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Omnicell

omcl · NASDAQ Healthcare
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Employees 1001-5000
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FY2017 Annual Report · Omnicell
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

(Mark  One)

FORM 10-K

(cid:1) ANNUAL  REPORT PURSUANT  TO  SECTION 13  OR  15(d)  OF  THE

SECURITIES EXCHANGE ACT OF  1934

For the fiscal year ended December 31, 2017
OR

(cid:2) TRANSITION REPORT PURSUANT  TO  SECTION 13  OR  15(d)  OF  THE

SECURITIES EXCHANGE ACT OF  1934

For the transition period from 

 to 

Commission File No. 000-33043

OMNICELL, INC.

(Exact name of Registrant as specified  in its  charter)

Delaware
(State or other jurisdiction of
incorporation or organization)

94-3166458
(IRS  Employer
Identification No.)

590 East Middlefield Road
Mountain View, CA 94043
(Address of registrant’s principal executive  offices, including zip code)
(650) 251-6100
(Registrant’s telephone number, including area  code)

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Name  of each exchange on which registered

Common Stock, $0.001 par value
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

The NASDAQ Stock Market LLC

Act.  Yes (cid:1) No (cid:2)

Indicate  by check mark if the registrant is not required to file  reports pursuant to Section 13 or Section 15(d) of the

Act.  Yes (cid:2) No (cid:1)

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 (cid:1) No (cid:2)

Indicate  by check mark whether the registrant has submitted electronically and posted on its corporate Website, if any, every
Interactive Data File required to be submitted and posted 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 and post such files). Yes (cid:1) No (cid:2)

Indicate  by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and  will

not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in
Part III of this Form 10-K or any amendment to this Form 10-K. (cid:2)

Indicate  by check mark whether the registrant is a large  accelerated filer, an accelerated filer,  a  non-accelerated  filer, a smaller

reporting company, or emerging growth company. See the definitions  of ‘‘large accelerated filer,’’ ‘‘accelerated filer,’’ ‘‘smaller reporting
company,’’ and ‘‘emerging growth company’’ in Rule 12b-2 of the Exchange Act.
Large accelerated filer (cid:1)

Accelerated filer (cid:2)

Non-accelerated filer (cid:2)
(Do  not check if  a
smaller reporting company)

Smaller reporting company (cid:2)
Emerging growth company (cid:2)

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 Ex-change Act. (cid:2)

Indicate  by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes (cid:2) No  (cid:1)
The  aggregate market value of the registrant’s common stock, $0.001 par value, held by non-affiliates of the registrant as of
June 30, 2017 was $1.6 billion (based upon the closing sales  price of such stock as reported on The NASDAQ Global Select Market on
such  date)  which excludes an aggregate of 1,186,296 shares of the registrant’s common stock held by officers, directors and affiliated
stockholders. For purposes of determining whether a stockholder was  an affiliate of the registrant at June 30, 2017, the registrant  has
assumed that a stockholder was an affiliate of the registrant at June 30, 2017 if such stockholder (i) beneficially owned 10% or more of
the registrant’s common stock and/or (ii) was affiliated with an executive officer or director of the registrant at June 30, 2017. Exclusion
of such shares should not be construed to indicate that any  such person possesses the power, direct or indirect, to direct or cause the
direction of the management or policies of the registrant or  that such person is controlled by or under common control with the
registrant.

As of February 21, 2018 there were 38,783,241 shares  of the registrant’s  common stock, $0.001 par value, outstanding.

Portions of the registrant’s definitive Proxy Statement for the 2018 Annual Meeting of Stockholders to be filed with the Securities

and Exchange Commission pursuant to Regulation 14A not later than 120 days after the end of the fiscal year covered by this
Form 10-K are incorporated by reference in Part III, Items 10-14  of this  Form 10-K.

DOCUMENTS INCORPORATED BY REFERENCE

OMNICELL, INC.

TABLE OF CONTENTS

PART I
Item 1.
Item 1A.
Item 1B.
Item 2.
Item 3.
Item 4.
PART II
Item 5.

Item 6.
Item 7.

Item 7A.
Item 8.
Item 9.

Item 9A.
Item 9B.
PART III
Item 10.
Item 11.
Item 12.

Item 13.
Item 14.
PART IV
Item 15.

Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Risk Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unresolved Staff Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Legal Proceedings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mine Safety Disclosures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Market for Registrant’s Common Equity, Related Stockholder Matters  and

Issuer Purchases of Equity Securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Selected Financial Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Management’s Discussion  and Analysis of Financial Condition  and Results of

Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Quantitative and Qualitative Disclosures About Market Risk . . . . . . . . . . . . . .
Financial Statements and  Supplementary Data . . . . . . . . . . . . . . . . . . . . . . . . .
Changes in and Disagreements with  Accountants  on Accounting  and Financial

Disclosure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Controls and Procedures
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Directors, Executive Officers and  Corporate  Governance . . . . . . . . . . . . . . . . .
Executive Compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Security Ownership of  Certain Beneficial Owners and  Management and Related
Stockholder Matters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Certain Relationships, Related Transactions and Director  Independence . . . . . .
Principal Accountant Fees  and Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Page No.

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29
50
51
51
51

52
53

54
74
76

76
76
77

78
78

79
79
79

Exhibits and Financial  Statement Schedules . . . . . . . . . . . . . . . . . . . . . . . . . . .
Reports of Independent Registered Public  Accounting Firms . . . . . . . . . . . . . .

80
F-1

OTHER

Signatures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

S-1

2

FORWARD-LOOKING STATEMENTS AND FACTORS  THAT MAY AFFECT FUTURE RESULTS

This  annual report on Form 10-K contains forward-looking statements.  The forward-looking statements

are contained principally in the sections  entitled ‘‘Risk Factors’’ and ‘‘Management’s Discussion and
Analysis of Financial Condition and Results of  Operations.’’  Forward-looking statements include, but are
not limited to, statements about:

(cid:127) our expectations regarding our future product bookings;

(cid:127) the extent and timing of future revenues, including the amounts  of our current backlog;

(cid:127) the size or growth of our market or market share;

(cid:127) our ability to acquire companies, businesses, products or  technologies on commercially reasonable

terms and integrate such acquisitions effectively;

(cid:127) our continued investment in, and ability to deliver on, our key business strategies of developing

differentiated solutions, increasing penetration of new  markets, and expanding our  solutions  through
acquisitions and partnerships, as well as our goals of advancing our  platform  with new product
introductions annually and producing solutions  that  support  fully automated central pharmacy
operations;

(cid:127) our belief that continued investment in our key business strategies will continue to  generate our
revenue and earnings growth, as well as our expectations about  the  trends and other factors  we
believe will be critical to the success of our strategies;

(cid:127) the bookings, revenue and margin opportunity presented by new products, emerging  markets and

international markets;

(cid:127) our ability to align our cost structure and headcount with our current business  expectations;

(cid:127) the operating margins or earnings per share goals we  may set;

(cid:127) our ability to protect our intellectual property and  operate our business  without infringing upon the

intellectual property rights of others;

(cid:127) our expected future uses of cash and the sufficiency of our sources of funding;

(cid:127) the expected impacts of new accounting standards or changes to  existing  accounting standards;

(cid:127) the impacts of the U.S. Tax Cuts and Jobs Act of 2017; and

(cid:127) our ability to generate cash from operations  and our estimates regarding  the  sufficiency  of  our cash

resources;

In some cases, you can identify forward-looking statements by terms  such as  ‘‘anticipates,’’ ‘‘believes,’’

‘‘could,’’ ‘‘estimates,’’ ‘‘expects,’’ ‘‘intends,’’ ‘‘seeks,’’ ‘‘may,’’  ‘‘plans,’’ ‘‘potential,’’ ‘‘predicts,’’ ‘‘projects,’’
‘‘should,’’ ‘‘will,’’ ‘‘would’’ and variations  of these terms and similar expressions. Forward-looking statements
are based on our current expectations and  assumptions, and are subject to known and unknown  risks and
uncertainties, which may cause our actual results, performance or achievements to  be materially different
from those expressed or implied in the forward-looking statements. Such  risks  and uncertainties include
those described throughout this annual  report, particularly in Part II—Section 1A.  ‘‘Risk Factors’’ below.
Given  these risks and uncertainties, you should  not place undue reliance on  these forward-looking
statements. You should carefully read this  annual report and  the documents  that  we reference in this annual
report and have filed as exhibits, as well as other documents we  file from time to time with the  Securities
and Exchange Commission, with the understanding that our actual future  results may be  materially  different
from what we expect. The forward-looking  statements in this  annual report represent our  estimates  and
assumptions only as of the date of this annual report. Except as required by  law, we  assume no obligation to
update any forward-looking statements  publicly, or to  update the reasons actual  results could differ

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materially from those expressed or implied  in any  forward-looking statements,  even  if new  information
becomes available in the future.

All references in this report to ‘‘Omnicell,’’ ‘‘our,’’ ‘‘us,’’ ‘‘we,’’ or the ‘‘Company’’ collectively  refer to

Omnicell, Inc., a Delaware corporation, and its subsidiaries. The term ‘‘Omnicell,  Inc.,’’ refers only to
Omnicell, Inc., excluding its subsidiaries.

We own various trademarks and service marks  used in our business, including the following  registered
and unregistered marks which appear in this report:  Omnicell(cid:3), the Omnicell logo, OmniRx(cid:3), OmniCenter(cid:3),
SafetyStock(cid:3), SinglePointe(cid:3), SecureVault(cid:3), the MTS Medication Technologies logo, OnDemand(cid:3), SureMed(cid:3)
Accuflex(cid:3), Pandora(cid:3), Ateb(cid:3), Detect-Rx(cid:3), Time My Meds(cid:3), Pharmacy Line(cid:3), InPharmics(cid:3), Aesynt(cid:3), the
Aesynt logo, AcuDose-Rx(cid:3), Connect-Rx(cid:3), MedCarousel(cid:3), Robot-Rx(cid:3), MACH4(cid:3), Health Robotics(cid:3) and
i.v.STATIONTM, SinglePointeTM, Anywhere RNTM, Anesthesia WorkstationTM, OmniLinkRxTM, WorkflowRxTM,
PROmanager-RxTM, PACMEDTM, NarcStationTM, MedShelf-RxTM, PROmanager-RxTM, Enterprise
Medication ManagerTM, Automation Decision SupportTM, Anesthesia-RxTM, Performance CenterTM,
PakPlus-RxTM and Fulfill-RxSM. This report also includes the trademarks and service  marks of other
companies. All other trademarks and service marks  used in this report are the  marks of their respective
holders.

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ITEM 1. BUSINESS

Overview

PART I

We  are a leading provider of comprehensive automation and business analytics  software solutions

for patient-centric medication and supply management across  the entire  healthcare continuum, from
the acute care hospital setting to post-acute skilled nursing  and long-term care  facilities  to  the home.
Our Automation and Analytics segment has more  than 4,000  customers worldwide  using  our  supply
chain  and analytics solutions to help  enable them to increase  operational efficiency,  reduce errors,
deliver actionable intelligence and improve patient  safety. Our  acquisition  of Aesynt Holding, L.P.,
Aesynt, Ltd. and Aesynt Co¨operatief U.A. (collectively, ‘‘Aesynt’’) in the first quarter of 2016 and the
acquisition of Dixie Drawl, LLC d/b/a InPharmics (‘‘InPharmics’’) in the  second quarter of 2017
contribute to our distinct product capabilities, particularly in central pharmacy and  IV robotics, creating
the broadest medication management product  portfolio  in the industry.

Our Medication Adherence segment includes solutions, among them our MTS Medication
Technologies, SureMed and Patient Management Access Portal  brands, and provides innovative
medication adherence packaging solutions  designed to improve  medication  regiment adherence  and to
help reduce costly hospital readmissions.  Our acquisition of ateb Inc.,  and  its affiliate, Ateb
Canada Ltd., (collectively, ‘‘Ateb’’), providers of pharmacy-based  patient  care solutions and medication
synchronization to independent and chain pharmacies, in  the fourth quarter of 2016, uniquely positions
Omnicell to support pharmacists as they  implement and scale their adherence programs. Collectively,
our  Medication Adherence solutions  help enable  over 32,000 institutional  and retail pharmacies
worldwide to maintain high accuracy and  quality standards in  medication dispensing and administration
while optimizing productivity and controlling  costs.

According to a 2016 study by the U.S. Food and Drug Administration (‘‘FDA’’), medication  errors
cause  at least one death every day and injure approximately 1.3 million people annually in the United
States. The healthcare industry has become  increasingly aware that human  factors inevitably create the
risk of medication administration errors in the course of patient care. Acute care  facilities  are required
to adhere to medication regulatory controls that we  believe cannot be adequately supported by manual
tracking systems or partially automated systems. Any nursing shortages  would add an additional
challenge to acute care facilities to meet regulatory controls and improve patient safety  while still
providing adequate patient care. Non-acute care facilities face similar safety challenges. In its  2003
‘‘Adherence to Long-Term Therapies—Evidence  for Action’’ the World Health Organization stated  that
across diseases, adherence is the single most important modifiable factor  that compromises treatment
outcome and medication adherence is viewed as  a key requirement  for  delivering better clinical
outcomes and financial results. The Centers  for Medicare &  Medicaid  Services stated in  2012 that 11%
of all hospital admissions were related to medication non-adherence. In the  United States, according  to
the Express Scripts 2013 Drug Trend  Report, avoidable healthcare costs add up  to  $213 billion, of
which  about $105 billion is due to medication non-adherence. In a 2013 report, Levine &  Associates
estimated that to be approximately $2,000 per patient annually.

We  provide solutions to help healthcare systems and caregivers address these aforementioned
needs. We believe our solutions align  us with the long-term  trends of  the  healthcare market to manage
the health of patients across the continuum of care,  and  that our  patient-centric  medication and supply
management solutions help improve  workflow efficiencies  and patient  outcomes.

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Operating Segments and Products

Our business is organized into two operating segments distinguished  by products based  on

customer needs. The two operating segments are  Automation and Analytics, and Medication
Adherence.

Automation and Analytics

The Automation and Analytics segment is organized  around the design, manufacturing,  selling and

servicing of medication and supply dispensing systems,  pharmacy inventory management systems,  and
related software. Our Automation and  Analytics products  are designed to  enable our customers  to
enhance and improve the effectiveness of the medication-use process, the efficiency of  the medical-
surgical supply chain, overall patient  care and clinical and  financial  outcomes of medical facilities.
Through modular configuration and upgrades, our  systems can be tailored to specific customer needs.

Medication Adherence

The Medication Adherence segment primarily includes  the development, manufacturing and  selling
of consumable medication blister cards, packaging  equipment, medication  synchronization platform, and
ancillary products and services. These products are  used  to manage medication administration outside
of the hospital setting and include medication adherence products sold under  the brand names  MTS,
SureMed, and Omnicell. MTS products  consist  of proprietary  medication packaging systems  and related
products for use by institutional pharmacies  servicing long-term  care and correctional facilities or retail
pharmacies serving patients in their local communities. Omnicell brand  includes pharmacy-based
patient care and medication synchronization  solutions  to  independent and chain  pharmacies acquired as
part of Ateb acquisition.

Financial Information by Segment

For information regarding our revenues, cost of  revenues,  gross profit and income from  operations

by segment, see Note 14, Segment and  Geographical Information,  of  the Notes to Consolidated
Financial Statements and Item 7, Management’s Discussion and Analysis of Financial Condition and
Results of Operations in this annual  report.

Business  Strategy

Our key business strategies include:

1.

Further penetrating existing markets through technological leadership and  our  differentiated
platform by:

(cid:127) consistently innovating our product  and service offerings; and

(cid:127) maintaining our customer-oriented product  installation  process.

2.

Increasing penetration of new markets,  such as non-acute care and international markets by:

(cid:127) launching new products and technologies  that are specific to the needs of those  markets;

(cid:127) building and establishing direct sales,  distribution or other capabilities when and where it is

appropriate;

(cid:127) partnering with companies that have sales, distribution or other capabilities that we do  not

possess; and

(cid:127) increasing customer awareness of safety  issues in the administration of medications.

3. Expanding our product offering  through acquisitions and partnerships.

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Our solutions offered under the Automation and  Analytics  segment  are designed  to  provide
everything the customer requires for installation  and maintenance of medication, medical and  surgical
supply control. Our solutions offered  under the  Medication Adherence  segment allow independent  and
chain  pharmacies to implement and scale  their adherence programs. Our vision of improving healthcare
for everyone has led us to take certain  steps in the  development of our business and our  long term
approach to our market, such as:

(cid:127) Providing a full service, positive experience for our customers  in the  solution sales process, the
timing and implementation of our product installations and the responsiveness  of  our  support
services;

(cid:127) Delivering solutions that are designed to provide  our customers with the best  experience  in the
healthcare industry, and improve and scale the medication adherence  programs, as measured by
customer input and third party surveys;

(cid:127) Innovating products to address patient safety and cost-containment  pressures  facing healthcare

facilities while improving clinician workflow and overall operating efficiency;

(cid:127) Incorporating a broad range of clinical input into our product  solution development to

accommodate needs ranging from those of institutional  pharmacies, retail pharmacies, and  stand-
alone community hospitals to multi-hospital entities, national  pharmacy chains health systems,
integrated delivery networks (‘‘IDNs’’), and health  insurance companies;

(cid:127) Developing new solutions to enhance our customers’  existing systems  and protect  our customers’
investments by preserving, leveraging and upgrading their existing information  systems, as  well as
striving to provide  integration of our products with the other healthcare information systems
used by our customers; and

(cid:127) Providing flexibility in our systems  that can be tailored to specific customer  needs  through

modular upgrades, thereby protecting our  customers’ investments.

We  have developed or acquired numerous technologies that provide long-term solutions for our

customers. Our own product development activities have brought a number of innovative and
proprietary products to the market. Our G4  hardware solutions,  and recently introduced XT  Series
Automatic Dispensing System on the  Unity  platform  help decrease the  risk of human error and  save
pharmacy time by eliminating the need for  repetitive entry of  drug formularies in multiple systems. The
Unity platform is designed to help our  customers  closely manage medication and supply inventory  to
reduce costs, comply with increasingly  stringent regulatory requirements and safeguard the  patient.
Additionally, our recently announced  XR2 Central  Pharmacy Automation System utilizes  robotics to
automate critical workflows to help maximize inventory  control,  improve efficiency, and  increase
medication safety. Our VBM 200F, an automated  system designed specifically for multi-medication
adherence packaging, minimizes human  activity in  the multi-medication  packaging process, thus
reducing opportunity for errors, which  helps improve medication adherence and patient outcomes. The
IVX Workflow, a sterile compounding  workflow  solution, is designed for easy placement within laminar
airflow (LAF) hoods or isolators to supports best practices  in aseptic technique. Our SupplyX solution
(currently available in the United Kingdom) is a web based,  real time stock level  information
dashboard and reporting suite.

Acquisitions

In addition to our own development,  we have, from time to time, acquired products  that  extend

patient safety controls to a wider range of  applications and  departments in and out of the hospital
setting. Our acquisitions include MTS Medication Technologies  Limited (‘‘MTS’’) in 2012,  Surgichem
Limited (‘‘Surgichem’’) in 2014, Mach4  Automatisierungstechnik GmbH (‘‘Mach4’’) and  Avantec
Healthcare Limited (‘‘Avantec’’) in 2015,  Aesynt and Ateb in 2016  and InPharmics  in 2017. MTS

7

extended our product line to include solutions for Medication Adherence  customers,  Surgichem was a
provider of medication adherence products in the United Kingdom, Mach4 develops automated
medication management systems to retail and hospital pharmacy  customers  primarily in Europe,  with
additional installations in China, Africa,  the Middle East and Latin America, and Avantec  was our
distributor of medication and supply automation configurations  of our products suited to the  United
Kingdom marketplace.

On April 12, 2017, we completed the acquisition of InPharmics, a leading  source  for end-to-end

medication use process cost analytics and Drug Supply Chain Security Act compliance systems
specifically designed for acute care hospital pharmacies. The InPharmics solution adds clinical and
compliance analytics to Omnicell’s Performance Center offering, positioning  us  as a leading partner for
health systems seeking to drive improvement  across all facets  of medication management.

On January 5, 2016, we completed the  acquisition  of Aesynt, a leader in central pharmacy robotics

and IV compounding automation. Adding  these  two solution sets  to  the Omnicell portfolio was
intended to give us one of the most comprehensive medication  management platform offerings in the
industry. We now are able to support  customers who desire a centralized cartfill or nurse server
medication distribution model all the way  to  fully decentralized  dispensing and  hybrid  combinations
along that continuum. We are also able  to offer solutions for IV preparations, including  oncology  drugs,
which  is an area where our combined customers  have expressed significant interest.

On December 8, 2016, we completed the acquisition of Ateb, a leading provider  of pharmacy-

based patient care solutions and medication synchronization to independent and chain retail
pharmacies, an area where we had no  market penetration  prior to the acquisition. Ateb’s Time My
Meds(cid:3) solution, a market leading integrated  medication synchronization program, combined with
Omnicell’s SureMed(cid:3) medication adherence packaging and related automation solutions, uniquely
positions Omnicell to support pharmacists  as they implement and  scale their adherence programs.

Industry Background

The delivery of healthcare in the United States still  relies  on a significant number of manual and
paper-based processes. Most hospitals  have deployed at least some automation solutions, but few have
deployed them throughout the entire  institution  or system. The use  of manual and paper-based systems
in many hospital departments today results in  highly complex and inefficient processes for tracking and
delivering medications and supplies to  patients. In  addition, many existing healthcare information
systems are unable to support the modernization of healthcare delivery  processes or address mandated
patient safety initiatives. These factors  contribute to medical errors and unnecessary process  costs
across the healthcare sector.

Healthcare providers and facilities are  affected by significant economic pressures.  Rising costs of

labor, prescription drugs and new medical  technology all contribute  to  increased spending.
Governmental pressures surrounding healthcare  reform have led to increased  scrutiny  of the cost  and
efficiency with which healthcare providers  deliver their services. These factors, combined with
continuing consolidation in the healthcare industry, have increased  the need for  the efficient delivery of
healthcare in order to control costs.

Our Automation and Analytics products are  sold  worldwide to a wide  variety of healthcare
institutions, but most of our sales are to acute care hospital customers in the  United States. The  U.S.
acute care hospital market is comprised  of approximately 6,400 hospitals and  other  facilities  with a total
capacity  of more than a million acute care beds.  We currently serve over 4,000  hospitals and other
facilities with total capacity of more  than 580,000 acute  care  beds.  Our customers include  single
location community hospitals, government  hospitals and regional and national hospital systems.

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We  also sell our Automation and Analytics  products directly to non-acute care providers, which

include all healthcare facilities that are not hospitals. We estimate  there are 50,000 facilities in the
United States that could use our Automation and Analytics products  and  few of them  use our solutions
at this time.

Outside the United States, healthcare  providers  are becoming increasingly aware of  the benefits  of

automation. Many governmental and private entities look to the progress made over the last several
years in the United States and are starting to invest significantly in  information technology and
automation. The 2016 BCC Research  report states that worldwide inpatient pharmacy automation
revenue growth in our industry between  2016 and  2021 is  expected to be 7.9%.  We sell our  Automation
and Analytics products in a variety of countries  outside of the United  States, but to date  we have
focused our international sales efforts on Canada, the United Kingdom,  the Middle  East, and the
Northern European region. Our international  customer base includes over  450 customers that utilize
our  automation and analytics products.

We  primarily sell our Medication Adherence  products to institutional and retail pharmacies.  In  the

United States, where approximately 80%  of our Medication  Adherence business occurs, the market is
comprised of approximately 1,200 institutional and  approximately  67,000 pharmacies  that  service  over
50,000 long-term care facilities. In addition to medication  control  at  long-term care  facilities,  our multi-
medication products provide packaging  that simplifies the  process for individuals  providing self-care to
track and administer medications in domestic  and  global markets. Our acquisition of Ateb allows us to
increase our capabilities to support retail  pharmacies  in synchronizing prescriptions for multi-med
packaging and patient engagement for  better adherence.

Key Industry Events and Reports

Legislation and industry guidelines, such as those produced by the  FDA,  The Joint  Commission,

the U.S.  Pharmacopial Convention (the ‘‘USP’’), and the Institute for Safe Medication  Practices
(‘‘ISMP’’), as well as the desire of healthcare  organizations to improve quality and avoid liability, have
driven health system facilities to prioritize  investment in capital equipment, including  pharmacy
automation, which is a standard of care, to improve patient safety. Such reports  and regulatory
standards include the following:

(cid:127) In 2016, the USP finalized a set of guidelines known as USP 800 to address hazardous drug
handling in health care settings. The regulations deal  with transport, storage, compounding,
preparation, and administration of intravenous  products. Changing work practices and
administrative controls to comply with  these requirements are expected to increase  both
staff and patient safety. In September 2017, USP announced its intent  to  postpone the
official date that USP 800 becomes official  to  December  1,  2019.

(cid:127) ISMP’s 2016-2017 best practices for  hospitals include using technology  to  assist  in the
medication verification process (e.g., barcode scanning verification of ingredients,
gravimetric verification, robotics, IV workflow software)  to augment manual processes. It  is
important that processes are in place to ensure that the  technology is maintained, the
software is updated and the technology is  always used in  a manner  that maximizes  the
medication safety features of those systems.

(cid:127) A 2016 Joint Commission survey of ambulatory care organizations revealed one of the most
cited standards for non-compliance is having a practice of safely storing medications. The
Joint Commission’s updated medication  management (MM) standards became effective
January 1, 2018 for all accredited ambulatory  care organizations and office-based surgery
practices. These facilities need to improve  processes for securing,  controlling,  refrigerating
and administering medications.

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(cid:127) The FDA Drug Supply Chain Security Act  was  signed into law in  2013 (Title II  of  Public
Law 113-54) as a way to identify and trace medications. Organizations participating in the
medication supply chain were required to comply beginning in  November 2017 with full
traceability complete by 2023. This requires a  product identifier  carrying information
including serial number, lot number, and expiration  date. Trading partners (manufacturers,
wholesalers, dispensers, repackagers)  will be able to share data  regarding  the status  and
movement of medications throughout the supply chain.

(cid:127) In 2010, the FDA updated its guidance  that requires linear bar  codes  on most prescription

drugs. Drug manufacturers, re-packagers,  re-labelers  and private label distributors are
subject to the rule. The FDA estimated that  the bar code rule, would result in a 50%
reduction in medication errors, 500,000 fewer  adverse drug events over the subsequent
20 years, $93 billion in cost savings and other economic  benefits.

(cid:127) In 2002, the Joint Commission established  the National  Patient Safety  Goals (‘‘NPSG’’)

program. In 2010, NPSG 03.04.01, National Patient Safety Goal on  Labeling Medications,
required the labeling of all medications, medication containers  (syringes, medicine cups,
basins, etc.) and other solutions on and off  the sterile field in  perioperative and  other
procedural settings.

While the overall storage and security of medications in  hospitals has improved, recent years show

increased focus on controlled substance management. Joint Commission surveyors are seeking more
documentation from hospitals demonstrating policies and  procedures  are adequate.

Medication non-adherence is extremely  common.  According to research by Osterberg  and Blaschke

published in the New England Journal of  Medicine in 2005,  more than  half of the  3.2 billion
prescriptions dispensed annually in the  United States are not taken  as prescribed, and according to
numerous studies, the same non-adherence  rate  exists for chronic disease medications. Poor adherence
results in  significant morbidity, mortality and avoidable healthcare costs. With more than 38 million
Americans taking five or more maintenance medications daily,  pharmacists  need ways to support the
arduous  task of keeping patients compliant. According to the World  Health Organization, ‘‘although
these medications are effective in combating  disease, their  full  benefits are  often  not  realized  because
approximately 50% of patients do not  take their medications  as prescribed’’. According to a  study
published by IMS Institute for Healthcare Informatics in 2013,  the avoidable cost of  poor  medication
adherence is estimated at more than $105  billion in the  United States alone.

Medication adherence can be improved through attitudinal  and behavioral changes,  which

pharmacists can encourage and help  facilitate  by providing interventional  support, including  adherence
tools, such as blister cards, reminders, prescription  synchronization, and  patient engagement tools.  A
2011 study by CVS Caremark published  in Health Affairs concluded that the medical cost per patient
with chronic vascular disease was $13,000 to $39,000,  annually,  and  patients  who take  medications  as
directed by a physician experienced medical  savings  ranging from $1,900 to  $8,900, annually. The study
also found that these patients experienced  fewer emergency room visits  and inpatient hospital  stays.
Additionally, 28 states in the United  States  have passed  laws or regulations to improve the medication
adherence.

Healthcare Reform

In 2010, the U.S. Congress passed the  Patient  Protection and Affordable Care Act (‘‘PPACA’’),

which  prescribes broad-based measures  designed to provide  healthcare to a greater percentage of the
population. Even though the future of  PPACA is unclear under the  current administration, healthcare
reform has set in motion the need for  increased efficiency  in order to provide high-quality healthcare at
the lower cost. Accordingly, in our annual  tracking of  pharmacy and  nursing  leadership  mindshare,
operational efficiencies in medication  distribution  and administration continue to be a top  priority.

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We  believe our products assist healthcare  organizations to augment their  investments  in electronic

health record (‘‘EHR’’) implementation and integration by allowing them  to  reduce process steps,
eliminate manual tracking and waste,  enable population-level performance insights, track quality  levels
and reduce errors that result in unnecessary  cost. Our Unity platform includes an  automated dispensing
system that is Modular EHR stage 2 certified and  integrates with all ‘‘hospital  information system
vendors,’’ as defined by the U.S. Department  of Health and Human Services Office  of  the National
Coordinator for Health Information  Technology. Our Omnicell Analytics solution  provides enterprise-
level  insights that can assist in monitoring hospital performance and  quality  of  care. In addition, the
solutions provided by the Performance CenterTM software products give the customer  the power to
optimize the pharmacy supply chain with  tools that  help manage their inventory and minimize the  cost
of expiring medications.

Automation and Analytics Products and  Services

Our Automation and Analytics products  are designed to enable our customers to enhance and

improve the effectiveness of the medication-use process, the efficiency of the medical-surgical supply
chain,  overall patient care and clinical and financial outcomes of medical  facilities. Through modular
configuration and upgrades, our systems  can be tailored to specific customer  needs.  From the point at
which  a medication arrives at the hospital receiving dock until the time it is administered to the
patient, our systems are capable of storing,  packaging, bar coding, ordering and issuing the  medication,
as well as providing information and controls on its use and reorder. Our medication-use product line
includes systems for medication dispensing in acute  care nursing departments and nursing workflow
automation at the bedside, central pharmacy automation,  IV solutions and analytics and performance
services. These products range from  industrial-grade software-driven robotic solutions for automating
the management of inventory in the central pharmacy  to  high-security closed-cabinet systems and
software to open-shelf and combination solutions in the  nursing unit, catheterization lab  and operating
room. Our supply product lines provide healthcare facilities with cost data that enables detailed
quantification of charges for payer reimbursement,  inventory management, implant monitoring  and the
timely reordering of supplies. To provide our customers with end-to-end medication control, our
product  lines incorporate bar code technology throughout.  Our solutions incorporate software, which
we believe is the most advanced on the  market today, and our Unity enterprise platform integrates
disparate systems onto a single server.  We also provide services, including customer education and
training, to help customers to optimize  their  use of our technology.

Our enterprise analytics solutions and services allow pharmacists and materials managers to more
easily manage inventory flow, tracking  and optimization, and aids in the  detection and  identification of
those engaged in narcotics diversion within the  acute care facility.

Medication Dispensing Solutions

Our medication dispensing solutions  include  our Omnicell(cid:3) XT Automated Dispensing Cabinets,

SinglePointe(cid:5)  Patient Medication Management Software, Anywhere RN(cid:5) Remote Medication
Management Software, Omnicell Analytics, Pandora(cid:3) Analytics, Anesthesia Workstation(cid:5) and

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advanced interoperability products. Each  of the  products in  our medication dispensing solution suite is
summarized in the table below.

Product

Use in Hospital

Description

Omnicell Automated
Dispensing Cabinets
(XT Series, G4, and
Acudose)

Any nursing  area in a
hospital department that management and  dispensing of medications at
the point  of use.
administers medications

Secure dispensing system  that  automates the

SinglePointe Patient
Medication
Management Software

Any nursing  area in a
hospital department  that
administers  medications

Software product for use in conjunction with the
automated  dispensing  cabinet product that
controls  medications  on a patient-specific  basis.

Anywhere RN Remote
Medication
Management Software

Anesthesia Workstation
(XT Series, G4 and
Anesthesia-RxTM)

Advanced
Interoperability
Products

Any nursing  area  in a
hospital department  that waste  medications  from the  automated
administers  medications

Software that allows nurses  to  remotely queue or

dispensing cabinets from  virtually any
workstation in the hospital.

Operating  room

Central Pharmacy  /
Nursing areas

Secure dispensing system that automates the
management of  anesthesia supplies and
medications.

Beyond standard  interfacing, Omnicell’s
advanced interoperability  products include
remote  queuing that allows nurses to queue and
waste medications from within EHR and closed
loop reporting that reconciles medication
administration from the EHR and dispensing
data.

Omnicell XT Automated Dispensing  Cabinet is the core of our medication control solutions. The

cabinet automates the management and  dispensing  of medications at the  point of use. It features
biometric fingerprint identification, advanced single-dose dispensing, bar code confirmation, integrated
medication label printing and a wide  range  of  drawer modules enabling  the establishment  of various
security levels. Software features of the automated dispensing system include  patient  profiling,
notification of medications due, a variety of security features,  waste management, clinical pharmacology
and integration with an Internet browser for  clinical reference information. The system  is highly
configurable to allow the pharmacist  the  capability to tailor the  usage of the  system to specific
regulatory controls and workflows.

SinglePointe is a software extension to the automated  dispensing  cabinet that allows pharmacists to

automate the distribution of patient-specific medications, enabling control of up to 100% of all
medications through the automated dispensing system.  Controlling patient-specific medications through
the cabinet extends the benefits of automated medication distribution, including increased patient
safety, consistency in tracking and inventory control, simplification  of  procedures and  improved
monitoring of controlled substances to a  broader range of the medication distribution process in  the
hospital.

AnywhereRN solution is a software that allows nurses to operate the  automated dispensing cabinets
from virtually any remote workstation within the hospital.  This software enables enhanced workflow for
nurses such that they are no longer limited to being directly in  front of the cabinet to perform certain
medication administration functions.  AnywhereRN  is intended to reduce nurse  distractions  in the
medication administration process, allowing cabinet operations to be done  in private  or quieter areas.
AnywhereRN is also intended to eliminate congestion at the cabinet by minimizing nurse queuing to

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withdraw medications. Omnicell has  worked  with leading EHR vendors including Cerner and  Epic to
embed Anywhere RN functionality directly into their applications  for a  seamless user  experience.
Closed-Loop Dosing Accountability automatically identifies variances  between  medications dispensed
from the cabinet versus medications documented as administered and/or  wasted. Embedding  Anywhere
RN functionality in the EHR helps to  reduce  errors and  provide safer medication management
processes, streamlines the medication administration process  and  allows  nurses to spend more time on
patient care.

Anesthesia Workstation solution is a system for the management of anesthesia supplies and
medications. The system is tailored for the workflow of  the clinician working  in the operating  room.
The Anesthesia Workstation incorporates ergonomics to enhance the particular  workflows inherent to
the operating room and unique software  to better handle case  management in the  procedural  areas.

Central Pharmacy Solutions

Our Central Pharmacy solutions include  our  XR2 Automated  Central Pharmacy System, Central
Pharmacy Manager and Satellite Pharmacy Manager, Controlled Substance Manager,  OmniLinkRx(cid:5)
Medication Order Management System, and WorkflowRx(cid:5) Inventory Management Software.

Product

Use in Hospital

Description

XR2 Central Pharmacy Hospital Central Pharmacy Hospital pharmacy robotics system used  to
Automated Dispensing
System

automate the drug inventory management  and
dispensing process for patients and automated
dispensing cabinets.

ROBOT-Rx(cid:3)

Hospital Central Pharmacy A hospital pharmacy robotics system  used  to

automate the drug inventory management  and
dispensing process for patients and automated
dispensing cabinets.

OmniLinkRx
Medication Order
Management System

WorkflowRx Inventory
Management System

Central Pharmacy
Manager and Satellite
Pharmacy Manager

Controlled Substance
Manager
The MedCarousel(cid:3)
system

Hospital Central Pharmacy Prescription routing system that allows nurses
and doctors to scan handwritten prescription
orders for  electronic delivery to pharmacists for
approval and filling.

Hospital Central Pharmacy Automated  pharmacy storage, retrieval and

packaging systems.

Hospital Central Pharmacy Automated pharmacy storage and retrieval

system for managing inventory  in central and
satellite pharmacy locations.

Hospital Central Pharmacy Controlled substance inventory management

system.

Hospital Central Pharmacy Automates the  processes of automated

dispensing cabinet replenishment and
dispensing of patient-specific first dose  and
scheduled medications.

MedShelf-Rx(cid:5)

Hospital Central Pharmacy A software-only solution that  allows  hospitals

to apply bar-code scanning and perpetual
inventory management processes to existing
inventory locations.

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Product
PROmanager-Rx(cid:5)

Use in Hospital

Description

Hospital Central Pharmacy A bar-code-driven robotics system  that is

designed to fully automate the storing,
dispensing, returning and crediting of
manufacturer packaged, oral-solid unit doses.

PACMED(cid:5)

Hospital Central Pharmacy An automated, intelligent,  high-throughput

device for bar-coding, packaging and dispensing
oral solid medications.

NarcStation(cid:5)

Hospital Central Pharmacy Controlled substance  inventory management

system.

PakPlus-RxTM

Hospital Central Pharmacy A professionally managed, on-site packaging

service that provides dedicated Omnicell
resources, technology and consumables, along
with professional management, to meet  a
hospital’s bar-coded, unit-dose medication
requirements.

Fulfill-RxSM

Hospital Central Pharmacy A software solution that automates  inventory

reordering, receipt and replenishment;
minimizes medication-related expenditures;
simplifies inventory reporting and valuation;
and increases productivity of scarce labor.

XR2  Central Pharmacy Automation System utilizes robotics to automate critical workflows to help

maximize inventory control, improve  efficiency, and  increase medication safety.  XR2 has  a highly
configurable and scalable architecture that can  easily  support health  systems with  both  centralized and
decentralized models. Its one-touch design reduces handling of medications by technicians and
pharmacists. Advanced algorithms are  designed to ensure earliest expiring medications are picked first,
thereby reducing medication waste. XR2  handles slow-moving  and fast-moving inventory, providing
comprehensive inventory automation  while enabling more accurate medication management through
automating bar-code scanning so that  pharmacists and technicians can support  more productive clinical
activities.

ROBOT-Rx(cid:3), a hospital pharmacy robotics system,  is  used  to  automate the drug dispensing process

for patients and automated dispensing  cabinets.  Using bar-code scanning technology,  ROBOT-Rx can
automate the storage, dispensing, returning,  restocking and  crediting of  daily unit-dose medications.
ROBOT-Rx helps prevent dispensing errors,  manages unit  dose inventory,  increases productivity, and
frees pharmacists and technicians to support  more productive clinical  activities.

OmniLinkRx is a physician order software product  that automates  communication between nurses

and  the pharmacy. Used in the central pharmacy, the OmniLinkRx solution simplifies  the
communication of handwritten physician  orders  from  remote nursing stations to the  pharmacy.

WorkflowRx is an automated storage, retrieval, inventory management  and  repackaging system for
the central pharmacy. It is designed to help  pharmacists  ensure that the right medications are stored in
and  retrieved from proper locations, both in  the central pharmacy and in automated dispensing
cabinets.

Central Pharmacy Manager and Satellite Pharmacy Manager are integrated systems that automate

management and storage of pharmacy inventory.  Central Pharmacy  Manager automates  inventory
management in the central pharmacy,  helping to reduce inventory  costs and save staff time  on ordering
and receiving processes. Central Pharmacy Manager may be deployed  in an  open environment or used

14

in conjunction with carousels. Satellite  Pharmacy Manager gives pharmacists managing satellite
locations visibility  into inventory levels and costs at the remote sites within their health system. In
addition to utilizing a barcode scanning  system, Central  Pharmacy Manager may also be deployed on a
storage and retrieval carousel. Bar code administration through the solution is designed to help ensure
that medications are stocked correctly  from their point of entry into the  healthcare facility. Labeling
medications with bar codes using a repackaging  system enables bedside medication administration
solutions to perform bar code checking  at  the patient bedside.

Controlled Substance Manager provides perpetual inventory management and an automated audit

trail to help the pharmacy efficiently  comply  with regulatory standards  for controlled substances. The
Controlled Substance Manager software,  coupled with our automated dispensing technology,  enables
healthcare facilities to track, monitor  and control the movement of controlled substances from the
point of initial receipt from the wholesaler  throughout internal distribution.  Controlled  Substance
Manager maintains a perpetual item inventory and complete audit  using integrated bar code technology
with both fixed and portable scanners.  Bar  coded forms and labels  may also  be  generated directly from
the Controlled Substance Manager system.

The MedCarousel(cid:3) system enables a hospital pharmacy to consolidate and manage  medication
inventory in the pharmacy and throughout  the hospital, while helping to increase medication filling
accuracy, reducing waste, increasing inventory turns and improving  workforce performance.
MedCarousel automates the processes of  automated dispensing cabinet replenishment and  dispensing
of patient-specific first dose and scheduled  medications.

MedShelf-Rx(cid:5) is a software-only solution that allows hospitals  to  apply bar-code scanning and
perpetual inventory management processes to existing inventory locations,  such as  pick stations and
refrigerated inventories, providing increased accuracy, efficiency and patient safety.  MedShelf-Rx
maintains perpetual inventory levels and  provides  expiration date tracking, cycle counting, and order
creation and receipt. MedShelf-Rx is  also  helpful for extending inventory  management to offsite  clinics
and satellite pharmacies.

PROmanager-Rx(cid:5) is a bar-code-driven robotics system  designed to fully automate the storing,
dispensing, returning and crediting of  manufacturer  packaged,  oral-solid  unit doses. PROmanager-Rx  is
a compact system that stores up to 12,000  doses and uses bar-code  scanning of  every  dose, along  with
sophisticated dispensing and inventory management software. PROmanager-Rx  helps relieve
pharmacies of the error potential, pharmacist verification  requirements, and other costs associated with
in-house packaging.

PACMED(cid:5) is an automated, intelligent, high-throughput  device  for bar-coding, packaging  and

dispensing oral solid medications. Scalable to the needs  of any pharmacy with models equipped with
100 to 500 medication canisters, and requiring  minimal operator interaction,  PACMED can be
interfaced to pharmacy information systems and automated  dispensing cabinet systems.  PACMED
produces strips of  bar-coded unit-dose currently, multi-dose and batch-mode packages for replenishing
carts, cabinets, multiple sites and pharmacy stock.

NarcStation(cid:5) automated dispensing system provides secure storage, control and tracking  of
controlled medications so nurses have  ready access, while  pharmacy  maintains  oversight to help  prevent
narcotic diversion. Comprised of a software tracking system  and  optional  secure narcotic vaults,
NarcStation helps hospitals maintain  record-keeping, reporting and transaction data for all controlled
substances—from the wholesaler to the nursing unit.  Automated ordering (including integration  with
the DEA’s Controlled Substance Ordering  System),  filling  and reporting drives efficiencies,  while the
electronic capture of data supports regulatory requirements  and aids compliance.

PakPlus-RxTM is a professionally managed, on-site packaging service  that provides dedicated
company resources, technology and consumables, along  with professional management, to meet a

15

hospital’s bar-coded, unit-dose medication  requirements.  PakPlus-Rx help  increase packaging
productivity, helping hospitals to streamline inventory and deliver readable bar-coded unit  dose
medications that support automation and  Bar-Code  Medication Administration initiatives.

Fulfill-RxSM software automates inventory reordering, receipt and replenishment; minimizes

medication-related expenditures; simplifies inventory reporting and valuation;  and increases productivity
of scarce labor. The software enables unique, two-way electronic data interchange between Omnicell
pharmacy automation solutions and McKesson Health Systems distribution centers.

IV Solutions

Product
i.v.STATION(cid:5)

Use in Hospital

Description

Hospital Central Pharmacy A robotic solution incorporating advanced

software that prepares and dispenses
ready-to-administer, non-hazardous admixtures.

i.v.STATION(cid:5) ONCO

Hospital Central Pharmacy A  robotic solution incorporating advanced

software that is specifically designed  to meet
the unique challenges surrounding oncology
care and other hazardous, patient-specific
preparations.

IVX Workflow

Hospital Central Pharmacy An innovative sterile compounding workflow

solution.

i.v.STATION(cid:5) prepares and dispenses ready-to-administer, non-hazardous admixtures. With this

advanced technology, a user can address the highest-risk aspects of their pharmacy through an
automated process that is designed to be safer  and more  accurate than  manual compounding.

i.v.STATION(cid:5)  ONCO was specifically designed to meet the unique challenges surrounding
oncology care and other hazardous, patient-specific preparations. This  technology helps improve safety
for the patient and the operator, and  can enhance  efficiency  in overall  pharmacy operations.

IVX Workflow powered by IVX Cloud is an innovative sterile  compounding workflow solution  that

leverages integrated barcode scanning,  gravimetric or volumetric verification, advanced image
recognition, photo documentation and label printing as part of a  compact all-in-one package designed
for safe, accurate, and streamlined IV  sterile  compounding. The solution is designed for  easy placement
within laminar airflow (LAF) hoods or  isolators to support best practices in aseptic technique  by
providing step-by-step instructions to guide technicians  in preparing  IV doses according to set protocols
safely, accurately, and repeatedly.

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Enterprise Analytics and Solutions

Product

Use in Hospital

Description

Omnicell Analytics &
Pandora  Analytics

Hospital central pharmacy Advanced reporting and data analytics  tools.
and general hospital
management

Performance CenterTM

Hospital Central Pharmacy Omnicell  Performance Center  is an enterprise

software solution to monitor pharmacy
operations and recommend opportunities for
improved operational efficiency, regulatory
compliance and patient outcomes.

Automation Decision
Support(cid:5)

Hospital Central Pharmacy An analytical solution that provides important

performance data essential for hospitals  to
make  informed business decisions.

Omnicell Analytics and Pandora Analytics solutions are comprised of reports and  analytical
software for medication diversion detection,  customizable user  options, hospital inventory management
controls, point-of-care data analytics and financial optimization.  Omnicell Analytics  is a new web-based
diversion analytics tool that streamlines  the process  of  managing potential drug diversion across the
health system. Omnicell Analytics and Pandora Analytics are designed  to  assist hospitals in their efforts
to improve patient safety and regulatory  compliance and reduce costs.

Performance CenterTM combines enterprise software solutions with expert services to monitor
pharmacy operations and recommend  opportunities  for improved operational  efficiency, regulatory
compliance and patient outcomes. The  Performance Center solution works to connect data from
disparate systems and create actionable  insights through our  enterprise  medication management
software. In addition, a dedicated team  of data  analysts  constantly monitors the data and recommends
opportunities for effective medication  management—including pharmacy  supply chain,  clinical, and
regulatory compliance improvements.

Automation Decision Support(cid:5) provides important performance data for  hospitals to make
informed business decisions. Powered by Horizon Business Insight, this advanced  analytics solution
combines and organizes data from Aesynt  solutions into powerful graphic views. Managers  see a
holistic view of medication inventory, helping  to  improve productivity  and  enhance monitoring  of
potential diversion.

Medical and Surgical Supply Products

Our medical and surgical supply products provide acute care hospitals  control  over consumable
supplies critical to providing quality healthcare. These  solutions provide  inventory control software  that
is designed to ensure that critical supplies  are always  stocked in the right locations. At the same time,
usage tracking helps hospital administrators ensure  that money is not wasted  on excessive stores of
supplies and helps optimize reimbursement by improving charge capture.

Implantable tissue and bone grafts can  also be monitored  and  tracked for  additional patient safety

and regulatory compliance. The bone  and tissue features  are integrated with our  overall  medical  and
surgical supply chain inventory management and charge capture  systems.  These solutions are designed
for use in the materials management department,  the nursing  unit and specialty areas  such as the
catheterization lab and the operating room. They integrate with other information management systems
and use bar code technology extensively.

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Our supply product line includes the  Omnicell Supply  Management System, Omnicell Tissue
Center, OptiFlexTM MS, OptiFlexTM SS, OptiFlexTM CL and our SupplyX subscription software  solution.
Each  of these products is summarized in  the table below:

Product

Use in Hospital

Description

Omnicell Supply Management
System

Any  nursing  area in a hospital
department  that  uses patient  care
supplies

Omnicell Tissue Center

Perioperative areas of  the  hospital

OptiFlexTM Medical Surgical (MS) Any nursing  area in a  hospital

department that administers
supplies

OptiFlexTM Surgical Services (SS)

Perioperative areas  of the hospital

An automated  dispensing  system
that  automates  the management
and  dispensing of medical  and
surgical supplies  at  the point of
use. It works with closed Omnicell
cabinets and open shelving.

System  for the management  of  the
chain of custody  for bone and
tissue  specimens from the  donor
to the patient  in  the operating
room.

System  for  the  management  of
medical and  surgical  supplies that
provides  the  flexibility of using
bar  code control in an  open shelf
or  closed cabinet environment.

Specialty  modules for  the
perioperative areas.

OptiFlexTM Cath Lab (CL)

Procedure  areas  in the hospital
including the cardiac
catheterization lab

Specialty modules for  the  cardiac
catheterization lab and other
procedure areas.

Omnicell Supply Management System is a dispensing system that runs off the  OmniCenter(cid:3)

server. It dispenses and tracks medical  and  surgical  supplies at the point  of  use, and tracks lot and
serial numbers. The system can be used with  either open  shelves  or secure automated dispensing
cabinets, or a combination of both. Areas  that require  the management of  high volume/low dollar
inventory as well as areas where space  restrictions limit the ability to install closed cabinets  and other
areas such as off-site clinics may benefit  from  an open shelf  system that includes  a touchscreen PC,
scanner or mobile solution. When Omnicell cabinets are used,  facilities can choose to implement a
hybrid  cabinet that stores both medications and supplies.

Omnicell Tissue Center used in conjunction with the OptiFlex platform, allows the operating room

staff  to manage the chain of custody  for bone and tissue specimens from the donor to the patient in
the operating room. This solution enables  compliance with The Joint Commission requirements and
Association of Operating Room Nurses  guidelines regarding the handling of tissue specimens.

OptiFlexTM Medical Surgical (MS) provides control over general medical and surgical  supplies

stored  in open shelves or in automated dispensing cabinets.

OptiFlexTM Surgical Services (SS) manages supplies and preference cards in the perioperative

areas whether the supplies are stored  on open shelves or in automated dispensing  cabinets. The
preference-list system creates a unique bar code for  each surgical  case, based on physician,  procedure
and patient and provides information  on  the case for data analysis, reporting  including real-time  case
cost and charge capture. The Catheter Module is designed to be integrated  into  the Omnicell supply
cabinet to secure, dispense and automatically track catheter usage.

OptiFlexTM Cath Lab (CL) manages supplies  and creates cases in the  cardiac catheterization  lab,

interventional radiology suite and other procedure areas.  This  solution allows real-time  point-of-use
data collection and accurate supply tracking  regardless  of whether supplies  are stored  on open shelves

18

or in automated dispensing cabinets. It also improves cost management through  automated charge
capture and case profiling by the physician. Bar code scanning  captures lot, serial numbers, and
expiration date, providing quick access in the event of a product recall. The Catheter Module  is
designed to be integrated into the Omnicell supply cabinet and  allows hospitals  to  secure,  dispense and
electronically track accurate catheter  usage.

Other  Automation and Analytics Products and  Services

Omnicell Interface Software provides interface and integration between  our medication-use
products or our supply products and  a  healthcare facility’s in-house information  management systems.
Interface software is designed to provide integration  and  communication of patient data, logistical data,
inventory information, charge capture and billing  information and other healthcare database
information.

Services include customer education and training and maintenance and support  services, provided

on a time-and-material basis. We also provide fixed period service contracts to our customers for
post-installation technical support with  phone support,  on-site service, parts and access to software
upgrades. On-site service is provided  by  our field  service team.

Retail and Hospital Automation outside  the United States

Mach4 Pharma Systems Medimat is a robotic dispensing system for handling the  stocking  and

retrieval of boxed medications. The system is configurable and  may include automated stocking,  high
capacity  storage, high retrieval speed  storage, and  conveyance  automation. Mach4 robotic dispensing
systems help eliminate the tedious tasks  of handling  medications, provide  accurate  inventory tracking,
reduce patient wait time, reduce pharmacy  operating  costs, and increase  time  allotted  available for a
pharmacist to spend with patients.

Omnicell SupplyX (available in the United Kingdom) is a web based, real time stock level
information dashboard and reporting suite. It links to the hospital reporting system to control  and
report on open and closed stores for  both top-up  and perpetual inventory management dispensing
system that runs off the OmniCenter(cid:3) server. It dispenses and tracks medical  and surgical supplies at
the point of use, and tracks lot and serial numbers.

RFID Solutions Kanban and specialized cabinet based dispensing systems  running on the Unity

platform which utilize Radio Frequency Identification (RFID) technology to identify supply  inventory.

Medication Adherence Products and Services

We offer solutions  to assist patients to  remain  adherent to their  medication  regimens. These
solutions are comprised of a variety of  tools and  aids  that may be directly used  by  a pharmacist or  a
healthcare provider in their direct care for a patient, or the patient themselves. Healthcare provider
systems, institutional pharmacies and retail pharmacies utilize our  tools  in addition to other clinical
services to improve medication adherence in  targeted  patient populations.  The  tools include software
based systems and medication adherence packaging.

Our software solutions primarily operate  on the Patient Management Access Portal (PMAP),  a
subscription based software system which provides  an  environment for patient engagement by clinicians.
Services running on PMAP include Time  My Meds  medication synchronization, immunization
management, and a number of tools  used by clinicians to manage patient engagement workflows.
PMAP integrates to our packaging solutions. Our software solutions  also  provide integrated voice
response for pharmacies, and medication adherence  reminders through text, and  telephone  messaging.
In the United Kingdom we offer electronic Medication  Administration Records software for  use in
nursing homes.

19

Medication Adherence packaging is designed either  for patient use in care environments where

there is a caregiver present or for environments  where the  patient  cares for him or  herself.

For environments  where a caregiver  is  present,  institutional and retail pharmacies use our  solutions

for packaging medications into adherence packages  that contain a 14 to 90 day  supply of a specific
single medication. The blister cards may be pre-packaged  ahead  of  time  and placed into inventory until
needed to fill a specific patient order,  or on-demand,  where  individual  patient  medication orders are
packaged and labeled by an automated  robotic system.  Our solutions  range from manual sealers to fully
automated packaging machines, embedded software,  as well as  the consumable  packages used in these
machines. We have packaging solutions  to  help  improve patient safety and economics for  any size
pharmacy operation by increasing pharmacy  output and improving dispensing accuracy.

For environments  where a patient cares for  him or  herself, retail pharmacies use our solutions for

packaging medications into adherence  packages that contain all of  the patient’s medications into one
seven-day package. These products are  primarily used in  community-based  pharmacies to assist in
organizing complex medication regimens  into a simple-to-use solution that enhances medication
adherence. Multi-medication packages  are arranged so that  all the  medications for a single dosing  time
are contained in one blister, eliminating  confusion for the patient and providing the caregivers
increased assurance that medications are taken in  the right sequence. Our solutions include automated
packaging machines that package patient specific medications, the software  that  runs these machines
and the consumable packages used in these  machines.

In addition to packaging solutions, we sell  specially configured versions of our automated

dispensing cabinets to institutional pharmacies,  which they  place in  long-term care  facilities  to  manage
narcotics, first doses and medications  needed quickly.

Single  Medication Products for Use Where  A Caregiver Is  Present

Pharmacy Sealers for Medication Packaging

Our heat-sealed blister cards require a sealer to create an impermeable barrier. By using specially

designed equipment to control heat, time and pressure, the institutional pharmacy serving the  long-term
care patients is able to create a quality seal on every package, providing a secure barrier to moisture
and gases. Within this range of equipment is  a sealing  solution suited for  almost any pharmacy, from a
low volume manual blister card sealer to a high volume,  all-electric heat sealer with programmable
computer logic.

Pharmacy Automation Systems

Our semi-automated filling equipment is designed specifically for  the long-term care institutional
pharmacy with enough order volume  to  warrant pre-packaging frequently-used  medications  into  blister
packs to keep in inventory awaiting a  patient  order.  Our OnDemand  automated  solutions  are designed
to meet the broad needs of pharmacies to  package individual patient medication orders accurately and
efficiently into multiple medication adherence packaging.  These  machines interface with pharmacy
information systems to obtain prescription information to provide patient specific adherence packaging.
Our current line of OnDemand machines  includes the following products:

(cid:127) The MTS-350TM is a tabletop machine capable of prepacking a wide  range of medications and

features an ergonomic design and easy-to-use  controls.  The  MTS-350  provides a semi-automated
mechanism for filling blister cards and a  sealer using compressed air and heat.

(cid:127) AccuFlex uses robotic technology to accurately and efficiently fill  a variety  of  single-dose

medication blister cards on demand.

20

(cid:127) OnDemand Express II optimizes robotic technology for high-speed,  accurate fulfillment of

single-dose blister cards and reclaimable  packaging on demand.

(cid:127) Pharmacy labeling is an important part of the packaging process  to  ensure the  right medication
is packaged and delivered to the right facility and, ultimately,  the right patient. Drug specific,
bar code scannable labels are affixed on many different types of  packages prior to them being
dispensed. We provide a Windows-based  computer  program  that uses an extensive drug  image
database to produce a wide variety of  medication labels on  multiple printers. We  also provide
printers and related consumables.

Single Medication Blister Cards

We  offer a wide variety of heat seal and cold seal blister cards in a variety  of configurations, from

14 to 90 day doses. Heat seal cards provide  a stronger seal than  cold  seal  cards, helping  pharmacists
ensure consistency of the medication under nearly any environmental condition.  Cold seal cards, also
known as pressure sensitive cards, are both efficient and reliable and do not require heat sealing
equipment to be sealed. They are ideal for  emergency  orders, for  heat sensitive medications or when
the use of a heat sealer is not practical.

MultiMedication Solutions for Use Where Patients Care for Themselves

Pharmacy Automation Systems

Our OnDemand and M-series automated solutions are  designed to meet the  broad needs of
pharmacies to package individual patient medication  orders  accurately and efficiently into multimed
adherence packaging. These machines interface  with pharmacy information  systems to obtain
prescription information to provide patient-specific adherence  packaging. Our current  line of
automation for multimedication includes the  following  products:

(cid:127) M5000 is a fully automated system designed specifically for  multi-medication adherence

packaging. The M5000 receives patient prescriptions; and constructs a filling  map, then uses
robotic technology to fill, seal and label the  package. The M5000 minimizes human activity  in
the multi-medication packaging process, thus reducing  risk of  errors.

(cid:127) VBM 200F is an automated pharmacy solution that efficiently and accurately fills  and checks

Suremed(cid:3) multiple medication blister cards utilizing  guided light,  barcode and RFID
technologies to allow the filled tray to be audited  throughout the entire packing process.
VBM 200F can accommodate an extensive formulary with the capacity to store up to 200
different medications in the machine and has the ability to exchange cassettes while  it’s running.
This technology helps ensure that pharmacies have the  competitive advantage to easily scale
their business to help improve adherence and patient  outcomes.

(cid:127) Guided Packing is a software suite utilized by pharmacists  to  aid  in the process of manually
packaging multi-med blister cards. The systems creates the  recipe for each  patient  specific
multi-med card, guides the clinician in packaging  the card, and produces an  integrated  label.

MultiMedication Blister Cards

We offer a wide variety of heat seal and cold seal  multi-medication blister cards.  Multi-medication

cards  allow the packaging of multiple  drugs into a single blister  cavity representing a specific dosing
time.  Multi-medication cards are sold in a variety of formats to fit the needs of pharmacists and
patients, with the most common format providing four dosing  times for each of seven days in one
package. Multi-medication adherence packages  may be assembled by pharmacists by hand,  or by using
our pharmacy automation systems described above.

21

Medication Management Solutions

Medication management systems are becoming an integral  part  of  long-term care  facilities  to
manage narcotics, first doses and emergency medications. Currently, most facilities rely on manual
systems that do not provide the level  of  security, accountability and efficiencies that are attainable  with
the use of automation. When automation  is  implemented,  pharmacies benefit  by  helping their  customer
facilities meet regulatory requirements and improve the  response time. Patients benefit by having access
to medications immediately with minimized medication errors. We offer specialized versions  of the
OmniRx medication control solution that  is used by institutional pharmacies to provide  their customers
with secure medication management  of  narcotics, emergency medication, and  first  doses.

Sales and Distribution

We  sell our Automation and Analytics and Medication  Adherence solutions primarily in the
United States. Approximately 86% of our revenue  was  generated in  this  market for the year ended
December 31, 2017. No single customer  accounted  for greater  than 10% of our revenues  for the  years
ended December 31, 2017, December 31,  2016 or December 31,  2015. Our sales force is organized by
geographic region in the United States and Canada where our sales are primarily made direct to
end-user customers with the exception  of some distribution of Medication Adherence  consumables.
Outside the United States and Canada, we  field a direct sales force in the  United Kingdom, France,
Germany and China, and for Medication  Adherence products  in Australia. For  other  geographies we
generally sell through distributors and resellers.  Our  foreign operations  are discussed  in Note  14,
Segment and Geographical Information, of the Notes to Consolidated Financial  Statements and Item 7,
Management’s Discussion and Analysis of Financial  Condition and Results of Operations in this annual
report. Our combined direct, corporate and international distribution sales teams consisted  of
approximately 276 staff members as of December 31, 2017. Nearly all of our direct sales  team members
have hospital capital equipment or clinical systems experience. Our sales  representatives are  generally
organized to sell either the Automation  and  Analytics or Medication Adherence product lines.  Our
corporate sales team focuses on sales to large  IDNs, the U.S. government, as well  as partnering with
group purchasing organizations (‘‘GPOs’’).

The sales cycle for our automation systems, from  the initial sales meeting  to  completion  of

installation, is long and can take in excess  of  12 to 22 months. This is due in part to the relative cost  of
our  systems and the number of people  within each healthcare facility  involved  in the purchasing
decision. To initiate the selling process,  the sales representative generally  targets  the director of
pharmacy, the director of nursing, the  director of  materials management or  other  decision makers and
is responsible for educating each group  within  the healthcare  facility about the economic safety and
compliance benefits of our solutions relative  to  competing  methods of managing medications  or
medical and surgical supplies.

We  contract with GPOs, each of which  functions as  a purchasing  agent on behalf  of member
hospitals and other healthcare providers, as well as with government entities and agencies. Pursuant to
the terms of GPO agreements, each member contracts directly with us and can purchase our product at
pre-negotiated contract terms and pricing.  These GPO contracts are typically for multiple  years  with
options to renew or extend for up to two  years and some of which can be terminated by either party at
any time. Our significant current GPO contracts include  Intalere (f.k.a.  Amerinet,  Inc.), Vizient Inc,
Premier Inc., HealthTrust Purchasing  Group, The Resource  Group and Resource Optimization &
Innovation, LLC. We have also contracted with the  U.S. General Services Administration,  allowing  the
Department of Veteran Affairs, the Department of Defense and  other Federal Government customers
to purchase or lease our products. The  account receivable balances are with individual members  of
the GPOs, and therefore no significant concentration of credit  risk exists.  During  our fiscal  year ended
December 31, 2017 sales to members  of  the  ten largest GPOs accounted for approximately 51% of
total consolidated revenue.

22

We  offer multi-year, non-cancelable lease payment terms to  assist healthcare organizations  in
purchasing our systems by reducing their  cash flow requirements.  We sell the majority of  our multi-year
lease receivables to third-party leasing  finance companies, but  we also  maintain  a certain portion of our
leases in-house.

Our field operations representatives support our sales force  by providing operational  and clinical

expertise prior to the close of a sale  and  during  installation of our automation systems. This group
assists the customer with the technical implementation of our automation  systems, including configuring
our  systems to address the specific needs  of  each individual customer.  After the  systems are  installed,
on-site support is provided by our field  service team and technical support  group.

We  offer telephone technical support through our technical support  centers in  Illinois,  Florida,
Pennsylvania and North Carolina. Our  support  centers  are staffed 24  hours a  day, 365 days  a year. We
have found that a  majority of our customers’ service issues can  be  addressed either  over the phone  or
by our support center personnel using  their  on-hand remote diagnostics tools.  In  addition, we use
remote dial-in software that monitors  customer conditions on a daily basis. We offer a suite of remote
monitoring features, which proactively  monitors  system status and  alerts service personnel to potential
problems before they lead to system  failure.

In addition, our international team handles  direct sales, installation and service to healthcare
facilities in the United Kingdom, France, and Germany, and  to  non-acute customers in Australia.  Sales,
installation and service to healthcare facilities is handled through  distribution partners in other parts  of
Europe, Asia, Australia, the Middle East, South Africa, and  South America. Our products  are available
in a variety of languages including Mandarin, French, Swedish, Dutch,  Spanish, Turkish and  German.

We  have not sold and have no future  plans  to  sell our products either directly  or indirectly to
customers located in countries that are identified as state sponsors of terrorism  by  the U.S.  Department
of State, or those subject to economic sanctions and export  controls.

Centers of Excellence

In 2017, we created Centers of Excellence  (‘‘COE’’) for product  development,  engineering and

manufacturing with the Point of Use  COE located at our facilities in California, the  Robotics  and
Central Pharmacy COE located at our facilities near Pittsburgh, Pennsylvania and  the Medication
Adherence Consumables COE located at our  facilities in St.  Petersburg, Florida. As  part of  this
initiative, we reduced our workforce by approximately 100  full-time employees, or  about 4%  of our
total headcount. This reduction in force included the closure of our Nashville, Tennessee office and our
manufacturing facility in Slovenia.

Manufacturing and Inventory

The manufacturing process for our Automation and Analytics products allows us  to  configure

hardware and software in unique combinations to meet a wide variety of individual customer needs.
The Automation and Analytics product  manufacturing  process primarily consists of the final assembly
of components and testing of the completed  product. Many of the  subassemblies and components we
use are provided by third-party contract manufacturers or other  suppliers. We and  our  partners  test
these subassemblies and perform inspections  to  assure  the quality and  reliability  of  our  products. While
many  components of our systems are  standardized and available from multiple sources, certain
components or subsystems are fabricated by a sole supplier according to our specifications and schedule
requirements. Our Medication Adherence  product manufacturing process consists of fabrication and
assembly of equipment and mechanized process manufacturing  of  consumables.

Our arrangements with our contract  manufacturers generally set forth quality,  cost and delivery

requirements, as well as manufacturing process terms,  such as continuity of supply, inventory

23

management, capacity flexibility, quality  and cost management, oversight of manufacturing  and
conditions for the use of our intellectual property.

Our manufacturing organization procures  components  and schedules production based  on the
backlog of customer orders. Installation  of equipment and software typically  occurs between two weeks
and twelve months after the initial order  is received,  depending upon the customer’s particular needs.
We  deploy a key operational strategy  of  operating with backlog levels that approximate the  average
installation cycle of our customers, which allows  us  to  more efficiently  manage our installation teams,
improve production efficiencies, reduce  inventory scrap and lower shipping costs.  Shipment of
consumables typically occurs between one and fourteen days after  an order is  received.

Competition

The medication management and supply chain solutions market  is intensely competitive.  We
compete directly with a number of companies and are  affected by evolving and new  technologies,
changes in industry standards and dynamic  customer requirements.

Our current direct competitors in the  medication management and supply chain  solutions  market
include Becton Dickinson/CareFusion Corporation, ARxIUM (through its acquisition of MedSelect, Inc.
and Automed), Cerner Corporation, Talyst  Systems, LLC (which was  acquired by Swisslog Healthcare),
Emerson Electronic Co. (through its  acquisition of medDispense, L.P.), Swisslog Holding AG  (which
was acquired by KUKA), WaveMark  Inc., ParExcellence Systems, Inc., Vanas  N.V., Infor  (formally
Lawson Software, Inc.), Willach Pharmacy  Solutions,  DIH Technologies Co.,  Yuyama Co., Ltd,
Robopharma B.V., Apostore GmbH, KlS  Steuerungstechnik GmbH and  Suzhou Iron  Technology
(China). Our current direct competitors  in the  medication adherence solutions  market  include Drug
Package, Inc., AutoMed Technologies,  Inc. (a subsidiary of ARxIUM), Manchac Technologies, LLC
(through its Dosis  product line) and RX  Systems,  Inc., PillPack,  Inc., TeleManager Technologies,  Inc.,
VoicePort LLC., in the United States,  and  Jones Packaging Ltd., Synergy Medical  Systems,  Manrex Ltd,
Global Factories B.V. and WebsterCare outside  the United  States.

We  believe our products and services compare favorably with the offerings  of  our  competitors,

particularly with respect to proprietary technological advancements, system performance,  system
reliability, installation, applications training, service response time and service  repair quality.

Intellectual Property and Proprietary  Technology

We  rely  on a combination of patents, trademarks,  copyright and trade  secret laws, confidentiality

procedures and licensing arrangements  to  protect our intellectual property rights.

We  pursue patent protection in the United States and foreign  jurisdictions for  technology that we

believe to be proprietary and that offers  a potential competitive advantage for our products.  Our issued
patents relate to, among other things, the following:

(cid:127) the use of dispensing cabinets with  locking  doors;

(cid:127) the dispensing of patient specific items;

(cid:127) the remote management of dispensing devices;

(cid:127) automated pharmaceutical dispensing  systems;

(cid:127) the capture and use of restocking information to generate orders;

(cid:127) various unit-dose mechanisms and methods;

(cid:127) fingerprint access to dispensing units;

(cid:127) certain methods for using radio frequency tags with  storage items;

24

(cid:127) various aspects of mobile carts, including  an adjustable user interface;

(cid:127) the tracking of tissue within medical facilities;

(cid:127) the control of refrigerated medical storage units;

(cid:127) the monitoring of returned medications;

(cid:127) cabinets with multi-colored lights;

(cid:127) pharmaceutical product packaging systems;

(cid:127) methods for depositing various solid pharmaceuticals into a  variety of packages,  including

packages with cavities that hold multiple medications;

(cid:127) packaging systems with automated  content readers, including those  utilizing pick and place

robotics;

(cid:127) blister packs with electrical circuits;

(cid:127) systems for removing medications from blister packs;

(cid:127) systems for the generation of a sterile air barrier to separate the internal  chamber of a machine

from the external environment for the  preparation of pharmaceutical products;

(cid:127) methods for manipulating toxic substances;

(cid:127) use of a digital assistant appliance  for assisting  an operator in the manual preparation  of a liquid

pharmaceutical composition;

(cid:127) gripping devices for gripping a bag for the storage of pharmaceutical  products;

(cid:127) screwing assemblies for screwing closing plugs onto  syringes;

(cid:127) devices for the removal of needles  from syringes;

(cid:127) methods for powdered drug reconstitution;

(cid:127) a fluid container and a method of  analyzing, identifying and  verifying fluid within the  container;

(cid:127) a system and method for measuring dimensions of medication containers and  automatically

storing the measurements in a database;

(cid:127) an alignment meter for an automated robotic rail system;

(cid:127) targeted messaging in a pharmacy interactive voice response system;

(cid:127) dispensing measured quantities of  medications in both solid and liquid form;

(cid:127) packaging and labeling of medication  unit doses;

(cid:127) inventory control of medications and medication  supplies, such  as through RFID  tag tracking;

(cid:127) storage and monitoring of medications and medication  supplies in both stationary and  mobile

storage cabinets;

(cid:127) the distribution of medications and medication supplies within a healthcare  facility  by  pneumatic

tube, track-based carts and robotic distribution methods;

(cid:127) restricting access to medications during storage and  distribution; and

(cid:127) monitoring medication consumption.

Our patents expire at various times between 2018  and  2035.

25

All of our product system software is copyrighted and subject to the protection of applicable
copyright laws. We intend to seek additional international  and U.S. patents on  our technology and  to
seek registration of our trademarks. We  have obtained registration of, among  others, the following
marks: Omnicell, the Omnicell logo,  OmniRx, OmniCenter,  SafetyStock, SinglePointe, SecureVault, the
MTS Medication Technologies logo, OnDemand, SureMed,  Accuflex,  Pandora, Ateb,  Detect-Rx, Time
My Meds, Pharmacy Line, InPharmics, Aesynt, the Aesynt logo,  AcuDose-Rx, Connect-Rx,
MedCarousel, Robot-Rx, MACH4, Health Robotics  and  i.v.STATION. Trade  secrets  and other
confidential information are also important to our business. We protect  our trade  secrets  through a
combination of contractual restrictions and  confidentiality and licensing agreements.

Research and Development

We  use industry standard operating systems and databases,  but  generally  develop our own

application and interface software in  our research and development facilities. New product
development projects are prioritized  based on customer  input.  Research and  development takes place
in Mountain View, California, Cranberry Woods, Pennsylvania, St. Petersburg, Florida, Bochum,
Germany, Beijing, China, Lancing U.K.,  and  Trieste,  Italy. Research and development expenses were
$66.0 million, $57.8 million and $35.2  million for the years ended December 31,  2017, December  31,
2016 and December 31, 2015, respectively.

Employees

We  had approximately 2,350 employees as  of December  31, 2017. We have  rebalanced our staff as

needed, at times eliminating some functional positions  and at other times adding new functional-
specific  positions to meet the evolving  needs of the business. To  our knowledge, none of our domestic
employees are represented by a collective bargaining agreement, nor have we  experienced any work
stoppage. We believe that our employee  relations are good.

Business  under Government Contracts

A number of our U.S. government-owned or  government-run hospital customers  sign five-year

leases, with payment terms that are subject  to  one-year government budget funding cycles. Failure  of
any of our U.S. government customers to receive their annual funding could impair our ability to sell  to
these customers, or to collect payments  on our existing unsold leases. For additional information
regarding these leases, see the section  entitled ‘‘Risk Factors’’  under Part I, Item  1A below.

Financing Practices Relating to Working Capital

We  assist healthcare facilities in financing their cash outlay requirements for the  purchase  of  our

systems by offering multi-year, non-cancelable sales  contracts. For  additional information regarding
these financing activities, see Note 1, Summary of Significant Accounting  Policies, of the  Notes to
Consolidated Financial Statements in  this annual report.

Product  Backlog

Product backlog is the dollar amount  of  medication and supply dispensing systems for which we
have purchase orders from our customers and for  which we believe we generally will install,  bill and
gain customer acceptance within one year.  Due to industry practice that allows customers  to  change
order configurations with limited advance notice prior to shipment and occasional  customer changes  in
installation schedules, we do not believe that backlog  as of any  particular date is necessarily indicative
of future sales. However, we do believe that  backlog is  an indication  of  a customer’s willingness  to
install our solutions. Our product backlog was $345 million and $301 million as  of December  31, 2017
and December 31, 2016, respectively.

26

Company Information

We  were incorporated in California in 1992 under the name  of Omnicell Technologies, Inc. and

reincorporated in Delaware in 2001 as  Omnicell, Inc.

Available  Information

We  file reports and other information  with the  Securities  and Exchange  Commission (‘‘SEC’’)
including annual reports on Form 10-K, quarterly reports  on Form  10-Q,  current reports  on Form  8-K
and proxy or information statements. Those reports and  statements as well  as all amendments to those
documents filed or furnished pursuant  to  Section 13(a)  or 15(d) of the  Securities  and Exchange  Act
(1) are available at the SEC’s Public Reference Room at  100 F Street, N.E., Room  1580, Washington,
DC 20549, (2) are available at the SEC’s  Internet site  (www.sec.gov)and (3) are available free  of  charge
through our website as soon as reasonably  practicable  after electronic filing with, or furnishing to, the
SEC. You may obtain information on  the operation of  the Public Reference  Room by calling the SEC
at 1-800-SEC-0330. Our website address is www.omnicell.com. Information  posted on or accessible
through these websites is not incorporated by  reference nor otherwise included in this report,  and any
references to these websites are intended  to be inactive textual references only.

Executive Officers of the Registrant

The following table sets forth certain information about  our executive  officers  as of the date of this

annual report:

Name

Randall A. Lipps . . . . . . . . . . . . . . . . . . . . . .

Age

60

J. Christopher Drew . . . . . . . . . . . . . . . . . . . .

52

Robin G. Seim . . . . . . . . . . . . . . . . . . . . . . . .

58

Position

President, Chief Executive Officer, and
Chairman of the Board of Directors
President, North American Automation and
Analytics
President, Global Automation and Medication
Adherence

Peter J. Kuipers . . . . . . . . . . . . . . . . . . . . . . .

46 Executive Vice President and Chief Financial

Officer

Dan S. Johnston . . . . . . . . . . . . . . . . . . . . . . .

54 Executive Vice President and Chief Legal &

Administrative Officer

Nhat H. Ngo . . . . . . . . . . . . . . . . . . . . . . . . .

45 Executive Vice President, Marketing, Strategy

Jorge R. Taborga . . . . . . . . . . . . . . . . . . . . . .

58 Executive Vice President, Engineering and

Integration Management Office

Joseph  B. Spears . . . . . . . . . . . . . . . . . . . . . .

58 Vice President, Corporate Finance and  Chief

and Business Development

Accounting Officer

Randall A. Lipps was named Chief Executive Officer and President of Omnicell in October 2002.

Mr. Lipps has served as Chairman of  the Board and a Director of  Omnicell since  founding Omnicell in
September 1992. Mr. Lipps received  both a B.S. in economics and a B.B.A. from Southern  Methodist
University.

J. Christopher Drew joined Omnicell in April 1994 and was named Senior Vice  President,
Operations in January 2005. In January  2009, Mr.  Drew was named  Senior Vice President, Field
Operations. In March 2012, Mr. Drew was named  Executive Vice President, Field Operations. In
February 2015, Mr. Drew was named Executive Vice President, Sales and Marketing. In January  2016,
Mr. Drew was named Executive Vice President, Sales and  Marketing  for North American  Automation,
responsible for sales, marketing, operations, and services of our automation  and analytics segment in

27

the North America region. In March 2016,  Mr. Drew  was  named  President, North  American
Automation and Analytics, responsible for North American  sales,  marketing, operations and service for
the automation and analytics product  lines. Mr. Drew received  a B.A.  in economics  from Amherst
College and an M.B.A. from the Stanford Graduate  School of  Business.

Robin G. Seim joined Omnicell in February 2006 as Vice President and was named Chief  Financial

Officer in March 2006. In January 2009,  Mr. Seim was named  Chief  Financial Officer  and Vice
President Finance, Administration and Manufacturing.  In March 2012, Mr. Seim  was named  Chief
Financial Officer and Executive Vice President Finance, Administration and  Manufacturing. In
February 2015, Mr. Seim was  named Chief  Financial Officer and Executive  Vice President,  Finance,
International and Manufacturing. In  January 2016, Mr. Seim was named Executive  Vice President,
Global Automation and Medication Adherence. In March 2016, Mr. Seim was named President, Global
Automation and Medication Adherence. Prior to joining Omnicell, Mr. Seim served as Chief Financial
Officer of several technology companies,  including  Villa Montage  Systems, Inc. from  1999 to 2001,
Candera, Inc. from 2001 to 2004 and Mirra, Inc., in  2005. Prior to 1999, Mr.  Seim  held a number of
management positions with Nortel Networks, Bay Networks, and IBM. Mr. Seim received  a B.S.  in
accounting from California State University, Sacramento.

Peter J. Kuipers joined Omnicell in August 2015, as Executive Vice President and  Chief  Financial

Officer. Prior to Omnicell, Mr. Kuipers served  as Senior  Vice President and Chief Financial  Officer of
Quantcast Corp., a global technology company that specializes in  digital  audience measurement and
real-time advertising. From May 2013 to December  2014, Mr. Kuipers served as Executive Vice
President and Chief Financial Officer  of  The Weather Company,  a  media and global technology leader
operating The Weather Channel, weather.com, wunderground.com and its professional services division
WSI. From September 2009 to April 2013, Mr. Kuipers served in  various financial management
positions at Yahoo! Inc., a global internet technology company,  most  recently  as Vice President,
Finance for the Americas region. Prior to Yahoo!  Inc., Mr. Kuipers  held financial  leadership roles at
Altera Corporation, General Electric Company, and Akzo  Nobel. He started his career with Ernst &
Young and worked in both the Netherlands  and Seattle,  Washington. Mr. Kuipers  received a  Master’s
Degree in Economics and Business Administration  from Maastricht  University and is  a Chartered
Accountant in the Netherlands.

Dan S. Johnston joined Omnicell in November 2003 as Vice  President and General Counsel.  In
March 2012, Mr. Johnston was named  Executive  Vice President and General Counsel. In February
2015, Mr. Johnston was named Executive Vice President and Chief Legal  and Administrative  Officer.
From April 1999 to November 2003, Mr.  Johnston was Vice President and General  Counsel at  Be, Inc.,
a software company. From September 1994 to March 1999,  Mr. Johnston  was  an attorney with the  law
firm Cooley LLP. Mr. Johnston received  a B.S.  in computer information systems  from Humboldt State
University and a J.D. from the Santa Clara  University  School of  Law.

Nhat H. Ngo joined Omnicell in November 2008 as  Vice President  of  Strategy  and Business
Development. In March 2012, Mr. Ngo  was named Executive Vice President, Strategy and  Business
Development. In January 2018, Mr. Ngo  was named Executive Vice President, Marketing, Strategy and
Business Development. From January  2007 to October  2008, Mr. Ngo served as Vice President  of
Business Development and Licensing for a business unit of Covidien,  a global healthcare  products
company. From June 1999 to April 2006,  Mr. Ngo  worked at BriteSmile, Inc., a  direct-to-consumer
aesthetic technology company and served in a variety  of  senior leadership  positions  in marketing, sales,
operations, strategic planning and corporate development. From September 1997 to June  1999,
Mr. Ngo practiced corporate law at Shaw Pittman, LLP. Mr.  Ngo received a  B.S. in  commerce,  with a
concentration in finance, from the University of Virginia McIntire School of Commerce and a J.D.
from the University of Virginia School of  Law.

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Jorge R. Taborga joined Omnicell in July 2007 as Vice President  and  Chief Information Officer.

From January 2009 to February 2013,  Mr. Taborga was  Vice President of Manufacturing,  Quality and
Information Technology. In February 2013, Mr. Taborga was named Executive Vice President,
Engineering. In January 2016, Mr. Taborga was named Executive  Vice President, Engineering and
Integration Management Office. Prior to joining Omnicell, Mr. Taborga held a number of executive
positions with Bay Networks and Quantum, and ran his own  management consulting company. He  also
held executive roles in two cloud computing companies, FusionOne and  Terrasping. Mr. Taborga’s
earlier  career includes senior roles in product development with ROLM Systems and Thomas-Conrad.
Mr. Taborga received B.S. and M.S. degrees in Computer Science  from  Texas  A&M University. He is
currently pursuing a Ph.D. in Organizational Systems at Saybrook University.

Joseph B. Spears joined Omnicell in May 2012 as Vice  President, Corporate Finance. In April  2014,

Mr. Spears was named Vice President, Corporate Finance  and  Corporate Controller. In October  2017,
Mr. Spears was named Vice President, Corporate Finance  and  Chief  Accounting Officer.  Prior to
joining Omnicell, Mr. Spears held various leadership  positions in accounting and finance, including  at
eBay,  Inc. from 2004 to 2012 as Sr. Director,  Corporate  Accounting.  Prior to eBay,  Inc., Mr. Spears
held financial and accounting leadership  roles at Procket Networks, Inc., Bay Networks,  Inc., Nortel
Networks Corporation and International  Business Machines Corporation.

ITEM 1A. RISK FACTORS

We have identified the following risks and uncertainties that may have a material  adverse  effect  on

our business,  financial condition or results  of  operations. Our  business faces significant  risks  and the
risks described below may not be the only risks we  face. Additional risks  not presently known to us  or
that we currently believe are immaterial  may also significantly impair  our business operations. If  any of
these risks occur, our business, results of operations or financial condition could suffer  and the  market
price of our common stock could decline.

In assessing these  risks, you should also refer to other information contained in  this annual report

on Form 10-K, including the section entitled ‘‘Management’s  Discussion  and Analysis of Financial
Condition and Results of Operations’’ and  our Consolidated Financial  Statements and related  Notes.

If we fail to develop new products or enhance  our existing  products to react to rapid technological change and
market demands in a timely and cost-effective manner, or if newly developed  solutions, such as our XT Series,
XR2 Automated Central Pharmacy System and IVX workflow, are  not adopted in  the same  time  frame and/or
quantity as we anticipate, our business  will suffer.

We must develop new products or enhance our existing products with improved  technologies to
meet rapidly evolving customer requirements. We  are  constantly engaged in the development process
for next generation products, and we need to successfully design  our next generation  and other
products for customers who continually require higher performance and functionality at lower costs.
The development process for these advancements  is lengthy and usually requires us to accurately
anticipate technological innovations and market trends. Developing and enhancing these products  can
be time-consuming, costly and complex. Our ability  to  fund product development  and enhancements
partially depends on our ability to generate  revenues from our existing  products.

There is a risk that these developments, such as our XR2  Automated  Central  Pharmacy  System

and  IVX semi-automated workflow solution, or enhancements,  will be late, will have  technical
problems, will fail to meet customer or  market  specifications or will  not be competitive with  other
products using alternative technologies that offer  comparable performance and  functionality.  While  our
business strategy includes a goal of advancing  our platform with  new product introductions  annually,  we
may be  unable to successfully develop additional next  generation  products, new products or product
enhancements on an annual basis or at all. Our next generation products,  such as our XT Series,  or

29

any new products, such as our M5000,  VBM 200/F packaging  equipment for  multimedication blister
cards or XR2 Automated Central Pharmacy System, or product enhancements may not be accepted  in
new or existing markets. If we fail to  continue  to  develop  and introduce new  products or  product
enhancements in a timely manner or on  a cost-effective basis,  we may be unable to achieve our goal of
producing solutions that support fully automated central pharmacy operations, and  our  business  will
suffer.

We may  not be able to successfully integrate  acquired businesses or technologies into our  existing  business,
including those of Aesynt, Ateb and InPharmics, which could negatively impact  our operating  results.

As a part of our business strategy we  may seek to acquire businesses,  technologies  or products  in

the future. For example, in January 2016, we acquired Aesynt, in December 2016, we acquired Ateb
and in April 2017, we acquired InPharmics. We cannot  provide assurance  that  any acquisition or  any
future transaction we complete will result in long-term  benefits to us or our stockholders, or  that  our
management will be able to integrate or  manage the acquired business effectively.  Acquisitions entail
numerous risks, including difficulties associated with  the integration of operations, technologies,
products and personnel that, if realized,  could harm our operating  results. Risks  related to potential
acquisitions include, but are not limited  to:

(cid:127) difficulties in combining previously separate businesses  into  a  single  unit and the complexity of

managing a more dispersed organization as sites  are acquired;

(cid:127) complying with international labor laws that may restrict our  ability  to  right-size organizations

and gain synergies across acquired operations;

(cid:127) complying with regulatory requirements, such as  those of the  Food and Drug Administration,

that we were not previously subject  to;

(cid:127) the substantial costs that may be incurred and the substantial diversion of management’s

attention from day-to-day business when evaluating and negotiating such transactions and  then
integrating an acquired business;

(cid:127) discovery, after completion of the  acquisition, of liabilities assumed from the  acquired business
or of assets acquired that are broader in scope and magnitude  or are  more difficult to manage
than originally assumed;

(cid:127) failure to achieve anticipated benefits  such as cost savings  and revenue enhancements;

(cid:127) difficulties related to assimilating the products or key personnel of an  acquired business;

(cid:127) failure to understand and compete effectively in  markets in which we have limited previous

experience; and

(cid:127) difficulties in integrating newly acquired products  and solutions into a logical offering that our

customers understand and embrace.

Successful integration of acquired operations, products and  personnel into Omnicell  may place a

significant burden on the combined company’s management  and  internal resources. We may also
experience difficulty in effectively integrating  the different cultures and practices of any acquired entity.
The challenges of integrating acquired entities could disrupt the combined  company’s ongoing business,
distract its management focus from other opportunities and challenges,  and increase  expenses and
working capital requirements. The diversion  of  management attention  and any difficulties encountered
in the transition and integration process could  harm our business, financial condition and operating
results.

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We may  fail to realize the potential benefits  of  recently acquired businesses.

In 2016 we acquired Aesynt and Ateb, and in 2017  we acquired InPharmics,  in an effort to realize

certain potential benefits, including expansion of the  combined businesses  and broader market
opportunities. However, our ability to  realize  these  potential benefits depends on  our  successfully
combining the businesses of Omnicell, Aesynt, Ateb and  InPharmics. The combined  company may fail
to realize the potential benefits of the  acquisition  for  a variety of reasons, including  the following:

(cid:127) inability or failure to expand product bookings  and  sales;

(cid:127) inability to maintain business relationships with customers and suppliers  of newly acquired

companies, such as Ateb and InPharmics, due to post-acquisition disruption;

(cid:127) inability or failure to effectively coordinate  sales and marketing efforts  to  communicate the

capabilities of the  combined company;

(cid:127) inability or failure to successfully integrate and harmonize financial reporting and information

technology systems;

(cid:127) inability or failure to achieve the expected  operational and cost  efficiencies; and

(cid:127) loss of key employees.

The actual integration may result in additional and unforeseen  expenses or delays. If  we are  not

able to successfully integrate the acquired  businesses  and their operations, or if there  are delays in
combining the businesses, the anticipated benefits  of the acquisition may  not be realized fully or at all
or may take longer to realize than expected.

We have  incurred substantial debt, which  could  impair our flexibility and  access to capital and adversely affect
our financial position.

In connection with the Aesynt Acquisition, we entered into a $400.0 million senior  secured credit
facility pursuant to a credit agreement,  by  and  among us, the lenders from time  to  time party  thereto,
Wells Fargo Securities, LLC, as sole lead  arranger and Wells Fargo Bank, National  Association, as
administrative agent (as subsequently  amended,  the ‘‘Credit Agreement’’). In December  2017, we
entered into an amendment to the Credit  Agreement with Wells  Fargo  Bank,  National Association and
certain other lenders pursuant to which the  revolving credit facility was increased from $200 million  to
$315 million and certain other modifications were made, including  amendments to certain negative
covenants. The Credit Agreement also provides for a $200.0 million term loan  facility. The  loan
balances at December 31, 2017 were  $182.5 million of term loans and $34.5 million of revolving  loans.
Our debt may:

(cid:127) limit our ability to borrow additional funds  for  working capital, capital expenditures, acquisitions

or other general business purposes;

(cid:127) limit our ability to use our cash flow or obtain additional financing for future working  capital,

capital expenditures, acquisitions or other general business purposes;

(cid:127) require us to use a substantial portion of our cash flow from operations to make debt service

payments;

(cid:127) limit our flexibility to plan for, or react to, changes in our business  and industry;

(cid:127) place us at a competitive disadvantage compared to our less leveraged  competitors; and

(cid:127) increase our vulnerability to the impact  of  adverse economic  and industry conditions.

Our ability to meet our debt service  obligations will depend on our future performance, which will

be subject to financial, business and  other factors  affecting our operations, many of which are beyond

31

our  control. If we do not have sufficient funds to meet our debt service obligations, we may be
required to refinance or restructure all  or part of our  existing debt, sell  assets, borrow more money  or
sell securities, none of which we can assure  you that we would be able to do in a timely manner, or at
all. In addition, as more fully described in  the risk  factor titled ‘‘Covenants in our Credit Agreement
restrict our business and operations in  many ways and if  we do not effectively manage our compliance
with these covenants, our financial conditions and results of  operations could be adversely  affected’’
below, the Credit Agreement includes customary restrictive covenants that impose operating and
financial restrictions on us, including  restrictions  on our ability to take  actions that could be in our best
interests.

If goodwill or other intangible assets that we recorded  in connection  with the  Aesynt, Ateb  and  InPharmics
Acquisitions, or have recorded in connection with  prior acquisitions, become  impaired, we could be required
to take significant charges against earnings.

In connection with the accounting for the  Aesynt and Ateb Acquisitions in  2016 and  the
InPharmics acquisition in 2017, we recorded  a significant  amount  of goodwill  and other intangible
assets, and we maintain significant goodwill and other intangible  assets relating  to  prior acquisitions,
such as our acquisitions of MTS, Avantec and  Mach4.  As of December 31,  2017, we  had recorded
approximately $505.9 million net, in goodwill and intangible assets  in connection  with past acquisitions.
Under U.S. generally accepted accounting principles  (‘‘GAAP’’), we must  assess, at  least  annually  and
potentially more frequently, whether the  value  of  goodwill and  other indefinite-lived intangible  assets
has been impaired. Amortizing intangible assets will  be  assessed for impairment in the event  of an
impairment indicator. Any reduction or  impairment of the value of goodwill or other intangible assets
will result in a charge against earnings, which could materially adversely affect  our  results of operations
and shareholders’ equity in future periods.

Unfavorable economic and market conditions, a  decreased demand in the capital equipment  market and
uncertainty regarding the rollout of government legislation  in the healthcare industry  could adversely affect
our operating results.

Customer demand for our products is significantly linked  to  the strength of the  economy. If
decreases in demand for capital equipment caused by weak economic conditions  and decreased
corporate and government spending,  including  any effects  of  fiscal budget  balancing at  the federal  level,
deferrals or delays of capital equipment projects, longer  time frames for capital equipment purchasing
decisions or generally reduced expenditures for  capital solutions  occurs, we will experience decreased
revenues and lower revenue growth rates and our  operating results could  be  materially and adversely
affected.

Additionally, as the U.S. Federal Government implements healthcare reform legislation,  and as
Congress, regulatory agencies and other  state governing  organizations continue  to  review and  assess
additional healthcare legislation and regulations,  there may be an  impact on our business. Healthcare
facilities may decide to postpone or reduce spending until the  implications of such healthcare
enactments are more clearly understood, which may affect the demand  for our products and  harm our
business.

The medication management and supply  chain solutions market is highly competitive and we  may be unable
to compete successfully against new entrants and established companies with greater  resources  and/or existing
business relationships with our current  and potential customers.

The medication management and supply chain solutions market  is intensely competitive.  We expect

continued and increased competition from current and future  competitors,  many of which have
significantly greater financial, technical, marketing  and  other resources  than  we do. Our current direct
competitors in the medication management and supply chain  solutions market include  Becton

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Dickinson/CareFusion Corporation, ARxIUM (through its acquisition of MedSelect,  Inc. and
Automed), Cerner Corporation, Talyst  Systems, LLC  (which was acquired by Swisslog Healthcare),
Emerson Electronic Co. (through its  acquisition of medDispense, L.P.), Swisslog Holding AG  (which
was acquired by KUKA), WaveMark  Inc., ParExcellence Systems, Inc., Vanas  N.V., Infor  (formally
Lawson Software, Inc.), Willach Pharmacy  Solutions,  DIH Technologies Co.,  Yuyama Co., Ltd,
Robopharma B.V., Apostore GmbH, KlS  Steuerungstechnik GmbH and  Suzhou Iron  Technology
(China). Our current direct competitors  in the  medication adherence solutions  market  include Drug
Package, Inc., AutoMed Technologies,  Inc. (a subsidiary of ARxIUM), Manchac Technologies, LLC
(through its Dosis  product line) and RX  Systems,  Inc., PillPack,  Inc., TeleManager Technologies,  Inc.,
VoicePort LLC, in the United States,  and Jones Packaging Ltd., Synergy Medical Systems, Manrex Ltd,
Global Factories B.V., and WebsterCare outside  the United  States.

The competitive challenges we face in the  medication management and supply chain  solutions

market include, but are not limited to, the following:

(cid:127) certain competitors may offer or have the ability to offer  a  broader  range of solutions in  the

marketplace that we are unable to match;

(cid:127) certain competitors may develop alternative solutions to  the  customer  problems our products are

designed to solve that may provide a  better  customer outcome  or  a lower cost of operation;

(cid:127) certain competitors may develop new features or capabilities for their products not previously

offered that could compete directly with our products;

(cid:127) competitive pressures could result in  increased  price competition for our products and  services,

fewer customer orders and reduced gross margins, any of which could  harm our business;

(cid:127) current and potential competitors may  make  strategic acquisitions or  establish cooperative
relationships among themselves or with  third parties, including  larger, more established
healthcare supply companies, such as  the acquisition of CareFusion Corporation by Becton
Dickenson Corporation and the acquisition of Talyst Systems,  LLC. by  Swisslog Healthcare,
thereby increasing their ability to develop  and  offer a  broader suite  of  products  and services  to
address the needs of our prospective customers;

(cid:127) our competitive environment is currently experiencing  a significant  degree  of  consolidation which

could lead to competitors developing new  business models that  require  us to adapt how  we
market, sell or distribute our products;

(cid:127) other established or emerging companies  may  enter the medication management  and supply

chain  solutions market with products  and services  that are preferred by our current and  potential
customers based on factors such as features,  capabilities  or cost;

(cid:127) our competitors may develop, license or incorporate new or emerging technologies or devote

greater resources to the development, promotion and sale of their products and  services  than we
do;

(cid:127) certain competitors have greater brand name recognition and a more  extensive  installed base of
medication and supply dispensing systems or other products and services  than we do, and such
advantages could be used to increase their market share;

(cid:127) certain competitors may have existing business relationships with our  current and  potential
customers, which may cause these customers  to  purchase medication  and  supply dispensing
systems or automation solutions from these competitors;  and

(cid:127) our competitors may secure products  and  services from suppliers on  more favorable terms or

secure exclusive arrangements with suppliers or buyers that may impede the sales of our
products and services.

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Any reduction in the demand for or adoption of our medication  and  supply systems, related services, or
consumables would reduce our revenues.

Our medication and supply dispensing systems  represent  only one approach to managing the
distribution of pharmaceuticals and supplies at acute healthcare facilities  and  our medication packaging
systems represent only one way of managing medication  distribution at non-acute care  facilities.  While
a significant portion of domestic acute care facilities have adopted  some level of medication  and/or
supply automation, a significant portion  of domestic and international  healthcare facilities still use
traditional approaches in some form  that do not include fully  automated  methods of medication and
supply management. As a result, we must  continuously  educate  existing and prospective  customers
about the advantages of our products,  which requires significant sales efforts, particularly when  we are
seeking to replace an incumbent supplier of medication  and  supply automation solutions and can  cause
longer sales cycles. Despite our significant efforts and extensive  time  commitments in  sales to
healthcare facilities, we cannot be assured  that our efforts will result in sales to these customers.

In addition, our medication and supply dispensing systems and our more complex automated
packaging systems typically represent  a sizable initial capital  expenditure for healthcare organizations.
Changes in the budgets of these organizations and  the timing of spending under these budgets  can have
a significant effect on the demand for our  medication  and  supply dispensing  systems and related
services. These budgets are often supported by cash  flows  that can be negatively affected by declining
investment income and influenced by limited resources, increased operational  and financing costs,
macroeconomic conditions such as unemployment rates and conflicting spending priorities  among
different departments. Any decrease  in expenditures by healthcare  facilities or increased financing costs
could decrease demand for our medication  and  supply  dispensing  systems and related services  and
reduce our revenues.

Changing customer requirements could decrease the  demand  for  our products and services and  our new
product solutions may not achieve market acceptance.

The medication management and supply chain solutions market  is characterized by evolving
technologies and industry standards, frequent new  product introductions and dynamic customer
requirements that may render existing products obsolete or  less competitive.  The  medication
management and supply chain solutions market could erode  rapidly due  to  unforeseen  changes in the
features and functions of competing products, as  well as  the pricing  models  for such products.  Our
future success will  depend in part upon our ability to enhance our existing  products and services and to
develop and introduce new products and services to meet changing customer requirements.  The  process
of developing products and services such as those  we offer  is extremely complex and is expected to
become  increasingly more complex and expensive in the  future as  new  technologies are introduced.  If
we are unable to enhance our existing products or develop new products  to  meet changing customer
requirements, and bring such enhancements and  products to  market  in a  timely manner, demand for
our  products could decrease.

We  cannot provide assurance that we will be successful in marketing any  new products or services

that we introduce, that new products or  services will compete effectively  with similar  products or
services sold by our competitors, or that the  level of  market  acceptance of such products or services
will be sufficient to generate expected revenues and synergies  with our other products or services.  For
example, we recently announced our  new  XR2 Automated Central Pharmacy System and  IVX
workflow solutions, and we cannot guarantee  that demand  will  meet  our expectations. In addition, our
XT  Series, M5000 and VBM 200F automated pharmacy solutions for  multi-medication  blister  card
packaging are relatively new to the market. Deployment of new  products or services often requires
interoperability with other Omnicell products or services  as  well as  with healthcare  facilities’  existing
information management systems. If  these  products  or services fail  to  satisfy  these demanding

34

technological objectives, our customers  may be dissatisfied  and we may  be unable  to  generate future
sales.

The healthcare industry faces changes to  healthcare legislation and other healthcare  reform, as well as
financial constraints and consolidation, which could adversely  affect the demand for  our products  and
services.

The healthcare industry has faced, and  will  likely continue to face,  significant financial constraints.
U.S. government legislation such as the  American Recovery and Reinvestment Act of  2009, the Patient
Protection and Affordable Care Act of  2010 (the ‘‘PPACA’’), the Budget Control  Act of 2011, and
other health reform legislation, or the repeal of all or a  portion of any  such legislation  may cause
customers to postpone purchases of our products due to reductions  in federal healthcare program
reimbursement rates and/or needed changes to their operations in order  to meet the requirements of
legislation. Our automation solutions often involve a significant financial commitment from  our
customers and, as  a result, our ability to grow  our  business is largely dependent on  our  customers’
capital and operating budgets. To the  extent  legislation promotes spending on  other initiatives or
healthcare providers’ spending declines or increases more slowly  than  we  anticipate,  demand for  our
products and services could decline.

For example, some of the provisions of the PPACA have  yet  to  be  implemented, and there have
been judicial and Congressional challenges to certain  aspects of the PPACA, as well as  recent efforts  by
the Trump administration to repeal or  replace  certain aspects of the  PPACA. Since January 2017,
President Trump has signed two Executive Orders designed to delay  the implementation of  certain
provisions of the PPACA or otherwise  circumvent  some of  the  requirements for health insurance
mandated by the PPACA. Concurrently, Congress has considered legislation that would  repeal or repeal
and replace all or part of the PPACA. While  Congress has  not  passed  comprehensive repeal legislation,
two bills affecting the implementation  of certain  taxes under  the PPACA have been enacted. The Tax
Cuts and Jobs Act of 2017 includes a  provision  repealing, effective  January  1, 2019, the  tax-based
shared responsibility payment imposed  by  the PPACA  on certain  individuals who fail to maintain
qualifying health coverage for all or part of a year that is  commonly referred to as the  ‘‘individual
mandate.’’ Additionally, on January 22,  2018,  President Trump signed a continuing resolution on
appropriations for fiscal year 2018 that  delayed  the implementation of certain fees mandated under the
PPACA, including the so-called ‘‘Cadillac’’ tax on certain high cost  employer-sponsored insurance  plans,
the annual fee imposed on certain health  insurance providers based on market share, and the medical
device excise tax on non-exempt medical devices. Congress  may consider other legislation to repeal or
replace other elements of the PPACA. Thus, the full impact  of the PPACA,  or any  law  replacing
elements of it, on our business remains unclear. The implementation of cost containment measures  or
other healthcare reforms may have an effect on our  revenue  or  profitability.

In addition, healthcare providers have consolidated to create larger healthcare  delivery
organizations in order to achieve greater market power. If this consolidation  continues, it would
increase the size of certain target customers, which could increase the cost, effort and difficulty in
selling our products to such target customers, or  could cause our existing customers or potential new
customers to begin utilizing our competitors’ products if such  customers are acquired  by  healthcare
providers that prefer our competitors’ products to ours. In addition, the resulting organizations could
have greater bargaining power, which  may lead to price erosion.

When we experience delays in installations of our medication and supply dispensing systems or our  more
complex medication packaging systems, resulting  in  delays in  our ability to recognize revenue, our competitive
position, results of operations and financial condition could be harmed.

The purchase of our medication and  supply  dispensing  systems or our more complex medication
packaging systems is often part of a customer’s  larger initiative to re-engineer its pharmacy and  their

35

distribution and materials management systems.  As a result, our sales  cycles are often lengthy. The
purchase of our systems often entails  larger  strategic purchases  by customers that frequently require
more complex and stringent contractual  requirements and generally  involve a  significant commitment of
management attention and resources by  prospective customers.  These larger and more complex
transactions often require the input and  approval of many  decision-makers,  including pharmacy
directors, materials managers, nurse managers,  financial managers,  information systems managers,
administrators, lawyers and boards of  directors.  In addition, new product  announcements, such  as that
of our XT Series, can cause a delay in our customers’ decision  to  purchase  our  products or  convert
orders from our older products to those of  our newer products, such as the XT Series. For  these and
other reasons, the sales cycle associated  with the sale of our medication  and supply dispensing systems
is often lengthy and subject to a number of delays over which we have little or  no control. A delay  in,
or loss of, sales of our medication and supply dispensing  systems  could have an adverse effect upon our
operating results and could harm our business.

In addition, and in part as a result of the complexities inherent in larger transactions, the time
between the purchase and installation of  our systems can range  from  two  weeks  to  one  year.  Delays in
installation can occur for reasons that  are  often  outside of  our control. We have also  experienced
fluctuations in our customer and transaction size mix, which makes our  ability  to  forecast  our product
bookings more difficult. Because we recognize revenue for our medication and supply  dispensing
systems and our more complex medication packaging systems only upon installation at  a customer’s
site,  any delay in installation by our customers  will also cause a delay  in the recognition of the revenue
for that system.

Demand for our consumable medication packages is  time-sensitive and  if  we are not able to supply the
demand from our institutional and retail pharmacy  customers on schedule  and with quality packaging
products,  they may use alternative means to distribute medications to  their customers.

Approximately 11% of our revenue is generated from the sale of consumable  medication packages,

which  are produced in our St. Petersburg, Florida facilities on a continuous basis and  shipped to our
institutional pharmacy and retail pharmacy  customers shortly  before  they are  required by these
customers. The demands placed on institutional  pharmacies and retail pharmacies  by  their  customers
represent real time requirements of those customers. Our customer  agreements for the sale of
consumable medication packages are  typically short-term in nature and typically do not include  any
volume commitments on the part of  the customer. Although  our packaging may  be  considered the
preferred method of maintaining control  of medications during the medication distribution and
administration process, institutional and  retail pharmacies have alternative  methods of distributing
medications, including bulk and alternative  packaging, and medication adherence packaging may be
supplied by our competitors. To the extent that we are  unable to supply quality packaging to our
customers in a timely manner, that demand will be met via  alternative distribution methods, including
consumable medication packaging sold  by  our competitors, and our revenue will decline. Any
disruption in the production capabilities  of  our St. Petersburg facilities  will adversely affect  our  ability
to ship our consumable medication packages and would reduce  our revenue.

Many of our newer products include software as a service or solution as  a service subscriptions. If customer
adoption of these products is faster than anticipated,  we may experience a temporary  reduction  of  revenues. If
these  products are unable to meet customer needs,  customers  may  cancel  subscriptions.

We  currently offer our IV Solutions products and our Central Pharmacy products together with

operators as a monthly subscription. We  also sell  Performance  Center, Electronic Medication
Administration, and SupplyX as a subscription.  IVX Workflow contains a significant subscription
element in its pricing structure. If adoption  of IV solutions subscription products takes place  faster than
anticipated, the shift to subscription revenue from  capital equipment sales will defer revenue

36

recognition. If any of our subscription products do not substantially meet  customer requirements,
customers may cancel subscriptions, causing a decline in  revenue.

Our international operations may subject us  to additional risks that can adversely affect our operating results.

We  currently have operations outside of the United States, including sales  efforts centered  in
Canada, Europe, the Middle East and Asia-Pacific regions and supply chain efforts in Asia. We intend
to continue to expand our international  operations, particularly in certain  markets  that  we view as
strategic, including China and the Middle  East. Our international operations  subject us to a variety of
risks, including:

(cid:127) our reliance on distributors for the  sale and post-sale support of our automated  dispensing

systems outside the United States and Canada;

(cid:127) the difficulty of managing an organization operating in various countries;

(cid:127) political sentiment against international outsourcing  of  production;

(cid:127) reduced protection for intellectual property rights,  particularly in  jurisdictions that have less

developed intellectual property regimes;

(cid:127) changes in foreign regulatory requirements;

(cid:127) the requirement to comply with a variety  of  international laws and regulations, including  privacy,
labor, import, export, trade, environmental standards,  product compliance,  tax, anti-bribery and
employment laws and changes in tariff rates;

(cid:127) fluctuations in currency exchange rates and difficulties in repatriating  funds from certain

countries;

(cid:127) additional investment, coordination  and lead-time necessary  to  successfully interface our
automation solutions with the existing  information systems  of our  customers  or potential
customers outside of the United States;  and

(cid:127) political unrest, terrorism and the potential for other hostilities in areas in which we have

facilities.

If we  are unable to anticipate and address these risks properly,  our business or  operating results

will be harmed.

Government regulation of the healthcare  industry could reduce demand for  our products,  or substantially
increase the cost to  produce our products.

The manufacture and sale of most of  our current products are not regulated by the FDA,  or the
Drug Enforcement Administration (‘‘DEA’’).  Through our acquisition of Aesynt, we have both a  Class I
and a Class II, 510(k) exempt medical  device  which are subject to FDA regulation and require
compliance with the FDA Quality System Regulation  as well  as medical  device reporting.  Additional
products may be regulated in the future  by the FDA, DEA or other federal agencies due to future
legislative and regulatory initiatives or reforms. Direct regulation of our  business  and products by the
FDA, DEA or other federal agencies  could substantially increase the cost to produce our products  and
increase the time required to bring those products to market, reduce the demand for our products  and
reduce our revenues. In addition, healthcare providers and facilities that use  our  equipment and
dispense controlled substances are subject  to  regulation by the DEA. The failure of these providers and
facilities to comply with DEA requirements, including the Controlled Substances Act and  its
implementing regulations, could reduce  demand for  our  products and harm  our  competitive position,
results of operations and financial condition. Pharmacies  are regulated by individual  state boards of
pharmacy that issue rules for pharmacy licensure  in their respective  jurisdictions.  State  boards  of

37

pharmacy do  not license or approve our  medication and supply dispensing systems; however,
pharmacies using our equipment are  subject  to  state board approval. The  failure of such  pharmacies to
meet differing requirements from a significant number of state boards of pharmacy could decrease
demand for our products and harm our competitive position, results of operations and financial
condition. Similarly, hospitals must be  accredited by The Joint  Commission in order to be eligible  for
Medicaid and Medicare funds. The Joint  Commission does not approve or  accredit  medication and
supply dispensing systems; however, disapproval  of  our customers’  medication and supply dispensing
management methods and their failure to meet The Joint  Commission requirements could decrease
demand for our products and harm our competitive position, results of operations and financial
condition.

While we have implemented a Privacy and Use of Information Policy and adhere to established
privacy principles,  use of customer information  guidelines and  related  federal and state  statutes, we
cannot assure you that we will be in compliance  with all federal and state  healthcare information
privacy and security laws that we are directly or indirectly subject to, including,  without limitation, the
Health Insurance Portability and Accountability Act of  1996  (‘‘HIPAA’’). Among other  things, this
legislation required the Secretary of Health and Human Services to adopt  national standards  governing
the conduct of certain electronic health  information  transactions and protecting the privacy and security
of personally identifiable health information maintained or transmitted  by ‘‘covered entities,’’  which
include pharmacies and other healthcare providers with  which we do business.

The standards adopted to date include,  among  others, the ‘‘Standards  for  Privacy  of  Individually

Identifiable Health Information,’’ which  restrict  the use and disclosure  of  personally identifiable  health
information by covered entities, and  the ‘‘Security Standards,’’ which  require covered entities  to
implement administrative, physical and technical  safeguards  to  protect the integrity and security of
certain electronic health information.  Under HIPAA, we are  considered a ‘‘business associate’’ in
relation to many of our customers that  are  covered entities,  and as such, most  of  these  customers have
required that we enter into written agreements governing  the way  we handle and safeguard certain
patient health information we may encounter in  providing our  products and services and  may impose
liability on us for failure to meet our contractual obligations.  Further, pursuant to changes in HIPAA
under the American Recovery and Reinvestment Act of 2009, we  are covered under HIPAA similar to
other covered entities and in some cases,  subject to the  same civil and criminal  penalties as a covered
entity. A number of states have also enacted privacy and security statutes and regulations that, in some
cases, are more stringent than HIPAA and may also apply directly  to  us. If our past or  present
operations are found to violate any of  these laws, we  may be subject to fines, penalties and other
sanctions.

In addition, we cannot predict the potential impact of future HIPAA standards and other federal
and state privacy and security laws that  may be enacted at any  time on  our  customers or  on Omnicell.
These laws could restrict the ability of our customers to obtain, use or disseminate patient information,
which  could reduce the demand for our products  or force us  to  redesign our products in order to meet
regulatory requirements.

In the past, we have experienced substantial fluctuations in customer demand,  and we cannot be sure that we
will be able to respond proactively to future  changes in customer demand.

Our ability to adjust to fluctuations in our revenue while  still achieving or sustaining  profitability is
dependent upon our ability to manage costs and control expenses. If  our revenue increases or decreases
rapidly, we may not be able to manage  these  changes effectively. Future growth is  dependent on the
continued demand for our products, the  volume of installations we are able  to  complete, our  ability to
continue to meet our customers’ needs  and provide a  quality installation experience and our flexibility
in manpower allocations among customers to complete  installations on  a timely basis.

38

Regarding our expenses, our ability to control expense is dependent  on our ability to continue to
develop and leverage effective and efficient  human and  information  technology systems, our  ability to
gain efficiencies in our workforce through  the local and worldwide  labor markets and  our ability  to
grow our outsourced vendor supply model. Our expense growth rate may equal  or exceed  our  revenue
growth rate if we are unable to streamline our operations, incur significant R&D  expenses prior  to,  or
without recognizing the benefits, of those  solutions under  development, incur acquisition-related
integration expenses greater than those we anticipate, or  fail to reduce the costs  or increase the
margins of our products. In addition,  we may  not  be  able to  reduce  our expenses  to  keep pace  with any
reduction in our revenue, which could harm our results of operations and financial  position.

Covenants in our Credit Agreement restrict  our business  and operations in many ways  and if we do not
effectively manage our compliance with  these covenants, our  financial conditions and results  of operations
could be adversely affected.

The Credit Agreement contains various customary covenants that limit our ability and/or our

subsidiaries’ ability to, among other things:

(cid:127) incur or assume  liens or additional debt or provide guarantees in  respect of obligations or  other

persons;

(cid:127) issue redeemable preferred stock;

(cid:127) pay dividends or distributions or redeem or  repurchase capital stock;

(cid:127) prepay, redeem or repurchase certain  debt;

(cid:127) make loans, investments, acquisitions  (including acquisitions of exclusive licenses)  and capital

expenditures;

(cid:127) enter into agreements that restrict  distributions from  our subsidiaries;

(cid:127) sell assets and capital stock of our  subsidiaries;

(cid:127) enter into certain transactions with affiliates; and

(cid:127) consolidate or merge with or into, or sell substantially all of our assets  to,  another  person.

The Credit Agreement also includes financial covenants requiring us (i) not to exceed a maximum

consolidated total leverage ratio of 3.50:1 through  the end of 2018, 3.25:1  through the end of  the
second  quarter of 2019 and 3.00:1 thereafter (subject  to  certain exceptions)  and (ii) to maintain a
minimum fixed charge coverage ratio  of 1.50:1.  Our ability  to  comply with these financial covenants
may be affected by events beyond our control. Our failure to comply with any of the covenants  under
the Credit Agreement could result in  a default under  the terms  of  the Credit  Agreement, which  could
permit the administrative agent or the  lenders  to  declare all or part of any  outstanding borrowings to
be immediately due and payable, or  to  refuse to permit additional borrowings  under the revolving
credit facility, which could restrict our  operations, particularly our  ability to respond  to  changes in our
business or to take specified actions to take advantage of  certain business  opportunities that may be
presented to us. In addition, if we are  unable to repay those amounts, the administrative agent and the
lenders under the Credit Agreement could proceed against the collateral  granted to them to secure
that debt, which would seriously harm our  business.

If we are unable to recruit and retain skilled  and motivated personnel, our competitive position,  results of
operations and financial condition could be  harmed.

Our success is highly dependent upon the  continuing  contributions of our key management, sales,

technical and engineering staff. We believe that our future success will depend upon  our  ability  to
attract, train and retain highly skilled and motivated personnel. As  more of our products are installed

39

in increasingly complex environments,  greater technical  expertise will be required. As our installed base
of customers increases, we will also face  additional demands on our  customer service and support
personnel, requiring additional resources to meet these demands. We  may  experience  difficulty in
recruiting qualified personnel. Competition  for  qualified technical, engineering, managerial,  sales,
marketing, financial reporting and other  personnel  can be intense and we  may not be successful  in
attracting and retaining qualified personnel.  Competitors have in  the past attempted, and  may in the
future attempt, to recruit our employees.

In addition, we have historically used  stock options, restricted stock units  and other forms of equity

compensation as key components of our  employee compensation program in order to align employees’
interests with the interests of our stockholders,  encourage employee  retention and provide competitive
compensation packages. The effect of  managing share-based  compensation expense  and minimizing
shareholder dilution from the issuance of new  shares may make it less  favorable  for us to grant  stock
options, restricted stock units or other  forms  of  equity compensation, to employees  in the future. In
order to continue granting equity compensation at competitive levels,  we must seek stockholder
approval for any increases to the number of shares reserved  for issuance under our equity incentive
plans, such as the share increase that was approved at our 2015 Annual  Meeting of Stockholders,  and
we cannot assure you that we will receive  such approvals  in the future. Any failure  to  receive approval
for current or future proposed increases could prevent  us from granting equity  compensation at
competitive levels  and make it more difficult  to  attract, retain and motivate employees. Further,  to  the
extent that we expand our business or  product lines through  the acquisition of other businesses,  any
failure to receive any such approvals could prevent us from securing employment  commitments from
such newly acquired employees. Failure to attract and retain key personnel could harm our competitive
position, results of operations and financial condition.

If we experience a significant disruption  in our  information technology systems or breaches of data security,
our business could be adversely affected.

We  rely  on information technology systems to keep financial records and corporate records,
communicate with staff and external parties and operate other  critical  functions, including sales  and
manufacturing processes. Our information  technology systems are potentially vulnerable to disruption
due to breakdown, malicious intrusion and computer  viruses  or  environmental impact. If we were to
experience a prolonged system disruption in our  information  technology systems,  it could negatively
impact the coordination of our sales, planning  and manufacturing activities, which  could  adversely
affect our business. In addition, in order  to maximize  our information  technology efficiency,  we have
physically consolidated our primary corporate data and computer operations. This concentration,
however, exposes us to a greater risk of  disruption to our internal information technology  systems.
Although we maintain offsite back-ups  of  our data, if operations at our facilities were  disrupted,  it may
cause  a material disruption in our business if we are not capable of restoring function  on an acceptable
time frame.

In addition, our information technology systems are potentially vulnerable to cyber-attacks or other
data security breaches-whether by employees  or others-which may  expose  sensitive data to unauthorized
persons. Such data security breaches could lead to the loss of trade secrets or  other intellectual
property, or could lead to the public  exposure of sensitive and confidential information  of our
employees, customers, suppliers and  others, any  of which  could have a material adverse effect on our
business, financial condition and results  of operations. Moreover, a security breach  or privacy  violation
that leads to disclosure or modification  of, or prevents  access to, patient information, including
personally identifiable information or  protected health  information, could harm our  reputation, result
in litigation, compel us to comply with  federal and/or state  breach  notification laws, subject  us  to
mandatory corrective action, require us to  verify the correctness  of database contents and  otherwise

40

subject us to liability under laws and regulations that protect personal data, resulting in  increased  costs
or loss of revenue.

While we have implemented a number of protective measures, including firewalls,  antivirus and

malware detection tools, patches, log  monitors,  routine  back-ups, system audits, routine password
modifications and  disaster recovery procedures, such measures may not be adequate or implemented
properly to prevent or fully address the  adverse  effect of such  events, and in some cases we may be
unaware of an incident or its magnitude  and  effects. If  we are  unable to prevent such security breaches
or privacy violations or implement satisfactory remedial measures, our operations could be disrupted,
and we may suffer loss of reputation, financial loss and other  regulatory penalties  because of lost or
misappropriated information, including sensitive patient data.  In addition,  these  breaches and other
inappropriate access can be difficult to  detect, and any  delay in  identifying them may lead  to  increased
harm of the type described above.

If we are unable to successfully interface our automation solutions with  the  existing  information systems of
our customers, they may choose not to  use  our products and  services.

For healthcare facilities to fully benefit from  our  automation solutions, our systems  must  interface

with their existing information systems.  This  may require substantial cooperation, incremental
investment and coordination on the part  of  our customers  and may require  coordination with third-
party suppliers of the existing information systems. There is little uniformity in  the systems  currently
used by our customers, which complicates  the interfacing process. If  these systems are not successfully
interfaced, our customers could choose not to use  or to reduce their use of our automation solutions,
which  would harm our business. Also,  these information systems are impacted by regulatory  forces,
such as the HITECH Act, Meaningful  Use Stages,  and  HIPAA  Omnibus Rules, and may evolve their
interoperability functionality accordingly. We expect to comply with  the mandatory  standards and
certifications that enable us to continuously interoperate with  partner information  system, but  such
symbiotic evolution in a changing regulatory environment can at times create an execution risk.

Additionally, our competitors may enter into agreements with providers of hospital information

management systems that are designed  to  increase the interoperability  of their respective products. To
the extent our competitors are able to  increase the interoperability  of their products  with those of the
major hospital information systems providers, customers who utilize  such information systems  may
choose not to use our products and services.  In  addition,  hospital  information systems providers may
choose to develop their own solutions that could compete with ours. Furthermore,  we expect the
importance of interoperability to increase  in  the next few  years.  Regulations such as  the HITECH Act
Meaningful Use Stage 3 are expected to heavily focus on evidence and outcomes. Given our  role in
care delivery process, the data generated  by our products  may be a key input for assessing and
reporting on clinical outcomes. This may elevate interoperability with  information systems to a relative
importance to our customers creating a business opportunity and  risk.

Our failure to protect our intellectual property rights could  negatively affect our ability  to compete.

Our success depends in part on our ability  to  obtain  patent  protection for technology  and
processes and our ability to preserve  our trademarks, copyrights and trade secrets. We have pursued
patent protection in the United States  and  foreign jurisdictions for technology  that  we believe  to  be
proprietary and for technology that offers  us a potential competitive advantage for our products. We
intend to continue to pursue such protection  in the future. Our  issued patents relate to various features
of our medication and supply dispensing  systems and our  packaging systems.  We cannot assure  you that
we will file any patent applications in  the future,  and  that any  of  our patent applications  will result in
issued patents or that, if issued, such patents will provide significant protection  for our technology  and
processes. As an example, in September 2014, an  action was brought  against us, to, among other
matters, correct the inventorship of certain patents owned by  us. Furthermore, we cannot  assure you

41

that others will not develop technologies  that are similar  or superior to our technology or that others
will not design around the patents we own. All of our system software is copyrighted and subject  to  the
protection of applicable copyright laws. Despite our efforts to protect  our proprietary rights,
unauthorized parties may attempt to  copy aspects  of  our  products or obtain  and use information that
we regard as proprietary, which could  harm our competitive position.

Our quarterly operating results may fluctuate and may  cause our stock price  to decline.

Our quarterly operating results may vary in  the future  depending on many factors  that  include, but

are not limited to, the following:

(cid:127) our ability to successfully install our products on a timely basis and meet other contractual

obligations necessary to recognize revenue;

(cid:127) our ability to continue cost reduction efforts;

(cid:127) our ability to implement development and  manufacturing Centers of Excellence;

(cid:127) the size, product mix and timing of orders for our medication and supply dispensing systems,

and our medication packaging systems, and their installation and integration;

(cid:127) the overall demand for healthcare medication management  and supply chain solutions;

(cid:127) changes in pricing policies by us or our  competitors;

(cid:127) the number, timing and significance of product  enhancements  and new product announcements

by us or our competitors;

(cid:127) the timing and significance of any  acquisition or  business development  transactions that we  may
consider or negotiate and the revenues, costs and earnings that  may be associated with these
transactions;

(cid:127) the relative proportions of revenues  we derive from products and services;

(cid:127) fluctuations in the percentage of sales  attributable to our international business;

(cid:127) our customers’ budget cycles;

(cid:127) changes in our operating expenses  and our ability to stabilize expenses;

(cid:127) expenses incurred to remediate product quality or safety  issues;

(cid:127) our ability to generate cash from our  accounts receivable  on a timely basis;

(cid:127) the performance of our products;

(cid:127) changes in our business strategy;

(cid:127) macroeconomic and political conditions, including fluctuations in interest rates, tax  increases and

availability of credit markets; and

(cid:127) volatility in our stock price and its  effect on equity-based compensation expense.

Due to all of these factors, our quarterly  revenues and operating  results are  difficult to predict and

may fluctuate, which in turn may cause  the market price of  our stock to decline.

42

If we are unable to maintain our relationships with group purchasing organizations or other similar
organizations, we may have difficulty selling  our  products and services to customers represented by these
organizations.

A number of group purchasing organizations,  including Intalere (f.k.a. Amerinet, Inc.), Vizient Inc,

Premier Inc., HealthTrust Purchasing  Group, The Resource  Group, and Resource Optimization &
Innovation, LLC have negotiated standard contracts for  our  products on behalf of their member
healthcare organizations. Members of these  group purchasing organizations may purchase under the
terms of these contracts, which obligate  us to pay the  group purchasing organization  a fee. We have
also contracted with the United States General Services Administration,  allowing  the Department  of
Veteran Affairs, the Department of Defense  and other  Federal Government customers to purchase our
products. These contracts enable us to  more  readily  sell our  products and services to customers
represented by these organizations. Some of our contracts with  these organizations are terminable at
the convenience of either party. The  loss  of any of these relationships could impact the breadth of  our
customer base and could impair our ability to meet our revenue targets or  increase our revenues.  These
organizations may not renew our contracts on similar terms, if  at  all, and they may choose to terminate
our  contracts before they expire, any  of  which could cause our revenues  to decline.

If we are unable to maintain our relationships with major  institutional  pharmacies, we may experience a
decline in the sales of blister cards and  other consumables sold to these  customers.

The institutional pharmacy market consists of  significant national suppliers of medications to
non-acute care facilities, smaller regional  suppliers, and very small local  suppliers. Although  none  of
these customers comprised more than 10% of our total  revenues  for the  year ended December  31,
2017, the three largest institutional pharmacies have comprised 16% and 17% of our Medication
Adherence segment revenues during  the years ended December 31,  2017 and  2016, respectively.  If
these larger national suppliers were to  purchase consumable blister card  components from alternative
sources, or if alternatives to blister cards were  used  for medication control,  our revenues would  decline.

We depend on a limited number of suppliers for  our products and our  business may suffer if  we were required
to change suppliers to obtain an adequate supply of components, equipment and raw materials on  a timely
basis.

Although we generally use parts and  components for our products with a  high degree of

modularity, certain components are presently available  only from a single source or limited sources. We
rely on a limited number of suppliers  for the  raw  materials  that are necessary in  the production of our
consumable medication packages. While  we have generally been able  to  obtain adequate  supplies of all
components and raw materials in a timely  manner from  existing sources, or where necessary, from
alternative sources of supply, we have  entered  into  relationships with new suppliers  in connection  with
the launch of our XT Series products.  We  engage multiple single source third-party  manufacturers  to
build several of our sub-assemblies. The  risk associated with changing  to  alternative  vendors, if
necessary, for any of the numerous components used to manufacture our products could limit our
ability to manufacture our products and  harm our business. Due to our  reliance  on a  few  single  source
partners to build our hardware sub-assemblies and on a limited number of  suppliers for  the raw
materials that are necessary in the production of our consumable medication packages, a  reduction or
interruption in supply from our partners  or suppliers, or  a significant increase in  the price of one or
more components could have an adverse  impact  on our business, operating  results and financial
condition. In certain circumstances, the  failure of any of our suppliers or  us  to  perform  adequately
could result in quality control issues affecting end users’ acceptance  of  our  products. These impacts
could damage customer relationships and  could harm our  business.

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Our failure to maintain effective internal control over financial  reporting in accordance with  Section 404 of
the Sarbanes-Oxley Act of 2002 could cause  our  stock price  to decline.

Section 404 of the Sarbanes-Oxley Act of 2002 and the related rules and  regulations of  the SEC

require annual management assessments of the effectiveness of our internal control over financial
reporting and a report by our independent registered public  accounting firm attesting to the
effectiveness of internal control. If we fail  to  maintain effective internal control over financial reporting,
as such standards are modified, supplemented or amended from time to time,  we may  not  be  able to
ensure that we can conclude on an ongoing  basis that we have effective internal control  over financial
reporting.

If the market price of our common stock  continues to be highly volatile, the investment value  of our common
stock may decline.

Our common stock traded between $31.85 and  $55.40 per share  during the year ended

December 31, 2017. The market price for  shares of our common stock  has been and may continue to
be highly  volatile. In addition, our announcements or  external events  may  have a significant  impact  on
the market price of our common stock. These announcements or external events may include:

(cid:127) changes in our operating results;

(cid:127) developments in our relationships with  corporate customers;

(cid:127) developments with respect to recently acquired businesses;

(cid:127) changes in the ratings of our common  stock  by securities analysts;

(cid:127) announcements  by us or our competitors  of technological innovations or new products;

(cid:127) announcements  by us or our competitors  of acquisitions of businesses, products or  technologies;

or

(cid:127) general economic and market conditions.

Furthermore, the stock market as a whole from  time to time has  experienced extreme  price and

volume fluctuations, which have particularly affected the market prices for technology companies.
These broad market fluctuations may  cause the market price of our common  stock  to  decline
irrespective of our performance. In addition, sales of substantial amounts of our common  stock  in the
public market could lower the market  price of  our  common  stock.

In addition, stockholders have initiated class  action lawsuits against companies following periods of

volatility in the market prices of these companies’ stock.  For example, on  March 19, 2015,  a putative
class action lawsuit was filed against  Omnicell and two of our  executive officers in the U.S. District
Court for the Northern District of California  purporting to assert claims on behalf of  a class  of
purchasers of Omnicell stock between May 2, 2014 and  March 2,  2015. The complaint alleged  that
defendants violated Sections 10(b) and 20(a) of the Securities Exchange  Act of 1934 by purportedly
making false and misleading statements  regarding the  existence  of a ‘‘side letter’’ arrangement and the
adequacy of internal controls that allegedly resulted in false  and misleading financial  statements. The
Company and the individual defendants were  not  served  with the  complaint  and on May  20, 2015, the
plaintiff filed a notice of voluntary dismissal of  the lawsuit without  prejudice.

Circumstances may arise that could prevent  the timely reporting of our  financial information, which could
harm our stock price and quotation on  the NASDAQ  Global Select Market.

On March 17, 2015, we announced that  we were delaying  the filing of our Annual  Report  on
Form 10-K for the year ended December  31, 2014 (the ‘‘2014  Annual Report’’) beyond  the automatic
15-day extension period permitted under the  rules of the Securities and Exchange Commission because

44

of the internal investigation that we commenced following receipt of  a  notice  from an Omnicell
employee on February 27, 2015 alleging,  among  other  matters, the existence  of a ‘‘side  letter’’
arrangement with an Omnicell customer  for certain discounts  and Omnicell products that were  to  be
provided at no cost, but which were  not  reflected in  the final invoices paid by such  customer.

Because we were unable to timely file the 2014 Annual  Report,  on March  18, 2015, we received an

expected written notification (the ‘‘Notice’’) from the NASDAQ OMX Group, Inc.  (‘‘Nasdaq’’)
indicating that Omnicell was not in compliance with  Nasdaq Listing Rule 5250(c)(1)  for continued
listing, due to the delay in filing the 2014 Annual Report  beyond  the extended  filing due date. Under
the Nasdaq continued listing rules, we  had 60 calendar days  from the date of the letter to either file
the 2014 Annual Report or submit a plan  to regain  compliance.

During  the period between the date the 2014 Annual Report was due and the  date of its filing, our

stock price experienced some volatility. We have concluded the investigation causing the delay of the
filing of the 2014 Annual Report. Even though the results of the investigation  led the Company  to
determine that effective internal control over financial reporting  was  maintained in all material respects
and that there were no changes required  to  be  made to the Company’s Consolidated Financial
Statements, we cannot assure you that  similar  circumstances will  not  arise in  the future that will cause
us to delay the filing of our periodic  financial reports, which could harm our stock price  and, if such
delay were to continue for a period of  time, impact our continued listing on  the NASDAQ Global
Select Market.

Our U.S. government lease agreements are subject to  annual  budget funding cycles and mandated unilateral
changes, which may affect our ability to enter into such leases  or to recognize revenue and sell receivables
based on these leases.

U.S. government customers that lease our equipment typically sign contracts with five-year

payment terms that are subject to one-year government budget  funding cycles.  Further, the government
has in certain circumstances mandated unilateral  changes in its Federal Supply Services contract that
could render our lease terms with the  government less attractive. In our judgment and  based on our
history with these accounts, we believe these  receivables are collectible. However, in the  future, the
failure of any of our U.S. government  customers to receive their  annual funding,  or the government
mandating changes to the Federal Supply  Services contract could  impair our  ability to sell  lease
equipment to these customers or to sell  our  U.S. government receivables  to  third-party leasing
companies. In addition, the ability to  collect payments on  unsold receivables  could  be  impaired  and
may result in a write-down of our unsold receivables from  U.S.  government customers. The balance of
our  unsold leases to U.S. government  customers was $8.4 million as  of December  31, 2017.

If we fail to manage our inventory properly,  our revenue,  gross margin and profitability could  suffer.

Managing our inventory of components  and finished products  is a complex task. A number  of
factors, including, but not limited to,  the need to maintain a significant inventory of certain components
that are in short supply or that must  be  purchased  in bulk to obtain  favorable pricing, the  general
unpredictability of demand for specific products  and  customer requests for quick delivery  schedules,
may result in us maintaining large amounts of  inventory. Other  factors, including changes  in market
demand, customer requirements and  technology,  may  cause  our inventory to become obsolete. Any
excess or obsolete inventory could result  in inventory  write-downs, which in  turn  could  harm our
business and results of operations.

45

Intellectual property claims against us could harm  our competitive  position,  results of operations and financial
condition.

We  expect that developers of medication and  supply dispensing systems and medication packaging
systems, will be increasingly subject to infringement claims as the number  of products  and competitors
in our industry grows and the functionality  of  products in different industry segments overlaps. In the
future, third parties may claim that we  have infringed  upon their intellectual property rights  with
respect to current or future products. We  do not carry special  insurance  that  covers intellectual
property infringement claims; however,  such claims may be covered under  our traditional  insurance
policies. These policies contain terms, conditions and exclusions  that make recovery  for intellectual
property infringement claims difficult to guarantee.  Any  infringement claims, with or without merit,
could be time-consuming to defend, result in  costly litigation,  divert management’s attention and
resources, cause product shipment delays or require  us to enter into royalty  or licensing agreements.
These royalty or licensing agreements,  if required, may  not  be  available  on terms acceptable  to  us,  or at
all, which could harm our competitive position,  results of operations and financial condition.

Our software products are complex and  may  contain defects,  which  could  harm our reputation, results of
operations and financial condition.

We  market products that contain software  and  products that are software only. Although we
perform extensive testing prior to releasing software products, these  products  may contain undetected
errors or bugs when first released. These may not be discovered until  the product has been used by
customers in different application environments.  Failure to discover  product deficiencies or bugs  could
require design modifications to previously shipped products or  cause delays in  the installation of our
products and unfavorable publicity or  negatively impact system shipments, any of which could harm our
business, financial condition and results  of operations.

Product liability claims against us could harm  our  competitive position, results of operations  and  financial
condition.

Our products provide medication management  and supply chain management solutions for  the
healthcare industry. Despite the presence of healthcare professionals as intermediaries between our
products and patients, if our products  fail  to  provide  accurate and timely information  or operate as
designed, customers, patients or their  family members could assert claims against  us for  product
liability. Moreover, failure of health care  facility employees  to  use our  products  for their intended
purposes  could result in product liability claims  against us. Litigation  with respect  to  product liability
claims, regardless of any outcome, could  result  in substantial cost to us, divert management’s  attention
from operations and decrease market acceptance of our products. We possess a  variety of insurance
policies that include coverage for general  commercial liability and technology errors and omissions
liability. We attempt to mitigate these risks  through contractual terms  negotiated with our customers.
However, these policies and protective  contractual  terms may  not be adequate against  product liability
claims. A successful claim brought against  us, or any claim  or product recall that results in negative
publicity about us, could harm our competitive  position, results  of operations and financial  condition.
Also, in the event that any of our products is defective, we may be required to recall or redesign  those
products.

We are dependent on technologies provided  by third-party vendors, the loss of which could negatively and
materially affect our ability to market, sell, or distribute our products.

Some of  our products incorporate technologies owned by third parties  that  are licensed to us for
use, modification, and distribution. For  example,  the VBM 200F is manufactured by a  third party  and
sold by us pursuant to a distribution  and  supplier agreement.  If we  lose access  to  third-party
technologies, such as our ability to distribute the VBM 200F, or we lose the  ongoing rights to modify

46

and distribute these technologies with  our  products, we will have  to  devote  resources to independently
develop, maintain and support the technologies  ourselves, pay increased license costs, or  transition  to
another vendor. Any independent development,  maintenance or  support of these  technologies by us or
the transition to alternative technologies could  be  costly,  time consuming and could delay  our  product
releases and upgrade schedules. These factors could negatively and materially  affect our ability to
market, sell or distribute our products.

Complications in connection with our ongoing  business information system upgrades,  including those required
to transition acquired entities onto information  systems already  utilized, and those implemented  to adopt new
accounting standards, may impact our results of operations,  financial condition and  cash flows.

We  continue to upgrade our enterprise-level  business  information system  with new capabilities and

transition acquired entities onto information systems  already  utilized in the company.  In 2015, we
replaced legacy Enterprise Requirements  Planning systems used in the acquired Surgichem business
with systems currently in use in other  parts of Omnicell. In  2016, we replaced the legacy  Enterprise
Requirements Planning systems used in Mach4 with  systems currently in use in other  parts of  Omnicell,
and we intend to do the same at Aesynt and Ateb. Based upon the complexity  of  some of  the
upgrades, there is  risk that we will not  see  the expected benefit  from the implementation of these
upgrades in accordance with their anticipated timeline  and will incur costs in addition to those we  have
already planned for. In addition, in future years, we will  need to comply with new accounting standards
established by the Financial Accounting  Standards Board (‘‘FASB’’) for revenues,  leases and other
components of our financial reporting. These new  standards will require  us to modify our accounting
policies and financial reporting disclosure.  We further  anticipate that integration  of  these  and possibly
other new standards may require a substantial  amount  of  management’s  time and attention and require
integration with our enterprise resource  planning  system. The implementation  of  the system and the
adoption of future new standards, in  isolation as  well as together, could result in operating
inefficiencies and financial reporting  delays, and could impact  our ability to timely record certain
business transactions. All of these potential  results could adversely  impact our results of operations,
financial condition and cash flows.

Outstanding employee stock options have  the  potential  to dilute  stockholder  value and cause  our  stock price to
decline.

We  grant stock options to certain of our employees as  incentives  to  join Omnicell  or as an
on-going reward and retention vehicle.  We had options  outstanding to purchase approximately
3.3 million shares of our common stock, at a weighted-average exercise price of  $32.72 per share as of
December 31, 2017. If some or all of these shares are  sold into the public market over a short time
period, the price of our common stock  may decline, as the  market  may not be able  to  absorb those
shares at the prevailing market prices.  Such sales may also make it more difficult for us to sell equity
securities in the future on terms that we deem acceptable.

Raising additional capital may cause dilution  to our existing stockholders, restrict our operations or harm our
business, financial condition and results of  operations.

We  may seek additional capital through  a variety  of means, including through private and public
equity offerings and debt financings. To  the extent  that  we raise additional  capital through the sale of
equity or convertible debt securities,  the ownership interest  will be diluted, and the terms  may include
liquidation or other preferences that adversely  affect the  rights as a stockholder. Debt financing,  if
available, may involve agreements that include covenants limiting or restricting our ability to take
certain actions, such as incurring additional debt, making capital expenditures, entering into licensing
arrangements, or declaring dividends. If we  raise additional funds from third parties, we may have  to
relinquish valuable rights to our technologies,  or grant licenses on  terms that are not favorable to us.

47

For example, we filed a ‘‘shelf’’ registration  statement  on Form  S-3 under the Securities Act  in

November 2017 (the ‘‘S-3 Registration  Statement’’),  allowing us, from time to time, to offer  any
combination of registered common stock,  preferred stock, debt  securities and warrants. Under  this  S-3
Registration Statement, we also entered into a distribution  agreement (the ‘‘Distribution Agreement’’)
in November 2017 with J.P. Morgan Securities, LLC, Wells Fargo Securities,  LLC and HSBC  Securities
(USA) Inc. (collectively, the ‘‘Sales Agents’’)  pursuant to which we may offer and sell  from time  to
time through ‘‘at-the-market’’ offerings, up to an aggregate of  $125.0 million of our common stock
through the Sales Agents. As of December  31, 2017, we had  an aggregate of $110.3 million  available to
be offered under the Distribution Agreement.

If we  are unable to raise additional funds through equity or debt  financing when  needed, our

ability to market, sell or distribute our  products may be negatively impacted  and could harm  our
business, financial condition and results  of operations.

Changes in our tax rates, exposure to additional tax liabilities, or  the adoption of new tax legislation,
including the recently passed comprehensive  tax reform bill, could adversely affect our business and financial
condition.

We  are subject to taxes in the United States  and  foreign jurisdictions. Our future effective  tax rates
could be affected by several factors, many of  which are  outside of our control,  including:  changes in the
mix of earnings with differing statutory tax rates, changes  in the valuation of  deferred tax assets and
liabilities, or changes in tax laws or their interpretation. We regularly assess the  likelihood of adverse
outcomes to determine the adequacy of our  provision for taxes.  We are also subject to examination  of
our  income tax returns by the Internal  Revenue Service and  other tax authorities.  There can  be  no
assurance that the  outcomes from these examinations will not materially adversely affect  our financial
condition and operating results.

For example, on December 22, 2017,  the Tax Cuts and Jobs Act (the ‘‘Tax Act’’) was signed  into
law. The Tax Act, among other things,  changed many aspects of U.S. corporate income taxation, and
included reduction of the corporate income tax rate from 35%  to  21%,  implementation of  a territorial
tax system, imposition of a tax on deemed repatriated earnings of foreign subsidiaries, changes in the
treatment of offshore earnings, limitation  of the  tax deduction for  interest  expense, revision  of  net
operating loss carryforward and utilization rules, further  deduction limits on executive compensation,
and modifying, repealing and creating many  other  business  deductions and credits.  While  certain
expected impacts of the Tax Act on our  business are discussed  in Item 7,  Management’s Discussion  and
Analysis of Financial Condition and Results of Operations,  as well  as Note  15, Income  Taxes, of the
Notes to Consolidated Financial Statements, we continue  to  examine the  impact  this  tax reform
legislation may have on our business.  Notwithstanding the  reduction in  the corporate  income  tax rate,
the overall impact of the Tax Act is uncertain and our business and financial condition could be
adversely affected. The impact of the  Tax Act on holders of our  common  stock  is also  uncertain and
could be adverse. This annual report does not discuss any such tax legislation or  the manner  in which  it
might affect us or our stockholders in the  future. We urge our stockholders to consult with their legal
and tax advisors with respect to such  legislation.

Catastrophic events may disrupt our business and harm our  operating results.

We  rely  on our network infrastructure, data centers, enterprise applications, and technology
systems for the development, marketing,  support and sales of our  products, and for the internal
operation of our business. These systems  are susceptible  to  disruption or  failure in the event of a  major
earthquake, fire, flood, cyber-attack, terrorist attack, telecommunications failure, or other  catastrophic
event. Many of these systems are housed  or supported  in or around our  corporate headquarters located
in Northern California, near major earthquake faults,  and where  a  significant portion of our research
and development activities and other  critical business operations take  place. Other critical systems,

48

including our manufacturing facilities  for our consumable medication packages,  are housed in
St. Petersburg, Florida, in communities that have  been subject  to  significant tropical  storms. Disruptions
to or the failure of any of these systems,  and the resulting loss of critical  data,  which is  not  quickly
recoverable by the effective execution of disaster recovery plans  designed to reduce such disruption,
could cause delays in our product development, prevent us  from fulfilling our customers’  orders,  and
could severely affect our ability to conduct normal business operations, the result of which would
adversely affect our operating results.

Recent developments relating to the United  Kingdom’s referendum vote in  favor of leaving the European
Union and related actions could adversely  affect us.

The United Kingdom held a referendum  on June  23, 2016 in which a majority voted for the
United Kingdom’s (the ‘‘UK’’) withdrawal  from the European Union (the ‘‘EU’’). On  March 29, 2017,
the UK’s ambassador to the EU delivered  a letter to the president of the European Council that gave
formal  notice under Article 50 of the Lisbon  Treaty of Britain’s withdrawal from the EU, commonly
referred to as ‘‘Brexit’’. As a result, negotiations have commenced to determine the  terms of the UK’s
withdrawal from the EU as well as its  relationship with the EU  going forward, including the terms of
trade between the UK and the EU. The effects of Brexit  have been and are expected to continue to be
far-reaching. Brexit and the perceptions  as to its impact may  adversely affect  business  activity and
economic conditions in Europe and globally and could  continue to contribute to instability in global
financial markets. Brexit could also have  the effect of disrupting the  free movement of goods, services
and people between the UK and the  EU.  However,  the full effects of Brexit are uncertain and will
depend  on any agreements the UK may make to retain access to EU markets. Brexit could also lead to
legal uncertainty and potentially divergent  national laws and regulations as the UK determines which
EU laws to replace or replicate. Lastly,  as  a result  of the  Brexit, other  European countries may seek to
conduct referenda with respect to their  continuing  membership with the EU. Given  these possibilities
and others we may not anticipate, as well  as the lack of comparable precedent, the full  extent to which
our  business, results of operations and financial condition could be adversely affected by Brexit is
uncertain.

The conflict minerals provisions of the  Dodd-Frank Wall Street Reform and Consumer Protection Act could
result in additional costs and liabilities.

In accordance with the Dodd-Frank Wall Street Reform and  Consumer Protection Act, the SEC

established disclosure and reporting requirements  for those companies that use  ‘‘conflict minerals’’
mined from the Democratic Republic  of  Congo  and  adjoining countries, whether or  not  these products
are manufactured by third parties. These new requirements  could affect the sourcing of materials used
in our products as well as the companies  we  use  to  manufacture our products. In circumstances where
conflict minerals in our products are  found to be sourced from the Democratic Republic of the Congo
or surrounding countries, we may take  actions to change materials or designs to reduce the possibility
that our purchase of conflict minerals may fund armed groups in the  region. These actions  could  add
engineering and other costs to the manufacture  of our products.

We  expect to incur costs on an ongoing basis  to  comply  with the requirements related to the

discovery  of the origin of the tantalum, tin, tungsten and gold  used  in our products,  including
components we purchase from third parties,  and  to  audit  our conflict minerals disclosures. Our
reputation may also suffer if we have included conflict minerals originating in the Democratic Republic
of the Congo or surrounding countries  in our products.

49

Anti-takeover provisions in our charter documents  and under  Delaware law,  and any stockholders’ rights plan
we may adopt in the future, make an acquisition  of  us, which may be  beneficial to  our  stockholders, more
difficult.

We  are incorporated in Delaware. Certain anti-takeover provisions of Delaware law  and our
charter documents as currently in effect  may make a  change in control  of  our company more difficult,
even if a change in control would be  beneficial to the  stockholders. Our anti-takeover provisions
include provisions in our certificate of  incorporation providing  that stockholders’  meetings may only be
called by our Board of Directors and provisions in our bylaws providing that the  stockholders  may not
take action by written consent and requiring  that stockholders that desire to nominate any person for
election to our Board of Directors or to make  any proposal  with respect to  business  to  be  conducted  at
a meeting of our stockholders be submitted in appropriate form to our  Secretary  within a specified
period of time in advance of any such meeting.  Delaware law also prohibits  corporations from engaging
in a business combination with any holders of 15%  or more of their capital  stock  until the holder has
held the stock for three years unless,  among other possibilities, our Board of Directors  approves the
transaction. Our Board of Directors may use these  provisions to prevent changes in  the management
and control of our company. Also, under applicable Delaware law, our board of directors may adopt
additional anti-takeover measures in the  future.

The stockholder rights plan adopted  by  our Board of Directors in February  2003 expired by its

terms in February 2013. Our Board of  Directors could adopt  a similar  plan in  the future if it
determines that such action is in the  best interests of our stockholders. Such a plan may have the  effect
of discouraging, delaying or preventing a  change  in control of our company  that  may be beneficial to
our  stockholders.

ITEM 1B. UNRESOLVED STAFF COMMENTS

There are currently no unresolved issues  with respect to any  SEC staff’s  written  comments.

50

ITEM 2. PROPERTIES

Our headquarters are located in leased facilities in Mountain View, California. The following is a

list of our leased facilities and their primary functions.

Site

Major Activity

Segment

Approximate
Square Footage

St. Petersburg, Florida . . . . . Administration, marketing, research

Medication  Adherence

132,500

and development and
manufacturing

Cranberry, Pennsylvania . . . . Administration,  marketing, and

Automation  and  Analytics

116,300

research and development

Warrendale, Pennsylvania . . . Manufacturing and Administration

Automation and Analytics

107,400

Mountain View, California . . Administration,  marketing,  and

Automation and Analytics

99,900

research and development

Irlam, United Kingdom . . . . . Administration, sales,  marketing

Medication Adherence

61,000

and distribution  center

Raleigh, North Carolina . . . . Administration,  marketing, and

Medication  Adherence

48,200

research and development

Milpitas, California . . . . . . . Manufacturing

Waukegan, Illinois . . . . . . . .

Technical support, training and
repair center

Automation and Analytics

Automation  and  Analytics

46,300

38,500

Bochum, Germany . . . . . . . . Administration,  sales, marketing,

Automation and  Analytics

11,000

distribution and  manufacturing
center

We  also have smaller rented offices in  Strongsville,  Ohio, Canada, the Federal Republic of
Germany, France, Hong Kong, Italy,  Melbourne,  Australia, the  People’s Republic of China,  the
United Arab Emirates and the United  Kingdom.

We  closed our rented facilities in Nashville,  Tennessee and Slovenia during 2017  and terminated

the associated leases.

We  believe that these facilities are sufficient for our current operational needs  and that suitable

additional space will be available on  commercially reasonable terms  to  accommodate  expansion of our
operations, if necessary.

For additional information regarding  our  obligations pursuant to operating leases, see  Note 10,
Commitments and Contingencies, of the Notes  to  Consolidated  Financial Statements  in this annual
report.

ITEM 3. LEGAL PROCEEDINGS

Refer to the information set forth under  ‘‘Legal Proceedings’’ in Note 10, Commitments and
Contingencies, of the Notes to Consolidated Financial Statements included  in this annual  report.

ITEM 4. MINE SAFETY DISCLOSURES

Not applicable.

51

PART II

ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER

MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES

Market for Our Common Stock

Our common stock is traded on The NASDAQ Global Select Market under the symbol ‘‘OMCL’’.

The following table sets forth the high and low  sales prices per share of our  common stock for  the
periods indicated.

Year  Ended December 31, 2017

High

Low

Fourth Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Third Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Second Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
First Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$55.40
$52.70
$44.60
$41.15

$44.34
$42.20
$38.00
$31.85

Year  Ended December 31, 2016

High

Low

Fourth Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Third Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Second Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
First Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$38.52
$40.50
$34.71
$30.78

$30.35
$33.99
$26.46
$25.06

Stockholders

There were 100 registered stockholders of record  as of December 31, 2017. A substantially greater

number of stockholders are beneficial  holders,  whose  shares of record are held by banks, brokers  and
other financial institutions.

Dividend Policy

We  have never declared or paid any cash dividends on  our common stock. We currently  expect to
retain any future earnings for 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.

Performance Graph

The following graph compares total stockholder returns  for Omnicell’s common  stock  for the  past
five years to three indexes: the NASDAQ  Composite Index,  the NASDAQ  Health Care  Index,  and the
NASDAQ Health Services Index. The graph assumes $100  was invested in each of the  Company’s
common stock, the NASDAQ Composite  Index, the NASDAQ Health Care Index, and the NASDAQ
Health Services Index as of the market close  on December 31, 2012. The total return for Omnicell’s
common stock and for each index assumes the  reinvestment of  all dividends, although cash  dividends
have never been declared on Omnicell’s common  stock,  and is based  on the returns  of  the component
companies weighted according to their  capitalization as of the end of each  annual period.

The NASDAQ Composite Index tracks the  aggregate price  performance of equity  securities traded

on The NASDAQ Stock Market. The NASDAQ  Health Care Index  and NASDAQ Health Services
Index tracks the aggregate price performance  of health care and health services equity securities.
Omnicell’s common stock is traded on The  NASDAQ Global Select Market  and is a component of
both indexes. The stock price performance shown on  the graph is based on historical  results and is  not
necessarily indicative of future price performance.

52

COMPARISON OF 5 YEAR CUMULATIVE  TOTAL RETURN(1)(2)

Among Omnicell, Inc., the NASDAQ  Composite  Index,  the NASDAQ Health Care  Index  and the
NASDAQ Health Services Index

$350

$300

$250

$200

$150

$100

$50

$0

12/12

12/13

12/14

12/15

12/16

12/17

Omnicell, Inc.

NASDAQ Composite

NASDAQ Health Care

NASDAQ Health Services

20MAR201820560935

(1)

$100 invested on December 31, 2012  in stock  or index, including reinvestment  of dividends.

(2) This section is not deemed ‘‘soliciting  material’’ or to be ‘‘filed’’ with the  SEC and  is not to be
incorporated by reference into any filing of  Omnicell, Inc. under the Securities Act of 1933,  as
amended, or the Securities Exchange  Act of 1934, as  amended, whether made before or  after the
date  hereof and irrespective of any general incorporation language in any such  filing.

Year Ended December 31,

2012

2013

2014

2015

2016

2017

Omnicell, Inc.
. . . . . . . . . . . . . . . . . . . . . . . . . .
NASDAQ Composite . . . . . . . . . . . . . . . . . . . . .
NASDAQ Health Care . . . . . . . . . . . . . . . . . . .
NASDAQ Health Services . . . . . . . . . . . . . . . . .

100.00
100.00
100.00
100.00

171.69
141.63
156.31
139.64

222.73
162.09
199.21
173.97

209.01
173.33
207.94
187.09

227.98
187.19
169.96
155.05

326.16
242.29
204.45
177.93

Stock Repurchase Programs

There were no stock repurchases during 2017. Refer to Note 12, Stock Repurchases,  of  the Notes

to Consolidated Financial Statements in  this annual report for additional information.

ITEM 6. SELECTED FINANCIAL  DATA

The following selected consolidated financial data is derived  from our Consolidated Financial
Statements. This data should be read in conjunction with our Consolidated Financial  Statements and
related Notes included in this annual  report and  with Item 7,  Management’s Discussion and Analysis of

53

Financial Condition and Results of Operations. Historical  results may not be indicative of future
results.

2017(1)

Year Ended December 31,
2015(3)
(In thousands, except per share amounts)

2016(2)

2014(4)

2013

Consolidated Statements of Operations  Data:
Total revenue . . . . . . . . . . . . . . . . . . . . . . . . .
Gross profit . . . . . . . . . . . . . . . . . . . . . . . . . .
Income from operations . . . . . . . . . . . . . . . . .
Net income . . . . . . . . . . . . . . . . . . . . . . . . . .
Net income per share:

$716,165
322,088
5,754
20,605

$692,623
313,800
6,481
603

$484,559
247,930
48,632
30,760

$440,900
233,860
49,583
30,518

$380,585
203,399
35,299
23,979

Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . .

$
$

0.55
0.53

$
$

0.02
0.02

$
$

0.86
0.84

$
$

0.86
0.83

$
$

0.69
0.67

Shares used in per shares calculations:

Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . .

37,483
38,712

36,156
36,864

35,857
36,718

35,650
36,622

34,736
35,777

2017(1)

2016(2)

December 31,
2015(3)
(In thousands)

2014(4)

2013

Consolidated Balance Sheet Data:
Total assets . . . . . . . . . . . . . . . . . . . . . . . . . .
Long-term debt, net . . . . . . . . . . . . . . . . . . . .
Total liabilities . . . . . . . . . . . . . . . . . . . . . . . .
Total stockholders’ equity . . . . . . . . . . . . . . . .

$980,304
194,917
463,105
$517,199

$935,103
245,731
503,496
$431,607

$578,747
—
176,359
$402,388

$560,214
—
170,116
$390,098

$492,501
—
143,504
$348,997

(1)

(2)

(3)

(4)

Includes  InPharmics financial results as  of  April  2017, the acquisition date.

Includes  Aesynt and Ateb financial results as of  the acquisition dates of  January 2016 and
December 2016, respectively.

Includes  Avantec and Mach4 financial results as  of  April  2015, the acquisition date.

Includes  Surgichem financial results as of August 2014, the acquisition date.

ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION  AND

RESULTS OF OPERATIONS

The following discussion and analysis  should be read  in conjunction  with our Consolidated Financial
Statements and related notes in this annual report. This discussion  may  contain  forward-looking statements
based upon current expectations that involve risks and uncertainties. Our actual results and  the timing of
selected events could differ materially from those anticipated in  these  forward-looking statements as  a result
of  several factors, including those set forth under  Item  1A  ‘‘Risk Factors’’ and elsewhere  in  this annual
report. Unless otherwise stated, references  in this report  to particular  years or quarters  refer to  our fiscal year
and the associated quarters of those fiscal years.

54

Our Business

OVERVIEW

We  are a leading provider of comprehensive automation and business analytics  software solutions

for patient-centric medication and supply management across the entire  healthcare continuum, from
the acute care hospital setting to post-acute skilled nursing and long-term care  facilities  to  the home.

We  manage our business as two operating segments, Automation and Analytics and Medication

Adherence.

(cid:127) Automation and Analytics. The Automation and Analytics segment is organized  around the
design, manufacturing, selling and servicing of medication and supply dispensing systems,
pharmacy inventory management systems, and related software. Our Automation and Analytics
products are designed to enable our customers to enhance and improve the effectiveness of the
medication-use process, the efficiency of the  medical-surgical supply chain, overall patient care
and clinical and financial outcomes of medical facilities. Through modular configuration  and
upgrades, our systems can be tailored to specific customer needs.

(cid:127) Medication Adherence. The Medication Adherence segment primarily includes  the development,
manufacturing and selling of solutions  to  assist patients to remain adherent to their medication
regimens. These solutions are comprised  of  a variety of  tools and aids that may  be  directly used
by a pharmacist or a healthcare provider  in their direct care for  a patient, or the patient
themselves, and include software based systems and medication  adherence packaging,  packaging
equipment, and ancillary products and services. These products are used to  manage medication
administration outside of the hospital  setting and  include  medication adherence products sold
under the brand names MTS, SureMed,  Ateb,  and Omnicell.

For further description of our operating segments, please refer to Note 14, Segment and
Geographical Information, of the Notes  to  Consolidated  Financial Statements in this annual  report.

We  sell our product and consumable  solutions together with related service offerings. Revenue
generated in the United States represented 86% of our total revenues in 2017. We have not sold  in the
past, and have no future plans to sell our  products either directly or indirectly, to customers located in
countries that are identified as state  sponsors  of  terrorism by the U.S. Department of State, and are
subject to economic sanctions and export controls.

Strategy

The healthcare market is experiencing a period of substantive change. The adoption of electronic

healthcare records, new regulatory constraints, and changes in the reimbursement structure have  caused
healthcare institutions to re-examine their operating  structures, re-prioritize their investments, and seek
efficiencies. We believe our customers’  evolving operating  environment creates challenges  for any
supplier, but also affords opportunities for suppliers that  are able to partner with customers to help
them meet the changing demands. We  have  and  intend  to  continue to invest in  the strategies which we
believe have generated and will continue to generate our revenue and earnings growth, while
supporting our customers’ initiatives and  needs. These strategies include:

(cid:127) Development of a differentiated platform. We invest in the development of products that we
believe bring patient safety and workflow efficiency to our customers’ operations that they
cannot get from other competing solutions. These differentiators may be as small as how a
transaction operates or information provided on a report  or as large as the entire automation of
a workflow that would otherwise be completed  manually. We  intend to continue our focus on
differentiating our products, and we carefully assess our investments regularly  as we  strive to
ensure those investments provide the  solutions most valuable to our customers.

55

(cid:127) Deliver our solutions to new markets. Areas of healthcare where work is done  manually may
benefit from our existing solutions. These areas include hospitals that continue to employ
manual  operations, healthcare segments of the U.S. market outside hospitals and markets
outside the United States. We weigh the cost of  entering these new markets against the  expected
benefits and focus on the markets that we believe are  most likely to adopt our products.

(cid:127) Expansion of our solutions through acquisitions and  partnerships. Our acquisitions have
generally been focused on automation of manual workflows or data  analytics, which is the
enhancement of data for our customers’ decision-making processes.  We believe that expansion of
our  product lines through acquisition and partnerships to meet  our customers  changing and
evolving expectations is a key component  to  our  historical and future success.

Our investments have been consistent with the strategies outlined above. To differentiate our
solutions from others available in the market, in December 2016 we announced the XT Series, our new
generation of medication and supply automation that  is fully integrated  on our Unity enterprise
platform. The XT Series includes automated medication and supply  dispensing cabinets, the Anesthesia
Workstation, and Controlled Substance  Manager.  The XT  Automated Medication Cabinets have been
integrated with Connect-Rx(cid:3) from Aesynt, so customers in the United States  and  Canada who use
AcuDose-Rx(cid:3) cabinets can take advantage of the new hardware  without changing their software  or
server infrastructure. As part of this product introduction we developed a new hardware and electronics
architecture for the XT Series. The new design  enables more medications  to  be  stocked within the
same footprint-the XT cabinets offer up to 50%  more capacity  compared with  similar units  on the
market. In November 2017, we introduced  our new IVX  Workflow Solution.  This new solution powered
by IVX Cloud services helps enable pharmacies to safely and  efficiently compound and  prepare IV
treatments. In December 2017, we announced  our XR2 Central Pharmacy Automated  System, allowing
customers to more fully automate their central pharmacies.

Consistent with our strategy to enter new markets, we  have made investments in our selling,
general and administrative expenses to expand our sales team and market to new customers. Our
international efforts have focused primarily on two markets: Western Europe where we  sell solutions
through  a direct sales team in the United Kingdom, France, and Germany and through resellers in
other  markets; and in the Middle Eastern countries of  the Arabian  Peninsula. We have also  expanded
our sales efforts to medication adherence customers  in the United  States which has allowed us to sell
our automated dispensing solutions and other products  to this  market.

Expansion of our solutions through acquisitions  and partnerships include our acquisition of MTS in

2012, our acquisition of Surgichem in August 2014, our acquisitions of Mach4 and Avantec in April
2015, our acquisition of Aesynt in January 2016,  our acquisition of Ateb in December  2016, and most
recently,  our acquisition of InPharmics in April 2017. Surgichem was a provider of medication
adherence products in the United Kingdom.  Mach4 is a  provider of automated  medication management
systems to retail and hospital pharmacy customers  primarily in Europe,  with additional  installations  in
China, Africa, the Middle East and Latin  America. Avantec develops medication and supply
automation products that complement our  solutions for configurations  suited to the  United Kingdom
marketplace. Aesynt is a provider of automated medication  management systems,  including dispensing
robots with storage solutions, medication storage  and dispensing carts and cabinets,  I.V. sterile
preparation robotics and software, including software  related to medication management. Ateb  is a
provider of pharmacy-based patient care  solutions and medication synchronization  to  independent and
chain retail pharmacies. InPharmics is a provider  of advanced pharmacy informatics solutions to
hospital pharmacies. We have also developed  relationships with major  providers  of  hospital information
management systems with the goal of enhancing the  interoperability of our products with  their systems.
We believe that enhanced interoperability  will help reduce implementation costs, time, and
maintenance for shared clients, while providing new clinical workflows  designed to enhance efficiency
and  patient safety.

56

We  believe that the success of our three-leg strategy of differentiated products, expansion into new

markets and acquisition and partnership in future periods  will be based on,  among  other  factors:

(cid:127) Our expectation that the overall market demand for healthcare  services will  increase as the
population grows, life expectancies continue to increase and the quality  and  availability of
healthcare services increases;

(cid:127) Our expectation that the environment of increased patient safety awareness, increased regulatory

control, increased demand for innovative products that improve  the  care  experience  and
increased need for workflow efficiency through  the adoption of technology in the healthcare
industry will make our solutions a priority in the  capital budgets of  healthcare facilities;  and

(cid:127) Our belief that healthcare customers will  continue to value a consultative  customer experience

from their suppliers.

Among other financial measures, we  utilize product bookings to assess  the current success of our

strategies. Product bookings consist of  all  firm orders, as  evidenced generally by a  non-cancellable
contract and purchase order for equipment and software,  and by a purchase order  for consumables.
Equipment and software bookings are  generally installable within twelve months and, other than
subscription based sales, generally recorded as revenue upon  customer acceptance of  the installation.
Consumables are recorded as revenue  upon shipment to a customer or receipt by the customer,
depending upon contract terms. Consumable bookings are  generally recorded as revenue within one
month. Product bookings increased by 5%, from  $541 million in 2016  to  $568 million in 2017,  driven by
the success of our growth strategies in differentiated  products, new markets and, by the contributions
from our acquisitions of Aesynt, Ateb, and InPharmics.

In addition to product solution sales, we  provide  services to  our customers.  We provide installation

planning and consulting as part of every  product sale which is  included  in the initial  price of the
solution. To help assure the maximum  availability of our  systems, our customers typically purchase
maintenance and support contracts in increments  of one to five years. As  a result of  the growth of our
installed base of customers, our service revenues have also grown.

The growth in the  Medication Adherence revenue was primarily  driven by further market
penetration and adoption of our automated and semi-automated packaging equipment within the
United States and Europe, Middle East  and Africa (‘‘EMEA’’), as well as modest price increases  across
the product lines.

In the future, we expect our strategies  to  evolve as  the business environment  of  our  customers
evolves, but for our focus is to remain on  improving healthcare with solutions that help change the
practices in ways that improve patient  and provider outcomes. We expect  our  investment in
differentiated products, new markets,  and  acquisitions and  partnerships to continue.

In fiscal  year 2017, we created Centers  of Excellence  (‘‘COE’’) for product development,

engineering and manufacturing with the Point of Use COE located at our  facilities  in California, the
Robotics and Central Pharmacy COE  located at our  facilities near Pittsburgh, Pennsylvania and the
Medication Adherence Consumables  COE located at our facilities in St. Petersburg,  Florida. As part of
this  initiative, we reduced our workforce in the first half of 2017 by approximately 100  full-time
employees, or about 4% of the total  headcount, and  closed our  Nashville, Tennessee  and Slovenia
facilities.

Our full-time headcount of approximately  2,350 on  December  31, 2017, a decrease of

approximately 100 from December 31, 2016,  reflects our efforts to drive  profitability and optimize
resources allocation.

57

2017 Acquisitions

On April 12, 2017, we completed the acquisition of InPharmics, a technology and services company

that provides advanced pharmacy informatics solutions to hospital pharmacies. The purchase price
consideration was $5.0 million, net of cash  acquired  of  $0.3 million. The results  of InPharmics’
operations have been included in our consolidated results of operations beginning April 13, 2017, and
presented as part of the Automation  and  Analytics segment.

2016 Acquisitions

On January 5, 2016, we completed the  acquisition  of all of the membership interests of Aesynt.
Aesynt is a provider of automated medication management systems, including dispensing  robots  with
storage solutions, medication storage  and  dispensing carts and cabinets, I.V. sterile preparation  robotics
and software, including software related  to  medication management. The purchase price consideration
was $271.5 million net of cash acquired  of $8.2  million.  The  results of Aesynt’s operations  have been
included in our consolidated results of operations since  January 6,  2016, and  presented  as part  of the
Automation and Analytics segment.

On December 8, 2016, we completed our  acquisition  of Ateb, Inc., and Ateb Canada Ltd.

(together, ‘‘Ateb’’). Ateb is a provider of  pharmacy-based  patient  care and medication synchronization
solutions to independent and chain pharmacies. The purchase price consideration was  $40.7 million, net
of cash acquired of $0.9 million. The  results of Ateb’s operations have been  included in our
consolidated results of operations beginning December 9,  2016,  and presented  as part  of the
Medication Adherence segment.

CRITICAL ACCOUNTING POLICIES AND ESTIMATES

Our discussion and analysis of our financial condition and results of  operations are  based on  our

Consolidated Financial Statements, which  have  been prepared in accordance  with United States
Generally Accepted Accounting Principles (‘‘U.S.  GAAP’’). The  preparation of these financial
statements requires us to make certain estimates and assumptions that affect the reported  amounts of
assets and liabilities, disclosure of any  contingent  assets and liabilities  at  the date of  the financial
statements and the reported amounts of revenues and expenses during  the reporting periods. We
regularly review our estimates and assumptions, which are based  on historical experience and  various
other factors that are believed to be reasonable under the circumstances, the  results of which form the
basis for making judgments about the  carrying values  of certain assets  and liabilities  that  are not readily
apparent from other sources. Actual  results may differ  from  these estimates and assumptions. We
believe the following critical accounting  policies are affected  by significant judgments and estimates
used in the preparation of our Consolidated Financial Statements:

Revenue recognition

We  earn revenues from sales of our medication and medical and  surgical supply automation
systems along with consumables and  related services, which are sold in  the healthcare industry, our
principal market. Revenues are reported  net of discounts and  rebates provided  to  our  customers. Our
customer arrangements typically include one or more of the following deliverables:

Products. Software-enabled equipment that manages  and regulates the storage and dispensing of

pharmaceuticals, consumable blister cards and packaging equipment  and other  medical  supplies.

Software. Additional software applications that enable incremental functionality of our equipment.

Installation.

Installation of equipment as integrated systems at customers’  sites.

58

Post-installation technical support. Phone support, on-site service, parts and  access to unspecified

software upgrades and enhancements,  if  and  when available.

Professional services. Other customer services, such as training and consulting.

We recognize revenue when the earnings process is complete, based  upon its evaluation of whether

the following four criteria have been  met:

Persuasive evidence of an arrangement exists. We use signed customer contracts and signed

customer purchase orders as evidence  of  an  arrangement for leases and sales. For service engagements,
we use a signed services agreement and  a  statement of work to evidence an  arrangement.

Delivery has occurred. Equipment and embedded software product delivery is deemed to occur
upon successful installation and receipt of a signed and dated  customer  confirmation  of  installation
letter, providing evidence that we have  delivered what a customer  ordered. In  instances of  a customer
self-installation, product delivery is deemed to have occurred upon receipt  of a signed  and dated
customer confirmation letter. If a sale does  not  require installation, we recognize revenue  on delivery
of products to the customer, including transfer  of  title and risk of loss, assuming all other revenue
criteria are met. For existing distributors,  where  installation  of  equipment training has  been previously
provided and the distributor is certified  to  install our equipment at the end-user customer facility, we
recognize revenue from sales of products  to  the distributor upon shipment assuming  all  other revenue
criteria are met, net of allowance for rights  of  return or refund. For  new  distributors,  where we have
not provided installation of equipment  training, revenue on the sales  of products to the distributor is
deferred until the distributor has completed the Distributor Training Program  and has  been certified to
install our equipment at the end-user  facility. For the  sale of consumable  blister cards, we  recognize
revenue when title and risk of loss of the  products shipped have transferred to the customer, which
usually occurs upon shipment from our  facilities.  Assuming all  other revenue criteria are met, we
recognize revenue for support services  ratably  over the related support  services contract period. We
recognize revenue on training and professional services  as they  are  performed.

Fee is fixed or determinable. We assess whether a fee is fixed or determinable at  the outset  of the

arrangement based on the payment terms associated  with the  transaction. We have  established a history
of collecting under the original contract  without  providing concessions on payments, products or
services.

Collection is probable. We assess the probability of collecting from each customer at the outset of

the arrangement based on a number  of  factors, including the customer’s payment  history and  its
current creditworthiness. If, in our judgment, collection  of  a fee is not probable,  we defer revenue
recognition until the uncertainty is removed, which  generally  means revenue is  recognized upon our
receipt of cash payment assuming all  other revenue criteria are met. Our historical experience has been
that collection from our customers is  generally  probable.

In arrangements with multiple deliverables,  assuming all other  revenue criteria are met, we
recognize revenue for individual delivered  items if they have  value to the  customer on a standalone
basis. We allocate arrangement consideration at the inception  of  the arrangement  to  all  deliverables
using the relative selling price method.  This method requires us to determine  the selling  price at  which
each  deliverable could be sold if it were sold regularly on a standalone basis. When available, we  use
vendor-specific objective evidence (‘‘VSOE’’) of the selling  price. VSOE  represents  the price charged
for a deliverable when it is sold separately, or  for a  deliverable not yet being  sold separately, the price
established by management with the  relevant authority. We  consider VSOE to exist when approximately
80% or more of its standalone sales of an item  are priced within a reasonably narrow pricing range
(plus or minus 15% of the median rates).  We  have established VSOE of the selling price for our
post-installation technical support services and professional services. When VSOE of selling price is not
available, third-party evidence (‘‘TPE’’) of selling price for similar  products and services is acceptable;

59

however, our offerings and market strategy differ from those  of our competitors, such  that  we cannot
obtain sufficient comparable information about third  parties’ prices.  If neither VSOE nor  TPE are
available, we use our best estimates of selling prices (‘‘BESP’’). We  determine BESP considering  factors
such as market conditions, sales channels,  internal costs and  product margin objectives and  pricing
practices. We regularly review and update our VSOE and BESP  information.

The relative selling price method allocates  total  arrangement consideration proportionally to each

deliverable on the basis of its estimated  selling price.  In  addition, the  amount  recognized for any
delivered items cannot exceed that which  is  not  contingent upon  delivery of any remaining  items  in the
arrangement.

We  also use the residual method to allocate revenue  between the software  products that enable
incremental equipment functionality,  and thus are not deemed to deliver its essential  functionality, and
the related post-installation technical support,  as these  products  and services continue to be accounted
for under software revenue recognition rules. Under the  residual method,  the amount allocated  to  the
undelivered elements equals VSOE of  fair value of these elements. Any remaining  amounts  are
attributed to the delivered items and  are  recognized  when those items are delivered.

A portion of our sales are made through multi-year lease agreements. Under  sales-type leases,  we

recognize revenue for our hardware and software products net of lease execution  costs such as
post-installation product maintenance and technical support, at the net  present  value of  the lease
payment stream once our installation obligations have been met. We have  no obligation to the  leasing
company once the lease has been sold.  Some of our sales-type leases, mostly  those relating to U.S.
government hospitals which comprise  approximately 33%  of  the lease receivable balance, are retained
in-house. Interest income in these leases is  recognized  in product revenue using the  effective interest
method.

Allowance for doubtful accounts and  notes receivables from investment in  sales-types  leases

We  maintain an allowance for doubtful accounts  for estimated losses resulting from  the inability of

our  customers to make required payments.  We  record a specific allowance based  on an analysis of
individual past-due balances. Additionally, based on historical  write-offs and  our collection  experience,
we record an additional allowance based on a  percentage  of  outstanding receivables.  We perform credit
evaluations of our customers’ financial  condition. These evaluations require significant judgment and
are based on a variety of factors including, but not limited to, current economic  trends, payment history
and a financial review of the customer. Actual collection  losses  may differ from management’s
estimates, and such differences could be material to our financial  position and results  of  operations.

There were no customers that accounted for  more  than  10%  of our accounts receivable  balance  as

of December 31, 2017 and 2016.

The retained in-house leases discussed  above are considered financing receivables. Our credit

policies and our evaluation of credit  risk and write-off policies  are  applied alike  to  trade receivables
and the net investment in sales-type  leases. For both, an account is generally past  due  after thirty days.
The financing receivables also have customer-specific reserves for accounts identified  for specific
impairment and a non-specific reserve  applied  to  the remaining population, based on  factors such  as
current trends, the length of time the receivables are past  due and historical collection experience. The
retained in-house leases are not stratified  by portfolio or  class.

Inventory

Inventories are stated at the lower of  cost, computed using the first-in, first-out method, and  net

realizable value. Inbound shipping costs are included in cost  of inventory. We regularly monitor
inventory quantities on hand and record  write-downs  for excess and  obsolete  inventories based on our

60

estimate of demand for our products,  potential obsolescence  of technology, product life cycles, and
whether pricing trends or forecasts indicate that the carrying value  of  inventory exceeds its estimated
selling price. These factors are impacted by market and economic conditions, technology  changes, and
new product introductions and require estimates  that may include elements  that  are uncertain. Actual
demand may differ from forecasted demand  and  may  have a  material effect  on gross margins. If
inventory is written down, a new cost basis  is established that  cannot  be  increased  in future  periods.
Shipments from suppliers or contract manufacturers before we receive them are recorded  as in-transit
inventory when title and the significant risks and rewards of ownership have passed to us.

Software development costs

We  capitalize software development costs  in accordance with ASC 985-20, Costs of Software to Be
Sold, Leased, or Marketed, under which certain software development costs incurred subsequent  to  the
establishment of technological feasibility  may  be  capitalized and  amortized  over the estimated lives  of
the related products. We establish feasibility when  we complete a working  model  and amortize
development costs over the estimated  lives of the related products  ranging from  three to five years. All
development costs prior to the completion of  a working  model  are recognized as research and
development expense.

Business combinations

We use the acquisition method of accounting under the authoritative  guidance on  business
combinations. Each acquired company’s operating results  are included in  our Consolidated  Financial
Statements starting on the date of acquisition.  The purchase price is equivalent to the fair value  of
consideration transferred. Tangible and identifiable intangible assets acquired and liabilities assumed  as
of the date of acquisition are recorded at the acquisition date fair value. Goodwill  is recognized for  the
excess of purchase price over the net  fair value of assets  acquired and  liabilities assumed.

Amounts allocated to assets and liabilities are based  upon  fair values. Such valuations require
management to make significant estimates and assumptions, especially  with respect to the  identifiable
intangible assets. Management makes estimates of fair  value  based upon  assumptions  believed to be
reasonable and that of a market participant. These estimates  are  based on historical experience and
information obtained from the management of  the acquired companies and the  estimates are inherently
uncertain. The separately identifiable intangible assets generally include  customer relationships,
technology, and trade names.

Goodwill and acquired intangible assets

Goodwill. We review goodwill for impairment on  an annual  basis on the  first day of the fourth

quarter of each year at the reporting  unit level. Our  reporting units are the  same as our operating
segments, which are Automation and Analytics and Medication  Adherence. A  qualitative assessment  is
initially made to determine whether it is necessary  to  perform quantitative testing. A  qualitative
assessment includes, among others, consideration of:  (i) past, current and projected future  earnings and
equity;  (ii) recent trends and market conditions; and (iii) valuation metrics involving  similar companies
that are publicly-traded and acquisitions  of  similar companies, if available. If this qualitative  assessment
indicates  that it is more likely than not that  impairment  exists,  or if we decide to bypass this option,  we
proceed to the quantitative assessment. The quantitative assessment involves  a comparison  between the
estimated fair values of our reporting  units  with their  respective  carrying amounts  including goodwill. If
the carrying value exceeds estimated fair value,  we  will record an impairment charge based on that
difference. The impairment charge will be limited to the amount  of goodwill  allocated to that reporting
unit.

61

To determine each reporting unit’s fair value under the quantitative approach,  we use a

combination of income and market approaches, equally weighting  the two  approaches,  such as
estimated discounted future cash flows of that reporting unit,  multiples of earnings or revenues, and
analysis of recent sales or offerings of comparable  entities. We also consider our market capitalization
on the date of the analysis to ensure the  reasonableness  of the sum  of its  reporting units’ fair  value.

We  performed a quantitative impairment analysis as  of  October 1,  2017 for our Medication
Adherence reporting unit. We determined  that the  fair value of this reporting unit exceeded  the
carrying  value by more than 40%, and  thus  no impairment was indicated. Additionally, we performed  a
qualitative impairment assessment analysis as of October  1, 2017 for  our Automation and Analytics
reporting unit taking into consideration  past, current and projected future earnings, recent  trends and
market conditions; and valuation metrics involving similar companies that are publicly-traded. Based on
the result of this analysis, the fair value of this reporting unit  exceeded the  carrying value, and  thus no
impairment was indicated.

Intangible assets.

In connection with our acquisitions, we generally recognize assets for customer

relationships, backlog, developed technology, and trade  names. Intangible assets are carried at  cost less
accumulated amortization. Such amortization is provided on  a  straight-line basis or  on an  accelerated
basis based on a pattern of economic  benefit that is  expected to be obtained over the estimated  useful
lives of the respective assets, generally from one to 30 years. Amortization for  developed  technology
and  backlog is recognized in cost of revenues, and  amortization for customer relationships,
non-compete agreements, and trade names is  recognized  in selling, general and  administrative expenses.

We assess the impairment of identifiable  intangible assets whenever events or changes in
circumstances indicate that an asset’s  carrying  amount  may  not be recoverable.  Recoverability of an
asset is measured by the comparison  of the carrying amount to the sum of the undiscounted estimated
future cash flows the asset is expected to generate,  offset by estimated future costs  to  dispose of the
product to which the asset relates. If  an asset is considered to be impaired, the amount of such
impairment would be measured as the difference between the carrying amount of the asset  and its fair
value. Our cash flow assumptions are based on historical  and forecasted future revenue, operating
costs, and other relevant factors. Assumptions and estimates about the  remaining  useful lives  of  our
intangible assets are subjective and are affected by  changes  to  our business strategies. If  management’s
estimates of future operating results change, or if there are changes to other assumptions, the estimate
of the fair value of our assets could change significantly. Such change could result in impairment
charges in future periods, which could  have a significant impact  on our operating  results and financial
condition.

Share-based compensation

We account for share-based compensation  in accordance with ASC 718, Stock Compensation
(‘‘ASC  718’’). We recognize compensation  expense related to stock-based  compensation based on the
grant date estimated fair value.

The fair value of stock options (‘‘options’’)  on the grant date is  estimated using the Black-Scholes

option pricing model, which requires  the following inputs:  expected  life,  expected volatility, risk-free
interest rate, expected dividend yield  rate, exercise  price, and closing  price of its common stock on the
date  of  grant. The expected volatility is  based  on a  combination  of  historical and  market-based implied
volatility, and the expected life of the  awards is based on our  historical  experience of employee  stock
option exercises, including forfeitures.  Expense is recognized  on  a  straight-line basis over  the requisite
service period.

The fair value of Restricted Stock Units (‘‘RSUs’’)  is based  on the stock price on the  grant date.

The fair value of Restricted Stock Awards  (‘‘RSAs’’) is  their intrinsic value, which is the  difference
between the fair value of the underlying stock at  the measurement  date and the purchase price.  The

62

RSUs and RSAs are subject to a service  vesting  condition and are recognized on  a straight-line  basis
over the requisite service period.

The fair value of PSUs with service and market conditions is estimated using a Monte Carlo
simulation model applying multiple awards  approach. Expense is  recognized  when it is probable  that
the performance condition will be met using the  accelerated  attribution  method over the  requisite
service period.

The valuation assumptions used in estimating the fair value of employee share-based  awards may

change in future periods

Accounting for income taxes

On December 22, 2017, the Tax Cuts and Jobs Act (the  Act) was signed into  law. The  Act changed

many  aspects of U.S. corporate income  taxation and included  reduction of the  corporate income tax
rate from 35% to 21%, implementation  of a  territorial tax system  and imposition of  a tax  on deemed
repatriated earnings of foreign subsidiaries. At December 31, 2017,  we  had not completed our
accounting for the  tax effects of enactment of the Act; however,  we made  a reasonable estimate  of the
effects on our existing deferred tax balances  and  the one-time transition tax. We will continue to assess
our  provision for income taxes as future  guidance is  issued,  but do not currently anticipate significant
revisions will  be necessary. Any such  revisions will be treated in  accordance with the  measurement
period guidance outlined in Staff Accounting Bulletin No. 118.

We  record an income tax provision for (benefit from) the  anticipated tax consequences of the
reported results of operations. In accordance with ASC 740, Income Taxes  (‘‘ASC 740’’), the provision
for (benefit from) income taxes is computed using the  asset and liability method, which  requires the
recognition of deferred tax assets and liabilities  for the  expected future tax consequences  of  events that
have been included in the financial statements. Under this  method, deferred tax  assets and liabilities
are determined on the basis of the differences between the  financial statement  and tax bases of assets
and liabilities, and for operating losses  and  tax  credit carry forwards. Deferred tax assets and liabilities
are measured using the enacted tax rates  in  effect for the periods in which those tax assets  and
liabilities are expected to be realized or settled. In the  event that these  tax  rates  change,  we will incur a
benefit or detriment on our income tax  expense in  the period of change. If we were to determine  that
all or part of the net deferred tax assets are not realizable  in the future, we will record  a valuation
allowance that would be charged to earnings  in the period such  determination is made.

In accordance with ASC 740, we recognize the tax benefit  from an uncertain tax position if it  is
more likely than not that 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 ultimate  settlement.  The calculation of tax liabilities involves
significant judgment in estimating the impact of uncertainties  in the  application  of  ASC  740 and
complex tax laws. Resolution of these  uncertainties in  a manner  inconsistent with management’s
expectations could have a material impact on our financial  condition  and  operating results.

Recently issued authoritative guidance

Refer to Note 1, Organization and Summary of  Significant  Accounting Policies, of  the Notes  to
Consolidated Financial Statements in  this annual report for a description  of recently issued accounting
pronouncements, including the expected  dates of adoption and estimated effects on our results of
operations, financial position and cash  flows.

63

Total  Revenues

RESULTS OF OPERATIONS

Change in

Change in

2017

$

%

2016

$

%

2015

(Dollars in thousands)

Product revenues . . . . . . . . . . . .
Percentage of total revenues . . .
Service and other  revenues . . . .
Percentage of total revenues . . .

$506,209

$(11,735)

(2)% $517,944

$129,547

33% $388,397

71%

75%

80%

209,956

35,277

20% 174,679

78,517

82% 96,162

29%

25%

20%

Total revenues . . . . . . . . . .

$716,165

$ 23,542

3% $692,623

$208,064

43% $484,559

2017 compared to 2016:

Revenues were $716.2 million for the  year  ended December 31, 2017 compared to $692.6 million

for the year ended December 31, 2016,  representing  an increase of  approximately  3%. The
year-over-year revenue increase was primarily  attributed  to an increase in  service  and other  revenues of
$35.3 million, offset by a decrease in  product revenues of $11.7  million.

Product revenues represented 71% and  75% of total revenues for the years ended December  31,

2017 and 2016, respectively. Product revenues  decreased  by $11.7  million  due  to  decreased  sales in our
Automation and Analytics segment of $20.3 million, offset by increased  sales  of  $8.6 million in our
Medication Adherence segment. The decrease in  the Automation and Analytics segment was attributed
to a slower conversion of bookings and  backlog into revenue due  to  the introduction of the new
XT  series of products in the fourth quarter of 2016. While we have experienced larger deal sizes, the
administrative process of converting our  existing bookings of G4 products into XT series products
decreased revenue recognition for the  year ended December 31, 2017 compared to the  year  ended
December 31, 2016. The increase in the Medication Adherence segment  was partially  attributed to
Ateb, acquired in the fourth quarter of 2016,  which contributed $4.2  million to the  increase in the
product  revenue during the year ended  December 31,  2017. The remainder of the increase  is primarily
attributed to the introduction of the VBM  product series  in the fourth quarter of 2016.

Service and other  revenues represented 29% and 25% of  total  revenues for the  years  ended
December 31, 2017 and 2016, respectively. Service and other  revenues include  revenues from  service
and maintenance contracts and rentals of  automation systems.  The  increase in service and other
revenues of $35.3 million was attributable  to year over  year increases of $17.1  million and $18.2  million
in our Automation and Analytics and  Medication Adherence segments, respectively. The increase  in
revenue growth in our Automation and  Analytics segment was  a  result of higher service renewal fees
driven mainly by an increase in installed  customer  base.  The increase in  the Medication Adherence
segment was primarily attributed to Ateb, which contributed $18.7  million  to  the increase in  the service
revenue during the year ended December  31, 2017.

Our international sales represented 14%, 15% and 17% of total  revenues  for the  years  ended
December 31, 2017, December 31, 2016 and December 31,  2015, respectively,  and are expected  to  be
affected by foreign currency exchange rates fluctuations. The decrease as a percentage  of our  total
revenues in international revenues was  primarily related  to our  recently  acquired companies, Aesynt
and Ateb, which have a higher market  presence in United States compared  to  international  markets.
We  are unable to predict the extent to  which revenue in future periods will be impacted by changes in
foreign currency exchange rates.

Our ability to continue to grow revenue is  dependent on our ability  to  continue to obtain orders
from customers, our ability to produce quality products and consumables to fulfill customer  demand,

64

the volume of installations we are able to complete, our ability to meet customer needs by providing  a
quality installation experience, and our flexibility in  manpower allocations among customers to
complete installations on a timely basis.  The  timing of our product revenues  for equipment  is primarily
dependent on when our customers’ schedules allow for installations.

2016 compared to 2015:

Revenues were $692.6 million for the  year  ended December 31, 2016 compared to $484.6 million

for the year ended December 31, 2015,  representing  an increase of  approximately  43%. The
year-over-year revenue increase was primarily  attributed  to increases in product revenues of
$129.5 million and in services and other  revenue of $78.5 million.

Product revenues represented 75% and  80% of total revenues for the years ended December  31,

2016 and 2015, respectively. The increase in product revenues of $129.5 million  was due to the recently
acquired companies, primarily Aesynt which contributed $86.9  million to the  increase, and to a lesser
degree, a full year of operations of Mach4 and Avantec. The remaining increase was attributed to
revenue growth in our Automation and  Analytics segment due to customer  conversions, larger  orders
received from our existing customers, and higher  implementations, partially offset  by  decreases in  lease
renewals. Our Medication Adherence segment  contributed $3.2 million to the overall product revenue
growth, primarily due to the increase  in  the consumable products sales of $5.2 million,  partially  offset
by decrease in equipment sales of $2.4  million due  to  the timing of installations.

Service and other  revenues represented 25% and 20% of  total  revenues for the  years  ended
December 31, 2016 and 2015, respectively. The increase  in service revenues of $78.5 million was due to
the recently acquired companies, primarily Aesynt  which contributed $68.9  million  to  the increase, and
to a lesser degree, a full year of operations of Mach4  and  Avantec. The remaining increase  was
primarily attributed to revenue growth  in our Automation and Analytics  segment as  result of higher
service renewal fees driven mainly by an  increase in installed customer base. Our Medication
Adherence segment contributed $1.6  million primarily due to  the Ateb  acquisition.

Financial Information by Segment

Revenues

Revenues:

Change in

Change in

2017

$

%

2016

$

%

2015

(Dollars in thousands)

Automation and Analytics . . . .
Percentage of total revenues . .
Medication Adherence . . . . . .
Percentage of total revenues . .

$590,392

$ (3,234)

(1)% $593,626

$203,305

52% $390,321

82%

86%

81%

125,773

26,776

27% 98,997

4,759

5% 94,238

18%

14%

19%

Total revenues . . . . . . . . . . . . . .

$716,165

$23,542

3% $692,623

$208,064

43% $484,559

2017 compared to 2016:

The decrease in Automation and Analytics  revenues of  $3.2 million for  the year ended
December 31, 2017 as compared to the year ended  December  31, 2016 was primarily related to a
decrease in product revenues of $20.3 million partially offset by  an increase  in service revenue  of
$17.1 million. The decrease in revenues in the Automation and Analytics  segment  was attributed  to  a
slower conversion of bookings and backlog  into  revenue due  to  the  introduction of  the new XT series
of products in the fourth quarter of 2016. While we  have experienced  larger deal sizes, the
administrative process of converting our  existing bookings of G4 products into XT series products has

65

decelerated revenue recognition for the year ended December 31,  2017 compared to the  year ended
December 31, 2016. Service revenue  increase in the Automation and Analytics segment was primarily
attributed to higher service renewal fees  driven mainly by an  increase in  installed customer base.

The increase in Medication Adherence  revenues  of  $26.8 million for the year ended December 31,
2017 as compared to the year ended December 31,  2016 was primarily attributed to increases in  service
revenues of $18.2 million and product  revenues of $8.6  million. The  increase in service revenues was
primarily attributed to Ateb, which contributed $18.7  million to the  increase during the  year ended
December 31, 2017. Product revenue increase was primarily attributed to  Ateb,  which contributed
$4.2 million to the increase, as well as  the  introduction of the VBM product  series in the fourth
quarter of 2016.

2016 compared to 2015:

The increase in Automation and Analytics  revenues  for the  year ended December  31, 2016 as

compared to the year ended December 31,  2015 was primarily related  to  an increase in product
revenues of $126.4 million and an increase in service revenue  of  $76.9 million. The increase  in product
and service revenue is attributable to the  recently acquired companies, primarily Aesynt, and to a lesser
degree a full year of operations for Mach4 and  Avantec. Aesynt contributed $86.9 million and
$68.9 million to the increase in product  and  service  revenues,  respectively. The remaining increase was
attributed to customer conversions, larger  orders  received from our  existing customers, higher
implementations, and higher service  renewal fees driven mainly by an increase in the installed customer
base, partially offset by decreases in lease  renewals.

Medication Adherence revenues increased for the year ended  December  31,  2016 as compared to

the year ended December 31, 2015 and was  primarily attributable to an increase in product revenues of
$3.2 million, mainly due to the increase  in consumable product sales which  increased $5.2 million
compared to the year ended December 31,  2015. This increase  was  partially  offset by a decrease in
equipment sales of $2.4 million due to  the timing  of  installations.

Cost of Revenues and Gross Profit

Cost of revenues is primarily comprised of three  general  categories: (i) standard product costs
which  accounts for the majority of the product cost of revenues  that are provided to customers, and are
inclusive of purchased material, labor to build the  product and  overhead costs associated with
production; (ii) installation costs as we install our equipment at the customer site and include costs of
the field installation personnel, including  labor, travel  expense, and other expenses; and (iii)  other

66

costs, including variances in standard costs and overhead,  scrap costs, rework, warranty, provisions  for
excess and obsolete inventory and amortization of software development costs  and intangibles.

Change in

Change in

2017

$

%

2016

$

%

2015

(Dollars in thousands)

Cost of revenues:

Automation and Analytics . . . . . . . . . .
As a percentage of related revenues . . .
Medication Adherence . . . . . . . . . . . .
As a percentage of related revenues . . .

$308,443

$ (2,524)

(1)% $310,967

$139,024

81% $171,943

52%

52%

44%

85,634

17,778

26%

67,856

3,170

5%

64,686

68%

69%

69%

Total cost of revenues . . . . . . . . . . . . . .

$394,077

$15,254

4% $378,823

$142,194

60% $236,629

As a percentage of total revenues . . . . .

55%

55%

49%

Gross profit:

Automation and Analytics . . . . . . . . . .
Automation and Analytics gross margin
Medication Adherence . . . . . . . . . . . .
Medication Adherence gross margin . . .

$281,949

$ (710) —% $282,659

$ 64,281

29% $218,378

48%

48%

56%

40,139

8,998

29%

31,141

1,589

5%

29,552

32%

31%

31%

Total gross profit . . . . . . . . . . . . . . . . . .

$322,088

$ 8,288

3% $313,800

$ 65,870

27% $247,930

Total gross margin . . . . . . . . . . . . . .

45%

45%

51%

2017 compared to 2016:

Cost of Revenues

Automation and Analytics. Cost of revenues for the year ended December 31, 2017 decreased by

$2.5 million compared to the year ended December 31, 2016  primarily due to a decrease in product
costs of $9.1 million, partially offset by  an  increase in service costs of $6.5  million. The  decrease in
product  costs is primarily due to the  decrease in product  revenues of $20.3 million partially offset  by
costs attributed to the XT series manufacturing ramp up, including costs related  to  design refinement
and lower overhead absorption due to  the decrease of revenues from  the XT  conversion.  The  increase
in service costs is primarily due to the increase  in service revenues of $17.1  million,  which is  offset by a
slight decrease in costs due to efficiencies from scaling  and  cost saving activities.

Medication Adherence. Cost of revenues increased by $17.8 million for  the year ended

December 31, 2017 as compared to the year ended  December  31, 2016 primarily due to the increase in
product  costs and service costs of $11.5 million  and  $6.3 million,  respectively. The  increase in product
costs was attributed to (i) increase in product revenues of $8.6 million,  (ii) increase in product costs of
$5.4 million related to Ateb, and (iii)  product mix from higher volume of sales  of lower margin
products. The increase in service costs was primarily attributed to the increase in service costs of
$6.3 million related to Ateb.

2016 compared to 2015:

Cost of Revenues

Automation and Analytics. Cost of revenues increased by $139.0 million, primarily  due to an
increase in product costs of $101.7 million. The increase  was attributed to the acquired companies,
mainly Aesynt, and to a lesser degree  Mach4 and Avantec  due to a full year of operations in 2016.  The
increase in cost of product revenues from Aesynt  of $78.1 million, includes the  amortization  expense
for developed technology of $4.9 million, amortization  of backlog of  $13.7 million, and  inventory
step-up fair value adjustment of $3.7  million resulting  from  the purchase accounting. The  remaining
difference is due to customer and product  mixes and overall growth  in product  sales. Cost of service

67

revenues increased by $37.3 million primarily due to costs related to the acquired  companies, mainly
Aesynt which contributed $33.7 million to the increase  in cost  of  service revenue.

Medication Adherence. Cost of revenues increased by $3.2 million compared  to  the year ended

December 31, 2015. The change is due to product  and service cost of revenues which increased
$2.3 million and $0.9 million, respectively,  mainly attributed to customer and product  mixes and overall
growth in product sales.

Operating Expenses and Income from  Operations

2017

Change in

$

%

2016

(Dollars in thousands)

Change in

$

%

2015

Operating expenses:

Research and  development

. . . . . . $ 66,022

$ 8,223

14% $ 57,799

$ 22,639

64% $ 35,160

As a percentage of  total revenues
.
Selling, general  and  administrative .
.
As a percentage of  total revenues
Gain on business  combination . . . . . .

9%

8%

7%

250,312

792 —% 249,520

81,939

49% 167,581

35%
—

— —%

36%
—

3,443 (100)% (3,443)

35%

Total operating  expenses . . . . . . . . . . $316,334

$ 9,015

3% $307,319

$108,021

54% $199,298

As a percentage of  total revenues

.

44%

44%

41%

Income (loss) from operations:

Automation and Analytics . . . . . . . $ 88,249

$ 4,101

5% $ 84,148

$ (20,146)

(19)% $104,294

Operating margin . . . . . . . . . . . .
Medication Adherence . . . . . . . . .
Operating margin . . . . . . . . . . . .
Corporate expenses  (‘‘Common’’) . .

15%

14%

27%

(1,596)

(7,894) (125)%

6,298

1,004

19%

5,294

(1)%

6%

6%

(80,899)

3,066

(4)% (83,965)

(23,009)

38% (60,956)

Total income from operations . . . . . . $

5,754

$ (727)

(11)% $

6,481

$ (42,151)

(87)% $ 48,632

Total operating  margin . . . . . . . .

1%

1%

10%

2017 compared to 2016:

Research and Development. Research and development expenses increased $8.2  million for the
year ended December 31, 2017 as compared to year ended December 31,  2016, primarily driven by
increases of $0.2 million and $6.8 million  in our Automation and Analytics and  Medication Adherence
segments, respectively. In addition, corporate-related research  and  development expenses  increased by
$1.2 million. The increase in our Medication and Adherence  segment was primarily attributable to
recently acquired Ateb, which contributed $5.5  million  to  the increase year over year. The remaining
increase in the Medication Adherence segment  is primarily  related  to  continued  investment in the
segment. The increase in the corporate-related expenses related to new and ongoing research and
development projects.

Selling, General and Administrative. Selling, general and administrative expenses increased

$0.8 million for the year ended December  31, 2017 as compared to year ended December 31, 2016 due
to an increase in our Medication Adherence segment of $10.1 million, offset by decreases from  our
Automation and Analytics segment of $5.0 million and corporate-related expenses  of $4.3 million. The
increase from our Medication Adherence segment  is primarily attributed to Ateb, which  contributed
$9.1 million to the increase. The remaining increase  is  primarily due to normal growth to support the
business and attributed to higher commissions, benefits and salaries, and other  investment in the
business. The decrease in our Automation  and Analytics  segment was mainly due to (i) lower
amortization expense related to intangible  assets of $2.4 million, (ii) a decrease in commissions of

68

$3.2 million due to decrease in product  revenue, and  (iii)  a decrease in  professional  fees  of  $1.8 million
related to Aesynt. The decreases are  offset by normal growth  of operations.  The decrease in  our
corporate-related expenses was mainly due to lower integration and acquisition related cost as  well as
an overall reduction in cost as part of cost saving initiatives.

2016 compared to 2015:

Research and Development. Research and development expenses increased $22.6  million for the

year ended December 31, 2016 as compared to year ended December 31,  2015, primarily driven by an
increase of $22.9 million in our Automation and Analytics segment which  was  partially  offset by a
decrease of $0.3 million in our Medication Adherence  segment. The increase in  our  Automation and
Analytics segment was primarily attributable to recently acquired  companies, primarily Aesynt which
contributed $19.4 million to the increase year  over year. The remaining increase  is mainly due to the
increase in employee related expenses  of  $2.2  million as result of the increase in  headcount and
increase in consulting fees of $0.7 million  related  to  ongoing  research and  development projects.

Selling, General and Administrative. Selling, general and administrative expenses increased
$81.9 million for the year ended December 31, 2016 as compared to year ended December 31, 2015
due to increases from our Automation  and Analytics segment of $58.3 million, increases in corporate
expenses of $22.7 million and increases from our Medication Adherence  segment of $0.1 million. The
increase from our Automation and Analytics segment  was  attributed  to  the newly acquired companies,
primarily Aesynt which accounted for $40.7 million of the increase. The remaining increase is  mainly
due to (i) increase of $2.3 million in  commission expense  and $1.2 million in GPO fees due to
increased revenue and timing of expense  recognition, (ii) increase of $3.2 million in consulting and
professional fees related to integration of  recently acquired businesses and (iii) increase of $5.1  million
employee related expenses as result of headcount increases.  The increase in corporate related expenses
is mainly due to (i) increase of $7.0 million in employee related expenses as result of headcount
increases, (ii) increase of $1.7 million in  bonus expenses, (iii) increase of $0.1 million in travel related
expenses, (iv) increase of $2.5 million in depreciation  expense, (v) increase of $1.8 million in software
related fees and (vi) increase of $5.8 million in  health and dental insurance costs.

Provision for (Benefit from) Taxes

Change in

Change  in

2017

$

%

2016

$

%

2015

(Dollars in thousands)

Provision for (benefit from) income

taxes . . . . . . . . . . . . . . . . . . . . . $(21,484)
Effective tax rate on earnings . . . . .

2,444%

$(18,933) 742% $(2,551)

$(18,035) (116)% $15,484

131%

34%

2017 compared to 2016:

We  recorded a benefit from income taxes of $21.5 million and an effective  tax rate of 2,444%  for
the year ended December 31, 2017, compared to a tax benefit of $2.6 million and an effective tax rate
of 131% for the year ended December 31,  2016. The 2017  annual  effective  tax rate differed from the
statutory tax rate of 35%, primarily due  to a  favorable impact from  the U.S.  tax reform  legislation that
resulted in the recognition of a one-time benefit of $13.4 million from the revaluation of deferred  tax
assets and liabilities, as well as recording of  the excess tax benefit from the  equity-based compensation
within income tax  expense effective 2017, and favorable impact  of research and development credits,
the domestic production activities deduction,  offset by unfavorable impact  of geographic mix of
earnings. The increase in the annual effective tax rate as  compared to 2016  was  primarily  due  to  the
favorable impact from enactment of  the  U.S.  tax  reform entitled the 2017 Tax  Cuts  and Jobs  Act (the
‘‘Act’’) discussed further in Note 15 to our  Consolidated Financial Statements.

69

2016 compared to 2015:

We  recorded a benefit from income taxes of $2.6 million and an effective  tax rate of 131%  for the

year ended December 31, 2016, compared to a tax provision  of $15.5 million and  an effective tax rate
of 34% for the year ended December 31,  2015. The 2016  annual  effective  tax rate differed from the
statutory tax rate of 35%, primarily due  to the favorable impact of  the  IRS settlement  and release of
reserves, the domestic production activities deduction,  and  a  calculated  benefit  in state  income  taxes,
offset by unfavorable items such as non-deductible transaction costs, and  non-deductible equity  charges
under ASC 740-718. The increase in  the annual effective  tax  rate as compared to 2015 was  primarily
due to a decrease in overall profitability  and the benefit recorded  as a  result of reserve releases after
the IRS’ examination.

LIQUIDITY AND CAPITAL RESOURCES

We  had cash and cash equivalents of  $32.4 million at December 31, 2017,  compared to
$54.5 million at December 31, 2016.  All  of our cash and cash equivalents  are invested in demand
deposits only.

Our cash  position and working capital at  December 31,  2017 and  December  31, 2016 were as

follows:

Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 32,424

$ 54,488

Working Capital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$154,585

$134,496

Our ratio of current assets to current liabilities was 1.7:1 at December  31, 2017 and at

December 31,

2017

2016

(In thousands)

December 31, 2016.

Sources of Cash

On January 5, 2016, we entered into a $400 million secured  credit facility pursuant to a credit
agreement, by and among us, the lenders  from time  to  time party thereto,  Wells Fargo Securities, LLC,
as sole lead arranger and Wells Fargo  Bank, National Association, as administrative agent (the ‘‘Credit
Agreement’’). The Credit Agreement  provides  for a  $200 million term loan  facility  (the ‘‘Term Loan
Facility’’), and prior to the amendment discussed below, a $200 million revolving credit facility (the
‘‘Revolving Credit Facility’’ and together  with  the Term Loan Facility, the  ‘‘Facilities’’).  In addition, the
Credit  Agreement includes a letter of credit sub-limit  of up  to  $10 million  and a  swing line  loan
sub-limit of up to $10 million.

On December 26, 2017 and April 11, 2017,  we entered  into  the amendments to the Credit

Agreement. Under these amendments,  the Revolving Credit  Facility was  increased  from $200 million to
$315 million and certain other modifications were made. Refer to Note 8, Debt,  of the Notes to the
Consolidated Financial Statements included in  this  annual report.  We  expect  to  use future loans under
the Revolving Credit Facility, if any,  for  general corporate purposes, including  acquisitions.

As of December 31, 2017, the outstanding balance from the  Facilities was $217  million  and we

were in full compliance with all covenants.

On November 3, 2017, we entered into a  Distribution Agreement (the ‘‘Distribution  Agreement’’)
with J.P. Morgan Securities LLC, Wells  Fargo Securities, LLC  and HSBC Securities (USA)  Inc., as our
sales agents (collectively, the ‘‘Sales Agents’’), pursuant to which we may offer  and sell from time to
time through the Sales Agents up to $125  million maximum  aggregate offering price of our common

70

stock. Sales of the common stock pursuant to the Distribution  Agreement may be made in negotiated
transactions or transactions that are  deemed  to  be  ‘‘at the  market’’  offerings as defined in Rule 415
under the Securities Act, including sales made directly on the Nasdaq  Stock Market,  or sales made  to
or through a market maker other than  on an exchange. We intend to use the net  proceeds from  the
sale, if any, of common stock in the offering for general corporate purposes,  which may include,
without limitation, the acquisition of  complementary businesses, the repayment of outstanding
indebtedness, capital expenditures and  working  capital.

For the year ended December 31, 2017,  we generated  gross proceeds of $14.7 million from sales of

our  common stock under the Distribution  Agreement  and  incurred issuance costs  of $0.8 million on
sales of approximately 294,000 shares of our  common  stock at an average price  of approximately  $49.85
per  share.

Uses of Cash

Our future uses of cash are expected to be primarily  for  working capital, capital expenditures, loan

principal and interest payments, and other contractual obligations. We also expect a continued use of
cash for potential acquisitions and acquisition assessment  activities.

On April 12, 2017, we completed the acquisition of all of the  membership interest of InPharmics.

The total consideration for the transaction was $5.0  million, net  of cash  on hand at  signing of
$0.3 million. Approximately $0.5 million  of the  total  consideration was classified  as a long-term liability
for potential settlement of performance  obligations.

On January 5, 2016, we completed the  acquisition  of all of the membership interests of Aesynt.
The purchase price paid by us was $271.5 million, net of cash on  hand of  $8.2 million. On December 8,
2016, we completed the acquisition of  Ateb. The purchase price paid  by us was  $40.7 million, net of
cash on hand of $0.9 million. These acquisitions were funded with  cash-on-hand and borrowings under
the Credit Agreement.

In accordance with the share purchase agreement  entered into on  April 30, 2015 under which we

acquired Avantec, we agreed to pay our potential  earn-out payments of up to $3.0  million  payable after
December 31, 2015 and an additional $3.0 million payable  after December 31, 2016,  based on  bookings
targets. The fair value of these potential  earn-out payments as of the  acquisition  date was $5.6  million.
Additionally we retained $1.8 million  of the purchase consideration to be held  to  settle any  future
indemnification claims within an 18- month  period that we may make following the closing. During the
year ended December 31, 2016, we paid  out $3.0 million in earn-out payments,  $1.8 million in held
back payments for future indemnifications,  and  recognized $0.6 million of  contingent gain as certain
booking  targets were not met. During  the year ended  December 31,  2017, the  Company concluded that
the final payout had been earned and  paid  out $2.4  million  during  the third quarter of 2017.

Our stock repurchase programs have a total of  $54.9 million remaining for  future repurchases  as of
December 31, 2017, which may result in additional  use of cash. See  Note 12, Stock Repurchases, of the
Notes to Consolidated Financial Statements included in this annual report. There  were no stock
repurchases in 2017 and 2016. In 2015,  the Company  repurchased  approximately $50.0  million  of
shares.

Based on our current business plan and revenue backlog, we believe that our existing cash and

cash equivalents, our anticipated cash  flows  from operations, cash  generated from the exercise  of
employee stock options and purchases under our employee  stock purchase plan, along with the
availability of funds under the Facilities  will  be  sufficient to meet  our cash needs for working capital,
capital expenditures, potential acquisitions, and other contractual  obligations for at  least  the next twelve
months. For periods beyond the next twelve months, we also anticipate that our net operating cash

71

flows plus existing balances of cash and cash equivalents will suffice to fund the continued growth  of
our  business.

Cash Flows

The following table summarizes, for  the periods  indicated, selected items in our Consolidated

Statements of Cash Flows (as adjusted for the adoption  of  ASU  2016-09):

Year Ended December 31,

2017

2016

2015

(In thousands)

Net cash provided by (used in):

Operating activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Investing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Financing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Effect of exchange rate changes on cash  and cash  equivalents . . . . . .

$ 24,834
(34,987)
(9,877)
(2,034)

$ 49,900
(341,323)
263,752
(58)

$ 38,486
(45,596)
(36,557)
(4)

Net increase (decrease) in cash and cash equivalents . . . . . . . . . . . .

$(22,064) $ (27,729) $(43,671)

Operating activities

We  expect cash from our operating activities to fluctuate  in future  periods  as a result  of a number

of factors, including the timing of our billings and collections,  our operating results  and the  timing of
other liability payments.

Net cash provided by operating activities  was  $24.8 million for 2017, primarily as a  result of the  net

income of $20.6 million adjusted for non-cash items and changes  in assets and liabilities. The non-cash
items primarily consisted of depreciation and  amortization expense of $51.5 million, share-based
compensation expense of $21.9 million,  deferred income taxes of $26.8 million and $1.6 million of
amortization of debt financing fees. The net  cash outflow  which was  contributed  to  changes in assets
and liabilities include (i) an increase  in  accounts receivable of $39.1 million due to the timing of billings
and collections, (ii) an increase in inventories of $26.8 million for inventory  buildup in  support of
forecasted sales, (iii) a decrease in deferred revenue of $1.2  million due to the timing  of orders and
revenue being recognized for installed product, (iv) an  increase in  other current assets of $2.1 million
and (v) an increase in prepaid expenses  of $7.4 million.  These  outflows  were partially offset by an
increase in accounts payable of $19.7  million primarily  due to the increase in inventory and  timing of
payments, a decrease in the investment in sales-type leases of $6.6 million, and an increase  in other
accrued liabilities of $4.4 million.

Net cash provided by operating activities  was  $49.9 million for 2016, primarily as a  result of
$0.6 million in net income adjusted for  non-cash items  and changes  in assets and  liabilities.  The
non-cash items primarily consisted of depreciation and amortization expense of  $58.4 million, share-
based compensation expense of $19.5 million, and deferred  income taxes of $10.9  million. The  cash
outflow attributed to changes in assets and liabilities  includes (i)  a  $3.4 million increase in inventories
to support sales forecast, (ii) a $6.3 million decrease  in other long-term liabilities  mainly  due  to  other
tax liabilities, (iii) a $5.0 million decrease  in  accounts payable due  to  timing of payments,  and (iv)  a
$9.6 million increase in investment in sales-type  leases due to additional lease transactions entered  into
during the year. These amounts were  partially offset by an  increase in the  deferred revenue of
$4.5 million due to timing of orders and  revenue being recognized  for installed product, and  decrease
of $8.0 million in receivables as result of  higher collections in the  fourth  quarter  of  2016.

Net cash provided by operating activities  was  $38.5 million for 2015, primarily as a  result of
$30.8 million in net income adjusted  for non-cash items,  including depreciation and amortization
expense of $25.6 million and share-based compensation  expense of $14.9 million,  partially  offset by

72

increases of $17.9 million in receivables and $10.0 million in inventory and net outflows of $9.6 million
in other asset and liability accounts.

Investing activities

Net cash used in investing activities was $35.0 million for 2017, which consisted  of capital

expenditures of $15.3 million for property  and  equipment,  $15.0 million for  costs of software
development for external use, $0.2 million for purchase of intangible assets,  and $4.4 million
attributable to the acquisition of InPharmics.

Net cash used in investing activities was $341.3 million for 2016, $312.2 million  of which was

attributable to the acquisitions of Aesynt  and Ateb. Capital  expenditures related  to  software
development costs for external use, purchases of  property  and equipment  and, purchases  of  intangibles
contributed $14.3 million, $13.4 million,  and $1.4 million, respectively.

Net cash used in investing activities was $45.6 million for 2015, $25.5 million  of  which was

attributable to the acquisitions of Mach4 and Avantec, and capital expenditures  related to purchases of
property and equipment and software development of software costs  for  external use of  $7.5 million
and $12.1 million, respectively.

Financing activities

Net cash used in financing activities was $9.9  million  for 2017, primarily  due  to  the repayment  of

$102.5 million of the credit facilities  and $5.9 million in employees’ taxes paid related to restricted
stock unit vesting, partially offset by $30.1 million in proceeds from employee  stock  option exercises
and employee stock plan purchases, and $56.9  million  proceeds from term loan and revolving  credit
facilities.

Net cash provided by financing activities was  $263.7 million  for  2016, as a  result of $287.1  million

of net proceeds from debt, $17.7 million  in  proceeds from employee stock option  exercises and
employee stock plan purchases and $2.0  million in excess tax benefits  from employee stock  plans,
partially offset by $34.5 million of repayments of  debt and revolving credit  facility,  $3.5 million in
employees taxes paid in relation to restricted  stock units and  $3.0 million of payment for  contingent
consideration.

Net cash used in financing activities was $36.6  million  for 2015 as a result of $50.0  million in cash

used for stock repurchases under our 2012 and  2014 Stock Repurchase  Programs and  $3.6 million in
employees taxes paid in relation to restricted  stock units, partially offset by  $17.1 million in proceeds
from employee stock option exercises  and  employee  stock  plan purchases and $4.7  million in excess tax
benefits from employee stock plans.

73

Contractual Obligations

Contractual obligations as of December  31, 2017 are  as follows:

Payments Due by Period

Total

2018

2019 - 2020

2021 - 2022

Operating leases(1) . . . . . . . . . . . . . . . . . . . . . .
Purchase obligations(2) . . . . . . . . . . . . . . . . . . .
Term loan facility(3) . . . . . . . . . . . . . . . . . . . . .
Revolving credit facility(3) . . . . . . . . . . . . . . . . .

$ 80,357
58,090
182,500
34,500

$12,167
53,543
17,500
—

(In thousands)
$22,700
2,551
47,500
—

$ 19,247
1,950
117,500
34,500

2023 and
thereafter

$26,243
46
—
—

Total(4)(5)

. . . . . . . . . . . . . . . . . . . . . . . . . . .

$355,447

$83,210

$72,751

$173,197

$26,289

(1) Commitments under operating leases relate  primarily to leased property and office equipment.

Rent expense was $11.5 million, $9.8 million and $7.0 million for  the years ended December 31,
2017, 2016 and 2015, respectively.

(2) We purchase components from a variety  of suppliers and  use contract manufacturers to provide

manufacturing services for our products. During the normal course  of business, we  issue purchase
orders with estimates of our requirements  several months  ahead of the delivery  dates. These
amounts are associated with agreements  that are enforceable  and legally binding.  The  amounts
under such contracts are included in the table above because  we  believe that cancellation of these
contracts is unlikely and we expect to make future cash payments according to the contract terms
or in similar amounts for similar materials.

(3) Amounts shown for term loan and revolving credit  facility are principal repayments only. Due to
use of interest rate swaps, the cash interest expense  is partly variable and partly fixed, and is not
reflected in the above table. Refer to  Note 8,  Debt, of the  Notes  to  the  Consolidated Financial
Statements included in this annual report.

(4) We have recorded $7.1 million for uncertain tax positions under long-term liabilities as of

December 31, 2017 in accordance with the  authoritative guidance summarized in the  section
entitled ‘‘Critical Accounting Policies  and  Estimates’’  above. As these  liabilities do not reflect
actual tax assessments, the timing and  amount of payments we might  be  required to make will
depend  upon a number of factors. Accordingly,  as the timing  and amount  of  payment cannot  be
estimated, $7.1 million in uncertain tax position liabilities have not been included  in the table
above. See Note 15, Income Taxes, of  the Notes  to  Consolidated  Financial Statements  included in
this  annual report.

(5)

See  Note 10, Commitments and Contingencies, of the  Notes to Consolidated Financial Statements
included in this annual report.

Off-Balance Sheet Arrangements

As of December 31, 2017, we had no  off-balance sheet arrangements as defined under

Regulation S-K 303(a)(4) of the Securities Exchange Act of 1934, as amended,  and the  instructions
thereto.

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES  ABOUT MARKET  RISK

We  are exposed to market risks related  to  fluctuations in  foreign currency exchange rates and

interest rates.

74

Foreign Currency Exchange Risk

We  operate in foreign countries which expose us to market risk associated with foreign currency

exchange rate fluctuations between the  U.S. dollar and various foreign currencies, the most significant
of which are the British Pound and Euro. In order to manage  foreign currency risk,  at times we  enter
into foreign exchange forward contracts to mitigate risks associated with changes in spot exchange rates
of mainly non-functional currency denominated  assets or liabilities of  our  foreign subsidiaries. In
general, the market risk related to these  contracts is offset by corresponding gains and losses  on the
hedged transactions. By working only with  major banks and closely monitoring current market
conditions, we seek to limit the risk that counterparties to  these contracts may be unable to perform.
We  do not enter into derivative contracts  for trading purposes. At December 31, 2017, we did not have
any outstanding foreign exchange forward contracts.

Interest Rate Fluctuation Risk

We  are exposed to interest rate risk through our borrowing activities. As  of  December 31, 2017, we

had total debt under the Credit Agreement  of $217.0 million. See  Note 8, Debt, of  the Notes  to  the
Condensed Consolidated Financial Statements  included in this annual  report.

We  use interest rate swap agreements to protect  ourselves against  adverse fluctuations in  interest

rates by reducing our exposure to variability in cash  flows  relating to interest payments on  a portion of
our  outstanding debt. Our interest rate swaps, which  are designated as cash flow  hedges,  involve  the
receipt of variable amounts from counterparties in exchange for us  making fixed-rate payments over the
life of the agreements. We do not hold or issue any derivative financial instruments  for speculative
trading purposes. During 2016, we entered into an interest  rate  swap agreement  with a combined
notional amount of $100 million with one counter-party  that  became effective beginning on June 30,
2016 and matures on April 30, 2019.  At  December 31, 2017, the total debt under  the credit  facility
exposed  to interest rate fluctuation risk was  $117.0 million.  An immediate increase  of  1% in interest
rate would results in $1.2 million of interest expense  per  year.

75

ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

The following tables presenting our quarterly results of operations should be read  in conjunction

with the Consolidated Financial Statements  and related disclosures included in Part  IV, Item 15 of this
annual report and are incorporated by  reference into this  Item 8. We have prepared the  unaudited
information on the same basis as our audited  consolidated financial statements.  Our operating results
for any quarter are not necessarily indicative of  results for any future quarters  or for  a full year.

SUPPLEMENTARY CONSOLIDATED  FINANCIAL DATA (UNAUDITED)

2017 Consolidated Statements of Operations Data:
Total revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gross profit
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income (loss) from operations . . . . . . . . . . . . . . . . .
Net income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . .

Net income (loss) per share:
Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2016 Consolidated Statements of Operations Data:
Total revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gross profit
Income (loss) from operations . . . . . . . . . . . . . . . . .
Net income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . .

Net income per share:
Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Quarter Ended

December 31,
2017

September 30,
2017

June 30,
2017

March 31,
2017

(In thousands, except per share data)
(Unaudited)

$197,944
95,068
15,680
$ 24,291

$186,782
84,853
9,714
6,231

$

$180,885
77,975
(2,404)
837

$

$150,554
64,192
(17,236)
$ (10,754)

$
$

0.64
0.62

$
$

0.17
0.16

$
$

0.02
0.02

$
$

(0.29)
(0.29)

Quarter Ended

December 31,
2016

September 30,
2016

June 30,
2016

March 31,
2016

(In thousands, except per share data)
(Unaudited)

$171,974
74,329
(181)
157

$

$176,737
81,508
4,928
$ 1,983

$172,908
78,018
(118)
$ (1,159) $

$171,004
79,945
1,852
(378)

$
$

—
—

$
$

0.05
0.05

$
$

(0.03) $
(0.03) $

(0.01)
(0.01)

ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON  ACCOUNTING AND

FINANCIAL DISCLOSURE

None.

ITEM 9A. CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

Our management, with the participation of our chief  executive  officer and chief  financial officer,
evaluated the effectiveness of our disclosure controls and procedures (as defined in Rule 13a-15(e) or
15d-15(e) under the Exchange Act) as  of the end of the period covered by this Annual Report on
Form 10-K. In designing and evaluating the disclosure controls and procedures, management
recognized that any controls and procedures,  no matter how well  designed and  operated, can provide
only reasonable assurance of achieving the  desired  control  objectives. In  addition,  the design of
disclosure controls and procedures must  reflect the fact that there are resource constraints  and that

76

management is required to apply its judgment  in evaluating the benefits of possible controls and
procedures relative to their costs.

Based on that evaluation, our chief executive  officer and  chief financial officer concluded that our

disclosure controls and procedures were  effective as of December 31, 2017 to provide reasonable
assurance that information we are required to disclose in reports that  we  file or submit under the
Exchange Act is recorded, processed,  summarized and reported  within the  time periods specified  in
SEC rules and forms, and that such information  is accumulated  and communicated to our  management,
including our chief executive officer and chief financial officer, as appropriate, to allow timely decisions
regarding required disclosure.

Management’s Report on Internal Control over Financial Reporting

Our management is responsible for establishing and maintaining adequate internal  control over
financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act).
Our internal control system is designed  to  provide  reasonable assurance  regarding the preparation and
fair presentation of financial statements  for external purposes  in accordance with U.S.  generally
accepted accounting principles. All internal control systems,  no matter how well designed, have
inherent limitations and can provide  only reasonable assurance that the objectives of the internal
control system are  met.

Under the supervision and with the participation of  our management, including  our  principal
executive officer and principal financial officer, we conducted  an evaluation of  the effectiveness  of our
internal control over financial reporting as  of December  31, 2017 using  the criteria  for effective internal
control over financial reporting as described in ‘‘Internal Control—Integrated Framework,’’ issued  by
the Committee of Sponsoring Organization  of the Treadway Commission  (2013  framework) (the COSO
Criteria). Based on this assessment, management concluded that  our internal control over financial
reporting was effective as of December 31, 2017.

Deloitte & Touche LLP, an independent  registered public accounting firm, has issued  its  attestation

report on our internal control over financial reporting as of December 31, 2017,  which is  included in
Part IV, Item 15 of this annual report.

Changes  in Internal Control over Financial Reporting

Except as disclosed below, there have been no  changes in our internal control over  financial
reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the  Exchange Act)  that  have
materially affected, or are reasonably  likely to materially  affect,  our internal control over financial
reporting during the year ended December 31,  2017.

We  have completed the integration of the recently  acquired  business, Ateb, into our systems and

control environment as of December  31, 2017.

ITEM 9B. OTHER INFORMATION

None.

77

PART III

Certain information required by Part III is omitted from this annual report  because the registrant  will

file with  the U.S. Securities and Exchange Commission a definitive  proxy statement pursuant to
Regulation 14A in connection with the solicitation of proxies for the  Company’s Annual Meeting of
Stockholders expected to be held in May 2018 (the ‘‘Proxy Statement’’) not  later than  120 days after the  end
of the fiscal year covered by this annual  report, and certain information included therein is incorporated
herein by reference.

ITEM 10. DIRECTORS, EXECUTIVE  OFFICERS AND CORPORATE GOVERNANCE

The information required by this Item  with respect  to  directors and executive officers may be
found under the heading ‘‘Executive Officers of the Registrant’’ in Part  I, Item 1 of  this annual report,
and in the section entitled ‘‘Election of Directors’’ appearing  in the Proxy Statement. Such information
is incorporated herein by reference.

The information required by this Item  with respect  to  our audit committee and  audit committee
financial expert may be found in the section entitled ‘‘Information Regarding the  Board of Directors
and Corporation Governance—Audit  Committee’’  appearing in the  Proxy Statement.  Such information
is incorporated herein by reference.

The information required by this Item  with respect  to  compliance with  Section 16(a) of  the
Securities Exchange Act of 1934 may be found in the sections entitled ‘‘Section 16(a) Beneficial
Ownership Reporting Compliance’’ appearing  in the Proxy Statement. Such information  is incorporated
herein by reference.

Our written Code of Conduct applies to all of  our  directors and employees, including executive
officers, including without limitation  our  principal executive officer,  principal  financial  officer,  principal
accounting officer or controller or persons performing  similar functions. The Code of Conduct is
available on our website at www.omnicell.com under the hyperlink titled ‘‘Corporate Governance.’’
Changes to or waivers of the Code of Conduct will be disclosed on the same  website. We intend to
satisfy the disclosure requirement under Item  5.05 of Form 8-K regarding any  amendment  to,  or waiver
of, any provision of the Code of Conduct by disclosing  such information on  the same website.

ITEM 11. EXECUTIVE COMPENSATION

The information required by this Item  with respect  to  director and executive officer compensation

is incorporated by reference to the section of our  Proxy Statement under  the section entitled
‘‘Executive Compensation.’’

The information required by this Item  with respect  to  Compensation  Committee  interlocks  and

insider participation is incorporated herein by reference  to  the information  from the Proxy Statement
under the section entitled ‘‘Information Regarding the Board of Directors and Corporate
Governance—Compensation Committee Interlocks and Insider Participation.’’

The information required by this Item  with respect  to  our Compensation  Committee’s  review and

discussion of the Compensation Discussion and  Analysis  included in  the Proxy Statement is
incorporated herein by reference to the  information from the  Proxy  Statement under the section
entitled ‘‘Executive Compensation—Compensation Discussion  and  Analysis—Compensation Committee
Report.’’

78

ITEM 12. SECURITY OWNERSHIP  OF CERTAIN  BENEFICIAL  OWNERS AND MANAGEMENT

AND RELATED STOCKHOLDERS  MATTERS

The information required by this Item  with respect to security ownership  of certain beneficial

owners and management is incorporated herein  by reference to the information from  the Proxy
Statement under the section entitled  ‘‘Security Ownership of Certain  Beneficial  Owners and
Management.’’

The information required by this Item  with respect to securities authorized for  issuance  under our

equity compensation plans is incorporated  herein by reference to the  information from  the Proxy
Statement under the section entitled  ‘‘Equity Compensation Plan Information.’’

ITEM 13. CERTAIN RELATIONSHIPS,  RELATED  TRANSACTIONS AND DIRECTOR

INDEPENDENCE

The information required by this Item  with respect to related party transactions is incorporated
herein  by reference to the information  from the Proxy  Statement  under the section entitled ‘‘Certain
Relationships and Related Transactions.’’

The information required by this Item  with respect to director independence is  incorporated herein

by reference to the information from the Proxy Statement  under  the section entitled ‘‘Information
Regarding the Board of Directors and Corporate Governance—Independence of the  Board of
Directors.’’

ITEM 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES

The information required by this Item  is incorporated herein  by reference to the section from  the
Proxy Statement under the section entitled ‘‘Ratification  of Selection of Independent Registered Public
Accounting Firm—Principal Accountant Fees  and Services.’’

79

PART IV

ITEM 15. EXHIBITS AND FINANCIAL  STATEMENT SCHEDULE

The following documents are included as part of this annual  report:

(1) Consolidated Financial Statements:

Index to Financial Statements
Reports of Independent Registered Public  Accounting Firm . . . . . . . . . . . . . . . . . . . . . . . . . .
Consolidated Balance Sheets as of December 31,  2017 and December  31, 2016 . . . . . . . . . . . .
Consolidated Statements of Operations  for the years ended December 31,  2017, December  31,
2016 and December 31, 2015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Consolidated Statements of Comprehensive Income (Loss) for the years ended December 31,

2017, December 31, 2016 and December 31, 2015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Consolidated Statements of Stockholders’  Equity  for the  years  ended December 31, 2017,

December 31, 2016 and December 31, 2015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Consolidated Statements of Cash Flows  for  the years ended December  31, 2017,

Page
Number

F-1
F-3

F-4

F-5

F-6

December 31, 2016 and December 31, 2015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Notes to Consolidated Financial Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Financial Statement Schedule II: Valuation  and  Qualifying Accounts . . . . . . . . . . . . . . . . . . .

F-7
F-8
F-51

(2) Exhibits: The information required by this item is set  forth on the  exhibit index  which

follows the signature page of this report.

80

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the shareholders and the Board of Directors of Omnicell, Inc.

Opinion on the Financial Statements

We  have audited the accompanying consolidated balance sheets of Omnicell,  Inc. and  subsidiaries

(the ‘‘Company’’) as of December 31, 2017 and 2016, the related consolidated statements of operations,
comprehensive income, stockholders’ equity,  and  cash flows for each of the three years in  the period
ended December 31, 2017 and the related notes  and  the schedule listed in  the Index at  Item 15
(collectively referred to as the ‘‘financial  statements’’). In our opinion the financial statements present
fairly, in all material respects, the financial  position  of  the Company as  of December 31, 2017  and
2016, and the results of its operations and its cash flows for each of the three years in the period ended
December 31, 2017, in conformity with  accounting principles generally  accepted in the United States of
America.

We  have also 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, 2017, based on criteria established in Internal  Control—Integrated Framework (2013)
issued by the Committee of Sponsoring  Organizations of the Treadway  Commission and our report
dated February 27, 2018 , expressed  an unqualified opinion  on the  Company’s internal  control over
financial reporting.

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.

/s/ DELOITTE & TOUCHE LLP
San Jose, California
February 27, 2018

We  have served as the Company’s auditor since  2014.

F-1

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the shareholders and the Board of Director of Omnicell,  Inc.

Opinion on Internal Control over Financial  Reporting

We  have audited the internal control over  financial reporting of  Omnicell, Inc. and subsidiaries
(the ‘‘Company’’) as of December 31, 2017, based on criteria  established  in Internal Control—Integrated
Framework (2013) issued by the Committee of Sponsoring  Organizations of the Treadway Commission
(COSO). In our opinion, the Company maintained, in all material respects,  effective  internal control
over financial reporting as of December  31, 2017, based on  criteria established in Internal Control—
Integrated Framework (2013) issued by COSO.

We  have also audited, in accordance  with the standard of  the Public Company Accounting

Oversight Board (United States) (PCAOB), the  consolidated financial statements  as of and for  the year
ended December 31, 2017, of the Company and our report  dated February 27, 2018,  expressed  an
unqualified opinion on those financial statements and financial statement schedule.

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/ DELOITTE & TOUCHE LLP

San Jose, California
February 27, 2018

F-2

OMNICELL, INC.

CONSOLIDATED BALANCE SHEETS

December 31,

2017

2016

(In thousands, except par
value)

Current assets:

ASSETS

Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accounts receivable, net of allowances  of $5,738 and $4,796, respectively . . .
Inventories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Prepaid expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 32,424
189,227
96,137
36,060
13,273

$ 54,488
150,303
69,297
28,646
12,674

Total current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Property and equipment, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Long-term investment in sales-type leases, net
. . . . . . . . . . . . . . . . . . . . . . . .
Goodwill
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Intangible assets, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Long-term deferred tax assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other long-term assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

367,121
42,595
15,435
337,751
168,107
9,454
39,841

315,408
42,011
20,585
327,724
190,283
4,041
35,051

Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 980,304

$ 935,103

Current liabilities:

LIABILITIES AND STOCKHOLDERS’ EQUITY

Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Long-term debt, current portion, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred revenue, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 48,290
27,241
35,693
15,208
86,104

$ 27,069
26,722
31,195
8,410
87,516

Total current liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Long-term deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Long-term deferred tax liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other long-term liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Long-term debt, net

Total liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

212,536
17,244
28,579
9,829
194,917

463,105

180,912
17,051
51,592
8,210
245,731

503,496

Commitments and contingencies (Note  10)
Stockholders’ equity:

Preferred stock, $0.001 par value, 5,000  shares authorized; no shares issued .
Common stock, $0.001 par value, 100,000 shares authorized; 47,577  and

45,778 shares issued; 38,432 and 36,633 shares outstanding, respectively . . .
Treasury stock at cost, 9,145 shares outstanding,  respectively . . . . . . . . . . . . .
Additional paid-in capital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Retained earnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accumulated other comprehensive income  (loss) . . . . . . . . . . . . . . . . . . . . .

—

—

48
(185,074)
585,755
122,583
(6,113)

46
(185,074)
525,758
100,396
(9,519)

Total stockholders’ equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

517,199

431,607

Total liabilities and stockholders’ equity . . . . . . . . . . . . . . . . . . . . . . . .

$ 980,304

$ 935,103

The accompanying notes are an integral part of these  consolidated financial  statements.

F-3

OMNICELL, INC.

CONSOLIDATED STATEMENTS OF  OPERATIONS

Year Ended December 31,

2017

2016

2015

(In thousands, except per share data)

Revenues:

Product . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Services and other revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$506,209
209,956

$517,944
174,679

$388,397
96,162

Total revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

716,165

692,623

484,559

Cost of revenues:

Cost of product revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cost of services and other revenues . . . . . . . . . . . . . . . . . . . . . . .

304,842
89,235

302,437
76,386

198,418
38,211

Total cost of revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

394,077

378,823

236,629

Gross profit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

322,088

313,800

247,930

Operating expenses:

Research and development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Selling, general and administrative . . . . . . . . . . . . . . . . . . . . . . . .
Gain on business combination . . . . . . . . . . . . . . . . . . . . . . . . . . .

66,022
250,312
—

57,799
249,520
—

35,160
167,581
(3,443)

Total operating expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

316,334

307,319

199,298

Income from operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Interest and other income (expense),  net . . . . . . . . . . . . . . . . . . . .

Income (loss) before provision for income  taxes . . . . . . . . . . . . . . . .
Provision for (benefit from) income taxes . . . . . . . . . . . . . . . . . . .

5,754
(6,633)

(879)
(21,484)

Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 20,605

Net income per share:

Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$
$

0.55
0.53

6,481
(8,429)

(1,948)
(2,551)

48,632
(2,388)

46,244
15,484

603

$ 30,760

0.02
0.02

$
$

0.86
0.84

$

$
$

Weighted-average shares:
Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

37,483
38,712

36,156
36,864

35,857
36,718

The accompanying notes are an integral part of these  consolidated financial  statements.

F-4

CONSOLIDATED STATEMENTS OF  COMPREHENSIVE INCOME (LOSS)

OMNICELL, INC.

Year Ended December 31,

2017

2016

2015

(In thousands)

Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$20,605

$

603

$30,760

Other comprehensive income (loss),  net of  reclassification adjustments:

Unrealized gain (loss) on interest rate  swap contracts, net  of tax . . . . .
Foreign currency translation adjustments . . . . . . . . . . . . . . . . . . . . . .

(404)
3,810

1,245
(8,034)

—
(1,369)

Other comprehensive gain (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . .

3,406

(6,789)

(1,369)

Comprehensive income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$24,011

$(6,186) $29,391

The accompanying notes are an integral part of these consolidated financial  statements.

F-5

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

OMNICELL, INC.

Common Stock

Treasury Stock

Shares Amount Shares

Amount

Additional Accumulated

Accumulated
Other

Paid-In
Capital

Earnings
(Deficit)

Comprehensive Stockholders’
Income (Loss)

Equity

(In thousands)

Balances as of December 31,

2014 . . . . . . . . . . . . . . . 43,537
Net income . . . . . . . . . .
Other comprehensive

$43
—

(7,721) $(135,053) $457,436
—

—

—

$ 69,033
30,760

$(1,361)
—

$390,098
30,760

income (loss) . . . . . . .
Stock repurchases . . . . . .
Share-based compensation
Issuance of common stock
under employee stock
plans . . . . . . . . . . . . .

Tax payments related to

1,202

2

restricted stock units . .

— —

Income tax benefits from

employee stock plans . .

— —

— —
—
— — (1,424)
—
— —

—
(50,021)

—
—
— 14,921

—

—

—

— 17,089

— (3,627)

—

4,535

—
—
—

—

—

—

Balances as of December 31,

2015 . . . . . . . . . . . . . . . 44,739
Net income . . . . . . . . . .
Other comprehensive

45
—

(9,145)
—

(185,074) 490,354
—

—

99,793
603

income (loss) . . . . . . .
Share-based compensation
Issuance of common stock
under employee stock
plans . . . . . . . . . . . . .

Tax payments related to

— —
— —

1,039

1

restricted stock units . .

— —

Income tax benefits from

employee stock plans . .

— —

—
—

—

—

—

—
—
— 19,500

— 17,691

— (3,490)

—

1,703

—

—

—

—

Balances as of December 31,

2016 . . . . . . . . . . . . . . . 45,778
Net income . . . . . . . . . .
Other comprehensive

46
—

(9,145)
—

(185,074) 525,758
—

—

100,396
20,605

income (loss) . . . . . . .

— —

At the market equity

offering, net of costs . . . .
Share-based compensation
Issuance of common stock
under employee stock
plans . . . . . . . . . . . . .

Tax payments related to

294 —
— —

1,505

2

restricted stock units . .

— —

Cumulative effect of a
change in accounting
principle related  to stock-
based compensation . . . .
Income tax benefits from

— —

employee stock plans . .

— —

Balances as of December 31,

—

—
—

—

—

—

—

—

—

13,900
— 21,857

— 30,121

— (5,892)

—

—
—

—

—

—

—

—

11

1,582

—

(1,369)
—
—

—

—

—

(2,730)
—

(6,789)
—

—

—

—

(9,519)
—

3,406

—
—

—

—

—

—

(1,369)
(50,021)
14,921

17,091

(3,627)

4,535

402,388
603

(6,789)
19,500

17,692

(3,490)

1,703

431,607
20,605

3,406

13,900
21,857

30,123

(5,892)

1,582

11

2017 . . . . . . . . . . . . . . . 47,577

$48

(9,145) $(185,074) $585,755

$122,583

$(6,113)

$517,199

The accompanying notes are an integral part of these consolidated financial  statements.

F-6

OMNICELL, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

Operating Activities
Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Adjustments to  reconcile net income  to  net  cash provided by operating  activities:
Depreciation and  amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Loss on disposal of  fixed  assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gain on business  combinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gain related to  contingent liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Share-based compensation  expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Income tax benefits from employee stock  plans . . . . . . . . . . . . . . . . . . . . . .
Deferred income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Amortization  of debt financing fees
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Changes in operating assets and  liabilities,  net of business  acquisitions:

Accounts receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Inventories
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Prepaid  expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other current  assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Investment  in sales-type leases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other long-term assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accrued liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other long-term liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Year Ended December 31,

2017

2016

2015

(In thousands)

$ 20,605

$

603

$ 30,760

51,511
512
—
—
21,857
11
(26,844)
1,590

(39,068)
(26,840)
(7,414)
(2,074)
6,625
(98)
19,709
519
4,383
(1,219)
1,069

58,362
35
—
(600)
19,500
1,703
(10,882)
1,590

8,047
(3,362)
(4,321)
(1,093)
(9,639)
2,043
(4,963)
(2,052)
(3,287)
4,480
(6,264)

25,639
238
(3,443)
—
14,921
4,535
(1,092)
—

(17,941)
(10,032)
4,049
638
(4,661)
496
(2,841)
(2,032)
5,456
(5,521)
(683)

Net cash provided  by operating activities . . . . . . . . . . . . . . . . . . . . . . .

24,834

49,900

38,486

Investing Activities

Purchase  of intangible assets, intellectual  property  and  patents . . . . . . . . . . .
Software  development  for external use . . . . . . . . . . . . . . . . . . . . . . . . . . .
Purchases  of property and equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Business acquisitions, net of  cash acquired . . . . . . . . . . . . . . . . . . . . . . . . .

(160)
(15,040)
(15,341)
(4,446)

(1,372)
(14,348)
(13,445)
(312,158)

(415)
(12,132)
(7,542)
(25,507)

Net cash used  in  investing  activities . . . . . . . . . . . . . . . . . . . . . . . . . .

(34,987)

(341,323)

(45,596)

Financing Activities

Proceeds from  debt, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Repayment of debt and  revolving  credit  facility . . . . . . . . . . . . . . . . . . . . . .
Payment  for  contingent  consideration . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Proceeds  from issuances  under  stock-based  compensation plans . . . . . . . . . . .
Employees’ taxes paid  related  to  restricted  stock units . . . . . . . . . . . . . . . . .
At the market offering, net of offering  costs . . . . . . . . . . . . . . . . . . . . . . . .
Common stock  repurchases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

56,894
(102,500)
(2,400)
30,121
(5,892)
13,900
—

287,051
—
(34,500)
—
(3,000)
—
17,691
17,091
(3,490)
(3,627)
—
—
— (50,021)

Net cash provided  by (used in) financing  activities

. . . . . . . . . . . . . . . .

(9,877)

263,752

(36,557)

Effect of exchange  rate changes on cash  and  cash equivalents
. . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . .
Net increase (decrease)  in  cash  and  cash  equivalents
Cash and  cash equivalents  at beginning  of  period . . . . . . . . . . . . . . . . . . . . . .

(2,034)
(22,064)
54,488

(58)
(27,729)
82,217

(4)
(43,671)
125,888

Cash and  cash equivalents  at end of  period . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 32,424

$ 54,488

$ 82,217

Supplemental cash  flow  information
Cash paid for  interest
Cash paid for  taxes,  net of refunds
Supplemental disclosure of non-cash  investing  activities
Non-cash activity business acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unpaid  property and equipment purchases . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$
$

$
$

6,550
7,780

3,400
1,691

5,344
$
$ 11,091

76
$
$ 11,871

$
$

— $
$
246

7,386
1,398

The accompanying notes are an integral part of these consolidated financial  statements.

F-7

OMNICELL, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 1. Organization and Summary of Significant Accounting Policies

Business

Omnicell, Inc. was incorporated in California in 1992 under the name Omnicell Technologies, Inc.

and reincorporated in Delaware in 2001 as Omnicell, Inc. The Company’s  major products are
automated medication, supply control systems and medication adherence solutions which are sold in  its
principal market, which is the healthcare  industry.  The Company’s market is primarily  located in the
United States and Europe. ‘‘Omnicell’’  or the ‘‘Company’’ refer to Omnicell, Inc.  and its subsidiaries.

Principles of consolidation

The accompanying Consolidated Financial Statements  have been prepared in accordance with

U.S. GAAP and include all adjustments necessary for  the fair presentation of the  Company’s
consolidated financial position, results  of  operations and cash  flows for the periods  presented.  The
Consolidated Financial Statements include the Company’s  accounts as well as those of its wholly  owned
subsidiaries after the elimination of intercompany balances  and transactions.

On April 12, 2017, the Company completed its acquisition of Dixie Drawl, LLC  d/b/a InPharmics
(‘‘InPharmics’’). On December 8, 2016,  the Company  completed its acquisition of Ateb, Inc.  and Ateb
Canada Ltd. (together, ‘‘Ateb’’). On January 5, 2016, the Company  completed its acquisition of Aesynt
Holding Cooperatief U.A. (‘‘Aesynt’’). On April 30, 2015,  the Company acquired the remaining 85%  of
the issued and outstanding ordinary shares  of Avantec  Healthcare  Limited  (‘‘Avantec’’) not already held
by Omnicell. On April 21, 2015, the Company completed its acquisition  of Mach4
Automatisierungstechnik GmbH (‘‘Mach4’’). The consolidated financial  statements include  the results
of operations of these recently acquired companies, commencing as of their  respective acquisition
dates. The significant accounting policies  of  the acquired businesses have  been aligned to conform to
the accounting policies of Omnicell.

Certain prior year amounts in the Consolidated Statement  of  Cash Flows have  been reclassified to
conform to the 2017 presentation with the  adoption of Accounting Standards Update (‘‘ASU’’) 2016-09,
Compensation—Stock Compensation (Topic  718): Improvements  to Employee  Share-Based Payment
Accounting. Additionally, see ‘‘Recently adopted  authoritative guidance’’ section below for the effects of
adoption of ASU 2016-09.

Use of estimates

The preparation of financial statements  in accordance with U.S. GAAP requires  management to

make estimates and assumptions that affect  the amounts reported in  the Company’s Consolidated
Financial Statements and accompanying Notes. Management bases  its  estimates on historical experience
and various other assumptions believed  to  be  reasonable. Although  these estimates are  based on
management’s best knowledge of current events and actions that may impact  the Company in the
future, actual results may be different  from the estimates. The Company’s critical accounting  policies
are those that affect its financial statements materially and involve difficult, subjective or  complex
judgments by management. Those policies are revenue  recognition,  allowance for doubtful accounts and
notes receivable from investment in sales-type leases, inventory  valuation,  capitalized software
development costs, valuation and impairment of goodwill,  purchased intangibles and long-lived assets,
fair value of assets acquired and liabilities  assumed  in business combination, share-based  compensation
and accounting for income taxes.

F-8

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 1. Organization and Summary of Significant  Accounting Policies (Continued)

Segment reporting

The Company’s Chief Operating Decision  Maker (‘‘CODM’’) is its Chief Executive Officer. The

CODM allocates resources and evaluates the  performance of the Company’s segments  using
information about its revenues, gross profit, and income from operations. Such evaluation excludes
general corporate-level costs that are not specific to either of the reportable segments and are managed
separately at the corporate level. Corporate-level  costs include expenses related to executive
management, finance and accounting,  human resources,  legal, training  and development, and  certain
administrative expenses. See Note 14, Segment and Geographical Information, for additional
information on segment reporting.

The operating results of the recently  acquired InPharmics,  Aesynt,  Mach4 and Avantec businesses
are included in the Company’s Automation and Analytics  reportable segment. The operating results of
the recently acquired Ateb business is  included in the Medication Adherence reportable segment.

Foreign currency translation and remeasurement

Most of the Company’s foreign subsidiaries use the local currency of their respective countries as

their functional currency. The Company translates the  assets  and  liabilities  of such non-U.S. dollar
functional currency subsidiaries into  U.S.  dollars  using exchange rates in  effect at the  end of each
period. Revenue and expenses for these subsidiaries are  translated  using rates that approximate those
in effect during the period. Gains and losses from these  translations are recorded as foreign currency
translation adjustments and included  in accumulated other comprehensive income (loss) in
stockholders’ equity.

The Company’s foreign subsidiaries that use  the U.S. dollar  as their functional currency remeasure
monetary assets and liabilities at exchange  rates in effect  at the end of each period,  and non-monetary
assets and liabilities at historical rates. Gains and losses from such  foreign currency remeasurement  are
recorded  in interest and other income  (expense).

Revenue recognition

The Company earns revenues from sales of its medication  and  medical and surgical supply
automation systems along with consumables and related services, which  are sold in the healthcare
industry, its principal market. Revenues are reported  net of discounts and rebates  provided to its
customers. The Company’s customer arrangements typically include one or more of  the following
deliverables:

Products. Software-enabled equipment that manages  and regulates the storage and dispensing of

pharmaceuticals, consumable blister cards and packaging equipment  and other  medical  supplies.

Software. Additional software applications that enable incremental functionality of its equipment.

Installation.

Installation of equipment as integrated systems at customers’  sites.

Post-installation technical support. Phone support, on-site service, parts and  access to unspecified

software upgrades and enhancements,  if  and  when available.

Professional services. Other customer services, such as training and consulting.

F-9

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 1. Organization and Summary of Significant  Accounting Policies (Continued)

The Company recognizes revenue when  the earnings  process is complete, based upon  its evaluation

of whether the following four criteria  have  been met:

Persuasive evidence of an arrangement  exists. The Company uses signed customer contracts and

signed customer purchase orders as evidence of an arrangement for leases  and sales. For service
engagements, the Company uses a signed  services agreement and a statement of work to evidence an
arrangement.

Delivery has occurred. Equipment and embedded software product  delivery is deemed to occur
upon successful installation and receipt of a signed and dated  customer  confirmation  of  installation
letter, providing evidence that the Company has delivered what a customer ordered. In  instances of  a
customer self-installation, product delivery  is deemed to have occurred  upon receipt of a  signed and
dated customer confirmation letter. If a  sale does not require  installation, the Company recognizes
revenue on delivery of products to the customer, including transfer of title and  risk of  loss, assuming all
other revenue criteria are met. For existing  distributors, where installation of equipment  training has
been previously provided and the distributor is certified to install the  Company’s equipment  at the
end-user customer facility, the Company  recognizes revenue from sales of products to the distributor
upon shipment assuming all other revenue criteria  are met, net  of  allowance for  rights of return or
refund. For new distributors, where the Company has not provided installation  of  equipment training,
revenue on the sales of products to the distributor is deferred  until the distributor has completed the
Distributor Training Program and has  been certified to install the Company’s equipment at the
end-user facility. For the sale of consumable blister cards, the Company recognizes  revenue when title
and risk of loss of the products shipped have  transferred to  the customer, which usually occurs upon
shipment from the Company’s facilities.  Assuming all other revenue criteria are met, the Company
recognizes revenue for support services  ratably over  the related support  services contract period. The
Company recognizes revenue on training and professional services as they are performed.

Fee is fixed or determinable. The Company assesses whether a fee is fixed or determinable at  the
outset of the arrangement based on the  payment  terms associated with the  transaction. The Company
has established a history of collecting under the  original  contract without providing  concessions on
payments, products or services.

Collection is probable. The Company assesses the probability  of collecting from each customer at
the outset of the arrangement based on  a number of factors, including the  customer’s payment history
and its current creditworthiness. If, in the  Company’s  judgment, collection of a fee is not probable, the
Company defers revenue recognition until  the uncertainty is removed, which generally means revenue is
recognized upon the Company’s receipt  of cash  payment assuming all other revenue criteria are met.
The Company’s historical experience  has  been  that collection from its  customers is generally probable.

In arrangements with multiple deliverables, assuming  all other  revenue criteria are met, the
Company recognizes revenue for individual delivered items if they have value to the customer on  a
standalone basis. The Company allocates arrangement consideration at the inception of the
arrangement to all deliverables using  the relative selling price  method. This method requires the
Company to determine the selling price at  which each deliverable could be sold if it were  sold regularly
on a standalone basis. When available, the Company uses vendor-specific objective evidence  (‘‘VSOE’’)
of the selling price. VSOE represents  the price  charged for  a  deliverable when  it is sold separately, or
for a deliverable not yet being sold separately,  the price established by management with the relevant

F-10

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 1. Organization and Summary of Significant  Accounting Policies (Continued)

authority. The Company considers VSOE  to exist when approximately 80% or more of its standalone
sales of an item are priced within a reasonably narrow pricing range (plus or  minus 15%  of the median
rates). The Company has established  VSOE  of the  selling price for its post-installation technical
support services and professional services.  When  VSOE of selling price is not available, third-party
evidence (‘‘TPE’’) of selling price for similar  products and services is acceptable; however, the
Company’s offerings and market strategy  differ from those of its competitors, such that it cannot obtain
sufficient comparable information about  third parties’ prices. If neither VSOE nor  TPE are available,
the Company uses its best estimates of  selling prices (‘‘BESP’’). The Company determines BESP
considering factors such as market conditions, sales channels, internal costs  and product margin
objectives and pricing practices. The  Company regularly reviews and  updates its VSOE and BESP
information.

The relative selling price method allocates total arrangement consideration proportionally to each

deliverable on the basis of its estimated  selling price. In  addition, the amount recognized for any
delivered items cannot exceed that which  is not  contingent upon  delivery of any remaining items  in the
arrangement.

The Company also uses the residual  method to allocate revenue between the software products

that enable incremental equipment functionality, and thus  are not deemed  to  deliver its essential
functionality, and the related post-installation  technical support, as these products and services  continue
to be accounted for under software revenue recognition  rules. Under  the residual method, the amount
allocated to the undelivered elements equals VSOE of fair value of these elements. Any remaining
amounts are attributed to the delivered items and are recognized when  those items are delivered.

A portion of the Company’s sales are made  through multi-year lease agreements. Under  sales-type

leases, the Company recognizes revenue for its hardware and software products net of lease execution
costs such as post-installation product maintenance  and  technical support, at the net present value of
the lease payment stream once its installation obligations  have been met.  The Company optimizes cash
flows by selling a majority of its non-U.S.  government  leases to third-party  leasing finance companies
on a non-recourse basis. The Company has no obligation  to the leasing company  once the lease  has
been sold. Some of the Company’s sales-type  leases, mostly those relating to U.S. government hospitals
which  comprise approximately 33% of the lease receivable  balance, are retained in-house. Interest
income in these leases is recognized  in product revenue using the effective interest method.

The Company will adopt the ASU 2014-09, Revenue from Contracts with Customers, effective

January 1, 2018. Please refer to ‘‘Recently  issued authoritative  guidance’’ which  is included in Note 1 of
this  report.

Financial Instruments

For assets and liabilities measured at fair  value,  the amounts  are  based on an  expected exit price
representing the amount that would  be  received from  the sale of an asset  or paid to transfer a liability
in a transaction between market participants. The fair value may  be  based on assumptions  that  market
participants would use in pricing an asset  or liability. The authoritative guidance on fair value
measurements establishes a consistent framework for  measuring fair value on either a recurring or
nonrecurring basis whereby inputs used in valuation techniques are assigned a hierarchical  level. The

F-11

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 1. Organization and Summary of Significant  Accounting Policies (Continued)

following methods were used to estimate  the fair value of  each class of financial instruments for which
it is practical to estimate that value:

Cash and Cash Equivalents and Fair Value of  Financial Instruments. The Company classifies
investments as cash equivalents if their original  or remaining contractual maturity is three  months or
less  at the date of purchase. Cash equivalents  are carried at amounts that approximate fair value due to
the short period of time to maturity.  The Company’s cash  balances are maintained  in demand deposit
accounts with financial institutions of  high credit quality.  The Company  continuously monitors the
credit worthiness of the financial institutions in  which it invests. The  Company has  not  experienced any
credit losses from its cash investments.

Foreign currency forward contracts. The Company enters into foreign currency forward contracts to

protect its business from the risk that exchange  rates may affect the eventual cash flows resulting from
intercompany transactions between Omnicell and its foreign subsidiaries.  These transactions primarily
arise as a result of products manufactured in  the United States (‘‘U.S’’) and sold to foreign subsidiaries
in U.S. dollars rather than the subsidiaries’ functional  currencies. These forward  contracts are
considered to be financial derivative instruments and are recorded  at fair  value. Changes in fair values
of these  financial derivative instruments  are  either recognized in other comprehensive income or net
income depending on whether the derivative  has been designated and qualifies as a hedging instrument.

Interest rate swap agreements. During 2016, the Company entered into an interest rate swap

agreement. The interest rate swap agreement, at its inception, qualified for and  were designated as cash
flow hedging  instrument. In accordance  with the Derivatives and Hedging Topic of the Accounting
Standards Codification, the Company  records its interest  rate swaps on its consolidated balance sheet at
fair value. The effective portion of changes in fair value are recorded in accumulated other
comprehensive loss and are subsequently reclassified into earnings in the  period that the  hedged
forecasted transaction affects earnings. Any ineffective  portion is recognized in earnings. Both at
inception and on a quarterly basis, the  Company performs an effectiveness test. For further information
regarding these interest rate swap agreements,  please refer to Note  4, Cash and Cash Equivalents and
Fair Value of Financial Instruments.

Debt. The Company has entered into a Credit Agreement which provides for (a) a five-year
revolving credit facility and (b) a five-year term loan  facility (Facilities). The amount borrowed under
these facilities is recorded at its carrying value  at December  31, 2017. The  fair value  at December 31,
2017 approximates the carrying value.

Allowance for doubtful accounts and  notes receivables from investment in  sales-types  leases

The Company maintains an allowance for doubtful accounts for estimated losses resulting from the
inability of its customers to make required payments.  The Company records a specific allowance based
on an analysis of individual past-due  balances. Additionally, based on historical write-offs and  the
Company’s collection experience, the Company  records an  additional  allowance based  on a  percentage
of outstanding receivables. The Company performs credit evaluations of its  customers’  financial
condition. These evaluations require significant  judgment and are based  on a variety of factors
including, but not limited to, current economic  trends, payment history  and a financial review  of  the
customer. Actual collection losses may  differ from management’s estimates, and such  differences could
be material to the Company’s financial position and  results of operations.

F-12

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 1. Organization and Summary of Significant  Accounting Policies (Continued)

There were no customers that accounted for more  than  10% of the Company’s accounts receivable

balance as of December 31, 2017 and  December 31,  2016.

The retained in-house leases  discussed  above are considered financing receivables. The Company’s

credit policies and its evaluation of credit risk  and  write-off policies are applied alike to trade
receivables and the net investment in  sales-type leases. For both, an  account is generally past due after
thirty days. The financing receivables also have customer-specific reserves for  accounts identified for
specific  impairment and a non-specific reserve applied to the  remaining  population, based on factors
such as current trends, the length of  time the  receivables are past  due and historical collection
experience. The retained in-house leases  are  not stratified  by portfolio  or class.

Sales of accounts receivable

The Company records the sale of its  accounts receivables as in accordance with accounting

guidance for transfers and servicing of  financial  assets. The Company transferred  non-recourse  accounts
receivable totaling $40.0 million, $28.7  million  and $38.6  million  during fiscal year 2017, 2016,  and 2015,
respectively, which approximated fair value, to leasing companies on a non-recourse  basis. Accounts
receivable balance included approximately $0.1 million, $0.2 million and $0.8 million due from third-
party leasing companies for transferred  non-recourse  accounts receivable  as of December 31, 2017,
December 31, 2016 and December 31, 2015, respectively.

Inventory

Inventories are stated at the lower of  cost, computed using the first-in, first-out method, and  net

realizable value. Inbound shipping costs are included in cost of inventory. The Company regularly
monitors inventory quantities on hand  and  records write-downs for  excess and obsolete  inventories
based on the Company’s estimate of demand for its  products, potential obsolescence of  technology,
product  life cycles, and whether pricing trends or forecasts indicate that the carrying value of inventory
exceeds its estimated selling price. These  factors are impacted by market and economic  conditions,
technology changes, and new product  introductions and require estimates that may include  elements
that are uncertain. Actual demand may  differ from  forecasted demand and may have  a material effect
on gross margins. If inventory is written  down,  a new cost basis is established that cannot be increased
in future periods. Shipments from suppliers or contract manufacturers before the Company receives
them are recorded as in-transit inventory when title  and the significant risks and rewards of  ownership
have passed to the Company.

The Company has a supply agreement with one  primary  supplier for construction and  supply of
several sub-assemblies and inventory management of sub-assemblies used in our hardware products.
There are no minimum purchase requirements. The contract with the Company’s supplier may be
terminated by either the supplier or by the  Company  without cause and at any time upon delivery of
two months’ notice. Purchases from this supplier were $64.5 million, $47.9 million and $41.7 million for
the years ended December 31, 2017,  December 31, 2016 and December 31, 2015,  respectively.

Property and equipment

Property and equipment less accumulated  depreciation are  stated at historical cost. The Company’s

expenditures for property and equipment are primarily for  computer equipment and software used in
the administration of its business, and for  leasehold improvements to its leased  facilities.  The Company

F-13

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 1. Organization and Summary of Significant  Accounting Policies (Continued)

also develops molds and dies used in long-term  manufacturing  arrangements with  suppliers and  for
production automation equipment used in the manufacturing of consumable blister card  components.
Depreciation and amortization is computed by  use of the straight-line method over the estimated useful
lives of the assets as stated below:

Computer equipment and related software . . . . . .
Leasehold and building improvements . . . . . . . . .

Furniture and fixtures . . . . . . . . . . . . . . . . . . . . .
Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 - 5 years
Shorter of the lease term or the estimated useful
life
5 - 7 years
3 -  12 years

Depreciation and amortization of property and equipment was $16.2  million, $15.0  million and
$12.8 million for the years ended December 31, 2017, December 31, 2016 and December 31, 2015,
respectively.

The Company capitalizes costs related to computer software developed  or obtained for internal use

in accordance with ASC 350-40, Internal-Use Software. Software obtained for internal use has generally
been enterprise-level business and finance  software that the Company customizes to meet its specific
operational needs. Costs incurred in  the  application  development phase are capitalized and amortized
over their useful lives, which is generally  five  years.  Costs recognized in the preliminary project  phase
and the post-implementation phase are  expensed as incurred. The Company  capitalized $0.4 million
and $2.2 million of costs related to the application development of enterprise-level software that was
included in property and equipment during the years ended  December  31, 2017 and December 31,
2016, respectively.

Software development costs

The Company capitalizes software development costs in accordance  with ASC 985-20, Costs of
Software  to Be Sold, Leased, or Marketed, under which certain software development costs incurred
subsequent to the establishment of technological  feasibility may  be  capitalized  and amortized over the
estimated lives of the related products. The Company establishes feasibility  when it completes a
working model and amortizes development costs  over the estimated lives of the  related products
ranging from three to five years. The  Company capitalized software  development costs  of  $15.0 million
and $14.3 million which are included in  other assets  as of December 31, 2017 and December 31, 2016,
respectively. The Company recorded $9.7  million, $7.1 million  and  $5.8 million  to  cost of revenues for
amortization of capitalized software development costs for the years ended  December 31, 2017,
December 31, 2016 and December 31, 2015, respectively.  All development  costs prior  to  the completion
of a working model are recognized as research and development  expense.

Deferred revenue

Deferred revenue arise when customers have been billed  and/or  have received products  and/or

services in advance of revenue recognition.  The Company’s deferred revenue, net, presented as short
term consists of (i) unearned revenue  on  sale of equipment for which installation has not been
completed, net of deferred cost of sales for such equipment,  and  (ii) the current portion of unearned
service contracts for which revenue is  recognized  over their  duration. Long-term  deferred revenue
includes long term portion of unearned  service contracts.

F-14

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 1. Organization and Summary of Significant  Accounting Policies (Continued)

Business  combinations

The Company uses the acquisition method of accounting  under the authoritative guidance on
business combinations. Each acquired company’s operating results are  included in  the Company’s
Consolidated Financial Statements starting  on  the date of acquisition. The purchase price is equivalent
to the fair value of consideration transferred. Tangible and identifiable intangible assets acquired and
liabilities assumed as of the date of acquisition are recorded at  the acquisition date fair value. Goodwill
is recognized for the excess of purchase price  over the net fair value of assets acquired and liabilities
assumed.

Amounts allocated to assets and liabilities are  based  upon fair values. Such valuations require
management to make significant estimates  and assumptions, especially  with respect to the  identifiable
intangible assets. Management makes estimates of fair value  based upon assumptions  believed to be
reasonable and that of a market participant. These  estimates  are based on historical experience and
information obtained from the management of  the acquired companies and the estimates are inherently
uncertain. The separately identifiable intangible  assets generally include  customer relationships,
technology, and trade names.

Goodwill and acquired intangible assets

Goodwill. The Company reviews goodwill for impairment  on an  annual basis on  the first day of

the fourth quarter of each year at the reporting  unit level. The Company’s reporting  units are  the same
as its operating segments, which are Automation and Analytics and Medication Adherence. A
qualitative assessment is initially made to determine whether it is necessary to perform  quantitative
testing. A qualitative assessment includes,  among  others, consideration  of: (i)  past, current and
projected future earnings and equity;  (ii) recent trends and market conditions; and  (iii) valuation
metrics  involving similar companies that are publicly-traded  and acquisitions  of similar companies,  if
available. If this qualitative assessment indicates that it  is more likely than not that impairment exists,
or if the Company decides to bypass  this option, it  proceeds  to  the quantitative assessment. The
quantitative assessment involves a comparison  between the estimated fair  values of  the Company’s
reporting units with their respective carrying  amounts including goodwill. If the carrying value  exceeds
estimated fair value, the Company will record an impairment  charge based on  that  difference. The
impairment charge will be limited to the amount of goodwill allocated to that reporting unit.

To determine each reporting unit’s fair value  under the quantitative approach,  the Company uses a

combination of income and market approaches, equally weighting  the two  approaches,  such as
estimated discounted future cash flows of that reporting unit,  multiples of earnings or revenues, and
analysis of recent sales or offerings of comparable  entities. The Company  also considers its market
capitalization on the date of the analysis to ensure the reasonableness of  the sum of its reporting units’
fair value.

The Company performed a quantitative impairment  analysis as  of  October  1, 2017 for its
Medication Adherence reporting unit. The Company  determined that the fair value  of  this  reporting
unit exceeded the carrying value by more than 40%,  and thus no  impairment was indicated.
Additionally, the Company performed a qualitative impairment  assessment analysis as of October 1,
2017 for its Automation and Analytics reporting unit taking into consideration past,  current and
projected future earnings, recent trends  and market conditions;  and  valuation metrics involving  similar

F-15

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 1. Organization and Summary of Significant  Accounting Policies (Continued)

companies that are publicly-traded. Based on  the result of this  analysis an impairment does not exist as
of December 31, 2017.

Intangible assets.

In connection with the Company’s acquisitions, it generally recognizes assets for
customer relationships, backlog, developed technology, and trade names. Intangible assets are carried at
cost less accumulated amortization. Such amortization  is provided on a straight-line basis  or on  an
accelerated basis based on a pattern of economic benefit that is expected  to  be  obtained  over the
estimated useful lives of the respective assets, generally from one  to  30 years. Amortization for
developed technology and backlog is recognized in cost  of  revenues, and amortization for customer
relationships, non-compete agreements, and trade names is recognized in selling, general  and
administrative expenses.

The Company assesses the impairment of identifiable intangible  assets whenever events or changes

in circumstances indicate that an asset’s carrying amount may not be recoverable. Recoverability of an
asset is measured by the comparison  of the carrying amount to the sum of the undiscounted estimated
future cash flows the asset is expected to generate,  offset by estimated future costs  to  dispose of the
product to which the asset relates. If  an asset is considered to be impaired, the amount of such
impairment would be measured as the difference between the carrying amount of the asset  and its fair
value. The Company’s cash flow assumptions are based on historical  and  forecasted  future revenue,
operating costs, and other relevant factors. Assumptions  and estimates  about the remaining useful lives
of the Company’s intangible assets are  subjective and are affected by changes to its business strategies.
If management’s estimates of future operating results  change, or if there are changes to other
assumptions, the estimate of the fair value  of the  Company’s assets  could  change  significantly.  Such
change  could result in impairment charges in future periods, which could have  a significant  impact  on
the Company’s operating results and financial  condition.  For the years ended December 31, 2017  and
December 31, 2016, there were no events  or changes in circumstances to indicate that intangible assets
carrying amounts may not be recoverable.

Valuation of share-based awards

The Company accounts for share-based compensation in accordance  with ASC 718, Stock
Compensation (‘‘ASC 718’’). The Company recognizes compensation  expense related to stock-based
compensation based on the grant date estimated fair  value.

The fair value of stock options (‘‘options’’)  on the grant date is  estimated using the Black-Scholes

option pricing model, which requires  the following inputs:  expected  life,  expected volatility, risk-free
interest rate, expected dividend yield  rate, exercise  price, and closing  price of its common stock on the
date  of  grant. The expected volatility is  based  on a  combination  of  historical and  market-based implied
volatility, and the expected life of the  awards is based on the Company’s  historical  experience  of
employee stock option exercises, including forfeitures. Expense is  recognized  on a straight-line basis
over the requisite service period.

The fair value of Restricted Stock Units (‘‘RSUs’’)  is based  on the stock price on the  grant date.

The fair value of Restricted Stock Awards  (‘‘RSAs’’) is  their intrinsic value, which is the  difference
between the fair value of the underlying stock at  the measurement  date and the purchase price.  The
RSUs and RSAs are subject to a service  vesting  condition and are recognized on  a straight-line  basis
over the requisite service period.

F-16

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 1. Organization and Summary of Significant  Accounting Policies (Continued)

The fair value of PSUs with service and market conditions is estimated using a Monte Carlo
simulation model applying multiple awards  approach.  Expense is recognized  when it is probable that
the performance condition will be met using the accelerated  attribution method over the requisite
service period.

The valuation assumptions used in estimating the fair value of employee share-based awards may

change in future periods.

Accounting for income taxes

The Company records an income tax provision for (benefit from) the anticipated tax consequences

of the reported results of operations.  In  accordance with U.S. GAAP, the provision for (benefit from)
income taxes is computed using the asset and liability method, which requires the recognition of
deferred tax assets and liabilities for  the expected future tax consequences of events that have been
included in the financial statements.  Under this  method, deferred tax assets and liabilities are
determined on the basis of the differences between the financial statement and tax bases of assets and
liabilities and for operating losses and tax  credit carry  forwards. Deferred tax assets and liabilities  are
measured using the enacted tax rates  in  effect for the  periods in which those tax assets and liabilities
are expected to be realized or settled.  In the event that these tax rates change, the Company will  incur
a benefit or detriment on its income tax expense in the period of change. If  the Company were to
determine that all or part of the net  deferred  tax  assets are not realizable in the future,  it will record a
valuation allowance that would be charged to earnings  in  the period such  determination is made.

In accordance with ASC 740, Income  Taxes, the Company  recognizes the tax benefit from an
uncertain tax position if it is more likely  than not that 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 ultimate settlement. The calculation of tax  liabilities
involves significant judgment in estimating the  impact of uncertainties in  the application of U.S. GAAP
and complex tax laws. Resolution of  these uncertainties in a manner inconsistent with management’s
expectations could have a material impact on the  Company’s financial condition and operating results.

Commissions

Sales commissions are incremental and directly related to customer sales contracts  in which
revenue is deferred. These commission  costs  are accrued  and recorded in prepaid expenses upon
execution of a non-cancelable customer contract  and subsequently expensed in the  period of revenue
recognition. Commission expense was  $19.4 million, $22.0 million and $13.7 million for the years ended
December 31, 2017, December 31, 2016 and December  31,  2015, respectively.

Group Purchasing Organizations

The Company contracts with Group Purchasing Organizations  (‘‘GPOs’’), each of which functions

as a purchasing agent on behalf of member hospitals and other healthcare providers, as well as  with
government entities and agencies. Pursuant to the terms of  GPO agreements, each member contracts
directly with Omnicell and can purchase  Company’s product at pre-negotiated contract terms and
pricing. The account receivable balances are with individual members of the GPOs,  and therefore  no

F-17

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 1. Organization and Summary of Significant  Accounting Policies (Continued)

significant concentration of credit risk  exists. During our fiscal year  ended December 31, 2017 sales to
members of the ten largest GPOs accounted for  approximately  51% of total consolidated revenue.

The fees related to GPOs for services provided are  recognized as part of Sales, General and
Administrative expenses. The Company expensed $7.4 million, $8.4 million  and $5.9 million  of GPO
administrative fees for the years ended December 31,  2017,  December 31,  2016 and December 31,
2015, respectively,

Shipping costs

Outbound freight billed to customers  is recorded as product revenue. The  related shipping and

handling costs are expensed as part of  selling, general and administrative expense. Shipping and
handling expenses were $13.6 million,  $12.1 million  and  $8.5  million for the years ended December 31,
2017, December 31, 2016 and December  31, 2015, respectively.

Recently adopted accounting standards

In March 2016, the Financial Accounting Standards Board (‘‘FASB’’) issued  ASU No. 2016-09,
Compensation—Stock Compensation (Topic  718). This ASU simplifies several aspects of the accounting
for share-based payment transactions, including  the income tax  consequences, classification of awards  as
either equity or liabilities, and classification on the statement of cash flows. The provision of
ASU No. 2016-09 is effective for annual  periods beginning after December 15, 2016, and interim
periods within those annual periods.  The Company  adopted the standard effective January 1, 2017. The
impact of adoption was the recording  of excess tax benefits within income tax expense, rather than in
Additional Paid in  Capital of $6.6 million for  the year ended December 31, 2017. Additionally, in the
first quarter of 2017, the Company recognized the  previously unrecognized  excess tax benefits using the
modified retrospective transition method,  which  resulted  in a cumulative-effect adjustment of
$1.6 million to retained earnings.

In January 2017, the FASB issued ASU 2017-04, Intangibles—Goodwill and Other (Topic 350):
Simplifying the Test for Goodwill Impairment, which simplifies the accounting for  goodwill impairment
for all entities by requiring impairment  charges to be based on the first step in today’s two-step
impairment test under ASC 350, ‘‘Intangibles-Goodwill and Other.’’ Under the new guidance, if a
reporting unit’s carrying amount exceeds its fair value, an entity will record an impairment charge
based on that difference. The impairment  charge  will be limited to the amount of goodwill allocated to
that reporting unit. ASU 2017-04 is effective for annual and interim impairment tests performed in
periods beginning after December 15,  2019. Early adoption is  permitted for annual and interim
goodwill impairment testing dates after  January  1, 2017.  The Company  adopted ASU 2017-04 effective
January 1, 2017. The adoption of this authoritative guidance did not have impact on the Company’s
Consolidated Financial Statements or related disclosures for the periods presented.

In January 2017, the FASB issued ASU 2017-01, Business Combinations, which clarifies the
definition of a business and provides  a  screen to determine when a set of assets and activities  is not a
business. The screen requires that when substantially all of  the fair value  of the  gross assets  acquired
(or disposed of) is  concentrated in a  single identifiable  asset or a group of  similar identifiable  assets,
the set is not a business. ASU 2017-01  is  effective for fiscal  years  beginning after December 15, 2017,
with early adoption permitted. The Company adopted ASU 2017-01 effective January  1, 2017. The

F-18

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 1. Organization and Summary of Significant  Accounting Policies (Continued)

adoption of this authoritative guidance did not have impact on the Company’s Consolidated Financial
Statements or related disclosures for  the  periods presented.

In August 2017, the FASB issued ASU 2017-12, Derivatives and Hedging (Topic 815), which

simplifies the application of the hedge  accounting  guidance and improves the  financial  reporting,
specifically simplifies designation and measurement  for qualifying  hedging relationships  and the
presentation of hedge results. ASU 2017-12 is effective for  annual  periods beginning after
December 15, 2018 and interim periods  within those annual  periods with early adoption permitted. The
Company adopted ASU 2017-12 effective August 1, 2017. The  adoption of this authoritative  guidance
did not have impact on the Company’s  Consolidated Financial Statements or related disclosures for the
periods presented.

Recently issued authoritative guidance

In May 2014, the FASB issued ASU  No.  2014-09, Revenue from Contracts with Customers
(‘‘ASU 2014-09’’) related to revenue recognition.  Under the standard, revenue is  recognized when a
customer obtains control of promised  goods or services  in an amount that reflects the consideration  the
entity expects to receive in exchange  for  those goods or services.  In addition, the  standard requires
disclosure of the nature, amount, timing,  and  uncertainty of revenue  and cash flows arising from
contracts with customers. The standard will be effective for the Company beginning January  1, 2018.

The guidance permits two methods of adoption: retrospectively to each prior  reporting period
presented (full retrospective method),  or  retrospectively with the cumulative effect of initially applying
the guidance recognized at the date of  initial  application (modified retrospective  method). The
Company will adopt the standard using the full retrospective  method to adjust each prior reporting
period presented in the footnote disclosures to the Consolidated  Financial Statements.

In preparation for adoption of the standard,  the Company has implemented functionality changes

in the revenue system and internal controls  related to new standard adoption to enable the  preparation,
and reporting and disclosures of the financial information in accordance with  the new  standard upon
the adoption and in future periods.

The most significant impact of the standard relates  to  accounting  for direct incremental contract

acquisition costs, such as commission  expense, term software license revenue  and accounting  for
contingent revenue.

The Company currently records the full commission expense in the  consolidated  statements of
operations when commissions are both earned and revenue is  recorded. The new revenue  standard
requires the Company to recognize incremental  costs incurred to obtain  a contract on a systematic basis
that is consistent with the transfer to the  customer of the  product and services  to  which the cost relates,
including an estimate of the period of  service renewals for the  transaction. The allocation of the  costs
between product and service and the  estimation of a  customer’s services period  are management
estimates and are based on the Company’s historical experience. The  Company will allocate
commission costs between product and service  revenue elements and  recognize  those when product
revenue is recognized and over the estimated  service  period of 10 years, respectively. The Company
expects that the impact of capitalized  commissions  will be approximately $19 million to $20 million as
of December 31, 2017 will be recognized in sales and marketing expense in future  periods.

F-19

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 1. Organization and Summary of Significant  Accounting Policies (Continued)

The Company expects to recognize the majority of revenue on term software licenses upon
installation of the license rather than  ratably over the  life of the term license. The  adoption of the
standard will result in an increase in  revenue  of  less than $2 million in 2016 and 2017  and a  decrease in
deferred revenue of less than $3 million  as of December 31, 2017.

The new standard no longer requires deferral  of  contingent revenue in  transactions where the
amount charged to the customer for a  particular  performance obligation  is less than the allocation of
standalone selling price which will result in earlier recognition of  revenue. The Company is finalizing
the impact on revenue, unbilled accounts receivable and deferred revenue of this adoption adjustment.

The Company is currently finalizing the impact on tax  expense and deferred taxes of these

adoption adjustments.

In February 2016, the FASB issued ASU No. 2016-02, Leases (Topic 842). The FASB amended
lease accounting requirements to begin recording assets  and liabilities arising  from most  leases on  the
balance sheet. The new guidance will  also  require significant additional disclosures about the amount
and timing of cash flows from leases. This new  guidance will be effective for us beginning on January 1,
2019 using a modified retrospective approach.  The modified retrospective approach includes a number
of optional practical expedients that entities may  elect  to  apply. The Company  is currently evaluating
the impact ASU 2016-02 will have on  its  consolidated financial statements.

In October 2016, the FASB issued ASU No.  2016-16, Income Taxes (Topic 740): Intra-Entity
Transfers of Assets Other Than Inventory, which reduces the complexity in the accounting standards by
allowing the recognition of current and  deferred income taxes for  an  intra-entity  asset transfer, other
than inventory, when the transfer occurs. Historically, recognition of the  income  tax consequence was
not recognized until the asset was sold to an outside  party. This amendment  should be applied on a
modified retrospective basis through a cumulative-effect adjustment directly to retained earnings as of
the beginning of the period of adoption. ASU 2016-16  is effective for  annual periods beginning after
December 15, 2017, including interim  reporting  periods within those annual reporting periods. The
Company does not expect application  of  the amended  guidance to have a material effect  on its
consolidated financial statements.

There was no other recently issued and effective authoritative  guidance  that  is expected to have a

material impact on the Company’s Consolidated Financial Statements through  the reporting date.

F-20

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 2. Business Combinations

2017 Acquisitions

On April 12, 2017, the Company completed the acquisition of all of  the membership interest of

Dixie Drawl, LLC d/b/a InPharmics (‘‘InPharmics’’).  InPharmics is  a technology and services company
that provides advanced pharmacy informatics solutions to hospital pharmacies. The total  consideration
for the transaction was $5.0 million, net of cash acquired of $0.3  million. Approximately $0.5 million  of
the total consideration was classified as  a  long-term liability for potential settlement of performance
obligations. The Company accounted  for the acquisition of InPharmics in accordance with the
authoritative guidance on business combinations;  therefore, the tangible and intangible assets  acquired
and liabilities assumed were recorded  at  fair value on the acquisition date. The purchase price was
preliminary allocated to intangible assets in the amount of $1.9 million, which included developed
technology and customer contracts, with  the remainder allocated to goodwill. The results of  the
InPharmics’ operations have been included in our consolidated  results of operations, and presented as
part of the Automation and Analytics  segment.

2016 Acquisition Activity

On January 5, 2016, the Company completed the acquisition of all of the membership interests of

Aesynt. Aesynt is a provider of automated medication  management systems, including dispensing robots
with storage solutions, medication storage and dispensing carts and cabinets, I.V. sterile preparation
robotics and software, including software related to medication management. The total consideration
was $271.5 million, net of cash acquired  of $8.2  million.  The results of Aesynt’s operations have been
included in our consolidated results of operations as of the time of the acquisition, and presented as
part of the Automation and Analytics  segment.

On December 8, 2016, the Company  completed its acquisition  of ateb, Inc., and Ateb Canada Ltd.

(together, ‘‘Ateb’’) for $40.7 million of  cash consideration,  net of $0.9  million cash on  hand. The cash
consideration, included the repayment  of  Ateb indebtedness  and  other adjustments provided for in the
Ateb’s  Securities Purchase Agreement.  Ateb is a provider  of pharmacy-based  patient  care and
medication synchronization solutions to independent  and chain pharmacies. The results of Ateb’s
operations have been included in our consolidated results of operations as of  the time  of the
acquisition, and presented as part of  the Medication Adherence segment.

The Company accounted for the acquisitions of Aesynt  and Ateb in accordance  with the

authoritative guidance on business combinations;  therefore, the tangible and intangible assets  acquired
and liabilities assumed were recorded  at  fair value on the acquisition dates, respectively.  The following
table represents the allocation of the  purchase price to the assets acquired and the liabilities assumed

F-21

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 2. Business Combinations (Continued)

by the Company during each acquisition,  respectively, reconciled to the purchase price transferred
included in the Company’s Consolidated  Balance Sheet:

Aesynt

Ateb

Total

(In thousands)

Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accounts receivable . . . . . . . . . . . . . . . . . . . . . . . .
Inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other current assets . . . . . . . . . . . . . . . . . . . . . . . .

$ 8,164
43,312
19,021
3,787

$

Total current assets . . . . . . . . . . . . . . . . . . . .
Property and equipment . . . . . . . . . . . . . . . . . . .
Intangible assets . . . . . . . . . . . . . . . . . . . . . . . . .
Goodwill
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other non-current assets . . . . . . . . . . . . . . . . . . .

Total assets . . . . . . . . . . . . . . . . . . . . . . . . .
Current liabilities . . . . . . . . . . . . . . . . . . . . . . . .
Deferred revenue, net . . . . . . . . . . . . . . . . . . . . .
Non-current deferred tax liabilities . . . . . . . . . . . .
Other non-current liabilities . . . . . . . . . . . . . . . . .

74,284
10,389
123,700
163,599
968

372,940
26,753
25,512
38,622
2,431

902
7,761
225
1,239

10,127
2,447
12,500
24,232
334

49,640
4,895
2,776
—
367

$

9,066
51,073
19,246
5,026

84,411
12,836
136,200
187,831
1,302

422,580
31,648
28,288
38,622
2,798

Total liabilities . . . . . . . . . . . . . . . . . . . . . . .

93,318

8,038

101,356

Total purchase price . . . . . . . . . . . . . . . . . . . . .

279,622

41,602

321,224

Total purchase price, net of cash received . . . . . . .

$271,458

$40,700

$312,158

The $163.6 million of goodwill arising from  the Aesynt acquisition is primarily attributed to sales
of future products and services and Aesynt’s assembled workforce. The goodwill has  been assigned  to
the Automation and Analytics segment  and is not deductible for tax purposes.  Since the  acquisition,  the
Company adjusted the preliminary value assigned  to  goodwill by  $1.2 million  to  reflect measurement
period adjustments related to accounts  receivable, inventory, and other  assets and  liabilities (inclusive
of deferred taxes) of $1.6 million, $1.1 million and ($3.9) million,  respectively.

The $24.2 million of goodwill arising  from  the Ateb  acquisition  is primarily attributed to sales  of

future products and services and Ateb’s assembled workforce. Since the acquisition, the  Company
adjusted the preliminary value assigned  to  goodwill by $3.4 million to reflect  adjustments related to
accounts receivable, other non-current  assets  and other accrued liabilities of $0.1  million, $0.7 million
and $2.6 million, respectively.

F-22

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 2. Business Combinations (Continued)

Intangible assets eligible for recognition separate from goodwill were  those that satisfied  either the

contractual/legal criterion or the separability criterion in the accounting guidance. The identifiable
intangible assets acquired and their estimated useful lives for amortization are as follows:

Aesynt

Ateb

Customer relationships . . . . . . . . . . . . . . . . . . . . . .
Developed technology . . . . . . . . . . . . . . . . . . . . . . .
Backlog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
In-process research and development (‘‘IPR&D’’)(1)
.
Non-compete . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Trade names . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Fair value

(In thousands)
$ 58,200
38,800
20,200
3,900
1,800
800

Weighted
average
useful life

(In years)
14 - 16
8
1 - 3
—
3
1

Total purchased intangible assets . . . . . . . . . . . . .

$123,700

Weighted
average
useful  life

(In  years)
12
5
—
—
1
1

Fair value

(In thousands)
$ 8,900
3,400
—
—
100
100

$12,500

(1) The amortization of the in-process R&D assets begins when the in-process R&D  projects  are

complete.

Aesynt Acquisition

Customer relationships represent the  fair value of the underlying relationships and agreements

with Aesynt’s customers, acquired developed technology represents  the  fair value of Aesynt products
that have reached technological feasibility and were part of Aesynt’s product  offerings  at the date of
acquisition, backlog represents the fair value of sales order product  backlog at the date of acquisition,
non-compete intangible asset represents the fair  value of  non-compete agreements with  former key
members of Aesynt’s management, and  trade  name represents the fair  value  of brand and name
recognition associated with the marketing of Aesynt’s products and services. In-process research and
development (‘‘IPR&D’’) represents the  fair value of incomplete Aesynt research and development
projects that had not reached technological feasibility as of the  date of acquisition.  Incremental costs
incurred for those projects are expensed as  incurred in research and development.

The fair value of Aesynt trade names, acquired developed technology, and acquired IPR&D was
determined based on an income approach using the relief-from-royalty method  at the royalty rates  of
0.5%, 4% to 8% and 12.5%, respectively.  The  fair value of customer relationships,  backlog, and
non-compete intangible assets were determined  based on an income approach using  the discounted
cash flow method, at the discounted  rates of 13%, 10% and 13%, respectively. The intangible assets,
except customer relationship and IPR&D,  are  being amortized over their  estimated useful lives using
the straight line method of amortization. The  customer relationship  intangible asset  is being amortized
using a double-declining method of amortization as such method  better represents  the economic
benefits to be obtained. In accordance with authoritative guidance, the  IPR&D is accounted for as an
indefinite-lived intangible asset until completion or  abandonment of the  associated research and
development efforts. IPR&D is tested  for impairment during the  period  it is  considered an  indefinite
lived asset. IPR&D related projects are expected to be completed in two to three years. As of

F-23

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 2. Business Combinations (Continued)

December 31, 2017, none of the IPR&D  projects  have  been completed, and they have progressed as
previously estimated.

Ateb Acquisition

Customer relationships represent the  fair value of the underlying relationships and agreements
with Ateb’s customers expected to result  in future sales, acquired  developed technology represents the
fair value of Ateb intellectual property incorporated  in  their products, non-compete intangible asset
represents the fair value of non-compete  agreements with former  key  members of Ateb’s management,
and trade name represents the fair value of brand and name recognition  associated with the marketing
of Ateb’s products and services.

The fair value of Ateb trade names and  acquired developed technology was determined  based on
an income approach using the relief-from-royalty  method at the royalty rates of  0.5% and 5% to 6%,
respectively. The fair value of customer relationships, and non-compete  intangible assets were
determined based  on an income approach using the  discounted cash flow method, both using a 15%
discount rate. The intangible assets for  non-compete agreements and trade  name are being amortized
over their estimated useful lives using  the straight line method of amortization. The intangible assets
for customer relationship and developed technology are being amortized using a double-declining
method of amortization as such method better represents  the economic benefits to be obtained.

The Company incurred approximately $9.3 million in acquisition-related  costs related to the Aesynt

acquisition of which $6.4 million and  $2.9 million were  recognized  in the years ended December 31,
2016 and 2015, respectively. These costs are included in selling, general and administrative expenses in
the Company’s Consolidated Statement  of Operations. During the year ended December 31, 2016, the
Company incurred and expensed approximately $1.7 million of acquisition-related  costs for Ateb.

Pro forma financial information

The following table presents certain unaudited pro forma information  for illustrative  purposes only,

for the years ended December 31, 2017, December 31, 2016 and December 31, 2015 as if these
acquisitions had been acquired on January  1, 2015.  The pro forma information is not indicative of what
would have occurred had the acquisitions  taken place  on January 1, 2015. The unaudited  pro forma
information combines the historical results of the acquisitions with the Company’s  consolidated
historical results and includes certain adjustments reflecting the estimated impact of fair value
adjustments for the respective periods. The pro forma adjustments include the impact of fair  value
adjustment related to deferred revenue, inventory fair value adjustment,  amortization of intangible
assets, stock-based compensation expense, interest  expense and amortization of deferred issuance cost,
and certain classification to conform to the  Company’s accounting policies.

Pro forma net revenues . . . . . . . . . . . . . . . . . . . . .
Pro forma net income (loss) . . . . . . . . . . . . . . . . .
Pro forma net income (loss) per share . . . . . . . . . .
Weighted average number of shares . . . . . . . . . . . .

Twelve months ended December 31,

2017

2016

2015

(in thousands, except per share data)
$523,241
$719,799
$716,723
2,245
$ (1,044) $
$ 20,770
0.06
0.54
(0.03) $
$
$
36,699
38,712

36,156

F-24

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 3. Net Income Per Share

Basic net income per share is computed  by dividing net  income for  the period by the weighted-
average number of shares outstanding  during the  period. Diluted net income per share  is computed by
dividing net income for the period by the weighted-average number of shares, less shares repurchased,
plus, if  dilutive, potential common stock  outstanding during the period. Potential common  stock
includes the effect of outstanding dilutive stock options, restricted stock  awards  and restricted stock
units computed using the treasury stock method.  The anti-dilutive weighted-average  dilutive shares
related to stock award plans are excluded from  the computation of the diluted net income per share.

The calculation of basic and diluted net income per share is  as follows:

Year Ended December 31,

2017

2016

2015

(In thousands, except per share
data)

Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$20,605

$

603

$30,760

Weighted-average shares outstanding—basic . . . . . . . .
Add: Dilutive effect of employee stock plans . . . . . .

Weighted-average shares outstanding—diluted . . . . .

Net income per share—basic . . . . . . . . . . . . . . . . . . .
Net income per share—diluted . . . . . . . . . . . . . . . . . .
Anti-dilutive weighted-average shares related  to  stock

37,483
1,229

38,712

36,156
708

36,864

35,857
861

36,718

$
$

0.55
0.53

$
$

0.02
0.02

$
$

0.86
0.84

award plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

501

1,345

555

Note 4. Cash and Cash Equivalents  and  Fair Value  of Financial Instruments

Cash and cash equivalents of $32.4 million and $54.5 million as  of December  31, 2017 and

December 31, 2016, respectively, consisted of demand deposits only.

Fair value hierarchy

The Company measures its financial instruments at  fair value. The Company’s  cash equivalents are

classified within Level 1 of the fair value hierarchy  as they are valued primarily using quoted market
prices utilizing market observable inputs. The Company’s interest rate swap contracts  and foreign
currency contracts are classified within Level 2 as the valuation inputs are  based on quoted prices and
market observable data of similar instruments.  The Company’s contingent  consideration liability related
to the Avantec acquisition and was classified as  Level 3 as  valuation  inputs  were unobservable in the
market and significant to the instrument’s  valuation. The Company determined the final  payout amount
for the remaining contingent consideration and reduced the liability from $3.0 million to $2.4 million.
The reduction of the contingent liability  resulted  in a gain  of  $0.6 million which  is recorded in  the
‘‘Interest and other income (expense),  net’’ line in the  Consolidated  Statement of Operations for  the
year ended December 31, 2016. During the  year  ended December 31, 2017, the  Company concluded
that the final payout had been earned and paid out $2.4 million  during the third quarter of 2017.

F-25

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 4. Cash and Cash Equivalents  and  Fair  Value of Financial Instruments  (Continued)

The following table represents the fair  value hierarchy  of  the Company’s financial assets measured

at fair value as of December 31, 2017:

Interest rate swap contracts . . . . . . . . . . . . . . . . .

$— $1,378

$— $1,378

Total financial assets . . . . . . . . . . . . . . . . . . . .

$— $1,378

$— $1,378

Level 1

Level 2

Level 3

Total

(In thousands)

The following table represents the fair value hierarchy of the Company’s financial assets measured

at fair value as of December 31, 2016:

Level 1

Level 2

Level 3

Total

(In thousands)

Interest rate swap contracts . . . . . . . . . . . . . . . .

$— $1,245

$ — $1,245

Total financial assets . . . . . . . . . . . . . . . . . . . .

$— $1,245

$ — $1,245

Contingent consideration liability . . . . . . . . . . . .

—

— 2,400

2,400

Total financial liabilities . . . . . . . . . . . . . . . . . .

$— $ — $2,400

$2,400

There have been no transfers between fair  value measurement levels  during  the years ended

December 31, 2017 and December 31, 2016.

Foreign Currency Risk Management

The Company operates in foreign countries, which expose it to market risk associated with  foreign

currency exchange rate fluctuations between the U.S. dollar and various foreign currencies, the most
significant of which is the British Pound  and  the Euro. In order  to  manage foreign currency risk, at
times the Company enters into foreign  exchange forward contracts to mitigate  risks associated with
changes in spot exchange rates of mainly  non-functional  currency denominated assets or  liabilities of
the Company’s foreign subsidiaries. In  general, the  market  risk related to these contracts is offset by
corresponding gains and losses on the  hedged transactions.  By  working only with major banks  and
closely monitoring current market conditions,  the Company seeks  to  limit the risk that counterparties to
these contracts may be unable to perform. The foreign exchange forward contracts are measured at fair
value and reported as other current assets  or accrued  liabilities on the  Consolidated Balance  Sheets.
The derivative instruments the Company  uses to hedge  this  exposure are not designated as  hedges.  Any
gains or losses on the foreign exchange forward  contracts are  recognized  in earnings as Other  Income/
Expense in the period incurred in the  Consolidated  Statements of Operations. The Company  does not
enter into derivative contracts for trading  purposes.

At December 31, 2017 and December 31, 2016,  the Company had no  outstanding foreign exchange

forward contracts.

Interest Rate Swap Contracts

The Company uses interest rate swap  agreements to protect the Company against adverse
fluctuations in interest rates by reducing its exposure  to  variability in cash flows relating  to  interest
payments on a portion of its outstanding debt. The Company’s interest  rate  swaps, which are

F-26

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 4. Cash and Cash Equivalents  and  Fair  Value of Financial Instruments  (Continued)

designated as cash flow hedges, involve the receipt of variable amounts from  counterparties in exchange
for the Company making fixed-rate payments over  the life  of  the agreements. The Company does  not
hold or issue  any derivative financial instruments  for speculative trading purposes.

During  2016, the Company entered into  an  interest rate swap agreement with a combined notional

amount of $100.0 million with one counter-party  that is effective beginning on June 30,  2016 and
maturing on April 30, 2019. The swap agreement  requires  the Company to pay  a fixed rate  of 0.8%
and provides that the Company will receive a variable rate based  on the one  month LIBOR rate
subject to LIBOR floor of 0.0%. Amounts payable by  or due to the Company will be net settled with
the respective counter-party on the last  business  day  of each month, commencing July 31,  2016.

The fair value of the interest rate swap  agreements at December 31, 2017  and December 31, 2016

was $1.4 million and $1.2 million, respectively. There  were no  amounts reclassified into current
earnings due to ineffectiveness during the  periods presented.

F-27

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 5. Balance Sheet Components

Balance sheet details as of December  31,  2017 and  December  31, 2016 are presented in the tables

below:

December 31,

2017

2016

(In thousands)

Inventories:

Raw materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Work in process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Finished goods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 22,750
9,818
63,569

$ 14,322
7,800
47,175

Total inventories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 96,137

$ 69,297

Prepaid expenses

Prepaid commissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other prepaid expenses . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 15,671
20,389

$ 13,176
15,470

Total prepaid expense . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 36,060

$ 28,646

Property and equipment:

Equipment
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Furniture and fixtures . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Leasehold improvements . . . . . . . . . . . . . . . . . . . . . . . . . .
Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Construction in progress . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 69,550
6,534
10,976
37,168
9,813

$ 64,384
6,517
9,778
35,607
7,211

Property and equipment, gross . . . . . . . . . . . . . . . . . . . . . .
Accumulated depreciation and amortization . . . . . . . . . . . .

134,041
(91,446)

123,497
(81,486)

Total property and equipment, net . . . . . . . . . . . . . . . . . . .

$ 42,595

$ 42,011

Other long term assets:

Capitalized software, net . . . . . . . . . . . . . . . . . . . . . . . . . .
Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 38,599
1,242

$ 33,233
1,818

Total other long term assets, net . . . . . . . . . . . . . . . . . . . . .

$ 39,841

$ 35,051

Accrued liabilities:

Advance payments from customers . . . . . . . . . . . . . . . . . . .
Rebates and lease buyouts . . . . . . . . . . . . . . . . . . . . . . . . .
Group purchasing organization fees . . . . . . . . . . . . . . . . . .
Taxes payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other accrued liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

7,779
5,428
3,449
9,183
9,854

$

7,030
4,025
3,737
4,003
12,400

Total accrued liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 35,693

$ 31,195

F-28

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 5. Balance Sheet Components (Continued)

The following table summarizes the changes in accumulated balances of other comprehensive

income (loss) for the years ended December 31, 2017 and  December 31,  2016:

Foreign
currency
translation
adjustments

Unrealized
gain (loss) on
interest rate
swap hedges

(In thousands)

Balance as of December 31, 2015 . . . . . . . . . . . . . . . . . . . . . . . . .
Other comprehensive income (loss) before  reclassifications . . . . .
Amounts reclassified from other comprehensive income (loss) . . .

$ (2,730)
(8,034)
—

Net current-period other comprehensive income (loss), net of tax

(8,034)

Balance as of December 31, 2016 . . . . . . . . . . . . . . . . . . . . . . . . .

(10,764)

Other comprehensive income (loss) before reclassifications . . . . .
Amounts reclassified from other comprehensive  income  (loss),

net of tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Net current-period other comprehensive income (loss), net of tax

3,810

—

3,810

$ —
1,385
(140)

1,245

1,245

409

(813)

(404)

Total

$(2,730)
(6,649)
(140)

(6,789)

(9,519)

4,219

(813)

3,406

Balance as of December 31, 2017 . . . . . . . . . . . . . . . . . . . . . . . . .

$ (6,954)

$ 841

$(6,113)

Note 6. Net Investment in Sales-Type  Leases

On a recurring basis, the Company enters  into  sales-type lease transactions which  vary  in length
from one to five years. The receivables  as a result of these types of  transactions are collateralized by
the underlying equipment leased and  consist  of  the following  components  at December 31, 2017 and
December 31, 2016:

December 31,

2017

2016

(In thousands)

Net minimum lease payments to be received . . . . . . . . . . . . . . .
Less: unearned interest income portion . . . . . . . . . . . . . . . . . .

$25,899
(1,695)

$ 33,591
(2,763)

Net investment in sales-type leases . . . . . . . . . . . . . . . . . . . .
Less: short-term portion(1)
. . . . . . . . . . . . . . . . . . . . . . . . . .

24,204
(8,769)

30,828
(10,243)

Long-term net investment in sales-type leases . . . . . . . . . . .

$15,435

$ 20,585

(1) The short-term portion of the net investments in sales-type leases is included in the other

current assets on the Consolidated Balance  Sheets.

The Company evaluates its sales-type  leases individually and collectively for impairment. The

allowance for credit losses were $0.2  million and $0.3 million as of December 31, 2017  and
December 31, 2016, respectively.

F-29

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 6. Net Investment in Sales-Type  Leases (Continued)

At December 31, 2017, the future minimum lease payments to be received under sales-type  leases

are as follows:

Year  ended December 31,

(In thousands)

2018 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 8,769
6,708
4,772
2,992
2,265
393

$25,899

Note 7. Goodwill and Intangible Assets

Goodwill

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

Automation and Medication
Adherence

Analytics

Total

Net balance as of December 31, 2015 . . . . . . . . . . . . . . . . . . . .
Additions(1)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Adjustments(2)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 54,316
163,599
(2,833)

(In thousands)
$ 93,590
20,832
(1,780)

Net balance as of December 31, 2016 . . . . . . . . . . . . . . . . . . . .
Additions(3)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Adjustments(2)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

215,082
3,113
2,656

112,642
3,400
858

$147,906
184,431
(4,613)

327,724
6,513
3,514

Net balance as of December 31, 2017 . . . . . . . . . . . . . . . . . . . .

$220,851

$116,900

$337,751

(1) Additions to goodwill as a result of the Aesynt  acquisition  in January  2016 and  Ateb acquisition in

December 2016.

(2) Adjustments reflect foreign currency exchange rate fluctuations.

(3) Additions to goodwill in Automation and Analytics segment was a result of  the InPharmics

acquisition in April 2017. Additions to  goodwill  in Medication Adherence  segment represent
adjustments to the preliminary value assigned  to  goodwill in connection  with Ateb acquisition to
reflect measurement period adjustments related  to  accounts receivable,  other  non-current assets
and other liabilities of $0.1 million, $0.7  million and $2.6 million, respectively.

F-30

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 7. Goodwill and Intangible Assets (Continued)

Intangible assets, net

The carrying amounts of intangible assets  and  useful lives  as  of  December 31, 2017 were as

follows:

December 31, 2017

Gross
carrying
amount

Accumulated
amortization

Foreign currency
exchange rate
fluctuations

Net
carrying
amount

Useful life
(years)

Customer relationships . . . . . . . . . . . . .
Acquired technology . . . . . . . . . . . . . . .
Backlog . . . . . . . . . . . . . . . . . . . . . . . .
Trade names . . . . . . . . . . . . . . . . . . . . .
Patents . . . . . . . . . . . . . . . . . . . . . . . . .
Non-compete agreements . . . . . . . . . . .
In process technology . . . . . . . . . . . . . .

$133,913
74,593
21,712
8,716
3,296
1,900
3,900

(In thousands, except for years)
$ 65
34
—
6
2
—
—

$(33,526)
(21,523)
(17,544)
(4,719)
(1,418)
(1,300)
—

$100,452
53,104
4,168
4,003
1,880
600
3,900

1 - 30
3 - 20
1 -  4
1 - 12
2 - 20
3
—

Total intangibles assets, net

. . . . . . . .

$248,030

$(80,030)

$107

$168,107

The carrying amounts of intangible assets and useful lives as of December 31,  2016 were as

follows:

December 31, 2016

Gross
carrying
amount

Accumulated
amortization

Foreign currency
exchange rate
fluctuations

Net
carrying
amount

Useful life
(years)

(In thousands, except for years)

Customer relationships . . . . . . . . . . . . .
Acquired technology . . . . . . . . . . . . . . .
Backlog . . . . . . . . . . . . . . . . . . . . . . . .
Trade names . . . . . . . . . . . . . . . . . . . . .
Patents . . . . . . . . . . . . . . . . . . . . . . . . .
Non-compete agreements . . . . . . . . . . .
In-process technology . . . . . . . . . . . . . .

$133,358
73,599
20,550
8,667
3,154
1,900
3,900

$(20,930)
(13,287)
(14,083)
(3,887)
(1,264)
(608)
—

Total intangibles assets, net

. . . . . . . .

$245,128

$(54,059)

$(596)
(159)
—
(31)
—
—
—

$(786)

$111,832
60,153
6,467
4,749
1,890
1,292
3,900

$190,283

1  - 30
3 - 20
1 - 3
1  - 12
2 - 20
3
—

Amortization expense of intangible assets was $25.6 million, $36.1 million and $6.9 million for the

years ended December 31, 2017, December 31, 2016 and December 31, 2015, respectively.

F-31

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 7. Goodwill and Intangible Assets (Continued)

The estimated future amortization expenses for intangible  assets are as follows:

For the year ended December 31,

(In thousands)

2018 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Thereafter (excluding in-process technology) . . . . . . . . . . . . . . . . . . .

$ 23,433
17,953
16,739
15,439
13,973
76,670

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$164,207

Note 8. Debt and Credit Agreements

2016 Senior Secured Credit Facility

On January 5, 2016, the Company entered into a $400  million senior secured credit facility

pursuant to a credit agreement, by and among the  Company, the lenders  from  time to time party
thereto, Wells Fargo Securities, LLC,  as Sole Lead Arranger and  Wells Fargo Bank, National
Association, as administrative agent (the ‘‘Credit Agreement’’).  The Credit Agreement provides for
(a) a five-year revolving credit facility  of $200 million, which was subsequently increased pursuant to  an
amendment discussed below (the ‘‘Revolving Credit Facility’’) and (b) a five-year $200 million  term
loan facility (the ‘‘Term Loan Facility’’  and together with  the Revolving Credit Facility, the ‘‘Facilities’’).
In addition, the Credit Agreement includes a letter of credit sub-limit  of up  to  $10 million and  a swing
line loan sub-limit of up to $10 million. The Credit Agreement expires on January  5, 2021, upon which
date  all remaining outstanding borrowings  are due and  payable.

Loans under the Facilities bear interest,  at the  Company’s  option, at a rate equal  to  either (a) the

LIBOR Rate, plus an applicable margin ranging from  1.50%  to  2.25%  per annum based  on the
Company’s consolidated total net leverage ratio  (as  defined  in the  Credit Agreement),  or (b)  an
alternate base rate equal to the highest of  (i) the  prime rate,  (ii) the federal funds rate plus  0.50%, and
(iii) LIBOR for an interest period of  one month, plus  an applicable margin ranging  from 0.50% to
1.25% per annum based on the Company’s  consolidated  total net  leverage ratio (as defined in the 2016
Credit  Agreement). Undrawn commitments under  the Revolving  Credit Facility will be subject  to  a
commitment fee ranging from 0.20%  to  0.35% per annum based on the Company’s  consolidated  total
net leverage ratio on the average daily unused portion of  the Revolving Credit Facility. A letter of
credit participation fee ranging from 1.50%  to  2.25% per annum based on the Company’s consolidated
total net leverage ratio will accrue on the  average daily amount of letter  of credit  exposure.

The Company is permitted to make voluntary  prepayments at any time without payment of a
premium or penalty, except for any amounts relating to the LIBOR breakage indemnity as  described in
the Credit Agreement. The Company is  required  to  make mandatory prepayments under the Term
Loan Facility with  (a) net cash proceeds from any issuances  of debt  (other  than certain permitted  debt)
and (b) net cash proceeds from certain  asset dispositions  (other than certain asset  dispositions) and
insurance and condemnation events (subject to reinvestment rights and  certain other  exceptions). Loans
under the Term Loan Facility will amortize in quarterly installments, equal to 5%  per  annum of the
original principal amount thereof during the first two years, which shall increase  to  10% per annum

F-32

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 8. Debt and Credit Agreements (Continued)

during the third and fourth years, and 15%  per  annum during the  fifth year, with the remaining
balance payable on January 5, 2021. The  Company is required to make mandatory  prepayments under
the Revolving Credit Facility if at any time the aggregate outstanding principal amount of loans
together with the total amount of outstanding  letters of credit exceeds the aggregate  commitments, with
such mandatory prepayment to be equal  to the amount of such excess.

The Credit Agreement contains customary  representations and warranties and customary
affirmative and negative covenants applicable to the  Company and  its subsidiaries, including, among
other things, restrictions on indebtedness,  liens, investments, mergers, dispositions,  dividends  and other
distributions. The Credit Agreement  contains  financial covenants that require the Company and  its
subsidiaries to not exceed a maximum  consolidated total leverage ratio and maintain a minimum fixed
charge  coverage ratio. The Company’s obligations under the Credit Agreement and any swap
obligations and banking services obligations owing to a  lender (or an affiliate of a lender) are
guaranteed by certain of its domestic subsidiaries  and  secured by substantially all of its and the
subsidiary guarantors’ assets. In connection  with entering into the  Credit Agreement, and as a condition
precedent to borrowing loans thereunder, the  Company  and certain of the  Company’s other direct and
indirect subsidiaries have entered into  certain ancillary  agreements,  including, but not limited to, a
collateral agreement and subsidiary guaranty  agreement. The Company was in full compliance with  all
covenants as of December 31, 2017.

On January 5, 2016, the Company borrowed  the full $200  million under the Term Loan Facility
and $55 million under the Revolving Credit Facility to complete the Aesynt acquisition and pay related
fees and expenses. On December 2, 2016,  the Company  borrowed an additional $40 million under the
Revolver Credit Facility to complete  the  Ateb acquisition and pay related fees and expenses.  During
the year ended December 31, 2017, the Company borrowed $59.0 million under the  Revolving Credit
Facility to pay for the InPharmics acquisition and fund its operations.  As of December 31, 2017  the
Company has repaid $137.0 million borrowed under these Facilities which includes $102.5 million
repaid during the year ended December 31,  2017.

On April 11, 2017, the parties entered into the  First Amendment to Credit Agreement and
Collateral Agreement (the ‘‘Amended  Credit Agreement’’). Under  this  amendment,  (i) the maximum
capital expenditures limit in any fiscal  year  for property, plant and equipment and software
development increased from $35.0 million to $45.0 million,  and  (ii) the maximum limit for
non-permitted investments increased  from $10.0  million  to  $20.0 million.

On December 26, 2017, the parties entered into another amendment (the ‘‘Amendment’’) to the
Amended Credit Agreement. Pursuant  to  the Amendment, the Revolving Credit Facility provided for
under the Amended Credit Agreement,  was increased from $200.0 million to $315.0 million  and certain
other modifications to the Amended  Credit Agreement  were made, including amendments to certain
negative covenants.

In connection with these Facilities, the Company incurred $10.1 million of  debt issuance costs
which  included an additional $2.1 million  of incurred  costs in connection with the Amendment  signed
in December 2017. The debt issuance costs were capitalized  and presented as a direct deduction from
the carrying amount of that debt liability. The  debt issuance costs are being amortized to interest
expense using the straight line method from issuance date  through 2021. Interest expense (exclusive of
fees and issuance cost amortization) was  approximately $6.3 million, $5.3 million and zero for the years
ended December 31, 2017, December 31,  2016 and December 31, 2015, respectively.

F-33

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 8. Debt and Credit Agreements (Continued)

The components of the Company’s debt obligations as of December 31, 2017 and December 31,

2016 are as follows:

December 31,
2016

Additions/
Borrowings

Repayment  /
Amortization

December 31,
2017

Term loan facility . . . . . . . . . . . . . . . . . . . . . . . . .
Revolving credit facility . . . . . . . . . . . . . . . . . . . . .

$192,500
68,000

(In thousands)
$ — $ (10,000)
(92,500)

59,000

Total debt under the facilities . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . .
Less: Deferred issuance cost

260,500
(6,359)

59,000
(2,106)

(102,500)
1,590

$182,500
34,500

217,000
(6,875)

Total Debt, net of deferred issuance cost . . . . . . .
Long term debt, current portion, net of deferred

$254,141

$56,894

$(100,910)

$210,125

issuance  cost . . . . . . . . . . . . . . . . . . . . . . . . .

8,410

Long term debt, net of deferred issuance cost . . .

$245,731

15,208

$194,917

As of December 31, 2017, the carrying  amount  of debt  of $217.0 million approximates  the

comparable fair value of $220.9 million.  The Company’s debt facilities  are classified as a Level 3 in the
fair value hierarchy. The calculation  of  the  fair value is based  on  a  discounted cash flow model using
observable market inputs and taking  into  consideration variables  such as  interest  rate changes,
comparable instruments, and long-term  credit ratings.

2013 Credit Agreement

In September 2013, the Company entered into a  credit  agreement (the ‘‘2013 Credit Agreement’’)

with Wells Fargo Bank, National Association, as administrative  agent, and  the lenders from  time to
time party thereto. On January 5, 2016, this 2013  Credit Agreement was replaced by the  credit facilities
discussed above.

Note 9. Deferred Revenue

Short-term deferred revenue of $86.1  million and $87.5  million includes  deferred revenue from
product  sales and service contracts, net of deferred cost of sales of $16.9 million  and $14.2 million  as of
December 31, 2017 and December 31, 2016, respectively. The short-term deferred revenues from
product  sales relate to the delivered and invoiced  products, pending installation and acceptance,
expected to occur within the next twelve  months.

Long-term deferred revenue includes  deferred revenue  from the service  contracts of $17.2  million

and $17.1 million, as of December 31, 2017  and  December 31,  2016, respectively.

Note 10. Commitments and Contingencies

Lease commitments

The Company leases office space and office equipment under operating  leases. Commitments
under operating leases primarily relate to leasehold property and office equipment. Rent expense  was
$11.5 million, $9.8 million and $7.0 million for the years ended December 31,  2017, December  31, 2016
and December 31, 2015, respectively.

F-34

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 10. Commitments and Contingencies (Continued)

The minimum future payments on non-cancelable operating leases are as follows:

For the year ended December 31,

(In thousands)

2018 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2020 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2022 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total minimum future lease payments . . . . . . . . . . . . . . . . . . . . . . .

$12,167
11,945
10,755
10,471
8,776
26,243

$80,357

Purchase obligations

In the ordinary course of business, we issue purchase orders based on our current  manufacturing

needs. As of December 31, 2017, the Company  had non-cancelable purchase commitments of
$58.1 million, which are expected to be  paid  within the  next twelve months.

Legal proceedings

The Company is currently involved in  various legal  proceedings.  As required  under ASC 450,
Contingencies, the Company accrues for contingencies  when  it believes that a loss is  probable and that
it can  reasonably estimate the amount  of any such  loss. The Company has not recorded any accrual for
contingent liabilities associated with the legal proceedings  described below based on its belief that any
potential loss, while reasonably possible, is not probable.  Further, any possible range of  loss in  these
matters cannot be reasonably estimated at  this time. The Company believes that it has valid defenses
with respect to legal proceedings pending  against it. However, litigation is  inherently unpredictable,  and
it is possible that cash flows or results of  operations could be materially affected in  any particular
period by the unfavorable resolution  of  this contingency  or because  of the diversion of management’s
attention and the creation of significant  expenses.

On January 10, 2018, a lawsuit was filed against a number of  individuals, governmental agencies

and corporate entities, including the Company and  one of its subsidiaries, Aesynt Incorporated
(‘‘Aesynt’’), in the Circuit Court for the  City of Richmond, Virginia, captioned  Ruth Ann Warner,  as
Guardian of Jonathan James Brewster  Warner v. Centra Health,  Inc., et al. (Case No. CL18-152-1). The
complaint seeks monetary recovery of compensatory and punitive damages in  addition to certain
declaratory relief based upon, as against the individuals, governmental  agencies and corporate  entities
other than the Company and Aesynt,  allegations of the use  of  excessive force, unlawful detention,  false
imprisonment, battery, simple and gross  negligence  and  negligent  hiring, detention  and training  and, as
against the Company and Aesynt, claims of product liability, negligence and breach of implied
warranties. The Company and Aesynt have not yet been  served with the complaint. The Company
intends to defend the lawsuit vigorously.

Guarantees

As permitted under Delaware law and the Company’s  certificate of incorporation and  bylaws, the
Company has agreed to indemnify its  directors and officers against certain  losses that they  may suffer

F-35

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 10. Commitments and Contingencies (Continued)

by reason of the fact that such persons  are,  were or  become its  directors or  officers. The term of the
indemnification period is for the director’s or officer’s lifetime and there is no limit on the potential
amount of future payments that the  Company  could be required to make  under these indemnification
agreements. The Company has purchased  a directors’  and  officers’ liability insurance policy that may
enable it to recover a portion of any future payments  that it may be required  to  make under these
indemnification agreements. Assuming  the applicability of coverage and the willingness of the insurer to
assume coverage and subject to certain  retention, loss limits and other policy provisions, the Company
believes it is unlikely that the Company  will be required  to pay  any material amounts pursuant to these
indemnification obligations. However,  no assurances can  be given that the insurers will not attempt to
dispute the validity, applicability or amount  of coverage  without expensive  and time-consuming
litigation against the insurers.

Additionally, the Company undertakes indemnification  obligations in its ordinary  course of
business in connection with, among other  things, the licensing of its products  and the  provision of its
support services. In the ordinary course  of  the Company’s business, the Company  has in the  past and
may in the future agree to indemnify another party, generally its  business affiliates or customers,
against certain losses suffered or incurred  by the indemnified party in connection with various types of
claims, which may include, without limitation,  claims of intellectual property infringement, certain tax
liabilities, its gross negligence or intentional acts in the  performance of support services  and violations
of laws. The term of these indemnification obligations is generally perpetual.  In general, the Company
attempts to limit the maximum potential amount of future payments that it may be required to make
under these indemnification obligations  to  the amounts paid to it by a customer, but  in some cases the
obligation may not be so limited. In addition, the Company  has in the past and may in the future
warrant to its customers that its products  will conform to functional specifications for a limited period
of time following the date of installation  (generally not exceeding  30 days) or that its software media is
free from material defects. Sales contracts for  certain of the  Company’s medication packaging systems
often include limited warranties for up  to  six months, but the periodic activity and ending warranty
balances the Company records have  historically been immaterial.

From time to time, the Company may  also warrant that  its professional services will be performed
in a good and workmanlike manner or  in a  professional  manner consistent with industry standards. The
Company generally seeks to disclaim most warranties, including any implied or statutory warranties
such as warranties of merchantability, fitness for a particular purpose, title, quality and
non-infringement, as well as any liability  with  respect to incidental, consequential, special, exemplary,
punitive or similar damages. In some  states,  such disclaimers may not be enforceable. If  necessary,  the
Company would provide for the estimated cost of product and service warranties based on specific
warranty claims and claim history. The Company has not been subject to any  significant claims for such
losses and has not incurred any material  costs  in  defending or settling claims related to these
indemnification obligations. Accordingly, the Company believes it  is unlikely that the Company will be
required to pay any material amounts  pursuant to these indemnification obligations or potential
warranty claims and, therefore, no material liabilities  have been recorded for such indemnification
obligations as of December 31, 2017  and  December  31, 2016.

F-36

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 11. Employee Benefits and Share-Based Compensation

Stock purchase plan

1997 Employee Stock Purchase Plan

The Company has an Employee Stock Purchase Plan (‘‘ESPP’’), under  which employees can

purchase shares of its common stock based on a percentage of their compensation, but not greater  than
15% of their earnings; provided, however, an eligible  employee’s  right to purchase shares of the
Company’s common stock may not accrue  at a  rate which exceeds $25,000 of  the fair market value of
such shares for each calendar year in  which such rights are  outstanding. The purchase price per share
must be equal to the lower of 85% of the  fair value  of  the common  stock at the  beginning  of a
24-month offering period or the end  of  each six-month purchasing period.

There was a total of 2.4 million shares  reserved for future issuance under the  ESPP as of

December 31, 2017.

Stock award plans

2009 Equity Incentive Plan

The 2009 Equity Incentive Plan (‘‘2009  Plan’’), as amended, provides for the issuance of incentive

stock options, restricted stock awards (‘‘RSAs’’), restricted stock unit awards (‘‘RSUs’’), performance
stock unit awards (‘‘PSUs’’), and other  stock awards to the Company’s employees, directors and
consultants. There were 5.5 million shares  of common stock  reserved for future issuance under the
2009 Plan as of December 31, 2017.

Options granted under the 2009 Plan become exercisable over periods  of up to four years, with

one-fourth of the shares vesting one year from the vesting commencement date with  respect to initial
grants, and the remaining shares vesting in  36  equal monthly installments thereafter. The exercise
prices of the options is the fair market value of common stock on the date of grant. RSUs generally
vest over periods of up to four years, with  one-fourth of the shares vesting one year from the  vesting
commencement date with respect to initial grants,  and  the remaining shares vesting in 12 equal
quarterly installments thereafter. Awards  of restricted stock to non-employee  directors are granted on
the date of the annual meeting of stockholders and  vest in full on the  date of the  next annual  meeting
of stockholders, provided such non-employee director remains a director on such date. The fair value
of the awards on the date of issuance is  amortized  to  expense from the date of grant to the  date of
vesting and are expensed ratably on  a straight-line basis over the  vesting period. PSUs granted to the
Company’s executives might include  performance and market conditions.  PSUs become  eligible for
vesting when certain market or performance  conditions  are met.

F-37

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 11. Employee Benefits and Share-Based Compensation (Continued)

Share-based compensation expense

The following table sets forth the total  share-based compensation expense recognized in the

Company’s Consolidated Statements  of  Operations:

Year Ended December 31,

2017

2016

2015

Cost of product and service revenues . . . . . . . . . . . . .
Research and development . . . . . . . . . . . . . . . . . . . . .
Selling, general and administrative . . . . . . . . . . . . . . .

$ 3,478
3,590
14,789

(In thousands)
$ 2,596
3,128
13,776

$ 2,111
2,060
10,750

Total share-based compensation expense . . . . . . . . .

$21,857

$19,500

$14,921

The Company did not capitalize any  share-based compensation as  inventory as such  amounts were

not material for the years ended December 31, 2017,  December  31, 2016 and December 31, 2015.
Income tax benefits realized from share-based compensation were $8.2 million, $5.4  million  and
$5.0 million, for the years ended December 31,  2017, December  31, 2016 and December 31, 2015,
respectively.

Stock Options and ESPP Shares

The following assumptions were used to value share options and  ESPP shares granted  pursuant  to

our  equity incentive plans:

Stock Option Plans
Risk-free interest rate . . . . . . . . . . . . . . . . . . . .
Dividend yield . . . . . . . . . . . . . . . . . . . . . . . . .
Expected volatility . . . . . . . . . . . . . . . . . . . . . .
Expected life (in years) . . . . . . . . . . . . . . . . . . .

Year Ended December 31,

2017

2016

2015

1.9%
—%
29.6%

1.5%
—%
30.6%

1.7%
—%
32.0%

4.7 years

4.9 years

5.0 years

Year Ended December 31,

2017

2016

2015

—%

0.52% - 1.39% 0.34% - 0.79% 0.03% - 0.79%
—%
25.8% - 32.8% 25.8% - 34.8% 25.7% - 37.5%
0.5 - 2.0

0.5 -  2.0

0.5 - 2.0

—%

Employee Stock Purchase Plan
Risk-free interest rate . . . . . . . . . . . . . . . . . . . . . .
Dividend yield . . . . . . . . . . . . . . . . . . . . . . . . . . .
Expected volatility . . . . . . . . . . . . . . . . . . . . . . . .
Expected life (in years) . . . . . . . . . . . . . . . . . . . . .

F-38

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 11. Employee Benefits and Share-Based Compensation (Continued)

Stock options activity

A summary of the stock option activity under the 2009 Plan is presented  below:

Number of Weighted-Average Weighted-Average
Remaining Years

Exercise Price

Shares

Aggregate
Intrinsic Value

(In thousands, except per share data)

Outstanding at December 31, 2016 . . . . . . .
Granted (Awarded) . . . . . . . . . . . . . . . .
Exercised (Released) . . . . . . . . . . . . . . .
Expired . . . . . . . . . . . . . . . . . . . . . . . . .
Forfeited . . . . . . . . . . . . . . . . . . . . . . . .

Outstanding at December 31, 2017 . . . . . . .

Exercisable at December 31, 2017 . . . . . . . .
Vested and expected to vest at

3,214
1,045
(813)
(6)
(117)

3,323

1,350

$26.06
$45.13
$22.28
$27.54
$33.39

32.72

23.87

December 31, 2017 and thereafter . . . . . .

3,323

32.72

7.3

$26,331

7.6

5.8

7.6

$53,953

33,293

$53,953

The weighted-average fair value per share of options granted during 2017, 2016  and 2015 was
$13.25, $9.33 and $9.67, respectively.  The intrinsic  value of options exercised during 2017, 2016  and
2015 was $18.2 million, $5.6 million and $11.3 million, respectively.

As of December 31, 2017, total unrecognized compensation  cost related  to  unvested stock options

was $18.9 million, which is expected  to  be  recognized over  a weighted-average vesting period  of
2.9 years. As of December 31, 2016,  total unrecognized compensation cost related to unvested  stock
options was $13.3 million, which is expected to be recognized  over a weighted-average  vesting  period of
3.0 years.

Employee Stock Purchase Plan activity

For the year ended December 31, 2017, employees  purchased 0.5  million  shares of common  stock

under the ESPP and an aggregate of 6.0  million shares  were issued under the ESPP as of
December 31, 2017.

The unrecognized compensation cost related to the shares to be purchased under  the ESPP was

approximately $0.9 million, and is expected to be recognized over a weighted-average  period of
1.3 years as of December 31, 2017.

F-39

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 11. Employee Benefits and Share-Based Compensation (Continued)

Restricted Stock Units and Restricted  Stock Awards

Summaries of the restricted stock activity under the  2009 Plan are presented below:

Number of
Shares

Weighted-Average
Grant Date
Fair Value

Weighted-Average
Remaining  Years

Aggregate
Intrinsic Value

(In thousands, except per share data)

Restricted Stock Units
Non-vested at December 31, 2016 . . . . . . . .
Granted (Awarded) . . . . . . . . . . . . . . . .
Vested (Released) . . . . . . . . . . . . . . . . . .
Forfeited . . . . . . . . . . . . . . . . . . . . . . . .

Non-vested at December 31, 2017 . . . . . . . .

505
245
(215)
(34)

501

$31.42
45.97
30.41
32.39

38.90

1.6

$17,135

1.5

$24,293

The weighted-average grant date fair  value per share of RSUs granted  during 2017, 2016  and 2015
was $45.97, $32.58 and $31.44, respectively. The total fair value of  RSUs that vested in  2017, 2016 and
2015 was $6.5 million, $4.8 million and $4.7 million, respectively.

As of December 31, 2017, total unrecognized compensation  cost related  to  RSUs  was

$16.1 million, which is expected to be  recognized over the  remaining weighted-average  vesting  period of
2.7 years. As of December 31, 2016,  total unrecognized compensation cost related to RSUs was
$12.8 million, which is expected to be  recognized over the  remaining weighted-average  vesting  period of
2.9 years.

Number of
Shares

Weighted-Average
Grant Date
Fair Value

(In thousands, except per
share data)

Restricted Stock Awards
Non-vested at December 31, 2016 . . . . . . . . . . . . . . . . .
Granted (Awarded) . . . . . . . . . . . . . . . . . . . . . . . . . .
Vested (Released) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Non-vested at December 31, 2017 . . . . . . . . . . . . . . . . .

30
23
(30)

23

$31.57
41.10
31.58

$41.07

The weighted-average grant date fair  value per share of RSAs granted  during 2017, 2016 and 2015
was $41.10, $31.59 and $36.05, respectively. The  total  fair value of  RSAs that vested in 2017,  2016 and
2015 was $1.0 million, $1.2 million and $1.1  million,  respectively.

As of December 31, 2017, total unrecognized  compensation  cost related  to  RSAs was  $0.3 million,
which  is expected to be recognized over  the remaining weighted-average vesting  period of  0.4 years. As
of December 31, 2016, total unrecognized compensation cost  related to RSAs was $0.4 million, which
was expected to be recognized over the remaining weighted-average  vesting period  of  0.4 years.

Performance-based Restricted Stock Units

In 2011, the Company began incorporating performance-based restricted  stock units (‘‘PSUs’’) as

an element of its executive compensation  plans. In 2016,  the Company  granted  122,740 PSUs  to  its

F-40

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 11. Employee Benefits and Share-Based Compensation (Continued)

executive officers, all of which became eligible  for vesting upon the achievement  of a certain level of
shareholder return. In 2017, the Company  granted 147,830 PSUs  to  its executive officers, all, none or a
portion of which may become eligible for  vesting depending on the level of shareholder return  for the
period from March 1, 2017 through March 1, 2018.

The fair value of a PSU award is determined  using a Monte Carlo  simulation model. The  number
of shares that vest at the end of the performance  period depends on the  percentile ranking of the total
shareholder return for Omnicell stock  over the performance period relative to the total shareholder
return  of each of the other companies in the NASDAQ  Healthcare Index (the ‘‘Index’’).

For PSUs granted on February 8, 2017, stock price appreciation is calculated based on the trailing

20-day average stock price just prior  to  the  first trading day of March 2017, compared to the trailing
20-day average stock price just prior  to  the  first trading day of March 2018. For PSUs granted on
February 4, 2016, stock price appreciation  is calculated based on the trailing 20-day average stock price
just  prior to the first trading day of March 2016, compared to the trailing 20-day average stock price
just  prior to the first trading day of March 2017.

On March 7, 2016, the Compensation  Committee confirmed 66.0% as the percentile rank of the

Company’s 2016 total stockholder return. This resulted in 100% of the 2015 PSUs, or 60,000 shares, as
eligible for further time-based vesting. The eligible PSUs will vest as follows: 25% of the eligible shares
vested immediately on March 7, 2016  with the  remaining  eligible awards vesting in equal  increments,
semi-annually, over the subsequent three-year period  beginning on June 15th and December  15th of
the year after the date of grant and each  subsequent year. Vesting  is contingent upon continued service.
Of the 60,000 shares eligible for time-based  vesting under the 2015 PSUs, 45,000  shares have vested as
of December 31, 2017.

On March 7, 2017, the Compensation  Committee confirmed 71.5% as the percentile rank of the
Company’s 2017 total stockholder return. This resulted in 100% of the 2016 PSUs, or 122,740 shares,
as eligible for further time-based vesting.  The eligible  PSUs will vest as follows: 25% of the shares
vested immediately on March 7, 2017  with the  remaining  shares vesting on a semi-annual  basis period
of 36  months commencing on June 15,  2017. Vesting  is contingent upon continued service. Of  the
122,740 shares eligible for time-based  vesting under the 2016 PSUs, 61,375 shares have vested as of
December 31, 2017.

A summary of the performance-based restricted stock  activity under the 2009 Plan is presented

below:

Number of
Shares

Weighted-Average
Grant Date
Fair Value
Per Unit

(In thousands, except per
share data)

Non-vested at December 31, 2016 . . . . . . . . . . . . . . . . .
Granted (Awarded) . . . . . . . . . . . . . . . . . . . . . . . . . .
Vested (Released) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Non-vested at December 31, 2017 . . . . . . . . . . . . . . . . .

184
148
(107)

225

$24.89
34.05
24.36

$31.18

F-41

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 11. Employee Benefits and Share-Based Compensation (Continued)

The weighted-average grant date fair  value per share of PSUs granted during  2017, 2016 and 2015
was $34.05, $24.66 and $29.56, respectively. The  total  fair value of  PSUs that vested in 2017,  2016 and
2015 was $2.6 million, $2.0 million and $1.9  million,  respectively.

As of December 31, 2017, total unrecognized compensation  cost related to PSUs was

approximately $2.7 million, which is expected to be recognized over the remaining weighted-average
period of 1.2 years. As of December  31, 2016, total unrecognized compensation cost related to PSUs
was approximately $1.6 million, which was expected to be recognized over the  remaining weighted-
average period of 1.2 years.

Summary of Shares Reserved for Future Issuance under Equity Incentive Plans

The Company had the following ordinary shares  reserved for future issuance  under its equity

incentive plans as of December 31, 2017:

Share options outstanding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Non-vested restricted stock awards . . . . . . . . . . . . . . . . . . . . . . . . . .
Shares authorized for future issuance . . . . . . . . . . . . . . . . . . . . . . . . .
ESPP shares available for future issuance . . . . . . . . . . . . . . . . . . . . . .

Number of
Shares

(In thousands)
3,323
749
1,398
2,365

Total shares reserved for future issuance . . . . . . . . . . . . . . . . . . . . . .

7,835

401(k)  Plan

The Company has established a pre-tax savings plan under  Section 401(k) of  the Internal Revenue

Code. The 401(k) Plan allows eligible employees in the United States to voluntarily contribute  a
portion of their pre-tax salary, subject  to  a maximum  limit  specified in the  Internal Revenue Code. The
Company matches 50% of employee  contributions up to $2,500, annually.  The  Company’s contributions
under this plan were $3.8 million, $1.9  million and $1.8 million in 2017, 2016 and 2015, respectively.

Note 12. Stock Repurchases

On August 2, 2016, the Board of Directors (the ‘‘Board’’) of the  Company authorized a stock
repurchase program providing for the  repurchase of up to $50.0 million  of the Company’s  common
stock (the ‘‘2016 Repurchase Program’’). The  2016 Repurchase Program is  in addition to the stock
repurchase program approved by the Board on  November 4, 2014  (the ‘‘2014 Repurchase  Program’’).
As of December 31, 2017, the maximum  dollar value of shares that  may yet be purchased under the
two repurchase programs was $54.9 million.

The timing, price and volume of repurchases are to be based on market conditions, relevant
securities laws and other factors. The  stock repurchases may  be  made from  time to time on the open
market, in privately negotiated transactions or  pursuant to a Rule 10b-18 plan, subject to the  terms and
conditions of that certain Amendment  of the Amended Credit Agreement, dated  as of December 26,
2017, among the Company, the Lenders  party thereto,  and Wells Fargo Bank,  National Association, as
administrative agent. The stock repurchase program does  not  obligate the Company to repurchase any

F-42

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 12. Stock Repurchases (Continued)

specific  number of shares, and the Company may  terminate or suspend the repurchase program at any
time. During  the years ended December  31, 2017 and 2016, respectively, the  Company made no
repurchases of its outstanding common  stock. During the year ended December 31,  2015, the Company
repurchased approximately $50.0 million of shares.

Note 13. Equity Offerings

On November 3, 2017, the Company  entered into a  Distribution Agreement (the ‘‘Distribution

Agreement’’) with J.P. Morgan Securities  LLC, Wells Fargo Securities, LLC  and HSBC Securities
(USA) Inc., as its sales agents, pursuant  to  which  the Company may offer and sell from time to time
through the sales agents up to $125 million  maximum  aggregate offering price of the  Company’s
common stock. Sales of the common  stock  pursuant to the  Distribution Agreement may  be  made in
negotiated transactions or transactions  that  are deemed to be ‘‘at the market’’ offerings as  defined in
Rule 415 under the Securities Act, including  sales  made directly on the Nasdaq  Stock Market, or sales
made to or through a market maker other than on  an exchange.

For the year ended December 31, 2017, the Company received gross proceeds  of $14.7 million

from sales of its common stock under the  Distribution Agreement and incurred issuance costs of
$0.8 million on sales of approximately 294,000  shares of  its  common  stock at an  average price of
approximately $49.85 per share.

Note 14. Segment and Geographical  Information

Segment Information

The Company’s Chief Operating Decision  Maker (‘‘CODM’’) is its Chief Executive Officer. The

CODM allocates resources and evaluates the  performance of the Company’s segments  using
information about its revenues, gross profit, and income from operations. Such evaluation excludes
general corporate-level costs that are not specific to either of the reportable segments and are managed
separately at the corporate level. Corporate-level  costs include expenses related to executive
management, finance and accounting,  human resources,  legal, training  and development, and  certain
administrative expenses. The two operating  segments, which are the same as the Company’s two
reportable segments, are as follows:

Automation and Analytics

The Automation and Analytics segment is organized  around the design, manufacturing,  selling and

servicing of medication and supply dispensing  systems, pharmacy inventory management systems,  and
related software. The Automation and Analytics products are designed to enable the  Company’s
customers to enhance and improve the  effectiveness  of  the medication-use process, the efficiency  of the
medical-surgical supply chain, overall  patient care  and clinical and financial outcomes of  medical
facilities. Through modular configuration  and upgrades, the Company’s systems can be tailored to
specific  customer needs. The financial results of InPharmics acquired in the second quarter of 2017 and
Aesynt acquired in the first quarter of 2016  are included in the Automation and Analytics  segment.

F-43

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 14. Segment and Geographical  Information (Continued)

Medication Adherence

The Medication Adherence segment includes solutions  to  assist patients to remain adherent to
their medication regimens. These solutions  are comprised of a variety of tools and aids that may  be
directly used by a pharmacist  or a healthcare provider  in  their direct care for a patient, or the patient
themselves, and include software based systems and medication  adherence packaging.  Software
solutions primarily operate on the Patient Management Access Portal (PMAP), a subscription  based
software system which provides an environment for  patient  engagement by clinicians. Services running
on PMAP include Time My Meds medication synchronization, immunization management, and a
number of tools used by clinicians to manage patient  engagement workflows. Medication Adherence
packaging is designed either for patient  use in  care environments where there  is a caregiver present or
for environments where the patient cares  for him or  herself and includes the manufacturing and selling
of consumable medication blister cards, packaging equipment and ancillary products and services. The
financial results of Ateb acquired in the  fourth quarter of 2016 are included in the  Medication
Adherence segment.

The following table summarizes the financial performance of the Company’s reporting segments:

Year Ended December 31,

2017

2016

2015

Automation
and
Analytics

Medication
Adherence

Total

Automation
and
Analytics

Medication
Adherence

Total

Automation
and
Analytics

Medication
Adherence

Total

Revenues . . . . .
Cost of revenues

$590,392
308,443

$125,773
85,634

$716,165
394,077

$593,626
310,967

(In thousands)
$98,997
67,856

$692,623
378,823

$390,321
171,943

$94,238
64,686

$484,559
236,629

Gross profit . .

281,949

40,139

322,088

282,659

31,141

313,800

218,378

29,552

247,930

Operating

expenses . . . .

193,700

41,735

235,435

198,511

24,843

223,354

114,084

24,258

138,342

Income from

operations .

$ 88,249

$ (1,596)

86,653

$ 84,148

$ 6,298

90,446

$104,294

$ 5,294

109,588

Corporate

costs . . . . .

Income from

operations .

Significant customers

80,899

$

5,754

83,965

$

6,481

60,956

$ 48,632

The Company contracts with Group Purchasing Organizations  (‘‘GPOs’’), each of which functions

as a purchasing agent on behalf of member hospitals  and  other healthcare providers, as well as  with
government entities and agencies. Pursuant  to  the terms of  GPO agreements, each member contracts
directly with Omnicell and can purchase  Company’s  product at pre-negotiated contract  terms and
pricing. The account receivable balances are with individual  members of the GPOs,  and therefore  no
significant concentration of credit risk  exists. During our fiscal year  ended  December 31, 2017,
December 31, 2016 and December 31, 2015 sales to members of the  ten largest  GPOs accounted for
approximately 51.2%, 51.2% and 65.2% of total  consolidated revenue, respectively. There were no
customers that accounted for more than  10% of the Company’s total revenues or accounts  receivable
balance at and for the years ended December 31,  2017, December 31, 2016  and December 31,  2015.

F-44

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 14. Segment and Geographical  Information (Continued)

Geographical Information

Revenues

United States . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Rest of world(1)
. . . . . . . . . . . . . . . . . . . . . . . . . .

$617,268
98,897

(In thousands)
$591,566
101,057

$403,375
81,184

Total revenues . . . . . . . . . . . . . . . . . . . . . . . . . .

$716,165

$692,623

$484,559

Year Ended December 31,

2017

2016

2015

(1) No individual country represented more than 10%  of the  respective totals.

Property and equipment, net

Property and equipment, net is attributed to the geographic location in which it is  located.

United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Rest of world(1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$34,899
7,696

(In thousands)
$36,497
5,514

$29,506
2,803

Total property and equipment, net . . . . . . . . . . . . . .

$42,595

$42,011

$32,309

Year Ended December 31,

2017

2016

2015

(1) No individual country represented more than 10%  of the  respective totals.

Note 15. Income Taxes

The following is a geographical breakdown of income (loss)  before  the provision for  (benefit  from)

income taxes:

Domestic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Income (loss) before provision for (benefit from)

Year Ended December 31,

2017

2016

2015

$ 19,889
(20,768)

(In thousands)
$ 1,471
(3,419)

$51,089
(4,845)

income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

(879) $(1,948) $46,244

F-45

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 15. Income Taxes (Continued)

The provision for (benefit from) income  taxes consists of the following:

Year Ended December 31,

2017

2016

2015

(In thousands)

Current:

Federal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$ 2,430
1,852
745

$ 6,724
1,323
46

$13,840
2,475
203

Total current income taxes . . . . . . . . . . . . . . . .

5,027

8,093

16,518

Deferred:

Federal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(16,118)
(2,612)
(7,781)

(3,378)
(1,802)
(5,464)

846
(379)
(1,501)

Total deferred income taxes . . . . . . . . . . . . . . .

(26,511)

(10,644)

(1,034)

Total provision for (benefit from) income

taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$(21,484) $ (2,551) $15,484

The provision for (benefit from) income taxes differs from the  amount  computed  by  applying the

statutory federal tax rate as follows:

Year Ended December 31,

2017

2016

2015

(In thousands)

U.S. federal tax provision at statutory rate . . . . . . . . .
State taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Non-deductible expenses . . . . . . . . . . . . . . . . . . . . . .
Acquisition costs . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Share-based compensation expense . . . . . . . . . . . . . .
Research tax credits . . . . . . . . . . . . . . . . . . . . . . . . .
Domestic production deduction . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . .
Gain on investment
Tax  audit settlement . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . .
Foreign rate differential
. . . . . . . . . . . . . . . . . . . . . .
Stock option tax benefit
. . . . . . . . . . . . . . . .
One-time Impact of the Tax Act
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

(308) $ (682) $16,181
1,365
(311)
551
1,212
239
845
748
1,941
(1,324)
(2,075)
(1,133)
(890)
— (1,205)
—
123
—
—
(61)

19
1,373
—
39
(3,233)
(621)
—
— (2,499)
(154)
—
—
62

938
(5,926)
(13,391)
(374)

Total provision for (benefit from) income taxes . . . .

$(21,484) $(2,551) $15,484

F-46

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 15. Income Taxes (Continued)

Significant components of the Company’s deferred tax assets (liabilities) are as follows:

December 31,
2017

December 31,
2016

(In thousands)

Deferred tax assets (liabilities):

Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Stock compensation . . . . . . . . . . . . . . . . . . . . . . . . . . .
Inventory related items . . . . . . . . . . . . . . . . . . . . . . . .
Tax credit carry forwards . . . . . . . . . . . . . . . . . . . . . . .
Reserves and accruals . . . . . . . . . . . . . . . . . . . . . . . . .
Loss carry forwards . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other, net

$ 6,345
4,460
2,441
9,349
3,960
8,643
1,307

Total net deferred tax assets . . . . . . . . . . . . . . . . . . .

36,505

Intangibles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Depreciation and amortization . . . . . . . . . . . . . . . . . . . .
Prepaid expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total deferred tax liabilities . . . . . . . . . . . . . . . . . . .

(36,780)
(14,338)
(4,512)

(55,630)

$ 5,857
6,451
2,915
4,871
4,675
8,077
847

33,693

(57,427)
(20,071)
(3,746)

(81,244)

Net deferred tax liabilities . . . . . . . . . . . . . . . . . . .

$(19,125)

$(47,551)

Deferred income tax assets (liabilities) are  provided for temporary differences  that  will result in

future tax deductions or future taxable income, as  well as  the future benefit of  tax credit carry
forwards. The Company recognizes deferred  tax assets  to  the  extent that it  believes these assets  are
more likely than not to be realized. In making such a determination,  the Company considers all
available positive and negative evidence,  including future  reversals of existing temporary differences,
projected future taxable income, tax planning strategies, and results of recent operations. On the  basis
of this evaluation, as of December 31, 2017,  no valuation allowances  have been recorded in any
jurisdiction.

On December 22, 2017, the U.S. government enacted comprehensive  tax  legislation  commonly
referred to as the Tax Cuts and Jobs  Act  (the  ‘‘Tax Act’’).  The Tax Act significantly  impacts  the future
ongoing U.S. corporate income tax by, among things, lowering the  U.S. corporate income tax rates  and
implementing a territorial tax system.  At December 31, 2017, the Company has  not  completed the
accounting for the  tax effects of enactment of the Tax Act; however, the Company made  a reasonable
estimate of the effects on the existing  deferred  tax  balances and the one-time  transition  tax. The
reduction of the U.S. corporate tax rate  required the  Company to revalue  the U.S.  deferred tax assets
and liabilities to the newly enacted federal  rate  of  21%. This resulted  in a one-time  benefit of
$13.4 million in the fourth quarter of 2017.  As part of the  transition to the new territorial  tax system,
the Tax Act imposes a one-time tax on a  deemed repatriation of historical earnings  of foreign
subsidiaries. Based on the current evaluation of  the Company’s operations, no repatriation tax  charge is
anticipated as the Company is in an  earnings deficit  position for  foreign subsidiaries. The Company  will
continue to assess the provision for income taxes as future  guidance is issued, but does not currently
anticipate significant revisions will be  necessary. Any such revisions will be treated in  accordance  with
the measurement period guidance outlined in  Staff Accounting Bulletin No. 118.

F-47

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 15. Income Taxes (Continued)

As of December 31, 2017, the Company has $6.6 million of federal  net operating loss
carryforwards expiring 2038 and $6.1 million of state  net operating loss carryforwards expiring at
various dates beginning 2023. For income tax purposes,  the Company has federal and California
research tax credits carryforwards of  $2.4 million and $8.8 million, respectively. Federal research tax
credit carry forwards from prior years will  begin to expire in 2035. California credits  are available
indefinitely to reduce cash taxes otherwise payable.

It  is the Company’s practice and intention to reinvest the earnings of its non-U.S. subsidiaries in
those operations. As of December 31,  2017,  the Company has not made  a provision for U.S. federal
income, withholding, and state income  taxes on the  outside basis difference related to certain foreign
subsidiaries because earnings are intended to be indefinitely reinvested in operations outside the U.S.
At December 31, 2017, the Company  has not completed  the accounting for the tax effects resulting
from the enactment of the Act; however,  the Company made a  reasonable  estimate of the  effects. The
Company is continuing to evaluate its plans for  reinvestment under the Act, including its plans  for
reinvestment or repatriation of unremitted foreign earnings. Any revisions will be treated in accordance
with the measurement period guidance outlined in Staff Accounting Bulletin No. 118.

The Company files income tax returns  in  the United  States and various  states and foreign

jurisdictions. In the normal course of business, the Company  is subject to examination by taxing
authorities, including major jurisdictions such as  the United States, Germany,  Italy, Netherlands and
the United Kingdom. With few exceptions,  as of  December  31, 2017, the Company was no longer
subject to U.S., state, and foreign examination  for years before 2014, 2013, and 2014, respectively.

F-48

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 15. Income Taxes (Continued)

The aggregate change in the balance of gross  unrecognized tax benefits, which excludes interest

and penalties, for the three years ended December 31, 2017 is as follows:

Year Ended December 31, 2014 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Increases related to tax positions taken during  a prior period . . . . . .
Decreases related to tax positions taken  during the prior  period . . . .
Increases related to tax positions taken during  the current period . .
Decreases related to settlements
. . . . . . . . . . . . . . . . . . . . . . . . . .
Decreases related to expiration of statute  of limitations . . . . . . . . . .

Year Ended December 31, 2015 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Increases related to tax positions taken during a prior period . . . . . .
Decreases related to tax positions taken during the  prior period . . . .
Increases related to tax positions taken during the current period . .
. . . . . . . . . . . . . . . . . . . . . . . . . .
Decreases related to settlements
Decreases related to expiration of statute of limitations . . . . . . . . . .

Year Ended December 31, 2016 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Increases related to tax positions taken during  a prior period . . . . . .
Decreases related to tax positions taken  during the prior  period . . . .
Increases related to tax positions taken during  the current period . .
Decreases related to settlements
. . . . . . . . . . . . . . . . . . . . . . . . . .
Decreases related to expiration of statute  of limitations . . . . . . . . . .

(In thousands)

$ 8,485
37
(895)
1,807
—
(284)

9,150
244
(1,980)
6,724
(2,178)
(344)

11,616
503
(1,782)
805
—
(401)

Year Ended December 31, 2017 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$10,741

As of December 31, 2017 the total amount of gross unrecognized tax benefits, if  realized,  would

decrease the Company’s tax expense  by  approximately $10.7 million. The Company  recognizes interest
and/or penalties related to uncertain tax positions  in operating  expenses accruing $0.3 million,
$0.5 million, and $0.1 million for fiscal  years 2017, 2016, and 2015 respectively.  Accrued  interest and
penalties are included within other long-term liabilities on  the consolidated balance sheets. The
combined amount of cumulative accrued interest and penalties was  approximately $1.4  million,
$1.1 million, and $0.6 million as of fiscal  years  2017, 2016, and 2015 respectively. The Company does
not believe there will be any significant changes in  its  unrecognized tax positions over the next
twelve months.

Note 16. Restructuring Expenses

On February 15, 2017, the Company  announced its plan to reduce  its  workforce by approximately

100 full-time employees and close the  Company’s  Nashville, Tennessee and Slovenia  facilities,  which
was concluded in fiscal year 2017. The  total cost for  the plan  was $4.2 million, which includes employee
severance cost of approximately $3.7  million, and facility-related costs of approximately $0.6  million. At
December 31, 2017 the unpaid balance  under this  plan is $0.4 million related to facilities-related
expenses.

In the second quarter of 2016, the Company integrated  its sales and  field  organizations in

North America to better serve its customers which  resulted in  a  reduction  in headcount of

F-49

NOTES TO CONSOLIDATED FINANCIAL  STATEMENTS (Continued)

OMNICELL, INC.

Note 16. Restructuring Expenses (Continued)

36 employees. Accordingly, the Company incurred approximately $1.7 million of restructuring expenses
in the year ended December 31, 2016,  based on  agreements with terminated employees covering salary
and benefit continuation. For the year  ended December 31, 2016, the Company made  payments of
$1.7 million and the restructuring program was concluded.

F-50

SCHEDULE II

VALUATION AND QUALIFYING ACCOUNTS

Additions

Balance at
Beginning of
Period(1)

Charged to
Costs and
Expenses(2)

Debited
(credited) to
Other
Accounts(3)

Amount
Written Off(4)

Acquisition
and
translation
adjustments(5)

Balance at
End of
Period(1)

(In thousands)

$1,206

$ 453

162

(99)

$ 28

106

$(447)

$ —

$1,240

—

—

169

Year ended December 31,

2015

Accounts receivable . . . . .
Investment in sales-type

leases . . . . . . . . . . . . .

Total allowances

deducted from  assets .

$1,368

$ 354

$134

$(447)

$ —

$1,409

Year ended December  31,

2016

Accounts receivable . . . . .
Investment in sales-type

leases . . . . . . . . . . . . .

Total allowances

$1,240

$ 727

$ 77

$(369)

$3,121

$4,796

169

85

—

—

—

254

deducted from assets .

$1,409

$ 812

$ 77

$(369)

$3,121

$5,050

Year ended December  31,

2017

Accounts receivable . . . . .
Investment in sales-type

leases . . . . . . . . . . . . .

Total allowances

$4,796

$1,008

$

3

$(402)

$ 333

$5,738

254

(62)

—

—

—

192

deducted from  assets .

$5,050

$ 946

$

3

$(402)

$ 333

$5,930

(1) Allowance for  doubtful accounts.

(2) Represents amounts charged  to bad debt expense, increasing  the allowance.

(3) Represents amounts debited to trade accounts  receivable  as recoveries,  increasing  the allowance.

(4) Represents amounts written-off from the  allowance  and  trade accounts receivable.

(5) Represents primarily  purchase price  adjustments and minor foreign  currency translation adjustments.

F-51

Pursuant to the requirements of Section  13  or 15(d) 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 on the 27th day  of February 2018.

SIGNATURES

OMNICELL, INC.

By:

/s/ PETER J. KUIPERS

Peter J. Kuipers,
Executive Vice President & Chief Financial
Officer

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS,  that  each of the persons whose signature  appears

below hereby constitutes and appoints Randall A.  Lipps and Peter J. Kuipers, each of them  acting
individually, as his or her attorney-in-fact, each with the full power of substitution, for him or her  in  any
and all capacities, to sign any and all amendments  to this  Annual  Report on Form 10-K, and  to file the
same, with all exhibits thereto and other documents in connection therewith, with the  Securities  and
Exchange Commission, granting unto said  attorneys-in-fact, and each  of them, full power and  authority to
do and perform each and every act and thing requisite and necessary to be done  in  and about  the premises
as  fully to all intents and purposes as he  or  she  might or could do in  person, hereby  ratifying and
confirming our signatures as they may be  signed by  our  said attorney-in-fact and  any  and all amendments
to this Annual Report on Form 10-K.

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.

Signature

Title

Date

/s/ RANDALL A. LIPPS

Randall A. Lipps

Chief Executive Officer, President and
Chairman of the Board (Principal
Executive Officer)

February  27, 2018

/s/ PETER J.  KUIPERS

Peter  J. Kuipers

Executive Vice President & Chief
Financial Officer (Principal Financial
Officer)

February  27, 2018

/s/ JOSEPH B. SPEARS

Joseph B. Spears

Vice President, Corporate Finance and
Chief Accounting Officer (Principal
Accounting Officer)

February  27, 2018

/s/ JOANNE B. BAUER

Joanne B. Bauer

Director

February 27,  2018

S-1

Signature

Title

Date

/s/ JAMES T. JUDSON

James T. Judson

/s/ VANCE B. MOORE

Vance B. Moore

/s/ MARK W. PARRISH

Mark W. Parrish

/s/ GARY S. PETERSMEYER

Gary S. Petersmeyer

/s/ BRUCE D. SMITH

Bruce D. Smith

/s/ SARA J.  WHITE

Sara J. White

Director

February 27,  2018

Director

February 27,  2018

Director

February 27,  2018

Director

February 27,  2018

Director

February 27,  2018

Director

February 27,  2018

S-2

INDEX TO EXHIBITS

Exhibit
Number

2.1

Exhibit Description

Securities Purchase Agreement,  dated
October  29, 2015, among Omnicell, Inc.,
Aesynt Holding, L.P., Aesynt, Ltd. and  Aesynt
Co¨operatief U.A.

2.2

Stock Purchase Agreement, dated
November 28, 2016, among Ateb, Inc, Ateb
Canada, Ltd., the related stockholders  and
option holders and Omnicell, Inc.

3.1 Amended and Restated Certificate of
Incorporation of Omnicell, Inc.

3.2 Certificate of Amendment to the Amended
and Restated Certificate of Incorporation of
Omnicell, Inc.

Form

8-K

Incorporated By Reference

File No.

Exhibit

Filing Date

000-33043

2.1

10/29/2015

8-K

000-33043

2.1

11/29/2016

10-Q

000-33043

3.1

9/20/2001

10-Q

000-33043

3.2

8/9/2010

3.3 Certificate of Designation of Series A Junior

10-K

000-33043

3.2

3/28/2003

Participating Preferred Stock

3.4 Bylaws of Omnicell, Inc., as amended

10-Q

000-33043

3.3

8/9/2007

4.1 Reference is made to Exhibits 3.1, 3.2, 3.3

and 3.4

4.2 Form of Common Stock Certificate

S-1/A

333-57024

4.3 Form of Indenture

S-3ASR 333-221332

4.4 Form of Common Stock Warrant Agreement

S-3ASR 333-221332

4.1

4.5

4.7

7/24/2001

11/3/2017

11/3/2017

and Warrant Certificate

4.5 Form of Preferred Stock Warrant Agreement

S-3ASR 333-221332

4.8

11/3/2017

and Warrant Certificate

4.6 Form of Debt Securities Warrant Agreement

S-3ASR 333-221332

4.9

11/3/2017

and Warrant Certificate

10.1* 2016 Executive Officer Annual Base Salaries

10.2* 2017 Executive Officer Annual Base Salaries

10.3 Lease, effective July 1, 1999, between AMLI
Commercial Properties Limited Partnership
and Omnicell, Inc.

8-K

8-K

S-1

000-33043

000-33043

333-57024

10.1

10.1

10.2

2/10/2016

7/25/2017

3/14/2001

10.4 First Amendment to Lease, dated

10-K

000-33043

10.6

3/8/2012

September 30, 1999, between AMLI
Commercial Properties Limited Partnership
and Omnicell, Inc.

10.5 Lease Agreement, dated October 20,  2011,

10-K

000-33043

10.9

3/8/2012

between Middlefield Station Associates,  LLC
and Omnicell, Inc.

10.6 Form of Director and Officer  Indemnity

S-1

333-57024

10.12

3/14/2001

Agreement

Exhibit
Number

Exhibit Description

10.7* 1997 Employee Stock Purchase Plan, as

amended

Incorporated By Reference

Form

S-8

File No.

Exhibit

Filing Date

000-33043

99.2

7/2/2015

10.8* 2003 Equity Incentive Plan, as  amended

10-K

000-33043

10.14

3/23/2007

10.9* 2009 Equity Incentive Plan, as  amended

S-8

000-33043

99.1

7/2/2015

10.10* Form of Option Grant Notice  and Form of

10-K

000-33043

10.16

3/11/2011

Option Agreement for 2009 Equity Incentive
Plan, as amended

10.11* Form of Restricted Stock Unit Grant Notice

10-K

000-33043

10.17

3/11/2011

and Form of Restricted Stock Unit Award
Agreement for 2009 Equity Incentive Plan, as
amended

10.12* Form of Restricted Stock Bonus Grant Notice
and Form of Restricted Stock Bonus
Agreement for 2009 Equity Incentive Plan, as
amended

10-K

000-33043

10.18

3/11/2011

10.13* 2010 Omnicell Quarterly Executive Bonus

8-K

000-33043

10.1

3/17/2010

Plan

10.14* Employment Agreement, dated October 31,

10-K

000-33043

10.26

3/8/2004

2003, between Omnicell and Dan S. Johnston

10.15* Addendum to Offer Letter, dated

10-K

000-33043

10.14

3/11/2011

December 30, 2010, between Omnicell  and
Dan S. Johnston

10.16* Employment Agreement, dated November 28,

8-K

000-33043

10.1

1/24/2006

2005, between Omnicell and Robin G. Seim

10.17* Addendum to Offer Letter, dated

10-K

000-33043

10.21

3/11/2011

December 30, 2010, between Omnicell  and
Robin G. Seim

10.18* Employment Agreement, dated October 17,

10-K

000-33043

10.29

2/24/2009

2008, between Omnicell and Nhat H. Ngo

10.19 Lease between Omnicell, Inc. and Sycamore
Drive Holdings, LLC, dated March 16, 2012

8-K

000-33043

10.1

3/20/2012

10.20* Omnicell, Inc. Amended and  Restated

10-K

000-33043

10.27

3/30/2015

Severance Benefit Plan

10.21* Form of Restricted Stock Unit Award

10-Q

000-33043

10.4

8/9/2012

Agreement for the 2009 Equity Incentive
Plan, as amended

10.22* Form of Performance Cash Award Grant

10-Q

000-33043

10.5

8/9/2012

Notice and Form of Performance Cash Award
Agreement for the 2009 Equity Incentive
Plan, as amended

10.23 Lease, between Medical Technologies

10-Q

000-33043

10.6

8/9/2012

Systems, Inc. and Gateway Business
Centre, Ltd., dated March 31, 2004

Exhibit
Number

Exhibit Description

10.24 First Lease Amendment, between Medical

Technologies Systems, Inc. and Gateway
Business Centre, Ltd., dated July 26, 2004

Incorporated By Reference

Form

10-Q

File No.

Exhibit

Filing Date

000-33043

10.7

8/9/2012

10.25 Lease, between MTS Medication

10-Q

000-33043

10.8

8/9/2012

Technologies, Ltd. and SAL Pension
Fund, Ltd., dated June 9, 2011

10.26 Third Amendment to Lease, between  PR

10-Q

000-33043

10.1

8/9/2013

Amhurst Lake LLC and Omnicell, Inc., dated
July  1, 2013

10.27 Agreement for Lease relating to Two Omega
Drive, River Bend Technology Centre, Iram,
dated January 14, 2015, between Omega
Technologies Limited and MTS Medication
Technologies Limited and Omnicell, Inc.

10-K

000-33043

10.37

3/30/2015

10.28* Offer letter between Omnicell and Peter J.

10-Q

000-33043

10.3

11/6/2015

Kuipers dated August 11, 2015

10.29* Amended and Restated Executive Officer

10-Q

000-33043

10.4

11/6/2015

Change of Control Letter Agreement

10.3 Credit Agreement, dated as of January  5,

8-K

000-33043

10.1

1/6/2016

2016, among Omnicell, Inc., the Lenders  party
thereto, and Wells Fargo Bank, National
Association, as administrative agent

10.31 Lease Agreement dated November 30, 1998,
by and between Aesynt Incorporated
(formerly McKesson Automated Healthcare,
Inc). and The Northwestern Mutual  Life
Insurance Company, as amended

10-Q

000-33043

10.2

5/6/2016

10.32 Lease Agreement dated December 21,  2001,

10-Q

000-33043

10.3

5/6/2016

by and between TC Northeast Metro, Inc. and
Aesynt Incorporated (formerly McKesson
Automated Healthcare, Inc.), as amended

10.33

Second Amendment to Industrial  Lease,
dated February 25, 2016, by and between
Evergreen Propco IV, LLC and Omnicell, Inc.

10-Q

000-33043

10.4

5/6/2016

10.34 Lease, between Ateb Properties LLC  and

10-K

000-33043

10.36

2/28/17

Ateb, Inc. dated November 28, 2016

10.35 First Amendment to Credit Agreement and
Collateral Agreement, dated as of April  11,
2017, by and among Omnicell, Inc., the
Subsidiary Guarantors party thereto; the
Lenders party thereto; and Wells Fargo Bank,
National Association, as administrative agent

10-Q

000-33043

10.2

5/5/17

10.36 Fifth Amendment to Lease, dated  April  28,

10-Q

000-33043

10.3

5/5/17

2017 between McKnight Cranberry III,  L.P., a
Delaware limited Partnership and Aesynt
Incorporated

Exhibit
Number

Exhibit Description

10.37 First Amendment to Lease, dated  May  10,

2017, by and between Sycamore Drive
Holdings, LLC and Omnicell, Inc.

Form

10-Q

Incorporated By Reference

File No.

Exhibit

Filing Date

000-33043

10.3

8/4/17

10.38* Omnicell, Inc. Board of Directors

10-Q

000-33043

10.5

8/4/17

8-K

000-33043

10.1

12/26/2017

10-Q

000-33043

10.1

5/5/2017

8-K

000-33043

1.1

11/3/2017

Compensation Plan

10.39

Second Amendment to Credit Agreement,
dated as of December 26, 2017, among
Omnicell, Inc., the Subsidiary Guarantors
party thereto, the Lenders party thereto, and
Wells Fargo Bank, National Association, as
administrative agent

10.40 Omnicell, Inc. Amended and Restated
Severance Benefit Plan effective as of
March 7, 2017

10.41 Distribution Agreement, dated November  3,
2017, among Omnicell, Inc. and J.P. Morgan
Securities LLC, Wells Fargo Securities,  LLC
and HSBC Securities (USA) Inc.

21.1+ Subsidiaries of the Registrant

23.1+ Consent of Independent Registered Public

Accounting Firm

24.1+ Power of Attorney (included on the signature

pages hereto)

31.1+ Certification of Chief Executive Officer,  as

required by Rule 13a-14(a) or Rule 15d-14(a)

31.2+ Certification of Chief Financial Officer, as

required by Rule 13a-14(a) or Rule 15d-14(a)

32.1+ Certification of Chief Executive Officer  and
Chief Financial Officer, as required by
Rule 13a-14(b) or Rule 15d-14(b) and
Section 1350 of Chapter 63 of Title 18 of the
United States Code (18 U.S.C. §1350)(1)

101.INS+ XBRL Instance Document(2)

101.SCH+ XBRL Taxonomy Extension Schema

Document(2)

101.CAL+ XBRL Taxonomy Extension Calculation

Linkbase Document(2)

101.DEF+ XBRL Taxonomy Extension Definition

Linkbase Document(2)

101.LAB+ XBRL Taxonomy Extension Labels Linkbase

Document(2)

Exhibit
Number

Exhibit Description

Form

File No.

Exhibit

Filing Date

Incorporated By Reference

101.PRE+ XBRL Taxonomy Extension Presentation

Linkbase Document(2)

*

+

Indicates a management contract, compensation plan or arrangement.

Filed herewith.

(1) This certification accompanies the Form 10-K to which  it relates, is  not  deemed filed  with the

Securities and Exchange Commission  and is not to be incorporated by  reference into any filing of
the Registrant under the Securities Act of 1933, as amended, or the Securities Exchange Act of
1934, as amended (whether made before  or after the  date of  the  Form 10-K), irrespective of any
general incorporation language contained in such  filing.

(2) Pursuant to applicable securities laws and  regulations, the Registrant is deemed to have complied

with the reporting obligation relating  to  the submission of interactive  data files in  such exhibits and
is not subject to liability under any anti-fraud  provisions of  the federal  securities laws as  long as
the Registrant has made a good faith  attempt to comply  with the submission requirements and
promptly amends the interactive data files after becoming  aware that the interactive data files fail
to comply with the submission requirements. These interactive data files  are deemed not filed or
part of a registration statement or prospectus  for  purposes of sections 11  or 12 of the  Securities
Act of 1933, as amended, are deemed not filed for purposes of  section  18 of the Securities
Exchange Act of 1934, as amended, and otherwise are  not subject to liability under these sections.

List of Subsidiaries

Exhibit 21.1

Entity’s name for conducting business

Jurisdiction of incorporation

Aesynt Pty Ltd.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Australia

Ateb Canada Ltd. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Canada

Aesynt Canada, Inc.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Canada

Omnicell (Beijing) Technology Co., Ltd. . . . . . . . . . . . . . . . . . . . . . . . China

Mach  4 Automatisierungs Technik, GmbH . . . . . . . . . . . . . . . . . . . . . Federal Republic of Germany

Omnicell GmbH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Federal Republic of Germany

Omnicell SAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . France

Health Robotics S.r.l.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Italy

Aesynt S.r.l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Italy

Aruba S.r.l

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Italy

Aesynt Holding Cooperatief U.A.

. . . . . . . . . . . . . . . . . . . . . . . . . . . Netherlands

Aesynt Holding B.V.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Netherlands

Aesynt B.V.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Netherlands

Avantec Healthcare Ltd.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . United Kingdom

Omnicell Ltd. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . United Kingdom

Surgichem, Ltd.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . United Kingdom

Aesynt, Inc.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . United States

Ateb, Inc.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . United States

MedPak Holdings, Inc.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . United States

MTS Medication Technologies, Inc.

. . . . . . . . . . . . . . . . . . . . . . . . . . United States

MTS Packing Systems, Inc.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . United States

Omnicell International, Inc.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . United States

Aesynt Holdings, Inc.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . United States

CONSENT OF INDEPENDENT REGISTERED  PUBLIC  ACCOUNTING FIRM

We consent to the  incorporation by reference in the Registration Statements (Form S-3
No. 333-117592 and 333-221332, Form S-8  Nos.  333-67828,  333-82818, 333-104427, 333-107356,
333-116103, 333-125080, 333-132556, 333-142857, 333-149758, 333-159562, 333-176146, 333-190930, and
333-205465) of our reports dated February 27, 2018,  relating to the consolidated financial statements
and  financial statement schedule of Omnicell, Inc. and subsidiaries  (the ‘‘Company’’) and  the
effectiveness of the Company’s internal control over financial reporting appearing  in this Annual
Report on Form 10-K of the  Company for the year ended December 31,  2017.

EXHIBIT 23.1

/s/ Deloitte & Touche LLP

San  Jose, California

February 27, 2018

Exhibit 31.1

I, Randall A. Lipps, certify that:

1.

I have reviewed this annual report  on Form  10-K of Omnicell, Inc.;

CERTIFICATION

2. Based on my knowledge, this report does  not  contain any untrue statement  of  a material fact

or omit to state a material fact necessary  to  make  the statements  made, in light of the circumstances
under which such statements were made, not misleading with respect to the period  covered by this
report;

3. Based on my knowledge, the financial statements, and  other financial  information included in
this  report, fairly present in all material  respects the financial condition, results of operations and  cash
flows of the registrant as of, and for, the  periods presented in  this report;

4. The registrant’s other certifying  officer(s)  and  I are responsible for establishing and
maintaining disclosure controls and procedures (as  defined in Exchange Act Rules 13a-15(e) and
15d-15(e)) and internal control over financial  reporting (as  defined in  Exchange Act Rules 13a-15(f)
and 15d-15(f)) for the registrant and have:

(a) Designed such disclosure controls  and procedures, or caused such disclosure controls and

procedures to be designed under our  supervision,  to  ensure that material  information relating to
the registrant, including its consolidated subsidiaries, is made known  to  us by others within  those
entities, particularly during the period in which this report  is being prepared;

(b) Designed such internal control over financial  reporting, or caused such internal control

over financial reporting to be designed under our supervision, 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;

(c) Evaluated the effectiveness of the registrant’s disclosure  controls and procedures and
presented in this report our conclusions about  the effectiveness of the disclosure controls and
procedures, as of the end of the period  covered by this report based on such evaluation; and

(d) Disclosed in this report any change in  the registrant’s internal control  over financial
reporting that occurred during the registrant’s most recent fiscal  quarter (the registrant’s fourth
fiscal quarter in the case of an annual  report)  that  has materially affected, or is  reasonably  likely to
materially affect, the registrant’s internal control  over financial reporting; and

5. The registrant’s other certifying  officer(s)  and  I have disclosed,  based on our  most recent

evaluation of internal control over financial reporting,  to  the registrant’s auditors and the audit
committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the  design or operation of internal

control over financial reporting which  are reasonably likely  to  adversely affect  the registrant’s
ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material,  that involves management or other employees who

have a significant role in the registrant’s internal control over financial reporting.

February 27, 2018

/s/ RANDALL A. LIPPS

Randall A. Lipps
President and Chief Executive Officer
(Principal Executive Officer)

Exhibit 31.2

I, Peter J. Kuipers, certify that:

1.

I have reviewed this annual report  on Form  10-K of Omnicell, Inc.;

CERTIFICATION

2. Based on my knowledge, this report does  not  contain any untrue statement  of  a material fact

or omit to state a material fact necessary  to  make  the statements  made, in light of the circumstances
under which such statements were made, not misleading with respect to the period  covered by this
report;

3. Based on my knowledge, the financial statements, and  other financial  information included in
this  report, fairly present in all material  respects the financial condition, results of operations and  cash
flows of the registrant as of, and for, the  periods presented in  this report;

4. The registrant’s other certifying  officer(s)  and  I are responsible for establishing and
maintaining disclosure controls and procedures (as  defined in Exchange Act Rules 13a-15(e) and
15d-15(e)) and internal control over financial  reporting (as  defined in  Exchange Act Rules 13a-15(f)
and 15d-15(f)) for the registrant and have:

(a) Designed such disclosure controls  and procedures, or caused such disclosure controls and

procedures to be designed under our  supervision,  to  ensure that material  information relating to
the registrant, including its consolidated subsidiaries, is made known  to  us by others within  those
entities, particularly during the period in which this report  is being prepared;

(b) Designed such internal control over financial  reporting, or caused such internal control

over financial reporting to be designed under our supervision, 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;

(c) Evaluated the effectiveness of the registrant’s disclosure  controls and procedures and
presented in this report our conclusions about  the effectiveness of the disclosure controls and
procedures, as of the end of the period  covered by this report based on such evaluation; and

(d) Disclosed in this report any change in  the registrant’s internal control  over financial
reporting that occurred during the registrant’s most recent fiscal  quarter (the registrant’s fourth
fiscal quarter in the case of an annual  report)  that  has materially affected, or is  reasonably  likely to
materially affect, the registrant’s internal control  over financial reporting; and

5. The registrant’s other certifying  officer(s)  and  I have disclosed,  based on our  most recent

evaluation of internal control over financial reporting,  to  the registrant’s auditors and the audit
committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the  design or operation of internal

control over financial reporting which  are reasonably likely  to  adversely affect  the registrant’s
ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material,  that involves management or other employees who

have a significant role in the registrant’s internal control over financial reporting.

February 27, 2018

/s/ PETER J. KUIPERS

Peter J. Kuipers
Executive Vice President & Chief Financial Officer
(Principal Financial Officer)

CERTIFICATION

Exhibit 32.1

Pursuant to the requirement set forth in  Rule  13a-14(b) of the Securities Exchange  Act  of 1934, as
amended (the ‘‘Exchange Act’’), and Section 1350 of Chapter 63 of Title 18 of  the United States  Code
(18 U.S.C. §1350), Randall A. Lipps,  the President and Chief Executive Officer of Omnicell,  Inc. (the
‘‘Company’’) and Peter J. Kuipers, the Executive Vice President &  Chief  Financial Officer of the
Company, each hereby certifies that, to the best  of  his knowledge:

1. The Company’s Annual Report on Form 10-K for the period ended  December 31,  2017, to

which  this Certification is attached as  Exhibit 32.1 (the ‘‘Annual Report’’) fully  complies with  the
requirements of Section 13(a) or Section 15(d) of the Exchange Act; and

2. The information contained in the Annual Report fairly presents, in all material respects,  the

financial condition and results of operations the Company.

In Witness Whereof, the undersigned  have set  their  hands hereto  as of the  27th day of February

2018.

/s/ RANDALL  A. LIPPS

/s/ PETER J. KUIPERS

Randall A. Lipps
President and Chief Executive Officer
(Principal Executive Officer)

Peter J. Kuipers
Executive Vice  President & Chief Financial  Officer
(Principal Financial  Officer)

‘‘This certification accompanies the Form  10-K to which  it relates, is not deemed  filed with the

Securities and Exchange Commission  and  is not to be incorporated by  reference into any filing of
Omnicell, Inc. under the Securities Act  of 1933, as amended, or the Securities Exchange  Act of 1934,
as amended (whether made before or after the date of the Form  10-K),  irrespective  of any  general
incorporation language contained in  such  filing.’’