as  of  December 31, 
2021 and 2020, respectively, and are included in Property, Plant and Equipment, net on the Consolidated Balance 
Sheet. 

Information regarding lease terms and discount rates as of December 31 were as follows: 

In millions 

Weighted average remaining lease term (years): 

Operating leases

Finance leases

Weighted average discount rate:

Operating leases

Finance leases

Maturities of lease liabilities as of December 31, 2021, were as follows: 

In millions 

2022 
2023

2024

2025

2026

Thereafter
Total lease payments 
Less: Interest
Present value of lease liabilities 

2021 

2020 

5.9

14.4

 4.19 %

 5.22 %

6.1

14.4

 4.07 %

 5.15 %

Operating 
Leases

Finance 
Leases

$ 

96.0  $ 

81.2 

70.2 

49.8 

30.0 

86.1 
413.3 

48.0 

$ 

365.3  $ 

3.6 

3.9 

2.8 

2.5 

2.2 

20.4 
35.4 

14.0 
21.4 

As  of  December 31,  2021,  the  Company  had  additional  operating  leases  of  $2.1  million  which  have  not  yet 
commenced.  These  operating  leases  are  expected  to  commence  in  fiscal  year  2022  with  lease  terms  up  to 
approximately 7 years. 

NOTE 7 – GOODWILL AND OTHER INTANGIBLE ASSETS

Goodwill: 

The changes in the carrying amount of goodwill were as follows: 

2021 10-K Annual Report 

Stericycle, Inc.  •  67 

In millions 

Balance as of December 31, 2019 
Divestitures 
Changes due to foreign currency fluctuations and other 
Balance as of December 31, 2020 
Acquisition 
Divestitures 
Changes due to foreign currency fluctuations and other 
Balance as of December 31, 2021 

PART II 

North 
America 

International 

Total

$ 

2,631.6  $ 
(182.8) 
— 
2,448.8 

22.0 

— 

— 
2,470.8  $ 

$ 

350.6  $ 
(4.0) 
23.9 
370.5 

— 
(6.0) 
(19.6) 
344.9  $ 

2,982.2 
(186.8)  
23.9 
2,819.3 

22.0 
(6.0)  
(19.6)  
2,815.7 

Accumulated non-cash impairment charges by segment as of December 31 were as follows: 

In millions 

North America 

International 

Total 

2021 and 2020 Impairments 

2021 

2020 

$ 

$ 

421.1  $ 

175.6 
596.7  $ 

421.1 

175.6 
596.7 

The  Company  performed  its  annual  goodwill  impairment  assessment  as  of  October  1,  2021  and  2020  and 
determined no reporting units' carrying values were in excess of their estimated fair value.  

2019 Impairments 

The Company performed its annual goodwill impairment assessment as of October 1, 2019 and determined that the 
Environmental Solutions and Canada reporting units’ carrying values were in excess of their estimated fair value. 

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

•

•

Environmental Solutions:  During 2019, we experienced higher operating costs, particularly related to
hazardous  waste  disposal  costs.  In  addition,  we  anticipated  that  the  timeline  for  achieving  the
betterment plans for both revenue quality and cost improvements had been extended. The Company
also  gathered  insights  from  the  process  of  evaluating  Environmental  Solutions  as  part  of  the
Company’s portfolio rationalization criteria.

Canada:  During  2019,  we  experienced  competitive  pricing  pressure  in  both  SID  and  RWCS,  lower
SOP pricing, higher regulated waste costs including Canada-based operating costs due to a reliance
on  third-party  disposal,  and  U.S.-based  enabling  support  costs.  The  Company  expected  these
challenges  to  have  a  prolonged  impact  and  the  Company  has  adjusted  them  in  current  year  long-
range plan.

These  challenges  were  factored  into  updates  to  the  Company’s  long-range  plan  and  forecasted  cash-flow 
assumptions. The Company also made certain adjustments to the risk premiums within the discount rates used to 
present  value  these  forecasted  cash-flows. As  a  result,  the  Company  recognized  $80.8  million  of  non-cash 
impairment  charges  related  to  its  Environmental  Solutions  reporting  unit  and  $126.6  million  to  fully  impair  the 
goodwill associated with its Canada reporting unit. 

During  the  first  quarter  of  2019,  there  were  business  and  market  developments  and  insights  gathered  from  the 
Company’s  portfolio  optimization  considerations,  which  negatively  impacted  the  estimated  cash  flows  of  the 
Company’s Latin America reporting unit and triggered an interim assessment as of March 31, 2019.  The Company 
determined  that  the  Latin  America  reporting  unit’s  carrying  value  was  in  excess  of  its  estimated  fair  value  and 
recognized  $20.9  million  of  non-cash  goodwill  impairment  charges  related  to  the  Latin  America  reporting  unit.  
Following the impairment, the Latin America reporting unit goodwill was fully impaired. 

The fair value of reporting units, used in both the annual and any interim goodwill impairment assessments in 2021, 
2020  and  2019,  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. 

2021 10-K Annual Report 

Stericycle, Inc.  •  68 

PART II 

Other Intangible Assets: 

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

In millions 

Amortizable intangibles: 
Customer relationships

Covenants not-to-compete

Operating permits

Tradenames

Other
Indefinite-lived intangibles: 
Operating permits

Tradenames
Total 

2021 

2020 

Gross 
Carrying 
Amount

Accumulated 
Amortization

Net Value

Gross 
Carrying 
Amount

Accumulated 
Amortization

Net Value

$ 

1,297.6  $ 

722.9  $ 

574.7  $ 

1,314.9  $ 

630.2  $ 

684.7 

3.5 

12.1 

3.6 

0.6 

70.0 

3.2 

8.5 

1.4 

0.6 

— 

313.7 
1,701.1  $ 

$ 

— 
736.6  $ 

0.3 

3.6 

2.2 

— 

70.0 

313.7 
964.5  $ 

3.5 

11.5 

3.6 

0.6 

79.6 

3.0 

6.5 

1.3 

0.6 

— 

315.3 
1,729.0  $ 

— 
641.6  $ 

0.5 

5.0 

2.3 

— 

79.6 

315.3 
1,087.4 

2021 10-K Annual Report 

Stericycle, Inc.  •  69 

The changes in the carrying amount of intangible assets were as follows: 

In millions 

Balance as of December 31, 2019 
Divestitures 

Impairments

Amortization

Changes due to foreign currency fluctuations
Balance as of December 31, 2020 
Acquisition

Impairments

Divestitures 

Amortization 

Changes due to foreign currency fluctuations
Balance as of December 31, 2021 

PART II 

Total 

$ 

1,422.4 

(209.8)

(11.1)

(124.9)

10.8 

1,087.4 

20.0 

(4.6)

(10.9)

(117.9)

(9.5)

964.5 

$ 

The Company’s indefinite-lived intangible assets include operating permits and certain tradenames.  The Company 
has determined that certain of 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. 

The  impairment  charges  included  in  SG&A  and  COR  for  the  years  ended  December  31,  2021,  2020,  and  2019, 
respectively, are further described in Note 4 - Restructuring, Divestitures, and Impairments. 

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

In years 

Customer relationships 
Covenants not-to-compete

Operating permits

Tradenames

Landfill air rights

Estimated 
Useful Lives
10-25

5

1-2

20-40

5-10

Weighted 
Average 
Remaining 
Useful Lives

6.8 
3.6

1.2

16.5

2.7

The useful life of intangible assets is assessed 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 2021, we performed the annual assessment of the 
useful life of our 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 
decreased  from  approximately  8.2  years  to  6.8  years  to  reflect  the  new  estimated  useful  lives.  We  estimate  that 
there will be an approximately 5-10% increase to annual amortization expense.  

Our  estimated  intangible  asset  amortization  expense  for  each  of  the  next  five  years  is  as  follows  for  the  years 
ending December 31: 

In millions 
2022 
2023

2024

2025

2026

$ 

114.3 

111.0 

109.8 

89.6 

28.2 

2021 10-K Annual Report 

Stericycle, Inc.  •  70 

NOTE 8 – ACCRUED LIABILITIES 

Accrued liabilities consisted of the following at December 31: 

In millions

Compensation

Self-insurance

Taxes

Interest

Professional fees

Disposal and landfill liabilities

Contingent liability

Other

Total accrued liabilities

NOTE 9 – DEBT

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

In millions

$1.2 billion Credit Facility, due in 2026 

$200 million term loan, due in 2026 

$600 million Senior Notes, due in 2024 

$500 million Senior Notes, due in 2029 
Promissory notes and deferred consideration, weighted average maturity of 3.7 and 2.1 years for 2021 and 
2020, respectively (Note 4) 

Foreign bank debt, weighted average maturity of 6.0 years for 2021 and 1.1 years for 2020 

Obligations under finance leases (Note 6)

Total debt

Less: current portion of total debt

Less: unamortized debt issuance costs

Long-term portion of total debt

PART II 

2021

2020

$ 

91.2  $ 

84.1 

37.7 

26.3 

9.9 

2.9 

92.0 

15.5 

97.6 

78.1 

51.2 

19.4 

11.2 

1.6 

14.5 

15.8 

$ 

359.6  $ 

289.4 

2021

2020

$ 

247.0  $ 

200.0 

600.0 

500.0 

54.6 

0.7 

21.4 
1,623.7 

19.9 

14.0 
1,589.8  $ 

$ 

173.3 

422.5 

600.0 

500.0 

42.3 

32.3 

24.8 
1,795.2 

91.0 

15.1 
1,689.1 

The  estimated  fair  value  of  our  debt  approximated  $1.63  billion  and  $1.86  billion  as  of  December  31,  2021  and 
December 31, 2020, respectively. These fair value amounts were estimated using an income approach by applying 
market interest rates for comparable instruments and developed based on inputs classified as Level 2. 

Credit Agreement 

The  Company  renewed  its  Credit Agreement,  dated  as  of  September  30,  2021,  that  amended  and  extended  its 
previous credit agreement dated November 17, 2017. The Credit Agreement provides for a term loan facility under 
which the Company has outstanding term loans in an aggregate principal amount of $200.0 million and a revolving 
credit  facility  of  $1.2  billion.  The  Term  Loan  and  the  Credit  Facility  will  mature  on  September  30,  2026.  If  the 
Company's  2024  Senior  Notes  are  still  outstanding  91  days  prior  to  their  respective  maturity  date  (the  “Springing 
Maturity Date”), then the Credit Agreement maturity date will be the Springing Maturity Date. The proceeds of the 
Term Loan Facility and loans under the Revolving Credit Facility were used to refinance the loans and other credit 
extensions  that  were  made  under  the  previous  credit  agreement.  In  the  year  ended  December  31,  2021  and  in 
connection with the Credit Agreement, the Company incurred issuance costs of $4.1 million, of which $0.2 million 
has been charged to Interest expense, net. The remainder was capitalized as unamortized debt issuance costs and 
is being amortized to Interest expense, net over the remaining term of the Credit Agreement. A portion, $0.5 million, 
of  unamortized  debt  issuance  costs  associated  with  the  previous  credit  agreement  has  been  charged  to  Interest 
expense, net. 

The obligations under the Credit Agreement are secured by substantially all of the assets of the Company and all of 
its material domestic subsidiaries and are guaranteed by certain subsidiaries of the Company, excluding certain 
excluded subsidiaries pursuant to the Credit Agreement. 

2021 10-K Annual Report 

Stericycle, Inc.  •  71 

PART II 

The  Credit  Agreement  contains  a  financial  covenant  requiring  maintenance  of  a  minimum  Consolidated  Interest 
Coverage Ratio (as defined in the Credit Agreement) of 3.00 to 1.00 as of the end of any fiscal quarter. The Credit 
Agreement contains a financial covenant requiring maintenance of a maximum Consolidated Leverage Ratio of 4.25 
to 1.00 in any fiscal quarter ending before September 30, 2022 and 4.00 to 1.00 for any fiscal quarter ending on or 
after  September  30,  2022,  with  a  leverage  holiday  if  a  permitted  acquisition  or  series  of  related  permitted 
acquisitions  involving  aggregate  consideration  in  excess  of  $200  million  (a  “Material Acquisition”)  occurs  during  a 
fiscal  quarter.  If  a  Material  Acquisition  occurs,  the  Company  shall  have  the  right  to  increase  the  maximum 
Consolidated  Leverage  Ratio  covenant  to  4.50  to  1.00  during  such  fiscal  quarter  and  the  subsequent  three  fiscal 
quarters.  

As  of  December  31,  2021,  the  Company  was  in  compliance  with  its  financial  covenants.  The  Credit  Agreement 
Defined Debt Leverage Ratio covenant was 3.61 to 1.00, which was below the allowed maximum ratio of 4.25 to 
1.00 as set forth in the Credit Agreement.  

The Applicable Interest Rate for loans depends on the Consolidated Leverage Ratio for the Company. The tiered 
pricing  is  based  on  the  leverage  grid  provided  in  the  Credit Agreement.  Based  on  the  then  current  Consolidated 
Leverage  Ratio,  the  initial  pricing  under  the  Credit  Agreement  was  set  at  an  Applicable  Rate  of  1.30%  for 
Eurocurrency Rate/SONIA Daily Rate Loans and 0.30% for Base Rate Loans, and the facility fee is set at a rate of 
0.20% times the actual daily amount of the Revolving Credit Facility regardless of usage.  

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

$1.2 billion Credit Facility, due in 2026 (variable rate) 

$200 million term loan, due in 2026 (variable rate) 

$600 million Senior Notes, due in 2024 (fixed rate) 

$500 million Senior Notes, due in 2029 (fixed rate) 

Promissory notes and deferred consideration (fixed rate)

Foreign bank debt (variable rate)

Senior Notes 

2021 

2020 

 1.76 %  
 1.40 %

 5.38 %

 3.88 %

 3.19 %

 9.80 %

 2.03 % 
 1.90 %

 5.38 %

 3.88 %

 1.79 %

 2.03 %

On November 24, 2020, the Company issued $500.0 million at par of aggregate principal amount of Senior Notes, 
due January 2029, which are unsecured and bear interest at 3.88% per annum, payable on January 15 and July 15 
of each year. The Senior Notes are fully and unconditionally guaranteed by each of the issuer’s current and, subject 
to certain exceptions, future domestic subsidiaries that guarantee the issuer’s senior credit facility, term loan facility, 
or certain other debt of the issuer or the subsidiary guarantors. 

The  2020  Senior  Notes  will  be  redeemable,  in  whole  or  in  part,  at  any  time,  and  from  time  to  time,  on  or  after 
November  15,  2023,  at  the  redemption  prices  specified  under  “Description  of  Notes—Optional  Redemption”,  plus 
accrued and unpaid interest, if any, to, but excluding, such redemption date. At any time and from time to time prior 
to November 15, 2023, the notes may be redeemed, in whole or in part, at a redemption price of 100% the principal 
amount  thereof,  plus  a  “make-whole”  premium,  plus  accrued  and  unpaid  interest,  if  any,  to,  but  excluding,  the 
redemption  date.  In  addition,  the  issuer  may  redeem  up  to  40%  of  the  notes  at  any  time  and  from  time  to  time 
before November 15, 2023, with the net cash proceeds from certain equity offerings at a redemption price equal to 
103.875%, plus accrued and unpaid interest, if any, to, but excluding, the redemption date. 

In  connection  with  the  issuance  of  the  2020  Senior  Notes,  the  Company  incurred  $5.8  million  of  direct  issuance 
costs,  which  have  been  capitalized  in  unamortized  debt  issuance  costs  and  are  being  amortized  to  Interest 
expense, net over the term of the 2020 Senior Notes. 

During  2019,  the  Company  issued  $600.0 million  at  par  of  aggregate  principal  amount  of  Senior  Notes,  due  July 
2024,  which  are  unsecured  and  bear  interest  at  5.375%  per  annum,  payable  on  January  15  and  July  15  of  each 
year.    The  Senior  Notes  are  fully  and  unconditionally  guaranteed  by  each  of  the  Company’s  current  domestic 
subsidiaries that guarantee the Company’s Senior Credit Facility.  The Indenture limits the ability of the Company 
and its subsidiaries to incur certain liens, enter into certain sale and leaseback transactions, and consolidate, merge 
or sell all or substantially all of their assets. 

The 2019 Senior Notes will be redeemable, at the option of the Company, in whole or in part, at any time on or after 
July 15, 2021, at the redemption prices specified in the Indenture along with accrued interest. 

2021 10-K Annual Report 

Stericycle, Inc.  •  72 

PART II 

In  connection  with  the  issuance  of  the  2019  Senior  Notes,  the  Company  incurred  $7.1 million  of  debt  issuance 
costs,  which  have  been  capitalized  in  unamortized  debt  issuance  costs  and  are  being  amortized  to  Interest 
expense, net over the term of the 2019 Senior Notes. 

In  the  event  of  both  a  change  of  control  of  the  Company  and  a  rating  downgrade  by  the  rating  agencies,  the 
Company  will  be  required  to  offer  to  repurchase  all  outstanding  2020  and  2019  Senior  Notes  at  101%  of  their 
principal amount, plus accrued and unpaid interest. 

The  Indentures  contains  customary  events  of  default,  which  include  (subject  in  certain  cases  to  customary  grace 
and cure periods), nonpayment of principal or interest; breach of other agreements in the Indenture; failure to pay 
certain  other  indebtedness;  certain  events of bankruptcy or insolvency; failure to pay certain final judgments; and 
failure of certain guarantees to be enforceable. 

Other Matters 

Amounts  committed  to  outstanding  letters  of  credit  and  the  unused  portion  of  our  Senior  Credit  Facility  at 
December 31 were as follows: 
In millions 

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

2021 

2020 

$ 

71.4  $ 

881.5 

79.5 

947.2 

Payments due on long-term debt, excluding finance lease obligations, during each of the five years subsequent to 
December 31, 2021 are as follows: 

In millions 
2022 
2023

2024

2025

2026

Thereafter
Total 

$ 

$ 

16.8 

14.2 

616.8 

12.5 

441.5 

500.5 
1,602.3 

NOTE 10 – INCOME TAXES 

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

In millions 

U.S. 
International
Total income (loss) before income taxes 

2021 

2020 

2019 

$ 

$ 

(14.0)   $ 
14.7 

0.7  $ 

65.6  $ 

(121.6)
(56.0)   $ 

(150.5) 
(212.3)
(362.8) 

2021 10-K Annual Report 

Stericycle, Inc.  •  73 

Significant components of the Company’s income tax (expense) benefit for the years ended December 31, are as 
follows: 

PART II 

In millions 

Current 

U.S. - federal

U.S. - state and local

International

Deferred

U.S. - federal

U.S. - state and local

International

Total (expense) benefit 

2021 

2020 

2019 

$ 

4.9  $ 

108.3  $ 

(1.4)

(6.4)
(2.9)  

(17.0)

(4.6)

(3.0)
(24.6)  
(27.5)   $ 

(2.9)

(6.0)

99.4 

(85.9)

(13.7)

0.3 
(99.3)  

0.1  $ 

$ 

— 

(10.7)

(6.4)
(17.1) 

23.9 

8.0 

2.0 

33.9 

16.8 

A reconciliation of the income tax provision computed at the U.S. federal statutory rate to the effective tax rate for 
the years ended December 31, are as follows: 

U.S. federal statutory income tax rate 
Effect of:

State and local taxes, net of federal tax effect

International tax rates

Permanent - other items

Permanent - goodwill impairment

FCPA settlement accrual

CARES Act and other tax matters

Valuation allowance

Divestitures

Stock-based compensation and executive compensation disallowance

Other

Effective tax rate 

2021 

2020 

2019 

 21.0% 

 21.0% 

 21.0% 

 (317.2%)

 (938.5%)

 248.2% 

—% 

 3,118.2% 

 (268.4%)

 1,727.9% 

 (708.4%)

 908.6% 

 37.6% 
 3,829.0% 

 (11.2%)

 14.3% 

 (2.1%)

—% 

—% 

 79.2% 

 (26.5%)

 (62.7%)

 (11.9%)

 0.1% 
 0.2% 

 1.2% 

 5.1% 

 (4.2%)

 (14.1%)

—% 

—% 

 (1.2%)

 1.2% 

 (1.0%)

 (3.4%)
 4.6% 

The comparability of the Company’s current year effective tax rate to the effective tax rates from previous years was 
impacted  by  the  Company’s  near-nil  income  before  taxes  in  2021,  resulting  in  a  magnification  of  the  percentage 
point  impact  for  each  rate  reconciling  item,  rendering  the  2021  effective  tax  rate  not  meaningful. Accordingly,  the 
Company has included a reconciliation in both dollars and percentages below. Both the Company’s near-nil income 
before taxes and the Company’s magnified effective tax rate are driven by the FCPA settlement accrual and its non-
deductibility for tax purposes (see Note 19 – Legal Proceedings for further information). 

U.S. federal tax expense (benefit) at statutory income tax rate 
Effect of: 

State and local taxes, net of federal tax effect 
International tax rates 
Permanent - other items 
FCPA settlement accrual 
CARES Act and other tax matters 
Valuation allowance 
Divestitures 
Stock-based compensation and executive compensation disallowance 
Other 

Effective tax expense (benefit) 

2021 Tax 
Expense 
(Benefit)

Tax Rate

$ 

0.2 

 21.0% 

(2.3) 
(6.8) 
1.8 

22.5 
(1.9) 
12.5 
(5.1) 
6.5 

0.1 
27.5 

 (317.2%) 
 (938.5%) 
 248.2% 

 3,118.2% 
 (268.4%) 
 1,727.9% 
 (708.4%) 
 908.6% 

 37.6% 
 3,829.0% 

$ 

2021 10-K Annual Report 

Stericycle, Inc.  •  74 

Deferred tax liabilities and assets at December 31, were as follows: 

In millions 

Deferred tax liabilities: 

Property, plant and equipment

Goodwill and intangibles

Leases - right of use asset

Other

Total deferred tax liabilities 
Deferred tax assets:

Accrued liabilities

Leases - right of use liability

Net operating tax loss carry-forwards

Interest expense carry-forward

Other

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

PART II 

2021 

2020 

$ 

(87.2) $ 

(394.4)

(89.9)

(15.7)
(587.2)  

58.6 

95.1 

73.4 

15.3 

11.7 

(61.4)

$ 

192.7 
(394.5)   $ 

(49.0)

(391.2)

(91.3)

(17.1)
(548.6) 

63.1 

96.5 

49.0 

11.3 

15.0 

(52.0)

182.9 
(365.7) 

The  valuation  allowance  increased  $9.4  million,  net  of  divestitures,  during  the  year  ended  December 31,  2021, 
primarily due to non-benefited international losses. 

In response to the COVID-19 pandemic the government took the following tax-related government actions: 

• On March 11, 2021, the President signed into law the ARP Act, a legislative package which is generally not
significant to the Company's current business; however, the Company will continue to assess the ARP Act
on an ongoing basis.

• On  December  27,  2020,  the  President  signed  the  CAA  2021,  which  provides  several  business  tax  relief
provisions, which are generally not significant to the Company's current business; however, the Company
will continue to assess the CAA 2021 on an ongoing basis.

• On  March  27,  2020,  the  President  signed  into  law  the  CARES  Act,  which  was  a  substantial  tax-and-
spending package. As a result of the CARES Act tax law changes, for the year ended December 31, 2020,
we  recognized  a  $44.4  million  tax  benefit  related  to  our  ability  to  carryback  net  operating  losses  to  prior
years  that  had  higher  tax  rates.  Note  that  in  the  first  quarter  of  2020,  the  Company  recognized  an  initial
$39.4 million  tax  benefit;  in  the  fourth  quarter  of  2020,  upon  finalizing  the  2019  U.S.  federal  income  tax 
return which impacted the carryback to prior years, the Company recognized an incremental $5.0 million tax 
benefit.  In  July  2020,  the  Company  received  a  cash  refund  of  $48.0  million,  and  in  December  2020,  the 
Company  received  $64.2  million  (of  which  $62.0  million  was  the  cash  refund  claim,  and  $2.2  million  was 
interest income). A remaining carryback claim of less than $1.0 million associated with the finalization of the 
2019 U.S. federal income tax return was filed with the IRS and the refund was received in June of 2021. 

Similar tax provisions and other stimulus measures have been granted either before or after December 31, 2021 by 
certain international and U.S. state jurisdictions, which the Company continues to evaluate and apply, if applicable.  

The Company filed a PFA with the IRS related to a claim under Internal Revenue Code Section 1341 concerning the 
tax rate to be applied to the SQ Settlement on the Company’s 2018 tax return. As a result of the enactment of the 
CARES Act, the Company was able to realize a benefit at the higher tax rate in prior years on a portion of the SQ 
Settlement. In 2020, in consideration of the CARES Act, the Company revised the PFA, a portion of the long-term 
receivable previously established for the Section 1341 claim was reclassified to a current income tax receivable and 
the related uncertain tax position was released as part of the tax benefit recognized in 2020 (in part as described 
above). 

Subsequently  in  late  2020,  the  Company  amended  the  2018  tax  return  to  reduce  the  Section  1341  benefit  as  a 
result  of  discussions  with  the  IRS  as  part  of  the  PFA  program.  Consequently,  the  remaining  long-term  receivable 
established  for  the  Section  1341  claim  and  the  corresponding  uncertain  tax  position  was  reclassified  to  a  current 
income tax receivable and current income tax liability, respectively, as both were expected to settle in cash in 2021. 
In  April  2021,  the  Company  was  advised  that  the  IRS  completed  its  review  of  the  2018  tax  return  and  took  no 
exception  to  the  Section  1341  benefit.  Consequently,  the  Company  recorded  a  tax  benefit  of  approximately  $5.5 

2021 10-K Annual Report 

Stericycle, Inc.  •  75 

PART II 

million  in  the  second  quarter  of  2021  associated  with  the  Section  1341  claim  and  received  the  related  refund  in 
December 2021. 

As of December 31, 2021, the Company plans to repatriate any undistributed earnings of its first-tier international 
subsidiaries  back  to  the  U.S.  only  to  the  extent  that  they  were  previously  taxed  under  the  Tax  Act,  and  future 
repatriations may take the form as distributions from previously taxed earnings and profits and/or return of capital 
distributions.  All  other  undistributed  earnings,  to  the  extent  there  are  any,  will  remain  permanently  reinvested  to 
support  existing  working  capital  needs  in  the  international  subsidiaries.  A  withholding  tax,  unrealized  foreign 
exchange gain, and state income tax accrual has been recorded, as applicable. The Company has not provided for 
deferred  taxes  on  outside  basis  differences  for  investments  in  its  international  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 outstanding basis difference is not practicable to calculate. 

At  December 31,  2021,  the  net  operating  loss  carry-forwards  from  both  international  and  U.S.  operations  are 
approximately $281.6 million and certain of these net operating loss carry-forwards begin to expire in 2022.  The tax 
benefits  of  these  net  operating  losses  is  approximately  $73.4  million  at  December 31,  2021,  on  which  valuation 
allowances  of  $33.9  million  were  recognized  offsetting  such  tax  benefits.  After  the  recognition  of  valuation 
allowances, the majority of the remaining net operating losses are attributable to the Company’s U.S. operations. 

The changes in the valuation allowance on deferred tax assets is as follows: 

In millions 

Balances at beginning of period 
Additions Charged to Income Tax Expense(1) 
Other Changes to Reserves (2) 
Balances at end of period 

Year Ended December 31, 
2020 

2019 

2021 

$ 

$ 

52.0  $ 

10.5 
(1.1) 
61.4  $ 

39.4  $ 

17.8 
(5.2) 
52.0  $ 

35.3 

13.3 
(9.2) 
39.4 

(1)

(2)

2021  amount  includes  valuation  allowances  on  business  operations  (including  the  U.K.,  Brazil,  and  Spain).  2020  amount  includes
valuation allowances on business operations (including the U.K. and Brazil).

2021  and  2020 amounts  consist  primarily  of  currency  translation  adjustments.  2019  amount  consists  primarily  of  divestiture  valuation
allowances for businesses in Mexico and Chile.

The  Company  files  income  tax  returns  in  the  U.S.,  in  various  states  and  in  certain  international  jurisdictions.  We 
generally  are  no  longer  subject  to  U.S.  federal,  state,  local,  or  international  income  tax  examinations  by  tax 
authorities for years prior to 2015.  

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, including 
presenting the accrual as a reduction of a deferred tax asset for a tax loss or tax credit carryforward, when such 
carryforward is available and permitted to be utilized to settle the tax liability.  

The total amount of unrecognized tax benefit at December 31, 2021 is $19.7 million.  The amount of uncertain tax 
positions  that,  if  recognized,  would  affect  the  effective  tax  rate  is  approximately  $18.0  million.  We  recognized 
interest  and  penalties  related  to  income  tax  reserves  as  a  charge  in  the  amount  of  $0.4  million,  a  benefit  of  $1.5 
million,  and  a  benefit  of  $0.7  million  for  the  years  ended  December 31,  2021,  2020  and  2019,  respectively,  as  a 
component of income tax expense. It is reasonably possible that our unrecognized tax benefits will decrease by as 
much as $5.0 million to $10.0 million in the next 12 months primarily due to statute lapses and the progress of U.S. 
federal, state, and international audits.

The following table summarizes the aggregate changes in unrecognized tax benefits: 

2021 10-K Annual Report 

Stericycle, Inc.  •  76 

In millions 
Unrecognized tax positions as of December 31, 2019 

Gross increases - tax positions in prior periods

Gross increases - current period tax positions

Settlements

Lapse of statute of limitations

Unrecognized tax positions as of December 31, 2020 

Gross increases (decreases) - tax positions in prior periods

Gross increases - current period tax positions

Settlements

Lapse of statute of limitations

Unrecognized tax positions as of December 31, 2021 

PART II 

62.7 

(33.5)

2.4 

(0.8)

(6.5)
24.3 

(5.7)

5.3 

(0.2)

(4.0)
19.7 

$ 

$ 

NOTE 11 – 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 years 
presented. 

Our contingent consideration liabilities are reassessed at the end of every reporting period and are recorded using 
Level 3 inputs. The amounts are classified as either other current liabilities or other liabilities and are presented as 
follows as of December 31: 

In millions 

Other current liabilities 
Other liabilities

Total contingent consideration 

2021 

2020 

$ 

$ 

—  $ 

5.3 
5.3  $ 

0.4 

5.3 
5.7 

Contingent consideration represents amounts expected to be paid as part of acquisition consideration only if certain 
future  events  occur.  The  Company  arrives  at  the  fair  value  of  contingent  consideration  by  applying  a  weighted 
probability of potential payment outcomes. 

2021 10-K Annual Report 

Stericycle, Inc.  •  77 

Changes to contingent consideration are reflected in the table below: 

In millions 
Contingent consideration as of January 1, 2019 
Change in fair value reflected in SG&A

Currency Translation Adjustment

Decrease due to payments
Contingent consideration as of December 31, 2020 
Change in fair value reflected in SG&A
Contingent consideration as of December 31, 2021 

PART II 

$ 

$ 

8.0 

(2.1)

(0.1)

(0.1)
5.7 

(0.4)

5.3 

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,  the 
classification  of  disposal  groups  as  held-for-sale,  or  the  re-measurement  of  assets  resulting  in  impairment 
charges.  See Note 3 – Acquisitions, Note 4 – Restructuring, Divestitures, and Impairments, Note 5 Property, Plant 
and Equipment, and Note 7 - Goodwill And Other Intangible Assets for further discussion of the fair value. These 
values are generated principally using Level 3 inputs. 

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

In billions 

Fair value of debt obligations 
Carrying value of debt obligations

2021 

2020 

$ 

1.63  $ 

1.62 

1.86 

1.80 

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

NOTE 12 – COMMITMENTS AND CONTINGENCIES 

Asset Retirement Obligations 

The Company has asset retirement obligations that it is 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, 2021 and 2020, the total asset retirement obligation liabilities recognized were $19.2 million and 
$19.7 million, respectively and were included in Other long-term liabilities on the Consolidated Balance Sheets. 

Letters of Credit, Surety Bonds and Bank Guarantees 

As  of  December 31,  2021  and  2020,  the  Company  had  $71.4  million  and  $79.5  million,  respectively,  of  stand-by 
letters of credit outstanding against our senior credit facility (see Note 9 – Debt).  In addition, at December 31, 2021 
and 2020 we had, $32.5 million and $37.9 million, respectively, of surety bonds and $24.1 million and $21.2 million, 
respectively,  of  bank  guarantees.  The  bank  guarantees  are  issued  mostly  by  the  Company’s  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 the Company’s 
ability to use its various lines of credit. 

Indemnifications 

In the ordinary course of business and in connection with the sale of assets and businesses and other transactions, 
we often indemnify our counterparties against certain liabilities that may arise in connection with the transaction or 
that are related to events and activities prior to or following a transaction (see Note 4 - Restructuring, Divestitures, 
and  Impairments).  If  the  indemnified  party  were  to  make  a  successful  claim  pursuant  to  the  terms  of  the 
indemnification, we may be required to reimburse the loss. These indemnifications are generally subject to various 
restrictions  and  limitations.  Historically,  we  have  not  paid  material  amounts  under  these  provisions  and,  as  of 
December 31, 2021, these indemnifications obligations were not material. 

2021 10-K Annual Report 

Stericycle, Inc.  •  78 

NOTE 13 – RETIREMENT AND OTHER EMPLOYEE BENEFIT PROGRAMS 

PART II 

Defined Contribution Plans: 

The  Company  has  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, 2021, 2020 and 2019, the Company's 
contributions were $9.2 million, $8.7 million and $11.0 million, respectively.   

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,  2021,  2020  and  2019,  the  Company's  total  contributions  were  $4.7  million,  $4.6  million  and  $5.0 
million, respectively. 

Multiemployer Defined Benefit Pension Plans: 

The  Company  participates  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) 
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 the Company chooses to stop participating in 
any  of  its  Multiemployer  Pension  Plans  or  if  any  event  should  significantly  reduce  or  eliminate  the  need  to 
participate  (such  as  employee layoffs  or  closure  of  a  location),  the  Company  may  be  required  to  pay  those 
Multiemployer  Pension  Plans  a  withdrawal  amount  based  on  the  underfunded  status  of  the  Multiemployer 
Pension  Plan.  Based  upon  the  most recent  information  available,  one  of  the  Multiemployer  Pension  Plans  the 
Company  participates  in  is  in  “critical”  status  due  to  an  accumulated  funding  deficiency  and  has  adopted  a 
rehabilitation  plan  to  address  the  funding deficiency position.  

if  a  participating  employer  stops  contributing 

to 

The following table outlines the Company’s participation in Multiemployer Pension Plans: 

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

Plan 
Employer ID 
Number
13-1975659

13-3628926

Pension Protection 
Act Zone Status (1), 

Plan #

2021

2020

(3)

FIP/RP 
Status (2) 

Company 
Contributions (4) 
(in millions) 

2021

2020

Expiration Date of 
Collective 
Bargaining 
Agreements

1 

1 

Red/ 
Critical 

Red/ 
Critical 

Implemented

$ 

1.5  $ 

Green

Green

N/A $ 

—  $ 

0.6 

0.1 

various dates

various dates

(1)

(2)

(3)

(4)

Zone status is defined by the Department of Labor and the Pension Protection Act 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 a Multiemployer Pension Plan actuary.

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 2021 and 2020 is for the plans’ year-end
December 31, 2020.

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.

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, 2020.  At the date these financial statements were issued, Forms
5500 were not available for the Multiemployer Pension Plans for the year ended December 31, 2021.

2021 10-K Annual Report 

Stericycle, Inc.  •  79 

PART II 

NOTE 14 – STOCK BASED COMPENSATION

At December 31, 2021, the Company had the following incentive stock plans: 

•
•
•
•
•
•

the 2021 Plan;
the 2017 Plan;
the 2014 Plan;
the 2011 Plan;
the 2008 Plan; and
the 2005 Plan;

At  December 31,  2021,  the  Company  had  reserved  a  total  of  5,049,440  shares  for  issuance  under  its  incentive 
stock plans. 

The  Plans  provide  for  the  grant  of  ISOs,  RSUs  and  PSUs  intended  to  qualify  under  Section  422  of  the  Internal 
Revenue  Code.  The  Plans  authorize  awards  to  the  Company’s  officers,  employees  and  consultants  and  to  the 
Company’s directors. 

The exercise price per share of an option granted under any of the Plans may not be less than the closing price of a 
share of the Company’s common stock on the date of grant.  The maximum term of an option granted under any of 
the Plans 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 1,799,999 shares of our common stock, which substantially 
all U.S. 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 6 months offering period.  An employee's payroll deductions and stock purchase, may not 
exceed $5,000 during any offering period.  During 2021, 2020, and 2019, 73,471 shares, 70,120 shares and 97,669 
shares, respectively, were issued through the ESPP. At December 31, 2021, we had 514,234 shares available for 
issuance under the ESPP plan. 

Stock-Based Compensation Expense: 

During 2021, 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 U.S. ESPP and Canada ESPP included in the Consolidated Statements of Loss: 

In millions

SG&A - stock option plans

SG&A - RSUs

SG&A - PSUs

SG&A - U.S. ESPP and Canada ESPP

Total pre-tax expense

Year Ended December 31,

2021

2020

2019

$ 

2.0  $ 

3.2  $ 

14.8 

9.6 

0.7 

15.6 

5.9 

0.8 

$ 

27.1  $ 

25.5  $ 

8.0 

7.8 

0.5 

0.8 
17.1 

During the years ended December 31, 2021, 2020 and 2019, the impact of forfeitures was a reduction to expense of 
$3.3 million, $4.9 million, and $6.7 million, respectively. 

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, 2021 is summarized as follows: 

2021 10-K Annual Report 

Stericycle, Inc.  •  80 

Stock option activity for the year ended December 31, 2021 is summarized as follows: 

PART II 

Outstanding as of January 1, 2021

Granted

Exercised

Forfeited

Cancelled or expired
Outstanding as of December 31, 2021

Exercisable as of December 31, 2021

Number of 
Options

Weighted 
Average 
Exercise 
Price per 
Share

Weighted 
Average 
Remaining 
Contractual 
Life
(in years)

Total 
Aggregate 
Intrinsic Value
(in millions)

2,860,468  $ 

—  $ 

(50,099) $ 

(19,827) $ 

(872,012) $ 
1,918,530  $ 

96.00 

— 

52.33 

66.60 

98.64 
96.25 

1,751,550  $ 

100.02 

1.94

1.70

$ 

$ 

2.6 

1.5 

At December 31, 2021, there was $1.3 million of total unrecognized compensation expense related to stock options, 
which is expected to be recognized over a weighted average period of 1.0 year. 

The following table sets forth the intrinsic value of options exercised for the years ended December 31: 

In millions

Total exercise intrinsic value of options exercised

2021

2020

2019

$ 

1.1  $ 

0.5  $ 

2.1 

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). 

There were no stock options granted in the years ended December 31, 2021 and December 31, 2020. 

Restricted Stock Units: 

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, 2021, is as follows: 

Non-vested as of January 1, 2021

Granted

Vested and Released

Forfeited
Non-vested as of December 31, 2021

Number of 
Units

Weighted 
Average 
Grant Date 
Fair Value

547,235  $ 

253,860  $ 

(186,342) $ 

(58,431) $ 
556,322  $ 

54.96 

68.71 

55.26 

58.23 
60.79 

Weighted 
Average 
Remaining 
Contractual 
Life
(in years)

Total 
Aggregate 
Intrinsic Value
(in millions)

0.88

$ 

33.2 

At  December 31,  2021,  there  was  $18.5  million  of  total  unrecognized  compensation  expense  related  to  RSUs, 
which is expected to be recognized over a weighted average period of 1.5 years.  The intrinsic value of units that 
vested  during  the  years  ended  December 31,  2021,  2020,  and  2019  was  $18.9  million,  $18.2  million,  and  $5.3 
million, respectively. 

Performance-Based Restricted Stock Units: 

Our executive officers PSU program was introduced in 2017.  PSUs issued to executive officers through 2019 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. 

Our PSU program was expanded in 2020 to include employees in additional levels below executive officer.  PSUs 
issued  beginning  in  2020  vest,  or  not,  at  the  end  of  the  three-year  period  following  the  grant  date  based  on  the 
achievement of pre-determined annual earnings per share and annual return on invested capital performance goals 
as  approved  by  the  Compensation  Committee  (each  metric  is  weighted  at  50%  of  the  whole).   At  the  end  of  the 
three-year period, the results from each of the three years are averaged to calculate one achievement percentage 

2021 10-K Annual Report 

Stericycle, Inc.  •  81 

PART II 

number, and then a relative total shareholder return (rTSR) modifier is applied to that number in order to determine 
the  final  share  amount,  based  on  Stericycle’s  stock’s  market  performance  relative  to  performance  of  the  S&P 
MidCap 400 Index.  The modifier can adjust the final shares issued by applying a multiplier of 75% - 125%.  We use 
the  Monte  Carlo  simulation  model  to  determine  the  fair  value  of  PSU's,  including  the  effect  of  the  rTSR  modifier, 
once the related performance criteria have been established. 

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  ERP  implementation,  as  approved  by  the  Compensation 
Committee. 

Compensation cost for the PSUs during the performance period is recognized based on the estimated achievement 
of the performance criteria, which is evaluated on a quarterly basis. Each of the PSU’s granted represent the right to 
receive one share of the Company’s common stock at a specified future date. 

PSU activity during the year ended December 31, 2021, is as follows: 

Non-vested as of January 1, 2021 
Granted

Vested and Released

Forfeited
Non-vested as of December 31, 2021 

Number of 
Units

Weighted 
Average 
Grant Date 
Fair Value

92,042  $ 

88,997  $ 

(88,269) $ 

(16,784) $ 
75,986  $ 

57.79 

57.66 

57.61 

60.60 
57.23 

The table above reflects the number of shares at target which could be earned upon vesting of the executive and 
ERP implementation PSU’s for which performance goals related to 2021 have been established.  At December 31, 
2021,  approximately  246,000  additional  PSUs  exist  which  will  vest  in  tranches  based  upon  achievement  of 
performance goals to be established for fiscal years 2022 and 2023. 

NOTE 15 – LOSS PER COMMON SHARE 

Basic  loss  per  share  is  computed  by  dividing  Net  Loss  by  the  number  of  weighted  average  common  shares 
outstanding  during  the  reporting  period.  Diluted  earnings  per  share  is  calculated  to  give  effect  to  all  potentially 
dilutive common shares that were outstanding during the reporting period, only in the periods in which such effect is 
dilutive.  The  following  table  shows  the  effect  of  stock-based  awards  on  the  weighted  average  number  of  shares 
outstanding used in calculating diluted earnings per share: 

In millions, except per share data 

Weighted average common shares outstanding - basic 
Incremental shares outstanding related to stock-based awards (1) 
Weighted average common shares outstanding - diluted 

 Year Ended December 31, 
2020 

2021 

2019 

91.8 

— 
91.8 

91.5 

— 
91.5 

91.0 

— 
91.0 

(1)

In periods of net loss, stock-based awards are anti-dilutive and therefore excluded from the (loss) earnings per
share calculation.

Anti-dilutive  stock-based  awards  excluded  from  the  computation  of  diluted  (loss)  earnings  per  share  using  the 
treasury stock method includes the following:

In thousands 

Options excluded from computation of diluted loss per share. 
RSUs excluded from computation of diluted loss per share.

Year Ended December 31, 
2020 

2019 

2021 

1,897 
63

3,017 
4

4,507 
98

PSUs  are  offered  to  key  employees  and  are  subject  to  achievement  of  specified  performance  conditions. 
Contingently  issuable  shares  are  excluded  from  the  computation  of  diluted  earnings  per  share  based  on  current 
period results. The shares would not be issuable if the end of the year were the end of the contingency period. If 
such  goals  are  not  met,  no  compensation  expense  is  recognized,  and  any  previously  recognized  compensation 
expense is reversed. 

2021 10-K Annual Report 

Stericycle, Inc.  •  82 

NOTE 16 – ACCUMULATED OTHER COMPREHENSIVE LOSS 

The following table sets forth the changes in the components of accumulated other comprehensive loss: 

In millions 

PART II 

Balance as of January 1, 2019 
Accelerated amortization of interest rate lock premiums 
Cumulative currency translation loss realized through disposition of Mexico operations 
Cumulative currency translation loss realized through disposition of Chile operations 
Year change 
Balance as of December 31, 2019 
Cumulative currency translation loss realized through disposition of Argentina operations 
Year change 
Balance as of December 31, 2020 
Cumulative currency translation loss realized through disposition of Japan operations 
Year change 
Balance as of December 31, 2021 

NOTE 17 – SEGMENT REPORTING 

Currency 
Translation 
(Loss) Income 
Adjustments
$ 

(362.3)   $ 
— 

18.9 

16.8 

8.5 
(318.1)  
87.2 

43.5 
(187.4)  
3.8 
(35.2) 
(218.8)   $ 

$ 

Unrealized 
Gains 
(Losses) on 
Cash Flow 
Hedges

Accumulated 
Other 
Comprehensive 
Loss

(3.0)   $ 
2.3 

— 

— 

0.7 
— 

— 

— 
— 

— 

— 
—  $ 

(365.3) 
2.3 

18.9 

16.8 

9.2 
(318.1) 
87.2 

43.5 
(187.4) 
3.8 
(35.2) 
(218.8) 

The  Company  evaluates,  oversees  and  manages  the  financial  performance  of  two  operating  and  reportable 
segments  –  North  America  and  International.  Other  includes  costs  related  to  corporate  enabling  and  shared 
services functions, annual incentive compensation, and stock-based compensation. 

The North America and International segments offer the following services: RWCS, which provide collection and 
processing of regulated and specialized waste, including medical (including reusable sharps disposal management 
services),  pharmaceutical  and  hazardous  waste,  for  disposal  and  compliance  programs  (under  the  Steri-Safe®, 
Clinical  Services,  First  Practice  Management,  SeguriMed  and  EnviroAssure  brand  names)  and  communication 
solutions  such  as  appointment  reminders,  secure  messaging,  event  registration  and  other  communications  for 
hospitals and IDN’s; and SID Services, which provide for the collection of personal and confidential information for 
secure destruction and recycling of shredded paper. 

. 

2021 10-K Annual Report 

Stericycle, Inc.  •  83 

The following tables show financial information for the Company's reportable segments: 

PART II 

In millions 

Revenues 
North America 

International
Total 

Depreciation (1) 
North America

International

Other
Total 
Intangible Amortization 
North America

International

Other

Total 

Adjusted Income from Operations 
North America

International

Other

Total 

Total Assets 
North America

International

Other

Total 

Year Ended December 31, 
2020 

2019 

2021 

2,136.5  $ 

2,189.2  $ 

2,739.9 

510.4 

486.3 

569.0 

2,646.9  $ 

2,675.5  $ 

3,308.9 

73.5  $ 

78.1  $ 

19.2 

12.7 

21.7 

6.8 

88.7 

27.3 

9.8 

105.4  $ 

106.6  $ 

125.8 

95.8  $ 

98.3  $ 

22.1 

— 

26.6 

— 

117.9  $ 

124.9  $ 

587.6  $ 

606.0  $ 

53.6 

(288.8)

46.5 

(263.9)

352.4  $ 

388.6  $ 

111.1 

34.1 

— 

145.2 

595.0 

70.7 

(213.7)

452.0 

4,364.6  $ 

4,377.5  $ 

5,183.5 

876.4 

232.1 

946.0 

258.4 

980.4 

273.1 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

5,473.1  $ 

5,581.9  $ 

6,437.0 

(1) Excludes  depreciation  of  $0.6  million,  $2.0 million,  and  $1.8 million  for  the  years  ended  December 31,  2021,
2020, and 2019, respectively, which is included as part of ERP Implementation.

The  following  table  reconciles  the  Company's  primary  measure  of  segment  profitability,  Adjusted  Income  from 
Operations, to (Loss) income from operations:

In millions 

Year Ended December 31, 
2020 

2019 

2021 

Total Reportable Segment Adjusted Income from Operations 

$ 

352.4  $ 

388.6  $ 

Intangible Amortization

ERP Implementation

Operational Optimization

Portfolio Optimization

Litigation, Settlements and Regulatory Compliance

Asset Impairments

Goodwill Impairment

Other

Income (loss) from operations 

(117.9)

(59.0)

— 

(3.3)

(93.2)

(6.7)

— 

(124.9)

(50.8)

(3.1)

(133.0)

(20.3)

(15.5)

— 

$ 

— 
72.3  $ 

(9.1)
31.9  $ 

452.0 

(145.2)

(67.7)

(14.5)

(118.2)

(28.2)

(22.1)

(228.3)

(39.7)
(211.9) 

2021 10-K Annual Report 

Stericycle, Inc.  •  84 

NOTE 18 – GEOGRAPHIC AREA 

The following table presents consolidated revenues and long-lived assets by geographic region: 

PART II 

In millions 

Revenues 
U.S.

International:

Europe

Other international countries
Total international 

Total 
Long-Lived Assets 

U.S.

International:

Europe

Other international countries
Total international 

Total 

Year Ended December 31, 
2020 

2019 

2021 

$ 

1,995.2  $ 

2,067.3  $ 

2,586.8 

427.0 

224.7 

651.7 

377.7 

230.5 

608.2 

379.3 

342.8 

722.1 

2,646.9  $ 

2,675.5  $ 

3,308.9 

4,052.0  $ 

4,086.0  $ 

4,700.6 

$ 

$ 

589.2 

194.8 

784.0 

632.5 

254.5 

887.0 

636.5 

301.0 

937.5 

$ 

4,836.0  $ 

4,973.0  $ 

5,638.1 

NOTE 19 – LEGAL PROCEEDINGS 

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

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

Contract  Class  Action  and  Opt  Out  Lawsuits.  Beginning  on  March  12,  2013,  the  Company  was  served  with 
several class action complaints filed in federal and state courts in several jurisdictions. These complaints asserted, 
among other things, that the Company had imposed unauthorized or excessive price increases and other charges 
on its customers in breach of its contracts and in violation of the Illinois Consumer Fraud and Deceptive Business 
Practices Act. The complaints sought certification of the lawsuit as a class action and the award to class members 

2021 10-K Annual Report 

Stericycle, Inc.  •  85 

PART II 

of appropriate damages and injunctive relief. These related actions were ultimately transferred to the United States 
District Court for the Northern District of Illinois for centralized pretrial proceedings. 

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

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

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

As  previously  disclosed,  the  Company  has  engaged  in  settlement  discussions  in  connection  with  the  foregoing 
government investigations. The Company has reached agreements in principle with the DOJ and the SEC to settle 
these matters. Under the Company’s agreement in principle with the DOJ, the Company would enter into a deferred 
prosecution  agreement  (“DPA”)  with  the  DOJ,  under  which  the  DOJ  would  defer  criminal  prosecution  of  the 
Company  for  a  period  of  three  years  for  charges  relating  to  conspiracy  to  violate  the  anti-bribery  and  books  and 
records provisions of the FCPA.  If the Company remains in compliance with the DPA during its three-year term, the 
deferred charge against the Company would be dismissed with prejudice.  The Company would pay $52.5 million in 
criminal fines to the DOJ. Under the Company’s agreement in principle with the SEC, the Company would enter into 
an administrative resolution with the SEC with respect to alleged violations of the anti-bribery, books and records 
and  internal  controls  provisions  of  the  FCPA,  and  would  disgorge  $22.2  million  and  pay  pre-judgment  interest  of 
$6.0  million  to  the  SEC.    In  addition,  under  both  the  agreement  in  principle  with  the  DOJ  and  with  the  SEC,  the 
Company  would  engage  an  independent  compliance  monitor  for  two  years  and  undertake  compliance  with  self-
reporting obligations for an additional year.  Based on these agreements in principle and as provided by U.S. GAAP, 
in addition to the $61.0 million previously accrued, the Company has recognized an additional estimated aggregate 
accrued  liability  for  these  matters  of  approximately  $19.7  million  within  its  consolidated  financial  statements  as  of 
December 31, 2021, for a total accrual of $80.7 million relating to these matters. Final resolution of these matters is 
subject  to  negotiation  of  documentation  satisfactory  to  all  parties.  It  is  also  subject  to  final  approvals  by  the 
Company’s board of directors, the DOJ, and the SEC, and may require court approval of the DPA. The Company is 
also  discussing  potential  settlement  of  investigations  by  Brazilian  authorities.  Because  negotiations  with  the 
Brazilian  authorities  are  ongoing,  the  Company  cannot  predict  with  certainty  the  outcome  of  these  negotiations, 
including  whether  a  settlement  will  be  reached,  the  amount  of  any  potential  monetary  payments,  or  injunctive  or 
other  relief.  In  the  event  the  Company  is  able  to  negotiate  a  settlement  with  the  Brazilian  authorities,  certain 
monetary portions of the agreements in principle with the DOJ and SEC may be offset by payments made thereto. 
At  the  present  time,  the  Company  is  unable  to  reasonably  estimate  nor  provide  any  assurance  regarding  the 
amount of any potential loss in excess of the amount accrued relating to these matters. 

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

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

Environmental  and  Regulatory  Matters. The  Company  is  regulated  by  federal,  state  and  local  laws  enacted  to 
regulate the discharge of materials into the environment, the generation, transportation and disposal of waste, and 

2021 10-K Annual Report 

Stericycle, Inc.  •  86 

PART II 

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

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

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

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

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

DEA Investigation. On February 11, 2020, the Company received an administrative subpoena from the DEA, which 
executed a search warrant at the Company’s former Environmental Solutions facility at Rancho Cordova, California 
and  an  administrative  inspection  warrant  at  the  Company’s  former  facility  in  Indianapolis,  Indiana  for  materials 
related  to  the  former  Environmental  Solutions  business  of  collecting,  transporting,  and  destroying  controlled 
substances from retail customers (the “ESOL Retail Controlled Substances Business”). On that same day, agents 
from  the  DTSC  executed  a  separate  search  warrant  at  the  Rancho  Cordova  facility.  Since  that  time,  the  U.S. 
Attorney’s  Office  for  the  Eastern  District  of  California  (“USAO  EDCA”)  has  been  overseeing  criminal  and  civil 
investigations of the ESOL Retail Controlled Substances Business. The USAO EDCA has informed the  Company 
that it may have civil liability under the Controlled Substances Act related to the Domestic Environmental Solutions 
Retail  Controlled  Substances  Business.    The  Company  is  cooperating  with  the  civil  and  criminal  investigations, 
which are ongoing. 

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

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

The Company has not accrued any amounts in respect of these investigations, as it cannot estimate the reasonably 
possible loss or any range of reasonably possible losses that the Company may incur. The Company is unable to 
make such an estimate because, based on what the Company knows now, in the Company’s judgment, the factual 

2021 10-K Annual Report 

Stericycle, Inc.  •  87 

and legal issues presented in this matter are sufficiently unique that the Company is unable to identify other 
circumstances sufficiently comparable to provide guidance in making estimates. 

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

PART II 

None. 

Item 9A. Controls and Procedures 

 Evaluation of Disclosure Controls and Procedures 

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. 

The Company’s Chief Executive Officer and Chief Financial Officer have concluded that the Company’s disclosure 
controls  and  procedures  (as  defined  in  Rules  13a-15(e)  and  15d-15(e)  of  the  Exchange  Act  are  effective  as  of 
December 31, 2021, based on the evaluation of these controls and procedures required by Rule 13a-15(b) or 15d-
15(b) of the Exchange Act. 

Management’s Report on Internal Control Over Financial Reporting 

The Company’s management is responsible for establishing and maintaining adequate internal control over financial 
reporting.  The  Company’s  internal  control  system  is  designed  to  provide  reasonable  assurance  regarding  the 
preparation  and  fair  presentation  of  published  financial  statements  in  accordance  with  generally  accepted 
accounting principles. 

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. 
Therefore, effective internal control over financial reporting provides only reasonable, and not absolute, assurance 
with  respect  to  the  preparation  and  presentation  of  financial  statements  in  accordance  with  generally  accepted 
accounting principles. 

Management  assessed  the  effectiveness  of  the  Company’s  internal  control  over  financial  reporting  as  of 
December 31,  2021,  using  the  criteria  set  forth  in  Internal  Control  -  Integrated  Framework  (2013)  issued  by  the 
Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission.  Based  on  that  assessment,  management 
concluded that, as of December 31, 2021, the Company’s internal control over financial reporting is effective. 

The Company’s independent registered public accounting firm has issued an attestation report on the effectiveness 
of the Company’s internal control over financial reporting as of December 31, 2021 (included elsewhere herein). 

Changes in Internal Controls 

During the fourth quarter, there were no changes that have materially affected or are reasonably likely to materially 
affect the Company’s internal control over financial reporting. 

2021 10-K Annual Report 

Stericycle, Inc.  •  88 

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 

PART II 

We  have  audited  Stericycle,  Inc.’s  internal  control  over  financial  reporting  as  of  December  31,  2021,  based  on 
criteria  established 
the  Committee  of  Sponsoring 
Organizations of the Treadway Commission (2013 framework) (the COSO criteria). In our opinion, Stericycle, Inc. 
(the Company) maintained, in all material respects, effective internal control over financial reporting as of December 
31, 2021, based on the COSO criteria. 

Internal  Control—Integrated  Framework 

issued  by 

in 

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, 2021 and 2020, the related 
consolidated  statements  of  loss,  comprehensive  (loss)  income,  changes  in  equity  and  cash  flows  for  each  of  the 
three years in the period ended December 31, 2021, and the related notes and our report dated February 24, 2022 
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  internal  control  over  financial  reporting  included  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 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 24, 2022 

2021 10-K Annual Report 

Stericycle, Inc.  •  89 

Item 9B. Other Information

None. 

Item 9C. Disclosures Regarding Foreign Jurisdictions that Prevent Inspection

 None. 

PART II 

2021 10-K Annual Report 

Stericycle, Inc.  •  90 

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 2022 Annual Meeting of 
Stockholders to be filed pursuant to Regulation 14A. 

The  information required by  this Item regarding  our executive officers is  contained  under  the  caption  "Information 
about our Executive Officers" in Item 1 of Part I of this Report. 

The information required by this Item regarding compliance with Section 16(a) of the Exchange Act is incorporated 
by  reference  to  the  information  contained  under  the  caption  "Delinquent  Section  16(a)  Reports"  in  our  definitive 
proxy statement for our 2022 Annual Meeting of Stockholders, 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/Investors/Investor Relations/Corporate 
Governance/Governance Documents."  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. 

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 2022 
Annual Meeting of Stockholders, 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 3) in our definitive proxy statement for 
our 2022 Annual Meeting of Stockholders, 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 2022 Annual Meeting of Stockholders, to be filed pursuant to Regulation 14A. 

Equity Compensation Plans 

The  following  table  summarizes  information  as  of  December 31,  2021  relating  to  our  equity  compensation  plans 
pursuant to which stock option grants, RSUs, PSUs or other rights to acquire shares of our common stock may be 
made or issued: 

Equity Compensation Plan Information 

In millions, except per share data 

Plan Category
Equity compensation plans approved by our security holders (1) 

Number of 
Securities to be 
Issued Upon 
Exercise of 
Outstanding 
Options and 
Vesting of RSUs
(a)

Weighted-Average 
Exercise Price 
of Outstanding 
Options
(b)

Number 
of Securities 
Remaining 
Available for Future 
Issuance Under 
Equity 
Compensation 
Plans (Excluding 
Securities 
Reflected in 
Column (a))
(c)

2.8  $ 

91.21 

5.5 

(1)

These plans consist of our 2021 Plan, 2017 Plan, 2014 Plan, 2011 Plan, 2008 Plan, 2005 Plan, the ESPP Plan, and the Canadian ESPP. 

2021 10-K Annual Report 

Stericycle, Inc.  •  91 

PART III 

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  2022  Annual  Meeting  of 
Stockholders, 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 2022 Annual Meeting of Stockholders, 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 Appointment of Ernst & Young 
LLP as Our Independent Registered Public Accounting Firm for 2022" in our definitive proxy statement for our 2022 
Annual Meeting of Stockholders, to be filed pursuant to Regulation 14A. 

2021 10-K Annual Report 

Stericycle, Inc.  •  92 

PART IV 

Item 15. Exhibits 

(a) List of Financial Statements and Exhibits

We have filed the following financial statements as part of this report:

Report of Independent Registered Public Accounting Firm (PCAOB ID: 42) 

Consolidated Financial Statements of Stericycle, Inc. and Subsidiaries: 

Consolidated Statements of Loss  

Consolidated Statements of Comprehensive (Loss) Income 

Consolidated Balance Sheets  

Consolidated Statements of Cash Flows 

Consolidated Statements of Changes in Equity  

Notes to Consolidated Financial Statements 

Report of Independent Registered Public Accounting Firm on Internal Control Over 
Financial Reporting 

PART IV 

Page 

49 

51 

52 

53 

54 

55 

56 

89

2021 10-K Annual Report 

Stericycle, Inc.  •  93 

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

PART IV 

2.1* 

3(i).1*

3(i).2*

3(i).3*

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*

Stock  Purchase  Agreement,  dated  as  of  February  6,  2020,  by  and  among  Stericycle,  Inc.,  Harsco 
Corporation  and  CEI  Holding,  LLC  (incorporated  by  reference  to  Exhibit  2.1  to  our  Current  Report  on 
Form 8-K filed February 7, 2020) 
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) 

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) 

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) 

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)

3(ii).1*

Amended and restated bylaws (incorporated by reference to Exhibit 3(ii).1 to our current report on Form 
8-K filed June 1, 2016)

4.1*

4.5 

4.6*

4.7*

4.8*

4.9* 

10.1*

10.2*†

10.3*†

10.4*†

10.5*†

10.6*†

10.7*†

10.8*†

10.9*†

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)) 

Description of the Company's Common Stock 
Indenture dated as of June 14, 2019 between Stericycle, the named guarantors and U.S. Bank National 
Association, as trustee (incorporated by reference to Exhibit 4.1 to our current report on Form 8-K filed 
June 14, 2019 

Form  of  5.375%  Senior  Notes  due  July  2024  (incorporated  by  reference  to  Exhibit  4.1  to  our  current 
report on Form 8-K filed June 14, 2019) 

Indenture,  dated  as  of  November  24,  2020,  between  Stericycle,  Inc.,  the  name  guarantors  and  U.S. 
Bank National Association, as trustee (incorporated by reference to Exhibit 4.1 to our Current Report on 
Form 8-K filed November 24, 2020) 

Form of 3.875% Senior Notes due January 2029 (incorporated by reference to Exhibit 4.2 to our Current 
Report on Form 8-K filed November 24, 2020) 

Amended and Restated Credit Agreement, dated as of September 30, 2021, 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,  and  the  other  lenders  party  thereto  (incorporated  by  reference  to 
Exhibit 10.1 to our Current Report on Form 8-K filed October 4, 2021) 

2000 Non-statutory Stock Option Plan ("2000 Plan") (incorporated by reference to Exhibit 10.13 to our 
Annual Report on Form 10-K filed March 25, 2002) 

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)) 

2021 10-K Annual Report 

Stericycle, Inc.  •  94 

PART IV 

10.10*†

10.11*†

10.12*†

10.13*†

10.14*†

10.15*†

10.16*†

10.17*†

10.18*†

10.19*†

10.20*†

10.21*†

10.22*†

10.23*†

10.24*†

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*†

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 Stock Option Agreement under 2005 Plan, 2008 Plan, 2011 Plan, and 2014 Plan (incorporated 
by reference to Exhibit 10.20 to our Annual Report on Form 10-K filed February 28, 2012) 

Form  of  Restricted  Stock  Unit  Award  under  2008  Plan,  2011  Plan,  and  2014  Plan  (incorporated  by 
reference to Exhibit 10.21 to our Annual Report on Form 10-K filed February 28, 2012) 

Form of Performance-Based Restricted Stock Unit Award under 2011 Plan and 2014 Plan (incorporated 
by reference to Exhibit 10.24 to our Annual Report on Form 10-K filed March 15, 2017) 

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 10.19 
to our Annual Report on Form 10-K filed February 28, 2020) 

Form of Agreement for Restricted Stock Unit Award under the 2011 Incentive Stock Plan (incorporated 
by reference to Exhibit 10.1 to our quarterly report on Form 10-Q filed April 29, 2021) 

Form of Agreement for Performance-Based Restricted Stock Unit Award under the 2011 Incentive Stock 
Plan (incorporated by reference to Exhibit 10.2 to our quarterly report on Form 10-Q filed April 29, 2021) 

Form of Agreement for Stock Option Grant under 2014 Plan (incorporated by reference to Exhibit 10.20 
to our Annual Report on Form 10-K filed February 28, 2020) 

Form of Agreement for Stock Option Grant under 2017 Plan (incorporated by reference to Exhibit 10.21 
to our Annual Report on Form 10-K filed February 28, 2020) 

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 Performance-Based Restricted Stock Unit Award under 2017 Plan (incorporated by reference to 
Exhibit 10.23 to our Annual Report on Form 10-K filed February 28, 2020) 

Form of Agreement for Performance-Based Restricted Stock Unit Award (Digital 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 (incorporated by reference to Exhibit 10.46 
to our annual report on Form 10-K for 2018) 

Form on Agreement of Stock Option Grant under 2017 Plan (incorporated by reference to Exhibit 10.26 
to our Annual Report on Form 10-K filed February 28, 2020) 

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 filed February 26, 2018) 

Form of Indemnification Agreement for Directors and Officers (incorporated by reference to Exhibit 10.29 
to our Annual Report on Form 10-K filed March 15, 2017) 
Executive  Severance  and  Change  in  Control  Plan  (as  amended)  (incorporated  by  reference  to  Exhibit 
10.33 to our Annual Report on Form 10-K filed February 28, 2020) 

Supplemental Retirement Plan (incorporated by reference to Exhibit 10.1 to our current report on Form 
8-K filed December 30, 2016)

Form of Agreement for Stock Option Grant under 2011 Plan (incorporated by reference to Exhibit 10.35 
to our Annual Report on Form 10-K filed February 28, 2020) 

Form of Agreement for Stock Option Grant under 2014 Plan (incorporated by reference to Exhibit 10.36 
to our Annual Report on Form 10-K filed February 28, 2020) 

Form  of  Agreement  for  Stock  Option  Grant  under  2017  Plan  (related  to  Spain)  (incorporated  by 
reference to Exhibit 10.37 to our Annual Report on Form 10-K filed February 28, 2020) 

Form of Agreement for Stock Option Grant under 2017 Plan (related to U.K. Executive) (incorporated by 
reference to Exhibit 10.38 to our Annual Report on Form 10-K filed February 28, 2020) 

Form  of  Agreement  for  Stock  Option  Grant  under  2017  Plan  (related  to  U.K.  Non-Executive) 
(incorporated by reference to Exhibit 10.39 to our Annual Report on Form 10-K filed February 28, 2020) 

Form  of  Agreement  for  Stock  Option  Grant  under  2017  Plan  (related  to  Ireland  Non-Executive) 
(incorporated by reference to Exhibit 10.40 to our Annual Report on Form 10-K filed February 28, 2020) 

Form  of  Agreement  for  Stock  Option  Grant  under  2017  Plan  (related  to  Canada  Non-Executive) 
(incorporated by reference to Exhibit 10.41 to our Annual Report on Form 10-K filed February 28, 2020) 

Form  of  Agreement  for  Stock  Option  Grant  under  2017  Plan  (related  to  Singapore  Non-Executive) 
(incorporated by reference to Exhibit 10.42 to our Annual Report on Form 10-K filed February 28, 2020) 
Form of Agreement for Performance-Based Restricted Stock Unit Award (Digital Transformation) under 
2017 Plan (incorporated by reference to Exhibit 10.43 to our Annual Report on Form 10-K filed February 
28, 2020) 

Form  of  Agreement  for  Stock  Option  Grant  under  2017  Plan  (related  to  Chile  Non-Executive) 
(incorporated by reference to Exhibit 10.44 to our Annual Report on Form 10-K filed February 28, 2020) 

2021 10-K Annual Report 

Stericycle, Inc.  •  95 

10.43*†

10.44*

10.45*†

10.46*†
10.47*† 

10.48*†

14*

21

23

31.1
31.2 
32 

101

104 

Stock Option Award Agreement under 2017 Plan (Participants Not Eligible for Executive Severance and 
CIC Plan) (incorporated by reference to Exhibit 10.47 to our Annual Report on Form 10-K filed February 
28, 2019) 
Cooperation  Agreement,  dated  as  of  March  26,  2020,  between  Stericycle,  Inc.  and  Saddle  Point 
Management,  L.P.  (incorporated  by  reference  to  Exhibit  10.1  to  our  Current  Report  on  Form  8-K  filed 
March 30, 2020) 

Stericycle,  Inc.  2021  Long-Term  Incentive  Plan  (incorporated  by  reference  to  Appendix  B  to  our 
Definitive Proxy Statement on Schedule 14A filed April 14, 2021) 
Form of Agreement for Director Restricted Stock Unit Award under the 2021 Long-Term  Incentive  Plan 
(incorporated by reference to Exhibit 10.2 to our quarterly report on Form 10-Q filed August 6, 2021) 

Form of Restricted Stock Unit Award Agreement under the 2021 Long-Term  Incentive  Plan 

Form  of  Performance  Stock  Unit  Award  Agreement  under  the  2021  Long-Term  Incentive  Plan 
(incorporated by reference to Exhibit 10.4 to our quarterly report on Form 10-Q filed August 6, 2021) 

Code of ethics (incorporated by reference to Exhibit 10.14 to our annual report on Form 10-K file March 
15, 2004 

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 
The  following  financial  information  from  our  Annual  Report  on  Form  10-K  for  the  year  ended 
December 31,  2021,  formatted  in  iXBRL  (Inline  Extensible  Business  Reporting  Language)  includes:  (i) 
the Cover Page, (ii) the Consolidated Balance Sheets, (iii) the Consolidated Statements of Loss, (iv) the 
Consolidated  Statements  of  Comprehensive  (Loss)  Income,  (v)  the  Consolidated  Statements  of 
Changes in Shareholders’ Equity, (vi) the Consolidated Statements of Cash Flows, and (vii) the Notes to 
Consolidated Financial Statements, tagged in summary and detail. 
Cover Page Interactive Data File (formatted as iXBRL and contained in Exhibit 101) 

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 

2021 10-K Annual Report 

Stericycle, Inc.  •  96 

SIGNATURES 
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 

Dated: February 24, 2022 

STERICYCLE, INC. 
(Registrant) 
By:    /s/ Janet H. Zelenka 
Janet H. Zelenka 
Executive Vice President, Chief Financial Officer, and 
Chief Information Officer 

STERICYCLE, INC. 
(Registrant) 
By:    /s/ Richard J. Hoffman 
Richard J. 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 24, 2022 

2021 10-K Annual Report 

Stericycle, Inc.  •  97 

Title 

SIGNATURES 

Date 

Chief Executive Officer and Director (Principal Executive Officer)

February 24, 2022

Executive Vice President, Chief Financial Officer, and Chief Information 
Officer (Principal Financial Officer)

February 24, 2022

Senior Vice President and Chief Accounting Officer (Principal 
Accounting Officer)

February 24, 2022

Chairman of the Board of Directors

Director 

Director

Director

Name 

/s/    CINDY J. MILLER
Cindy J. Miller 

/s/   JANET H. ZELENKA

Janet H. Zelenka 

/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 F. CHEN
Thomas F. Chen 

/s/    J. JOEL HACKNEY JR.

Director

J. Joel Hackney Jr.
/s/    VERONICA M. HAGEN 
Veronica M. Hagen 

/s/  STEPHEN C. HOOLEY
Stephen C. Hooley 

/s/ JAMES J. MARTELL
James J. Martell  

/s/    KAY G. PRIESTLY
Kay G. Priestly 
/s/ JAMES L. WELCH 
James L. Welch 

/s/    MIKE S. ZAFIROVSKI
Mike S. Zafirovski 

Director 

Director

Director

Director

Director 

Director

February 24, 2022

February 24, 2022 

February 24, 2022

February 24, 2022

February 24, 2022

February 24, 2022 

February 24, 2022 

February 24, 2022 

February 24, 2022 

February 24, 2022 

February 24, 2022 

2021 10-K Annual Report 

Stericycle, Inc.  •  98 

Our Company At A GlanceStericycle is a global business-to-business services company. We provide an array of highly specialized solutions that protect the health and well-being of the people and places around us in a safe, responsible, and sustainable way. Since our founding in 1989, we have grown from a small start-up in medical waste management into a leader across a range of increasingly complex and highly regulated arenas, serving healthcare organizations and commercial businesses of every size through:• Regulated waste management and compliance solutions• Secure information destruction• Patient engagement solutionsEvery 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 protect what matters. 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.   Founded in 1989  Headquarters in  Bannockburn, IL15,000+  Team Members WorldwideOver 1 Million  Customers  WorldwidePresence in  17 Countries$2.7 Billion 2021 RevenuePublic in 1996 (NASDAQ: SRCL)Because at Stericycle,  we’re shaping a healthier  and safer world for everyone,  everywhere, every day.ANNUAL REPORT 2021  The following four brand pillars are crucial elements of our brand messaging that set  Stericycle apart from our competitors. They encompass the major themes, benefits,  and selling points that make our brand unique.Our PillarsWe protect what matters.To protect your health and well-being in  a safe, responsible, and sustainable way.Our mission statement explains WHAT we protect (health and well-being)  and HOW we do it every day (safely, responsibly, and sustainably).Shaping a healthier and safer world  for everyone, everywhere, every day.Our vision explains the ASPIRATION for impact we will have on  the WORLD. It also gives us the latitude to expand our  suite of solutions beyond the workplace and into  homes and communities.OUR PROMISEOUR MISSIONOUR VISIONOur BrandThe Stericycle brand is the essence of our organization.  It’s all-encompassing, including our mission and vision,  core values, team members, products, and services.INNOVATIONCOMPLIANCEPROTECTIONENGAGEMENTANNUAL REPORT 2021Stericycle, Delivering on Our Promise. By Living Our Values.We work tirelessly to safeguard our earth, human health, and quality of life in communities around the world.We deliver the strongest impact  when we collaborate, harnessing  the collective strengths, ideas,  and expertise of our global team members to achieve great things.We deliver value to our customers through safe, compliant, and sustainable solutions. We never stop working to win the trust of our customers.We are committed to the safety  and well-being of our team members and strive daily for a workplace  with zero incidents and injuries. We hold ourselves to the highest standards. Integrity is our compass, and accountability our true north. We go above and beyond to deliver exceptional results, challenge the status quo, and constantly innovate.WE PROTECT  THE ENVIRONMENTWE ARE UNITED— ONE TEAM. ONE GOAL.WE ARE  CUSTOMER DRIVEN WE COMMIT TO SAFETY ALWAYSWE DO THE RIGHT THINGWE STRIVE  FOR EXCELLENCEWe foster a culture of belonging that encourages, supports, and celebrates the diverse voices of our team members. It fuels our innovation and strengthens our connection to our customers  and the communities we serve. WE EMBRACE  DIVERSITY AND INCLUSIONANNUAL REPORT 2021The Global Impact of Our ServiceStericycle 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 a sample of the annual global impact of our services:Learn more about our sustainability efforts at  Stericycle.com/About-Us/SustainabilityANNUAL REPORT 202140 MILLION POUNDSof unused medications safely  disposed through our pharmaceutical  waste services in 202111.1 BILLION POUNDSof paper recycled through  Shred-it’s secure information  destruction services in 20211104 MILLION POUNDS  of plastic generation avoided and  diverted from landfills from our  reusable sharps containers in 202111.5 BILLION POUNDSof medical waste treated in 20211ANNUAL REPORT 2021

Corporate Information

COMPANY  HEADQUARTERS

INVESTOR  RELATIONS

Stericycle, Inc.
2355 Waukegan Road
Bannockburn, IL 60015 
800-643-0240 
Stericycle.com

INDEPENDENT  AUD ITORS

Ernst & Young LLP 
155 N. Wacker Drive
Chicago, Illinois 60606

TRA NSF ER  AGENT

EQ Shareowner Services 
1110 Centre Pointe Curve, Suite 101
Mendota Heights, MN 55120

For information on the company, additional copies  
of this Annual Report or other information, please 
contact Stericycle at StericycleIR@Stericycle.com  
or 800-643-0240 ext. 2012. You may also visit the 
Investor section on the Company website at  
investors.stericycle.com.

ANNUAL  MEETING

The Annual Meeting of Stockholders will be held  
at 8:30am CT on Thursday, May 26, 2022 virtually  
at www.virtualshareholdermeeting.com/SRCL2022

NASDAQ®  SYMBOL

SRCL

S A F E   H A R B O R   S TAT E M E N T

This document may contain forward-looking statements as defined in the Private Securities Litigation Reform Act of 1995. When we use words such as “believes”, “expects”, 
“anticipates”, “estimates”, “may”, “plan”, “will”, “goal”, or similar expressions, we are making forward-looking statements. Forward-looking statements are prospective in 
nature and are not based on historical facts, but rather on current expectations and projections of our management about future events and are therefore subject to 
risks and uncertainties, which could cause actual results to differ materially from the future results expressed or implied by the forward-looking statements. Factors that 
could cause such differences include, among others, inflationary cost pressure in labor, supply chain and other expenses, decreases in the volume of regulated wastes 
or personal and confidential information collected from customers, the ability to implement the remaining phases of our ERP system, and disruptions resulting from 
deployment of our ERP system, disruptions in our supply chain, disruptions in or attacks on information technology systems, developments in the COVID-19 pandemic 
and the resulting impact on the results of operations, long-term remote work arrangements, which may adversely affect our business, measures taken by governmental 
authorities to prevent the spread of the COVID-19 virus which could disrupt our supply chain, result in disruptions in transportation services and restrictions on the 
ability of our team members to travel, result in temporary closure of our facilities or the facilities of our customers and suppliers, affect the volume of paper processed 
by our secure information destruction business and the revenue generated from the sale of SOP, labor shortages, an economic disruption in the U.S. and other countries 
resulting from the outbreak of the COVID-19 virus, changing market conditions in the healthcare industry, competition and demand for services in the regulated waste 
and secure information destruction industries, SOP pricing volatility, foreign exchange rate volatility in the jurisdictions in which we operate, 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, charges related to portfolio optimization or the failure of acquisitions or divestitures to achieve the desired results, failure to consummate transactions with 
respect to non-core businesses, the obligations to service substantial indebtedness and comply with the covenants and restrictions contained in our credit agreements and 
notes, a downgrade in our credit rating resulting in an increase in interest expense, political, economic, inflationary and other risks related to our foreign operations, the 
outcome of pending or future litigation or investigations including with respect to the U.S. Foreign Corrupt Practices Act, weather and environmental changes related to 
climate change, requirements of customers and investors for net carbon zero emissions strategies, and the introduction of regulations for greenhouse gases, which could 
negatively affect our costs to operate, failure to maintain an effective system of internal control over financial reporting, as well as other factors described in our filings 
with the U.S. Securities and Exchange Commission, including our Annual Report on Form 10-K and subsequent Quarterly Reports on Forms 10-Q. As a result, past financial 
performance should not be considered a reliable indicator of future performance, and investors should not use historical trends to anticipate future results or trends. We 
disclaim any obligation to update or revise any forward-looking or other statements contained herein other than in accordance with legal and regulatory obligations.

1Stericycle global data, 2021. 

2355 Waukegan RoadBannockburn, IL 60015800-643-0240  |  Stericycle.com© 2022 Stericycle, Inc. All rights reserved.