Quarterlytics / Technology / Communication Equipment / Vocera Communications

Vocera Communications

vcra · NYSE Technology
Claim this profile
Ticker vcra
Exchange NYSE
Sector Technology
Industry Communication Equipment
Employees 501-1000
← All annual reports
FY2019 Annual Report · Vocera Communications
Sign in to download
Loading PDF…
Table of Contents

(Mark One)

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington D.C. 20549

FORM 10-K

☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2019
OR

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the Transition Period from              to
Commission File Number: 001-35469

VOCERA COMMUNICATIONS, INC.

(Exact name of registrant as specified in its charter)

Delaware

(State or other jurisdiction of
incorporation or organization)

94-3354663

(I.R.S. Employer
Identification No.)

Vocera Communications, Inc.
525 Race Street
San Jose, CA 95126
(408) 882-5100
(Address and telephone number of principal executive offices)

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

(Title of class)

(Trading Symbol)

(Name of exchange on which registered)

Common Stock, $0.0003 par value

VCRA

New York Stock Exchange

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes x No o

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 o No x

Securities registered pursuant to Section 12(g) of the Act:
None

Indicate  by  check  mark  whether  the  registrant  (1)  has  filed  all  reports  required  to  be  filed  by  Section  13  or  15(d)  of  the  Securities  Exchange  Act  of  1934  during  the
preceding  12  months  (or  for  such  shorter  period  that  the  registrant  was  required  to  file  such  reports),  and  (2)  has  been  subject  to  such  filing  requirements  for  the  past
90 days.    Yes  x  No  o

Indicate by check mark whether the registrant has submitted electronically, every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T

(§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes  x   No  o

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth

company.

Large accelerated filer

Non-accelerated filer

x

o

Accelerated filer

Smaller reporting company

Emerging Growth Company

o

☐

☐

If  an  emerging  growth  company,  indicate  by  check  mark  if  the  registrant  has  elected  not  to  use  the  extended  transition  period  for  complying  with  any  new  or  revised

financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes ☐    No  x
As of June 30, 2019, the last business day of the registrant's most recently completed second fiscal quarter, the aggregate market value of the registrant's common stock
held  by  non-affiliates  was  approximately  $811 million based  upon  the  $31.92  closing  price  reported  for  such  date  on  the  New  York  Stock  Exchange.  For  purposes  of  this
disclosure, shares of common stock held by persons who hold more than 10% of the outstanding shares of common stock and shares held by executive officers and directors of
the  registrant  have  been  excluded  because  such  persons  may  be  deemed  to  be  affiliates  of  registrant.  This  determination  of  affiliate  status  is  not  necessarily  a  conclusive
determination for other purposes.

As of February 24, 2020, there were 31,761,283 shares of the registrant's common stock outstanding.

Documents Incorporated by Reference

Portions of the registrant's Proxy Statement for its 2019 Annual Meeting of Stockholders are incorporated by reference in Part III of this report. Such proxy statement will

be filed with the Securities and Exchange Commission within 120 days of the registrant's fiscal year ended December 31, 2019.

 
 
 
 
 
 
 
 
 
Table of Contents

VOCERA COMMUNICATIONS, INC.

ANNUAL REPORT ON FORM 10-K
FOR THE ANNUAL PERIOD ENDED DECEMBER 31, 2019

Item 1.

  Business

Item 1A.

  Risk factors

Item 1B.

  Unresolved Staff Comments

Item 2.

  Properties

Item 3.

  Legal Proceedings

Item 4.

  Mine Safety Disclosures

INDEX

PART I

PART II

Item 5.

  Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

Item 6.

  Selected Financial Data

Item 7.

  Management's Discussion and Analysis of Financial Condition and Results of Operations

Item 7A.

  Quantitative and Qualitative Disclosures About Market Risk

Item 8.

  Financial Statements and Supplementary Data

Item 9.

  Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

Item 9A.

  Controls and Procedures

Item 9B.

  Other Information

Item 10.

  Directors, Executive Officers and Corporate Governance

Item 11.

  Executive Compensation

PART III

Item 12.

  Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

Item 13.

  Certain Relationships and Related Transactions, and Director Independence

Item 14.

  Principal Accounting Fees and Services

Item 15.

  Exhibits and Financial Statement Schedule

Item 16.

  Form 10-K Summary

Index to Exhibits

Signatures

PART IV

2

Page

3

12

29

30

30

30

31

33

34

43

44

76

76

77

77

77

77

77

77

77

81

 
   
 
 
   
   
 
 
   
   
 
 
   
   
 
 
   
   
 
 
   
   
 
 
   
   
 
 
   
   
 
   
   
 
 
   
   
 
 
   
   
 
 
   
   
 
 
   
   
 
 
   
   
 
 
   
   
 
 
   
   
 
 
   
   
 
   
   
 
 
   
   
 
 
   
   
 
 
   
   
 
 
   
   
 
 
   
   
 
   
   
 
 
   
   
 
 
   
   
   
 
   
   
   
Table of Contents

PART I

This Annual Report on Form 10-K contains forward-looking statements that are based on our beliefs and assumptions regarding future events and circumstances,
including statements regarding our strategies, our opportunities, developments in the healthcare market, acquisitions, our relationships with our customers and
contract manufacturer and other matters. These statements are principally contained in Item 1, Business; Item 1A, Risk Factors; Item 7, Management's Discussion
and Analysis of Financial Condition and Results of Operations; and other sections of this Annual Report on Form 10-K. Forward-looking statements include
statements that are not historical facts and can be identified by words such as “project,” “believe,” “anticipate,” “plan,” “expect,” “estimate,” “intend,”,
"seeks", “continue,” “should,” “would,” “could,” “potentially,” “will” or “may,” or other similar words and phrases.

Forward-looking statements are subject to known and unknown risks, uncertainties and other factors that could cause actual results to differ materially from the
results anticipated by these forward-looking statements. These risks, uncertainties and factors include those we discuss in this annual report in Item 1A, Risk
Factors. You should read these risk factors and the other cautionary statements made in this Annual Report on Form 10-K as being applicable to all related
forward-looking statements wherever they appear in this Annual Report on Form 10-K. It is not possible for us to predict all risks that could affect us, nor can we
assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those
contained in any forward-looking statements we may make. Moreover, new risks emerge from time to time.

The forward-looking statements made in this Annual Report on Form 10-K relate only to events as of the date on which the statements are made. We undertake no
obligation to update publicly any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by law.

Item 1.

Business     

Overview

We  are  a  provider  of  secure,  integrated,  intelligent  communication  and  clinical  workflow  solutions,  focused  on  empowering  mobile  workers  in  healthcare,
hospitality, retail, energy, education and other mission-critical mobile work environments in the United States and internationally. The significant majority of our
business is generated from sales of our solutions in the healthcare market to help our customers enhance quality of care, safety, patient and staff experience, and
improve  operational  efficiency.  Care  teams  at  nearly  1,700 healthcare  facilities  worldwide  have  selected  our  solutions  to  call  and  text  securely,  reduce  alarm
fatigue, enhance workflow and help improve patient experience. Our solutions can also be found in luxury hotels, nuclear power facilities, schools, libraries, retail
stores and other environments where mobile workers need to communicate and access resources instantly.

Our communication and collaboration solution, which includes an intelligent enterprise software platform; lightweight, wearable, voice-controlled communication
devices; as well as smartphone applications, enables users to connect instantly with other staff simply by saying the name, function or group name of the desired
recipient.  It  also  delivers  HIPAA-compliant  secure  text  messages,  alerts  and  alarms  directly  to  the  Vocera  Badge,  Vocera  Smartbadge,  smartphones  and  other
mobile communication devices both inside and outside the hospital in order of priority, replacing legacy pagers and in-building wireless phones.

At the core of this solution is a patent-protected, enterprise-class server software platform. Our software platform is built on a scalable architecture and recognizes
more than 100 spoken commands. Users can instantly communicate with others using the Vocera Smartbadge or Vocera Badge, or through client applications for
iOS and Android mobile devices. Our platform lets users communicate and collaborate with each other using voice or HIPAA-compliant secure texting, and unlike
other solutions, allows users to reach people by their role, room assignment or department, without needing to know a person’s name or phone number. The system
can also broadcast emergency messages to a single department or to an entire organization. Our solution can be integrated with other clinical systems, including
Electronic Health Records (EHR), nurse call, patient monitoring and even some medical devices, to provide critical data, alerts, alarms and clinical context that
enables  better  workflow.  Our  enterprise-class  software  platform  also  features  an  advanced  clinical  rules  engine  that  unifies  data  from  multiple  sources
simultaneously,  enables  prioritization  of  notifications,  adds  patient  context,  and  sends  messages  to  the  right  care  team  members  on  their  mobile  devices.  Our
platform allows clinicians to be away from the bedside while staying informed about their patients. Our portfolio of over 150 unique integrations enhances clinical
workflow by enabling the interoperability of our solution with a significant number of clinical and operational systems used in hospitals today.

Beyond  healthcare,  our  solutions  are  used  to  quickly  and  contextually  connect  staff  in  other  mission-critical  mobile-worker  environments.  In  the  hospitality
industry, it is used to enhance guest experience, as well as staff productivity and responsiveness. In the nuclear power industry, our solutions are used to instantly
connect people and resources. In education, schools use our solutions to increase security, safety and staff communication and libraries use it to enable their staff to
be more mobile and attentive

3

Table of Contents

to patrons. And, in retail, our solutions are used to enhance the customer experience by enabling store personnel to quickly connect in and across various locations.

Over our 20-year history, we have significantly enhanced and added features and functionality to these solutions through ongoing development based on frequent
interactions with our customers. In January 2019, we introduced the Vocera Smartbadge which combines smartphone usability with the same wearable, hands-free
features  as  the  Vocera  Badge.  The  new  Vocera  Smartbadge  has  a  2.4" touchscreen,  which  enables  clinicians  to  view  and  send  secure  text  messages  as  well  as
receive alerts and notifications with patient context. In September 2019, we announced the release of Vocera Vina, our new smartphone application powered by the
Vocera Platform. The customizable communication application presents prioritized patient-centric calls, secure messages and alerts in a unified inbox and provides
an intuitive user experience for clinicians inside and outside the hospital.

Vocera  Care  Experience  is  a  hosted  software  suite  that  coordinates  and  streamlines  provider-to-patient  and  provider-to-provider  communication  in  order  to
improve  quality  of  care,  patient  and  staff  experience,  reduce  care  provider's  risk  and  improve  reimbursements.    The  solution  provides  personalized  patient
instructions and education; provides alerts and notifications to physicians and caregivers of patients’ changing care plans or status; and tracks patient experience
before, during and after hospitalization. In June 2019, we upgraded our Vocera Care Experience solutions suite by incorporating artificial intelligence and machine
learning to track satisfaction trends faster and provide sentiment analysis to enable healthcare leaders to quickly understand patient perceptions.

Our Experience Innovation Network, a thought leadership collaborative, is a membership-based program designed to spread the adoption of leading strategies to
improve patient experience and staff safety and resiliency.

As  of  December  31,  2019,  our  solutions  were  selected  by  nearly  1,700 healthcare  facilities,  including  large  hospital  systems,  small  and  medium-sized  local
hospitals, clinics, surgery centers and aged-care facilities. We sell our solutions to our healthcare customers primarily through our direct sales force in the United
States,  with  resellers  for  certain  vertical  markets  as  well  as  our  U.S.  Government  business,  and  through  both  direct  sales  and  select  distribution  channels  in
international markets.

We were incorporated in Delaware on February 16, 2000. Our corporate headquarters are located at 525 Race Street, San Jose, California 95126, and our main
telephone  number  is  (408)  882‑5100.  We  maintain  a  website  at  www.vocera.com.  The  contents  of  our  website  are  not  incorporated  into,  or  otherwise  to  be
regarded as part of, this Annual Report on Form 10-K.

Vocera® is our primary registered trademark in the United States. Other trademarks appearing in this document are the property of their respective holders.

Industry overview

Vocera provides communication and workflow solutions for mobile workers in healthcare, hospitality, retail, energy, education and other industries. Healthcare is
our largest vertical market.

Hospital  communication  is  still  predominantly  conducted  through  multiple  disparate,  non-integrated  systems,  including  pagers,  overhead  paging,  portable  in-
building  wireless  phones  and  individuals’  personal  mobile  phones.  These  non-integrated  communication  methods  are  inefficient  and  often  unreliable;  lacking
“closed loop” communication, workflow standardization, or the scale required by health systems. Further, they often contribute to noisy environments for patients
and negatively impact healing, safety, quality of care and operational efficiency.

Broadly, we believe the healthcare industry is placing greater emphasis on the need for better communication and workflow to meet increasing requirements for
care quality, patient safety, efficiency and patient satisfaction. Healthcare providers also require greater coordination of care among clinicians as the industry shifts
towards population health and paying for value instead of the traditional fee-for-service reimbursement model. This shift to value-based purchasing incorporates
financial  incentives  for  hospitals  to  improve  the  quality  of  care  and  patient  satisfaction.  A  number  of  non-government  organizations,  such  as  The  Joint
Commission,  are  also  requiring  improvements  in  patient  safety  and  quality  of  care.  These  forces  are  driving  hospitals  to  invest  in  technology  and  process
improvements  to  manage  their  operations  more  efficiently,  improve  quality  of  care,  and  increase  patient  satisfaction  and  staff  resiliency.  Our  solutions  help
hospitals  increase  productivity  and  reduce  costs  by  enhancing  workflow  and  improving  patient  and  staff  satisfaction  through  secure,  integrated  and  intelligent
communication.

Our strategy

Our goal is to extend  our leadership  position  as a provider  of communication  and workflow solutions  in the  healthcare  market  and add new customers  in non-
healthcare markets.

Key elements of our strategy include:

4

 
Table of Contents

•

•

•

•

•

•

•

•

Expand our business to new U.S. healthcare customers.    We believe our solutions can provide significant value to health systems, hospitals and smaller
healthcare facilities. We plan to continue to add new customers among hospitals of all sizes, and expand to outpatient clinics, aged-care and skilled nursing
facilities.

Further expand our footprint within our existing installed customer base.    Many of our customers initially deploy our solutions in a few departments of a
hospital and gradually expand to additional departments as they come to fully appreciate its value. We have a significant opportunity to up-sell and cross-sell
to our existing  customers,  including  into new hospitals  that  are part  of an existing  healthcare  system  customer.  Key sales  strategies  include expanding  our
footprint  at  existing  customer  facilities  and  capturing  additional  revenue  by  cross  selling  additional  solutions.  We  plan  to  continue  expanding  within  our
existing customers in order to grow our revenue and maintain and improve customer experience.

Extend our technology advantage and create new product solutions.    We intend to continue our investment in research and development to enhance the
functionality of our solutions and further differentiate  them from other competing solutions. As we did with the introduction of the Smartbadge in January
2019, enhancements to the Vocera Care Experience suite in June 2019 and the introduction of the new Vina Smartphone Application in September 2019, we
plan  to  continue  to  invest  in  product  upgrades,  product  line  extensions  and  new  solutions  to  enhance  our  portfolio,  including  further  development  of
applications for iOS and Android devices.

Increase our health system selling  efforts.  Our increasingly  comprehensive  product  suite  is enabling  us to  sell  to  more  large  health  systems.   These sales
efforts typically involve conversations with more senior decision makers and result in larger deal sizes with complex and elongated sales cycles.  We have
organized a strategic accounts sales team to pursue more of these opportunities in the future.

Invest in partnerships. In order to gain access to clinical data and patient context needed to create a highly efficient communication and workflow system for
the  entire  care  team,  we  plan  to  continue  to  broaden  our  ecosystem  of  technology  partners,  including  vendors  that  provide  nurse  call  systems,  patient
monitoring systems, analytics and EHRs. We added new partnerships in 2018 and 2019 and will continue to explore new relationships that broaden our overall
market presence and accelerate the sales of our offerings.

Pursue acquisitions of complementary businesses, technologies and assets.    Over the last several years we have completed a number of acquisitions to help
us achieve our strategic vision by enhancing our products and enabling us to enter new markets. Our acquisitions have expanded our solutions, demonstrating
that  we  can  successfully  source,  acquire  and  integrate  complementary  businesses,  technologies  and  assets.  We  intend  to  continue  to  pursue  acquisition
opportunities that we believe can accelerate the growth of our business.

Grow our international healthcare presence.    Today, in addition to our core U.S. market, we sell into other English-speaking markets, including Canada, the
United Kingdom, Australia, New Zealand, and Middle Eastern countries including the United Arab Emirates, Saudi Arabia, Oman and Qatar. We believe that
the  rapid  pace  of  investment  in  new  healthcare  facilities  in  these  developing  international  markets  provides  a  significant  opportunity  for  growth.  As  of
December 31, 2019, our solutions were selected by approximately 300 healthcare facilities outside the United States. We plan to utilize both our direct sales
force and leverage channel partners to expand our presence into other markets over time.

Expand  our  solutions  in  non-healthcare  markets.       While  our  primary  focus  is  on  the  healthcare  market,  our  solutions  also  provide  great  value  in  non-
healthcare  markets.  Our  solutions  have  been  selected  by  facilities  in  markets  beyond  healthcare  including  hospitality,  retail,  energy,  education  and  other
mission critical mobile worker environments. Currently, this is not a material portion of our revenue, but longer term, we believe these markets could represent
potential opportunities for growth.

Our products, technology and services

Our solutions include the Vocera Communication and Workflow System, Vocera Care Experience and our Experience Innovation Network, a thought leadership
collaborative. To complement our solutions, we provide services, support and education to help our customers optimize the benefits of our solutions.

Vocera Communication and Workflow System

The Vocera Communication and Workflow System is comprised of a unique software platform that connects communication devices, including our hands-free,
wearable,  voice  controlled  Smartbadge  and  Badge,  and  third-party  mobile  devices  that  use  our  mobile  software  applications.  The  system  transforms  the  way
mobile  workers  communicate  by  enabling  them  to  instantly  connect  via  voice  or  secure  text  messaging.  With  a  portfolio  of  over  150  third-party  party  clinical
integrations, our system also enables

5

Table of Contents

the  intelligent  delivery  of  alerts  and  alarms  to  a  variety  of  mobile  devices,  providing  real  time  situation  awareness  to  care  providers.  Our  hands-free  voice
capability allows mobile workers to connect with the right person simply by saying or selecting the name, function or group name of the person they want to reach,
often while remaining at the point-of-care. Our system responds to over 100 spoken commands.

Some examples of common commands are shown below.

Action

Call by name

Call a group member

Dial a phone number or extension

Initiate a broadcast to a group

Locate nearest member of a group

Send a voice message

Spoken commands

Call John Smith.

Call an Anesthesiologist.

Dial extension 3145.

Broadcast to Emergency Response Team.

Where is the nearest member of Security?

Record a message for Pediatric Nursing.

Components of the Vocera Communication and Workflow System include:

•

•

•

•

Vocera Software Platform.    At the heart of our Vocera Communication and Workflow System is a patent-protected, enterprise-class software platform. The
intelligence  of  our  client-server  system  is  contained  primarily  within  our  server-software.  This  platform  contains  an  optimized  speech  recognition  engine,
intelligent call routing and management functionality, reporting and analytics tools, clinical directories and user profiles. As part of this software platform, the
Engage  intelligent  workflow  engine  allows  routing,  escalation  and  prioritization  of  communication  and  alert  and  alarm  notifications  that  include  patient
content. In addition, our platform has the ability to integrate with a significant number of third-party clinical systems, including telephony, nurse call, patient
monitoring and EHR systems. Our software platform features an advanced clinical rules engine that unifies data from multiple sources simultaneously, enables
prioritization of notifications, adds patient context, and sends messages to the right care team members on their mobile devices, helping to improve patient
safety  and  satisfaction  and  increase  operational  efficiency.  By  providing  real-time  situational  awareness  about  the  patients  and  care  teams,  we  enable
healthcare workers to be more effective and suffer less from alarm and alert fatigue. Recognizing the rapidly expanding footprint of care, our scalable software
platform can support multiple geographic sites and multiple facilities within a healthcare system to help clinicians stay connected to the current status of their
patients.

Vocera Smartbadge. Our Smartbadge, launched in January 2019, is the only wearable communication device purpose-built for patient care. Our Smartbadge is
powered  by  the  Vocera  Software  Platform  and  operates  over  customers'  industry-standard  Wi-Fi  networks.  The  Smartbadge  has  a  2.4”  touchscreen  that
enables the user to receive prioritized alert and alarm notifications with additional patient context. Additionally, users can make and answer calls hands-free or
by holding it up to the ear for privacy, and send and receive secured text messages, using the touchscreen keyboard with no character limit. The Smartbadge
also has a dedicated panic button and enhanced "do not disturb" functionality.

Vocera Badge.    Our Badge is a smaller and lighter hands-free wearable device that allows the users instant two-way voice conversations without the need to
remember  a  phone  number  or  use  a  handset.  Similar  to  the  Smartbadge,  it  is  powered  by  the  Vocera  Software  Platform  and  operates  over  the  customers'
industry-standard Wi-Fi networks. It has a small display that provides a concise amount of information and allows the user to receive prioritized alarm and
alert  notifications  with limited  context.  The Badge has received  the FIPS 140-2 certification  from  the National  Institute  of  Standards  and Technology.  We
have also received an Authority to Operate (ATO) certification from the U.S. Department of Defense. Both of these certifications are requirements to sell our
solutions to U.S. government and military hospital and medical facilities.

Vocera Smartphone Applications. Vocera's  suite  of  smartphone  applications  enable  a  seamless  multi-mode  communications  and  collaboration  experience;
combining the unique calling, texting, alerting and content distribution capabilities of Vocera into a secure, easy-to-use smartphone application that presents
incoming  communication  in  order  of  importance.  Available  and  certified  for  use  on  commercially  available  iOS  and  Android  devices,  our  smartphone
applications support both personal (bring your own device or BYOD) and shared device usage models. Powered by the Vocera Software Platform, our new
Vina Smartphone application delivers relevant context about clinical events, patient status and clinician availability, helping care teams improve safety, quality
of care and experience for patients and care teams. The customizable communication application presents prioritized patient-centric calls, secure messages and
alerts in a unified inbox and provides an intuitive user experience for clinicians inside and outside the hospital.

6

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

•

Choice of Mobile Devices. We resell the Spectralink Versity Smartphone and Zebra Technologies TC52 Android mobile computer. These devices are offered
as a bundled solution  with our smartphone  applications  to provide  a  complete,  turnkey  solution  for our customers’  clinical  communication  needs. We also
deliver our solution on iOS devices. This gives our customers a choice of different devices to access the power of the Vocera software platform.

Vocera Care Experience

Our Care Experience solution is a hosted software suite we developed to improve patient and staff experience, safety and operational quality in near-real  time.
Vocera  Care  Experience  suite  offers  caregivers  communication  solutions  that  span  the  entire  care  continuum  -  before  admission,  during  treatment  and  after
discharge.  This  patient-centric  solution  is  designed  to  enable  hospitals  and  health  systems  to  improve  care  quality  and  safety,  enhance  patient  experience  and
satisfaction,  simplify  and  automate  manual  tasks  and  procedures,  improve  patient  satisfaction  scores  under  the  Hospital  Consumer  Assessment  of  Healthcare
Providers and Systems Survey (HCAHPS), and otherwise increase revenue and decrease costs.

Vocera Care Experience includes pre-arrival communications, patient family communications and rounding capabilities.

Services

Our customer-centric strategy is supported by our services and support capabilities, which help customers optimize their use of Vocera solutions and enhance users'
experience with our products. Our services organization consists of the following:

•

•

•

•

Professional services.    Our professional services help customers successfully deploy, manage, update and/or expand their Vocera systems in order to gain the
full  benefits  of  our  solutions.  As  of  December  31,  2019,  our  professional  services  team  consisted  of  114 professionals  with  expertise  in  wireless
communication, clinical workflow, end-user training, speech science and project management. We offer a full suite of services, including clinical workflow
design, wireless assessment,  solution configuration,  training and project management,  enabling customers  to integrate  our solutions and improve workflow
efficiency and staff productivity. We also provide classroom and distance learning curricula for systems administrators, information technology professionals
and clinical educators.

Software Maintenance and Technical support.   We provide 24x7 technical support to our customers through our support centers in San Jose, California; Fort
Wayne, Indiana; Toronto, Canada; Knoxville, Tennessee and Reading, United Kingdom. As of December 31, 2019, our technical support team consisted of 68
technical  support  professionals  with  expertise  in  wireless,  telephony,  integration,  servers  and  client  devices.  Our  team  utilizes  remote  diagnostic  tools  to
proactively assess the performance of customer systems. We assign technical account management resources to our largest accounts to help them expand the
use  of  our  solutions  and  facilitate  adoption  of  new  functionality.  Software  maintenance  entitles  customers  to  unspecified  upgrades,  bug  fixes  and  patch
releases. Additional services, including an annual Remote System Health Assessment and biweekly technical webinar education, are offered as project-based
consulting or through our membership collaborative.

Experience Innovation Network.    The  Experience  Innovation  Network  is  a  membership  program  that  partners  with  healthcare  provider  organizations  to
further the development of innovations and solutions that improve care team and patient experience as well as clinical and operational performance.

Vocera University. We provide hands-on, interactive educational experience through classroom training, distance learning or customized courseware covering
best practices, implementation and use of our solutions. Training courses are provided for systems administrators, IT professionals and industry-specific, end-
user educators.

Sales and marketing

Sales

Our sales employees call on hospitals and healthcare systems in the United States, Canada, the United Kingdom, Australia, New Zealand and several countries in
the Middle East. As of December 31, 2019, we had 163 sales and account support employees. The sales team is organized to allow us to better serve our customers
and to support the different elements of our sales strategy. We supplement our sales organization by utilizing a U.S. government-authorized reseller to facilitate our
sales to Veterans Administration and Department of Defense healthcare facilities. We also use resellers in certain vertical markets in the United States, as well as in
international markets to supplement our sales efforts. A specialized group of our sales team focuses on the development of new customer relationships with large
integrated health systems and government healthcare facilities. We enhance our sales efforts by including in our sales staff individuals with nursing backgrounds to
address clinical uses with, and provide utilization advice to, customers and potential customers. We have also staffed our sales team with system engineers who
focus on the technical  elements  of system optimization,  particularly  wireless, and overall  product  configuration.  We have a small direct  sales team to focus on
developing our non-healthcare business, including hospitality, energy, education and other mission-critical mobile work environments.

7

 
Table of Contents

Marketing

Our  marketing  efforts  focus  on  building  awareness  and  generating  demand.  We  believe  that  continuing  to  increase  our  brand  recognition  is  important  for  the
growth of our business as well as generating demand for our solutions. As of December 31, 2019, we had 33 employees in marketing, product management and
business development.

Our customer-centric marketing strategy is important to generating new sales leads as word of mouth promotion and testimonials are some of our most valuable
marketing  tools.  A  number  of  our  customers  have  agreed  to  participate  in  video  testimonials,  white  papers  and  case  studies  that  validate  the  efficacy  and  the
financial benefits of our solutions. We have been featured in numerous articles and on network television demonstrating increased patient satisfaction, streamlined
hospital operations and enhanced employee satisfaction and safety. Additionally, we sponsor numerous customer-led webinars to demonstrate customer success
and to let prospective customers hear from their peer group about the positive impact that our solutions have made on their hospitals. Many of our sales leads come
from referrals of existing customers or users who have moved from a hospital already using Vocera to a new facility or health system. We also invest in digital
outreach to better influence buyers early on in their decision-making.

We have an integrated product management organization that manages the full lifecycle of our products and services; from strategy through execution to end-of-
life. Our product roadmaps are driven by current and prospective customers and continually validated using primary and secondary research. We collect customer
feedback through surveys and focus groups, customer visits, a customer advisory board, user forums and participation in industry standards organizations. Integral
to this team are product managers and user experience designers skilled in clinical and operating workflows, and business development resources that create and
manage the ecosystems of clinical and technology system partners.

Customers

Our solutions have been selected by more than 2,100 facilities worldwide. Of these, nearly 1,700 are hospitals and other healthcare facilities, and approximately
300 are outside of the United States. Our healthcare customers include national and international health and hospital systems, large and medium-sized independent
and academic hospitals, small hospitals and healthcare facilities, and U.S. governmental hospitals and care facilities. With our diverse customer base, we have very
low customer revenue concentration.

During 2019, 2018 and 2017, non-U.S. markets represented approximately 8.7%, 10.2%, and 10.2% of our revenue, respectively. We continue to implement a plan
to add incremental sales and marketing resources in our existing international markets.

Competition

We do not believe any single competitor offers a similar intelligent communication system to the healthcare market that allows instant, hands-free communication
through voice-activated, role-based and activity-based calling, secure texting, and clinical integrations and workflows, and that features an advanced clinical rules
engine  that  unifies  data  from  multiple  sources  simultaneously  on a combination  of dedicated,  proprietary  devices,  as well as  third-party  smartphones  and other
devices.

At this time, the primary alternative to our system consists of a combination of traditional communication methods utilizing wired phones, wireless in-building
phones, smartphones, pagers and overhead paging systems.

The most significant alternative with which we compete for sales in hospitals are in-building wireless telephones and smartphone applications. While we compete
with the providers of these wireless phones in making sales to hospitals, they do not at this time purport to contain the system intelligence, integrated workflow and
convenience of our communication and workflow solutions. The market for in-building wireless phones is dominated by large communications companies such as
Cisco Systems, Ascom and Spectralink.

Additionally, we compete against Epic and Cerner, both of which have their own smartphone application for secure texting that they continue to enhance. Cerner
also offers a middleware application for integrations to clinical systems and medical devices. We differentiate against these Electronic Health Record (EHR)
vendors as we enable hands-free communication via our Smartbadge and Badge and a sophisticated rules engine to support more advanced clinical workflow with
more than 150 system integrations.

We believe that the use of mobile smartphone apps for healthcare will continue to expand in our target market and may represent a source of competition but this
trend also represents an opportunity to expand our communication solutions with our smartphone applications, which enable all members of the patient's care team
to connect to our software platform and participate as users on our Communication system.

We believe that the primary competitive factors at work in our market include:

•
•
•

comprehensiveness of the solution, the features provided and the ability to purchase the complete solution from a single vendor
product performance and reliability
the initial cost and ongoing cost of ownership

8

 
Table of Contents

•

customer service and support capabilities

We may face increased competition in the future, including from large, multinational companies or private equity backed organizations with significant resources.
Potential competitors may have existing relationships with purchasers of other products and services within the hospital, which may enhance their ability to gain a
foothold in our market. In addition, the continuing expansion of our communication and workflow collaboration capabilities may introduce us to a broader set of
competitors. These competitors may include companies that provide clinical workflow solutions, enterprise software, cloud-based solutions and electronic health
records.

Research and development

Our continued investment in research and development is critical to our business. We have teams of engineers with expertise in various fields, including software,
firmware, database design, applications, speech recognition, wireless communication and hardware design. We employ research and development personnel in San
Jose,  California;  Fort  Wayne,  Indiana;  Knoxville,  Tennessee;  Toronto,  Canada  and  Bangalore,  India.  There  were  197 full-time  research  and  development
employees as of December 31, 2019. We also utilize small teams of contractors in India and Ukraine to assist with quality assurance testing and automation, and
targeted  development  efforts.  Finally,  we  have  periodically  engaged  outsourced  development  firms  to  help  us  with  the  development  of  certain  elements  of  our
software offerings.

Intellectual property

Our success depends, in part, upon our ability to protect our core technology and intellectual property. To accomplish this, we rely on a combination of intellectual
property rights, including patents, trade secrets, copyrights and trademarks, as well as customary contractual protections.

We held 29 U.S. patents as of December 31, 2019, including patents on many capabilities of our software platform and wearable devices.  The expiration dates of
these patents range from 2021 through 2036. One or more utility patents have also been issued in Australia, Canada, India, Japan and the European Patent Office
(with  validation  in  Germany,  United  Kingdom  and  Netherlands).  A  European  Community  design  patent  has  been  issued  that  protects  the  design  in  multiple
European jurisdictions.

In addition to the foregoing protections, we generally control access to and use of our proprietary software and other confidential information through the use of
internal and external controls, including non-disclosure agreements and other statutory and contractual protections applicable to employees, contractors, customers
and partners. These protections include U.S. and international copyright laws.

Our solutions include software developed and owned by us as well as software components we have licensed. These non-exclusive licenses are terminable by the
licensor for cause. Certain of these licenses are for a contractually specified term and cannot be renewed without the assent of the licensor. In the event one or more
of these licenses is terminated or is not renewed, we could be required to redesign substantial portions of our software in order to incorporate software components
from alternative sources. An unplanned redesign of our software could materially and adversely affect our business.

Manufacturing operations and suppliers

We  outsource  the  manufacturing  of  our  wearable  device  products  to  original  design  manufacturers  and  contract  manufacturers,  including  Sercomm  and  SMTC
Corporation (SMTC). Our Vocera Smartbadge is built in Taiwan and our Vocera Badge is made in Mexico using custom tools and test equipment owned by us.
Most of our accessories, including batteries, chargers and attachments, are built by original design manufacturers (ODMs) in Asia.

These manufacturers are responsible for procuring all the components included in our products, as specified and approved by us. Some of these components are
sole-sourced off-the-shelf and some are custom components built exclusively for our products. In the event we are unable to procure certain components, we could
be required to redesign some of our products in order to incorporate technology from alternative sources. An unplanned redesign of our products could materially
and adversely affect our business.

We  require  our  suppliers  to  perform  both  incoming  and  outgoing  product  inspections.  In  addition,  we  perform  in-house  quality  control  and  ongoing  reliability
testing.

We also resell the Spectralink Versity Smartphone and Zebra Technologies TC52 Android mobile computer. These devices are offered as a bundled solution with
our smartphone applications to provide a complete, turnkey solution for our customers’ clinical communication needs.

9

Table of Contents

Employees

As of December 31, 2019, we had 665 employees, consisting of  23 in manufacturing and quality operations,  197 in research and development,  196 in sales and
marketing, 182 in  services  and  support  and  67 in  general  and  administrative.  None  of  our  employees  are  covered  by  a  collective  bargaining  agreement  or  are
represented by a labor union. We consider current employee relations to be good.

Backlog

Our backlog of undelivered orders was $75.0 million and $61.8 million at December 31, 2019 and 2018, respectively. Of the current backlog, all but $34.1 million
is expected to be delivered in 2020.

Government regulations and standards

Substantially all of our revenue is derived from the healthcare industry. The healthcare industry is highly regulated and is subject to changing political, legislative,
regulatory and other influences. These factors affect the purchasing practices and operations of healthcare organizations, as well as the behavior and attitudes of
our  users.  Representatives  of  the  U.S.  federal  legislature  and  agencies  have  announced  plans  to  reform  or  revise  aspects  of  the  U.S.  healthcare  system  and  we
expect these efforts to continue over the next several years. We also expect federal and state legislatures and agencies to continue to consider new programs to
reform or revise aspects of the U.S. healthcare system. These programs may contain proposals to increase governmental involvement in healthcare or otherwise
change the environment in which healthcare industry participants operate.

HIPAA privacy and security standards    

In connection with our healthcare communications business, we access personal health information on behalf of our customers. Accordingly, in the United States,
we are subject to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and its implementing regulations, which established uniform standards
for certain “covered entities” (healthcare providers engaged in electronic transactions, health plans and healthcare clearinghouses) governing the conduct of certain
electronic healthcare transactions and protecting the security and privacy of protected health information. The American Recovery and Reinvestment Act of 2009
included sweeping expansion of HIPAA’s privacy and security standards as reflected in the Health Information Technology for Economic and Clinical Health Act,
(HITECH).  Among  other  things,  the  new  law  makes  certain  HIPAA  privacy  and  security  standards  directly  applicable  to  “business  associates”  -  independent
contractors or agents of covered entities that receive or obtain protected health information in connection with providing a service on behalf of a covered entity.
HITECH also increased the civil and criminal penalties that may be imposed against covered entities, business associates and possibly other persons, and gave state
attorneys general new authority to file civil actions for damages or injunctions in federal courts to enforce the federal HIPAA laws and seek attorney’s fees and
costs associated  with pursuing  federal  civil  actions.  Most  of our customers  are  covered  entities  under HIPAA and,  to the extent  that  we access  personal  health
information on their behalf, we are their “business associates” and are subject to HIPAA and associated contractual obligations, as well as comparable state privacy
and security laws.

In  addition,  we  are  subject  to  privacy  and  security  regulations  in  other  jurisdictions.  For  example,  the  European  Union  (EU)  adopted  the  Data  Protection
Directive  (DPD)  (officially  Directive  95/46/EC),  imposing  strict  regulations  and  establishing  a  series  of  requirements  regarding  the  storage  of  personally
identifiable  information  on computers or recorded  on other electronic  media. This has been implemented  by all EU member states through national  laws. DPD
provides for specific regulations requiring all non-EU countries doing business with EU member states to provide adequate data privacy protection when receiving
personal data from any of the EU member states. In May 2016, the EU formally adopted the General Data Protection Regulation, which applied to all EU member
states beginning May 2018 and replaces the current DPD. The regulation introduced new data protection requirements in the EU and substantial fines for breaches
of the data protection rules. It increased our responsibility and liability in relation to personal data that we process and we put in place additional mechanisms to
enhance  our  compliance  with  the  new  EU  data  protection  rules.    Additionally,  Canada’s  Personal  Information  and  Protection  of  Electronic  Documents  Act
provides Canadian residents with privacy protections in regard to transactions with businesses and organizations in the private sector and sets out ground rules for
how private sector organizations may collect, use and disclose personal information in the course of commercial activities.

These statutes, regulations and contractual obligations impose numerous requirements regarding the use and disclosure of personal health information with which
we must comply, and subject us to material liability and other adverse impacts to our business in the event we fail to do so. These include, without limitation, civil
fines, criminal sanctions in certain circumstances, contractual liability to our customers, and damage to our brand and reputation. We endeavor to mitigate these
risks  through  measures  we  believe  to  be  appropriate  for  the  specific  circumstances,  including  storing  personal  data  under  our  control  on  password-protected
systems in secure facilities, counseling our customers as to best practices in using our solutions, and encrypting such information.

10

Table of Contents

Medical device regulation

The U.S. Food and Drug Administration (FDA) regulates certain products, including software-based products, as “medical devices” based, in part, on the intended
use of the product and the risk the device poses to the patient should the device fail to perform properly. We have concluded that our communication products are
general-purpose communication solutions and are not subject to FDA regulation. However, either the FDA could disagree with our conclusion or changes in our
product or the FDA’s evolving regulations could lead to the imposition of medical device regulation on more of our products. In this event, we would be subject
to  additional  regulatory  requirements,  including  the  expense  of  compliance  with  Medical  Device  Reporting  and  Quality  System  regulation  and  the  potential  of
liability for failure to comply, and we could be required to obtain 510(k) clearance or premarket approval of those products from the FDA prior to commercial
distribution. Some of the products acquired as a result of the Extension Healthcare and mVisum acquisitions are regulated by the FDA as Class II medical devices
under  applicable  law  and  FDA  regulations.  Class  II  devices  are  devices  classified  by  the  FDA  as  posing  a  moderate  to  high  risk  and  therefore  subject  to  both
“general controls” and “special controls,” as such terms are defined in the Food, Drug and Cosmetics Act.

Electrical standards and FCC regulations

Our  products  emit  radio  frequency  energy  in  the  2.4 and  5.0  GHz spectrum  bands  for  which  licensing  by U.S.  and  other  regulatory  authorities  is  not  required,
provided that the products conform to certain requirements, e.g., maximum power output and tolerance of interference from other devices sharing that spectrum
band. We subject our products to testing by independent testing laboratories for compliance with the relevant standards issued by various U.S. and international
bodies, including the EU (with respect to the “CE” mark), the International Electrotechnical Commission, the Australian Communications and Media Authority,
Underwriters Laboratories and CSA International.

Executive officers  

The names of our executive officers, their ages as of February 26, 2020, and their positions are shown below.

Name

Brent D. Lang

Justin R. Spencer

Douglas A. Carlen

M. Bridget Duffy, M.D.

Paul T. Johnson

Age

Position

52

48

50

60

56

Chairman and Chief Executive Officer

Executive Vice President and Chief Financial Officer

Vice President Legal and General Counsel

Chief Medical Officer

Executive Vice President of Sales and Services

The Board chooses executive officers, who then serve at the Board’s discretion. There is no family relationship between any of our directors or executive officers.

Brent D. Lang assumed the role of President and Chief Executive Officer and a board member effective June 1, 2013. He assumed the role of Chairman of the
board effective June 2018. Mr. Lang served as our President and Chief Operating Officer from October 2007 through May 2013. From February 2007 to October
2007, he served as our Executive Vice President, from January 2007 to June 2007, he served as our Acting Chief Executive Officer, and from June 2001 through
January 2007, he served as our Vice President of Marketing and Business Development. From September 1995 to June 2001, Mr. Lang served as senior director of
marketing for 3Com Corporation, a networking company, where he was responsible for 3Com’s digital home products. From June 1991 to June 1993, Mr. Lang
worked as a strategy consultant for Monitor Company, Inc., a consulting firm, advising Fortune 500 companies. Mr. Lang earned a B.S. degree in Industrial and
Operations Engineering from the University of Michigan and an M.B.A. degree from the Stanford University Graduate School of Business.

Justin R. Spencer has served as our Executive Vice President and Chief Financial Officer since August 2014. From September 2008 to November 2013, he served
as  Executive  Vice  President  and  Chief  Financial  Officer  for  Symmetricom,  Inc.,  a  provider  of  precise  timekeeping  and  synchronization  solutions,  which  was
acquired by Microsemi Corporation in November 2013. From June 2007 to April 2008, Mr. Spencer served as the Executive Vice President and Chief Financial
Officer  at  Covad  Communications  Group  Inc.,  a  provider  of  broadband  integrated  voice  and  data  communications.  From  November  2002  until  May  2007,
Mr. Spencer served in various positions at Covad Communications Group Inc., including Interim Chief Financial Officer, Vice President of Finance and Director
of  Corporate  Development.  Mr.  Spencer  served  on  the  Board  of  Directors  of  iPass  Inc.,  including  as  Audit  Committee  Chair,  until  its  sale  in  early  2019.
Mr. Spencer holds a bachelor’s degree in accounting from the University of Utah and a master’s degree from The Wharton School.

Douglas A. Carlen has served as our General Counsel since July 2016. From August 2012 to June 2016, Mr. Carlen was the Vice President of Legal Affairs at
Liquid Robotics, an ocean data services provider and developer of the Wave Glider. Prior to Liquid

11

Table of Contents

Robotics, Mr. Carlen served from August 2010 to August 2012 as Senior Vice President and General Counsel at MegaPath, a provider of data, voice and cloud-
based communications services. From September 1999 to August 2010, he worked at Covad Communications in three corporate counsel roles, with the last three
years as Senior Vice President and General Counsel. Mr. Carlen also specialized in corporate law and litigation at various firms from 1994 to 1999. Since 2011,
Mr. Carlen has been on the board of directors for the Lupus Foundation of Northern California. He earned his bachelor’s degree from the University of Southern
California and a law degree from Hastings College of the Law.

M.  Bridget  Duffy,  M.D. has  served  as  our  Chief  Medical  Officer  since  January  2013.  Previously,  Dr.  Duffy  was  the  co-founder  of  ExperiaHealth,  Inc.,  which
became a subsidiary of Vocera in November 2010. Dr. Duffy served as ExperiaHealth, Inc.'s Chief Experience Officer from July 2009 through October 2010, and
as  its  Chief  Executive  Officer  from  November  2010  through  July  2013.  From  July  2007  to  June  2009,  Dr.  Duffy  served  as  Chief  Experience  Officer  of  the
Cleveland Clinic, a non-profit academic medical center. Dr. Duffy earned her Doctor of Medicine in June 1991 from the University of Minnesota and currently
holds a Physician and Surgeon license in both the states of Minnesota and California.

Paul T. Johnson has served as our Executive Vice President of Sales and Services since October 2013. From August 2013 to October 2013, Mr. Johnson served as
Vice  President  of Sales at  Digital  Insight,  a provider  of online  and mobile banking solutions.   Mr. Johnson served  as Vice President  of Sales and Relationship
Management at Intuit’s Financial Services Division (which was renamed Digital Insight following Intuit’s sale of this business in August 2013) from January 2011
to August 2013. From November 2007 to December 2010, he served as the Executive Vice President, North America, Sage Business Solutions for Sage Software,
Inc., a provider of business management software and services.  In addition, Mr. Johnson previously served in various sales and services functions at International
Business Machines Corporation. Mr. Johnson earned his M.B.A and B.S degrees in Business Administration from the University of Southern California.

Available information

We make available our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and amendments to those reports filed or
furnished pursuant to Section 13(a) or Section 15(d) of the Securities Exchange Act of 1934 (Exchange Act), as amended, free of charge on the SEC's website at
www.sec.gov and on our website at www.vocera.com, as soon as reasonably practicable after they are electronically filed with or furnished to the Securities and
Exchange Commission (SEC).

The contents of our corporate website are not incorporated into, or otherwise to be regarded as part of, this Annual Report on Form 10-K.

Item 1A. Risk Factors

Investing in our common stock involves a high degree of risk. You should carefully consider the risks and uncertainties described below, together with all of the
other information set forth in this Annual Report on Form 10-K. Our business, financial condition, results of operations or future prospects could be materially
and adversely harmed if any of the following risks, or other risks or uncertainties that are not yet identified or that we currently believe are immaterial, actually
occur. The trading price of our common stock could decline due to any of these risks or uncertainties, and, as a result, you may lose all or part of your investment.

Risks related to our business and industry

We have incurred significant losses in the past and will likely experience losses in the future.

We have incurred significant losses in the past and reported a net loss of $18.0 million for the year ended December 31, 2019. As of December 31, 2019, we had an
accumulated  deficit  of  $150.3 million.  If  we  cannot  make  consistent  progress  toward  future  profitability,  our  business  and  our  stock  price  may  be  adversely
affected.

Our ability to be profitable in the future depends upon continued demand for our solutions from existing and new customers. Further adoption of our solutions
depends  upon  our  ability  to  improve  quality  of  care,  enhance  patient  and  staff  satisfaction,  increase  hospital  efficiency  and  productivity,  and  bring  value  to
customers outside of healthcare. In addition, our profitability will be affected by, among other things, our ability to execute on our business strategy, the timing and
size of orders, the pricing and costs of our solutions, competitive offerings, macroeconomic conditions affecting the health care industry and the extent to which we
invest in sales and marketing, research and development and general and administrative resources.

12

 
Table of Contents

We depend on sales in the healthcare market for the majority of our revenue, and a decrease in sales in the healthcare market would harm our business.

To date, substantially all of our revenue has been derived from sales to the healthcare market and, in particular, hospitals. Sales to the healthcare market accounted
for 96%, 97% and 97% of our revenue for the years ended December 31, 2019, 2018 and 2017, respectively. We anticipate that sales to the healthcare market will
represent a significant portion of our revenue for the foreseeable future.

Most  of  our  solutions  require  a  substantial  upfront  investment  by  new  customers.  The  cost  of  the  initial  deployment  depends  on  the  number  of  users  and
departments involved, the size and age of the hospital and the condition of the existing wireless infrastructure, if any, within the hospital. Even if hospital personnel
determine that our solutions provide compelling benefits over their existing communications methods, their hospitals may not have, or may not be willing to spend,
the resources necessary to install and maintain wireless infrastructure to initially deploy and support our solutions or expand our solutions to other departments or
users. Hospitals face significant budget constraints from unpredictable patient population trends and commercial reimbursements, and increasing demands from,
and  competition  for,  patients.  In  addition,  both  governmental  and  commercial  hospitals  are  experiencing  lower  Medicare  reimbursement  rates  and  higher
compliance demands, which add to these budget pressures. Also as part of the tax reform law that came into effect in December 2017, the tax penalty for violating
the  individual  health  insurance  mandate  under  the  Patient  Protection  and  Affordable  Care  Act  of  2010  (ACA)  was  set  to  zero  effective  in  2019,  essentially
repealing  it.  There  have  been  attempts  to  repeal  or  amend  the  ACA,  as  well  as  continue  to  undertake  other  healthcare  reforms.  As  a  consequence  of  these
regulatory and other factors, we may experience slowdowns and deferral of orders for our solutions, or customers may choose other less expensive solutions, both
of which could negatively impact our sales. We might not be able to sustain or increase our revenue from sales of our solutions, or achieve the growth rates that we
envision, if hospitals continue to face significant budgetary constraints and reduce their spending on communications systems.

If we fail to successfully develop and introduce new solutions and features to existing solutions, our revenue, operating results and reputation could suffer.

Our success depends, in part, upon our ability to develop and introduce new solutions and to add features to existing solutions that meet existing and new customer
requirements.  We  may  not  be  able  to  develop  and  introduce  new  solutions  or  features  on  a  timely  basis  or  in  response  to  customers’  changing  requirements.
Similarly, our new solutions and features may not sufficiently differentiate us from competing solutions such that customers can justify deploying our solutions.
We expect to incur costs associated with the development and introduction of new solutions before the anticipated benefits or the returns are realized, if at all. We
may experience technical problems and additional costs as we introduce new features to our software platform, deploy future models of our wireless badges (like
the new Smartbadge), or deploy new smartphone apps, which can require customers to perform software upgrades to their systems, and integrate new solutions
with  existing  customer  clinical  systems  and  workflows.  In  addition,  we  may  face  technical  difficulties  as  we  expand  into  non-English  speaking  countries  and
incorporate non-English speech recognition capabilities into our solutions. We also may incur substantial costs or delays in the manufacture of any additional new
products or models as we seek to optimize production methods and processes at our contract manufacturers. In addition, we expect that we may at least initially
achieve  lower  gross  margins  on  new  models,  while  endeavoring  to  reduce  manufacturing  costs  over  time.  If  any  of  these  problems  were  to  arise,  our  revenue,
operating results and reputation could suffer.

If we fail to offer high-quality services and support for any of our solutions, our operating results and our ability to sell those solutions in the future will be
harmed.

Our ability to sell our solutions depends on our professional services and technical support teams providing high-quality services and support. Our professional
services  team  assists  our  customers  with  their  wireless  infrastructure  assessment,  clinical  workflow  design,  communication  solution  configuration,  clinical
integration, training and project management during the pre-deployment and deployment stages. Once our solutions are deployed within a customer’s facility, the
customer typically depends on our technical support team to help resolve technical issues, assist in optimizing the use of our solutions and facilitate adoption of
new functionality. If we do not effectively assist our customers in deploying our solutions, succeed in helping our customers quickly resolve technical and other
post-deployment  issues,  or  provide  effective  ongoing  support  services,  our  ability  to  expand  the  use  of  our  solutions  with  existing  customers  and  to  sell  our
solutions to new customers will be harmed. If deployment of our solutions is deemed unsatisfactory, we may incur significant costs to attain and sustain customer
satisfaction  or,  in  extreme  cases,  our  customers  may  choose  not  to  deploy  our  solutions.  As  we  rapidly  hire  new  services  and  support  personnel,  we  may
inadvertently hire underperforming people who will have to be replaced, or fail to effectively train such employees, leading in some instances to slower growth,
additional costs and poor customer relations. In addition, the failure of channel partners to provide high-quality services and support in markets outside the United
States could also harm sales of our solutions.

As we continue to pursue opportunities for larger deals that have greater technical complexity, including deals that require more complex integrations with our
customer’s workflows, we may experience a longer time period for our solutions to deploy and as

13

Table of Contents

a  result,  our  revenue  recognition  for  these  deals  may  be  delayed.  Additionally,  as  we  enter  agreements  with  new  and  existing  customers  for  larger  and  more
complex deals across multiple sites, we have been, and may continue to be, required to agree to customer acceptance and cancellation clauses. With acceptance
clauses, delays may occur in obtaining customer acceptance regardless of the quality of our products and services, and may cause us to defer revenue recognition
where such acceptance provisions are substantive in nature, or they may require us to incur additional professional services or other costs in an effort to obtain such
customer acceptance. Cancellation clauses may result in a customer canceling an order for our hardware, software and services, which could impact our revenue.

Our sales cycle can be lengthy and unpredictable, which may cause our revenue and operating results to fluctuate significantly.

Our sales cycles can be lengthy and unpredictable. Our sales efforts involve educating our customers about the use and benefits of our solutions, including the
technical  capabilities  of  our  solutions  and  the  potential  cost  savings  and  productivity  gains  achievable  by  deploying  them.  Customers  typically  undertake  a
significant evaluation process, which frequently involves not only our solutions but also their existing communications methods and those of our competitors, and
can result in a lengthy sales cycle that sometimes exceeds twelve months. With our introduction of the Smartbadge, it may take our customers additional time to
evaluate this new device and compare it with our Badge and other solutions. This may also result in delays and reductions in orders for our existing Badge. We
spend substantial time, effort and money in our sales efforts without any assurance that our efforts will produce sales. Similarly, our increasing dependence on
larger, hospital-wide deployments may increase fluctuations in our revenue and operating results because the failure to complete a significant sale, or the loss of a
large customer, will have a greater impact on those results. In addition, purchases of our solutions are frequently subject to budget constraints and shifts, multiple
approvals, and unplanned administrative, processing and other delays. We have experienced and may continue to experience elongated sales cycles due to ongoing
uncertainty  surrounding  past  and  future  healthcare  reform  legislation,  the  impact  of  shifting  federal  government  budgets,  changes  to  Medicare  and  Medicaid
reimbursement and potential future statutes and rulemaking.

Our business has gone through cycles of expansion, relative stability and contraction, and if we are not able to manage such cycles effectively, our operating
results may suffer.

We have experienced periods of expansion, relative stability and contraction in our revenues and operations in the past. Such fluctuations have placed, and may
continue  to  place,  strains  on  our  management  systems,  infrastructure  and  other  resources.  Especially  during  growth  periods,  we  hire  additional  direct  sales,
professional  services  and  marketing  personnel  domestically  and  internationally,  acquire  complementary  businesses,  technologies  or  assets,  and  increase  our
investment in research and development. Our future operating results depend to a large extent on our ability to successfully implement such plans and manage such
investments. To do so successfully we must, among other things:

• manage our expenses in line with our operating plans and current business environment;
• maintain and enhance our operational, financial and management controls, reporting systems and procedures;
•
• manage operations in multiple locations and time zones; and
•

develop and deliver new solutions and enhancements to existing solutions efficiently and reliably.

integrate acquired businesses, technologies or assets;

We expect to incur costs associated with the investments made to support our business strategy before the anticipated benefits or the returns are realized, if any. If
we  are  unable  to  grow  our  business  or  manage  our  future  growth  effectively,  we  may  not  be  able  to  take  advantage  of  market  opportunities  or  develop  new
solutions  or  enhancements  to  existing  solutions.  We  may  also  fail  to  satisfy  customer  requirements,  maintain  quality,  execute  our  business  plan  or  respond  to
competitive pressures, which could result in lower revenue and a decline in the share price of our common stock.

Our revenue and operating results have fluctuated, and are likely to continue to fluctuate, making our quarterly results difficult to predict, which may cause us
to miss analyst expectations and may cause the price of our common stock to decline.

Our operating results have been and may continue to be difficult to predict, even in the near term, and are likely to fluctuate as a result of a variety of factors, many
of which are outside of our control.

Comparisons of our revenue and operating results on a period-to-period basis may not be meaningful. You should not rely on our past results as an indication of
our future performance. Each of the following factors, among others, could cause our operating results to fluctuate from quarter to quarter:

•
•
•

the financial health of our healthcare customers and budgetary constraints on their ability to upgrade their communications;
the availability of government funding for healthcare facilities operated by the United States federal, state and local governments;
changes in customer purchasing patterns or sales cycles;

14

Table of Contents

• market acceptance of our Smartbadge and its impact on orders for our existing Badge and related software;
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

changes in the regulatory environment affecting our healthcare customers, including impediments to their ability to obtain reimbursement for their services;
our ability to expand our sales and marketing operations;
our ability to successfully integrate acquired businesses, technologies or assets;
the announcement of new significant contracts or relationships;
the procurement and deployment cycles of our healthcare customers and the length of our sales cycles;
changes in how healthcare operating and capital budgets are administered within the enterprise;
changes in customer deployment timelines;
variations in the amount of orders booked in a prior quarter but not delivered until later quarters;
our mix of solutions and the varying revenue recognition rules that apply;
pricing, including discounts by us or our competitors;
our ability to expand into non-healthcare markets;
our ability to develop significant new reseller relationships and maintain existing reseller relationships;
the financial health of our resellers;
our ability to successfully deploy our solutions in a timely manner;
our ability to sell and integrate third-party products and services, and our customer’s satisfaction with those third-party products and services;
our ability to forecast demand and manage lead times for the manufacture of our solutions;
our ability to develop and introduce new solutions and features to existing solutions that achieve market acceptance;
the announcement of a new product, which may cause sales cycles to lengthen;
federal government shutdowns;
occurrence of health epidemics or contagious diseases, such as the novel coronavirus, and potential effects on our business and manufacturing operations;
fluctuations in foreign currencies in the international markets in which we operate; and
future accounting pronouncements and changes in accounting policies.

We primarily compete in the rapidly evolving and competitive healthcare market, and if we fail to effectively respond to competitive pressures, our business and
operating results could be harmed.

We believe that the primary competition for our solutions has consisted of traditional methods using wired and wireless phones, pagers and overhead intercoms.
While we believe that our system is superior to these legacy methods, our solutions require a significant infrastructure investment by a hospital and many hospitals'
spending is severely constrained by other priorities.

Manufacturers and distributors of product categories such as cellular phones, smartphone applications, pagers, mobile radios and in-building wireless telephones
also sell their products to hospitals as components of communication solutions. Of these product categories, in-building wireless telephones and pagers represent
the most significant current competition for the sale of our solutions. The market for in-building wireless phones is dominated by communications companies such
as  Cisco  Systems,  Ascom  and  Spectralink.  In  addition,  the  growing  proliferation  of  smartphones  and  related  applications,  including  cloud-based  applications,
represents  another  category  of  competitive  offerings.  Although  our  customers  value  secure  text-messaging  using  smartphones  from  vendors  such  as  Epic  and
Cerner,  we  do  not  believe  most  of  our  potential  customers  would  consider  that  feature  alone  an  adequate  substitute  for  a  comprehensive  multi-mode
communication solution. Some customers may choose solutions that are not HIPAA-compliant, given their budget constraints. Furthermore, in clinical integrations
and middleware, we compete with companies including Connexall, Ascom and Philips Healthcare.

We believe currently there is no directly comparable single competitor that provides a solution for the healthcare market as richly-featured as ours, but we could
face such competition in the future. Potential competitors in the healthcare or communications markets include large, multinational companies with significantly
more resources to dedicate to product development and sales and marketing. These companies, which may include electronic health record vendors or other large
software companies, may have existing relationships within the hospital, which may enhance their ability to gain a foothold in our market. For example, some of
the  electronic  health  record  vendors  have  started  to  offer  secure  text  messaging  as  an  additional  service  and  have  said  they  plan  to  expand  these  offerings  to
complete more directly with us. Additionally, there has been some recent merger and acquisition activity in the healthcare market. These companies may choose to
more tightly integrate their offerings. Customers may prefer to purchase a more highly integrated or bundled solution from a single provider or an existing supplier
rather  than  a  new  supplier,  regardless  of  performance  or  features.  Accordingly,  if  we  fail  to  effectively  respond  to  competitive  pressures,  we  could  experience
pricing pressure, reduced profit margins, higher sales and marketing expenses, lower revenue and the loss of market share, any of which would harm our business,
operating results or financial condition.

15

Table of Contents

If  we  do  not  achieve  the  anticipated  strategic  or  financial  benefits  from  our  acquisitions  or  if  we  cannot  successfully  integrate  them,  our  business  and
operating results could be harmed.

We  have  acquired,  and  in  the  future  may  acquire,  complementary  businesses,  technologies  or  assets  that  we  believe  to  be  strategic.  We  may  not  achieve  the
anticipated  strategic  or  financial  benefits,  or  be  successful  in  integrating  any  acquired  businesses,  technologies  or  assets.  If  we  cannot  effectively  integrate  the
acquired business and products into our business, we may not achieve market acceptance for, or derive significant revenue from, these new solutions.

Integrating newly acquired businesses, technologies and assets could strain our resources, could be expensive and time consuming, and might not be successful.
Our recent acquisitions expose us, and we will be further exposed, if we acquire or invest in additional businesses, technologies or assets, to a number of risks,
including that we may:

•
•

•

•
•

•

•

experience technical issues as we integrate acquired businesses, technologies or assets into our existing solutions;
encounter difficulties leveraging our existing sales and marketing organizations, and direct sales channels, to increase our revenue from acquired businesses,
technologies or assets;
find that the acquisition does not further our business strategy, we overpaid for the acquisition or the economic conditions underlying our acquisition decision
have changed;
have difficulty retaining key personnel of acquired businesses;
suffer  disruption  to  our  ongoing  business  and  diversion  of  our  management’s  attention  as  a  result  of  transition  or  integration  issues  and  the  challenges  of
managing geographically or culturally diverse enterprises;
experience unforeseen and significant problems or liabilities associated with quality, technology and legal contingencies relating to the acquisition, such as
intellectual property or employment matters; and
incur substantial costs to integrate the acquired business.

If  we  were  to  proceed  with  one  or  more  additional  significant  acquisitions  in  which  the  consideration  included  cash,  we  could  be  required  to  use  a  substantial
portion of our available cash. To the extent we issue shares of capital stock or other rights to purchase capital stock, including options and warrants, the ownership
of  existing  stockholders  would  be  diluted.  In  addition,  acquisitions  may  result  in  the  incurrence  of  debt,  contingent  liabilities,  large  write-offs,  or  other
unanticipated costs, events or circumstances, any of which could harm our operating results.

In addition, from time to time we may enter into negotiations for acquisitions that are not ultimately consummated. These negotiations could result in significant
diversion of management time, as well as substantial out-of-pocket costs.

We  could  be  required  to  record  adjustments  to  our  recorded  asset  balance  for  intangible  assets,  including  goodwill,  that  could  significantly  impact  our
operating results.

Our balance sheet includes significant intangible assets, including goodwill and other acquired intangible assets. The determination of related estimated useful lives
and  whether  these  assets  have  been  impaired  involves  significant  judgment  and  is  subject  to  certain  factors  and  events  over  which  we  have  no  control.  The
introduction of new competitive products or services into our markets could impair the value of our intangible assets if they create market conditions that adversely
affect the competitiveness of our products and services. Further, declines in our market capitalization may be an indicator that our intangible assets or goodwill
carrying values exceed their fair values, which could lead to potential impairment charges that could impact our operating results.

Developments in the healthcare industry and governing regulations have negatively affected and may continue to negatively affect our business.

Substantially  all  of our revenue  is derived  from  customers  in the healthcare  industry,  in particular,  hospitals.  The healthcare  industry  is highly regulated  and is
subject to changing political, legislative, regulatory and other influences. Developments generally affecting the healthcare industry, including new regulations or
new  interpretations  of  existing  regulations,  could  adversely  affect  spending  on  information  technology  and  capital  equipment  by  reducing  funding,  changing
healthcare pricing or delivery or creating impediments for obtaining healthcare reimbursements, which together with declining admission trends, could cause our
sales to decline and negatively impact our business. For example, the margins of our hospital customers are modest, and potential decreases in reimbursement for
healthcare costs may reduce the overall solvency of our customers or cause further deterioration in their financial or business condition.

In the past bills were signed into law that impact the U.S. healthcare system, including the Affordable Care Act (ACA).  Uncertainty surrounding the status of the
ACA  and  its  regulations  may  impact  the  spending  of  our  healthcare  customers,  and  we  cannot  predict  the  effect  on  our  business  of  any  new  legislation  and
regulations that may be adopted if the ACA is significantly changed or repealed or of additional regulations.

16

Table of Contents

Federal  budget  activities  also  impact  our  customers.  Our customers  include  healthcare  facilities  run  by  the  Department  of  Defense  and  the  U.S. Department  of
Veterans Affairs. During the years ended December 31, 2019, 2018 and 2017, we generated approximately 17%, 18% and 18%, respectively of our revenue from
these customers. Our reseller to the Department of Defense and the U.S. Department of Veterans Affairs represented 19% and 26% of our accounts receivable as of
December 31, 2019 and 2018, respectively. These customers have been and may continue to be impacted by budgetary and legislative actions.

In the past certain departments of the U.S. federal government temporarily stopped operating as a result of failure by the legislative and executive branches of the
government to pass bills to keep them operating. There is a risk that the government could be shut down again. Any past or future shutdown may impact our US
government  customers’  spending  decisions,  as  well  as  those  of  our  non-US  government  customers.  Any  reduction  or  delay  in  our  customers’,  or  potential
customers’ spending decisions may result in a delay, or reduction, to our revenue.

In addition, many state governments are changing or expanding their healthcare laws, adding additional complexity to understanding the potential impacts.

We are unable to predict the full impact of these new and changing rules on our hospital customers and others in the healthcare industry.  Impacts of these rules
have  affected  and  could  continue  to  affect  materially  our  customers’  ability  to  budget  for  or  purchase  our  products.  The  healthcare  industry  has  changed
significantly  in recent years and we expect that significant changes will continue to occur. We cannot provide assurance that the markets for our solutions will
continue to exist at current levels or that we will have adequate technical, financial and marketing resources to react to changes in those markets.

If we fail to increase market awareness of our brand and solutions, and expand our sales and marketing operations, our business could be harmed.

We intend to continue to add personnel and resources in sales and marketing as we focus on expanding awareness of our brand and solutions and capitalize on
sales opportunities with new and existing customers. Our efforts to improve sales of our solutions will result in an increase in our sales and marketing expense and
general and administrative expense, and these efforts may not be successful. Some newly hired sales and marketing personnel may subsequently be determined to
be unproductive and have to be replaced, resulting in operational and sales delays and incremental costs. If we are unable to significantly increase the awareness of
our brand and solutions or effectively manage the costs associated with these efforts, our business, financial condition and operating results could be harmed.

Failure to protect our information technology infrastructure against cyber-based attacks, network security breaches, service interruptions, or data corruption
could significantly disrupt our operations and adversely affect our business and operating results.

We rely  on information  technology  and telephone  networks  and systems,  including  the  Internet,  to process  and transmit  sensitive  electronic  information  and to
manage or support a variety of business processes and activities, including sales, billing, customer service, procurement and our supply chain. We use enterprise
information technology systems to record, process, and summarize financial information and results of operations for internal reporting purposes and to comply
with  regulatory  financial  reporting,  legal,  and  tax  requirements.  Our  information  technology  systems,  some  of  which  are  managed  by  third-parties,  may  be
susceptible  to  damage,  disruptions  or  shutdowns  due  to  computer  viruses,  attacks  by  computer  hackers,  failures  during  the  process  of  upgrading  or  replacing
software,  databases  or components  thereof,  power outages,  hardware  failures,  telecommunication  failures,  user errors  or catastrophic  events.  Although we have
developed systems and processes that are designed to protect confidential information and prevent data loss and other security breaches, including systems and
processes designed to reduce the impact of a security breach at a third-party vendor, such measures cannot provide absolute security. If our systems are breached or
suffer  severe  damage,  disruption  or  shutdown  and  we  are  unable  to  effectively  resolve  the  issues  in  a  timely  manner,  our  business  and  operating  results  may
significantly  suffer  and  we  may  be  subject  to  litigation,  government  enforcement  actions  or  potential  liability.  Security  breaches  could  also  cause  us  to  incur
significant  remediation  costs,  result  in  product  development  delays,  disrupt  key  business  operations,  adversely  impact  customer  relationships,  damage  our
reputation and divert attention of management and key information technology resources.

We depend on a number of sole source and limited source suppliers, and if we are unable to source our components from them, our business and operating
results could be harmed.

We depend on sole and limited source suppliers for several hardware components of our solutions, including our batteries and integrated circuits. We purchase
inventory generally through individual purchase orders. Any of these suppliers could cease production of our components, cease to provide the necessary levels of
support  for  our  use  of  their  components,  experience  capacity  constraints,  material  shortages,  work  stoppages,  epidemics  or  contagious  diseases,  such  as  the
coronavirus  outbreak,  that  negatively  impact  them  and  their  suppliers,  financial  difficulties,  cost  increases  or  other  reductions  or  disruptions  in  output,  cease
operations

17

Table of Contents

or be acquired by or enter into exclusive arrangements with, a competitor. These suppliers typically rely on purchase orders rather than long-term contracts with
their suppliers, and as a result, the supplier may not be able to secure sufficient materials at reasonable prices or of acceptable quality to build our components in a
timely manner. Any of these circumstances could cause interruptions or delays in the delivery of our solutions to our customers, and this may force us to seek
components from alternative sources, which may not have the required specifications, or be available in time to meet demand or on commercially reasonable terms,
if at all. Any of these circumstances may also force us to redesign our solutions if a component becomes unavailable in order to incorporate a component from an
alternative source.

Our solutions incorporate multiple software components obtained from licensors on a non-exclusive basis, such as voice recognition software, software supporting
the runtime execution of our software platform, and database and reporting software. Our license agreements can be terminated for cause. In many cases, these
license agreements specify a limited term and are only renewable beyond that term with the consent of the licensor. If a licensor terminates a license agreement for
cause, objects to its renewal or conditions renewal on modified terms and conditions, we may be unable to obtain licenses for equivalent software components on
reasonable  terms  and  conditions,  including  licensing  fees,  warranties  or  protection  from  infringement  claims.  Some  licensors  may  discontinue  licensing  their
software to us or support of the software version used in our solutions. In such circumstances, we may need to redesign our solutions with substantial cost and time
investment to incorporate alternative software components or be subject to higher royalty costs. Any of these circumstances could adversely affect the cost and
availability of our solutions.

Third-party  licensors  generally  require  us  to  incorporate  specific  license  terms  and  conditions  in  our  agreements  with  our  customers.  If  we  are  alleged  to  have
failed to incorporate these license terms and conditions, we may be subject to claims by these licensors, incur significant legal costs defending ourselves against
such claims and, if such claims are successful, be subject to termination of licenses, monetary damages, or an injunction against the continued distribution of one or
more of our solutions.

Because we depend on contract manufacturers and original design manufacturers, our operations could be harmed and we could lose sales if we encounter
problems with these manufacturers.

We  do  not  have  internal  manufacturing  capabilities  and  rely  upon  two  contract  manufacturers,  Sercomm  and  SMTC,  to  make  our  wearable  devices.  We  have
entered into manufacturing agreements with Sercomm and SMTC that are terminable by either party with advance notice and may also be terminated for a material
uncured breach. We expect to enter into additional contract manufacturing agreements as we expand our business. We also rely on original design manufacturers,
or ODMs, to produce accessories, including batteries, chargers and attachments. Any of these suppliers could cease production of our components, cease to provide
the  necessary  levels  of  support  for  our  use  of  their  components,  experience  capacity  constraints,  material  shortages,  work  stoppages,  epidemics  or  contagious
diseases that negatively impact them and their suppliers, financial difficulties, cost increases or other reductions or disruptions in output, cease operations or be
acquired by, or enter into exclusive arrangements with, a competitor. If Sercomm, SMTC, or another contract manufacturer or an ODM is unable or unwilling to
continue  manufacturing  components  of  our  solutions  in  the  volumes  and  timeframes  that  we  require,  fails  to  meet  our  quality  specifications  or  significantly
increases its prices, we may not be able to deliver our solutions to our customers with the quantities, quality and performance that they expect in a timely manner.
As a result, we could lose sales and our operating results could be harmed.

Sercomm,  SMTC, other  contract  manufacturers  or  ODMs  may  experience  problems  that  could  impact  the  quantity  and  quality  of  hardware  components  of  our
solution, including disruptions in their manufacturing operations due to equipment breakdowns, labor strikes or shortages, component or material shortages and
cost  increases.  Sercomm,  SMTC,  other  contract  manufacturers  and  these  ODMs  generally  rely  on  purchase  orders  rather  than  long-term  contracts  with  their
suppliers, and as a result, may not be able to secure sufficient components or other materials at reasonable prices or of acceptable quality to build components of
our solutions in a timely manner. The majority of the hardware components of our solution are manufactured in Asia or Mexico, and adverse changes in political or
economic  circumstances,  or  health  related  issues  such  as  epidemics  or  contagious  diseases,  in  those  locations  could  also  disrupt  our  supply  and  quality  of
components of our solutions. In addition, U.S. government officials have recently changed and proposed additional changes in trade, tariffs, fiscal or tax policies,
and any such changes in the U.S. or in other countries from which we source components of our products could adversely affect our business.

Companies  occasionally  encounter  unexpected  difficulties  in  ramping  up  production  of  new  products,  and  we  may  experience  such  difficulties  with  future
generations of our products. Sercomm, SMTC, other contract manufacturers and our ODMs also manufacture products for other companies. Generally, our orders
represent a relatively small percentage of the overall orders received by Sercomm, SMTC, other contract manufacturers and these ODMs from their customers;
therefore, fulfilling our orders may not be a priority in the event Sercomm, SMTC, other contract manufacturers or an ODM is constrained in its ability to fulfill all
of  its  customer  obligations.  In  addition,  if  Sercomm,  SMTC,  other  contract  manufacturers  or  an  ODM  is  unable  or  unwilling  to  continue  manufacturing
components  of  our  solutions,  we  may  have  to  identify  one  or  more  alternative  manufacturers.  The  process  of  identifying  and  qualifying  a  new  contract
manufacturer or ODM can be time consuming, and we may not be able to substitute suitable alternative manufacturers in a timely manner or at an acceptable cost.
Additionally,  transitioning  to  a  new  manufacturer  may  cause  us  to  incur  additional  costs  and  delays  if  the  new  manufacturer  has  difficulty  manufacturing
components of our solutions to our specifications or quality standards.

18

Table of Contents

If we fail to forecast our manufacturing requirements accurately or fail to properly manage our inventory with our contract manufacturer, we could incur
additional costs or experience manufacturing delays that could impact the timing of our revenue recognition and adversely affect our operating results.

We place orders with our contract  manufacturers,  including Sercomm and SMTC, and we and our contract manufacturers  place orders with suppliers based on
forecasts of customer demand. Because of our international low-cost sourcing strategy, our lead times are long and cause substantially more risk to forecasting
accuracy  than  would  result  were  lead  times  shorter.  Our  forecasts  are  based  on  multiple  assumptions,  each  of  which  may  introduce  errors  into  our  estimates
affecting  our  ability  to  meet  our  customers’  demands  for  our  solutions.  We  also  may  face  additional  forecasting  challenges  due  to  new  product  introductions,
product transitions in the components of our solutions, or to our suppliers discontinuing production of materials and subcomponents required for our solutions. If
demand for our solutions increases significantly, we may not be able to meet demand on a timely basis, and we may need to expend a significant amount of time
working  with  our  customers  to  allocate  limited  supply  and  maintain  positive  customer  relations,  or  we  may  incur  additional  costs  in  order  to  source  additional
materials  and subcomponents to produce components of our solutions or to expedite the manufacture  and delivery  of additional inventory. If we underestimate
customer demand, our contract manufacturer  may have inadequate materials  and subcomponents on hand to produce components of our solutions, which could
result  in  manufacturing  interruptions,  shipment  delays,  deferral  or  loss  of  revenue,  and  damage  to  our  customer  relationships.  Conversely,  if  we  overestimate
customer  demand,  we  and  our  contract  manufacturers  may  purchase  more  inventory  than  required  for  actual  customer  orders,  resulting  in  excess  or  obsolete
inventory, thereby increasing our costs and harming our operating results.

If hospitals do not have and are not willing to install, upgrade and maintain the wireless infrastructure required to effectively operate our solutions, then they
may experience technical problems or not purchase our solutions at all.

The effectiveness  of our solutions depends upon the quality and compatibility  of the communications  environment that our healthcare customers maintain. Our
solutions require voice-grade wireless (Wi-Fi) installed through large enterprise environments, which can vary from hospital to hospital and from department to
department within a hospital. Many hospitals have not installed a voice-grade wireless infrastructure. If potential customers do not have a wireless network that can
properly and fully interoperate with our solutions, then such a network must be installed, or an existing Wi-Fi network must be upgraded or modified, for example,
by  adding  access  points  in  stairwells,  for  our  solutions  to  be  fully  functional.  The  additional  costs  of  installing  or  upgrading  a  Wi-Fi  network  may  dissuade
potential customers from installing our solutions. Furthermore, if changes to a customer’s physical or information technology environment cause integration issues
or degrade the effectiveness of our solutions, or if the customer fails to upgrade or maintain its environment as may be required for software releases or updates or
to  ensure  our  solution’s  effectiveness,  the  customer  may  not  be  able  to  fully  utilize  our  solutions  or  may  experience  technical  problems,  or  these  changes  may
impact the performance of other wireless equipment being used. If such circumstances arise, prospective customers may not purchase or existing customers may
not expand their use of or deploy upgraded versions of our solutions, thereby harming our business and operating results.

If we fail to achieve and maintain certification for certain U.S. federal standards, our sales to U.S. government customers will suffer.

We believe that a significant opportunity exists to continue to sell our products to healthcare facilities in the Veterans Administration and Department of Defense
(DoD). These customers require independent certification of compliance with specific requirements relating to encryption, security, interoperability and scalability,
including  Federal  Information  Processing  Standard  (FIPS)  140-2  and,  as  to  DoD,  certification  by  its  Joint  Interoperability  and  Test  Command  and  under  its
Information Assurance Certification and Accreditation Process. We have received certification under certain of these standards for military-specific configurations
of our solution incorporating our Badge, but we do not have these certifications for our new Smartbadge. We continue to carry out further compliance activities
and recertifications, as required. A failure on our part to achieve and maintain compliance and to respond to new threats and vulnerabilities, both as to current
products and as to new product versions, could adversely impact our revenue.

Our efforts to sell our solutions in non-healthcare markets may not be successful.

In recent  years, we have actively  engaged in sales efforts  to customers outside the healthcare  markets, including hospitality, retail, energy, education  and other
mobile  work  environments.  We  may  not  be  successful  in  further  penetrating  the  non-healthcare  markets  upon  which  we  are  initially  focusing,  or  other  new
markets. To date, our solutions have been selected by over 270 customers in non-healthcare markets. Total revenue from non-healthcare customers accounted for
4%, 3% and 3% of our revenue for the years ended December 31, 2019, 2018 and 2017, respectively. If we cannot maintain these customers by providing solutions
that meet their requirements, if we cannot successfully expand our solutions in non-healthcare markets, or if adoption of our solutions remains slow, we may not
obtain significant revenue from these markets. We may experience challenges as we expand in non-

19

Table of Contents

healthcare markets, including pricing pressure on our solutions and technical issues as we adapt our solutions for the requirements of new markets. Our solutions
also may not contain the functionality required by these non-healthcare markets or may be too expensive or may not sufficiently differentiate us from competing
solutions such that customers can justify deploying our solutions.

We generally recognize revenue from maintenance and support contracts and subscription arrangements over the contract term, and changes in sales may not
be immediately reflected in our operating results.

We generally recognize revenue from our customer maintenance and support contracts, extended warranty contracts and subscription arrangements ratably over the
contract term, which is typically 12 months, in some cases subject to an early termination right. Revenue from our maintenance and support contracts accounted for
38%, 35% and 32% of our revenue for the years ended December 31, 2019, 2018 and 2017, respectively. A portion of the revenue we report in each quarter is
derived from the recognition of deferred revenue relating to maintenance and support contracts entered into during previous quarters. Consequently, a decline in
new or renewed maintenance and support, extended warranty contracts or subscription agreements by our customers in any one quarter may not be immediately
reflected  in  our  revenue  for  that  quarter.  Such  a  decline,  however,  will  negatively  affect  our  revenue  in  future  quarters.  Accordingly,  the  effect  of  significant
downturns in sales and market acceptance of our services and potential changes in our rate of renewals may not be fully reflected in our operating results until
future periods.

Our success depends upon our ability to attract, integrate and retain key personnel, and our failure to do so could harm our ability to grow our business.

Our success depends, in part, on the continuing services of our senior management and other key personnel, and our ability to continue to attract, integrate and
retain  highly  skilled  personnel,  particularly  in  engineering,  sales  and  marketing.  Competition  for  highly  skilled  personnel  is  intense,  particularly  in  the  Silicon
Valley where our headquarters are located. If we fail to attract, integrate and retain key personnel, our ability to grow our business could be harmed.

The members of our senior management and other key personnel are at-will employees and may terminate their employment at any time without notice. If one or
more members of our senior management terminate their employment, we may not be able to find qualified individuals to replace them on a timely basis or at all,
and our senior management may need to divert their attention from other aspects of our business. Former employees may also become employees of a competitor.
We may also have to pay additional compensation to attract and retain key personnel. We also anticipate hiring additional engineering, marketing and sales, and
services personnel to grow our business. Often, significant amounts of time and resources are required to train these personnel. We may incur significant costs to
attract, integrate and retain them, and we may lose them to a competitor or another company before we realize the benefit of our investments in them.

Our international operations subject us, and may increasingly subject us in the future, to operational, financial, economic and political risks abroad.

Although we derive a relatively  small portion of our revenue  from  customers  outside  the United States,  we believe  that  non-U.S. customers  could represent  an
increasing share of our revenue in the future. During the years ended December 31, 2019, 2018 and 2017, we generated 8.7%, 10.2% and 10.2% of our revenue,
respectively, from customers outside of the United States, including Canada, the United Kingdom, Australia, New Zealand and Middle Eastern countries including
the  United  Arab  Emirates,  Saudi  Arabia  and  Qatar.  In  2014,  we  opened  a  new  innovation  center  in  India  and  a  sales  office  in  Dubai,  United  Arab  Emirates.
Accordingly, we are subject to risks and challenges that we would not otherwise face if we conducted our business solely in the United States, including:

•
•
•
•
•
•

•
•
•
•
•

challenges incorporating non-English speech recognition capabilities into our solutions as we expand into non-English speaking jurisdictions;
difficulties integrating our solutions with wireless infrastructures with which we do not have experience;
difficulties integrating local dialing plans and applicable PBX standards;
challenges associated with delivering support, training and documentation in several languages;
difficulties in staffing and managing personnel and resellers;
the  need  to  comply  with  a  wide  variety  of  foreign  laws  and  regulations,  including  increasingly  stringent  data  privacy  regulations,  requirements  for  export
controls for encryption technology, employment laws, changes in tax laws and tax audits by government agencies;
political and economic instability in, or foreign conflicts that involve or affect, the countries of our customers;
the impacts associated with epidemics or contagious diseases, such as the novel coronavirus;
adverse effects on us directly, or on our customers and suppliers, of changes in trade, fiscal or tax policies, including the imposition of tariffs;
difficulties in collecting accounts receivable and longer accounts receivable payment cycles;
exposure to competitors who are more familiar with local markets;

20

Table of Contents

•
•
•
•

risks associated with the Foreign Corrupt Practices Act and local anti-bribery law compliance;
difficulties associated with resolving contract disputes in foreign countries with varied legal systems;
limited or unfavorable intellectual property protection in some countries; and
currency exchange rate fluctuations, which could affect the price of our solutions relative to locally produced solutions.

Any of these factors could harm our existing international business, impair our ability to expand into international markets or harm our operating results.

Our solutions are highly complex and may contain software or hardware defects that could harm our reputation and operating results.

Our solutions  incorporate  complex  technology,  are  deployed  in a variety  of  complex  hospital  environments  and must interoperate  with  many different  types of
devices and hospital systems. While we test the components of our solutions for defects and errors prior to release, we or our customers may not discover a defect
or error  until  after  we have deployed  our solution,  integrated  it into the hospital  environment  and our customer  has commenced  general  use of the solution.  In
addition, our solutions in some cases are integrated with hardware and software offered by “middleware” vendors in order to interoperate with nurse call systems,
device alarms and other hospital systems. Our software may be partnered with third party software to provide for potential joint solutions with such third party. Our
software may also be deployed on third party devices, including devices we resell, which creates additional complexity because we share control of the customer
experience. If we cannot successfully integrate our solutions with these vendors as needed or if any hardware or software of these vendors contains any defect or
error, then our solutions may not perform as designed, or may exhibit a defect or error.

Any defects or errors in, or which are attributed to our solutions, or to products or services we resell, could result in:
•
•
•
•
•
•
•
•

delayed market acceptance of our affected solutions;
loss of revenue or delay in revenue recognition;
loss of customers or inability to attract new customers;
diversion of engineering or other resources for remedying the defect or error;
damage to our brand and reputation;
delay in delivery of information;
increased service and warranty costs, including potential replacement costs for product recalls or returns; and
legal actions by our customers and hospital patients, including product liability claims.

If any of these occur, our operating results and reputation could be harmed.

We face potential liability related to the privacy and security of personal information collected through our solutions.

In  connection  with  our  healthcare  business,  we  handle  and  have  access  to  “Protected  Health  Information”  or  “PHI”  subject  in  the  United  States  to  the  Health
Insurance Portability and Accountability Act of 1996 (“HIPAA”) as amended and supplemented by the Health Information Technology for Economic and Clinical
Health  Act  of  2009  (“HITECH”)  ,  regulations  issued  pursuant  to  these  statutes,  state  privacy  and  security  laws  and  regulations,  and  associated  contractual
obligations as a “business associate” of healthcare providers. These statutes, regulations and contractual obligations impose numerous requirements regarding the
use and disclosure of PHI with which we must comply. Among other things, HITECH made certain aspects of HIPAA’s rules, notably the “HIPAA Security Rule,”
directly applicable to business associates, independent contractors or agents of covered entities that create, receive, maintain or transmit PHI in connection with
providing  a  function  on  behalf  of,  or  a  service  to,  a  covered  entity  (e.g.,  health  care  communication  solutions).  HITECH  also  created  four  new  tiers  of  civil
monetary penalties, amended HIPAA to make civil and criminal penalties directly applicable to business associates and gave state attorneys general new authority
to file civil actions for damages or injunctions in federal court to enforce the federal HIPAA regulation and seek attorney’s fees and costs associated with pursuing
federal civil actions. The U.S. Department of Health & Human Services Office for Civil Rights (“OCR”) has increased its focus on compliance and continues to
train state attorneys general for enforcement purposes. The OCR has recently increased both its efforts to audit HIPAA compliance and its level of enforcement,
with one recent penalty exceeding $16 million. Our failure to accurately anticipate the application or interpretation of these statutes, regulations and contractual
obligations as we develop our solutions, a failure by us to comply with their requirements (e.g., evolving encryption and security requirements) or an allegation that
defects in our products have resulted in noncompliance by our customers could create material civil and/or criminal liability for us, resulting in adverse publicity
and negatively affecting our business.

In addition, the use and disclosure of personal health information is subject to laws and regulations in other jurisdictions in which we do business or expect to do
business  in  the  future.  Any  developments  stemming  from  enactment  or  modification  of  these  laws  and  regulations,  or  the  failure  by  us  to  comply  with  their
requirements or to accurately anticipate the application or interpretation of these laws could create material liability to us, result in adverse publicity and negatively
affect our business.

21

Table of Contents

For example, the European Union previously adopted the Data Protection Directive (DPD), imposing strict regulations and establishing a series of requirements
regarding the storage of personally identifiable information on computers or recorded on other electronic media. This has been implemented by all EU member
states through national laws. DPD provides for specific regulations requiring all non-EU countries doing business with EU member states to provide adequate data
privacy  protection  when  receiving  personal  data  from  any  of  the  EU  member  states.    In  May  2016,  the  EU  formally  adopted  the  General  Data  Protection
Regulation (GDPR), which applied to all EU member states starting in May 2018 and replaced the DPD. The GDPR introduces new data protection requirements
in the EU and substantial fines for breaches of the data protection rules. It increased our responsibility and liability in relation to personal data that we process, and
we were required to put in place additional mechanisms ensuring compliance with the new EU data protection rules.  Moreover, in June 2016, United Kingdom
voters approved an exit from the EU, or Brexit, which could also lead to further legislative and regulatory changes.  While the Data Protection Act of 2018, that
“implements” and complements the GDPR, has achieved Royal Assent on May 23, 2018 and is now effective in the United Kingdom, it is still unclear whether
transfer of data from the EEA to the United Kingdom will remain lawful under GDPR. We may incur liabilities, expenses, costs, and other operational losses under
GDPR and applicable EU Member States and the United Kingdom privacy laws in connection with any measures we take to comply with them.. Additionally,
Canada’s Personal Information and Protection of Electronic Documents Act, as well as a variety of provincial statutes, provides Canadian residents with privacy
protections  in regard  to  transactions  with businesses  and  organizations  in the  private  sector  and sets  out  ground  rules  for  how private  sector  organizations  may
collect, use and disclose personal information in the course of commercial activities. A finding that we have failed to comply with applicable laws and regulations
regarding the collection, use and disclosure of personal information could create liability for us, result in adverse publicity and negatively affect our business.

Any legislation or regulation in the area of privacy and security of personal information could affect the way we operate our services and could harm our business.
For example, the GDPR imposes strict rules on the transfer of personal data out of the EU to the United States. These obligations may be interpreted and applied in
a manner that is inconsistent from one jurisdiction to another and may conflict with other requirements or our practices. In addition, these rules are consistently
under  scrutiny.  For  example,  following  a  decision  of  the  Court  of  Justice  of  the  EU  in  October  2015,  the  transfer  of  personal  data  to  U.S.  companies  that  had
certified as members of the U.S. Safe Harbor Scheme (“Safe Harbor Scheme”) was declared invalid. In July 2016, the European Commission adopted the EU-U.S.
Privacy  Shield  Framework  (“Privacy  Shield  Framework”)  which  replaced  the  Safe  Harbor  Scheme.  The  Privacy  Shield  Framework  is  reviewed  by  European
authorities  annually,  and  there  is  currently  litigation  challenging  other  EU  mechanisms  for  adequate  data  transfers.  It  is  uncertain  whether  the  Privacy  Shield
Framework or the standard contractual clauses might similarly be invalidated by European courts. Additionally, other countries (e.g., Australia and Japan) have
adopted certain legal requirements for cross-border transfers of personal information.  The costs of compliance with, and the other burdens imposed by, these and
other laws or regulatory actions may prevent us from selling our solutions or increase the costs associated with selling our solutions, and may affect our ability to
invest  in or jointly  develop  solutions  in the  United  States  and in foreign  jurisdictions.  Further,  we cannot  assure  you that  our privacy  and security  policies  and
practices will be found sufficient to protect us from liability or adverse publicity relating to the privacy and security of personal information.

In the U.S., California enacted the California Consumer Privacy Act, or the CCPA, on June 28, 2018, which took effect on January 1, 2020 and will be enforceable
by the California Attorney General six months after the publication of the final regulations or July 1, 2020. Although the CCPA includes limited exceptions from
its prescriptions, including exceptions for PHI collected by covered entities or business associates subject to HIPAA, among others, the CCPA may regulate or
impact our processing of personal information depending on the context. It remains unclear what, if any, modifications will be made to this legislation or how it
will  be  interpreted.  Some  observers  have  noted  that  the  CCPA could  mark  the  beginning  of  a  trend  toward  more  stringent  privacy  legislation  in  the  U.S.,  and,
indeed,  a  number  of  state  legislatures  are  considering  privacy  and/or  data  protection  laws,  which  could  increase  our  potential  liability  and  adversely  affect  our
business.  The  interplay  of  federal  and  state  laws  (e.g.,  in  addition  to  California,  Massachusetts  and  Nevada  have  adopted  laws  requiring  the  implementation  of
certain security measures to protect personal information, and all 50 states and the District of Columbia, Puerto Rico and Guam, have adopted breach notification
laws) may be subject to varying interpretations by courts and government agencies, creating complex compliance issues for us and our customers and potentially
exposing us to additional expense, adverse publicity and liability. Further, as regulatory focus on privacy, security and data use issues continues to increase and
laws  and  regulations  concerning  the  protection  of  personal  information  expand  and  become  more  complex,  these  potential  risks  to  products  and  services  could
intensify.

If our efforts to protect the security of information collected by our customers are unsuccessful, we could become subject to costly government enforcement
actions and private litigation, and our sales and reputation could suffer.

The  nature  of  our  business  involves  the  receipt  and  storage  of  information  about  our  customers.  We  have  implemented  programs  to  detect  and  alert  us  to  data
security incidents. However, because the techniques used to obtain unauthorized access, disable or degrade service, or sabotage systems change frequently and may
be  difficult  to  detect  for  long  periods  of  time,  we  may  be  unable  to  anticipate  these  techniques  or  implement  adequate  preventive  measures.  Companies  are
increasingly subject to a wide variety of security incidents, cyber-attacks and other attempts to gain unauthorized access. These threats can come from a variety of

22

Table of Contents

sources, ranging in sophistication from an individual hacker to malfeasance by employees, consultants or other service providers to state-sponsored attacks. Cyber
threats  may  be  generic,  or  they  may  be  custom-crafted  against  our  information  systems.  In  recent  times,  cyber-attacks  have  become  more  prevalent  and  much
harder to detect and defend against. Our network and storage applications may be vulnerable to cyber-attack, malicious intrusion, malfeasance, loss of data privacy
or  other  significant  disruption  and  may  be  subject  to  unauthorized  access  by  hackers,  employees,  consultants  or  other  service  providers.  In  addition,  hardware,
software  or  applications  we  develop  or  procure  from  third  parties  may  contain  defects  in  design  or  manufacture  or  other  problems  that  could  unexpectedly
compromise  information  security.  Unauthorized  parties  may  also  attempt  to  gain  access  to  our  systems  or  facilities  through  fraud,  trickery  or  other  forms  of
deceiving  our  employees,  contractors  and  temporary  staff.  If  we  experience  significant  data  security  breaches  or  fail  to  detect  and  appropriately  respond  to
significant data security breaches, we could be exposed to government enforcement actions and private litigation, as well as potentially incur significant costs and
diversion  of  resources  to  comply  with  our  contractual  obligations  to  notify  our  customers  of  such  security  breaches,  particularly  with  respect  to  any  protected
health information  affected.  In addition, our customers could lose confidence  in our ability  to protect their information,  which could cause them to discontinue
using our products or purchasing from us altogether.

The failure of our equipment lease customers to pay us under leasing agreements with them that we do not sell to third party lease finance companies could
harm our revenue and operating results.

In 2012, we began offering our solutions to our customers through multi-year equipment lease agreements. We sell the bulk of these leases, including the related
accounts receivables, to third party lease finance companies on a non-recourse basis. We retain unsold leases in-house, which exposes us to the creditworthiness of
such lease customers over the lease term. For the leases that we retain in-house, our ability to collect payments from a customer or to recognize revenue for the sale
could be impaired if the customer fails to meet its obligations to us such as in the case of its bankruptcy filing or deterioration in its financial position, or has other
creditworthiness issues, any of which could harm our revenue and operating results.

Our use of open source and non-commercial software components could impose risks and limitations on our ability to commercialize our solutions.

Our solutions contain software modules licensed under open source and other types of non-commercial licenses, including the GNU Public License, the Apache
License and others. We also may incorporate open source and other licensed software into our solutions in the future. Use and distribution of such software may
entail  greater  risks  than  use  of  third-party  commercial  software,  as  licenses  of  these  types  generally  do  not  provide  warranties  or  other  contractual  protections
regarding infringement claims or the quality of the code. Some of these licenses require the release of our proprietary source code to the public if we combine our
proprietary software with open source software in certain manners. This could allow competitors to create similar products with lower development effort and time
and ultimately result in a loss of sales for us.

The terms of many open source and other non-commercial licenses have not been judicially interpreted, and there is a risk that such licenses could be construed in
a manner that could impose unanticipated conditions or restrictions on our ability to commercialize our solutions. In such event, in order to continue offering our
solutions, we could be required to seek licenses from alternative licensors, which may not be available on a commercially reasonable basis or at all, to re-engineer
our solutions or to discontinue the sale of our solutions in the event we cannot obtain a license or re-engineer our solutions on a timely basis, any of which could
harm  our  business  and  operating  results.  In  addition,  if  an  owner  of  licensed  software  were  to  allege  that  we  had  not  complied  with  the  conditions  of  the
corresponding license agreement, we could incur significant legal costs defending ourselves against such allegations. In the event such claims were successful, we
could be subject to significant damages, be required to disclose our source code, or be enjoined from the distribution of our solutions.

Claims of intellectual property infringement could harm our business.

Vigorous protection and pursuit of intellectual property rights has resulted in protracted and expensive litigation for many companies in our industry. Although
claims  of  this  kind  have  not  materially  affected  our  business  to  date,  there  can  be  no  assurance  of  the  absence  of  such  claims  in  the  future.  Any  claims  or
proceedings against us, whether meritorious or not, could be time consuming, result in costly litigation, require significant amounts of management time, result in
the diversion of significant operational resources, or require us to enter into royalty or licensing agreements, any of which could harm our business and operating
results.

Intellectual property lawsuits are subject to inherent uncertainties due to the complexity of the technical issues involved, and we cannot be certain that we will be
successful in defending ourselves against intellectual property claims. In addition, we currently have a limited portfolio of issued patents compared to many other
industry participants, and therefore may not be able to effectively utilize our intellectual property portfolio to assert defenses or counterclaims in response to patent
infringement claims or litigation brought against us by third parties. Further, litigation may involve patent holding companies or other adverse patent owners who
have no relevant products and against whom our potential patents may provide little or no deterrence.

23

Table of Contents

Many potential litigants have the capability to dedicate substantially greater resources to enforce their intellectual property rights and to defend claims that may be
brought  against  them.  Furthermore,  a  successful  claimant  could  secure  a  judgment  that  requires  us  to  pay  substantial  damages  or  prevents  us  from  distributing
certain solutions or performing certain services. We might also be required to seek a license and pay royalties for the use of such intellectual property, which may
not  be  available  on  commercially  acceptable  terms  or  at  all.  Alternatively,  we  may  be  required  to  develop  non-infringing  technology,  which  could  require
significant effort and expense and may ultimately not be successful.

If we are unable to protect our intellectual property rights, our competitive position could be harmed, or we could be required to incur significant expenses to
enforce our rights.

Our success depends, in part, on our ability to protect our proprietary technology. We protect our proprietary technology through patent, copyright, trade secret and
trademark laws in the United States and similar laws in other countries. We also protect our proprietary technology through licensing agreements, nondisclosure
agreements and other contractual provisions. These protections may not be available in all cases or may be inadequate to prevent our competitors from copying,
reverse engineering or otherwise obtaining and using our technology, proprietary rights or solutions in an unauthorized manner. The laws of some foreign countries
may  not  be  as  protective  of  intellectual  property  rights  as  those  in  the  United  States,  and  mechanisms  for  enforcement  of  intellectual  property  rights  may  be
inadequate. In addition, third parties may seek to challenge, invalidate or circumvent our patents, trademarks, copyrights and trade secrets, or applications for any
of the foregoing. Our competitors may independently develop technologies that are substantially equivalent, or superior, to our technology or design around our
proprietary rights. In each case, our ability to compete could be significantly impaired.

To prevent unauthorized use of our intellectual property rights, it may be necessary to prosecute actions for infringement or misappropriation of our proprietary
rights. Any such action could result in significant costs and diversion of our resources and management’s attention, and there can be no assurance that we will be
successful in such action. Furthermore, many of our current and potential competitors have the ability to dedicate substantially greater resources to enforce their
intellectual property rights than us. Accordingly, despite our efforts, we may not be able to prevent third parties from infringing or misappropriating our intellectual
property. While we plan to continue to protect our intellectual property with, among other things, patent protection, there can be no assurance that:

•
•
•
•

current or future U.S. or foreign patent applications will be approved;
our issued patents will protect our intellectual property and not be held invalid or unenforceable if challenged by third parties;
we will succeed in protecting our technology adequately in all key jurisdictions in which we develop technology, or we or our competitors operate; or
others will not independently develop similar or competing products or methods or design around any patents that may be issued to us.

Our failure to obtain patents with claims of a scope necessary to cover our technology, or the invalidation of our patents, or our inability to protect any of our
intellectual property, may weaken our competitive position and harm our business and operating results. We might be required to spend significant resources to
monitor  and  protect  our  intellectual  property  rights.  We  may  initiate  claims  or  litigation  against  third  parties  for  infringement  of  our  proprietary  rights  or  to
establish the validity of our proprietary rights. Any litigation,  whether or not it is resolved in our favor, could result in significant expense to us and divert the
efforts of our technical and management personnel, which may harm our business, operating results and financial condition.

Product liability or other liability claims could cause us to incur significant costs, adversely affect the sales of our solutions and harm our reputation.

Our solutions are utilized by healthcare professionals and others in the course of providing patient care. As a result, patients, family members, physicians, nurses or
others may allege we are responsible for harm to patients or healthcare professionals due to defects in, the malfunction of, the characteristics of, or the operation of,
our solutions. Any such allegations could harm our reputation and ability to sell our solutions.

Our solutions utilize lithium-ion batteries and electronic components that may overheat or otherwise malfunction as a result of physical or environmental damage.
Components  of  our  solutions  emit  radio  frequency  (RF)  emissions  which  have  been  alleged,  in  connection  with  cellular  phones,  to  have  adverse  health
consequences. Magnets in our badges may emit electromagnetic radiation and may be alleged to interfere with implanted medical or other devices. While these
components of our solutions comply with applicable guidelines, some may allege that these components of our solutions cause adverse health consequences. Also,
applicable  guidelines  may  change  making  these  components  of  our  solutions  non-compliant.  Any  such  allegations  or  non-compliance,  or  any  regulatory
developments, could negatively impact the sales of our solutions, require costly modifications to our solutions, and harm our reputation.

24

Table of Contents

Although our customer agreements contain terms and conditions, including disclaimers of liability, that are intended to reduce or eliminate our potential liability,
we could be required to spend significant amounts of management time and resources to defend ourselves against product liability, tort, warranty or other claims. If
any such claims were to prevail, we could be forced to pay damages, comply with injunctions or stop distributing our solutions. Even if potential claims do not
result in liability to us, investigating and defending against these claims could be expensive and time consuming and could divert management’s attention away
from our business. We maintain general liability insurance coverage, including coverage for errors and omissions; however, this coverage may not be sufficient to
cover large claims against us or otherwise continue to be available on acceptable terms. Further, the insurer could attempt to disclaim coverage as to any particular
claim.

We may require additional capital to support our business growth, and such capital may not be available.

We intend to continue to make investments to support business growth and may require additional funds to respond to business challenges, which include the need
to  develop  new  solutions  or  enhance  existing  solutions,  enhance  our  operating  infrastructure,  expand  our  sales  and  marketing  capabilities,  expand  into  non-
healthcare markets, and acquire complementary businesses, technologies or assets. Accordingly, we may need to engage in additional equity or debt financing to
secure funds. Equity and debt financing, however, might not be available when needed or, if available, might not be available on terms satisfactory to us. If we
raise  additional  funds  through  equity  financing,  our  stockholders  may  experience  dilution.  Debt  financing,  if  available,  may  involve  covenants  restricting  our
operations or our ability to incur additional debt. If we are unable to obtain adequate financing or financing on terms satisfactory to us in the future, our ability to
continue  to  support  our  business  growth  and  to  respond  to  business  challenges  could  be  significantly  limited  as  we  may  have  to  delay,  reduce  the  scope  of  or
eliminate some or all of our initiatives, which could harm our operating results.

Some of our solutions are, and others could become, subject to regulation by the U.S. Food and Drug Administration or similar foreign agencies, which could
increase our operating costs.

We provide certain products that are, and others that may become, subject to regulation by the Food and Drug Administration (FDA) and similar agencies in other
countries, or the jurisdiction of these agencies could be expanded in the future to include our solutions. The FDA regulates certain products, including software-
based products, as “medical devices” based, in part, on the intended use of the product and the risk the device poses to the patient should the device fail to perform
properly.  For  example,  the  clinical  alert  notification  solution  we  acquired  as  part  of  our  acquisition  of  Extension  Healthcare  and  the  clinical  communications
product we acquired from mVisum are regulated by the FDA as Class II medical devices. Although we have concluded that our wireless badge is a general-purpose
communications device not subject to FDA regulation, the FDA could disagree with our conclusion, or changes in our solutions or the FDA’s evolving regulation
could lead to FDA regulation of our solutions. Canada and many other countries in which we sell or may sell our solutions could also have similar regulations
applicable to our solutions, some of which may be subject to change or interpretation. We may incur substantial operating costs if we are required to register our
solutions  or  components  of  our  solutions  as  regulated  medical  devices  under  U.S.  or  foreign  regulations,  obtain  premarket  approval  from  the  FDA  or  foreign
regulatory agencies, and satisfy the extensive reporting requirements. In addition, failure to comply with these regulations could result in enforcement actions and
monetary penalties.

Our business is subject to the risks of earthquakes, fire, floods and other natural catastrophic events, and to interruption by man-made problems such as power
disruptions or terrorism.

Our corporate  headquarters  are  located  in the San  Francisco  Bay Area,  a region  known for seismic  activity,  and many critical  components  of our  solutions  are
sourced in Asia and Mexico, regions known to suffer natural disasters and epidemics or contagious diseases. A significant natural disaster, such as an earthquake,
fire  or  a  flood,  or  epidemic  or  contagious  disease,  such  as  the  coronavirus  outbreak,  occurring  at  our  headquarters,  our  other  facilities  or  where  our  contract
manufacturer or its suppliers are located, could harm our business, operating results and financial condition. In addition, acts of terrorism could cause disruptions in
our business, the businesses of our customers and suppliers, or the economy as a whole. We also rely on information technology systems to communicate among
our  workforce  located  worldwide,  and  in  particular,  our  senior  management,  general  and  administrative,  and  research  and  development  activities  that  are
coordinated with our corporate headquarters in the San Francisco Bay Area. Any disruption to our internal communications, whether caused by a natural disaster,
an epidemic or contagious disease, or by man-made problems, such as power disruptions, in the San Francisco Bay Area, Asia or Mexico could delay our research
and development efforts, cause delays or cancellations of customer orders or delay deployment of our solutions, which could harm our business, operating results
and financial condition.

If we do not maintain effective internal control over financial reporting or disclosure controls and procedures in the future, the accuracy and timeliness of our
financial reporting may be adversely affected.

25

Table of Contents

The  Sarbanes-Oxley  Act  requires,  among  other  things,  that  we  assess  the  effectiveness  of  our  internal  control  over  financial  reporting  annually  and  disclosure
controls and procedures quarterly. In particular, we must obtain confidence in our internal control over financial reporting to allow management to report on the
effectiveness of our internal control over financial reporting as required by Section 404 of the Sarbanes-Oxley Act. To the extent we find a material weakness or
other deficiency in our internal control over financial reporting, the accuracy and timeliness of our financial reporting may be adversely affected.

Multiple negative consequences could ensue if a material weakness in our internal control over financial reporting is identified in the future, or we are not able to
comply with the requirements of Section 404 in a timely manner, or we do not maintain effective controls. For example, our reported financial results could be
materially misstated or could be restated, we could receive an adverse opinion regarding our controls from our independent registered public accounting firm, or
we could be subject to investigations or sanctions by regulatory authorities. All of these outcomes would require additional financial and management resources,
and the market price of our stock could decline.

We  will  continue  to  incur  substantial  costs  as  a  result  of  operating  as  a  public  company  and  our  management  devotes  substantial  time  to  public  company
compliance obligations.

As  a  public  company,  we  incur  substantial  legal,  accounting  and  other  expenses.  The  Sarbanes-Oxley  Act,  Dodd-Frank  Wall  Street  Reform  and  Consumer
Protection  Act  of  2010  and  rules  subsequently  implemented  by  the  SEC  and  our  stock  exchange,  impose  various  requirements  on  public  companies,  including
certain corporate governance practices. Our management and other personnel devote a substantial amount of time to these compliance requirements. Moreover,
these rules and regulations, along with compliance with accounting principles and regulatory interpretations of such principles, as amended by the JOBS Act, have
increased and will continue to increase our legal, accounting and financial compliance costs and have made and will continue to make some activities more time-
consuming and costly.

We face risks related to securities litigation that could result in significant legal expenses and settlement or damage awards.

We have in the past been, and may in the future become, subject to claims and litigation alleging violations of the securities laws or other related claims, which
could harm our business and require us to incur significant costs. Regardless of the outcome, these matters or future litigation may require significant attention
from management and could result in significant legal expenses, settlement costs or damage awards that could have a material impact on our financial position,
results of operations and cash flows.

Environmental  and  social  (E&S)  regulations,  policies  and  provisions,  as  well  as  customer  demand,  may  make  our  supply  chain  more  complex  and  may
adversely affect our relationships with customers.

There  is  an  increasing  focus  on  the  governance  of  environmental  and  social  risks  in  our  industry.  A  number  of  our  customers  have  adopted,  or  may  adopt,
procurement policies that include E&S provisions that their suppliers must comply with, or they may seek to include such provisions in their procurement terms
and conditions. An increasing number of participants in the industry are also joining voluntary E&S initiatives, such as the Responsible Business Alliance. These
E&S provisions and initiatives are subject to change, can be unpredictable, and may be difficult and expensive for us to comply with, given the complexity of our
supply chain and our outsourced manufacturing. If we are unable to comply, or are unable to cause our suppliers or contract manufacturers to comply, with such
policies  or  provisions,  a  customer  may  stop  purchasing  products  from  us,  and  may  take  legal  action  against  us,  which  could  harm  our  reputation,  revenue  and
results of operations.

In addition,  as part  of their  E&S programs,  an increasing  number  of customers  are  seeking  to source  products  that  do not contain  minerals  sourced  from  areas
where proceeds from the sale of such minerals are likely to be used to fund armed conflict, such as in the Democratic Republic of the Congo. This could adversely
affect the sourcing, availability and pricing of minerals used in the manufacture of our equipment. Since our supply chain is complex, we are not currently able to
definitively ascertain the origins of all of the minerals and metals used in our products. As a result, we may face difficulties in satisfying these customers’ demands,
which may harm our sales and operating results.

Risks Related to the Notes

We have indebtedness in the form of convertible senior notes.

As  a  result  of  the  Notes  offering,  we  incurred  $143.75  million  principal  amount  of  indebtedness,  the  principal  amount  of  which  we  may  be  required  to  pay  at
maturity in 2023. Holders of the Notes will have the right to require us to repurchase their Notes upon the occurrence of a “fundamental change” (as defined in the
indenture governing the Notes) at a purchase price equal to

26

Table of Contents

100% of the principal amount of the Notes to be purchased, plus accrued and unpaid interest, if any. In addition, the indenture for the Notes provides that we are
required to repay amounts due under the indenture in the event that there is an event of default for the Notes that results in the principal, premium, if any, and
interest, if any, becoming due prior to maturity date of the Notes. There can be no assurance that we will be able to repay this indebtedness when due, or that we
will be able to refinance this indebtedness on acceptable terms or at all. In addition, this indebtedness could, among other things:

• heighten our vulnerability to adverse general economic conditions and heightened competitive pressures;
• require us to dedicate a larger portion of our cash flow from operations to interest payments, limiting the availability of cash for other purposes;
• limit our flexibility in planning for, or reacting to, changes in our business and industry; and
• impair our ability to obtain additional financing in the future for working capital, capital expenditures, acquisitions, general corporate purposes or other

purposes.

In  addition,  our  ability  to  purchase  the  Notes  or  repay  prior  to  maturity  any  accelerated  amounts  under  the  Notes  upon  an  event  of  default  or  pay  cash  upon
conversions  of  the  Notes  may  be  limited  by  law,  by  regulatory  authority  or  by  agreements  governing  our  indebtedness  outstanding  at  the  time.  Our  failure  to
repurchase Notes at a time when the repurchase is required by the indenture (whether upon a fundamental change or otherwise under the indenture) or pay cash
payable on future conversions of the Notes (unless we elect to deliver solely shares of our common stock to settle such conversion) as required by the indenture
would  constitute  a  default  under  the  indenture.  A  default  under  the  indenture  or  the  fundamental  change  itself  could  also  lead  to  a  default  under  agreements
governing any future indebtedness. If the repayment of any related indebtedness were to be accelerated after any applicable notice or grace periods, we may not
have sufficient funds to repay the indebtedness, repurchase the Notes or make cash payments upon conversions thereof.

Provisions in the indenture for the Notes may deter or prevent a business combination that may be favorable to you.

If a fundamental change occurs prior to the maturity date of the Notes, holders of the Notes will have the right, at their option, to require us to repurchase all or a
portion  of  their  Notes.  In  addition,  if  a  make-whole  fundamental  change  occurs  prior  to  the  maturity  date,  we  will  in  some  cases  be  required  to  increase  the
conversion  rate  for  a  holder  that  elects  to  convert  its notes  in  connection  with such  make-whole  fundamental  change.  Furthermore,  the  indenture  for  the  Notes
prohibits us from engaging in certain mergers or acquisitions unless, among other things, the surviving entity assumes our obligations under the Notes. These and
other provisions in the indenture could deter or prevent a third party from acquiring us even when the acquisition may be favorable to our stockholders.

The accounting method for convertible debt securities that may be settled in cash, such as the Notes, could have a material effect on our reported financial
results.

Under Accounting Standards Codification 470-20, Debt with Conversion and Other Options (ASC 470-20), an entity must separately account for the liability and
equity components of the convertible debt instruments (such as the Notes) that may be settled entirely or partially in cash upon conversion in a manner that reflects
the  issuer’s  economic  interest  cost.  The  effect  of  ASC  470-20  on  the  accounting  for  the  Notes  is  that  the  equity  component  is  required  to  be  included  in  the
additional paid-in capital section of stockholders’ equity on our consolidated balance sheet at the issuance date and the value of the equity component would be
treated as debt discount for purposes of accounting for the debt component of the Notes. We are required to record a non-cash interest expense for the amortization
of this debt discount for the term of the Notes which will adversely affect our financial results while the Notes are outstanding.

In  addition,  under  certain  circumstances,  convertible  debt  instruments  (such  as  the  Notes)  that  may  be  settled  entirely  or  partly  in  cash  may  be  accounted  for
utilizing  the  treasury  stock  method,  the  effect  of  which  is  that  the  shares  issuable  upon  conversion  of  such  Notes  are  not  included  in  the  calculation  of  diluted
earnings  per  share  except  to  the  extent  that  the  conversion  value  of  such  Notes  exceeds  their  principal  amount.  Under  the  treasury  stock  method,  for  diluted
earnings  per  share  purposes,  the  transaction  is  accounted  for  as  if  the  number  of  shares  of  common  stock  that  would  be  necessary  to  settle  such  excess,  if  we
elected to settle such excess in shares, are issued. We cannot be sure that the accounting standards in the future will continue to permit the use of the treasury stock
method. If we are unable, or otherwise elect not to, use the treasury stock method in accounting for the shares issuable upon conversion of the Notes, then our
diluted earnings per share could be adversely affected.

The capped call transactions may affect the value of the Notes and our common stock.

In connection with the issuance of the Notes, we entered into capped call transactions with certain financial institutions (the option counterparties). The capped call
transactions are expected generally to reduce the potential dilution upon any conversion of the Notes and/or offset any cash payments we are required to make in
excess of the principal amount upon conversion of the Notes, with such reduction and/or offset subject to a cap. In connection with establishing their initial hedges
of the capped call transactions,

27

Table of Contents

the option counterparties and/or their respective affiliates purchased shares of our common stock and/or entered into various derivative transactions with respect to
our common stock. This activity could have increased (or reduced the size of any decrease in) the market price of our common stock or the Notes at that time. In
addition, the option counterparties and/or their respective affiliates may modify their hedge positions by entering into or unwinding various derivatives with respect
to  our  common  stock  and/or  purchasing  or  selling  our  common  stock  in  secondary  market  transactions  (and  are  likely  to  do  so  during  any  observation  period
related to a conversion of notes or following any repurchase of notes by us on any fundamental change repurchase date or otherwise). This activity could also cause
or avoid an increase or a decrease in the price of our common stock or the Notes. The potential effect, if any, of these transactions and activities on the price of our
common stock or the Notes will depend in part on market conditions and cannot be ascertained at this time. Any of these activities could adversely affect the value
of our common stock.

Risks related to our common stock

The market price of our common stock has been, and may continue to be, volatile, and your investment in our stock could suffer a decline in value.

There  has  been  significant  volatility  in  the  market  price  and  trading  volume  of  equity  securities,  which  is  often  unrelated  or  disproportionate  to  the  financial
performance of the companies issuing the securities. These broad market fluctuations may negatively affect the market price of our common stock. The market
price of our common stock could fluctuate significantly in response to the factors described in this “Risk Factors” section and elsewhere in this Form 10-K and
other factors, many of which are beyond our control, including:

•
•
•
•

•
•

•
•
•
•
•
•
•
•
•
•
•
•
•

actual or anticipated variation in anticipated operating results of us or our competitors;
the financial projections we may provide to the public, any changes in these projections or our failure to meet these projections;
announcements by us or our competitors of new solutions, new or terminated significant contracts, commercial relationships or capital commitments;
changes in the regulatory environment affecting our healthcare customers, including impediments to their ability to obtain reimbursement for their services,
and other actual or anticipated legal or regulatory developments in the United States or foreign countries;
actual or anticipated developments in our competitors’ businesses or the competitive landscape generally;
failure of securities analysts to maintain coverage of us, changes in financial estimates by any securities analysts who follow our company, or our failure to
meet these estimates or the expectations of investors;
developments or disputes concerning our intellectual property or other proprietary rights;
commencement of, or our involvement in, litigation;
announced or completed acquisitions of businesses, technologies or assets by us or our competitor;
changes in operating performance and stock market valuations of other technology companies generally, or those in our industry in particular;
price and volume fluctuations attributable to inconsistent trading volume levels of our common stock;
our decision to seek additional equity or debt financing;
our public float relative to the total number of shares of our common stock that are issued and outstanding;
price and volume fluctuations in the overall stock market, including as a result of trends in the economy as a whole;
rumors and market speculation involving us or other companies in our industry;
the dissemination of adverse or misleading reports or opinions about our business;
any major change in our management;
unfavorable economic conditions and slow or negative growth of our markets; and
other events or factors, including those resulting from war, incidents of terrorism or health epidemics or contagious diseases.

28

Table of Contents

If securities or industry analysts issue an adverse or misleading opinion regarding our stock or do not publish research or reports about our business, our stock
price could decline.

The trading market for our common stock depends in part on the research and reports that securities or industry analysts publish about us and our business. We do
not control these analysts or the content and opinions included in their reports. The price of our common stock could decline if one or more analysts downgrade our
common stock or if those analysts issue other unfavorable commentary or cease publishing reports about us or our business. If one or more analysts cease coverage
of our company or fail to regularly publish reports about our company, we could lose visibility in the financial market, which in turn could cause our stock price to
decline. Further, securities or industry analysts may elect not to provide research coverage of our common stock and such lack of research coverage may adversely
affect the market price of our common stock.

We have never paid cash dividends on our capital stock, and we do not anticipate paying any dividends in the foreseeable future.

We  have  never  paid  cash  dividends  on  any  of  our  capital  stock  and  currently  intend  to  retain  our  future  earnings  to  fund  the  development  and  growth  of  our
business. As a result, capital appreciation, if any, of our common stock will be the sole source of gain for the foreseeable future.

Our  charter  documents  and  Delaware  law  could  discourage,  delay  or  prevent  a  change  of  control  of  our  company  or  change  in  our  management  that
stockholders consider favorable and cause our stock price to decline.

Certain provisions of our restated certificate of incorporation and restated bylaws and Delaware law could discourage, delay or prevent a change of control of our
company or change in our management that the stockholders of our company consider favorable. These provisions:

•

•
•

•
•
•

•
•
•

•

authorize the issuance of “blank check” preferred stock that our board of directors could issue to increase the number of outstanding shares and to discourage a
takeover attempt;
prohibit stockholder action by written consent, requiring all stockholder actions to be taken at a meeting of stockholders;
establish  advance  notice  procedures  for  nominating  candidates  to  our  board  of  directors  or  proposing  matters  that  can  be  acted  upon  by  stockholders  at
stockholder meetings;
limit the ability of our stockholders to call special meetings of stockholders;
prohibit stockholders from cumulating their votes for the election of directors;
permit newly created directorships resulting from an increase in the authorized number of directors or vacancies on our board of directors to be filled only by
majority vote of our remaining directors, even if less than a quorum is then in office;
provide that our board of directors is expressly authorized to make, alter or repeal our bylaws;
establish a classified board of directors so that not all members of our board are elected at one time;
provide that our directors may be removed only for “cause” and only with the approval of the holders of at least 66 2/3rds percent of our outstanding stock;
and
require super-majority voting to amend certain provisions in our certificate of incorporation and bylaws.

Section 203 of the Delaware General Corporation Law may also discourage, delay or prevent a change of control of our company.

Item 1B. Unresolved Staff Comments

None

29

Table of Contents

Item 2.

Properties

We do not currently own any of our facilities. The following table sets forth the location, approximate size, primary use and lease expiration dates of our material
leased facilities. Our facilities are in good operating condition and adequately serve our business needs.

Location

San Jose, California

Fort Wayne, Indiana

San Francisco, California

Toronto, Canada

Reading, United Kingdom

Bangalore, India

Bangalore, India

Dubai, United Arab Emirates

Queensland, Australia

Item 3.

Legal Proceedings

Approximate
square feet

  Primary use

  Lease expiration date

70,000   Corporate headquarters and product warehousing

  March 31, 2022

27,860   Development, sales and support

  February 28, 2023

3,054   Vocera Care Experience offices

4,578   Development, sales and support

1,366   Sales and support

20,734   Development

20,734   Development

1,905   Sales and support

1,100   Sales and support

  June 30, 2022

  April 30, 2021

  June 6, 2022

  July 24, 2022

  July 1, 2024

  December 20, 2022

  June 23, 2021

We  are  currently,  and  may  from  time  to  time  be,  involved  in  lawsuits,  claims,  investigations  and  proceedings,  consisting  of  intellectual  property,  commercial,
employment and other matters which arise in the ordinary course of business.

Item 4. Mine Safety Disclosures

None.

30

 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

PART II

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

Market Information

Our common stock has been listed on the New York Stock Exchange under the symbol “VCRA” since March 28, 2012.

Holders of Common Stock

As of February 24, 2020, we had 36 holders of record of our common stock. The actual number of stockholders is greater than this number of record holders, and
includes stockholders who are beneficial owners, but whose shares are held in street name by brokers and other nominees. This number of holders of record also
does not include stockholders whose shares may be held in trust by other entities.

Dividend policy

We have never declared or paid any cash dividends on our capital stock, and we do not currently intend to pay any cash dividends on our common stock for the
foreseeable future. We expect to retain future earnings, if any, to fund the development and growth of our business. Any future determination to pay dividends on
our common stock will be at the discretion of our board of directors and will depend upon, among other factors, our financial condition, operating results, current
and anticipated cash needs, plans for expansion and other factors that our board of directors may deem relevant.

Stock Performance

This stock performance graph shall not be deemed “soliciting material” or to be “filed” with the SEC for purposes of Section 18 of the Exchange Act, or otherwise
subject to the liabilities  under that Section, and shall not be deemed to be incorporated by reference into any filing of Vocera Communications, Inc. under the
Securities Act or the Exchange Act.

The following stock performance graph compares the cumulative total return provided to holders of the common stock of Vocera Communications, Inc. relative to
the cumulative total returns of the New York Stock Exchange Composite Index and the Standard & Poor's 1500 Health Care Technology Index over a five year
period.  An investment of $100 is assumed to have been made in our common stock and in each of the indexes on December 31, 2014, including reinvestment of
dividends, and its relative performance is tracked through December 31, 2019.

31

Table of Contents

Vocera Communications Inc.

NYSE Composite

S&P Health Care Technology

12/31/14  

12/31/15  

12/31/16  

12/31/17  

12/31/18  

12/31/19

100.00  

100.00  

100.00  

117.08  

95.91  

93.06  

177.45  

107.36  

73.26  

290.02  

127.46  

104.22  

377.64  

116.06  

81.10  

199.23

145.66

114.37

Purchases of Equity Securities by the Issuer and Affiliated Purchases

During the three months ended December 31, 2019, we did not repurchase any of our securities.

Securities Authorized for Issuance under Equity Compensation Plans

The information required for this Item is incorporated by reference from our Proxy Statement to be filed for our 2020 Annual Meeting of Stockholders.

Recent Sales of Unregistered Securities
None.

32

 
Table of Contents

Item 6.

Selected Financial Data

The following selected consolidated financial data should be read in conjunction with Item 7, “Management’s Discussion and Analysis of Financial Condition and
Results  of  Operations”  and  the  consolidated  financial  statements  and  related  notes  included  in  Item  8,  “Financial  Statements  and  Supplementary  Data”  of  this
Annual  Report on Form  10-K.  The selected  consolidated  financial  data  in  this  section  are  not  intended  to  replace  the  consolidated  financial  statements  and  are
qualified in their entirety by the consolidated financial statements and related notes included elsewhere in this Annual Report on Form 10-K.

We derived the consolidated statement of operations data for the years ended December 31, 2019, 2018 and  2017 and the consolidated balance sheet data as of
December 31, 2019 and 2018 from our audited financial statements included elsewhere in this report. We derived the consolidated statement of operations data for
the years ended December 31, 2016 and 2015 and the consolidated balance sheet data as of December 31, 2017, 2016 and 2015 from our audited consolidated
financial statements that do not appear in this report. Our historical results are not necessarily indicative of the results to be expected in the future.

Financial data for the years ended December 31, 2015 has not been adjusted to reflect the adoption of ASC 606 in 2018.

(in thousands, except per share data)

2019

2018

2017

2016

2015

Years ended December 31,

Consolidated statements of operations data:

Total revenue

Gross profit

Net loss

  $

180,501   $

179,630   $

165,989   $

132,026   $

109,099  

(17,980)  

111,887  

(9,674)  

101,062  

(10,897)  

82,951  

(11,400)  

Net loss attributable to common stockholders

  $

(17,980)   $

(9,674)   $

(10,897)   $

(11,400)   $

95,421

58,185

(28,297)

(28,297)

Net loss per share attributable to common stockholders

Basic and diluted

$(0.57)  

$(0.32)  

$(0.38)  

$(0.42)  

$(1.12)

Weighted average shares used to compute net loss per share
attributable to common stockholders

Basic and diluted

31,273  

30,041  

28,655  

26,859  

25,329

(in thousands)

Consolidated balance sheet data:

2019

2018

2017

2016

2015

As of December 31,

Cash, cash equivalents and short-term investments

  $

229,868   $

221,170   $

81,233   $

74,066   $

Total assets

Long-term debt

Total stockholders’ equity

370,455  

117,178  

163,825  

352,098  

110,540  

162,867  

33

204,973  

192,495  

—  

—  

128,000  

119,146  

104,431

116,774

162,261

—

  
 
 
 
 
 
 
   
   
   
   
   
 
 
 
   
   
   
   
   
   
   
   
   
   
 
   
   
   
   
   
 
 
 
 
 
 
 
 
   
   
   
   
   
 
 
 
Table of Contents

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

The following discussion and analysis of our financial condition and results of operations should be read together with our consolidated financial statements and
related notes included in Item 8, “Financial Statements and Supplementary Data” included in this Annual Report on Form 10-K. This discussion and analysis
contains forward-looking statements that involve risks, uncertainties and assumptions, such as statements of our plans, objectives, expectations and intentions. The
cautionary statements made in this Annual Report on Form 10-K should be read as applying to all related forward-looking statements wherever they appear in this
Annual Report  on Form 10-K. Our actual results  may differ  materially  from those anticipated  in these  forward-looking statements as a result of many factors,
including but not limited to those set forth under Item 1A, “Risk factors” and elsewhere in this Annual Report on Form 10-K.

Business overview

We  are  a  provider  of  secure,  integrated,  intelligent  communication  solutions,  focused  on  empowering  mobile  workers  in  healthcare,  hospitality,  retail,  energy,
education and other mission-critical mobile work environments, in the United States and internationally. The significant majority of our business is generated from
sales of our solutions in the healthcare market to help our customers enhance quality of care, safety, patient and staff experience. As of December 31, 2019, care
teams at approximately 1,700 healthcare facilities worldwide have selected our solutions.

We primarily sell products, software maintenance and professional services directly to end users. Total revenue increased 0.5% to  $180.5 million in  2019 from
$179.6 million in 2018, and our 2018 revenue increased 8.2% from $166.0 million in 2017. For the year ended December 31, 2019, we recorded a net loss of $18.0
million compared to a net loss of $9.7 million for the year ended December 31, 2018.

Our  diverse  customer  base  ranges  from  large  hospital  systems  to  small  local  hospitals,  as  well  as  other  healthcare  facilities  and  customers  in  non-healthcare
markets. We do not rely on any one customer for a substantial portion of our revenue. While we have international customers in other English-speaking countries
such as Canada, the United Kingdom, Australia, New Zealand and parts of the Middle East, most of our customers are located in the United States. International
customers  represented  8.7% and  10.2% of  our  revenue  in  2019 and  in  2018,  respectively.  We  believe  certain  international  markets  represent  attractive  growth
opportunities. We are exploring plans to expand our presence in other English-speaking markets and enter non-English speaking markets.

We outsource the manufacturing of our hardware products. Our outsourced manufacturing model allows us to scale our business without the significant capital
investment  and  on-going  expenses  required  to  establish  and  maintain  manufacturing  operations.  We  work  closely  with  our  contract  manufacturers,  including
Sercomm Corporation and SMTC Corporation, and key suppliers to manage the procurement, quality and cost of components. We seek to maintain an optimal
level of finished goods inventory to meet our forecast for sales and unanticipated shifts in sales volume and mix.

A discussion and analysis of our financial condition and results of operations for the year ended December 31, 2017 is included in Item 7 of Part II,
"Management's Discussion and Analysis of Financial Condition and Results of Operations" in our Annual Report on Form 10-K for the year ended December 31,
2018 filed with the SEC on February 27, 2019.

Convertible Senior Notes

In May 2018, we issued $143.75 million aggregate principal amount of  1.50% Convertible Senior Notes due 2023, including  $18.75 million aggregate principal
amount of such notes pursuant to the exercise in full of options granted to the initial purchasers, collectively the “Notes.” The total net proceeds from the offering,
after deducting initial purchase discounts and debt issuance costs, were approximately $138.9 million.

In  connection  with  the  pricing  of  the  Notes,  we  entered  into  privately  negotiated  capped  call  transactions  with  certain  counterparties,  the  “Capped  Calls.”  The
Capped Calls each have an initial strike price of approximately $32.25 per share, subject to certain adjustments, which correspond to the initial conversion price of
the  Notes.  The  Capped  Calls  have  initial  cap  prices  of  $38.94 per  share,  subject  to  certain  adjustments.  The  Capped  Calls  cover,  subject  to  anti-dilution
adjustments, approximately 4.5 million shares of our common stock. We used proceeds of  $8.9 million to purchase the Capped Calls, which were recorded as a
reduction to additional paid-in capital. For further discussion on the Capped Calls, please refer to Note 8 of the Notes to the Consolidated Financial Statements.

We expect to use the remaining net proceeds for general corporate purposes, which may include funding research and development, increasing working capital,
acquisitions or investments in complementary businesses, products or technologies and capital expenditures.

34

Table of Contents

Components of operating results

Revenue.    We generate revenue from the sale of products and services. As discussed further in the section titled “Critical accounting policies and estimates—
Revenue recognition”, revenue is recognized utilizing a five-step approach which depicts the transfer of promised goods or services to customers in an amount that
reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.

Revenue is comprised of the following:

•

•

Product.    Our solutions include  both hardware  and software. We refer  to hardware revenue as device revenue, which includes revenue from sales of our
communication  badges  and  badge  accessories,  which  include  batteries,  battery  chargers,  lanyards,  clips  and  other  ancillary  badge  components  as  well  as
revenue from the resale of third-party devices and related accessories. Software revenue is derived primarily from the sale of perpetual licenses to our Vocera
Communication and Workflow System. We derive additional software revenue from the sale of term licenses and cloud-based subscriptions, which can be
renewed on a subscription basis. Product revenue is generally recognized upon shipment of hardware and perpetual licenses and, in the case of subscription
software, ratably over the applicable term.
Service.    We receive service revenue from sales of software maintenance, extended hardware warranties and professional services. Software maintenance is
typically  invoiced  annually  in advance,  recorded  as deferred  revenue,  and  recognized  as revenue  ratably  over  the  service  period.  Our professional  services
revenue is based on both time and materials, and fixed price contracts, and is recognized as the services are provided. Extended warranties are invoiced in
advance, recorded as deferred revenue, and recognized ratably over the extended warranty period.

Cost of revenue.    Cost of revenue is comprised of the following:

•

Cost of product.    Cost of product is comprised primarily of materials costs, software license costs, provisions for excess and obsolete inventory, warranty,
and manufacturing overhead costs for test engineering, material requirements planning and our shipping and receiving functions. These overhead costs also
include facilities, equipment depreciation, amortization of developed technology and stock-based compensation expenses. We expect material costs to vary
with the product life cycle of our devices.
Cost  of  service.        Cost  of  service  is  comprised  primarily  of  employee  wages,  benefits  and  related  personnel  expenses  of  our  technical  support  team,  our
professional consulting personnel and our training teams. Cost of service also includes facility and information technology costs. We expect our cost of service
will increase as we continue to invest in support services to meet the needs of our customer base.

Operating expenses.    Operating expenses are comprised of the following:

•

•

•

Research and development.    Research and development expenses consist primarily of employee wages, benefits and related personnel expenses, hardware
materials, and consultant fees and expenses related to the design, development, testing and enhancements of our solutions. We intend to continue to invest in
improving the functionality of our solutions and the development of new solutions.
Sales and marketing.    Sales and marketing expenses consist primarily of employee wages, benefits and related personnel expenses, as well as trade shows,
marketing programs and collateral and public relations programs.
General and administrative.    General and administrative expenses consist primarily of employee wages, benefits and related personnel expenses, consulting,
accounting fees, legal fees and other general corporate expenses.

Interest income and other income (expense), net.

•

•

•

Interest income.    Interest income consists primarily of interest income earned on our cash, cash equivalent and short-term investment balances. Our interest
income  will  vary  each  reporting  period  depending  on  our  average  cash,  cash  equivalent  and  short-term  investment  balances  during  the  period  and  market
interest rates.
Interest expense. Interest expense consists of amortization of debt discount and debt issuance costs as well as the contractual interest incurred of the issuance
of the Convertible Senior Notes which are discussed in further detail in Note 8 of the Notes to Consolidated Financial Statements.
Other income (expense), net.    Other income (expense), net consists primarily of foreign exchange gains and losses.

Provision for income taxes.    We are subject to income taxes in the countries where we sell our solutions. We anticipate that in the future as we expand our sale of
solutions to customers outside the United States, we will become subject to taxation based on the foreign statutory rates in the countries where these sales took
place and our effective tax rate could fluctuate accordingly. Currently, each of our international subsidiaries is operating under cost plus agreements where the U.S.
parent company reimburses the international subsidiary for its costs plus an arm's length profit.

35

 
 
 
 
Table of Contents

Income taxes are computed using the asset and liability method, under which deferred tax assets and liabilities are determined based on the difference between the
financial  statement  and  tax  bases  of  assets  and  liabilities  using  enacted  tax  rates  in  effect  for  the  year  in  which  the  differences  are  expected  to  affect  taxable
income.  Valuation  allowances  have  been  established  to  reduce  deferred  tax  assets  to  the  amount  reasonably  expected  to  be  realized.  Changes  in  valuation
allowances are reflected as a component of provision for income taxes.

At December 31, 2019, we held  a $40.4 million valuation  allowance  against  our deferred  tax  assets.  We  review  on  a quarterly  basis  our conclusions  about  the
appropriate amount of our deferred income tax asset valuation allowance.

Results of operations

The following table is a summary of our consolidated statements of operations for the years ended December 31, 2019, 2018 and 2017.

(in thousands, except percentages)

  Amount

  % Revenue

Amount

  % Revenue

  Amount

  % Revenue

Consolidated statements of operations data:

Years ended December 31,

2019

2018

2017

Revenue

Product

Service

Total revenue

Cost of revenue

Product

Service

Total cost of revenue

Gross profit

Operating expenses

Research and development

Sales and marketing

General and administrative

Total operating expenses

Loss from operations

Interest income

Interest expense

Other expense, net

Loss before income taxes

Provision for income taxes

Net loss

  $

92,561  

51.3 %   $

87,940  

180,501  

48.7

100.0

29,039  

42,363  

71,402  

109,099  

34,280  

63,168  

25,774  

123,222  

(14,123)  

5,110  

(8,789)  

(158)  

16.1

23.5

39.6

60.4

19.0

35.0

14.3

68.3

(7.8)

2.8

(4.8)

(0.1)

(17,960)  

(10.0)

(20)  

—  

97,447  

82,183  

179,630  

27,425  

40,318  

67,743  

111,887  

30,879  

62,214  

25,099  

118,192  

(6,305)  

3,044  

(5,241)  

(1,523)  

(10,025)  

351  

54.2 %   $

91,585  

55.2 %  

45.8

100.0

74,404  

165,989  

44.8

100.0

15.3

22.4

37.7

62.3

17.2

34.6

14.0

65.8

(3.5)

1.6

(2.9)

(0.8)

(5.6)

0.2

27,244  

37,683  

64,927  

101,062  

27,685  

60,107  

23,970  

111,762  

(10,700)  

604  

—  

(42)  

(10,138)  

(759)  

16.4

22.7

39.1

60.9

16.7

36.2

14.4

67.3

(6.4)

0.3

—  

—  

(6.1)

(0.5)

  $

(17,980)  

(10.0)%   $

(9,674)  

(5.4)%   $

(10,897)  

(6.6)%  

36

  
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
 
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Year ended December 31, 2019 compared to year ended December 31, 2018

Revenue:

(in thousands, except percentages)

Product Revenue

Device

Software

     Total product revenue

Service revenue

Maintenance and support

Professional services and training

     Total service revenue

          Total revenue

Years ended December 31,

2019

Amount

2018

Amount

Change

Amount

%

  $

61,224   $

31,337  

92,561  

68,846  

19,094  

87,940  

60,130   $

37,317  

97,447  

62,267  

19,916  

82,183  

  $

180,501   $

179,630   $

1,094  

(5,980)  

(4,886)  

6,579  

(822)  

5,757  

871  

1.8 %

(16.0)

(5.0)

10.6

(4.1)

7.0

0.5 %

Total  revenue  increased  $0.9 million,  or  0.5%,  for  the  year  ended  December  31,  2019  compared  to  the  year  ended  December  31,  2018.  The  increase  in  total
revenue was a result of an increase in services revenue, partially offset by a decrease in product revenue.

Product  revenue  decreased  $4.9  million,  or  5.0%,  for  the  year  ended  December  31,  2019  compared  to  the  year  ended  December  31,  2018.  Device  revenue
increased $1.1 million,  or  1.8%,  and  software  revenue  decreased  $6.0 million,  or  16.0%,  for  the  year  ended  December  31,  2019,  compared  to  the  year  ended
December  31,  2018.  The  increase  in  device  revenue  was  driven  primarily  by  an  increase  in  unit  sales  of  badges  and  related  hardware  and  accessories  to  new
customers  making  initial  purchases  and  existing  customers  expanding  deployments  within  their  facilities  to  departments  and  users.  The  decrease  in  software
revenue was due to a shift in mix among our various software offerings and the timing of our backlog roll out.

Service revenue increased $5.8 million, or 7.0%, for the year ended December 31, 2019 compared to the year ended December 31, 2018. Software maintenance
and  support  revenue  increased  $6.6  million,  or  10.6%,  and  professional  services  and  training  revenue  decreased  $0.8  million,  or  4.1%,  for  the  year  ended
December 31, 2019 compared to the year ended December 31, 2018. The increase in software maintenance and support revenue was primarily a result of having a
larger customer base. The decrease in professional services and training revenue was due to a decrease of implementation services for our solutions.

Cost of revenue:

(in thousands, except percentages)

Cost of revenue

Product

Service

Total cost of revenue

Gross margin

Product

Service

Total gross margin

Years ended December 31,

2019

Amount

2018

Amount

Change

Amount

%

  $

  $

29,039

  $

27,425

  $

42,363

40,318

71,402

  $

67,743

  $

1,614

2,045

3,659

5.9%

5.1

5.4%

68.6%  

51.8

60.4%  

71.9%  

50.9

62.3%  

(3.3)%    

0.9

(1.9)%    

Cost  of  product  revenue  increased  $1.6 million, or 5.9%,  for  the  year  ended  December  31,  2019  compared  to  the  year  ended  December  31,  2018.  The  cost  of
product revenue increased primarily due to an increase in third-party sales and a higher volume of badge units shipped. Product gross margin as a percentage of
product revenue decreased in the year ended December 31, 2019 compared to the year ended December 31, 2018 due to a lower mix of software revenue and a
higher mix of third-party smartphone

37

  
 
  
 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
   
   
   
   
   
   
   
   
 
 
 
  
 
 
  
 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
 
 
 
   
   
   
   
 
 
 
 
   
 
Table of Contents

sales.

Cost  of  service  revenue  increased  $2.0 million,  or  5.1%,  for  the  year  ended  December  31,  2019  compared  to  the  year  ended  December  31,  2018.  The  cost  of
service revenue increased primarily due to an increase in compensation and benefits associated with headcount. Service gross margin as a percentage of service
revenue increased for the year ended December 31, 2019 compared to the year ended December 31, 2018 primarily due to an increase in software maintenance and
support revenue which typically yields higher margins.

Operating expenses:    

(in thousands, except percentages)

Operating expenses:

Research and development

Sales and marketing

General and administrative

Total operating expenses

Years ended December 31,

2019

Amount

2018

Amount

Change

Amount

%

  $

34,280   $

30,879   $

63,168  

25,774  

62,214  

25,099  

  $

123,222   $

118,192   $

3,401  

954  

675  

5,030  

11.0%

1.5

2.7

4.3%

Research and development expense. Research and development expense increased $3.4 million, or 11.0%, for the year ended December 31, 2019 compared to the
year  ended  December  31,  2018.  This  increase  was  primarily  due  to  a  $3.3  million  increase  in  compensation,  benefits  and  hiring  costs  as  a  result  of  increased
headcount and a $0.6 million increase in research and development equipment. This increase was partially offset by a $0.7 million reduction in outside services and
development.

Sales and marketing expense. Sales and marketing expense increased  $1.0 million, or 1.5%, for the year ended December 31, 2019 compared to the year ended
December 31, 2018. This was primarily due to a $0.5 million increase in marketing development costs, a $0.6 million increase in travel expense and a $0.3 million
increase in equipment. These increases were partially offset by a $0.4 million decrease in outside services.

General and administrative expense. General and administrative expense increased $0.7 million, or 2.7%, from the year ended December 31, 2019 compared to the
year ended December 31, 2018. This was primarily due to an increase in standard compensation, benefits and hiring costs as a result of increased headcount and
equipment which was offset by a decrease in incentive compensation and outside services.

(in thousands, except percentages)

Non-operating income (expense) elements:

Interest income

Interest expense

Other expense, net

Income taxes:

Benefit from (provision for) income taxes

Loss before income taxes

Effective tax rate %

Years ended December 31,

2019

2018

Change

  $

5,110

  $

3,044

  $

(8,789)

(158)

(20)

(17,960)

(5,241)

(1,523)

351

(10,025)

(0.1)%  

3.5%  

2,066

(3,548)

1,365

(371)

(7,935)

(3.6)%

Interest income. Interest income increased $2.1 million for the year ended December 31, 2019, compared to the year ended December 31, 2018. This increase was
due to higher cash, cash equivalents and short-term investment balances.

Interest expense. Interest expense increased $3.5 million for the year ended December 31, 2019, compared to the year ended December 31, 2018. The increase was
due to timing of the issuance of the Notes in May 2018 and the related increase in the amortization of debt discount and debt issuance costs and the contractual
interest incurred on the issuance of the Notes.

Other expense, net. The change in other expense, net for the year ended December 31, 2019, compared to the year ended December 31, 2018, was primarily due to
foreign exchange fluctuations.

38

  
 
 
 
 
 
 
 
 
 
 
   
   
   
   
 
 
  
 
 
  
 
 
 
   
   
   
 
 
 
 
 
 
 
   
   
   
   
   
   
 
 
 
 
 
 
 
Table of Contents

Benefit from (provision for) income taxes. The $20 thousand provision on $18.0 million of loss before income taxes in 2019 represented an effective tax rate of
0.1%. The effective tax rate for 2019 was due primarily to income taxes on our foreign operations and tax amortization of the goodwill, partially offset by the tax
benefit related to the gain in other comprehensive income. The $0.4 million benefit on $10.0 million of loss before income taxes in 2018 represented an effective
tax rate of 3.5%. The tax benefit for 2018 was due primarily to tax losses benefited against deferred tax liabilities as a result of the enactment of the Tax Cuts and
Jobs Act, partially offset by income taxes on our foreign operations.

Liquidity and capital resources

(in thousands)

Consolidated statements of cash flow data:

Net cash provided by operating activities

Net cash used in investing activities

Net cash provided by (used in) financing activities

Net (decrease) increase in cash and cash equivalents

Years ended December 31,

2019

2018

  $

15,778   $

(20,536)  

(3,814)  

  $

(8,572)   $

14,298

(139,533)

130,785

5,550

As of December 31, 2019, we had cash and cash equivalents and short-term investments of $229.9 million.

In May 2018, we issued Convertible Senior notes with a 1.5% interest rate for an aggregate principal amount of $143.75 million. There are no required principal
payments prior to the maturity of the Notes. For additional information, see Note 8 of the Notes to Consolidated Financial Statements included in Part II, Item 8 of
this Annual Report on Form 10-K.

During 2019, 2018 and 2017, our purchases of property and equipment were $4.6 million, $4.9 million and $2.8 million, respectively. The expenditures in 2019
primarily related to leasehold improvements, computer equipment and manufacturing tools and equipment. The expenditures in 2018 primarily related to leasehold
improvements and computer equipment. The expenditures in 2017 primarily related to leasehold improvements and computer equipment.

We believe that our existing sources of liquidity will satisfy our anticipated working capital and capital requirements for at least the next twelve months. Our future
liquidity and capital requirements will depend upon numerous factors, including our rate of growth, the rate at which we add personnel to generate and support
future growth, and potential future acquisitions.

In  the  future,  we  may  seek  to  sell  additional  equity  securities  or  borrow  funds.  The  sale  of  additional  equity  or  convertible  securities  may  result  in  additional
dilution to our stockholders.  If  we raise additional  funds through the issuance of debt securities  or other borrowings, these  securities  or borrowings could have
rights senior to those of our common stock and could contain covenants that could restrict our operations. Any required additional capital may not be available on
reasonable terms, if at all.

Operating activities

Cash provided by operating activities was $15.8 million in 2019, due in part to non-cash items such as stock-based compensation of $23.9 million, amortization of
debt  discount  and  issuance  costs  of  $6.6  million,  a  decrease  in  lease-related  performance  liabilities  of  $1.2  million  and  depreciation  and  amortization  of  $7.3
million  for  property  and  equipment  and acquired  intangible  assets,  partially  offset  by the 2019  net loss  of  $18.0 million. With  respect  to  changes  in assets  and
liabilities,  we  experienced  an  increase  in  accounts  receivable  of  $2.4  million,  an  increase  of  $2.1  million  in  other  receivables,  an  increase  of  $0.3  million  in
inventories, an increase of $0.9 million in prepaid expenses and other assets, an increase in deferred commissions of $0.2 million, an increase of $1.5 million in
accounts payable, an increase of $2.4 million in accrued payroll and other liabilities and a $2.8 million increase in deferred revenue.

Cash provided by operating activities was $14.3 million in 2018, due in part to non-cash items such as stock-based compensation of $21.0 million, amortization of
debt  discount  and  issuance  costs  of  $3.9  million  and  depreciation  and  amortization  of  $7.7  million  for  property  and  equipment  and  acquired  intangible  assets,
partially  offset  by the 2018 net  loss of $9.7 million.  With respect  to changes in assets  and liabilities,  cash was provided through an increase  of $1.5 million  in
accounts payable and an increase of $3.5 million in deferred revenue. These factors were partially offset by certain cash outflows, including an increase in accounts
receivable  of $5.0 million,  an increase  in other  receivables  of $2.8 million,  an increase  in inventory  of $1.9 million,  an increase  in prepaid  expenses  and other
assets of $0.6 million, a decrease of $4.1 million in accrued payroll and other liabilities.

39

  
 
 
 
   
   
 
 
Table of Contents

Investing activities

Cash used in investing activities was $20.5 million in 2019, which was primarily attributable to  $137.5 million in purchases of short-term investments, offset by
$121.5  million in  short-term  investment  maturities.  An  additional  $4.6  million of  cash  was  used  for  the  purchase  of  property  and  equipment  and  leasehold
improvements.

Cash used in investing activities was $139.5 million in 2018, which was primarily attributable to $206.8 million in purchases of short-term investments, offset by
$72.2  million  in  short-term  investment  maturities.  An  additional  $4.9  million  of  cash  was  used  for  the  purchase  of  property  and  equipment  and  leasehold
improvements.

Financing activities    

Cash used in financing activities was $3.8 million in 2019, primarily attributable to $2.4 million of proceeds from stock option exercises, $3.5 million of proceeds
from issuance of common stock from the employee stock purchase plan and $1.7 million of cash from lease-related performance obligations. These items were
offset by a $11.5 million decrease for employee taxes paid on net share settlement on the vesting of restricted stock awards.

Cash provided by financing activities was $130.8 million in 2018, attributable to $138.9 million in proceeds from issuance of the Notes, net of issuance costs, $7.3
million of proceeds from stock option exercises, $3.3 million of proceeds from issuance of common stock from the employee stock purchase plan and $0.3 million
of cash from lease-related performance obligations. These items were partially offset by $8.9 million in cash paid for the capped call that we purchased at the time
of the issuance of the Notes and $10.1 million cash paid for employee taxes paid on net share settlement.

Contractual obligations

The following table summarizes our contractual obligations as of December 31, 2019:

(in thousands)

Principal amount payable on convertible senior notes (1)
Non-cancelable purchase commitments(2)

Total

Total

143,750   $

9,747  

153,497   $

  $

  $

Less than 1
year

1-3 years

3-5 years

—   $

9,747  

9,747   $

—   $

—  

—   $

—   $

—  

143,750   $

More than
5 years

143,750

—

—

(1) For additional information regarding our convertible senior notes, refer to Note 8 of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on

Form 10-K.

(2) Consists of minimum purchase commitments with our independent contract manufacturers and other vendors.

As of December 31, 2019, we had $0.5 million of net deferred tax liabilities and  $0.2 million from uncertain tax positions, both recorded within other long-term
liabilities. The timing and amounts of any payments that could result from the net deferred tax liabilities and unrecognized tax benefits will depend upon a number
of factors. Accordingly, the timing and amounts of any eventual payment cannot be estimated for inclusion in the table above. We do not expect a significant tax
payment related to these obligations to occur within the next 12 months. Such tax contingencies are separately disclosed and discussed in Note 12 of the notes to
our consolidated financial statements.

Off-balance sheet arrangements

During 2019, we did not have any relationships with unconsolidated organizations or financial partnerships, such as structured finance or special purpose entities
that would have been established for the purpose of facilitating off-balance sheet arrangements or other contractually narrow or limited purposes.

Critical accounting policies and estimates

The  preparation  of  our  consolidated  financial  statements  requires  us  to  make  estimates  and  assumptions  that  affect  the  amounts  reported  in  the  consolidated
financial  statements  and  accompanying  notes.  We  evaluate  our  estimates  on  an  ongoing  basis,  including  those  related  to  product  warranties,  goodwill  and
intangible assets, revenue recognition, stock-based compensation, accounting for business combinations and the provision for income taxes. We base our estimates
and judgments on our historical experience, knowledge of factors affecting our business and our belief as to what could occur in the future considering available
information and assumptions that we believe to be reasonable under the circumstances.

40

 
 
 
 
 
 
 
Table of Contents

The accounting estimates we use in the preparation of our consolidated financial statements will change as events occur, more experience is acquired, additional
information  is  obtained  and  our  operating  environment  changes.  Changes  in  estimates  are  made  when  circumstances  warrant.  Such  changes  in  estimates  and
refinements in estimation methodologies are reflected in our reported results of operations and, if material, the effects of changes in estimates are disclosed in the
notes to our consolidated financial statements. By their nature, these estimates and judgments are subject to an inherent degree of uncertainty and actual results
could differ materially from the amounts reported based on these estimates.

While our significant accounting policies are more fully described in Note 1 of the “Notes to our consolidated financial statements” included in Item 8, “Financial
Statements and Supplementary Data,” we believe the following reflects our critical accounting policies and our more significant judgments and estimates used in
the preparation of our financial statements.

Revenue Recognition

Some of our contracts with customers contain multiple performance obligations. Determining whether products and services are considered distinct performance
obligations that should be accounted for separately versus together may require significant judgment. For these contracts, we account for individual performance
obligations separately  if they are distinct.  The transaction  price is allocated to the separate performance  obligations on a relative  standalone selling price (SSP)
basis.  If  the  contract  contains  a  single  performance  obligation,  the  entire  transaction  price  is  allocated  to  the  single  performance  obligation.  For  performance
obligations that we routinely sell separately, such as support and maintenance on our core offerings, we determine SSP by evaluating the standalone sales over the
trailing 12 months. For those that are not sold routinely, we determine SSP based on our overall pricing trends and objectives, taking into consideration market
conditions and other factors, including the value of our contracts, the products sold and geographic locations.

Standard product warranties

We  provide  for  the  estimated  costs  of  product  warranties  at  the  time  the  related  revenue  is  recognized.  Costs  are  estimated  based  on  historical  and  projected
product failure rates, historical and projected repair costs, and knowledge of specific product failures (if any). The specific product warranty includes parts and
labor over a period generally ranging from one to three years. We generally do not provide performance warranties for software. We regularly assess our estimates
to evaluate the adequacy of the recorded warranty liabilities and adjust the amounts as necessary. The total warranty expense under our standard warranty in 2019
was $0.2 million, compared to $0.1 million in 2018 and $0.1 million in 2017. The key drivers to the warranty reserve calculation are the installed base of products
under  standard  warranty,  the  estimated  return  rate  of  the  installed  base  of  products  under  standard  warranty,  and  the  availability  of  refurbished  units  to  fulfill
expected warranty claims.

Stock-based compensation

Restricted Stock Units

We record all stock-based awards, which consist restricted stock units, at fair value as of the grant date and recognize the expense over the requisite service period
(generally over the vesting period of the award). The restricted stock units generally vest one third on the first anniversary of the grant, one third on the second
anniversary of the grant and one third upon the third anniversary of the grant. The grant date fair value of the RSUs is the closing market price on the date of grant;
this amount is charged to expense ratably over the requisite service period.

Goodwill and intangible assets

We  allocate  the  purchase  price  of  any  acquisitions  to  tangible  assets  and  liabilities  and  identifiable  intangible  assets  acquired.  Any  residual  purchase  price  is
recorded as goodwill. The allocation of the purchase price requires management to make significant estimates in determining the fair values of assets acquired and
liabilities assumed, especially with respect to intangible assets. These estimates are based on information obtained from management of the acquired companies
and historical experience. These estimates can include, but are not limited to, the cash flows that an asset is expected to generate in the future, and the cost savings
expected to be derived from acquiring an asset. These estimates are inherently uncertain and unpredictable, and if different estimates were used the purchase price
for the acquisition could be allocated to the acquired assets and liabilities differently from the allocation that we have made. In addition, unanticipated events and
circumstances may occur which affect the accuracy or validity of such estimates, and if such events occur we may be required to record a charge against the value
ascribed to an acquired asset or an increase in the amounts recorded for assumed liabilities.

Goodwill

Goodwill is tested for impairment at the reporting unit level at least annually, or more often if events or changes in circumstances indicate the carrying value may
not be recoverable. Our annual assessment date is October 1st and the results of our assessment performed as of October 1st indicated no impairment had been
incurred. No impairment was recorded in 2019, 2018 or 2017. As of December 31, 2019, no changes in circumstances indicate that goodwill carrying values may
not be recoverable. Application of the goodwill impairment test requires judgment. Circumstances that could affect the valuation of goodwill include, among other

41

Table of Contents

things, a significant change in our business climate and the buying habits of our customers along with changes in the costs to provide our products and services.

Intangible assets

Intangible  assets  are  amortized  over  their  estimated  useful  lives.  Upon  completion  of  development,  acquired  in-process  research  and  development  assets  are
generally considered amortizable, finite-lived assets and are amortized over their estimated useful lives.

Finite-lived  intangible  assets  consist  of  customer  relationships,  developed  technology,  trademarks,  backlog  and  non-compete  agreements.  We  evaluate  our
intangible  assets  for  impairment  at  the  asset  group  level,  which  means  the  intangibles  grouped  with  other  assets  and  liabilities  at  the  lowest  level  for  which
identifiable cash flows are largely independent of the cash flows of other assets and liabilities. Management has concluded that our asset groups align with our
reporting units. The intangible assets are allocated to the Product and Services asset groups, given that the Product and Services asset groups are the lowest level
for which discrete cash flow information are identifiable, independent from other assets. We assess the recoverability of these assets whenever adverse events or
changes  in  circumstances  or  business  climate  indicate  that  expected  undiscounted  future  cash  flows  related  to  such  intangible  assets  may  not  be  sufficient  to
support the net book value of such assets. An impairment is recognized in the period of identification to the extent the carrying amount of an asset exceeds the fair
value of such asset. No impairment of intangible assets was recorded in 2019, 2018 or 2017.

Significant  judgments  required  in  assessing  the  impairment  of  goodwill  and  intangible  assets  include  the  identification  of  reporting  units,  identifying  whether
events or changes in circumstances require an impairment assessment, estimating future cash flows, determining appropriate discount and growth rates and other
assumptions. Changes in these estimates and assumptions could materially affect the determination of fair value as to whether an impairment exists and, if so, the
amount of that impairment.

Income taxes    

We use the asset and liability method of accounting for income taxes. Under this method, we record deferred income taxes based on temporary differences between
the financial reporting and tax bases of assets and liabilities and use enacted tax rates and laws that we expect will be in effect when we recover those assets or
settle those liabilities, as the case may be, to measure those taxes. In cases where the expiration date of tax carryforwards or the projected operating results indicate
that  realization  is  not  likely,  we  provide  for  a  valuation  allowance.  Valuation  allowances  are  established  when  necessary  to  reduce  deferred  tax  assets  to  the
amounts expected to be realized.

We have deferred tax assets, resulting from deductible temporary differences that may reduce taxable income in future periods. A valuation allowance is required
when it is more likely than not that all or a portion of a deferred tax asset will not be realized. In assessing the need for a valuation allowance, we estimate future
taxable  income,  considering  the  feasibility  of  ongoing  tax-planning  strategies  and  the  realizability  of  tax  loss  carryforwards.  Valuation  allowances  related  to
deferred tax assets can be impacted by changes in tax laws, changes in statutory tax rates and future taxable income levels. If we were to determine that we would
be  able  to  realize  our  deferred  tax  assets  in  the  future  in  excess  of  the  net  carrying  amounts,  we  would  decrease  the  recorded  valuation  allowance  through  an
increase  to  income  in  the  period  in  which  that  determination  is  made.  Due  to  the  amount  of  net  operating  losses  available  for  income  tax  purposes  through
December 31, 2019, we had a full valuation allowance against our deferred tax assets. We continue to evaluate the realizability of our U.S. and Canadian deferred
tax assets. If our financial results improve, we will reassess the need for a full valuation allowance each quarter and, if we determine that it is more likely than not
the deferred tax assets will be realized, we will adjust the valuation allowance.

At December 31, 2019, we had a valuation allowance against net deferred tax assets of $40.4 million. We review on a quarterly basis our conclusions about the
appropriate amount of our deferred tax asset valuation allowance. There is inherent uncertainty in evaluating the sustainability of the income tax positions we take
on our tax returns. We assess our income tax positions and record tax benefits for all years subject to examination based upon our management’s evaluation of the
facts, circumstances and information available at the reporting date. For those tax positions where it is more likely than not that a tax benefit will be sustained, we
have recorded the highest amount of tax benefit with a greater than 50% likelihood of being realized upon ultimate settlement with a taxing authority that has full
knowledge of all relevant information. For those income tax positions where it is not more likely than not that a tax benefit will be realizable, no tax benefit has
been recognized in our financial statements.

We  include  interest  and  penalties  with  income  taxes  on  the  accompanying  statement  of  operations.  Our  tax  years  after  2012 are  subject  to  tax  authority
examinations. Additionally, our net operating losses and research credits are subject to tax authority adjustment.

Recently issued accounting guidance

42

Table of Contents

See “Note 1. The Company and Summary of Significant Accounting Policies” of the Notes to Consolidated Financial Statements in “Item 8. Financial Statements
and Supplementary Data” for a full description of recent accounting pronouncements including the respective expected dates of adoption and estimated effects, if
any on our consolidated financial statements.

Item 7A. Quantitative and Qualitative Disclosures about Market Risk

The primary objective of our investment activities is to preserve principal while maximizing yields without significantly increasing risk. To achieve this objective,
historically we have invested in money market funds. With the proceeds from our two public offerings in 2012 and our Notes offering in 2018, we have invested in
a broader portfolio of high credit quality short-term securities. To minimize the exposure due to an adverse shift in interest rates, we maintain an average portfolio
duration of one year or less.

Our primary exposure to market risk is interest income and expense sensitivity, which is affected by changes in the general level of the interest rates in the United
States. However, because of the short-term nature of our interest-bearing securities, a 10% change in market interest rates would not be expected to have a material
impact on our consolidated financial condition or results of operations.

Historically our operations have consisted of research and development and sales activities in the United States. As a result, our financial results have not been
materially affected by factors such as changes in foreign currency exchange rates or economic conditions in foreign markets. We are developing plans to expand
our  international  presence.  Accordingly,  we  expect  that  our  exposure  to  changes  in  foreign  currency  exchange  rates  and  economic  conditions  may  increase  in
future periods.

43

Table of Contents

Item 8.

Financial Statements and Supplementary Data

Index to financial statements

Report of independent registered public accounting firm

Consolidated balance sheets

Consolidated statements of operations

Consolidated statements of comprehensive loss

Consolidated statements of stockholders’ equity

Consolidated statements of cash flows

Notes to consolidated financial statements

44

Page

45

48

49

50

51

52

53

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Shareholders and the Board of Directors of Vocera Communications, Inc.

Opinion on the Financial Statements

We have audited the accompanying consolidated balance sheets of Vocera Communications, Inc. and subsidiaries (the "Company") as of December 31, 2019 and
2018, the related consolidated statements of operations, comprehensive loss, stockholders' equity, and cash flows, for each of the three years in the period ended
December 31, 2019, and the related notes     (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, 2019 and 2018, and the results of its operations and its cash flows for each of the three
years in the period ended December 31, 2019, 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, 2019, 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 26, 2020, expressed an unqualified opinion on the Company's internal
control over financial reporting.

Change in Accounting Principle

As discussed in Note 1 to the financial statements, the Company has changed its method of accounting for leases effective January 1, 2019 using a modified
retrospective approach due to adoption of Accounting Standard Update 2016-02, Leases (Topic 842) (ASC 842).

Basis for Opinion

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

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

Critical Audit Matters

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

Revenue Recognition - Refer to Note 1 in the accompanying financial statements

Critical Audit Matter Description

As described in Note 1, the Company recognizes revenue upon transfer of control of promised products or services to customers in an amount that reflects the
consideration the Company expects to receive in exchange for those products or services. The Company offers products and services including its proprietary
communication badges, perpetual software licenses, cloud-based subscription, professional services, maintenance and support services, and extended hardware
warranties. Product revenue was $92.6 million and service revenue was $87.9 million for the year ended December 31, 2019.

45

Table of Contents

Significant judgment is exercised by the Company in determining revenue recognition for the Company’s customer contracts, and includes the following:

Identification and evaluation of terms and conditions within contracts that impact revenue recognition

•
• Determination of whether promised goods or services, such as hardware and software licenses, are capable of being distinct and are distinct in the context of

the Company’s customer contracts which leads to whether they should be accounted for as individual or combined performance obligations
• Determination of stand-alone selling prices for each distinct performance obligation and for products and services that are not sold separately
• Determination of transaction price and allocation of transaction price to identified performance obligations

We identified revenue recognition as a critical audit matter because of these significant judgments required by management. This required a high degree of auditor
judgment and an increased extent of effort when performing audit procedures to evaluate whether revenue was recognized to depict the transfer of promised
products or services to customers in an amount that reflects the consideration the Company expects to be entitled to in exchange for those goods or services.

How the Critical Audit Matter Was Addressed in the Audit

Our principal audit procedures related to the Company’s revenue recognition for these customer agreements included the following:

• We tested the effectiveness of controls related to the identification and evaluation of terms and conditions in contracts, determination of distinct performance

obligations, determination of the standalone selling prices, determination of transaction price, allocation of the transaction price to the performance obligations
in the contract, and recognition of revenue when, or as, the Company satisfies a performance obligation.

• We evaluated management’s significant accounting policies related to revenue recognition for reasonableness.
• We selected a sample of recorded revenue transactions and performed the following procedures:

▪ Obtained and read customer purchase orders and the underlying contract for each selection, including master agreements and related amendments to

evaluate if relevant contractual terms have been appropriately considered by management.

▪ Evaluated management’s application of their accounting policy and tested revenue recognition for specific performance obligations by comparing

management’s conclusions to the underlying master agreement and any related amendments.

▪ Tested the mathematical accuracy of management’s calculations of revenue and the associated timing of revenue recognized in the financial

statements.

• We evaluated the reasonableness of management’s estimate of standalone selling prices for products and services that are not sold separately by performing the

following:

▪ Assessed the appropriateness of the Company’s methodology and mathematical accuracy of the determined standalone selling prices.
▪ Tested the completeness and accuracy of the source data utilized in management’s calculations.

/s/ DELOITTE & TOUCHE LLP

San Jose, California    
February 26, 2020  

We have served as the Company's auditor since 2014.

46

Table of Contents

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the shareholders and the Board of Directors of Vocera Communications, Inc.

Opinion on Internal Control over Financial Reporting

We have audited the internal control over financial reporting of Vocera Communications, Inc. and subsidiaries (the “Company”) as of December 31, 2019, 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, 2019, based on
criteria established in Internal Control - Integrated Framework (2013) issued by COSO.

We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the consolidated financial
statements as of and for the year ended December 31, 2019, of the Company and our report dated February 26, 2020, expressed  an unqualified opinion on those
financial statements.

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 26, 2020

47

Table of Contents

Vocera Communications, Inc.

Consolidated Balance Sheets
(In Thousands, Except Share and Par Amounts) 

Assets

Current assets

Cash and cash equivalents

Short-term investments

Accounts receivable, net

Other receivables

Inventories

Prepaid expenses and other current assets

Total current assets

Property and equipment, net

Intangible assets, net

Goodwill

Deferred commissions

Other long-term assets

Total assets

Liabilities and stockholders' equity

Current liabilities

Accounts payable

Accrued payroll and other current liabilities

Deferred revenue, current

Total current liabilities

Deferred revenue, long-term

Convertible senior notes, net

Other long-term liabilities

Total liabilities

Commitments and contingencies (Note 9)

Stockholders' equity

Preferred stock, $0.0003 par value - 5,000,000 shares authorized as of December 31, 2019 and December 31, 2018;
zero shares issued and outstanding

Common stock, $0.0003 par value - 100,000,000 shares authorized as of December 31, 2019 and December 31, 2018;
31,660,709 and 30,708,138 shares issued and outstanding as of December 31, 2019 and December 31, 2018,
respectively

Additional paid-in capital

Accumulated other comprehensive income (loss)

Accumulated deficit

Total stockholders’ equity

Total liabilities and stockholders’ equity

December 31,

2019

2018

$

25,704   $

204,164  

42,547  

6,312  

4,576  

5,149  

34,276

186,894

40,127

4,148

4,350

4,691

288,452  

274,486

8,661  

5,461  

49,246  

10,477  

8,158  

7,468

9,070

49,246

10,303

1,525

370,455   $

352,098

$

$

6,036   $

14,757  

50,033  

70,826  

11,442  

117,178  

7,184  

206,630  

—  

9  

313,963  

179  

(150,326)  

163,825  

4,217

12,885

44,053

61,155

14,579

110,540

2,957

189,231

—

9

295,647

(443)

(132,346)

162,867

352,098

$

370,455   $

The accompanying notes are an integral part of these consolidated financial statements.

48

 
 
 
 
   
 
   
 
   
 
   
 
 
   
Table of Contents

Revenue

Product

Service

Total revenue

Cost of revenue

Product

Service

Total cost of revenue

Gross profit

Operating expenses

Research and development

Sales and marketing

General and administrative

Total operating expenses

Loss from operations

Interest income

Interest expense

Other expense, net

Loss before income taxes

Benefit from (provision for) income taxes

Net loss

Net loss per share:

Basic and diluted

Weighted average shares used to compute net loss per share:

Basic

Diluted

Vocera Communications, Inc.

Consolidated Statements of Operations
(In Thousands, Except Per Share Amounts)

Years ended December 31,

2019

2018

2017

$

92,561   $

97,447   $

87,940  

180,501  

29,039  

42,363  

71,402  

109,099  

34,280  

63,168  

25,774  

123,222  

(14,123)  

5,110  

(8,789)  

(158)  

(17,960)  

(20)  

(17,980)  

82,183  

179,630  

27,425  

40,318  

67,743  

111,887  

30,879  

62,214  

25,099  

118,192  

(6,305)  

3,044  

(5,241)  

(1,523)  

(10,025)  

351  

(9,674)  

91,585

74,404

165,989

27,244

37,683

64,927

101,062

27,685

60,107

23,970

111,762

(10,700)

604

—

(42)

(10,138)

(759)

(10,897)

$(0.57)  

$(0.32)  

$(0.38)

31,273  

31,273  

30,041  

30,041  

28,655

28,655

The accompanying notes are an integral part of these consolidated financial statements.

49

 
  
 
 
 
 
   
   
 
   
   
 
   
   
 
 
   
   
 
   
   
 
   
   
Table of Contents

Vocera Communications, Inc.

Consolidated Statements of Comprehensive Loss
(In Thousands)

Net loss

Other comprehensive loss, net:

Change in unrealized gain (loss) on investments, net of tax

Comprehensive loss

Years ended December 31,

2019

2018

2017

(17,980)   $

(9,674)   $

(10,897)

622  

(17,358)   $

(252)  

(9,926)   $

(122)

(11,019)

$

$

The accompanying notes are an integral part of these consolidated financial statements.

50

  
 
 
 
 
   
   
Table of Contents

Balance at January 1, 2017

Exercise of stock options
RSUs released net of shares withheld for tax settlement
Common stock issued under employee stock purchase plan
Effect of change in accounting principle related to stock-based
compensation 
Employee stock-based compensation expense
Net loss
Other comprehensive loss
Balance at December 31, 2017

Exercise of stock options
RSUs released net of shares withheld for tax settlement
Common stock issued under employee stock purchase plan
Equity component of convertible senior notes, net
Employee stock-based compensation expense
Net loss
Other comprehensive loss
Balance at December 31, 2018

Exercise of stock options
RSUs released net of shares withheld for tax settlement
Common stock issued under employee stock purchase plan
Employee stock-based compensation expense
Net loss
Other comprehensive gain
Balance at December 31, 2019

Vocera Communications, Inc.
Consolidated Statements of Stockholders' Equity
(In Thousands, except share amounts)

Common stock

Shares

Amount

Additional 
paid-in 
capital

Accum. other 
comprehensive 
income (loss)

27,568,103 $
1,085,041
599,440
159,532

8 $
1
—
—

230,605 $
7,916
(8,990)
2,750

—
—
—
—

29,412,116
531,788
606,808
157,426
—
—
—
—

30,708,138
187,174
610,024
155,373
—
—
—

—
—
—
—

9
—
—
—
—
—
—
—

9
—
—
—
—
—
—

377
18,196
—
—

250,854
7,334
(10,082)
3,270
23,307
20,964
—
—

295,647
2,439
(11,460)
3,472
23,865
—
—

(69)
—
—
—

—
—
—
(122)

(191)
—
—
—
—
—
—
(252)

(443)
—
—
—
—
—
622

Accumulated 
deficit

$

(111,398) $

—
—
—

(377)
—
(10,897)
—

(122,672)
—
—
—
—
—
(9,674)
—

(132,346)
—
—
—
—
(17,980)
—

31,660,709 $

9 $

313,963 $

179

$

(150,326) $

Total 
stockholders’ 
equity

119,146
7,917
(8,990)
2,750

—
18,196
(10,897)
(122)

128,000
7,334
(10,082)
3,270
23,307
20,964
(9,674)
(252)

162,867
2,439
(11,460)
3,472
23,865
(17,980)
622

163,825

The accompanying notes are an integral part of these consolidated financial statements

51

 
 
Table of Contents

Vocera Communications, Inc.

Consolidated Statements of Cash Flows
(In Thousands)

Cash flows from operating activities

Net loss

Adjustments to reconcile net loss to net cash provided by (used in) operating activities:

Years ended December 31,

2019

2018

2017

$

(17,980)

  $

(9,674)   $

(10,897)

Depreciation and amortization

Inventory provision

Change in lease-related performance obligations

Stock-based compensation expense

Amortization of debt discount and issuance costs

Other

Changes in assets and liabilities

Accounts receivable

Other receivables

Inventories

Prepaid expenses and other assets

 Deferred commissions

Accounts payable

Accrued payroll and other liabilities

Deferred revenue

Net cash provided by operating activities

Cash flows from investing activities

Payment for purchase of property and equipment

Purchase of short-term investments

Maturities of short-term investments

Net cash used in investing activities

Cash flows from financing activities

Cash from lease-related performance obligations

Proceeds from issuance of the convertible senior notes, net of issuance costs

Payments for purchase of capped costs

Proceeds from issuance of common stock from the employee stock purchase plan

Proceeds from exercise of stock options

Tax withholdings paid on behalf of employees for net share settlement

Net cash provided by (used in) financing activities

Net increase (decrease) in cash and cash equivalents

Cash and cash equivalents at beginning of period

Cash and cash equivalents at end of period

Supplemental cash flow information

Cash paid for interest

Cash paid for income taxes

Supplemental disclosure of non-cash investing and financing activities

Property and equipment in accounts payable and accrued liabilities

7,289

67

(1,173)

23,865

6,638

1,016

(2,420)

(2,064)

(293)

(880)

(174)

1,475

(2,431)

2,843

15,778

(4,576)

(137,508)

121,548

(20,536)

1,735

—  
—  

3,472

2,440

(11,461)

(3,814)

(8,572)

34,276

25,704

  $

2,156

345

  $
  $

7,662  
362  
(998)  
20,964  
3,899  
22  

(5,017)  
(2,810)  
(1,898)  
(592)  
(2)  
1,527  
(2,629)  
3,482  
14,298  

(4,892)  
(206,824)  
72,183  
(139,533)  

340  
138,854  
(8,907)  
3,269  
7,327  
(10,098)  
130,785  
5,550  
28,726  
34,276   $

1,066   $
216   $

458

  $

114   $

7,643

380

(864)

18,196

—

26

(10,963)

(120)

1,361

(866)

121

(611)

(1,104)

5,434

7,736

(2,834)

(67,426)

53,831

(16,429)

693

—

—

2,750

7,917

(8,974)

2,386

(6,307)

35,033

28,726

—

342

102

$

$

$

$

The accompanying notes are an integral part of these consolidated financial statements.

52

  
 
 
 
 
   
   
 
   
   
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
   
   
 
   
   
Table of Contents

1.

The Company and Summary of Significant Accounting Policies

Notes to Consolidated Financial Statements

Background

Vocera Communications, Inc. and its subsidiaries (collectively, the Company) is a provider of secure, integrated, intelligent communication and clinical workflow
solutions, focused on empowering mobile workers in healthcare, hospitality, retail, energy, education and other mission-critical mobile work environments, in the
United States and internationally. The significant majority of the Company's business is generated from sales of its solutions in the healthcare market to help its
customers improve quality of care, safety, patient and staff experience and increase operational efficiency.

The  Vocera  communication  and  collaboration  solution  includes:  an  intelligent  enterprise  software  platform;  a  lightweight,  wearable,  voice-controlled
communication badge and newly introduced Smartbadge; and smartphone applications. The solution enables users to connect instantly with other staff simply by
saying the name, function or group name of the desired recipient. It also delivers HIPAA-compliant secure text messages, alerts and alarms directly to a range of
smartphones or the Smartbadge both inside and outside the hospital, replacing legacy pagers and in-building wireless phones.

The Company was incorporated in Delaware on February 16, 2000. The Company formed wholly-owned subsidiaries Vocera Communications UK Ltd and Vocera
Communications Australia Pty Ltd. in 2005, Vocera Canada, Ltd. in 2010, Vocera Communications India Private Ltd. in 2013, Vocera Communications Middle
East FZ LLC in 2014 and acquired Extension, LLC in 2016.

Since its inception, the Company has incurred significant losses and, as of December 31, 2019, had an accumulated deficit of $150.3 million. The Company has
funded its operations primarily with customer payments for its products and services, proceeds from the issuance of common stock in connection with its initial
public offering (IPO) and follow-on offering and proceeds from the issuance of convertible senior notes. As of December 31, 2019, the Company had cash, cash
equivalents and short-term investments of $229.9 million.

The Company believes that its existing sources of liquidity will satisfy its working capital and capital requirements for at least the next twelve months.

Basis of presentation

The consolidated financial statements include the accounts of Vocera Communications, Inc. and its wholly owned subsidiaries. All inter-company transactions and
balances have been eliminated in consolidation. The accompanying notes are prepared in accordance with accounting principles generally accepted in the United
States (GAAP).

Use of estimates and reclassifications

The preparation of financial statements in conformity with GAAP requires the Company to make estimates and assumptions that affect the reported amounts of
assets  and  liabilities  and  disclosure  of  contingent  assets  and  liabilities  at  the  date  of  the  financial  statements  and  the  reported  amounts  of  revenue  and  expense
during  the  reporting  periods.  The  estimates  include,  but  are  not  limited  to,  revenue  recognition,  warranty  reserves,  inventory  reserves,  bonuses,  goodwill  and
intangible  assets,  stock-based  compensation  expense,  provisions  for  income  taxes  and  contingencies.  Actual  results  could  differ  from  these  estimates,  and  such
differences could be material to the Company’s financial position and results of operations.

Cash, cash equivalents and short-term investments

The  Company’s  cash  equivalents  and  short-term  investments  consist  of  money  market  funds,  commercial  paper,  U.S.  government  agency  notes,  U.S.  Treasury
notes and corporate debt. These investments are classified as available-for-sale securities and are carried at fair value with the unrealized gains and losses reported
as  a  component  of  stockholders’  equity.  Management  determines  the  appropriate  classification  of  its  investments  at  the  time  of  purchase  and  re-evaluates  the
available-for-sale  designations  as  of  each  balance  sheet  date.  Investments  with  an  original  purchase  maturity  of  three  months  or  less  are  classified  as  cash
equivalents, all those with longer maturities are classified as short-term investments, which are available-for-sale.

Allowance for doubtful accounts

The allowance for doubtful accounts reflects the Company’s best estimate of probable losses inherent in the Company’s receivables portfolio determined on the
basis  of  historical  experience,  specific  allowances  for  known  troubled  accounts  and  other  currently  available  evidence.  The  Company  has  not  experienced
significant credit losses from its accounts receivable. The Company performs a regular review of its customers’ payment histories and associated credit risks as it
does not require collateral from its customers.

53

Table of Contents

No allowance for doubtful accounts was recorded in the years ended December 31, 2019, 2018 or 2017.

Inventories

Inventories are valued at the lower of standard cost (which approximates actual cost on a first-in, first-out basis) or market (net realizable value or replacement
cost).  The  Company  assesses  the  valuation  of  inventory  and  periodically  writes  down  the  value  for  estimated  excess  and  obsolete  inventory  based  upon
assumptions about future demand and market conditions.

Concentration of credit risk and other risks and uncertainties

Financial  instruments  that  subject  the  Company  to  concentration  of  credit  risk  consist  primarily  of  cash,  cash  equivalents  and  short-term  investments.  The
Company’s cash and cash equivalents are primarily deposited with high quality financial institutions and in money market funds. Deposits at these institutions and
funds may, at times, exceed federally insured limits. Management believes that these financial institutions and funds are financially sound and, accordingly, that
minimal credit risk exists. The Company has not experienced any losses on its deposits of cash and cash equivalents. Marketable securities are stated at fair value
and accounted for as available-for-sale within short-term investments. The counterparties to the agreements relating to the Company’s investment securities consist
of major corporations, financial institutions and government agencies of high credit standing.

The  primary  hardware  components  of  the  Company’s  products  are  currently  manufactured  by  third-party  contractors  in  Mexico  and  Taiwan.  A  significant
disruption  in  the  operations  of  these  contractors  may  impact  the  production  of  the  Company’s  products  for  a  substantial  period  of  time,  which  could  harm  the
Company’s business, financial condition and results of operations.

Concentration  of  credit  risk  with  respect  to  trade  accounts  receivable  is  considered  to  be  limited  due  to  the  diversity  of  the  Company’s  customer  base  and
geographic sales areas. At December 31, 2019 and 2018, no customer accounted for 10% or more of accounts receivable. At December 31, 2019 and 2018, one
reseller represented 19.3% and 26.4%, respectively of accounts receivable. For the years ended December 31, 2019, 2018 and 2017, no customer represented 10%
or more of revenue.

Property and equipment

Property and equipment  are stated  at cost and depreciated  on a straight-line  basis over the estimated  useful economic  lives of the assets. Assets generally  have
useful economic lives of three years except for leasehold improvements, which are amortized using the straight-line method over the shorter of the remaining lease
term  or  the  estimated  useful  life  of  the  related  assets.  Purchased  software  also  generally  has  a  useful  economic  life  of  three  years,  except  for  major  ERP
implementations, for which the Company assumes a useful economic life of five years. Upon retirement or sale, the cost and related accumulated depreciation and
amortization  are  removed  from  the  consolidated  balance  sheet  and  the  resulting  gain  or  loss  is  reflected  in  operations.  Maintenance  and  repairs  which  are  not
considered improvements and do not extend the useful life of the assets are charged to operations as incurred.

The Company periodically reviews property and equipment for impairment whenever events or changes in circumstances indicate that the carrying amount of an
asset  is  impaired  or  the  estimated  useful  lives  are  no  longer  appropriate.  Fair  value  is  estimated  based  on  undiscounted  future  cash  flows.  If  indicators  of
impairment  exist  and  the  undiscounted  projected  cash  flows  associated  with  such  assets  are  less  than  the  carrying  amount  of  the  asset,  an  impairment  loss  is
recorded to write the asset down to its estimated fair values. To date, the Company has not recorded any impairment charges.

Internal-use software development costs 

For internal-use software, the Company capitalizes certain internal and external costs incurred in its acquisition and creation. Capitalized internal-use software is
included  in  property  and  equipment  amortized  on  a  straight-line  basis  over  the  estimated  useful  life  of  the  related  asset,  generally  three years.  Based  on  the
authoritative  guidance,  costs  incurred  either  before  or  after  the  period  satisfying  the  capitalization  criteria,  together  with  costs  incurred  for  training  and
maintenance, are expensed as incurred. For the years ended December 31, 2019, 2018 and 2017, the Company capitalized costs of $0.6 million, $0.7 million and
$0.3 million, respectively.

Goodwill and intangible assets

The Company allocates the purchase price of any acquisitions to tangible assets and liabilities and identifiable intangible assets acquired. Any residual purchase
price is recorded as goodwill.

Goodwill

Goodwill is tested for impairment at the reporting unit level at least annually, or more often if events or changes in circumstances indicate the carrying value may
not be recoverable. The Company has identified two operating segments (Product and Service) which management also considers to be reporting units. In testing
for goodwill impairment, the Company may elect to utilize a qualitative assessment to evaluate whether it is more likely than not that the fair value of a reporting
unit is less than its carrying value. If such qualitative assessment indicates that goodwill impairment is more likely than not, the Company performs a two-

54

 
Table of Contents

step  impairment  test.  The  Company  performed  its  goodwill  impairment  assessment  on  October  1,  2019  using  a  qualitative  assessment  and  determined  that  no
impairment  existed  as  of  the  date  of  the  impairment  test  because  the  fair  value  of  each  reporting  unit  more  likely  than  not  exceeded  its  carrying  value.  As  of
December 31, 2019, no changes in circumstances indicate that goodwill carrying values may not be recoverable.

Intangible assets

Intangible  assets  are  amortized  over  their  estimated  useful  lives.  Upon  completion  of  development,  acquired  in-process  research  and  development  assets  are
generally  considered  amortizable,  finite-lived  assets  and  are  amortized  over  their  estimated  useful  lives.  Finite-lived  intangible  assets  consist  of  customer
relationships, developed technology, trademarks, backlog and non-compete agreements. The Company evaluates intangible assets for impairment by assessing the
recoverability  of  these  assets  whenever  adverse  events  or  changes  in  circumstances  or  business  climate  indicate  that  expected  undiscounted  future  cash  flows
related to such intangible assets may not be sufficient to support the net book value of such assets. An impairment is recognized in the period of identification to
the extent the carrying amount of an asset exceeds the fair value of such asset. No impairment of intangible assets was recorded in the years ended December 31,
2019, 2018 or 2017.

Leases

The  Company  determines  if  an  arrangement  is  a  lease  at  inception.  Operating  leases  are  included  in  other  long-term  assets,  accrued  payroll  and  other  current
liabilities and other long-term liabilities on the consolidated balance sheets. Sales-type leases are included in other receivables, accrued payroll and other current
liabilities and other long-term liabilities on the consolidated balance sheets.  

The Company has elected an accounting policy to not recognize short-term leases (one year or less) on the consolidated balance sheet. The Company also elected
the package of practical expedients which applies to leases that commenced before the adoption date. By electing the package of practical expedients, the Company
did not need to reassess whether any existing contracts are or contained a lease or the lease classification for any existing leases.

Operating  lease  right-of-use  assets  and  operating  lease  liabilities  are  recognized  based  on  the  present  value  of  the  lease  payments  over  the  lease  term  at
commencement date. As most of the Company’s leases do not provide an implicit rate, the incremental borrowing rate is used based on the information available at
commencement date in determining the present value of future payments. For those leases that existed as of January 1, 2019, we used our incremental borrowing
rate based on information available at that date. We apply a portfolio approach for determining the incremental borrowing rate based on the applicable lease terms
and the current economic environment and we utilize available information regarding our borrowing rates. The operating lease right-of-use asset also includes any
lease  payments  made  and  excludes  lease  incentives.  Lease  terms  may  include  options  to  extend  or  terminate  the  lease  when  it  is  reasonably  certain  that  the
Company will exercise that option. Lease expense for minimum lease payments is recognized on a straight-line basis over the lease term. The Company accounts
for lease components and nonlease components as a single lease component.

Revenue recognition

The core principle of ASC 606 is to recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration
to which the entity expects to be entitled in exchange for those goods or services. This principle is achieved through applying the following five-step approach:

•

•

•

Identification of the contract, or contracts, with a customer - A contract with a customer exists when (i) the Company enters into an enforceable contract
with a customer that defines each party’s rights regarding the goods or services to be transferred and identifies the payment terms related to these goods or
services,  (ii)  the  contract  has  commercial  substance  and,  (iii)  the  Company  determines  that  collection  of  substantially  all  consideration  for  goods  or
services that are transferred is probable based on the customer’s intent and ability to pay the promised consideration. The Company applies judgment in
determining the customer’s ability and intention to pay, which is based on a variety of factors including the customer’s historical payment experience or,
in the case of a new customer, published credit and financial information pertaining to the customer. Customer payments received by the Company are
non-refundable.

Identification  of  the  performance  obligations  in  the  contract  - Performance  obligations  promised  in  a  contract  are  identified  based  on  the  goods  or
services that will be transferred to the customer that are capable of being both: a) functionally distinct, whereby the customer can benefit from the goods
or service  either  on their  own or together  with other  resources  that  are  readily  available  from  third  parties  or from  the Company, and  b) contractually
distinct,  whereby  the  transfer  of  the  goods  or  services  is  separately  identifiable  from  other  promises  in  the  contract.  To  the  extent  a  contract  includes
multiple promised goods or services, the Company applies judgment to determine whether promised goods or services are capable of being distinct and
distinct in the context of the contract. If these criteria are not met the promised goods or services are accounted for as a combined performance obligation.

Determination  of  the  transaction  price -  The  transaction  price  is  determined  based  on  the  consideration  to  which  the  Company  will  be  entitled  in
exchange for transferring goods or services to the customer.

55

Table of Contents

•

•

Allocation  of the  transaction  price  to the performance  obligations  in the contract - If the contract  contains a single  performance  obligation,  the entire
transaction price is allocated  to the single performance  obligation. Contracts that contain multiple performance obligations require an allocation of the
transaction price to each performance obligation based on a relative standalone selling price, (SSP) basis. The Company determines standalone selling
price based on the price at which the performance obligation is sold separately. If the standalone selling price is not observable through past transactions,
the Company estimates the standalone selling price taking into account available information such as market conditions and internally approved pricing
guidelines related to the performance obligations.

Recognition of revenue when, or as, the Company satisfies a performance obligation - The Company satisfies performance obligations either over time or
at a point in time as discussed in further detail below. Revenue is recognized at the time the related performance obligation is satisfied by transferring a
promised good or service to a customer.

Device revenue - In transactions where the Company delivers hardware, the Company considers itself to be the principal in the transaction and records

revenue and costs of goods sold on a gross basis. Hardware revenue is generally recognized upon transfer of control to the customer.

Software revenue - Revenue from the Company’s software products is generally recognized upon transfer of control to the customer. Additional software
revenue is derived from the sale of term licenses and cloud-based subscriptions, which can be renewed on a subscription basis. Revenue is generally recognized
upon shipment of hardware and perpetual licenses and, in the case of subscription software, ratably over the applicable term.

Maintenance and support revenue - The Company generates maintenance and support revenue primarily from post contract support (PCS) contracts, and,
to a lesser extent, from sales of extended warranties on the Vocera Badge. The majority of software sales are in conjunction with PCS contracts, which generally
have one-year terms. The Company recognizes revenue from PCS contracts ratably over the contractual service period. The service period typically commences
upon transfer of control of the corresponding software products to the customer. The Company recognizes revenue from extended warranty contracts ratably over
their contractual service period, which is primarily two years. This period starts one year from the date on which the transfer of control on the underlying hardware
occurs because the hardware generally carries a one-year warranty.

Professional  services  and  training  revenue  - Professional  services  and  training  revenue  is  generated  when  the  Company  installs  and  configures  its

software and devices at new or existing customer sites. The Company recognizes revenue related to professional services as they are performed.

Contracts with multiple performance obligations - Some of the Company’s contracts with customers contain multiple performance obligations. For these
contracts,  the  Company  accounts  for  individual  performance  obligations  separately  if  they  are  distinct.  The  transaction  price  is  allocated  to  the  separate
performance obligations on a relative stand-alone selling price basis. For deliverables that are routinely sold separately, such as maintenance and support on the
core offerings, the Company determines SSP by evaluating renewals over the trailing 12-months. For those that are not sold routinely, the Company determines
SSP based on its overall pricing trends and objectives, taking into consideration market conditions and other factors, including the value of the contracts and the
products sold.

Contract balances - The timing  of revenue  recognition  may differ  from  the  timing  of invoicing  to customers.  Accounts  receivable  are  recorded  at  the
invoiced amount and in the period the Company delivers goods or provides services or when the Company’s right to consideration is unconditional. Payment terms
on  invoiced  amounts  are  typically  30 days.  The  balance  of  accounts  receivable,  net  of  allowance  for  doubtful  accounts,  as  of  December  31,  2019  and  2018  is
presented  in  the  accompanying  consolidated  balance  sheets.  In  situations  where  revenue  recognition  occurs  before  invoicing,  an  unbilled  receivable  is  created,
which represents a contract asset. As of December 31, 2019 and 2018 contract assets totaling $4.3 million and $2.4 million, respectively, were included in other
receivables in the consolidated balance sheet.

Revenue from sales-type leases

A portion of the Company's sales are made through multi-year lease agreements with customers. When these arrangements are considered sales-type leases, upon
delivery of leased products to customers, the Company recognizes revenue for such products in an amount equal to the net present value of the minimum lease
payments.  Unearned  income  is  recognized  as  part  of  product  revenue  under  the  effective  interest  method.  The  Company  recognizes  revenue  related  to  certain
executory costs, including maintenance and extended warranty, ratably over the term of the underlying arrangements. The Company recognizes revenue related to
battery refresh executory costs when such executory costs are incurred.

Proceeds from transfers of sales-type leases to third-party financial companies are allocated between the net investment in sales-type leases and the executory cost
component for remaining service obligations based on relative present value. The difference

56

Table of Contents

between  the  amount  of  proceeds  allocated  to  the  net  investment  in  lease  and  the  carrying  value  of  the  net  investment  in  lease  is  included  in  product  revenue.
Proceeds allocated to the executory cost component are accounted for as financing liabilities.

For the year ended December 31, 2019, the Company transferred $3.5 million of lease receivables, recording a net loss of  $0.3 million and $1.7 million of new
financing liabilities for future performance of executory service obligations. For the year ended December 31, 2018, the Company transferred $0.4 million of lease
receivables, recording an immaterial net loss and $0.3 million of new financing liabilities for future performance of executory service obligations.

For lease receivables retained as of December 31, 2019 and 2018, the Company recorded $0.9 million and $0.7 million, respectively, of net investment in sales-
type leases, equivalent to the minimum lease payments for the delivered product.

Shipping and handling costs

Shipping and handling costs charged to customers are included in revenue and the associated expense is recorded in cost of revenue in the consolidated statements
of operations for all periods presented.

Research and development expenditures

Research and development  costs are charged  to operations  as incurred. Software development costs incurred  for external  products prior to the establishment  of
technological feasibility are included in research and development and are expensed as incurred. After technological feasibility is established, material software
development costs up to general availability of the software will be capitalized and amortized on a straight-line basis over the estimated product life, or based on
the ratio of current revenues to total projected product revenue, whichever is greater. To date, the time between the establishment of technological feasibility and
general  availability  has  been  very  short  and  therefore  no  significant  costs  have  been  incurred.  Accordingly,  the  Company  has  not  capitalized  any  software
development costs related to research and development expenditures.

Advertising costs

Advertising costs are included in sales and marketing expense and are expensed as incurred. Advertising costs for the years ended December 31, 2019, 2018 and
2017 were immaterial.

Product warranties

The  Company  offers  warranties  on  certain  products  and  records  a  liability  for  the  estimated  future  costs  associated  with  warranty  claims,  which  is  based  upon
historical experience and the Company’s estimate of the level of future costs. The Company provides for the estimated costs of hardware warranties at the time the
related revenue is recognized. Costs are estimated based on historical and projected product failure rates, historical and projected repair costs, and knowledge of
specific product failures (if any). The specific hardware warranty includes parts and labor over a period generally ranging from one to three years. The Company
provides  no  warranty  for  software.  The  Company  regularly  re-evaluates  its  estimates  to  assess  the  adequacy  of  the  recorded  warranty  liabilities  and  adjust  the
amounts as necessary. Warranty costs are reflected in the consolidated statement of operations as cost of revenue.

Stock-based compensation

Stock-based compensation is measured at grant date based on the fair value of the award using the grant date closing stock price and is expensed on a straight-line
basis over the requisite service period.

Income taxes

The  Company  uses  the  asset  and  liability  method  of  accounting  for  income  taxes.  Under  this  method,  the  Company  records  deferred  income  taxes  based  on
temporary differences between the financial reporting and tax bases of assets and liabilities and use enacted tax rates and laws that the Company expects will be in
effect when they recover those assets or settle those liabilities, as the case may be, to measure those taxes. In cases where the expiration date of tax carryforwards
or the projected operating results indicate that realization is not likely, the Company provides for a valuation allowance. Valuation allowances are established when
necessary to reduce deferred tax assets to the amounts expected to be realized.

The Company has deferred tax assets, resulting from net operating losses, research and development credits and temporary differences that may reduce taxable
income  in future  periods.  A valuation  allowance  is  required  when  it  is more  likely  than  not  that  all  or a  portion  of a  deferred  tax  asset  will not  be realized.  In
assessing the need for a valuation allowance, the Company estimates future taxable income, considering the feasibility of ongoing tax-planning strategies and the
realizability of tax loss carryforwards. Valuation allowances related to deferred tax assets can be impacted by changes in tax laws, changes in statutory tax rates
and future taxable income levels. If the Company were to determine that it would be able to realize its deferred tax assets in the future in excess of the net carrying
amounts, it would decrease the recorded valuation allowance through an increase to income in the period in which that determination is made. Due to the history of
losses the Company has generated in the past, the Company believes that it is not more likely than not that all of the deferred tax assets in the U.S. and Canada can
be realized as

57

Table of Contents

of December 31, 2019 and 2018, respectively. Accordingly, the Company has recorded a full valuation allowance on its deferred tax assets for these years.

At December 31, 2019, the Company had a valuation allowance against net deferred tax assets of $40.4 million.

There is inherent uncertainty in evaluating the sustainability of the income tax positions the Company takes on its tax returns. The Company assesses its income tax
positions and records tax benefits for all years subject to examination based upon management’s evaluation of the facts, circumstances and information available at
the reporting date. For those tax positions where it is more likely than not that a tax benefit will be sustained, the Company has recorded the highest amount of tax
benefit with a greater than 50% likelihood of being realized upon ultimate settlement with a taxing authority that has full knowledge of all relevant information.
For  those  income  tax  positions  where  it  is  not  more  likely  than  not  that  a  tax  benefit  will  be  realizable,  no  tax  benefit  has  been  recognized  in  the  financial
statements.

The  Company  includes  interest  and  penalties  with  income  taxes  in  the  accompanying  statement  of  operations.  All  of  the  Company’s  net  operating  losses  and
research credit carryforwards are subject to adjustment by tax authorities and all years after 2012 are still subject to tax authority examinations. The Company is
currently not subject to any income tax audit examinations by tax authorities in any jurisdictions including U.S. federal, state and local or foreign countries.

Foreign currency translation

The functional currency of the Company’s foreign subsidiaries is the U.S. dollar.  Accordingly, monetary assets and liabilities in non-functional currency of these
subsidiaries are remeasured using exchange rates in effect at the end of the period. Revenues and costs in local currency are remeasured using average exchange
rates  for  the  period,  except  for  costs  related  to  those  consolidated  balance  sheet  items  that  are  remeasured  using  historical  exchange  rates.  The  resulting
remeasurement gains and losses are included in the Company’s consolidated statements of operations. Translation gains and losses have not been significant to
date.

Segments

Operating  segments  are  components  of  an  enterprise  for  which  separate  financial  information  is  available  and  is  evaluated  regularly  by  the  Company’s  chief
operating  decision  maker  in  deciding  how  to  allocate  resources  and  in  assessing  performance.  The  Company’s  chief  operating  decision  maker  is  the  Chief
Executive Officer. The Company has two operating segments which are both reportable business segments: (i) Product; and (ii) Service.

Comprehensive loss

For  the  years  ended  December  31,  2019, 2018 and  2017,  the  only  component  of  other  comprehensive  loss  was  unrealized  (losses)  gains  on  available-for-sale
securities.

Related party transactions

During the years ended December 31, 2019, 2018 and 2017, the Company had revenue transactions with a related party, the University of Chicago Medical Center
(UCMC),  for  $1.3 million, $0.4 million and  $0.4 million,  respectively,  relating  to  consulting  services  and  technology  solutions.  One  of  the  Company's  board
members is the President of UCMC.

Recently adopted accounting pronouncement

In February 2016, the FASB amended lease accounting requirements to begin recording assets and liabilities arising from leases on the balance sheet. The new
guidance requires significant additional disclosures about the amount, timing and uncertainty of cash flows from leases. We adopted this new guidance effective
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 elected the package of practical expedients permitted under the transition guidance within the new standard. The adoption of the standard resulted in
recognition of right-of-use assets, which includes the impact of existing deferred rents and tenant improvement allowances of $5.1 million and lease liabilities of
$6.7 million as of January 1, 2019. The standard did not affect our consolidated net earnings or cashflows.

In February 2018, the FASB issued new guidance which allows a reclassification from accumulated other comprehensive income to retained earnings for stranded
tax effects resulting from the Tax Cuts and Jobs Act and required certain disclosures about stranded tax effects. We adopted this standard effective January 1, 2019
on a prospective basis. The adoption of this guidance did not have an impact on the Company’s consolidated financial statements.

In August 2018, the SEC adopted the final rule under SEC Release No. 33-10532, Disclosure Update and Simplification, amending certain disclosure requirements
that  were  redundant,  duplicative,  overlapping,  outdated  or  superseded.  In  addition,  the  amendments  expanded  the  disclosure  requirements  on  the  analysis  of
stockholders' equity for interim financial statements. Under the amendments, an analysis of changes in each caption of stockholders' equity presented in the balance
sheet must be provided in a

58

Table of Contents

note or separate statement. The analysis should present a reconciliation of the beginning balance to the ending balance of each period for which a statement of
comprehensive income is required to be filed. This final rule was effective on November 5, 2018. The Company adopted this guidance in the first quarter of fiscal
year 2019. The adoption of this guidance did not have an impact on the Company's consolidated financial statements.

Recent accounting pronouncements

In  June  2016,  the  FASB  issued  new  guidance  related  to  the  accounting  for  credit  losses  on  instruments  for  both  financial  services  and  non-financial  services
entities. The new guidance introduces an approach based on expected losses to estimate credit losses on certain types of financial instruments. It also modifies the
impairment model for available-for-sale debt securities and provides for a simplified accounting model for purchased financial assets with credit deterioration since
their origination. The guidance will be effective for us beginning January 1, 2020. Early adoption is permitted. The Company is currently evaluating the impact of
this new guidance on its consolidated financial statements.

In  January  2017,  the  FASB  issued  new  guidance  to  simplify  the  accounting  for  goodwill  impairment.  The  guidance  simplifies  the  measurement  of  goodwill
impairment by removing step 2 of the goodwill impairment test, which requires the determination of the fair value of individual assets and liabilities of a reporting
unit.  The new guidance requires goodwill impairment to be measured as the amount by which a reporting unit’s carrying value exceeds its fair value; however, the
loss recognized should not exceed the total amount of goodwill allocated to that reporting unit. The amendments should be applied on a prospective basis.  The
new  standard  is  effective  for  fiscal  years  beginning  after  December  15,  2019  with  early  adoption  permitted  for  interim  or  annual  goodwill  impairment  tests
performed after January 1, 2017. The Company is evaluating the impact of this new accounting guidance on its consolidated financial statements.

2.

Revenue, deferred revenue and deferred commissions

Disaggregation of Revenue

A  typical  sales  arrangement  involves  multiple  arrangements,  such  as  sales  of  the  Company’s  proprietary  communication  device  ("Vocera  Badge"),  perpetual
software licenses, professional services, and maintenance and support services which entitle customers to unspecified upgrades, patch releases and telephone-based
support.  The  following  table  depicts  the  disaggregation  of  revenue  according  to  revenue  type  and  is  consistent  with  how  the  Company  evaluates  its  financial
performance:

(in thousands)

Revenue

Product

Device

Software

Total product

Service

Maintenance and support

Professional services and training

Total service

Total revenue

Costs to obtain and fulfill a contract

Years ended December 31,

2019

2018

2017

  $

61,224   $

60,130   $

31,337  

92,561  

68,846  

19,094  

87,940  

37,317  

97,447  

62,267  

19,916  

82,183  

  $

180,501   $

179,630   $

61,746

29,839

91,585

52,342

22,062

74,404

165,989

The  Company  capitalizes  certain  incremental  contract  acquisition  costs  consisting  primarily  of  commissions  paid  and  the  related  payroll  taxes  when  customer
contracts are signed. The Company determines whether costs should be deferred based on its sales compensation plans, if the commissions are incremental and
would not have been incurred absent the execution of the customer contract. Sales commissions for renewals of customer contracts are not commensurate with the
commissions paid for the acquisition of the initial contract given the substantive difference in commission rates in proportion to their respective contract values.
Commissions paid upon the initial acquisition of a contract are amortized over the estimated period of benefit, which may exceed the term of the initial contract.
Accordingly,  amortization  of  deferred  costs  is  recognized  on  a  systematic  basis  that  is  consistent  with  the  pattern  of  revenue  recognition  allocated  to  each
performance obligation and is included in sales and marketing expense in the consolidated statements of operations. The Company determines its estimated period
of benefit, up to five years, by evaluating the expected renewals of its customer contracts, the duration of its relationships with its customers and other factors.
Deferred

59

  
 
 
 
 
   
   
   
   
   
   
 
 
   
   
   
 
 
 
Table of Contents

costs are periodically reviewed for impairment. Changes in the balance of total deferred commissions (contract asset) during the year ended December 31, 2019
and 2018 are as follows:

(in thousands)

Deferred commissions

(in thousands)

Deferred commissions

December 31, 2018

Additions

Commissions
Recognized

December 31, 2019

10,303   $

7,761   $

(7,587)

  $

10,477

December 31, 2017

Additions

Commissions
Recognized

December 31, 2018

10,301   $

8,327   $

(8,325)

  $

10,303

$

$

Of  the  $10.5  million total  deferred  commissions  balance  as  of  December  31,  2019,  the  Company  expects  to  recognize  approximately  49.0% as  commission
expense over the next 12 months and the remainder thereafter.

Deferred revenue

The  Company  records  deferred  revenue  when  cash  payments  are  received  in  advance  of  the  performance  under  the  contract.  The  current  portion  of  deferred
revenue represents the amounts that are expected to be recognized as revenue within one year of the consolidated balance sheet date. Changes in the balance of
total deferred revenue (contract liability) during the years ended December 31, 2019 and 2018 are as follows:

(in thousands)

Deferred revenue

(in thousands)

Deferred revenue

December 31, 2018

Additions

  Revenue Recognized  

December 31, 2019

58,632   $

82,042   $

(79,199)   $

61,475

December 31, 2017

Additions

  Revenue Recognized  

December 31, 2018

55,151   $

77,969   $

(74,488)   $

58,632

$

$

Revenue recognized during the year ended December 31, 2019 from deferred revenue balances as of December 31, 2018 was $48.6 million. Revenue recognized
during the year ended December 31, 2018 from deferred revenue balances as of December 31, 2017 was $42.6 million.

The “contracted but not recognized” performance obligations represent the Company’s deferred revenue and non-cancelable backlog amounts. This balance as of
December 31, 2019 was $123.5 million, of which the Company expects to recognize approximately 66% of the revenue over the next 12 months and the remainder
thereafter.

3. Fair value of financial instruments

The carrying values of the Company’s cash and cash equivalents and short-term investments approximate their fair value due to their short-term nature. As a basis
for determining the fair value of its assets and liabilities, the Company utilizes a three-tier fair value hierarchy which prioritizes the inputs used in measuring fair
value  as  follows:  (Level  1)  observable  inputs  such  as  quoted  prices  in  active  markets;  (Level  2)  inputs  other  than  the  quoted  prices  in  active  markets  that  are
observable either directly or indirectly; and (Level 3) unobservable inputs in which there is little or no market data which requires the Company to develop its own
assumptions.  This  hierarchy  requires  the  Company  to  use  observable  market  data,  when  available,  and  to  minimize  the  use  of  unobservable  inputs  when
determining fair value. For the years ended December 31, 2019, 2018 and 2017, there have been no transfers between Level 1 and Level 2 fair value instruments
and no transfers in or out of Level 3.

The Company's money market funds are classified within Level 1 of the fair value hierarchy because they are valued using quoted market prices. The fair value of
the Company's Level 2 fixed income securities are obtained from independent pricing services, which may use quoted market prices for identical or comparable
instruments or model-driven valuations using observable market

60

 
 
 
 
 
 
 
 
Table of Contents

data or other inputs corroborated by observable market data. The Company does not have any financial instruments which are valued using Level 3 inputs.

In addition to its cash, cash equivalents and short-term investments, the Company measures the fair value of its Convertible Senior Notes on a quarterly basis for
disclosure purposes. The Company considers the fair value of the Convertible Senior Notes at December 31, 2019 to be a Level 2 measurement due to limited
trading activity of the Convertible Senior Notes. Refer to Note 8 to the consolidated financial statements for further information.

The table below summarizes the Company’s assets that are measured at fair value on a recurring basis, by level, within the fair value hierarchy as of December 31,
2019 and 2018, respectively.

(in thousands)

Assets

Money market funds

Commercial paper

U.S. government agency securities

Corporate debt securities

Total assets measured at fair value

December 31, 2019

December 31, 2018

Level 1

Level 2

Total

Level 1

Level 2

Total

$

4,086 $

— $

4,086  

$

3,737 $

— $

—

—

—

12,854

3,000

188,310

12,854  

3,000  

188,310  

—

—

16,570

3,325

— 166,759

$

4,086 $

204,164 $

208,250  

$

3,737 $ 189,384 $

3,737

16,570

3,325

166,759

193,121

The financial accounts that are not subject to recurring fair value measurement include trade and other receivables, prepaid expenses and other current assets, total
current liabilities and deferred revenues, both current and long-term. Due to their short maturities, the carrying amounts of these accounts approximate their fair
values.
4. Cash, Cash Equivalents and Short-Term Investments

The following tables display gross unrealized gains and losses for cash, cash equivalents and available-for-sale investments for the periods presented:

(in thousands)

Cash and cash equivalents:

Demand deposits and other cash

Money market funds

Total cash and cash equivalents

Short-Term Investments:

Commercial paper

U.S. government agency securities

Corporate debt securities

Total short-term investments

December 31, 2019

Amortized
Cost

Unrealized
Gains

Unrealized
Losses

Fair
value

  $

21,618   $

4,086  

25,704  

12,861  

3,000  

187,866  

203,727  

—   $

—  

—  

—  

—  

499  

499  

—   $

—  

—  

(7)

—  

(55)

(62)

(62)

  $

21,618

4,086

25,704

12,854

3,000

188,310

204,164

229,868

Total cash, cash equivalents and short-term investments

  $

229,431   $

499   $

61

 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
   
   
   
   
 
 
   
   
   
   
 
 
 
 
 
 
 
Table of Contents

(in thousands)

Cash and cash equivalents:

Demand deposits and other cash

Money market funds

Commercial paper

Corporate debt securities

Total cash and cash equivalents

Short-Term Investments:

Commercial paper

U.S. government agency securities

U.S. Treasury securities

Corporate debt securities

Total short-term investments

  Amortized Cost

  Unrealized Gains

  Unrealized Losses

Fair value

December 31, 2018

  $

28,049   $

—   $

3,737  

2,491  

—  

34,277  

14,091  

3,339  

2,740  

167,110  

187,280  

—  

—  

—  

—  

—  

—  

—  

28  

28  

—   $

—  

(1)

—  

(1)

(11)

(14)

(10)

(379)

(414)

28,049

3,737

2,490

—

34,276

14,080

3,325

2,730

166,759

186,894

221,170

Total cash, cash equivalents and short-term investments

  $

221,557   $

28   $

(415)

  $

The  Company  has  determined  that  the  unrealized  losses  on  its  short-term  investments  as  of  December  31,  2019 and  2018 do  not  constitute  an  "other  than
temporary  impairment".  The unrealized  losses for the  short-term  investments  as of  December 31, 2019 and  2018 have all been in a continuous unrealized  loss
position for less than twelve months. The Company’s conclusion of no “other than temporary impairment” is based on the high credit quality of the securities, their
short remaining maturity and the Company’s intent and ability to hold such loss securities until maturity.

Classification of the cash, cash equivalent and short-term investments by contractual maturity was as follows:

(in thousands)

Balances as of December 31, 2019

Cash and cash equivalents (1)

Short-term investments

Cash, cash equivalents and short-term investments

Balances as of December 31, 2018

Cash and cash equivalents (1)

Short-term investments

Cash, cash equivalents and short-term investments

One year or

Between 1 and

shorter  

2 years  

Total

25,704   $

—   $

113,010  

91,154  

138,714   $

91,154   $

25,704

204,164

229,868

34,276   $

—   $

109,451  

77,443  

143,727   $

77,443   $

34,276

186,894

221,170

  $

  $

  $

  $

(1) Includes demand deposits and other cash, money market funds and other cash equivalent securities, all with 0-90 day maturity at purchase.

62

 
 
 
   
   
   
   
 
 
 
 
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
   
   
   
   
   
   
 
Table of Contents

5. Net loss per share

The following table presents the calculation of basic and diluted net loss per share:

(in thousands, except for share and per share amounts)

2019

2018

2017

Years ended December 31,

Numerator:

Net loss

Denominator:

$

(17,980)   $

(9,674)   $

(10,897)

Weighted-average shares used to compute net loss per common share - basic and diluted

31,273  

30,041  

28,655

Net loss per share

   Basic and diluted

$(0.57)  

$(0.32)  

$(0.38)

For the years ended December 31, 2019, 2018 and 2017, the following securities were not included in the calculation of diluted shares outstanding as the effect
would have been anti-dilutive:

(in thousands)

Options to purchase common stock

Restricted stock units

6. Goodwill and intangible assets

Goodwill

December 31,

2019

2018

2017

523  

1,461  

1,085  

1,925  

1,365

2,046

The Company had $49.2 million of goodwill as of December 31, 2019 and 2018, respectively. Goodwill is tested for impairment at the reporting unit level at least
annually or more often if events or changes in circumstances indicate the carrying value may not be recoverable. The Company has two reporting units: Product
and  Service.  As  of  December  31,  2019, $41.2 million of  the  Company's  goodwill  resides  in  the  Product  reporting  unit  and  $8.0 million resides  in  the  Service
reporting unit. The Company performed an impairment assessment in 2018 which determined that no impairment existed. For the years ended December 31, 2019
and 2018, the Company used the qualitative assessment permitted under authoritative accounting guidance. Among the qualitative factors considered were changes
since  the  prior  impairment  test  in  the  following:  industry  and  competitive  environment,  business  strategy,  product  mix,  buyer  and  supplier  bargaining  power,
potential market size, consistency in operating margins and cash flows, change in reporting unit or product life cycle stage and earnings quality and sustainability.
No impairment was recorded in the years ended December 31, 2019, 2018 or 2017.

Intangible assets

The  fair  values  for  acquired  intangible  assets  were  determined  by  management  with  consideration  of,  in  part,  valuations  performed  by  independent  valuation
specialists. Acquisition-related intangible assets are amortized over the life of the assets on an accelerated basis that approximates the expected economic benefit of
the  assets.  This  assumption  results  in  amortization  that  is  higher  in  earlier  periods  of  the  useful  life.  The  estimated  useful  lives  and  carrying  value  of  acquired
intangible assets are as follows:

(in thousands)

Intangible assets:

Customer relationships

Developed technology

Trademarks

Backlog

Non-compete agreements

Intangible assets, net book value

Weighted average
useful life
(years)

Gross
carrying
amount

Accumulated
amortization

Net
carrying
amount

Gross
carrying
amount

Accumulated
amortization

Net
carrying
amount

December 31, 2019

December 31, 2018

7 to 9

3 to 7

3 to 7

3

2 to 4

  $

  $

10,920   $
10,050  
1,110  
1,400  
460  
23,940   $

63

5,819   $
9,803  
1,110  
1,287  
460  
18,479   $

5,101   $
247  
—  
113  
—  
5,461   $

10,920   $
10,050  
1,110  
1,400  
460  
23,940   $

4,645   $
7,731  
831  
1,203  
460  
14,870   $

6,275

2,319

279

197

—

9,070

  
 
 
 
   
   
 
 
   
   
 
   
   
 
   
   
  
 
 
 
 
 
 
  
   
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
   
Table of Contents

Amortization of intangible assets was $3.6 million, $4.5 million and $4.6 million for the years ended December 31, 2019, 2018 and 2017, respectively.

Amortization  of  acquired  intangible  assets  is  reflected  in  the  cost  of  revenues  for  developed  technology  and  backlog  and  in  operating  expenses  for  the  other
intangibles. The estimated future amortization of acquired intangible assets as of December 31, 2019 was as follows:

(in thousands)

2020

2021

2022

2023

2024

     Future amortization expense

7. Consolidated balance sheet components

Inventories

(in thousands)

Raw materials

Finished goods

Total inventories

Property and equipment, net

(in thousands)

Computer equipment and software

Furniture, fixtures and equipment

Leasehold improvements

Manufacturing tools and equipment

Construction in process

Property and equipment, at cost

Less: Accumulated depreciation

Property and equipment, net

Future
amortization

1,356

1,130

1,050

1,050

875

5,461

  $

  $

December 31,

2019

2018

  $

  $

831   $

3,745  

4,576   $

197

4,153

4,350

December 31,

2019

2018

  $

13,596   $

2,430  

5,283  

2,435  

582  

24,326  

(15,665)  

  $

8,661   $

10,433

2,246

5,183

2,371

520

20,753

(13,285)

7,468

Depreciation and amortization expense for property and equipment for the years ended December 31, 2019, 2018 and 2017 was $3.7 million, $3.2 million and $3.0
million, respectively.

Net investment in sales-type leases

The Company has sales-type leases with terms of 3 to 4 years. Sales-type lease receivables are collateralized by the underlying equipment. The components of the
net investment in sales-type leases are as follows:

64

 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
 
 
 
 
Table of Contents

(in thousands)

Minimum payments to be received on sales-type leases

Less: Unearned interest income and executory revenue portion

Net investment in sales-type leases

Less: Current portion

Non-current net investment in sales-type leases

December 31,

2019

2018

$

$

2,078   $

(1,190)  

888  

(452)  

436   $

Sales-type lease activity recognized in the consolidated statement of operations are as follows:

(in thousands)

Lease revenue

Less: Cost of lease shipments

Gross profit

Interest income (expense), net on lease receivable

Initial direct cost incurred

Years ended December 31,

2019

2018

2017

$

$

$

$

6,394   $

(1,670)  

4,724   $

(18)   $

277   $

2,697   $

(212)  

2,485   $

(6)   $

140   $

2,111

(1,387)

724

(427)

297

2,932

(306)

2,626

9

167

There were no allowances for doubtful accounts on these leases as of December 31, 2019 and 2018. There is no guaranteed or unguaranteed residual value on the
leased equipment. The current and non-current net investments in sales-types leases are reported as components of the consolidated balance sheet captions "other
receivables" and "other long-term assets", respectively.
The minimum lease payments expected for future years under sales-type leases as of December 31, 2019 were as follows:

(in thousands)

2020

2021

2022

2023

     Total

Accrued payroll and other current liabilities

(in thousands)

Payroll and related expenses

Accrued payables

Operating lease liabilities, current portion

Lease financing, current portion

Product warranty

Customer prepayments

Sales and use tax payable

Other

        Total accrued payroll and other current liabilities

  $

65

Future lease payments

$

$

December 31,

2019

2018

  $

6,053   $

2,674  

2,323  

1,033  

420  

631  

599  

1,024  

14,757   $

998

615

387

78

2,078

7,241

2,115

—

956

376

629

379

1,189

12,885

 
 
 
 
 
 
 
   
   
 
  
 
 
 
 
 
 
 
 
 
 
Table of Contents

A reconciliation of the changes in the Company’s warranty reserve for the years ended December 31, 2019, 2018 and 2017 is as follows:

(in thousands)

Warranty balance at the beginning of the period

Warranty expense accrued for shipments during the period

Changes in estimate related to pre-existing warranties

Warranty settlements made

Total product warranty

Leases

Years ended December 31,

2019

2018

2017

376   $

353  

$

435  

(192)  

(199)  

468  

(223)  

(222)  

420   $

376  

$

596

503

(450)

(296)

353

$

$

The Company has operating leases for office space at its headquarters and subsidiaries under non-cancelable operating leases. Leases with an initial term of 12
months or less are not recorded on the balance sheet; lease expense for these leases is recognized on a straight-line basis over the lease term. The Company’s leases
have remaining lease terms of approximately one to five years. Operating lease cost, including short-term operating leases was $2.7 million, $2.7 million and $2.6
million for the years ended December 31, 2019, 2018 and 2017, respectively.

Supplemental balance sheet information related to leases was as follows:

(in thousands)

Other long-term assets

Accrued payroll and other current liabilities

Other long-term liabilities

Total operating lease liabilities

Other information related to leases was as follows:

(in thousands)

Supplemental Cash Flow Information

Cash paid for amounts included in the measurement of lease liabilities

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

Weighted average remaining lease term

Weighted average discount rate

66

December 31, 
2019

6,251

2,323

4,866

7,189

$

$

Year ended December 31,

2019

$

$

2,689

2,830

2.90 years

8%

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Maturities of lease liabilities as of December 31, 2019 are as follows:

(in thousands)

2020

2021

2022

2023

2024

Total maturities of lease liabilities

Less imputed interest

Total

Operating leases

$

$

$

2,852

3,043

1,385

442

353

8,075

(886)

7,189

As previously disclosed in our Annual Report on Form 10-K for the fiscal year ended December 31, 2018 and under the previous lease accounting standard ASC
840, the aggregate future non-cancelable minimum rental payments on our operating leases, as of December 31, 2018, are as follows:

(in thousands)

2019

2020

2021

2022

2023

Total maturities of lease liabilities

8.

Convertible Senior Notes

Operating leases

$

$

2,224

2,077

1,835

612

35

6,783

In May 2018, the Company issued $143.75 million aggregate principal amount of 1.50% Convertible Senior Notes due 2023, including $18.75 million aggregate
principal  amount  of  such  notes  pursuant  to  the  exercise  in  full  of  options  granted  to  the  initial  purchasers,  collectively  the  “Notes.”  The  Notes  are  unsecured,
unsubordinated  obligations  and  bear  interest  at  a  fixed  rate  of  1.50% per  annum,  payable  semi-annually  in  arrears  on  May  15  and  November  15  of  each  year,
commencing on November 15, 2018. The total net proceeds from the offering, after deducting initial purchase discounts and estimated debt issuance costs, were
approximately $138.9 million.

Each $1,000 principal amount of the Notes will initially be convertible into  31.0073 shares of the Company’s common stock, the “Conversion Option,” which is
equivalent  to  an  initial  conversion  price  of  approximately  $32.25 per  share,  subject  to  adjustment  upon  the  occurrence  of  specified  events.  The  Notes  will  be
convertible at the option of the holders at any time prior to the close of business on the business day immediately preceding February 15, 2023, only under the
following circumstances:

(1)  during  any  calendar  quarter  commencing  after  the  calendar  quarter  ending  on  June  30,  2018  (and  only  during  such  calendar  quarter),  if  the  last
reported sale price of the Company common stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days ending
on the last trading day of the immediately  preceding  calendar quarter  is greater  than or equal to 130% of the conversion price of the Notes on each applicable
trading day;

(2) during the five business day period after any  ten consecutive trading day period in which the trading price per $1,000 principal amount of the Notes
for each day of that ten day consecutive trading day period was less than 98% of the product of the last reported sale price of the Company’s common stock and the
conversion rate of the Notes on such trading day; or

(3) upon the occurrence of specified corporate events (as set forth in the indenture governing the Notes).

On or after February 15, 2023 until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert their
Notes  at  any  time,  regardless  of  the  foregoing  circumstances.  Upon  conversion,  the  Company  will  pay  or  deliver,  as  the  case  may  be,  cash,  shares  of  the
Company’s  common  stock  or  a  combination  of  cash  and  shares  of  the  Company’s  common  stock,  at  the  Company’s  election.  If  certain  specified  fundamental
changes occur (as set forth in the indenture governing the Notes) prior to the maturity date, holders of the Notes may require the Company to repurchase for cash
all or any portion of their Notes at a repurchase price equal to 100% of the principal amount of the Notes to be repurchased, plus accrued and unpaid interest to, but
excluding, the fundamental change repurchase date. In addition, if specific corporate events occur prior

67

Table of Contents

to the applicable maturity date, the Company will increase the conversion rate for a holder who elects to convert their notes in connection with such a corporate
event in certain circumstances. It is the Company’s current intent and policy to settle conversions through combination settlement which involves repayment of the
principal portion in cash and any excess of the conversion value over the principal amount in shares of its common stock. During the year ended December 31,
2019, the conditions allowing holders of the Notes to convert have not been met. The Notes are therefore not convertible during the year ended December 31, 2019
and are classified as long-term debt.

In accounting for the transaction, the Notes were separated into liability and equity components. The carrying amount of the liability component was calculated by
measuring  the  fair  value  of  a  similar  debt  instrument  that  does  not  have  an  associated  convertible  feature.  The  carrying  amount  of  the  equity  component
representing the Conversion Option was $33.4 million and was determined by deducting the fair value of the liability component from the par value of the Notes.
The equity component was recorded in additional paid-in capital and will be remeasured as long as it continues to meet the conditions for equity classification. The
excess of the principal amount of the liability component over its carrying amount, the “debt discount,” is amortized to interest expense over the contractual term
of the Notes at an effective interest rate of 7.6%.

In  accounting  for  the  debt  issuance  costs  of  $4.9  million related  to  the  Notes,  the  Company  allocated  the  total  amount  incurred  to  the  liability  and  equity
components of the Notes based on their relative values. Issuance costs attributable to the liability component were $3.8 million and will be amortized to interest
expense using the effective interest method over the contractual term of the Notes. Issuance costs attributable to the equity component were $1.1 million and are
included with the equity component in additional paid-in capital.

The Notes consist of the following:

(in thousands)

Liability:

   Principal

   Unamortized debt discount

   Unamortized issuance costs

     Net carrying amount

Stockholders’ equity:

   Debt discount for conversion option

   Issuance costs

     Net carrying amount

December 31, 
2019

December 31, 
2018

$

$

$

$

$

143,750   $

(23,880)  

(2,692)  

117,178   $

33,350   $

(1,136)   $

32,214   $

143,750

(29,846)

(3,364)

110,540

33,350

(1,136)

32,214

The total estimated fair value of the Notes as of December 31, 2019 was approximately $142.4 million. The fair value was determined based on the closing trading
price per $100 of the Notes as of the last day of trading for the period. The fair value of the Notes is primarily affected by the trading price of the Company’s
common stock and market interest rates. Based on the closing price of the Company’s common stock of $20.76 on December 31, 2019, the if-converted value of
the Notes of $92.5 million was less than their principal amount.     

Interest expense related to the Notes is as follows:

(in thousands)

Contractual interest expense

Amortization of debt discount

Amortization of issuance costs

Total interest expense

Year ended December 31,

2019

2018

$

$

2,150 $

5,966

673

8,789 $

1,342

3,504

395

5,241

68

 
 
   
 
 
   
 
   
 
Table of Contents

Capped Calls

In connection with the pricing of the Notes, the Company entered into privately negotiated capped call transactions with certain counterparties, the “Capped Calls.”
The Capped Calls each have an initial strike price of approximately $32.25 per share, subject to certain adjustments, which correspond to the initial conversion
price of the Notes. The Capped Calls have initial cap prices of $38.94 per share, subject to certain adjustments. The Capped Calls cover, subject to anti-dilution
adjustments, approximately 4.5 million shares of the Company’s common stock. Conditions that cause adjustments to the initial strike price of the Capped Calls
mirror conditions that result in corresponding adjustments for the Notes. The Capped Calls are generally intended to reduce or offset the potential dilution to the
Company’s  common  stock  upon  any  conversion  of  the  Notes  with  such  reduction  or  offset,  as  the  case  may  be,  subject  to  a  cap  based  on  the  cap  price.  For
accounting purposes, the Capped Calls are separate transactions, and not part of the terms of the Notes. As these transactions meet certain accounting criteria, the
Capped Calls are recorded in stockholders' equity and are not accounted for as derivatives. The cost of $8.9 million incurred in connection with the Capped Calls
was recorded as a reduction to additional paid-in capital.

The net impact to the Company’s stockholders' equity, included in additional paid-in capital, of the above components of the Notes is as follows:

(in thousands)

Conversion option

Purchase of capped calls

Issuance costs

Total

Impact on Earnings Per Share

December 31, 
2019

$

$

$

$

33,350

(8,907)

(1,136)

23,307

The Notes will not have an impact on the Company’s diluted earnings per share until they meet the criteria for conversion, as discussed above, as the Company
intends to settle the principal amount of the Notes in cash upon conversion. Under the treasury stock method, in periods when the Company reports net income, the
Company is required to include the effect of additional shares that may be issued under the Notes when the price of its’ common stock exceeds the conversion
price. However, upon conversion, there will be no economic dilution from the Notes until the average market price of the Company’s common stock exceeds the
cap price of $38.94 per share, as exercise of the capped calls offsets any dilution from the Notes from the conversion price up to the cap price. Capped Calls are
excluded from the calculation of diluted earnings per share, as they would be anti-dilutive under the treasury stock method.

9. Commitments and contingencies

Non-cancelable purchase commitments

The Company enters into non-cancelable purchase commitments with its third-party manufacturers whereby the Company is required to purchase any inventory
held  by  the  third-party  manufacturer  that  have  been  purchased  by  them  based  on  confirmed  orders  from  the  Company.  As  of  December  31,  2019 and  2018,
approximately $9.7 million and $11.1 million, respectively, of raw material inventory was purchased and held by the third-party manufacturer which was subject to
such purchase requirements.

Litigation         

The Company is currently, and from time to time, the Company may be, involved in lawsuits, claims, investigations and proceedings, consisting of intellectual
property, commercial, employment and other matters which arise in the ordinary course of business. The Company defends itself vigorously against any such
claims. Although the outcome of these matters is currently not determinable, management expects that any losses from existing matters that are probable or
reasonably possible of being incurred as a result of these matters would not be material to the financial statements as a whole.

10. Common Stock and Share-based Compensation

The Company’s certificate of incorporation, as amended, authorizes the Company to issue 100 million shares of $0.0003 par value common stock.

At December 31, 2019, the Company has 2,003,979 shares of common stock reserved for issuance under stock option plans.

69

Table of Contents

Incentive stock option plans

The Company has four equity incentive plans: the 2000 Stock Option Plan (the 2000 Plan), the 2006 Stock Option Plan (the 2006 Plan), the 2012 Stock Option
Plan (the 2012 Plan) and the 2016 Equity Inducement Plan (the 2016 Plan). On March 26, 2012, all shares that were reserved under the 2006 Plan but not subject to
outstanding awards became available for grant under the 2012 Plan. No additional shares will be issued under the 2006 Plan. The 2000 Plan terminated in March
2010 and no additional shares will be issued under this plan. All options currently outstanding under the 2000 Plan and the 2006 Plan continue to be governed by
the terms and conditions of those plans. The 2016 Plan was adopted by the Company's Board of Directors without shareholder approval pursuant to the inducement
exemption provided under the NYSE listing rules for the issuance of restricted stock units (RSUs) to employee's who joined the Company after the acquisition of
Extension Healthcare. No additional shares will be issued under the 2016 Plan. Under the 2012 Plan, the Company has the ability to issue incentive stock options
(ISOs), stock appreciation rights, restricted stock awards, RSUs, performance awards and stock bonuses. The ISOs will be granted at a price per share not less than
the fair value at date of grant.

Stock Option Activity

The following table summarizes the combined stock option activity under the 2000 Plan, the 2006 Plan and the 2012 Plan and non-plan stock option agreements:

Outstanding at December 31, 2018

Options granted

Options exercised

Options canceled

Outstanding at December 31, 2019

Options vested and expected to vest as of December 31, 2019

Options vested and exercisable as of December 31, 2019

Options outstanding

Weighted
average
exercise
price

Weighted
average
remaining
contractual term

Aggregate
intrinsic
value

13.31  

—    

13.03    

10.41    

13.41  

13.41  

13.41  

(in years)

(in thousands)

4.71   $

20,767

3.62   $

3.62   $

3.62   $

4,566

4,566

4,566

Number
of options

797,501   $

—  

(187,174)  

(4,000)  

606,327   $

606,327   $

606,327   $

At December 31, 2019, there was no unrecognized compensation cost related to options.

No  options  were  granted  during  the  years  ended  December  31,  2019,  2018  and  2017.  Further  information  regarding  the  value  of  employee  options  vested  and
exercised during the years ended December 31, 2019, 2018 and 2017 is set forth below.

(in thousands)

Years ended December 31,

2019

2018

2017

Intrinsic value of options exercised during period

  $

3,700   $

10,243   $

18,603

Employee Stock Purchase Plan

The  Company's  2012  Employee  Stock  Purchase  Plan  (ESPP)  allows  eligible  employees  to  purchase  shares  of  common  stock  at  a  discount  through  payroll
deductions of up to 15% of their eligible compensation, subject to any plan limitations. The ESPP provides for six-month offering periods.

At the end of each offering period, eligible employees are able to purchase shares at 85% of the lower of the fair market value of the Company's common stock on
the first trading day of the offering period or on the last day of the offering period. During the years ended December 31, 2019 and 2018, employees purchased
155,373 and 157,426 shares, respectively, of common stock at an average purchase price of  $22.35 and $20.77, respectively. As of December 31, 2019, 873,011
shares remained available for future issuance under the ESPP.

The Company uses the Black-Scholes option-pricing model to calculate the fair value of periodic ESPP offerings on their offer date. The following assumptions
were used for each respective period for the ESPP:

70

  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
   
 
 
 
  
 
 
 
 
Table of Contents

Expected term (in years)

Volatility

Risk-free interest rate

Dividend yield

Restricted Stock Units

Years ended December 31,

2019

0.5

33% - 50%

1.59% - 2.51%

0.0%

2018

0.5

33% - 37.8%

2.09% - 2.51%

0.0%

2017

0.5

29.0% - 32.0%

0.61% - 1.39%

0.0%

The Company issues RSUs as an element of its compensation plans.

A summary of the restricted stock activity for the year ended December 31, 2019 is presented below:

Outstanding at December 31, 2018

Granted

Vested

Forfeited

Outstanding at December 31, 2019

Restricted Stock Units

  Number of shares

Weighted Average
Grant Date Fair Value
per Share

1,807,180   $

845,437  

(978,785)  

(123,186)  

1,550,646   $

23.13

31.88

20.89

27.78

28.94

At December 31, 2019, there was $30.2 million of unrecognized compensation cost related to RSUs, which is expected to be recognized over a weighted-average
period of 1.65 years.

Allocation of Stock-Based Compensation Expense

Stock-based compensation expense is recognized based on a straight-line amortization method over the respective vesting period of the award. For the years ended
December 31, 2019, 2018 and 2017 the straight-line amortization is reduced by actual forfeitures. The Company estimated the expected forfeiture rate based on its
historical experience, considering voluntary termination behaviors, trends of actual award forfeitures, and other events that will impact the forfeiture rate. To the
extent the Company’s actual forfeiture rate is different from the estimate, the stock-based compensation expense is adjusted accordingly.

The following table presents the allocation of stock-based compensation expense:

(in thousands)

Cost of revenue

Research and development

Sales and marketing

General and administrative

Total stock-based compensation

11. Segments

Years ended December 31,

2019

2018

2017

  $

4,441   $

3,614   $

3,955  

7,014  

8,455  

2,976  

6,560  

7,814  

  $

23,865   $

20,964   $

2,871

2,122

6,563

6,640

18,196

The Company has two operating segments which are both reportable segments: (i) Product; and (ii) Service, which are comprised of the Company’s and its wholly-
owned subsidiaries’ results from operations. Operating segments are defined as components of an enterprise about which separate financial information is available
that  is  evaluated  regularly  by  the  chief  operating  decision  maker  (CODM),  or  decision-making  group,  in  deciding  how  to  allocate  resources  and  in  assessing
performance. The Company’s CODM is its Chief Executive Officer.

The CODM regularly receives information  related to revenue, cost of revenue, and gross profit for each operating segment, and uses this information to assess
performance  and  make  resource  allocation  decisions.  All  other  financial  information,  including  operating  expenses  and  assets,  is  prepared  and  reviewed  by  the
CODM on a consolidated basis.

71

  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
Table of Contents

Assets are not a measure used to assess the performance of the Company by the CODM, therefore the Company does not report assets by segment internally or in
its financial statements.

The following table presents a summary of the operating segments:

(in thousands)

Revenue

Product

Service

Total revenue

Cost of revenue

Product

Service

Total cost of revenue

Gross profit

Product

Service

Total gross profit

Operating expenses

(Loss) income from operations

Interest income (expense), net and other

Loss before income taxes

Years ended December 31,

2019

2018

2017

  $

92,561   $

97,447   $

87,940  

180,501  

82,183  

179,630  

29,039  

42,363  

71,402  

63,522  

45,577  

109,099  

123,222  

(14,123)  

(3,837)  

27,425  

40,318  

67,743  

70,022  

41,865  

111,887  

118,192  

(6,305)  

(3,720)  

  $

(17,960)   $

(10,025)   $

91,585

74,404

165,989

27,244

37,683

64,927

64,341

36,721

101,062

111,762

(10,700)

562

(10,138)

The following tables present the Company’s revenue by product line, as well as revenue and long-lived assets by geographic region.  

(in thousands)

Revenue

Product

Device

Software

Total product

Service

Maintenance and support

Professional services and training

Total service

Total revenue

Years ended December 31,

2019

2018

2017

  $

61,224   $

60,130   $

31,337  

92,561  

68,846  

19,094  

87,940  

37,317  

97,447  

62,267  

19,916  

82,183  

  $

180,501   $

179,630   $

61,746

29,839

91,585

52,342

22,062

74,404

165,989

The Company’s revenue by geographic region, based on customer location, is summarized as follows:

(in thousands)

Revenue

United States

International

Total revenue

Years ended December 31,

2019

2018

2017

  $

  $

164,827   $

161,338   $

15,674  

18,292  

180,501   $

179,630   $

148,993

16,996

165,989

72

  
 
 
 
 
   
   
   
 
 
 
   
   
   
   
   
   
 
 
 
 
   
   
   
   
   
   
 
 
 
 
   
   
   
 
 
 
  
 
 
 
 
   
   
   
   
   
   
 
 
   
   
   
 
 
 
  
 
 
 
 
   
   
   
 
Table of Contents

The Company’s tangible long-lived assets by geographic region, consisting of net property and equipment, are summarized as follows:

(in thousands)

Property and equipment, net

United States

International

Total property and equipment, net

12. Income taxes

The components of loss before income taxes are as follows:

(in thousands)

United States

International

Total loss before income taxes

The components of the provision for income taxes are as follows:

(in thousands)

Current

Federal

State

Foreign

Deferred

Federal

State

Foreign

  $

  $

  $

December 31,

2019

2018

2017

  $

  $

6,364   $

2,297  

8,661   $

6,265   $

1,203  

7,468   $

4,621

1,130

5,751

Years ended December 31,

2019

2018

2017

(19,022)   $

1,062  

(17,960)   $

(10,852)   $

827  

(10,025)   $

(10,930)

792

(10,138)

Years ended December 31,

2019

2018

2017

—   $

(25)  

240  

215  

(43)  

7  

(159)  

(195)  

—   $

53  

368  

421  

(822)  

99  

(49)  

(772)  

(10)

54

324

368

311

119

(39)

391

759

Total income tax provision (benefit)

  $

20   $

(351)   $

The Company had an effective tax rate of 0.1%, (3.5)% and 7.5% for the years ended December 31, 2019, 2018 and 2017, respectively.

73

  
 
 
 
 
   
   
   
 
 
  
 
 
 
 
 
 
  
 
 
 
 
   
   
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
Table of Contents

Reconciliation of the provision for income taxes at the statutory rate to the Company’s provision for income tax is as follows:

(in thousands)

U.S. federal (tax benefit) provision at statutory rate

State (tax benefit) income taxes, net of federal benefit

Foreign income taxes at rates other than the US rate

Stock-based compensation

Change in valuation allowance

Non-deductible executive compensation

Rate differential impact on Tax Cuts and Jobs Act

Research and development credits

Indefinite net operating losses carryforward

Other

Total

Years ended December 31,

2019

2018

2017

  $

(3,772)   $

(2,105)   $

(646)  

(145)  

(2,119)  

5,136  

2,383  

—  

(1,209)  

(33)  

425  

(373)  

92  

(3,503)  

4,710  

2,418  

—  

(994)  

(1,470)  

874  

  $

20   $

(351)   $

(4,576)

(437)

(21)

(8,373)

(6,023)

1,624

18,975

(602)

—

192

759

Deferred income taxes reflect the net tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and
the amounts used for income tax purposes. The following table presents the significant components of the Company’s deferred tax assets and liabilities  for the
periods presented:

(in thousands)

Deferred tax assets

Net operating loss carryforward

Research and development credits

Depreciation and amortization

Reserves and accruals

Total deferred tax assets

Valuation allowance

Net deferred tax assets

Deferred tax liabilities - convertible senior notes

Deferred tax liabilities - other

Net deferred tax liabilities

December 31,

2019

2018

  $

32,723   $

8,449  

2,402  

9,349  

52,923  

(40,436)  

12,487  

(5,848)  

(7,097)  

  $

(458)   $

29,798

6,840

3,007

9,661

49,306

(40,070)

9,236

(7,503)

(2,208)

(475)

The Company's deferred tax liabilities are primarily related to tax deductible goodwill. The Company determines its valuation allowance on deferred tax assets by
considering  both  positive  and  negative  evidence  in  order  to  ascertain  whether  it  is  more  likely  than  not  that  deferred  tax  assets  will  be  realized.  Realization  of
deferred tax assets is dependent upon the generation of future taxable income, if any, the timing and amount of which are uncertain. Due to the history of losses the
Company  has  generated  in  the  past,  the  Company  believes  that  it  is  not  more  likely  than  not  that  all  of  the  deferred  tax  assets  in  the  U.S.  and  Canada  can  be
realized as of December 31, 2019; accordingly, the Company has recorded a full valuation allowance on its deferred tax assets.

The Company’s valuation allowance increased by $0.4 million and $5.2 million for the years ended December 31, 2019 and 2018, respectively. The change in the
2019  valuation  allowance  was  primarily  due  to  the  addition  of  current  year  loss  carryforwards  and  federal  rate  reduction.  The  change  in  the  2018  valuation
allowance was primarily due to the addition of current year loss carryforwards.

At  December  31,  2019,  the  Company  had  $137  million and  $69  million,  respectively,  of  federal  and  state  net  operating  loss  carryforwards.  The  federal  net
operating loss carryforward generated in the years ended December 31, 2002 through 2017 begin expiring in 2022.

Net operating losses originating before January 1, 2018 are eligible to offset taxable income, if not otherwise limited under IRS Section 382. Net operating losses
generated after December 31, 2017 have an infinite carryforward period and subject to 80% deduction limitation based upon pre-net operating deduction taxable
income.

The state net operating loss carryforward begins expiring in 2028, if not utilized.

74

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
   
   
 
 
 
 
 
 
 
 
Table of Contents

In addition, the Company has federal research and development tax credits carryforwards of approximately $5.3 million and state research and development tax
credit  carryforwards  of  approximately  $5.9 million.  The  federal  credit  carryforwards  begin  expiring  2026 and  the  state  credits  carry  forward  indefinitely. The
Internal Revenue Code (IRC) contains provisions which limit the amount of net operating loss (NOL) and research credit carryforwards that can be used in any
given year if a significant change in ownership has occurred. As of December 31, 2019, $11.5 million of the Company's NOL carryovers and $0.5 million of credit
carryovers  are  subject  to  an  annual  $0.6 million limitation,  of which  $5.3 million NOLs  would  be  available  to  offset  future  taxable  income  in  the  twenty-year
carryforward period.

The following table displays by contributing factor the changes in the valuation allowance for deferred tax assets since January 1, 2017:

(in thousands)

Balance at the beginning of the period

Net operating loss carryforwards generated

R&D tax credit increase

Depreciation and amortization increase

Reserves and accruals decrease

Deferred tax assets increase

Balance at the end of the period

Years Ended December 31,

2019

2018

2017

$

$

40,070  

$

45,255  

$

2,925  

1,609  

(605)  

(312)  

(3,251)  

2,509  

1,014  

925  

(581)  

(9,052)  

40,436  

$

40,070  

$

The following table reflects changes in the unrecognized tax benefits since January 1, 2018:

(in thousands)

Gross amount of unrecognized tax benefits as of the beginning of the period

Increases related to prior year tax provisions

Decreases related to prior year tax provisions

Increases related to current year tax provisions

Gross amount of unrecognized tax benefits as of the end of the period

Years ended December 31,

2019

2018

  $

  $

1,931   $

—  

(78)  

398  

2,251   $

As a result of the Company’s historical losses and related valuation allowances, the Company has recorded substantially all of the uncertain tax amounts above as
reductions to deferred tax assets which are subject to a full valuation allowance in its consolidated balance sheet with an insignificant portion recorded in other
long-term liabilities. The Company recognizes interest and penalties relating to uncertain tax positions in income tax expense. As the Company is not currently
under examination, it is reasonable to assume that the balance of gross unrecognized tax benefits will likely not change in the next twelve months.

The Company files income tax returns in the United States on a federal basis and in various states. The Company is not currently under any international or any
United States federal, state and local income tax examinations for any taxable years. All of the Company’s net operating losses and research credit carryforwards
prior to 2019 are subject to tax authority adjustment and all years after 2012 are still subject to the tax authority examinations.

The  2017  tax  reform  legislation  provides  for  a  one-time  “deemed  repatriation”  of  accumulated  foreign  earnings  for  the  year  ended  December  31,  2017.  The
Company does not expect to pay U.S. federal cash taxes on the deemed repatriation due to its historical net operating loss for tax purposes. The Company does not
expect that the future foreign earnings will be subject to U.S. federal income tax since the Company intends to continue reinvesting such earnings outside the U.S.
indefinitely. On December 22, 2017, the SEC issued Staff Accounting Bulletin 118 (“SAB 118”), which provides guidance on accounting for tax effects of the Tax
Act. SAB 118’s measurement period closed on December 22, 2018, one year from the Tax Act enactment. The Company completed its accounting for the impact
of the Tax Act and there were no subsequent revisions from the provisional amounts recorded in the prior year financial statements.

14. Quarterly results of operations (unaudited)

The following tables present certain unaudited consolidated quarterly financial information for each of the eight quarters ended December 31, 2019. This quarterly
information has been prepared on the same basis as the consolidated financial statements and includes all adjustments necessary to state fairly the information for
the periods presented.

75

42,339

3,050

1,121

237

(1,479)

(13)

45,255

1,673

7

—

251

1,931

 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
Table of Contents

(In thousands, except per share data)

Quarters Ended

2019

Total revenue

Gross profit

Net income (loss)

Net income (loss) attributable to common stockholders

Net income (loss) per share attributable to common stockholders:

Basic

Diluted

Weighted average shares used to compute net income (loss) per share
attributable to common stockholders:

Basic

Diluted

2018

Total revenue

Gross profit

Net income (loss)

Net income (loss) attributable to common stockholders

Net loss per share attributable to common stockholders:

Basic and Diluted

Weighted average shares used to compute net loss per common share:

March 31,

June 30,

September 30,

December 31,

35,309   $

19,685   $

(11,735)   $

(11,735)   $

44,759   $

27,016   $

(4,857)   $

(4,857)   $

50,781   $

31,888   $

298   $

298   $

(0.38)   $

(0.38)   $

(0.16)  

$

(0.16)   $

0.01

$

0.01   $

49,652

30,510

(1,686)

(1,686)

(0.05)

(0.05)

30,800  

30,800  

31,242  

31,242  

31,459  

31,944  

31,579

31,579

Quarters Ended

March 31,

June 30,

September 30,

December 31,

40,242   $

23,901   $

(4,770)   $

(4,770)   $

42,686   $

25,651   $

(3,554)   $

(3,554)   $

47,822   $

31,138   $

(249)   $

(249)   $

48,880

31,197

(1,101)

(1,101)

(0.24)   $

(0.26)   $

(0.01)   $

(0.04)

$

$

$

$

$

$

$

$

$

$

$

Basic and diluted

29,476  

29,867  

29,861  

30,592

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

Disclosure controls and procedures are designed to ensure that information required to be disclosed by us in reports filed or submitted under the Exchange Act is
recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission's rules and forms. Disclosure controls
and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed in reports filed under the Exchange
Act is accumulated and communicated to management, including principal executive and principal financial officers, or persons performing similar functions, as
appropriate to allow timely decisions regarding required disclosure.

As of December 31, 2019, we carried out an evaluation under the supervision of, and with the participation of our management, including our Chief Executive
Officer and Chief Financial Officer, of the effectiveness of the design and operation of our disclosure controls and procedures as defined in Rules 13a-15(e) and
15d-15(e)  of  the  Exchange  Act.  Based  on  our  evaluation,  our  Chief  Executive  Officer  and  Chief  Financial  Officer  concluded  that  our  disclosure  controls  and
procedures were effective as of December 31, 2019.

Management's Report on Internal Control Over Financial Reporting

Our  management  is  responsible  for  establishing  and  maintaining  adequate  internal  control  over  financial  reporting  (as  defined  in  Rule  13a-15(f)  under  the
Exchange Act). Our management conducted an assessment of the effectiveness of our internal control over financial reporting based on the criteria set forth in the
2013 version of the Internal Control - Integrated Framework issued

76

 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
   
   
   
 
 
 
 
 
   
   
   
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
   
   
   
 
Table of Contents

by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission  (COSO).  Based  on  the  assessment,  management  has  concluded  that  our  internal
control over financial reporting was effective as of December 31, 2019 based on these criteria.

The effectiveness of our internal control over financial reporting as of December 31, 2019, has been audited by Deloitte & Touche LLP, an independent registered
public accounting firm, as stated in their report which appears herein

Changes in Internal Control over Financial Reporting

There was no change in our internal control over financial reporting that occurred during the three months ended December 31, 2019 that has materially affected,
or is reasonably likely to materially affect, our internal control over financial reporting.

Limitations on Effectiveness of Controls and Procedures and Internal Control over Financial Reporting

In designing and evaluating  the disclosure  controls and procedures  and internal  controls over financial  reporting,  management  recognizes  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  and  internal  control  over  financial  reporting  must  reflect  the  fact  that  there  are  resource  constraints  and  that  management  is
required to apply judgment in evaluating the benefits of possible controls and procedures relative to their costs.

Item 9B. Other Information

None.

PART III

Item 10. Directors, Executive Officers and Corporate Governance    

The  information  required  for  this  Item  10  is  incorporated  by  reference  from  our  Proxy  Statement  to  be  filed  in  connection  with  our  2020  Annual  Meeting  of
Stockholders.

Item 11. Executive Compensation        

The information required for this Item is incorporated by reference from our Proxy Statement to be filed for our 2020 Annual Meeting of Stockholders.

Item 12.

Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

The information required for this Item is incorporated by reference from our Proxy Statement to be filed for our 2020 Annual Meeting of Stockholders.

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

The information required for this Item is incorporated by reference from our Proxy Statement to be filed for our 2020 Annual Meeting of Stockholders.

Item 14. Principal Accounting Fees and Services

The information required for this Item is incorporated by reference from our Proxy Statement to be filed for our 2020 Annual Meeting of Stockholders.

Item 15. Exhibits, Financial Statement Schedules

(a) The following documents are filed as a part of this Annual Report on Form 10-K:

1. Financial Statements:

PART IV

The financial statements filed as part of this report are listed in the “Index to Financial Statements” under Part II, Item 8 of this report.

2. Financial Statement Schedule:

All  schedules  are  omitted  as  the  required  information  is  inapplicable  or  the  information  is  presented  in  the  Consolidated  Financial  Statements  or  Notes  to

Consolidated Financial Statements under Item 8.

3. Exhibits:

77

Table of Contents

Exhibit
Number

3.01

3.02

4.01

4.02

4.03

10.01

10.02+

10.03+

10.04+

10.05+

10.06+

10.07+

10.08+

10.09

EXHIBIT INDEX

Incorporated by reference

Exhibit title

Form

File No.

Date

Number

Filed
herewith

Restated  Certificate  of  Incorporation  of  the
Registrant.

Restated Bylaws of Vocera Communications,
Inc., as amended October 26, 2016.

Amended and Restated Investor Rights
Agreement, dated as of October 10, 2006, by and
among the Registrant and certain investors of the
Registrant.

Indenture dated May 17, 2018 by and among the
Registrant and U.S. Bank National Association.

  Description of the Registrant's Securities

Forms of Indemnity Agreement by and between
the Registrant and each of its directors and
executive officers.

2006 Stock Option Plan, as amended, and form of
stock option agreement.

2012 Equity Incentive Plan and forms of equity
award agreements.

S-1

333-183546

August 24, 2012

8-K

001-35469

October 31, 2016

S-1

333-175932

August 1, 2011

3.01

3.01

4.02

8-K

011-35469

May 17, 2018

4.01

S-1

333-175932

August 1, 2011

10.01

X

S-1(A2)

333-175932

February 24, 2012

8-K

001-35460

June 6, 2018

10.03

10.01

  2012 Employee Stock Purchase Plan.

S-1(A3)

333-175932

  March 13, 2012  

10.05    

Form of Option Agreement dated July 31, 2007,
by and between the Registrant and each of Brent
Lang and Robert Zollars.

2010 Stock Option Agreement to purchase
common stock, dated as of November 3, 2010,
issued by the Registrant to DS Consulting
Associates, LLC and 2011 Stock Option
Agreement to purchase common stock, dated as
of November 3, 2010 issued by the Registrant to
DS Consulting Associates, LLC.

S-1

333-175932

August 1, 2011

10.06

S-1

333-175932

August 1, 2011

10.07

  2016 Equity Inducement Plan.

Form of Global Agreements under the 2016
Equity Inducement Plan.

10-Q

10-Q

001-35469

  November 7, 2016  

10.02    

001-35469

November 7, 2016

10.04

10.11

Lease Agreement, dated as of September 26,
2007, by and between 525 Race Street, LLC and
the Registrant, as amended on February 17, 2011.

S-1

333-175932

August 1, 2011

78

 
   
 
 
   
   
   
 
   
   
 
 
 
 
 
 
 
   
   
   
 
 
 
   
 
 
 
   
   
   
 
 
 
   
 
 
 
   
   
   
 
 
 
   
 
   
 
 
   
   
   
 
 
 
   
 
   
 
 
   
   
   
 
 
   
   
 
 
 
 
   
   
   
 
 
 
   
 
 
 
   
   
   
 
 
 
   
 
 
 
   
   
   
 
 
 
   
 
 
 
   
   
   
 
 
 
   
   
   
 
 
 
   
 
 
 
   
   
   
 
 
 
   
 
 
 
   
   
   
 
   
 
 
   
   
   
 
 
 
   
 
   
 
 
   
   
   
 
 
 
   
 
 
 
   
   
   
Table of Contents

10.10†

10.11†

10.12+

10.13+

10.14

10.15

10.16

10.17

21.01

23.01

24.01

31.01*

31.02*

32.01

Original Equipment Manufacturer Agreement,
dated as of April 25, 2002, by and between
Nuance Communications, Inc. and the Registrant,
as amended through April 4, 2006.

Contract Manufacturing Agreement, dated as of
June 7, 2010, by and between SMTC Corporation
and the Registrant.

Form of Change of Control Severance Agreement
by and between the Registrant and each of its
executive officers.

Form of non-plan Restricted Stock Purchase
Agreement for non-employee directors.

Second Amendment to Lease, dated April 20,
2015, by and between the Registrant and 525
Race Street, LLC

Membership Interest Purchase Agreement, dated
October 27, 2016 by and among the Registrant,
each of the members of Extension, LLC and the
Sellers Representative named therein.

S-1

333-175932

August 1, 2011

10.13

S-1

333-175932

August 1, 2011

10.14

S-1(A2)

333-175932

February 24, 2012

10.15

S-1(A2)

333-175932

February 24, 2012

10-Q

001-35469

August 6, 2015

10.17

10.01

10-Q

001-35469

November 7, 2016

10.01

  Form of Base Capped Call Confirmation

8-K

001-35469

May 17, 2018  

  Form of Additional Capped Call Confirmation

8-K

001-35469

May 17, 2018  

99.1    

99.2    

  List of subsidiaries.

Consent of Deloitte & Touche LLP, independent
registered public accounting firm.

  Power of Attorney (included on signature page).

Certification of Chief Executive Officer pursuant
to Securities Exchange Act Rules 13a-14(a) or
15d-14(a), as adopted pursuant to Section 302 of
the Sarbanes-Oxley Act of 2002.

Certification of Chief Financial Officer pursuant
to Securities Exchange Act Rules 13a-14(a) or
15d-14(a), as adopted pursuant to Section 302 of
the Sarbanes-Oxley Act of 2002.

Certification of Chief Executive Officer and
Chief Financial Officer pursuant to 18 U.S.C.
Section 1350, as adopted pursuant to Section 906
of the Sarbanes-Oxley Act of 2002.

79

X

X

X

X

X

X

 
 
 
   
 
 
 
   
   
   
 
 
 
   
 
 
 
   
   
   
 
 
 
   
 
 
 
   
   
   
 
 
 
   
 
 
 
   
   
   
 
 
 
   
 
   
 
 
   
   
   
 
 
 
   
 
   
 
 
   
   
   
 
 
   
 
 
   
   
   
 
 
   
 
 
   
   
   
 
 
   
   
 
 
 
 
   
   
   
 
 
 
   
   
 
 
 
 
   
   
   
 
 
   
   
 
 
 
 
   
   
   
 
 
 
   
   
 
 
 
 
   
   
   
 
 
 
   
   
 
 
 
 
   
   
   
 
 
 
   
   
 
 
 
 
   
   
   
Table of Contents

101.INS

101.SCH

101.CAL

101.DEF

101.LAB

101.PRE

104

Inline XBRL Instance Document - The instance
document does not appear in the Interactive Data
File because its XBRL tags are embedded within
the Inline XBRL document.

Inline XBRL Taxonomy Schema Linkbase
Document

Inline XBRL Taxonomy Calculation Linkbase
Document

Inline XBRL Taxonomy Definition Linkbase
Document

Inline XBRL Taxonomy Labels Linkbase
Document

Inline XBRL Taxonomy Presentation Linkbase
Document

Cover Page Interactive Data File (formatted as
inline XBRL and contained in Exhibit 101

+   Indicates management contract or compensatory plan or arrangement.

†   Portions of have been granted confidential treatment by the SEC.

X

X

X

X

X

X

X

*

This certification shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liabilities of that
section, nor shall it be deemed incorporated by reference into any filing 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 filings.

80

 
 
 
   
   
 
 
 
 
   
   
   
 
 
 
   
   
 
 
 
 
   
   
   
 
 
 
   
   
 
 
 
 
   
   
   
 
 
 
   
   
 
 
 
 
   
   
   
 
 
 
   
   
 
 
 
 
   
   
   
 
 
 
   
   
 
 
   
 
 
   
   
   
 
 
 
   
   
 
 
   
 
   
 
 
   
Table of Contents

Item 16. Form 10-K Summary

None.

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.

VOCERA COMMUNICATIONS, INC.

SIGNATURES

Date: February 26, 2020

By:

/S/    Brent D. Lang

Brent D. Lang
Chief Executive Officer

(Principal Executive Officer)

Date: February 26, 2020

By:

/S/    Justin R. Spencer

Justin R. Spencer
Chief Financial Officer

(Principal Accounting and Financial Officer)

POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS, that each person whose signature appears below constitutes and appoints Brent D. Lang, Justin R. Spencer and
Douglas A. Carlen, and each of them, as his or her true and lawful attorney-in-fact and agent, with full power of substitution and resubstitution, for him or her and
in his or her name, place and stead, in any and all capacities, to sign any and all amendments (including post-effective 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 agents, 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
connection therewith, as fully to all intents and purposes as he or she might or could do in person, hereby ratifying and confirming all that said attorneys-in-fact
and agents, or any of them, or their or his or her substitutes, may lawfully do or cause to be done by virtue thereof.

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 Company

and in the capacities and on the dates indicated:

81

 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents

Signature

/s/ Brent D. Lang

Brent D. Lang

/s/ Justin R. Spencer

Justin R. Spencer

/s/ Michael Burkland

Michael Burkland

/s/ Julie Iskow

Julie Iskow

/s/ Howard E. Janzen

Howard E. Janzen

/s/ Alexa King

Alexa King

/s/ John N. McMullen

John N. McMullen

/s/ Sharon O'Keefe

Sharon O'Keefe

/s/ Ronald A. Paulus

Ronald A. Paulus

/s/ Bharat Sundaram

Bharat Sundaram

Title

Date

Chief Executive Officer 
(Principal Executive Officer)

February 26, 2020

Chief Financial Officer
(Principal Accounting and Financial Officer)

February 26, 2020

  Director

  Director

  Director

  Director

  Director

  Director

  Director

  Director

82

February 26, 2020

February 26, 2020

February 26, 2020

February 26, 2020

February 26, 2020

February 26, 2020

February 26, 2020

February 26, 2020

 
   
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
 
   
 
 
   
 
 
 
DESCRIPTION OF SECURITIES 

EXHIBIT 4.03

The following is a summary of our capital stock and certain provisions of our Restated Certificate of Incorporation (“Certificate of Incorporation”) and Restated
Bylaws (“Bylaws”). This summary does not purport to be complete and is qualified in its entirety by the provisions of our Certificate of Incorporation and our
Bylaws, which are included as exhibits to our most recent Annual Report on Form 10-K, and to the applicable provisions of the Delaware General Corporation
Law.

General

We are authorized to issue 105,000,000 shares of all classes of capital stock, of which 100,000,000 shares are common stock, $0.0003 par value per share, and
5,000,000 shares are preferred stock, $0.0003 par value per share. Our capital is stated in U.S. dollars.

Common Stock

The holders of our common stock are entitled to receive such dividends or distributions as are lawfully declared on our common stock, to have notice of any
authorized meeting of stockholders, and to one vote for each share of our common stock on all matters which are properly submitted to a vote of stockholders. As a
Delaware corporation, we are subject to statutory limitations on the declaration and payment of dividends. In the event of a liquidation, dissolution or winding up
of our company, holders of our common stock have the right to a ratable portion of assets remaining after satisfaction in full of all outstanding debt and liabilities
and the preferential rights and payment of liquidation preferences, if any, on any outstanding shares of preferred stock. The holders of our common stock have no
conversion, redemption, preemptive or cumulative voting rights.

Preferred Stock

No shares of our preferred stock are issued and outstanding and no such shares were subject to outstanding options or other rights to purchase or acquire. However,
shares of preferred stock may be issued in one or more series from time to time by our board of directors, and the board of directors is expressly authorized to fix
by resolution or resolutions the designations and the powers, preferences and rights, and the qualifications, limitations and restrictions thereof, of the shares of each
series of preferred stock. Subject to the determination of our board of directors, any shares of our preferred stock that may be issued in the future would generally
have preferences over our common stock with respect to the payment of dividends and the distribution of assets in the event of our liquidation, dissolution or
winding up.

Anti-Takeover Effect of Unissued Shares of Capital Stock

Common Stock. Our shares of authorized and unissued common stock are available for future issuance without additional stockholder approval. While these
additional shares are not designed to deter or prevent a change of control, under some circumstances we could use the additional shares to create voting
impediments or to frustrate persons seeking to effect a takeover or otherwise gain control by, for example, issuing those shares in private placements to purchasers
who might side with our board of directors in opposing a hostile takeover bid.
Preferred Stock. Our certificate of incorporation grants our board of directors the authority, without any further vote or action by our stockholders, to issue
preferred stock in one or more series and to fix the number of shares constituting any such series and the preferences, limitations and relative rights, including
dividend rights, dividend rate, voting rights, terms of redemption, redemption price or prices, conversion rights and liquidation preferences of the shares
constituting any series. The existence of authorized but unissued preferred stock could reduce our attractiveness as a target for an unsolicited takeover bid since we
could, for example, issue shares of preferred stock to parties who might oppose such a takeover bid or shares that contain terms the potential acquirer may find
unattractive. This may have the effect of delaying or preventing a change in control, may discourage bids for the common stock at a premium over the market price
of the common stock, and may adversely affect the market price of, and the voting and other rights of the holders of, common stock.

Anti-Takeover Provisions

The provisions of Delaware law, our restated certificate of incorporation and our restated bylaws may have the effect of delaying, deferring or discouraging another
person from acquiring control of our company.

Delaware Law

We are subject to the provisions of Section 203 of the Delaware General Corporation Law regulating corporate takeovers. This section prevents some Delaware
corporations, including us, from engaging, under some circumstances, in a business combination, which includes a merger or sale of at least 10% of the
corporation's assets with any interested stockholder,

        
meaning a stockholder who, together with affiliates and associates, owns or, within three years prior to the determination of interested stockholder status, did own
15% or more of the corporation's outstanding voting stock, unless:

•

•

•

prior to the date of the transaction, the board of directors of the corporation approved either the business combination or the transaction which resulted in
the stockholder becoming an interested stockholder;

upon consummation of the transaction which resulted in the stockholder becoming an interested stockholder, the interested stockholder owned at least
85% of the voting stock of the corporation outstanding at the time the transaction commenced; or

at or subsequent to such time that the stockholder became an interested stockholder, the business combination is approved by the board of directors and
authorized at an annual or special meeting of stockholders by at least two-thirds of the outstanding voting stock not owned by the interested stockholder.

A Delaware corporation may “opt out” of these provisions with an express provision in its original certificate of incorporation or an express provision in its
certificate of incorporation or bylaws resulting from a stockholders' amendment approved by at least a majority of the outstanding voting shares. We have not and
do not plan to “opt out” of these provisions. The statute could prohibit or delay mergers or other takeover or change in control attempts and, accordingly, may
discourage attempts to acquire us.

Restated Certificate of Incorporation and Restated Bylaw Provisions

Our restated certificate of incorporation and our restated bylaws include a number of provisions that may have the effect of deterring hostile takeovers or delaying
or preventing changes in control, including the following:

•

•

•

•

•

•

Board of Directors Vacancies. Our restated certificate of incorporation and restated bylaws authorize generally only our board of directors to fill vacant
directorships. In addition, the number of directors constituting our board of directors may be set only by resolution adopted by a majority vote of our
entire board of directors. These provisions prevent a stockholder from increasing the size of our board of directors and gaining control of our board of
directors by filling the resulting vacancies with its own nominees.

Classified Board. Our restated certificate of incorporation and restated bylaws provide that our board is classified into three classes of directors. The
existence of a classified board could delay a successful tender offeror from obtaining majority control of our board of directors, and the prospect of that
delay might deter a potential offeror.

Stockholder Action. Our restated certificate of incorporation provides that our stockholders may not take action by written consent, but may only take
action at annual or special meetings of our stockholders. Stockholders will not be permitted to cumulate their votes for the election of directors. Our
restated bylaws further provide that special meetings of our stockholders may be called only by a majority of our board of directors, the chairman of our
board of directors, our chief executive officer or our president.

Advance Notice Requirements for Stockholder Proposals and Director Nominations. Our restated bylaws provide advance notice procedures for
stockholders seeking to bring business before our annual meeting of stockholders, or to nominate candidates for election as directors at our annual
meeting of stockholders. Our restated bylaws also specify certain requirements regarding the form and content of a stockholder’s notice. These provisions
may preclude our stockholders from bringing matters before our annual meeting of stockholders or from making nominations for directors at our annual
meeting of stockholders.

No Cumulative Voting. The Delaware General Corporation Law provides that stockholders are not entitled to the right to cumulate votes in the election of
directors unless a corporation's certificate of incorporation provides otherwise. Our restated certificate of incorporation and restated bylaws do not provide
for cumulative voting.

Directors Removed Only for Cause. Our restated certificate of incorporation provides that stockholders may remove directors only for cause and only by
the affirmative vote of holders of at least two-thirds of our then-outstanding shares of capital stock permitted to vote on the election of directors; however,
our restated bylaws further provide that if the votes cast for any director nominee’s election do not exceed the votes cast against such nominee’s election
the director must immediate tender his or her resignation and, following the recommendation of the governance and nominating Committee, the board
shall act upon such resignation within 30 days following the stockholder vote.

•

•

Issuance of Undesignated Preferred Stock. Our restated certificate of incorporation provides our board of directors with the authority, without further
action by the stockholders, to issue up to 5,000,000 shares of undesignated preferred stock with rights and preferences, including voting rights, designated
from time to time by the board of directors. The existence of authorized but unissued shares of preferred stock enables our board of directors to render
more difficult or to discourage an attempt to obtain control of us by means of a merger, tender offer, proxy contest or otherwise.

Choice of Forum. Our restated bylaws provide that unless we consent in writing to the selection of an alternative forum, the Court of Chancery of the
State of Delaware will be the exclusive forum for any derivative action or proceeding brought on our behalf; any action asserting a breach of fiduciary
duty; any action asserting a claim against us arising pursuant to the Delaware General Corporation Law, our restated certificate of incorporation or our
restated bylaws; or any action asserting a claim against us that is governed by the internal affairs doctrine.

Transfer Agent and Registrar

The transfer agent and registrar for our common stock is Computershare Trust Company, N.A.

Listing

Our common stock is quoted on the New York Stock Exchange under the trading symbol “VCRA.”

EXHIBIT 21.01

LIST OF SUBSIDIARIES

VOCERA COMMUNICATIONS, INC.

Vocera Communications UK Ltd. (United Kingdom)

Vocera Communications Australia Pty Ltd. (Australia)

Vocera Canada, Ltd. (Canada)

Vocera Communications India Private Limited

Vocera Communications Middle East FZ LLC

Extension, LLC

Exhibit 23.01

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We consent to the incorporation by reference in Registration Statement No. 333-222457 on Form S-3 and in Registration Statements Nos. 333-180417, 333-
186818, 333-194632, 333-202705, 333-210173, 333-216717, 333-223454 and 333-229909 on Form S-8 of our reports dated February 26, 2020, relating to the
consolidated financial statements of Vocera Communications, Inc. and its 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, 2019.

/s/ DELOITTE & TOUCHE LLP

San Jose, California
February 26, 2020

CERTIFICATION OF CHIEF EXECUTIVE OFFICER PURSUANT TO RULE 13a-14(a) OR 15d-14(a) OF
THE SECURITIES EXCHANGE ACT OF 1934, AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY
ACT OF 2002

EXHIBIT 31.01

I, Brent D. Lang, certify that:

1. I have reviewed this Quarterly Report on Form 10-K of Vocera Communications, Inc.:

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.

Date: February 26, 2020

  /s/ Brent D. Lang

  Brent D. Lang

  Chief Executive Officer

 
 
EXHIBIT 31.02

CERTIFICATION OF CHIEF FINANCIAL OFFICER PURSUANT TO RULE 13a-14(a) OR 15d-14(a) OF
THE SECURITIES EXCHANGE ACT OF 1934, AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY
ACT OF 2002

I, Justin R.Spencer, certify that:

1. I have reviewed this Quarterly Report on Form 10-K of Vocera Communications, Inc.:

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.

Date: February 26, 2020

  /s/ Justin R. Spencer

  Justin R. Spencer

  Chief Financial Officer

 
 
CERTIFICATION OF CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER

PURSUANT TO 18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

EXHIBIT 32.01

Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, Brent D. Lang, Chief Executive Officer of Vocera
Communications, Inc. (the “Company”), and Justin R. Spencer, Chief Financial Officer of the Company, each hereby certifies that, to his knowledge:

1. The Company’s Quarterly Report on Form 10-K for the year ended December 31, 2019, to which this Certification is attached as Exhibit 32.01 (the “Periodic
Report”), fully complies with the requirements of Section 13(a) or Section 15(d) of the Securities Exchange Act of 1934, as amended; and

2. The information contained in the Periodic Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

In Witness Whereof, the undersigned have set their hands hereto as of the 26th day of February 2020.

/s/ Brent D. Lang

Brent D. Lang

Chief Executive Officer

  /s/ Justin R. Spencer

  Justin R. Spencer

  Chief Financial Officer