Table of Contents


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

FORM 10-K

(Mark One)
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 28, 201931, 2022
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 001-33642
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MASIMO CORPORATIONCORPORATION
(Exact name of registrant as specified in its charter)

DE33-0368882
(State or Other Jurisdiction of

Incorporation or Organization)
(I.R.S. Employer

Identification Number)
52 DiscoveryIrvine,,CA92618
(Address of principal executive offices)(Zip Code)
(949)297-7000
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
Title of each class:Trading symbol:Name of each exchange on which registered:
Common Stock, par value $0.001MASIThe Nasdaq Stock Market LLC
Rights to Purchase Series A Junior Participating Preferred StockN/AThe Nasdaq Stock Market LLC
Securities registered pursuant to Section 12(g) of the Act: None.None
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. YesNo
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.YesNo
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.YesNo
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).YesNo
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filerAccelerated filer
Non-accelerated filerSmaller reporting company
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report.
If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect the correction of an error to previously issued financial statements.
Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b).
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act.) YesNo
The aggregate market value of the voting stock held by non-affiliates of the registrant, based upon the closing sale price of the common stock on June 28, 2019,July 3, 2021, the last business day of the registrant’s most recently completed second fiscal quarter, as reported on the Nasdaq Global Select Market, was approximately $6.8$5.3 billion. Shares of stock held by officers, directors and 5 percent or more stockholders have been excluded in that such persons may be deemed to be affiliates. This determination of affiliate status is not necessarily a conclusive determination for other purposes. At January 25, 2020,28, 2023, the registrant had 53,793,53052,601,943 shares of common stock outstanding.
DOCUMENTS INCORPORATED BY REFERENCE
Items 10, 11, 12, 13 and 14 of Part III of this Annual Report on Form 10-K incorporate information by reference from the registrant’s proxy statement for the registrant’s 20202023 Annual Meeting of Stockholders to be filed with the Securities and Exchange Commission within 120 days after the close of the fiscal year covered by this annual report on Form 10-K.




MASIMO CORPORATION
FISCAL YEAR 20192022 FORM 10-K ANNUAL REPORT
TABLE OF CONTENTS






FORWARD-LOOKING STATEMENTS
This Annual Report on Form 10-K contains “forward-looking statements” that involve risks and uncertainties, as well as assumptions that, if they never materialize or prove incorrect, could cause our results to differ materially and adversely from those expressed or implied by such forward-looking statements. The forward-looking statements are contained principally in Item 1—“Business,” Item 1A—“Risk Factors” and Item 7—“Management’s Discussion and Analysis of Financial Condition and Results of Operations” but appear throughout this Annual Report on Form 10-K. Examples of forward-looking statements include, but are not limited to, any projection or expectation of earnings, revenue or other financial items; the plans, strategies and objectives of management for future operations; factors that may affect our operating results, including accounting and tax estimates; our success in pending litigation; new products or services; the demand for our products; our ability to consummate acquisitions and successfully integrate them into our operations; future capital expenditures; effects of current or future economic conditions or performance; industry trends and other matters that do not relate strictly to historical facts or statements of assumptions underlying any of the foregoing. These statements are often identified by the use of words such as “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “ongoing,” “opportunity,” “plan,” “potential,” “predicts,” “seek,” “should,” “will,” or “would,” and similar expressions and variations or negatives of these words. These forward-looking statements are based on the expectations, estimates, projections, beliefs and assumptions of our management based on information currently available to management, all of which is subject to change. Such forward-looking statements are subject to risks, uncertainties and other factors that are difficult to predict and could cause our actual results and the timing of certain events to differ materially and adversely from future results expressed or implied by such forward-looking statements. Factors that could cause or contribute to such differences include, but are not limited to, those identified below, and those discussed under Item 1A—“Risk Factors” in this Annual Report on Form 10-K. Furthermore, such forward-looking statements speak only as of the date of this Annual Report on Form 10-K. We undertake no obligation to update or revise publicly any forward-looking statements to reflect events or circumstances after the date of such statements for any reason, except as otherwise required by law.
PART I
ITEM 1.BUSINESS
ITEM 1.     BUSINESS
Overview
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We are a global medical technology company thatdedicated to improving lives. In connection with the acquisition of Viper Holdings Corporation d/b/a Sound United (Sound United Acquisition), we announced an organizational structure change designed to accelerate our growth strategies and strengthen our focus on patient care, thereby creating two reportable segments: healthcare and non-healthcare. We commenced reporting under this new structure effective for the quarter ended July 2, 2022.
Healthcare
Our healthcare business develops, manufactures and markets a variety of noninvasive patient monitoring technologies, and hospital automation solutions.and connectivity solutions, remote monitoring devices and consumer health products. Our mission is to improve patient outcomesmonitoring solutions generally incorporate a monitor or circuit board, proprietary single-patient use or reusable sensors, software, cables and reduce the cost of patient care.other services. We provideprimarily sell our healthcare products to hospitals, emergency medical service (EMS) providers, home care providers, physician offices, veterinarians, long-term care facilities physician offices, veterinarians and consumers through our direct sales force, distributors and original equipment manufacturersmanufacturer (OEM) partners, such as GE Healthcare, Hillrom, Mindray, Philips, Physio-Control and Zoll, just to hospitals, EMS providers, home care providers, long-term care facilities, physician offices, veterinarians and consumers. We were incorporated in California in May 1989 and reincorporated in Delaware in May 1996.name a few.
Our core business is measurement technologies are our breakthrough Measure-through Motion and Low Perfusion pulse oximetry, known as Masimo Signal Extraction Technology® (SET®) pulse oximetry. Our product offerings have expanded significantly over the years to also includeoximetry, and advanced rainbow® Pulse CO-Oximetry parameters such as noninvasive monitoring of blood constituents with an optical signature, optical regional oximetry monitoring, electricalhemoglobin (SpHb®), alongside many other modalities, including brain function monitoring, hemodynamic monitoring, regional oximetry, acoustic respiration rate monitoring, capnography and optical exhaled gas monitoring.monitoring, nasal high-flow respiratory support therapy, patient position and activity tracking and neuromodulation technology solutions.
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Our measurement technologies are available on many types of devices, from bedside hospital monitors like the Root® Patient Monitoring and Connectivity Hub, to various handheld and portable devices, and to the tetherless Radius-PPG®, Radius-VSM® and Masimo SafetyNetremote patient surveillance solution. The Masimo Hospital AutomationPlatform facilitates data integration, connectivity and interoperability through solutions like Patient SafetyNet, Iris, iSirona, Replica® and UniView® to facilitate more efficient clinical workflows and to help clinicians provide the best possible care, both in-person and remotely. Leveraging our expertise in hospital-grade technologies, we are also expanding our suite of products intended for use both inside and outside the hospital and products for personal home wellness, including Masimo Sleep, a sleep quality solution, the Masimo Radius Tº wireless, a wireless wearable continuous thermometer, the Radius C® wireless tetherless capnograph, and the Masimo W1 a wrist worn continuous biosensing health watch.
Non-healthcare
Our non-healthcare consumer audio business develops, manufactures, markets, sells and licenses premium and luxury audio, and related integration technologies. Our consumer audio products are sold direct-to-consumers or through authorized retailers and wholesalers. We also license certain audio technologies to select luxury automotive manufacturers such as BMW®, Maserati®, McLaren®, Polestar® and Volvo®. In addition, we have developedmaintain partnerships with certain airlines for bespoke headphones, allowing for the Rootbest in-flight audio experience. Our premium and luxury audio business includes iconic brands like Bowers & Wilkins® patient monitoring and connectivity platform, the Radical-7, Denon®, Marantz®, Polk®, Definitive Technology®, Classe®, Boston Acoustics® and Rad-97HEOS® bedside, to meet differentiated consumers wants and portableneeds.
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Our Strategy
We are an organization engineered to improve life. We exist for people who care, care about others, care about quality, care about precision and care about excellence. Our healthcare and non-healthcare segments are joined by the common goal of improving lives by providing patient-centered solutions to healthcare providers, expanding outside of the hospital and into the home and delivering innovative, high-quality information and experiences to consumers. We believe that people and infrastructures are ready for actionable patient monitors,care outside of the Radius-7hospital.
We deliver value to our customers and stockholders through:
® our differentiated and clinically superior technologies;
wearable wireless patientour proven track record of innovation;
our customer-driven approach to product development;
our robust product portfolio and pipeline that addresses unmet needs of healthcare professionals, patients, and consumers; and
our scaled and integrated platforms to continuously monitor and Radius PPG, a wearable single patient use pulse oximeter sensor that, in conjunction with Masimo SET® or rainbow SET® products or smart devices, can provide continuous pulse oximetry monitoring. We have also developed the Masimo Patient SafetyNet™(1) supplemental remote patient surveillancedeliver health information and monitoring system, which currently allows up to 200 patients to be monitoredother data, applications and viewed simultaneously and remotely through a PC-based monitor or by care providers through their pagers, voice-over-IP phones or smartphones. Other hospital automation and connectivity solutions that we have developed include Iris® and Iris Gateway®, which allow the transfer of data from Masimo and third-party devices to hospital electronic medical records; UniView, which provides an integrated display of real-time data from Masimo and third-party devices; and Replica, which allows the same information to be viewed anywhere where smart devices are connected to the internet.experiences.
Our solutions and related products are based upon our proprietary Masimo SET® and rainbow® algorithms. These technologies are incorporated into a variety of product platforms designed to meet our customers’ needs. In addition, we provide our technologies to OEMs in a form factor that is easy to integrate into their patient monitors, defibrillators, infant incubators and other devices.
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(1)The use of the trademark Patient SafetyNet is under license from the University HealthSystem Consortium.

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Some of our key strategic initiatives are summarized below:
Ourcontinue to expand our market share across our product categories;
continue to innovate and maintain our technology is supported by a substantial intellectual property portfolio that we have builtleadership position;
expand connectivity and wearables in hospitals and into the home and consumer market;
utilize our existing customer base and OEM relationships to market additional product offerings;
define and leverage shared Masimo product platforms to scale resources and connected technologies;
diversify products to ensure continued operations;
expand sales and marketing infrastructure to aid in future grown initiatives;
increase efficiency and capacity through internal developmentmanufacturing capabilities combined with proven outsourced manufacturing partners;
grow our international presence through brand awareness and to a lesser extent,marketing;
expand our direct-to-consumer efforts through existing channel partners and prospective customers;
supplement our internal growth and expand our product portfolio with strategic acquisitions, investments and license agreements. We have also exclusively licensed from Cercacor Laboratories, Inc. (Cercacor) the right to certain OEM rainbowpartnerships; and
® technologiesdrive an efficient capital structure and to incorporate certain rainbow® technology into our products intended to be used by professional caregivers, including, but not limited to, hospital caregivers and alternate care facility caregivers.strong shareholder returns.
Our Technologies
Conventional Pulse OximetryOur Strategy
Pulse oximetry enablesWe are an organization engineered to improve life. We exist for people who care, care about others, care about quality, care about precision and care about excellence. Our healthcare and non-healthcare segments are joined by the noninvasive measurementcommon goal of improving lives by providing patient-centered solutions to healthcare providers, expanding outside of the oxygen saturation level of arterial blood (SpOhospital and into the home and delivering innovative, high-quality information and experiences to consumers. We beli2), which delivers oxygen to the body’s tissues. Pulse oximetry also measures pulse rate (PR), which, when measured by electrocardiogram (ECG), is called heart rate. Pulse oximeters use sensors attached to an extremity, typically the fingertip or certain core body sites. These sensors contain two light-emitting diodeseve that transmit redpeople and infrared light from one sideinfrastructures are ready for actionable patient care outside of the extremity through the tissuehospital.
We deliver value to a photodetector on the other side of the extremity. The photodetector in the sensor measures the amount of redour customers and infrared light absorbed by the tissue. A microprocessor then analyzes the changes in light absorption to provide a continuous, real-time measurement of the amount of oxygen in the patient’s arterial blood. Pulse oximeters typically give audiostockholders through:
our differentiated and visual alerts, or alarms, when the patient’s arterial blood oxygen saturation level or pulse rate falls outside of a user-designated range. As a result, clinicians have the opportunity to assess patients who may need immediate treatment to prevent the serious clinical consequences of hypoxemia, or low arterial blood oxygen saturation levels, and hyperoxemia, or high arterial blood oxygen levels.clinically superior technologies;
As oneour proven track record of the most common technologies used in and out of hospitals around the world, pulse oximetry has gained widespread clinical acceptance as a standard patient vital sign measurement because it can give clinicians a warning of possible hypoxemia or hyperoxemia. SpO2 monitoring of oxygen saturation is critical because hypoxemia can lead to a lack of oxygen in the body’s tissues, which can be toxic and result in organ damage or death. Pulse oximeters are used in a variety of critical care settings, including surgery, recovery rooms, intensive care units (ICUs), emergency departments and general care floors, as well as alternative care settings, such as long-term care facilities, physician offices and the home monitoring of patients with chronic conditions.
Clinicians also use pulse oximeters to monitor oxygen saturation in premature babies to ensure that appropriate oxygen saturation levels are maintained. In premature babies, oxygen saturation levels above clinically acceptable limits may lead to a condition known as retinopathy of prematurity (ROP), which, if left untreated, can lead to permanent eye damage or blindness. By ensuring that oxygen saturation levels in babies remain within clinically acceptable limits, clinicians believe they can lower the incidence of ROP.
Conventional pulse oximetry has limitations that can reduce its effectiveness and the quality of patient care. In particular, when using conventional pulse oximetry, oxygen saturation measurements can be distorted by motion artifact, or patient movement, and low perfusion, or low arterial blood flow at the measurement site. Motion artifact can cause conventional pulse oximeters to inaccurately measure the arterial blood oxygen saturation level, due mainly to the effect of movement-induced pulsations of venous blood, which is at a lower oxygen saturation than arterial blood. Low perfusion can also cause conventional pulse oximeters to report inaccurate measurements or, in some cases, no measurement at all. In addition, conventional pulse oximeters cannot distinguish oxygenated hemoglobin from dyshemoglobin, including the most prevalent forms of dyshemoglobins, carboxyhemoglobin and methemoglobin. As a result, conventional pulse oximeters may report falsely high oxygen levels when these dyshemoglobins are present in the blood. Furthermore, conventional pulse oximetry readings can also be impacted by bright light and electrical interference caused by the presence of electrical surgical equipment.
Independent research has shown that over 70% of oxygen saturation alarms outside the operating room are false when conventional pulse oximetry is used. In the operating room, conventional pulse oximeters can fail to give accurate measurements due to weak physiological signals or low perfusion. Manufacturers of pulse oximeters have attempted to address some of these limitations with varying degrees of success. Some competing devices have attempted to minimize the observed effects of motion artifact by repeating/freezing the last measurement before motion artifact was detected until a new, clean signal is detected and a new measurement can be displayed. Other competing devices increase the averaging time during motion, known as long averaging, in an attempt to reduce the observed effect of motion on their measurements. Still other competing devices extend the audible alarm notification delay, which reduces awareness of inaccurate measurements. These competing “motion tolerant” or “alarm management” techniques mask the limitations of conventional pulse oximetry. Several published studies have demonstrated that these also contribute to increased occurrences of undetected true alarms, or events where hypoxemia occurs but is not detected by the pulse oximeter.

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Lastly, because conventional pulse oximetry cannot consistently measure SpO2 and pulse rate in the presence of motion artifact or low perfusion, its use is limited in lower acuity settings in the hospital, such as in general care areas, where a hospital’s staff-to-patient ratio is significantly lower and the staff have less tolerance for false alarms. In addition, two-wavelength pulse oximeters cannot distinguish oxygenated hemoglobin from dyshemoglobin, including the most prevalent forms of carboxyhemoglobin and methemoglobin. As a result of these dyshemoglobins, pulse oximeters will report falsely high oxygen levels when they are present in the blood.innovation;
Masimo SET® Pulse Oximetryour customer-driven approach to product development;
Masimo SET® was designed to overcome the primary limitationsour robust product portfolio and pipeline that addresses unmet needs of conventional pulse oximetry by maintaining accuracy in the presence of motion artifact, low perfusionhealthcare professionals, patients, and weak signal-to-noise situations. Our Masimo SET® platform, which became available to U.S. hospitals in 1998, is the basis of our pulse oximetry products,consumers; and we believe represented the first significant technological advancement in pulse oximetry since its introduction in the early 1980s. Masimo SET®utilizes five signal processing algorithms, four of which are proprietary, in parallel to deliver high sensitivity and specificity in the measurement of arterial blood oxygen saturation levels. Sensitivity is the ability to detect true alarms and specificity is the ability to avoid false alarms. One of our proprietary processing algorithms, Discrete Saturation Transform®, separates the signal from noise in real time through the use of adaptive filtering and an iterative sampling technique that tests each possible saturation value for validity. Masimo SET® signal processing can therefore identify the venous blood and other “noise”, isolate them and extract the arterial signal.
The performance of Masimo SET® pulse oximetry has been evaluated in more than 100 independent studiesour scaled and thousands of clinical evaluations. We believe that Masimo SET® is trusted by clinicians to safely monitor in excess of approximately 100 million patients each year and has been chosen as the primary pulse oximeter technology used by nine of the top ten hospitals according to the 2019-2020 U.S. News & World Report Best Hospitals Honor Roll. Compared to conventional pulse oximeters, during patient motion and low perfusion, Masimo SET® provides measurements when other pulse oximeters cannot, significantly reduces false alarms (improved specificity), and accurately detects true alarms (improved sensitivity). Clinical studies have shown that the use of Masimo SET® pulse oximetry, in conjunction with modified clinical protocols, has helped clinicians reduce ROP in neonates and improve screening for newborns with critical congenital heart disease (CCHD). Clinical studies have also shown a reduction in rapid response activations and ICU transfers when Masimo SET® is usedintegrated platforms to continuously monitor patients on general wards. Additionally, researchers have found that the use of Masimo SET® is associated with reduced ventilator weaning time and arterial blood gas measurements in the ICU.
Our pulse oximetry technology is contained on a circuit board which can be placed inside a standalone pulse oximetry monitor, placed inside OEM multiparameter monitors, or included as part of an external “Board-in-Cable” solution that is plugged into a port on an OEM or other device. All of these solutions use our proprietary single-patient-use or reusable sensors and cables. We sell our products to end-users through our direct sales force and through certain distributors, as well as to our OEM partners, for incorporation into their products. In 2013, we also began selling our pulse oximetry products in the consumer market.
To complement our Masimo SET® platform, we have developed a wide range of proprietary single-patient-use (disposable) and multi-patient-use (reusable) sensors, cablesdeliver health information and other accessories designed specificallydata, applications and experiences.



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Some of our key strategic initiatives are summarized below:
continue to work with Masimo SETexpand our market share across our product categories;
® softwarecontinue to innovate and hardware. Our single-patient-use sensors offer several advantages over reusable sensors, including improved performance, cleanliness, increased comfort and greater reliability. In addition, our neonatal adhesive sensors have been designed to exhibit greater durability compared to competitive sensors. Althoughmaintain our technology platforms operate solely with our proprietary sensor lines, our sensors have the capability to work with certain competitive pulse oximetry monitors through the use of adapter cables.
Adhesive sensors are single-patient-use items, but the U.S. Food and Drug Administration (FDA) allows third parties to reprocess pulse oximetry sensors. In response to some hospitals’ requests to implement environmentally friendly or “green” products, we offer sensor reprocessing as well as sensor recycling programs.
Masimo rainbowSET® Platformleadership position;
Since introducing Masimo SET®, we have continued to innovate by introducing noninvasive measurements that go beyond arterial blood oxygen saturationexpand connectivity and pulse rate. Our Masimo rainbow SET®platform leverages our Masimo SET® technology and incorporates licensed rainbow® technology to enable real-time monitoring of additional noninvasive measurements. Our rainbow SET® platform includes our rainbow SET® Pulse CO-Oximetry products, which we believe are the first devices cleared by the FDA to noninvasively and continuously monitor additional hemoglobin species that were previously only measurable using intermittent invasive procedures using multiple wavelengths of light.

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In addition to SpO2, PR, perfusion index (Pi), Pleth Variability Index (PVi®) and respiration rate from the pleth (RRp®), rainbow® Pulse CO-Oximetry has the unique ability to measure and distinguish oxygenated hemoglobins from the dyshemoglobins that are incapable of transporting oxygen, carboxyhemoglobin (SpCO®) and methemoglobin (SpMet®). Besides the ability to measure SpCO® and SpMet®, the Masimo rainbow SET® platform also allows for the noninvasive and continuous monitoring of total hemoglobin concentration (SpHb®) as well as the monitoring of arterial oxygen saturation, in the presence of carboxyhemoglobin and methemoglobin, known as fractional arterial oxygen saturation (SpfO2). Additionally, the rainbow SET® platform also allows for the calculation of Oxygen Content (SpOC) and Oxygen Reserve Index (ORi). RRp®, SpfO2and ORihave received CE Marking, but are not currently available for sale in the U.S.
We believe that Masimo rainbow® Pulse CO-Oximetry products will become widely adopted for the noninvasive monitoring of these measurements in the future. We also believe that the addition of acoustic respiration rate (RRa®), using our rainbow Acoustic Monitoring® technology, will strengthen the clinical demand for noninvasive and continuous monitoring using our rainbow® platform, especially in the growing general floor market.
Products with our MX circuit board contain our Masimo SET® pulse oximetry technology as well as circuitry to support rainbow® measurements. At the time of purchase, or at any time in the future, our customers and our OEMs’ customers have the option of purchasing additional rainbow® software measurements, which allow such customers to incrementally expand their patient monitoring systems with a cost-effective solution. To date, over thirty-nine companies have released rainbow SET® equipped products or announced rainbow® integration plans.
Measurements
SpHb®
Hemoglobin is the oxygen-carrying component of red blood cells (RBCs). Hemoglobin measurement is one of the most frequent invasive laboratory measurements in the world, and is often measured as part of a complete blood count (CBC), which measures multiple other blood components. A low hemoglobin status is a condition called anemia. As a chronic disorder, anemia can be treated by iron supplements, diet changes or drugs that increase the production of RBCs. As an acute disorder resulting from bleeding, anemia requires either stoppage of the bleeding or a blood transfusion in order to sustain organ function and life.
SpHb® is available as a continuous or a spot-check measurement. Continuous SpHb® monitoring provides real-time visibility into hemoglobin levels and the changes, or lack of changes, in hemoglobin levels, which can otherwise only be measured through intermittent, invasive blood testing. SpHb® monitoring is not intended to be used as the sole basis for making diagnosis or treatment decisions, but continuous SpHb® monitoring may help clinicians to trend hemoglobin in real time between invasive blood samples.
SpOC
The oxygen content of blood is a function of both oxygen saturation and hemoglobin levels. SpOC provides a more complete picture of a patient’s oxygenation status by combining noninvasive and continuous measurements of both hemoglobin and oxygen saturation levels into a single calculation.
SpCO®
Carbon monoxide (CO) is a colorless, odorless and tasteless gas that is undetectable by humans and is often unknowingly inhaled from combustion fumes, or during fires by victims and first responders. CO poisoning is the leading cause of accidental poisoning death in the U.S. and is responsible for up to 50,000 emergency department visits and 500 unintentional deaths annually. CO, when bound to hemoglobin cells, prevents those cells from carrying oxygen. Elevated CO levels may cause severe neurological damage, permanent heart damage or death. Screening for elevated CO levels in the emergency department is critical, as symptoms of CO poisoning in patients may be misdiagnosed because such symptoms are similar to the flu.
CO levels in the blood can be measured using a laboratory CO-Oximeter, which requires a patient or a patient’s blood sample to be transported to a hospital with laboratory CO-Oximetry capability. Additional delays occur if a patient needs hyperbaric oxygen therapy, which often requires transfer to yet another medical center with hyperbaric capability. Outside the hospital, laboratory measurements of carboxyhemoglobin are not considered feasible. Historically, this meant that CO levels in the blood could not be assessed in environments in which such assessment would be very useful, such as in the home or as part of the medical evaluation of first responders potentially exposed to CO at the scene of a fire.

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While SpCO® is not intended to replace invasive carboxyhemoglobin tests, when used with other clinical variables, SpCO® may help clinicians identify elevated CO levels and help determine additional test and treatment options. Multiple leading emergency first responder associations, including the National Association of Emergency Medical Technicians, the National Association of EMS Educators, the International Association of Fire Fighters and the International Association of Fire Chiefs, have educated their members on the benefits of noninvasive CO measurement when exposure is suspected or when an individual presents symptoms that could indicate elevated CO levels.
SpMet®
Methemoglobin in the blood leads to a dangerous condition known as methemoglobinemia, which occurs as a reaction to some common drugs usedwearables in hospitals and outpatient procedures. Methemoglobinemia reduces the amount of oxygen bound to hemoglobin for delivery to tissues and forces normal hemoglobin to bind more tightly to oxygen, releasing less oxygen to the tissues. Methemoglobinemia may go unrecognized or be subject to delayed diagnosis, increasing risk to the patient. Commonly prescribed drugs can introduce methemoglobin into the bloodhome and cause methemoglobinemia. Some of the 30 drugs that are known to cause methemoglobinemia include benzocaine, a local anesthetic routinely used in procedures ranging from endoscopy to surgery; inhaled nitric oxide, routinely used in the Neonatal Intensive Care Unit; nitroglycerin, used to treat cardiac patients, and dapsone, used to treat infections for immune-deficient patients such as Human Immunodeficiency Virus (HIV) patients. Warnings, cautions and alerts regarding the clinical significance and prevalence of methemoglobinemia have been generated by the FDA, the Veterans Administration, the Institute for Safe Medication Practices and the National Academy of Clinical Biochemistry. The American Academy of Pediatrics recommends monitoring methemoglobin levels in infants who receive nitric oxide therapy. While SpMet® is not intended to replace invasive methemoglobin tests, when used with other clinical variables, SpMet® may help clinicians identify elevated methemoglobin levels and help determine additional test and treatment options.consumer market;
PVi® utilize our existing customer base and OEM relationships to market additional product offerings;
PVi® is a measure of the dynamic changes in the Pi that occur during the respiratory cycle. The calculation is accomplished by measuring changes in Pi over a time interval where one or more complete respiratory cycles have occurred. PVi® is displayed as a percentage. The lower the number, the less variability there is in Pi over a respiratory cycle. PVi® may show changes that reflect physiologic factors such as vascular tone, circulating blood volumedefine and intrathoracic pressure excursions. When used with other clinical variables, PVi® may help clinicians assess fluid responsiveness in surgicalleverage shared Masimo product platforms to scale resources and intensive care patients who are mechanically ventilated, and help determine other treatment options.connected technologies;
RPVidiversify products to ensure continued operations;
Rainbow® Pleth Variability Index (RPVi) is a multi-wavelength version of PVi® that is designedexpand sales and marketing infrastructure to provide enhanced specificity to changesaid in fluid volume compared to PVi®. Similar to PVi®, RPVi is displayed as a percentage and is calculated by measuring changes in Pi over a time interval where one or more complete respiratory cycles have occurred. The lower the number, the less variability there is in Pi over a respiratory cycle, which indicates more fluid in the body. RPVihas received the CE Mark, but is not currently available for sale in the U.S.future grown initiatives;
RRp®increase efficiency and capacity through internal manufacturing capabilities combined with proven outsourced manufacturing partners;
Respiration rate is defined as the number of breaths per minute. Changes in respiration rate provide an early warning sign of deterioration in patient condition. A low respiration rate is indicative of respiratory depressiongrow our international presence through brand awareness and high respiration rate is indicative of patient distress. Current methods of monitoring respiration rate include end tidal carbon dioxide (EtCO2) monitoring, which requires a nasal cannula be inserted in the patient’s nose or a mask to be worn, and therefore has low patient compliance; and impedance monitoring, which is considered unreliable and requires the placement of ECG electrodes on the chest. RRp® allows clinicians to noninvasively and continuously measure and monitor respiration rate using a standard Masimo SET® pulse oximetry sensor or rainbow® Pulse CO-Oximetry sensor. RRp® is determined by the variations in the plethysmograph waveform due to respiration, although the measurement is not possible in all patients or conditions and may not immediately indicate changes in respiration rate. RRp®has received the CE Mark, as well as FDA 510(k) clearance when used in healthcare settings with the MightySat® Rx fingertip SET®pulse oximeter. RRp® is also available in the U.S. for use by consumers for general health and wellness purposes as part of our MightySat® fingertip pulse oximeter.marketing;
RRa®expand our direct-to-consumer efforts through existing channel partners and prospective customers;
Our sound-based monitoring technology, rainbow Acoustic Monitoring® (RAM®), enables RRa®supplement our internal growth and provides continuousexpand our product portfolio with strategic acquisitions, investments and noninvasive monitoring of respiration rate. For patients requiring accuratepartnerships; and sensitive respiration rate monitoring, we believe that RRa® better detects pauses in breathing than respiration rate measurements from other technologies such as EtCO2 monitoring and RRp®. RRa® also provides an important visual indication of breathing through a displayed acoustic waveform.

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Multiple clinical studies have shown that the noninvasive measurement of acoustic respiration rate provides as good or better respiration rate monitoring accuracy as EtCO2monitoring, and can reliably detect episodes of respiratory pause, defined as the cessation of breathing for 30 seconds or more. When used with other clinical variables, RRa® may help clinicians assess respiratory depression and respiratory distress earlier and more often to help determine treatment options and potentially enable earlier interventions.
SpfO2drive an efficient capital structure and strong shareholder returns.
Prior to our debut of SpfO2, pulse oximeters could only measure and display functional SpO2 oxygen saturation. Therefore, when patients had elevated carboxyhemoglobin and/or elevated methemoglobin, the displayed functional SpO2 oxygen saturation overestimated the actual oxygen saturation value. SpfO2, or fractional oxygen saturation, allows more precise arterial oxygenation assessment in patients with elevated dyshemoglobins, common throughout the hospital and pre-hospital setting, compared to functional oxygen saturation, and may also allow earlier interventions and more timely therapeutic decisions. SpfO2 has received CE Mark, but is not currently available for sale in the U.S.
ORi
ORi provides real-time visibility to oxygenation status in moderate hyperoxic range, which we define as a patient’s oxygen “reserve”. ORi can be trended and has optional alarms to notify clinicians of changes in a patient’s oxygen reserve. When this technology is used with SpO2 monitoring, ORi may extend the continuous and noninvasive visibility of a patient’s oxygen status into ranges previously unmonitored in this fashion. ORi may also be of value in patients receiving supplemental oxygen, such as those in surgery, under conscious sedation or in the ICU, as ORiis represented as an “index” parameter with a unit-less scale between 0.00 and 1.00. Furthermore, ORi may provide an advance warning of an impending hypoxic state, or an indication of an unintended hyperoxic state, when evaluated in conjunction with the partial pressure of oxygen (PaO2). In this way, ORi may assist in determining the need for proactive interventions to avoid hypoxia or unintended hyperoxia. ORihas received the CE Mark, but is not currently available for sale in the U.S.
Other Noninvasive Measurements
Following the introduction of our rainbow SET® platform, we have continued to expand our technology offerings by introducing additional noninvasive measurements and technologies to create new market opportunities in both hospital and non-hospital care settings.
SedLine® Brain Function Monitoring
Brain function monitoring is most commonly used during surgery to help clinicians avoid over-titration and under-titration of anesthesia and sedation. SedLine®brain function monitoring technology measures the brain’s electrical activity by detecting EEG signals. In contrast to whole-scalp EEG monitoring, which is used for diagnostic purposes, this form of EEG monitoring is often referred to as processed EEG monitoring or brain function monitoring. Brain function monitors display the patient’s EEG waveforms, but these may be difficult for clinicians to interpret. With SedLine® technology, EEG signals are processed and displayed as a single number called the Patient State Index (PSi), which gives a continuous quantitative indication of the patient’s depth of anesthesia and sedation. SedLine® brain function monitoring technology also displays raw EEG waveforms, the PSi trend and a Density Spectral Array view, which allows clinicians to compare EEG power in both sides of the brain over time to facilitate the detection of asymmetrical activity and agent-specific effects on the EEG signal.
SedLine® brain function monitoring technology is available on Root® through the use of a Masimo Open Connect® (MOC-9®) connectivity port. The Root® patient monitoring and connectivity platform integrates rainbow® and SET® measurements with measurement technologies, such as SedLine®.
NomoLine® Capnography and Gas Monitoring
We offer a portfolio of capnography and gas monitoring products ranging from external “plug-in-and-measure” capnography and gas analyzers, integrated modules, handheld capnograph and capnometer devices, and capnography sampling lines. Our NomoLine® capnography sampling lines are available in more than 40 configurations of airway adapter sets and cannulas for use in a variety of clinical scenarios on both intubated and non-intubated adult, pediatric, infant and neonatal patients, in both low and high humidity configurations, facilitating easy to use sidestream capnography and gas monitoring. These products have the ability to measure multiple expired gases, such as carbon dioxide (CO2), nitrous oxide (N2O), oxygen (O2) and other anesthetic agents. In addition, respiration rate is calculated from the CO2 waveform. These measurements are possible through either mainstream monitoring, which samples gases from a ventilated patient’s breathing circuit, or sidestream monitoring, which samples gases from a breathing circuit in mechanically ventilated patients or through a cannula or mask in spontaneously breathing patients. These capnography and gas measurements are standard-of-care in many hospital environments, such as operating rooms and ICUs, during procedural sedation. NomoLine® capnography sampling lines have received FDA 510(k) clearance.

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O3®Organ Oximetry
O3® organ or regional oximetry, also known as tissue or cerebral oximetry, uses near-infrared spectroscopy (NIRS) to provide continuous measurement of tissue oxygen saturation (rSO2) to help detect regional hypoxemia, or oxygen deficits in specific tissues such as the brain, that pulse oximetry alone cannot detect under certain conditions. In addition, O3® sensors, in conjunction with our Root® monitor, can automate the differential analysis of regional to central oxygen saturation derived from SET® pulse oximeters. O3® monitoring involves applying O3® regional oximetry sensors to the forehead and connecting the O3® MOC-9® module to a Root® monitor through one of its three MOC-9® ports. O3®regional oximetry has received CE Mark and FDA 510(k) clearance for use in adult and pediatric patients. In June 2019, we announced FDA 510(k) clearance for use of O3® in infant and neonatal patients.
Hospital Automation and Other Technologies
Patient SafetyNet
Patient SafetyNet, our patient surveillance, remote monitoring and clinician notification solution, works in concert with our bedside and ambulatory monitoring devices to facilitate the supplemental monitoring of the oxygen saturation, pulse rate, perfusion index, hemoglobin, methemoglobin, and respiration rate of up to 200 patients simultaneously from a single server. Patient SafetyNet offers an intuitive and powerful user interface with trending, real-time waveform capability at a central station, as well as remote clinician notification via pager, voice-over-IP phone or smart-phones. Patient SafetyNet also features an Adaptive Connectivity Engine(ACE) that enables two-way, HL-7 based connectivity to clinical/hospital information systems. The ACE significantly reduces the time and complexity to integrate and validate custom HL-7 implementations, and demonstrates our commitment to innovation that automates patient care with open, scalable, and standards-based connectivity architecture.
Patient SafetyNet Series 5000, along with Iris® Connectivity, Iris Gateway®, Kite®, UniView and MyView® through the Root® patient monitoring and connectivity platform, offers a new level of interoperability designed to enhance clinician workflows and reduce the cost of care in a variety of hospital settings, including operating rooms and the general care floors. Patient SafetyNet Series 5000 with Iris® enables Root® to assimilate data from all devices connected to the patient, thereby acting as a comprehensive in-room patient monitor and connectivity hub. Alarms and alerts for all devices are seamlessly forwarded to the patient’s clinician and device data can be transferred to the patient’s electronic medical record (EMR). The patient-centric user interface of the Patient SafetyNet Series 5000 displays near real-time data from all devices with Kite®, providing a single unified dashboard of patient information. To simplify documentation of patient data, Root® enables clinicians to easily verify and send patient vitals and Early Warning Scores (EWS), as well as all connected medical device information data, to the EMR directly from Root®. An interface between the Patient SafetyNet Series 5000 and the hospital admission, discharge and transfer (ADT) system allows clinicians to receive ADT information on Root® for positive patient identification at the bedside. Clinicians can also manually enter additional data on the Root® device, including temperature, blood pressure, level of consciousness, pain score and urine output.
In an article published in 2010 by Dartmouth-Hitchcock Medical Center, clinicians using Masimo SET® and Patient SafetyNet identified patient distress earlier, which decreased rapid response team activations, ICU transfers and ICU days. Hospitals and other care centers may determine that they can reduce their costs by moving less critically ill patients from the ICU to the general care floors where they can be continuously and accurately monitored in a more cost-effective manner. We believe that the advanced performance of the Masimo SET® platform coupled with reliable, cost-effective and easy-to-use wireless remote monitoring will allow hospitals to create continuous surveillance solutions on general care floors where patients are at risk of avoidable adverse events and where direct patient observation by skilled clinicians is considered cost prohibitive.
MyView®
MyView® is a wireless, presence-detection system that enables the display of customized clinical profiles on Masimo devices, such as Root®, Radical-7® and the Patient SafetyNet View Station. When a clinician approaches the device, a clinician-worn MyView® badge signals the device to display a preselected set of parameters and waveforms tailored to the individual clinician’s preferences. MyView® gives clinicians the ability to receive and review medical device information in a manner that is most conducive to optimizing their workflow, while the presence mapping data collected by all the Masimo devices can provide insight into how clinicians spend time with patients. This provides nursing leadership and management the opportunity to examine analytical data on patient-clinician interactions and optimize workflows across the unit, hospital and hospital system.

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Patient SafetyNet Surveillance
Patient SafetyNet Surveillance is a software option that provides real-time video images of a patient’s room, including the patient and connected monitoring devices, adding existing communication technology to central monitoring. Two-way audio is available to allow the caregiver to listen to and communicate with the patient. The system utilizes the existing hospital information technology network, precluding the installation of additional infrastructure.
Trace
Trace is a patient data visualization and reporting software designed for Masimo Root® and Radical-7® monitors. Trace is the first data visualization and reporting software compatible with the full capabilities of the Masimo Root® Patient Monitoring and Connectivity Platform, including Radical-7® and Radius-7®Pulse CO-Oximeters®, Root® with integrated noninvasive blood pressure and temperature, and connected MOC-9® modules such as SedLine® brain function monitoring, NomoLine® capnography and O3® regional oximetry.
Third-Party Device Connectivity
Despite medical technology advances, the lack of device communication and integration creates risks to patient safety in hospitals around the world. Without device interoperability, critical patient information can go unnoticed, leaving clinicians unaware and patients at risk. Existing approaches for device interoperability require separate hardware, software and/or network infrastructure, which can clutter the patient room, increase complexity, burden IT management and increase costs. To address these challenges, we introduced Iris® connectivity in our Root® patient monitoring and connectivity platform. Iris® connectivity enables multiple standalone third-party devices such as intravenous pumps (IV), ventilators, hospital beds and other patient monitors to connect through Root®, enabling display, notification and documentation to the EMR through Masimo Patient SafetyNet.
The addition of Iris® connectivity to Root® and Patient SafetyNet provides multiple advantages to hospitals, such as allowing standalone device information to be remotely viewed at a Patient SafetyNet view station, transmitted through notification systems to clinicians regardless of location or sent to electronic health record systems. This may enhance patient assessment, clinical workflows and decision support. In addition, bringing data from disparate devices together facilitates more integrated patient care, and provides a flexible and cost-effective platform, avoiding installation of separate costly systems and potentially reducing costs by leveraging existing network infrastructure.
Our Strategy
We are an organization engineered to improve life. We exist for people who care, care about others, care about quality, care about precision and care about excellence. Our mission ishealthcare and non-healthcare segments are joined by the common goal of improving lives by providing patient-centered solutions to develop technologieshealthcare providers, expanding outside of the hospital and into the home and delivering innovative, high-quality information and experiences to consumers. We believe that improvepeople and infrastructures are ready for actionable patient outcomescare outside of the hospital.
We deliver value to our customers and reduce the coststockholders through:
our differentiated and clinically superior technologies;
our proven track record of patient care. We intendinnovation;
our customer-driven approach to continueproduct development;
our robust product portfolio and pipeline that addresses unmet needs of healthcare professionals, patients, and consumers; and
our scaled and integrated platforms to grow our businesscontinuously monitor and improve our market position by pursuing the following strategies:deliver health information and other data, applications and experiences.
Continue to Expand our Market Share in Pulse Oximetry.



We grew our product revenue to $936.4 million in 2019 from $674.0 million in 2016, representing a three-year compound annual growth rate of 11.6%. This growth can be attributed to continued expansion of our core SET® pulse oximeter customer base, higher revenues from rainbow® Pulse CO-Oximetry, NomoLine® capnography and other new technologies, and our expanding list of OEM partners. We supplement our direct sales to hospitals and other low-acuity healthcare facilities through various U.S. and international distributors. Combined sales through our direct and distributor sales channels increased to $816.8 million, or 87.2% of product revenue in 2019, from $582.1 million, or 86.4% of product revenue, in 2016. As the healthcare industry shifts toward hospitals, physicians and providers being rewarded by payers based on the quality and value of the services (as opposed to the volume of fee-for-service transactions), we expect to see more hospitals gravitate towards technologies like Masimo SET® that have a proven track record of improving patient care.
Expand the Pulse Oximetry Market to Other Patient Care Settings. Many patients die due to unintended opioid overdoses after surgery while on general care floors. We believe the ability to continuously and accurately monitor patients outside of critical care settings, including the general, medical and surgical floors of the hospital, is currently an unmet medical need that has the potential to significantly improve patient care and increase the size of the pulse oximetry market. In addition, we believe the ability of Masimo SET® to accurately monitor and address the limitations of conventional pulse oximetry has enabled us, and will continue to enable us, to expand into non-critical care settings, and therefore, significantly expand the market for our products. To further support our expansion into the general care areas, we market Patient SafetyNet, which enables continuous monitoring of up to 200 patients’ oxygen saturation, pulse rate and with rainbow SET®, noninvasive hemoglobin and respiration rate. We believe that Patient SafetyNet, when combined with Masimo SET® pulse oximetry and RAM® or capnography, offers a clinically proven and cost-effective approach to continuous post-operative monitoring. Outside of the hospital setting, patients could die due to unintentional opioid overdose, even when opioids are being taken for short duration, such as after surgery, and as prescribed by a physician. We believe that in the home setting, accurate monitoring with Masimo SET® may help reduce the risk of opioid overdose by alerting family members and others when opioids have slowed a patient’s breathing and caused a significant drop in oxygen saturation.

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Some of our key strategic initiatives are summarized below:
continue to expand our market share across our product categories;
Expand the Use of rainbow®Technology in Hospital Settings. We believe the noninvasive measurement of rainbow® Pulse CO-Oximetry (SpHb®, SpCO®, SpMet®, PVi®, SpfO2, SPOC and ORi), rainbow Acoustic Monitoring® (RRa®), and the Halo Index, as well as future measurements, provide an excellent opportunity to help our customers improve patient care while reducing their overall cost of care.
Expand the Use of rainbow®Technology in Non-Hospital Settings. We believe the noninvasive measurement of hemoglobin, SpHb®,creates a significant opportunity in markets such as physician offices, emergency departments and blood donation centers; and the noninvasive measurement of carboxyhemoglobin, SpCO®, creates a significant opportunity in the fire/alternate care market.
Expand the Use of Root® in Hospital Settings. We believe Root® represents a powerful new paradigm in patient monitoring because it enhances our rainbow® and SET®measurements with multiple specialty parameters, including SedLine® brain function monitoring, O3®regional oximetry, and NomoLine® capnography and gas monitoring, and enables open-architecture connectivity in an integrated, clinician-centric hub. Our Iris® integration platform for Root® provides a conduit to the patient’s EMR for a range of clinical devices that may otherwise remain disconnected, and therefore, unable to communicate their information. Iris® offers clinical utility and flexibility by collecting device information from multiple sources and making it available to clinicians in one networked place, akin to an airplane cockpit. Complementary innovations like the Radius-7® wearable, wireless monitor foster an environment of safety without sacrificing patient mobility or comfort. Radius-7® provides patients in medical-surgical units with mobility, allowing them to visit common areas and labs, all while being continuously monitored around the clock. Root® is acuity-adaptable, meaning it can be configured for any care area, and is competitively priced.
Expand Hospital Automation and Connectivity in Hospital Settings. We believe we can improve and automate the continuum of care through our connectivity platform by reducing complexity by integrating data from multiple disparate monitors and therapeutic devices through Root® and Iris Gateway®; by deploying decision support algorithms like Halo ION; by saving time through semi-automated and automated bedside vital signs measurement and documentation with Patient SafetyNet; by keeping patients connected with their care providers through Doctella and Rad 97® when they are discharged from hospitals; by improving data interpretation through adaptable and intuitive displays like UniView ; and through remote monitoring via Patient SafetyNet and Replica.
Utilize our Customer Base and OEM Relationships to Market Masimo rainbow SET®, O3®, SedLine® and Capnography Products Incorporating Licensed rainbow®Technology. We currently sell rainbow SET® products through our direct sales force and distributors. We include our MX circuit boards in our pulse oximeters and also sell them to our OEM partners. Our MX circuit boards are equipped with circuitry to support rainbow® Pulse CO-Oximetry measurements that can be activated at time of sale or through a subsequent software upgrade. We believe that, over time, the clinical need for these measurements, along with our installed customer base, will help drive the adoption of our rainbow® Pulse CO-Oximetry products.
Continue to Innovate and Maintain Our Technology Leadership Position. We invented and pioneered the first pulse oximeter to accurately measure arterial blood oxygen saturation level and pulse rate in the presence of motion artifact and low perfusion. In addition, we launched our rainbow SET® platform that enabled what we believe is the first noninvasive monitoring of carboxyhemoglobin, methemoglobin and hemoglobin, as well as PVi®, all of which were previously only available with invasive and/or complicated testing. Furthermore, we believe that our introduction of RRa® with rainbow Acoustic Monitoring® technology represented the first platform to enable noninvasive and continuous respiration monitoring through an easy-to-use single-patient adhesive acoustic sensor. Finally, we believe that our recent introduction of ORi may provide advance warning of an impending hypoxic state, or an indication of an unintended hyperoxic state.
We plan to continue to innovate and develop newmaintain our technology leadership position;
expand connectivity and wearables in hospitals and into the home and consumer market;
utilize our existing customer base and OEM relationships to market additional product offerings;
define and leverage shared Masimo product platforms to scale resources and connected technologies;
diversify products to ensure continued operations;
expand sales and marketing infrastructure to aid in future grown initiatives;
increase efficiency and capacity through internal manufacturing capabilities combined with proven outsourced manufacturing partners;
grow our international presence through brand awareness and marketing;
expand our direct-to-consumer efforts through existing channel partners and prospective customers;
supplement our internal growth and expand our product portfolio with strategic acquisitions, investments and partnerships; and
drive an efficient capital structure and strong shareholder returns.
Our Technologies
Conventional Pulse Oximetry
Pulse oximetry enables the noninvasive measurement of the oxygen saturation level of arterial blood (SpO2), which delivers oxygen to the body’s organs and tissues. Pulse oximetry also measures pulse rate (PR), which, when measured by electrocardiogram (ECG), is called heart rate. Pulse oximeters use sensors attached to an extremity, typically the fingertip or certain core body sites. These sensors contain two light-emitting diodes that transmit red and infrared light from one side of the extremity through the tissue to a photodetector on the other side of the extremity. The photodetector in the sensor measures the amount of red and infrared light absorbed by the tissue. A microprocessor then analyzes the changes in light absorption to provide a continuous, real-time measurement of the amount of oxygen in the patient’s arterial blood. Pulse oximeters typically give audio and visual alerts, or alarms, when the patient’s arterial blood oxygen saturation level or pulse rate falls outside of a user-designated range. As a result, clinicians have the opportunity to assess patients who may need immediate treatment to prevent the serious clinical consequences of hypoxemia, or low arterial blood oxygen saturation levels, and hyperoxemia, or high arterial blood oxygen levels.
As one of the most common technologies used in and out of hospitals around the world, pulse oximetry has gained widespread clinical acceptance as a standard patient vital sign measurement because it can give clinicians a warning of possible hypoxemia or hyperoxemia. SpO2 monitoring of oxygen saturation is critical because hypoxemia can lead to a lack of oxygen in the body’s tissues, which can be toxic and result in organ damage or death. Pulse oximeters are used in a variety of critical care settings, including surgery, recovery rooms, intensive care units (ICUs), emergency departments and general care floors, as well as alternative care settings, such as long-term care facilities, physician offices and the home monitoring of patients with chronic conditions. Clinicians also use pulse oximeters to monitor oxygen saturation in premature babies to ensure that appropriate oxygen saturation levels are maintained.
Conventional pulse oximetry has limitations that can reduce its effectiveness and the quality of patient care. In particular, when using conventional pulse oximetry, oxygen saturation measurements can be distorted by motion artifact, or patient movement, and low perfusion, or low arterial blood flow at the measurement site. Motion artifact can cause conventional pulse oximeters to inaccurately measure the arterial blood oxygen saturation level, due mainly to the effect of movement-induced pulsations of venous blood, which is at a lower oxygen saturation than arterial blood. Low perfusion can also cause conventional pulse oximeters to report inaccurate measurements or, in some cases, no measurement at all. In addition, conventional pulse oximeters cannot distinguish oxygenated hemoglobin from dyshemoglobin, including the most prevalent forms of dyshemoglobins, carboxyhemoglobin and methemoglobin. As a result, conventional pulse oximeters may report falsely high oxygen levels when these dyshemoglobins are present in the blood. Furthermore, conventional pulse oximetry readings can also be impacted by bright light and electrical interference caused by the presence of electrical surgical equipment.
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The Masimo Difference - Masimo SET® Pulse Oximetry
Masimo SET® was designed to overcome the primary limitations of conventional pulse oximetry by maintaining accuracy in the presence of motion artifact, low perfusion and weak signal-to-noise situations. Our Masimo SET® platform, which became available to U.S. hospitals in 1998, is the basis of our pulse oximetry products, internallyand we believe represented the first significant technological advancement in pulse oximetry since its invention in the early 1970s and introduction in the early 1980s. Masimo SET®utilizes five signal processing algorithms, four of which are proprietary, in parallel to deliver high sensitivity and specificity in the measurement of arterial blood oxygen saturation levels. Sensitivity is the ability to detect true alarms and specificity is the ability to avoid false alarms. One of our proprietary processing algorithms, Discrete Saturation Transform®, separates the signal from noise in real time through the use of adaptive filtering and an iterative sampling technique that tests each possible saturation value for validity. Masimo SET® signal processing can therefore identify the venous blood and other “noise”, isolate them and extract the arterial signal.
The performance of Masimo SET® pulse oximetry has been evaluated in more than 100 independent studies and thousands of clinical evaluations. We believe that Masimo SET® is trusted by clinicians to safely monitor in excess of approximately 200 million patients each year and has been chosen as the primary pulse oximeter technology used by nine of the top ten hospitals according to the 2022-2023 U.S. News & World Report Best Hospitals Honor Roll. Compared to conventional pulse oximeters, during patient motion and low perfusion, Masimo SET® provides measurements when other pulse oximeters cannot, significantly reduces false alarms (improved specificity), and accurately detects true alarms (improved sensitivity). Despite pulse oximetry’s widespread use since the 1980s, it had not been shown to improve clinical outcomes before the introduction of Masimo SET®. Masimo SET® has been shown to help clinicians reduce severe retinopathy of prematurity neonates, improve CCHD screening in newborns, and, when used for continuous monitoring with Masimo Patient SafetyNet in post-surgical wards, reduce rapid response team activations, ICU transfers, and costs.
Our pulse oximetry technology is contained on a circuit board which can be placed inside a standalone pulse oximetry monitor, placed inside OEM multiparameter monitors, or included as part of an external “Board-in-Cable” solution that is plugged into a port on an OEM or other device. All of these solutions, as well as most of our patient cables, use our proprietary single-patient-use or reusable sensors . We sell our products to end-users through our direct sales force and through certain distributors, as well as to our collaborationOEM partners, for incorporation into their products. In 2013, with Cercacor, from whomthe launch of iSpO2®, we currently licensebegan selling our pulse oximetry products in the consumer home wellness market.
To complement our Masimo SET® platform, we have developed a wide range of proprietary single-patient-use (disposable) sensors, including untethered Radius-PPG®, and multi-patient-use (reusable) sensors, cables and other accessories designed specifically to work with Masimo SET® software and hardware. Our single-patient-use sensors offer several advantages over reusable sensors, including improved performance, cleanliness, increased comfort and greater reliability. Although our technology platforms operate solely with our proprietary sensor lines, our sensors have the capability to work with certain competitive pulse oximetry monitors through the use of adapter cables.
Adhesive sensors are single-patient-use items, but the U.S. Food and Drug Administration (FDA) allows third parties to reprocess pulse oximetry sensors. In response to some hospitals’ requests to implement environmentally friendly products, we offer sensor reprocessing as well as sensor recycling programs.
Masimo rainbowSET® technologies.Platform and Other Technology Solutions
Since introducing Masimo SET®, we have continued to innovate by introducing noninvasive measurements that go beyond arterial blood oxygen saturation and pulse rate. Our Masimo rainbow SET®platform leverages our Masimo SET® technology and incorporates licensed rainbow® technology to enable real-time monitoring of additional noninvasive measurements. Our rainbow SET® platform includes our rainbow SET® Pulse CO-Oximetry products, which we believe are the first devices cleared by the FDA to noninvasively and continuously monitor additional hemoglobin species that were previously only measurable using intermittent invasive procedures using multiple wavelengths of light.
In addition to SpO2, PR, perfusion index (Pi), Pleth Variability Index (PVi®), Rainbow® Pleth Variability Index (RPVi)and respiration rate from the pleth (RRp®), rainbow® Pulse CO-Oximetry has the unique ability to measure and distinguish oxygenated hemoglobins from the dyshemoglobins that are incapable of transporting oxygen, carboxyhemoglobin (SpCO®) and methemoglobin (SpMet®). Besides the ability to measure SpCO® and SpMet®, the Masimo rainbow SET® platform also allows for the noninvasive and continuous monitoring of total hemoglobin concentration (SpHb®) as well as the monitoring of arterial oxygen saturation, in the presence of carboxyhemoglobin and methemoglobin, known as fractional arterial oxygen saturation (SpfO2). Additionally, the rainbow SET® platform also allows for the calculation of Oxygen Content (SpOC) and Oxygen Reserve Index (ORi). SpfO2 and ORi have received CE Marking, but are not currently available for sale in the U.S.
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We believe that Masimo rainbow® Pulse CO-Oximetry products will become widely adopted for the noninvasive monitoring of these measurements in the future. We also believe that the addition of acoustic respiration rate (RRa®), using our rainbow Acoustic Monitoring® technology, will strengthen the clinical demand for noninvasive and continuous monitoring using our rainbow® platform, especially in the growing general floor market.
Products with our MX circuit board contain our Masimo SET® pulse oximetry technology as well as circuitry to support rainbow® measurements. At the time of purchase, or at any time in the future, growth strategy is also closely tiedour customers and our OEMs’ customers have the option of purchasing additional rainbow® software measurements, which allow such customers to incrementally expand their patient monitoring systems with a cost-effective solution. To date, over forty companies have released rainbow SET® equipped products or announced rainbow® integration plans.
Following the introduction of our focus on international expansion opportunities. Since 2007,rainbow SET® platform, we have continued to expand our salestechnology offerings by introducing additional noninvasive measurements, technologies, platforms and marketing presenceother solutions to create new market opportunities in Europe, Asia, Asia Pacific, Middle East, Canadaboth hospital and Latin America. We have accomplishednon-hospital care settings, including the Masimo Hospital Automation Platform, other connectivity platforms, nasal high-flow ventilation, and neuromodulation therapeutics and telehealth solutions, which are described in more detail below.
The Masimo Hospital Automation Platform
Patient SafetyNet(1), our patient surveillance, remote monitoring and clinician notification solution, works in concert with our bedside and ambulatory monitoring devices to facilitate the supplemental monitoring of the oxygen saturation, pulse rate, perfusion index, hemoglobin, methemoglobin and respiration rate of up to 200 patients simultaneously from a single server. Patient SafetyNet offers an intuitive and powerful user interface with trending, real-time waveform capability at a central station, as well as remote clinician notification via pager, voice-over-IP phone or smart-phones. Patient SafetyNet also features an Adaptive Connectivity Engine(ACE) that enables two-way, HL-7 based connectivity to clinical/hospital information systems. The ACE significantly reduces the time and complexity to integrate and validate custom HL-7 implementations, and demonstrates our commitment to innovation that automates patient care with open, scalable and standards-based connectivity architecture.
Patient SafetyNet Series 5000, along with Hospital Automation Connectivity, Iris Gateway®, Kite®, iSirona®, UniView®, UniView: 60 and MyView® through the Root® patient monitoring and connectivity platform, offers a new level of interoperability designed to enhance clinician workflows and reduce the cost of care in a variety of hospital settings, including operating rooms and the general care floors. Patient SafetyNet Series 5000 with Iris® ports enables Root® to assimilate data from all devices connected to the patient, thereby acting as a comprehensive in-room patient monitor and connectivity hub. Alarms and alerts for all devices are seamlessly forwarded to the patient’s clinician and device data can be transferred to the patient’s electronic medical record (EMR). In an operating room setting, the patient-centric user interface of the Patient SafetyNet Series 5000 displays near real-time data from all devices with Kite®, providing a single unified dashboard of patient information.
Connectivity Platforms
Despite medical technology advances, the lack of device communication and integration creates risks to patient safety in hospitals around the world. Without device interoperability, critical patient information can go unnoticed, leaving clinicians unaware and patients at risk. Existing approaches for device interoperability require separate hardware, software and/or network infrastructure, which can clutter the patient room, increase complexity, burden IT management and increase costs. To address these challenges, we introduced Iris® connectivity in our Root® patient monitoring and connectivity platform. iSirona and Iris® connectivity enables multiple standalone third-party devices such as intravenous pumps (IV), ventilators, hospital beds and other patient monitors to connect through Root®, enabling display, notification and documentation to the EMR through Masimo Patient SafetyNet.
The addition of Iris® connectivity to Root® and Patient SafetyNet provides multiple advantages to hospitals, such as allowing standalone device information to be remotely viewed at a Patient SafetyNet view station, transmitted through notification systems to clinicians regardless of location or sent to electronic health record systems. This may enhance patient assessment, clinical workflows and decision support. In addition, bringing data from disparate devices together facilitates more integrated patient care and provides a flexible and cost-effective platform, while avoiding installation of separate costly systems and potentially reducing costs by leveraging existing network infrastructure.
(1) The use of the trademark Patient SafetyNet is under license from the University HealthSystem Consortium.
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Nasal High-Flow Ventilation
The Masimo softFlow technology provides respiratory support by generating a precisely regulated, stable and high flow of room air or a mix of room air and oxygen through the nose of the patient by means of thin nasal prongs. Controlled oxygen supply ensures oxygenation while, at the same time, the respiratory airways are humidified. A stable air flow is essential for treating hypoxemic and hypercapnic respiratory failure. Together with the Masimo softflow nasal applicator, the Masimo softflow generator provides a constant air flow and in doing so, it is completely independent of external pneumatic systems. Due to this, by both additional staffingthe Masimo softFlow technology is able to treat respiratory insufficiency and addingallows therapy at home in a manner that is as reliable and efficient as in the hospital.
Neuromodulation Therapeutic
Bridge is the first FDA-cleared, drug-free, non-surgical device to use neuromodulation to aid in the reduction of symptoms associated with opioid withdrawal. Bridge can be used for patients experiencing opioid withdrawal symptoms, while undergoing treatment for opioid use disorder when initiating treatment, transitioning to naltrexone or expanding sales offices in many of these territories. By centralizing a portion of our international operations, including sales management, marketing, customer support, planning, logistics and administrative functions, in Neuchâtel, Switzerland,tapering off medication-assisted treatment. In addition, we believe Bridge may reduce pain and addiction-related side-effects. Bridge is a small electrical nerve stimulator device that contains a battery-powered chip and wires that are applied percutaneously around a patient’s ear. It requires a prescription and is offered to qualified healthcare professionals with training. Bridge has been granted a FDA 510(k) de novo classification.
Telehealth Solutions
In an effort to help clinicians and public health officials combat the COVID-19 pandemic, we developed the Masimo SafetyNet solution. The Masimo SafetyNet solution provides continuous tetherless pulse oximetry and respiration rate monitoring coupled with a patient surveillance platform. Masimo SafetyNetsolution is available worldwide. In partnership with Samsung Electronics America, Inc., the Masimo SafetyNet Patient App is available on select Samsung smartphones, pre-installed and pre-configured.
Hearables and Wearables
Our hearable and wearable products are engineered for a wide range of consumers, including professional athletes, medical clinicians, active lifestyle practitioners, the health conscious, online gamers, and even the most demanding of sound enthusiasts; all with differentiated technologies that leverage our legacy of trusted brands. Our hearable and wearable products include best-in-class health sensors and high-fidelity wireless headphones and earbuds.
Premium and Luxury Home Audio
Our premium and luxury home audio product range includes wireless sound bars and speakers, home theater speakers and surround sound technology, high fidelity amplifiers and processors, audio visual receivers (AVR) and components, and other accessories to address our customers’ evolving audio needs and desires. In addition, we have developed a more efficientpartnered with certain organizations that allow us to provide the highest quality audio technologies into sound studios, home theaters, automotive and scalable international organization that is capableairline environments.










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Our Products and Markets
We develop, manufacture and market patient monitoring technologies that incorporate a monitor or circuit board and sensors, including proprietary single-patient-use and reusable sensors and patient cables. In addition, we offer remote alarm/monitoring solutions, software and connectivity solutions.

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The following chart summarizes our principal product components and principal markets and methods of distribution:
Patient Monitoring Solutions:
Patient Monitoring Solutions:
Description:Use:Distribution Channel:
Circuit Boards and Modules
(e.g., MX-7, MX-5, MX-7, MSX (shown below), MS-2011, MS-2013, MS-2040, uSpO2®, SedLine®, ISA and IRMA)
mx5a03.jpgOur Masimo circuit boards perform all signal processing and other pulse oximetry functions incorporating the Masimo SET®, Masimo rainbow® Pulse CO-Oximetry or rainbow Acoustic Monitoring® technology with specific functionality or measurements. Our MX-7 OEM circuit board is our latest and most advanced rainbow SET® board, offering more efficient power utilization, and designed for integration into the more than 200 multi-parameter monitors available from our more than 90 OEM partners. The MX-7 has the ability to support all 13 of Masimo’s SET® pulse oximetry and rainbow® Pulse CO-Oximetry measurements.
Description:Use:Distribution Channel:
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• Signal processing apparatus for all Masimo technology platforms

• Mainstream and sidestream capnography and gas monitoring
• Incorporated and sold to OEM partners who incorporate our circuit boards into their patient monitoring systems
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• Signal processing apparatus for all Masimo technology platforms

• Mainstream and sidestream capnography and gas monitoring
• Incorporated and sold to OEM partners who incorporate our circuit boards into their patient monitoring systems
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Monitors and Devices
(e.g., Radical-7®, Rad-97®with Nomoline Capnography (both shown(shown below), Rad-67, Rad-87, Rad-57®, Pronto-7, Root®, Rad-8®, Rad-5® and Radius-7®)
We offers a variety of continuous bedside monitoring and transport devices suitable for all patient populations. Fueled by clinically proven Masimo SET® pulse oximetry and advanced rainbow® Pulse Co-Oximetry and additional noninvasive monitoring technologies, these highly versatile and configurable monitors are designed to accommodate patient scenarios across the continuum of care, from high-acuity ICUs and surgical suites, to low-acuity general floors and recovery units, to long-term care facilities and beyond.
Description:Use:Distribution Channel:
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• Bedside, handheld and wireless monitoring devices that incorporate Masimo SET® with and without licensed Masimo rainbow SET® technology, noninvasive blood pressure and capnography.capnography


• Sold directly to end-users, and through distributors and, in some cases, to our OEM partners who sell to end-users
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Description:Use:Distribution Channel:
Patient Monitoring and Connectivity Platform
(e.g., Root®,with Radius-7®, and Root® with NIBP and Root® with Next Generation Sedline (shown below))
Our patient monitoring and connectivity platforms are expandable, customizable patient monitoring and connectivity hubs that integrate an array of technologies, devices and systems to provide multimodal monitoring and connectivity solutions in a single, clinician-centric platform. With plug-and-play expansion capabilities, clinicians can centralize patient monitoring by bringing together advanced rainbow SET® Pulse CO-Oximetry, brain function monitoring, regional oximetry and capnography measurements on an easy-to-interpret, customizable display, empowering them with more information for making patient assessments. Further, acting as a central connectivity hub, with automated electronic charting of Masimo and third-party device data to patient data management systems (PDMS), the hub can help with manual data documentation.
Description:Use:Distribution Channel:
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• Displays measurements from Masimo’s Radical-7® (connected or hand carried) or Radius-7® (patient-worn)

• Provides additional specialty measurements from Masimo or third-party-developed applications through Masimo Open Connect® (MOC-9®)


• Sold directly to end-users and through distributors
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• Integrates noninvasive blood pressure (NIBP) and temperature

• Connects third-party devices such as IV pumps, ventilators, beds and other patient monitors to automate data transfer to the EMR


• Sold directly to end-users and through distributors
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Patient Monitoring and Connectivity Platform - (Continued)
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Sensors
(e.g., SET®, rainbow® Pulse CO-Oximetry, rainbow Acoustic Monitoring® Sensors, RD SedLine®, TFA-1®, RD SET®, RD rainbow SET®, O3® Pediatric, RD rainbow Lite SET®, rainbow® DCI®-Mini, Centroid and Radius PPG (last five shown below))
Our innovative noninvasive monitoring devices depend on reliable, high-quality sensors, cannulas, and accessories to capture the accurate, high-fidelity patient data trusted by clinicians all over the world. We offer a wide variety of these components, all manufactured to the highest standards, many in both single-patient-use and reusable configurations, to meet a broad spectrum of monitoring needs across all patient populations and care scenarios.
Description:Use:Distribution Channel:
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• Extensive line of both single-patient, reusable and rainbow® sensors

• Patient cables, as well as adapter cables, that enable the use of our sensors on certain competitors’ monitors
• Sold directly to end-users, and through distributors and to OEM partners who sell to end-users
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Sensors - (Continued)
Description:Use:Use:Distribution Channel:
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• Extensive line of both single-patient, reusable and rainbow® sensors

• Patient cables, as well as adapter cables, that enable the use of our sensors on certain competitors’ monitors
• Sold directly to end-users, through distributors and to OEM partners who sell to end-users
Line Filters and Mainstream Adapters for Capnography and Gas Monitoring.Monitoring
(e.g., NomoLine® Cannula with EMMARadius PCG® Capnograph with disposable adapter, ISAIRMA CO2, IRMA AX+ and EMMACO2® (shown below))
We offer a complete portfolio of capnography and gas monitoring solutions, both sidestream and mainstream, to meet the challenges of ventilation and gas monitoring across care areas, from pre-hospital and in-hospital to transport, long-term care, home care and more. Solutions range from external “plug in and measure” gas analyzers, to bedside and handheld devices, to flexible, integrated OEM offerings.
Description:Use:Distribution Channel:
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• Line of disposables to measure gas parameters using mainstream and sidestream capnography

• Sold directly to end-users, and through distributors and to OEM partners who sell to end-users
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Proprietary Measurements
(e.g., SpHb
®, SpCO®, SpMet®, PVi®, RRa®, RRp®, ORi, 3D Alarms® and Adaptive Threshold Alarm)
Description:Use:Distribution Channel:
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• rainbow® measurements and other proprietary features
SoldLicensed directly to end-users and through OEM partners who sell to new and existing end-users
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Description:Use:Distribution Channel:
Connectivity and Hospital Automation and Connectivity Suite
(e.g., Iris
® Connectivity, Connectivity Solutions and UniViewIris Gateway®, and iSirona, Patient SafetyNet, UniView, UniView: 60, Replica, Iris®Analytics, and Halo ION® (shown below))
As increasing amounts of patient information become available to clinicians, new opportunities to enhance the care experience for both the clinician and the patient abound. Our automation solutions are revolutionizing not only the kind of patient data that can be collected and moved through the continuum of care, but also how that information can empower clinicians to deliver superior, evidence-based care.

Our hospital automation integrates patient monitoring, driven by clinically proven SET® pulse oximetry and rainbow® Pulse CO-Oximetry, with sophisticated connectivity and interoperability solutions to seamlessly provide access to the most accurate, relevant patient data in the most helpful ways at the most important moments, improving workflow efficiencies and helping clinicians deliver the best care possible.
Description:Use:Distribution Channel:
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• Software and hardware enablingenables third-party devices to connect through Patient SafetyNet and to document data in the EMR
• Sold directly to end-users
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Description:Hospital Automation™ and Connectivity Suite - (Continued)
Use:Distribution Channel:
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Hospital Automation™ and Connectivity Suite - (Continued)
Description:Use:Distribution Channel:
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• Network-linked, wired or wireless, multiple patient floor monitoring solutions

• Standalone wireless alarm notification solutions
• Sold directly to end-users
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Home-basedConnectivity hub for the aggregation and transmission of patient engagementdata to the EMR• Sold directly to end-users
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• Early warning indicator designed to identify possible sepsis in patients monitored remotely with Patient SafetyNetTM
• Sold directly to end-users
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Nasal High Flow Ventilation
(e.g., Masimo softFlow®50 and remote data capture platformMasimo softFlow® junior(shown below))
Therapy with Nasal Insufflation (TNI) generates a precisely regulated, stable high flow from room air or a mix of room air and oxygen. A stable air flow is essential for treating hypoxemic and hypercapnic respiratory failure. Together with the TNI applicator (comprising respiratory circuit and patient interface), the TNI flow generator guarantees a constant TNI flow and in doing so, it is completely independent of external pneumatic systems. Due to this, the Masimo softFlow® is able to treat respiratory insufficiency and allows therapy at home as reliable and efficient as in the hospital.
Description:Use:Distribution Channel:
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• Intensive care, inpatient care in clinics and home care
• Sold directly to end-users and through distributors

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Advanced Hemodynamic Monitoring Solutions
Devices
(e.g., iSpO2
®, MightySat®with PVi®Masimo LiDCO Hemodynamic Monitoring system, Double Channel Pressure Transducer and RRp®Stimpod NMS450X Peripheral Nerve Stimulator(shown below))
The Masimo LidCO Hemodynamic monitoring system provides beat-to-beat advanced monitoring to support informed decision-making in high-acuity care areas like an operating room. This platform uses an already existing arterial line and blood pressure transducer to monitor hemodynamic parameters through the use of the PulseCO algorithm, which converts beat-to-beat blood pressure into its constituent parts, flow and resistance, which is scaleable to each patient’s age, height, and weight.
Description:Use:Distribution Channel:
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• High-acuity care areas like an operating room• Sold directly to end-users and through distributors
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Advanced Hemodynamic Monitoring Solutions - (Continued)
Description:Use:Distribution Channel:
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• High-acuity care areas like an operating room• Sold directly to end-users and through distributors
Home Wellness and Remote Patent Monitoring Solutions to Extend Care from the Hospital to the Home
(e.g., Masimo SafetyNet, Radius T°, Masimo Sleep, MightySat® with PVi® and RRp®, iSpO2®, Bridge, and Masimo W1)
Designed to help providers remotely manage patient care, Masimo SafetyNet is a secure, scalable, cloud-based patient management platform featuring clinical-grade spot-checking and continuous measurements, digital care pathways and remote patient surveillance.
Description:Use:Distribution Channel:
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• Patients receive a multi-day supply of disposable sensors or reusable devices, along with access to the Masimo SafetyNet mobile application• Sold directly to end-users and through distributors
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• Robust secure video conferencing to the remote patient management and connectivity platform to offer a comprehensive telehealth and telemonitoring solution.• Sold directly to end-users and through distributors
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• Disposable thermometers, disposable fingertip sensors for sleep monitoring, fingertip pulse oximeter• Sold directly to consumers through the Masimo Personal Health website and through consumer retailers
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Home Wellness and Remote Patent Monitoring Solutions to Extend Care from the Hospital to the Home - (Continued)
Description:Use:Distribution Channel:
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Fingertip pulse oximeter, or pulsePulse oximeter cable and sensor for use with an iPhone, iPad, iPod touch and select Android smart phones
• Sold directly to consumers through the Masimo Personal Health website and through consumer retailers

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Circuit Boards
Masimo SET®MS Circuit Boards. Our Masimo SET® MS circuit boards perform all signal processing and other pulse oximetry functions incorporating the Masimo SET® platform. Our MS circuit boards are included in our proprietary monitors or sold to our OEM partners for incorporation into their monitors. Once incorporated into a pulse oximeter, the MS circuit boards perform all data acquisition processing and report the pulse oximetry measurements to the host monitor. The circuit boards and related software interface directly with our proprietary sensors to calculate SpO2, PR and Pi. Our latest generation boards include the MS-2003, MS-2011, MS-2013 and MS-2040, with a typical power consumption of less than 45 milliwatts.
Masimo rainbowSET® MX Circuit Boards. Our next-generation circuit board is the foundation for our Masimo rainbow® Pulse CO-Oximetry and rainbow Acoustic Monitoring® platform, utilizing certain technology that is licensed from Cercacor. The MX circuit boards offer the full functionality of our rainbow® technology, which includes noninvasive measurements for SpHb®, SpOC, SpCO®, SpMet®, PVi® and RRa®, in addition to providing Measure-through Motion and Low PerfusionSET® pulse oximetry measurements SpO2, PR and Pi measurement capabilities of Masimo SET® pulse oximetry. Customers can choose to purchase additional measurements beyond SpO2, PR and Pi at the time of sale or at any time in the future through a field-installed software upgrade.
Our MX-5 OEM circuit board deploys a technology platform that utilizes approximately half the power of previously available rainbow® circuit boards to deliver rainbow® Pulse CO-Oximetry noninvasive measurement performance. In addition to its lower power demands, the MX-5 adds dynamic power utilization to scale the MX-5’s power draw based upon the combination of parameters being monitored to permit even longer battery run-times.
uSpO2® Cable/Board. Our SET® technology-in-a-cable contains the low power (MS-2040) technology in a reduced size, allowing it to be embedded into patient cables as part of the sensor connector. This allows the uSpO2® cable/board to interface with monitoring devices externally via an existing communications port in instances where internal integration of a traditional Masimo SET® technology board is not feasible. The uSpO2® cable/board provides the same Masimo SET®Measure-through Motion and Low Perfusionpulse oximetry found in our other products, with a typical power consumption of less than 45 milliwatts.
Monitors / Devices
Root®. Root® is a powerful patient monitoring and connectivity platform that integrates our rainbow® and SET® measurements with multiple additional specialty measurements through MOC-9® open architecture technology in an integrated, clinician-centric platform. The first MOC-9® technologies developed by Masimo were SedLine® brain function monitoring, NomoLine® capnography and gas monitoring and O3®regional oximetry. Root® with NomoLine® capnography, SedLine® brain function monitoring, wireless communication and Iris®connectivity for third-party medical devices has received FDA 510(k) clearance. O3®regional oximetry has received CE Mark and FDA 510(k) clearance.
Early Warning Signs (EWS) for Root® aggregates information from multiple vital signs and clinical observations to generate a score that represents the potential degree of patient deterioration. There are several EWS protocols, such as the Pediatric Early Warning Score (PEWS), Modified Early Warning Score (MEWS) and National Early Warning Score (NEWS). These various scores require vital signs contributors such as oxygen saturation, pulse rate, respiration rate, body temperature and systolic blood pressure along with contributors input by clinicians, such as level of consciousness, use of supplemental oxygen and urine output. The weighting and number of contributors differ depending upon which EWS protocol is used. Root® can be customized for various predefined EWS protocols, or hospitals can configure their own set of required contributors, and their relative weights, to create an EWS unique to their care environment.
Our MOC-9® partnerships enable third parties to utilize Root®’s open architecture and built-in connectivity to independently develop, obtain regulatory approvals, and commercialize their own external MOC-9® module. Alternatively, third parties can develop Masimo Open Connect Control (MOC-C) applications for Root® using the MOC-9® software development kit (SDK). While we support the development efforts of our MOC® partners as needed, and help increase awareness of the availability of non-Masimo MOC-9® modules and MOC-C applications, our MOC-9® partners use their existing distribution channels to sell their MOC-9® modules or MOC-C applications to customers.
In September 2019, we announced Pathway, a newborn oxygenation visualization mode for Root®. Pathway provides clinicians with a way to visualize a hospital’s recommended resuscitation protocol for a newborn’s oxygen saturation while continuously monitoring SpO2 and pulse rate (PR) during the first ten minutes after birth. Use of Pathway is intended to help streamline clinician workflow and improve protocol adherence during this critical period.

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Radical-7®. The Radical-7® Pulse CO-Oximeter® is a wireless touchscreen device that incorporates our MX circuit board to allow upgradeable rainbow SET® measurements and offers three-in-one capability. The Radical-7® can be used as:
a standalone device for bedside monitoring;
a detachable, battery-operated handheld unit for easy portable monitoring;
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• For anyone wanting to know what’s happening while they sleep so they can take steps toward meaningful sleep improvement• Sold directly to consumers through the Masimo Personal Health website and through consumer retailers
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• For patients experiencing opioid withdrawal symptoms. while undergoing treatment for opioid use disorder when initiating treatment, transitioning treatment or tapering off medication-assisted treatment• Sold directly to end-users and through distributors, and provided to end users through healthcare providers
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• For consumers wanting to make better informed health and lifestyle decisions, improve their fitness or track their health data on their own or with friends and family
an integrated device as part of• Sold directly to consumers through the Root® patient monitoringMasimo Personal Health website and connectivity platform; andconsumer retailers
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Hearables and wearables-
a monitor interface via SatShare(e.g. Masimo W1®TM, a proprietary technology allowing our products to work with certain competitor products, to upgrade existing conventional multiparameter patient monitors to Masimo SETBowers & Wilkins® while displaying rainbowPx8 007 Edition and Bowers & Wilkins® measurements on the Radical-7Pi5 earbuds, ®(shown below) itself.)
With its wide-ranging flexibility, Radical-7® can continuously monitor a patient from the ambulance, to the emergency room, to the operating room, to the general floor and beyond, until the patient is discharged. Radical-7® delivers the accuracy and reliability of Masimo rainbow SET® with multi-functionality, ease of use and the availability of measurement upgrades for existing monitors.
Radius-7®. Radius-7®for the Root® patient monitoring and connectivity platform is the first and only wearable, wireless monitor with rainbow SET® technology, enabling continuous monitoring and early identification of clinical deterioration while still allowing patients the freedom of movement. With Bluetooth® and Wi-Fi wireless connectivity, Radius-7®with Root® can alert clinicians at the bedside or remotely, through Masimo Patient SafetyNet, of critical changes in a patient’s SpO2 and PR, even during states of motion and low perfusion, as well as RRa® and additional rainbow SET® measurements. Radius-7®with Root® has received both CE Mark and FDA 510(k) clearance.
Radius PPG. Radius PPG is a tetherless sensor solution powered by Masimo SET® that represents a significant breakthrough in patient monitoring. Radius PPG eliminates the need for a cabled connection to a pulse oximetry monitor, allowing patients to move freely and comfortably while still being continuously monitored reliably and accurately. Via wireless connection, measurements are displayed on Masimo host devices or third-party multi-parameter monitors with integrated Masimo technology. Coupled with the proven benefits of Masimo SET® Measure-through Motion and Low Perfusion pulse oximetry, Radius PPG is ideally suited for use anywhere patients can benefit from mobility.
Rad-97®. Rad-97® is a versatile standalone Pulse CO-Oximeter® that features a 1080p HD color display with user-friendly multi-touch navigation and Measure-through Motion and Low PerfusionSET® that can be used to measure SpO2, PR, PVi® and Pi. rainbow SET® measurements such as SpHb®, SpOC, SpCO®, SpMet® and RRa® can also be enabled. Rad-97® is the smallest Masimo bedside device currently capable of monitoring the full rainbow SET® platform. Rad-97® has received CE Mark. In September 2017, we announced FDA 510(k) clearance and full market release of Rad-97®, including an additional Rad-97® configuration with integrated NomoLine® capnography. Rad-97® has also received FDA 501(k) clearance for home use, bringing hospital-grade technology to the home in a single integrated device that is a monitoring, connectivity and telecommunications hub. An optional integrated camera allows remote clinicians to interact with patients at home over live audio and video. With its built-in enterprise Wi-Fi capability, Rad-97® has the ability to connect wirelessly from the home to supplemental patient monitoring systems, including Patient SafetyNet, facilitating automatic data transfer to hospital EMR systems.
Rad-97®NIBP. Rad-97® NIBPincludes an integrated port that allows clinicians to connect a blood pressure cuff inflation hose directly to the device. Designed for reliability and patient comfort, Rad-97® NIBP is compatible with both disposable and reusable cuffs for a variety of patient types. Rad-97® NIBP enables clinicians to measure arterial blood pressure for adult, pediatric and neonatal patients, with three measurement modes: spot-check, automatic interval (which measures blood pressure routinely, at a desired interval) and stat interval (which continually measures blood pressure for a desired duration).
Rad-67. Rad-67, ourhandheld Pulse CO-Oximeter®, is a compact, portable spot-check device that offers Measure-through Motion and Low PerfusionSET® pulse oximetry and upgradeable rainbow® noninvasive monitoring technology. With the universal reusable rainbow® DCI®-mini sensor, Rad-67 features Next Generation SpHb® technology. The Rad-67 with next generation SpHb® technology has received the CE marking and recently received FDA 510(k) clearance in March 2019.
Rad-57®. Rad-57® is a fully featured handheld Pulse CO-Oximeter® that provides continuous, noninvasive measurement of SpO2, PR, PVi® and Pi with the ability to upgrade to SpHb®, SpCO®, SpMet® and SpOC. Its rugged and lightweight design makes it applicable for use in hospital and field settings, specifically for fire departments and emergency medical service units.
Rad-8®. Rad-8® is a bedside pulse oximeter featuring Masimo SET® (without the ability to update to rainbow® technology) in a low-cost design and with a streamlined feature set.

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Rad-5®/Rad-5v®. Rad-5® and Rad-5v® were Masimo’s first dedicated lightweight, user-configurable, handheld pulse oximeters to provide Masimo SET® SpO2, PR and Pi measurement (without the ability to upgrade to rainbow® technology).
Rad-G. Rad-G is a low-cost, rugged, handheld pulse oximetry device with a rechargeable battery and LCD display. It uses Measure-through Motion and Low PerfusionSET® pulse oximetry technology to measure SpO2, PR, Pi and RRp®. Rad-Gwas designed primarily for use in pneumonia screening and spot-checking of SpO2 in low-resource settings. Rad-G is not currently available for sale in the U.S.
Pronto®. Pronto® is a handheld noninvasive multiparameter testing device that uses Masimo rainbow SET® technology to provide spot-check measurement of SpO2, PR, Pi and SpHb® in both hospitals (i.e., emergency departments) and remote settings such as physician offices.
SatShare®. Our SatShare® technology enables a conventional monitor to receive continuous measurement updates using Masimo SET® through a simple cable connection from the back of Radical-7® to the sensor input port on the conventional monitor. No software upgrades or new modules are necessary for the upgrade, which can be completed in minutes. SatShare® allows hospitals to standardize the technology and sensors used throughout the hospital while allowing them to gain the more accurate monitoring capabilities using Masimo SET®, as well as other additional functionality, in a cost-effective manner. SatShare® technology has facilitated many hospital-wide conversions of previously installed competitor monitors to Masimo SET®. In addition, Masimo rainbow SET® measurements such as SpHb® are available to clinicians on the Radical-7® itself while the device is being used in SatShare® mode.
MightySat® Rx. MightySat® Rx is a fingertip pulse oximeter that incorporates Masimo Measure-through Motion and Low Perfusion SET® technology, which measures and displays SpO2, PR and Pi with the option to add PVi® and RRp®. The MightySat® Rx has received CE Mark and FDA 510(k) clearance. The RRp® measurement on the MightySat® Rx fingertip pulse oximeter has received the CE Mark. In January 2019, we received FDA 510(k) clearance of spot-check RRp® measurement on the MightySat® Rx.
iSpO2®Rx. The iSpO2® Rx pulse oximeter combines a fingertip sensor, cable and pulse oximeter in a lightweight, portable device that connects directly to a smart device for displaying measurements. iSpO2®Rx uses Measure-through Motion and Low PerfusionSET® technology to measure SpO2, PR and Pi. The Masimo Professional Health app, available for both iOS® and Android® devices, allows clinicians to track, trend and download patient data. iSpO2®Rx has received the CE Mark, but is not currently available for sale in the U.S.
SedLine®MOC-9® Module. Our SedLine® MOC-9® module for Root® is an EEG-based continuous brain function monitor that provides information about a patient’s response to anesthesia. Our Next Generation SedLine® enhances PSi to make it less susceptible to EMG interference and to improve performance in low-power EEG cases.
O3® MOC-9® Module. OurO3® MOC-9® module for Root®uses NIRS to detect regional hypoxemia by continuously measuring tissue oxygen saturation (rSO2), automating the differential analysis of regional to central oxygen saturation.
NomoLine®Capnography and Gas Monitoring. Our gas analyzers, IRMAand ISA, are available through Root® MOC-9® modules via OEM integration or through an emergency capnometer (EMMA®). These analyzers enable our customers to benefit from CO2, N2O, O2 and anesthetic agent monitoring in many hospital environments. In October 2019, we announced the CE marking of Radius PCG, a portable-real-time capnograph with wireless Bluetooth®connectivity. Radius PCG connects with Root® to provide seamless, tetherless mainstream capnography for patients of all ages.
uSpO2®Cable/Board. Our SET®technology-in-a-cable contains our low power (MS-2040) technology in a reduced size, allowing it to be embedded into patient cables as part of the sensor connector.
Sensors
Sensors and Cables. We have developed one of the broadest lines of single-patient-use (disposable), reusable and rainbow® sensors and cables. In total, we have over 100 different types of sensors designed to meet virtually every clinical need. Masimo SET® sensors are uniquely designed to reduce interference from physiological and non-physiological noise. Our proprietary technology platforms operate only with our proprietary sensor lines. However, through the use of adapter cables, our sensors can be connected to certain competitor pulse oximetry monitors. We sell our sensors and cables to end-users directly or through our distributors and OEM partners.

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Our single-patient-use sensors offer several advantages over reusable sensors, including improved performance, cleanliness, increased comfort and greater reliability. Our reusable sensors are primarily used for short-term, spot-check monitoring.
RD SET®, RD rainbow SET®, and RD rainbow Lite SET®. Our RD family of sensors is designed to maximize patient comfort, optimize clinician workflow and reduce material waste. RD sensors are lightweight with no moving parts and a flat, soft cable with smooth edges. RD sensors are available in fold-over and wrap-around styles for a variety of patient types and clinical scenarios.
SofTouch Sensors. SofTouch sensors are designed with less or no adhesive for patients with compromised skin conditions. SofTouch sensors are available as single-patient sensors for newborns and multi-site reusable sensors for pediatrics and adults.
Trauma and Newborn Sensors. We have developed two specialty sensor lines, for trauma and resuscitation situations, as well as for newborns. These sensors contain an identifier that automatically sets the pulse oximeter to its maximum sensitivity and fastest settings, and allow for quick application, even in wet and slippery environments. Additionally, we introduced low-profile sensors LNCS® and M-LNCS® Neo, NeoPt and Inf sensors to monitor oxygen saturation in newborns. These sensors are smaller and thinner, making them significantly more comfortable for patients and easier for clinicians to apply.
Blue® Sensors. We believe our Blue® Sensors are the first FDA-cleared sensors to accurately monitor arterial blood oxygen saturation levels in cyanotic infants and children with abnormally low oxygen saturation levels.
E1® Ear Sensor. We believe that our E1® Ear Sensor is the first single-patient-use ear sensor that can be placed securely in the ear conchae, allowing clinicians to combine Masimo SET® performance and central monitoring to provide quick access and responsive assessment of oxygenation. The E1® Ear Sensor is designed for field emergency medical services utilization.
TFA-1® Adhesive Forehead Sensor. We designed our TFA-1® forehead sensor for hospitals desiring forehead monitoring using a disposable sensor. TFA-1® combines Masimo SET®performance with quick access and responsive oxygenation assessment.
rainbow®Sensors. We developed these proprietary, multi-wavelength sensors for use with our rainbow® Pulse CO-Oximetry products. In contrast to traditional sensors that only have the capability to monitor SpO2, and PR, our rainbow® sensors can also monitor SpCO®, SpMet® and SpHb®. Our licensed rainbow SET® sensors are the only sensors that are compatible with our licensed rainbow SET® products. Rainbow® sensors are available in single-patient-use, and reusable spot-check sensor types.
The rainbow® DCI®-miniis the first noninvasive hemoglobin spot-check sensor for infants and small children (weight 3 to 30 kg). Paired with our handheld Pronto® or Rad-67 devices, the rainbow® DCI®-minisensors are designed to help clinicians quickly and easily spot-check hemoglobin levels in infants and small children, which may facilitate the identification of anemia. When paired with Rad-67, the rainbow® DCI®-mini enables Next Generation SpHb® measurements. The rainbow® DCI®-minihas received CE Mark in Japan and Europe, but is not currently available for sale in the U.S. The rainbow® Super DCI®-minisensor allows for the ability to measure SpHb®, SpCO®, SpMet® and SpO2 on the same noninvasive reusable sensor. The rainbow® Super DCI®-minihas received CE Mark in Japan and Europe, but is not currently available for sale in the U.S.
rainbow Acoustic® Sensors. We believe we were the first to market a continuous respiration rate monitoring technology based on an acoustic sensor placed on the patient’s neck. Our rainbow Acoustic® sensors detect the sounds associated with breathing and convert the sounds into continuous respiration rate using proprietary signal processing that is based on Masimo SET®. RAS-45, our single-use acoustic respiration sensor for RAM®, is designed to facilitate placement on and improve attachment to the neck. RAS-45 operates with Masimo MX circuit boards to measure RRa® and display an acoustic respiration wave form. Like the RAS-125c sensor, RAS-45 operates with Masimo MX technology boards to measure RRa®, display the acoustic respiration wave form and optionally allow clinicians to listen to the sound of breathing. Both the RAS-45 and RAS-125c are available in CE marked countries and the U.S. for adult and pediatric patients who weigh more than 10 kg. RAS-45 has received FDA 510(k) clearance and CE Mark.
SedLine®Sensor. Used with the SedLine® MOC-9® module for the Root® patient monitoring and connectivity platform, the SedLine® sensor is a disposable sensor that collects EEG data for our SedLine® monitor. In 2017, we introduced RD SedLine® sensors, which feature a repositioned, color-coded sensor-cable connection that lies comfortably on the patient’s head and soft foam pads to reduce discomfort upon application to the patient.
O3®Sensors. Used with the O3® MOC-9® module for the Root®patient monitor, each O3® sensor contains four light-emitting diodes and two detectors to continuously measure rSO2. In May 2017, we announced FDA 510(k) clearance for our pediatric application of O3® regional oximetry with the O3® pediatric sensor, making O3® regional oximetry monitoring available in the U.S. for both adult patients and pediatric patients weighing more than 5 kg (11 lbs) and less than 40 kg (88 lbs). In June 2019, we announced FDA 510(k) clearance for use of O3® in infant and neonatal patients.

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Reprocessed Sensors. We offer customers the option of using Masimo reprocessed sensors, the only sensor reprocessing solution that maintains new Masimo sensor performance specifications.
Remote Alarm and Monitoring Solutions
Masimo Patient SafetyNet. Patient SafetyNet is a supplemental remote monitoring and clinician notification system that routes bedside-generated alarms through a server to a qualified clinician’s handheld paging device in real-time. Each system can support up to 200 bedside monitors and can either be integrated into a hospital’s existing IT infrastructure or operate as a stand-alone wireless network. In March 2018, we announced Replica, an application for smart phones and tablets that works in conjunction with Patient SafetyNet. Replica allows clinicians to view continuous monitoring data for multiple patients, as well as view and respond to alarms and alerts, all from their smart phones, regardless of location.
Proprietary Measurements and Features
All of our monitors shipped since January 2006, including Radical-7® and certain future OEM products, that incorporate the MX circuit board will allow purchases of software for rainbow® measurements, as well as other future measurements. Our current rainbow® measurements include SpHb®, SpCO®, SpMet®, SpOCORi, Pi, PR, PVi®, RPVi, RRp® and SpfO2, as well as rainbow Acoustic Monitoring®, RRa®.
Halo ION. In April 2019, we announced the release of Halo ION, a comprehensive, scalable and customizable continuous early warning score. Halo ION allows clinicians to aggregate trend data from as few as three physiological parameters (oxygen saturation, pulse rate and perfusion index), and as many as are available, including data from EMRs, into a single continuous early warning score. Each patient’s Halo ION score is displayed on the Masimo Patient SafetyNet Supplemental Remote Monitoring and Clinician Notification System as a number ranging from zero to 100, helping to streamline clinicians’ patient assessment workflow.
Eve, our newborn screening software application for our Radical-7® Pulse CO-Oximeter®, is designed to help clinicians more effectively and efficiently screen newborns for CCHD. In the Radical-7® Pulse CO-Oximeter®, Eve automates the screening steps with animated instruction, including sensor application, measurement selection and screening result determination. Eve is intended to provide consistent application of the screening protocol to reduce method-and operator-induced variability and improve efficiency by automating the data capture and comparison between readings. Eve has received CE Mark, but is currently not available for sale in the U.S.
X-Cal®
Sensor and cable failures can prevent pulse oximeters from providing the patient safety advantages that continuous pulse oximetry monitoring is intended to provide. Our X-Cal® technology enhances patient safety and improves clinician efficiency by preserving system quality, performance and reliability and reducing the chances of bad or inferior sensors and cables being used on patients. X-Cal® technology enhances the benefits of Masimo’s pulse oximetry by incorporating the means to track the expected monitoring life of our sensors and cables and provides appropriate user messaging on the host monitor.
X-Cal® addresses three common problems experienced by clinicians using an integrated Masimo system, including:
Patient safety may be compromised by using counterfeit Masimo sensors and cables because they are not produced with comparable components, do not provide proper shielding from ambient interferences, create electrostatic noise caused by motion, do not have our quality and performance controls, and are not tested or warranted to work within a Masimo system;
We design our sensors and cables to last well beyond their warranty period and customer feedback indicates our sensors and cables last significantly longer than competing products, but cable and sensor reliability may still be compromised when used beyond their intended life, affecting patient care and causing clinicians and biomedical engineers to spend time troubleshooting intermittent cable and sensor issues; andDescription:Use:Distribution Channel:
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• To provide accurate and continuous health monitoring with legendary sound quality in private or in transit with over ear wireless headphones or wireless earbuds• Sold directly to consumers through the Masimo Consumer and individual brand websites and consumer retailers
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• For those looking for unrivaled health technology for active lifestyles, health monitoring or sleep monitoring• Sold directly to consumers through the Masimo Consumer and individual brand websites and consumer retailers
Premium and luxury home audio -
We believe that third-party reprocessed pulse oximetry sensors introduce challenges in the clinical environment due to potential quality issues. In fact, we believe that most third-party reprocessed sensors do not indicate that they are capable of performing in the same conditions as Masimo Measure-through Motion and Low Perfusion(e.g. Bowers & Wilkinssensors or in neonatal applications, key performance requirements available with Masimo SET® sensors. To the best of our knowledge, no third-party company has attempted to reprocess rainbow SET600 series anniversary series loudspeakers, Bowers & Wilkins® sensors.home theater collection, Denon® soundbar and speaker set (shown below))
Description:Use:Distribution Channel:
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• Premium, power-performing amplification for home cinema sound; exquisite, perfectly pure power for connecting sources and driving loudspeakers• Sold directly to consumers through the Masimo Consumer and individual brand websites and through consumer retailers
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• For the everyday audiophile seeking outstanding sound quality

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Connectivity
Iris® connectivity on Root® allows third-party devices, such as intravenous pumps and ventilators, to connect to Root® enabling display of measurements and notification on the Root® monitor, with the ability to document results in the EMR through Masimo Patient SafetyNet.
Iris Gateway® bridges the gap between device data generated at the patient bedside and documentation in patient data management systems by automatically transferring data from medical devices to EMRs, improving productivity and reducing the likelihood of transcription errors.
Iris® Device Management System (Iris DMS) is an automation and connectivity solution designed to streamline management of Masimo devices used throughout a hospital system. Iris® DMS is designed to address the challenges of maintaining many patient monitors in a complex hospital environment. Iris® DMS securely connects over a hospital’s existing network to all connected Masimo devices to provide an easy-to-use dashboard that allows Biomedical Engineers and IT professionals to view detailed diagnostic information about connected Masimo devices at a glance, without the need to physically interact with each device. Iris® DMS supports remote software upgrades to ensure all devices stay up to date, easily and efficiently.
Kite® provides a supplemental display of data from a Masimo device on a compatible smart television and allows clinicians to configure the display differently than that of the connected Masimo device. Kite® integrates into existing hospital infrastructures where a supplementary display may be beneficial, such as the operating room.
UniViewprovides a supplemental, integrated display of real-time data and alarms from multiple Masimo and third-party devices. UniView is designed to reduce clinician cognitive overload and promote data sharing among multiple clinicians, helping them to spot trends and coordinate care.
Data Analysis & Reporting
Trace is the first data visualization and reporting software compatible with the full capabilities of the Root® patient monitoring and connectivity platform, including Radical-7® and Radius-7® Pulse CO-Oximeters®, Root® with integrated noninvasive blood pressure and temperature, and connected MOC-9® modules such as SedLine® brain function monitoring, ISA and ISA OR+capnography, and O3® regional oximetry. Tracecan create insightful, easy-to-read patient reports that include parameter trends, histograms, event annotations, and key statistics. Trace can communicate with Masimo devices via high-speed wired or wireless connections, with the ability to transfer up to 96 hours of patient data.
Doctella is a home-based patient engagement and remote care automation platform. Doctella provides a complete end-to-end home care solution, allowing clinicians to create and manage treatment plans, patient schedules and patient data flow using automated, customizable CarePrograms, home device data aggregation, and a web-based provider dashboard. CarePrograms are delivered to patients’ smartphones via an app (available for both iOS® and Android® devices) and dynamically update based on patient input, both self-reported data and physiological data collected by connected monitoring devices.
Consumer Products
MightySat®, our fingertip pulse oximeter for personal use provides SpO2, PR and Pi measurements for health and wellness applications. MightySat®, which is also available with RRp® and PVi®, provides measurements in a compact, battery-powered design with a large color screen that can be rotated for real-time display of the measurements. Bluetooth® wireless functionality enables measurement display via a free, downloadable Masimo Personal Health application on iOS® and Android® mobile devices, as well as the ability to trend and communicate measurements, including the Apple Health Kit. MightySat® is available through consumer retailers and directly from Masimo, and is intended for general health and wellness use only. MightySat® is not intended for medical use.
iSpO2® is a personal use pulse oximeter that combines a fingertip sensor, cable and pulse oximeter in a lightweight, portable device that connects directly to a smart device for displaying measurements. iSpO2® uses Measure-through Motion and Low PerfusionSET® technology to measure SpO2, PR and Pi. The Masimo Personal Health app, available for both iOS® and Android® devices, allows users to track, trend and download their data, as well as share it with the Apple Health app. iSpO2® is available through consumer retailers and directly from Masimo and is intended for general health and wellness use only. iSpO2® is not intended for medical use.

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Cercacor Laboratories, Inc.
Cercacor Laboratories, Inc. (Cercacor) is an independent entity spun-off from us to our stockholders in 1998. Joe Kiani, our Chairman and Chief Executive Officer, is also the Chairman and Chief Executive Officer of Cercacor. We are a party to a cross-licensing agreement with Cercacor, which was amended and restated effective January 1, 2007 (the Cross-Licensing Agreement), which governs each party’s rights to certain intellectual property held by the two companies.
The following table outlines our rights under the Cross-Licensing Agreement relating to specific end-user markets and the related technology applications of specific measurements.
End-User Markets
Measurements
Professional Caregiver and

Alternate Care Market
Patient and Pharmacist
Vital Signs(1)
Masimo

(owns)
Cercacor

(non-exclusive license)
Non-Vital Signs(2)
Masimo

(exclusive license)
Cercacor

(owns or exclusive license)
______________
(1)
Vital signs measurements include, but are not limited to, SpO2, peripheral venous oxygen saturation, mixed venous oxygen saturation, fetal oximetry, sudden infant death syndrome, ECG, blood pressure (noninvasive blood pressure, invasive blood pressure and continuous noninvasive blood pressure), temperature, respiration rate, CO2, pulse rate, cardiac output, EEG, perfusion index, depth of anesthesia, cerebral oximetry, tissue oximetry and/or EMG, and associated features derived from these measurements, such as 3D alarm®, PVi® and other features.
(2)2, peripheral venous oxygen saturation, mixed venous oxygen saturation, fetal oximetry, sudden infant death syndrome, ECG, blood pressure (noninvasive blood pressure, invasive blood pressure and continuous noninvasive blood pressure), temperature, respiration rate, CO2, pulse rate, cardiac output, EEG, perfusion index, depth of anesthesia, cerebral oximetry, tissue oximetry and/or EMG, and associated features derived from these measurements, such as 3D alarm®, PVi® and other features.
(2)
Non-vital signs measurements include the body fluid constituents other than vital signs measurements and include, but are not limited to, carbon monoxide, methemoglobin, blood glucose, hemoglobin and bilirubin.
Our License to Cercacor. We granted Cercacor an exclusive, perpetual and worldwide license, with sublicense rights, to use our Masimo SET® technology, including all improvements, for the monitoring of non-vital signs measurements and to develop and sell devices incorporating Masimo SET® for monitoring non-vital signs measurements in the “Cercacor Market”. The Cercacor Market consists of any product market in which a product is intended to be used by a patient or pharmacist rather than a professional medical caregiver regardless of the particular location of the sale, including sales to doctors, hospitals, alternate care market professionals or otherwise, provided the product is intended to be recommended, or resold, for use by the patient or pharmacist. We also granted Cercacor a non-exclusive, perpetual and worldwide license, with sublicense rights, to use Masimo SET® for the measurement of vital signs in the Cercacor Market. In exchange, Cercacor pays us a 10% royalty on the amount of vital signs sensors and accessories sold by Cercacor.
Cercacor’s License to us. We exclusively license from Cercacor the right to make and distribute products in the “Masimo Market” that utilize rainbow® technology for the measurement of carbon monoxide, methemoglobin, fractional arterial oxygen saturation, and hemoglobin, which includes hematocrit. The Masimo Market consists of any product market where the product is intended to be used by a professional medical caregiver, including hospital caregivers, surgicenter caregivers, paramedic vehicle caregivers, doctors’ offices caregivers, alternate care facility caregivers and vehicles where alternative care services are provided. We also have the option to obtain exclusive licenses to make and distribute products in the Masimo Market that utilize rainbow® technology for the monitoring of other non-vital signs measurements, including blood glucose. We have 180 days after proof of feasibility to exercise the above-referenced option to obtain a license for the measurement of blood glucose for an additional $2.5 million and licenses for other non-vital signs measurements for an additional $0.5 million each. The licenses are exclusive until the later of 20 years from the grant of the applicable license or the expiration of the last patent included in the rainbow® technology related to the applicable measurements. To date, we have developed and commercially released devices that measure carbon monoxide, methemoglobin and hemoglobin using licensed rainbow® technology. We also make and distribute products that monitor respiration rate via rainbow Acoustic Monitoring®, which is a Masimo-developed rainbow® technology and, therefore, is not required to be licensed from Cercacor.
Our license to use rainbow® technology for these measurements in these markets is exclusive on the condition that we continue to pay Cercacor royalties on our products incorporating rainbow® technology, subject to certain minimum aggregate royalty thresholds, and that we use commercially reasonable efforts to develop or market products incorporating the licensed rainbow® technology. The royalty is up to 10% of the rainbow® royalty base, which includes handhelds, tabletop and multiparameter devices. Handheld products incorporating rainbow® technology carry a 10% royalty rate. For other products, only the proportional amount attributable to that portion of our devices used to monitor non-vital signs measurements, rather than to monitor vital signs measurements and sensors and accessories for measuring only non-vital sign parametersinclude, but are included in the 10% rainbow® royalty base. For multiparameter devices, the rainbow® royalty base includes the percentage of the revenue based on the number of rainbow®-enabled measurements.

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For hospital contracts where we place equipment and enter into a sensor contract, we pay a royaltynot limited to, Cercacor on the total sensor contract revenue based on the ratio of rainbow®-enabled devices to total devices. Pursuant to the terms of the license, we are subject to certain specific annual minimum aggregate royalty payment obligations of $5.0 million per year.
Change in Control. The Cross-Licensing Agreement provides that, upon a change in control:
if the surviving or acquiring entity ceases to use “Masimo” as a company name and trademark, all rights to the “Masimo” trademark will be assigned to Cercacor;
the option to license technology developed by Cercacor for use in blood glucose monitoring will be deemed automatically exercised and a $2.5 million license fee for this technology will become immediately payable to Cercacor; and
the minimum aggregate annual royalties payable to Cercacor for carbon monoxide, methemoglobin, fractional arterial oxygen saturation,blood glucose, hemoglobin and/or glucose will increase to $15.0 million per year until the exclusivity period of the agreement ends, plus up to $2.0 million for each additional measurement with no maximum ceiling for non-vital sign measurements.
For purposes of the Cross-Licensing Agreement, a change in control includes any of the following with respect to us or Cercacor:
the sale of all or substantially all of either company’s assets to a non-affiliated third-party;
the acquisition by a non-affiliated third-party of 50% or more of the voting power of either company;
Joe Kiani, our Chief Executive Officer and the Chief Executive Officer of Cercacor, resigns or is terminated from his position with either company; or
the merger or consolidation of either company with a non-affiliated third-party.
Ownership of Improvements. Any improvements to Masimo SET® or rainbow® technology made by Cercacor, by us, or jointly by Cercacor with us or with any third-party that relates to non-vital signs monitoring, and any new technology acquired by Cercacor, is and will be owned by Cercacor. Any improvements to the Masimo SET® platform or rainbow® technology made by Cercacor, by us, or jointly by Cercacor with us or with any third-party that relates to vital signs monitoring, and any new technology acquired by us, is and will be owned by us. However, for both non-vital signs and vital signs monitoring, any improvements to the technology, excluding acquired technology, will be assigned to the other party and will be subject to the terms of the licenses granted under the Cross-Licensing Agreement. Any new non-vital signs monitoring technology utilizing Masimo SET® that we develop will be owned by Cercacor and will be subject to the same license and option fees as if it had been developed by Cercacor. Also, we will not be reimbursed by Cercacor for our expenses relating to the development of any such technology.bilirubin.
Other Agreements with Cercacor. We have also entered into various other agreements with Cercacor, including an Administrative Services Agreement, a Consulting Services Agreement and a Sublease Agreement. See Note 3, “Related Parties Transactions”, to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K for additional information on these agreements and otherour related party transactions with Cercacor.
Government Regulation
As a global medical technology company, we are subject to significant government regulation, compliance requirements, fees and costs, both in the U.S. and abroad. These regulatory requirements subject our products and our business to numerous risks that are specifically discussed within “Risks“Risks Related to Our Regulatory Environment” under Part I, Item 1A“Risk Factors” within this Annual Report on Form 10-K.
Due to the breadth of some of these laws, it is possible that some of our current or future practices might be challenged under one or more of these laws. In addition, there can be no assurance that we would not be required to alter one or more of our practices to be in compliance with these laws. Evolving interpretations of current laws or the adoption of new federal or state laws or regulations could adversely affect many of the arrangements we have with customers and physicians. Therefore, our risk of being found in violation of these laws is increased by the fact that some of these laws are broad and open to interpretation. A summary of certain critical aspects of our regulatory environment is included below.
Product Clearance and Approval Requirements for Medical Devices
Many of our healthcare products are regulated by numerous government agencies, the most significant of which are the U.S. FDA, andthe national authorities in the European Union (EU). and the United Kingdom (UK), and the Ministry of Health, Labour and Welfare (MHLW) of Japan. In addition, there are government agencies that regulate our healthcare products in other countries, whose requirements vary substantially from country to country. These agencies require us to comply with laws that regulate the design, development, clinical trials, testing, manufacture, packaging, labeling, storage, distribution, import, export and promotion of many of our products.

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In the U.S., unless an exemption applies, each medical device that we wish to market in the U.S. must, generally, first receive from the FDA either clearance of a 510(k) premarket notification or approval of a premarket application (PMA). In some cases, the device may be authorized by the FDA through the de novo classification process. The FDA’s 510(k) clearance process requires us to show that our new medical device is substantially equivalent to a legally marketed “predicate” medical device and usually takes from four to nine months, but it may take longer. The PMA process requires us to demonstrate through valid scientific evidence that our medicalthere is reasonable assurance of safety and effectiveness of the device is safe and effective for its intended use. The PMA process is much more costly, lengthy and uncertain than the process of obtaining 510(k) clearance. Both 510(k) and PMA submissions are subject to user fees. The FDA determines the appropriate process based on the risk classification of the medical device. There are three classifications, from Class I to Class III. The majority of our current regulated products have been deemed Class II devices, requiring 510(k) clearance, while some have been deemed Class I devices.
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Most of our OEM partners are required to obtain clearance or approval of their devices that incorporate Masimo’s healthcare technologies, like Masimo SET® technology, Masimo rainbow SET® technology, Masimo Board-in-Cable technology, or are used with Masimo’s sensors. We generally grant our OEM partners a right to cross-reference the 510(k) submission files from our cleared Masimo SET® circuit boards, sensors, cables and notification systems.
In the EU, medical devices are currently subject to Regulation (EU) No 2017/745 (EU MDR). Under the Medical Devices Directive 93/42/EEC (MDD). This means thatEU MDR, a medical device may only be placed on the market within the EU if it conforms to certain “essential“General Safety and Performance Requirements”. Key requirements” which generally means it will include that a medical device achieves its intended performance and does not compromise the clinical condition or safety of patients or the safety and health of users and others and bears the CE Mark.
A medical device that conforms to such essential requirements can bear a CE Mark, which allows the device to be placed on the market throughout the EU. Each medical device that we wish to market in the EU must conform to these requirements. This
The UK exited the EU on December 31, 2020 (Brexit). The UK does not intend to implement the EU MDR into the laws of Great Britain (England, Scotland and Wales). Northern Ireland is determined throughan exception where the EU MDR will continue to apply. Great Britain instead introduced a conformity assessment procedure, which depends uponnew, standalone medical devices framework. Currently, this aligns closely to the risk classificationEU MDD. Instead of the device, generally involving a notified body. Notified bodies are often private entities and are authorized or licensed to perform such assessments by government authorities. If the assessment is successfully completed and a CE Mark, medical devices marketed in Great Britain must bear a UKCA Mark. However, EU CE Marks will continue to be recognized in Great Britain until June 30, 2023, as will certificates issued by EU-recognized notified bodies. This arrangement is granted, this allows the general commercializing of a productnot reciprocated in the EU. However, the product can also be subject to local registration requirements depending on the country.
In May 2017, the EU adopted a new Medical Devices Regulation (EU) 2017/745 (MDR), which will replace the MDD on May 26, 2020. From that date, subject to a three-year transition period,Each medical devicesdevice that we sellwish to market in the EU will become subject to these new requirements. The MDR includes significantly more stringent requirements, notably by strengthening ofUK must comply with the conformity assessment procedures, creating greater control over notified bodies and their standards, increased transparency, and more robust device vigilance requirements.national laws in the UK, which going forward may differ from the laws in the EU.
Continuing FDA Regulation for Medical Devices
Clinical trials involving medical devices are subject to FDA regulation. Among other requirements, clinical trial sponsors must comply with requirements related to informed consent, Institutional Review Board (IRB) approval, monitoring, reporting, record-keeping, labeling and promotion. If the study involves a significant risk device, the sponsor must obtain FDA approval of an investigational device exemption in addition to IRB approval prior to beginning the study. Information regarding certain device clinical trials must also be submitted to a public database maintained by the National Institutes of Health.
After a device is approved and placed on the market, numerous regulatory requirements continue to apply. These regulatory requirements include, but are not limited to, the following: product listing and establishment registration; adherence to the Quality System Regulation (QSR) which requires stringent design, testing, control, documentation and other quality assurance procedures;procedures for the design, manufacture, storage and handling of devices; labeling requirements and FDA prohibitions against the promotion of off-label uses or indications; adverse event and device malfunction reporting; post-approval restrictions or conditions, including post-approval clinical trials or other required testing; post-market surveillance requirements; the FDA’s recall authority, whereby it can ask for, or require, the recall of products from the market; and requirements relating to voluntary corrections or removals. Device manufacturers are subject to announced and unannounced inspections by the FDA to evaluate compliance with these requirements.
Failure to comply with applicable regulatory requirements, which are subject to new legislation and change, can result in enforcement action by the FDA, or other federal and state government agencies, which may include, but may not be limited to, any of the following sanctions or consequences: warning letters or untitled letters; fines, injunctions and civil penalties; recall, seizure or import holds of our products; operating restrictions, suspension or shutdown of production; refusing to issue certificates to foreign governments needed to export products for sale in other countries; refusing our request for 510(k) clearance or premarket approval of new or modified products; withdrawing 510(k) clearance or premarket approvals that are already granted; and criminal prosecution.
Advertising and Promotion of Medical Devices
Advertising and promotion of medical devices, in addition to being regulated by the FDA, are also regulated by the Federal Trade Commission (FTC) and by federal and state regulatory and enforcement authorities, including the Department of Justice, the Office of Inspector General of the Department of Health and Human Services, and various state attorneys general. Although physicians are permitted to use their medical judgment to use medical devices for indications other than those cleared or approved by the FDA, we may not promote our products for such “off-label” uses and can only market our products for cleared or approved uses.
Other companies’ promotional activities for their FDA-regulated products have been the subject of FTC enforcement actions brought under healthcare reimbursement laws and consumer protection statutes. FTC enforcement actions often result in consent decrees that constrain future actions. In addition, under the federal Lanham Act and similar state laws, competitors and others can initiate litigation relating to advertising claims.

Government agencies in the EU, UK, Japan and other countries and jurisdictions have similar regulations on the advertising and promotion of medical devices.
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Import and Export Requirements Applicable to Medical Devices
To import a device, the importer must file an entry notice and bond with the United States Bureau of Customs and Border Protection (CBP). All devices are subject to FDA examination before release from CBP. Any article that appears to be in violation of the FDCAFederal Food, Drug and Cosmetics Act (FDCA) may be refused admission and a notice of detention and hearing may be issued. If the FDA ultimately refuses admission, the CBP may issue a notice for redelivery and, if a company fails to redeliver the goods or otherwise satisfy CBP and the FDA with respect to their disposition, may assess liquidated damages for up to three times the value of the lot. The CBP also imposes its own regulatory requirements on the import of our products, including inspection and possible sanctions for noncompliance.
ProductsMedical device products exported from the United States are subject to foreignforeign countries’ import requirements and the exporting requirements of the FDA or European regulating bodies, as applicable. In particular, international sales of medical devices manufactured in the United States that are not approved or cleared by the FDA for use in the United States, or are banned or deviate from lawful performance standards, are subject to FDA export requirements.
Foreign countries often require, among other things, a CFGCertificate of Foreign Government (CFG) for export. To obtain a CFG, the device manufacturer must apply to the FDA. The FDA certifies that the product has been granted clearance or approval in the United States and that the manufacturing facilities were in compliance with the FDA’s QSR regulations at the time of the last FDA inspection.
Conflict Minerals and Supply Chain
We are subject to certain SEC rules adopted pursuant to the Dodd-Frank Wall Street Reform and Consumer Protection Act concerning “conflict minerals” (generally tin, tantalum, tungsten and gold) and similar rules are under consideration by the EU. Certain of these conflict minerals are usedinspection. Government agencies in the manufactureEU, UK, Japan and other countries and jurisdictions have similar regulations on the advertising and promotion of our products. Although the rules are being challenged in court, in their present form they require us to investigate the source of any conflict minerals necessary to the production or functionality of our products. If any such conflict minerals originated in the Democratic Republic of the Congo or adjoining countries (the DRC region), we must undertake comprehensive due diligence to determine whether such minerals financed or benefited armed groups in the DRC region. Since our supply chain is complex, our ongoing compliance with these rules could affect the pricing, sourcing and availability of conflict minerals used in the manufacture of our products.medical devices.
We are also subject to disclosure requirements regarding abusive labor practices in portions of our supply chain under the California Transparency in Supply Chains Act.
Environmental
Our manufacturing processes involve the use, generation and disposal of solid wastes, hazardous materials and hazardous wastes, including silicone adhesives, solder and solder paste, sealants, epoxies and various solvents such as methyl ethyl ketone, acetone and isopropyl alcohol. As such, we are subject to stringent federal, state and local laws relating to the protection of the environment, including those governing the use, handling and disposal of hazardous materials and wastes. Products that we sell in Europe are subject to regulation in EU markets under the Restriction of Hazardous Substances Directive (RoHS). RoHS prohibits companies from selling products which contain certain hazardous materials, including lead, mercury, cadmium, chromium, polybrominated biphenyls and polybrominated diphenyl ethers, in EU member states. In addition, the EU’s Regulation-Registration, Evaluation, Authorization, and Restriction of Chemicals Directive also restricts substances of very high concern in products.
Future environmental laws may require us to alter our manufacturing processes, thereby increasing our manufacturing costs. We believe that our products and manufacturing processes at our facilities comply in all material respects with applicable environmental laws and worker health and safety laws; however, the risk of environmental liabilities cannot be completely eliminated.
Health Care Fraud and AbuseAnti-Kickback Regulations
In the U.S., there are federal and state anti-kickback laws that generally prohibit the payment or receipt of kickbacks, bribes or other remuneration in exchange for the referral of patients or other health-related business. For example, theThe Federal Anti-Kickback Statute (42 U.S.C. § 1320a-7b(b)) prohibits anyone from, among other things, knowingly and willfully offering, paying, soliciting or receiving any bribe, kickback or other remuneration intended to induce the referral of patients for, or the purchase, order or recommendation of, health care products and services reimbursed by a federal health care program, including Medicare and Medicaid. Recognizing that the federal anti-kickback law is broad and potentially applicable to many commonplace arrangements, Congress and the Office of Inspector General (OIG) within the Department of Health and Human Services have created statutory “exceptions” and regulatory “safe harbors”. Exceptions and safe harbors exist for a number of arrangements relevant to our healthcare business, including, among other things, payments to bona fide employees, certain discount and rebate arrangements, and certain payment arrangements involving Group Purchasing Organizations (GPOs).

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Although an arrangement that fits into one or more of these exceptions or safe harbors is immune from prosecution, arrangements that do not fit squarely within an exception or safe harbor do not necessarily violate the law, but the OIG or other government enforcement authorities may examine the practice to determine whether it involves the sorts of abuses that the statute was designed to combat. Violations of this federal law can result in significant penalties, including imprisonment, monetary fines and assessments, and exclusion from Medicare, Medicaid and other federal health care programs. Exclusion of a manufacturer, like us, would preclude any federal health care program from paying for its products.
In addition to the federal anti-kickback law, many states have their own laws that are analogous to the federal anti-kickback law, but may apply regardless of whether any federal or state health care program business is involved. Federal and state anti-kickback laws may affect our sales, marketing and promotional activities, educational programs, pricing and discount practices and policies, and relationships with health care providers by limiting the kinds of arrangements we may have with hospitals, alternate care market providers, GPOs, physicians, payers and others in a position to purchase or recommend our healthcare products.
False Claims Laws and Fraud Statutes
Federal and state false claims laws prohibit anyone from presenting, or causing to be presented, claims for payment to third-party payers that are false or fraudulent. For example, theThe Federal Civil False Claims Act (31 U.S.C. § 3729 et seq.) imposes liability on any person or entity who, among other things, knowingly and willfully presents, or causes to be presented, a false or fraudulent claim for payment by a federal health care program, including Medicaid and Medicare. Some suits filed under the False Claims Act, known as “qui tam” actions, can be brought by a “whistleblower” or “relator” on behalf of the government and such individuals may share in any amounts paid by the entity to the government in fines or settlement. Manufacturers, like us, can be held liable under false claims laws, even if they do not submit claims to the government, where they are found to have caused submission of false claims by, among other things, providing incorrect coding or billing advice about their products to customers that file claims, or by engaging in kickback arrangements or off-label promotion with customers that file claims. A number of states also have false claims laws, and some of these laws may apply to claims for items or services reimbursed under Medicaid and/or commercial insurance. Sanctions under these federal and state fraud and abuse laws may include civil monetary penalties and criminal fines, exclusion from government health care programs and imprisonment.
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The Health Insurance Portability and Accountability Act of 1996 (HIPAA) created new federal crimes, including health care fraud and false statements related to health care matters. The health care fraud statute prohibits, among other things, knowingly and willfully executing a scheme to defraud any health care benefit program, including those offered by private payers. The false statements statute prohibits, among other things, knowingly and willfully falsifying, concealing or covering up a material fact or making any materially false, fictitious or fraudulent statement in connection with the delivery of or payment for health care benefits, items or services. A violation of either statute is a felony and may result in fines, imprisonment and other significant penalties.
Transparency Regulations
The Physician Payment Sunshine Act (Sunshine Act), which was enacted by Congress as part of the ACA, requires medical device companies to track and publicly report, with limited exceptions, all payments and transfers of value to physicians and teaching hospitals in the U.S. Companies are required to track payments made and to report such payments to the government by March 31 of each year. Several states have similar requirements. Beginning in 2022, the reporting requirement will also applyapplies to advance practice nurses and physician assistants. In addition to the burden of establishing processes for compliance, if we fail to provide these reports, or if the reports we provide are not accurate, we could be subject to significant penalties.
The
Anti-Corruption Statutes
Our international operations are subject to the Foreign Corrupt Practices Act of 1977 (FCPA), the U.K. Bribery Act 2010 and other foreign anti-corruption laws. The FCPA and similar worldwide anti-bribery laws in non-U.S. jurisdictions generally prohibit companies and their intermediaries from making improper payments to non-U.S. officials for the purpose of obtaining or retaining business.
Due to the breadth of some of these laws, it is possible that some As part of our current or future practices might be challenged under one or more of these laws. In addition, there can be no assurance thatcompliance program, we would not be required to alter one or more oftrain our practices to be in compliance with these laws. Evolving interpretations of current laws or the adoption of new federal or state laws or regulations could adversely affect many of the arrangementsU.S. and international employees, and we have with customersalso train and physicians. Therefore, our risk of being found in violation of these laws is increased by the fact that some of these laws are broad and open to interpretation.

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Data Privacy and Protection of Health and Other Personal Information
Data protection legislation is becoming increasingly common in the United States at both the federal and state level. For example, the California Consumer Privacy Act of 2018 (CCPA), which became effective on January 1, 2020, requires us to make new disclosures to consumers about our data collection, use and sharing practices, allows consumers to opt out of certain data sharing withmonitor foreign third parties and provides a new cause of action for data breaches. The CCPA is the most comprehensive data privacy regulation to date in the United States, and could be the precursor to other similar legislation in other states or at the federal level. Internationally, the General Data Protection Regulation (GDPR) took effect in May 2018 within the European Economic Area (EEA) and many EEA jurisdictions, as well as other jurisdictions outside of the EEA, have also adopted their own data privacy and protection laws. We have implemented, and continue to implement, procedures and processes to comply with these regulations and, as international data privacy and protection laws continue to evolve, and as new regulations, interpretive guidance and enforcement information become available,whom we may incur incremental costs to modify our business practices to comply with these requirements. In addition, our internal control policies and procedures may not always protect us from reckless or criminal acts committed by our employees or agents.
In addition, numerous federal, state and international laws and regulations, including HIPAA and GDPR, govern the collection, use and disclosure of patient-identifiable, protected health information (PHI) and other personal information. In the U.S.contract (e.g., HIPAA applies to covered entities, which include most healthcare facilities that purchase and use our products, and their business associates. The HIPAA Privacy Rule restricts the use and disclosure of PHI, and requires covered entities and their business associates to safeguard that information and to provide certain rights to individuals with respect to that information. The HIPAA Security Rule establishes detailed requirements for safeguarding PHI transmitted or stored electronically.
Although we are not a covered entity, we are sometimes deemed by our customers to be a business associate of covered entities due to activities that we perform for or on behalf of covered entities, such as training customers on the use of our products or investigating product performance. As business associates, we are subject to many of the requirements of HIPAA and could be directly subject to HIPAA civil and criminal enforcement and the associated penalties for violation of the Privacy, Security and Breach Notification Rules.
The HIPAA standards also apply to the use and disclosure of PHI for research and generally require the covered entity performing the research to obtain the written authorization of the research subject (or an appropriate waiver) before providing that subject’s PHI to sponsors like us for purposes related to the research. These covered entities also typically impose contractual limitations on our use and disclosure of the PHI they disclose to us. We may be required to make costly system modificationsdistributors), to comply with the privacyFCPA and security requirements that will be imposed on us and our failureother anti-corruption laws. Failing to comply maywith the FCPA or any other anti-corruption law could result in liability and adversely affect our business. Other countries also have,fines, penalties or are developing, laws governing the collection, use and transmission of health information, and these laws could create liability for us or increase our cost of doing business.other adverse consequences.
Third-Party Reimbursement for Medical Devices
Health care providers, including hospitals, that purchase our healthcare products generally rely on third-party payers, including the Medicare and Medicaid programs and private payers, including indemnity insurers and managed care plans, to cover and reimburse all or part of the cost of the products and the procedures in which they are used. As a result, demand for our healthcare products is dependent in part on the coverage and reimbursement policies of these payers. No uniform coverage or reimbursement policy for medical technology exists among all third-party payers, and coverage and reimbursement can differ significantly from payer to payer.
The Centers for Medicare & Medicaid Services (CMS) is the federal agency responsible for administering the Medicare program. Along with its contractors, CMS establishes the coverage and reimbursement policies for the Medicare program. Because a large percentage of our healthcare products are used in the treatment of elderly or disabled individuals who areby Medicare beneficiaries, Medicare’s coverage and reimbursement policies are particularly significant to our healthcare business. In addition, private payers often follow the coverage and reimbursement policies of Medicare.
In general,Generally, Medicare will cover a medical product or procedure when the product or procedure is included within a statutory benefit category and is reasonable and necessary for the diagnosis or treatment of an illness or injury, or to improve the functioning of a malformed body part. Even if the medical product or procedure is considered medically necessary and coverage is available, Medicare may place restrictions on the circumstances where it provides coverage. For example, several Medicare local contractors have issued policies that restrict coverage for pulse oximetry in hospital inpatient and outpatient settings to a limited number of conditions, including limiting coverage to patients who (i) exhibit signs of acute respiratory dysfunction, (ii) have chronic lung disease, severe cardiopulmonary disease or neuromuscular disease involving the muscles of respiration, (iii) are under treatment with a medication with known pulmonary toxicity, or (iv) have sustained multiple trauma or complaints of acute chest pain.

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Reimbursement for our products may vary not only by the type of payer involved but also based upon the setting in which the product is furnished and utilized. For example, Medicare payment may be made, in appropriate cases, for patient stays in the hospital inpatient and in outpatient settings involving the use of our products. Medicare generally reimburses hospitals based upon prospectively determined amounts. For hospital inpatient stays, the prospective payment generally is determined by the patient’s condition and other patient data and procedures performed during the inpatient stay, using a classification system known as Medicare Severity Diagnosis-Related Groups (MS-DRGs). Prospective rates are adjusted for, among other things, regional differences, co-morbidity and complications. Hospitals generally do not receive separate Medicare reimbursement for the specific costs of purchasing our products for use in the inpatient setting. Rather, Medicare reimbursement for these costs is deemed to be included within the prospective payments made to hospitals for the inpatient services in which the products are utilized.
In contrast, some differences may be seen in the reimbursement for use of our products in hospital outpatient departments. In this setting, Medicare payments also are generally made under a prospective payment system based on the ambulatory payment classifications (APCs) under which individual items and procedures are categorized. Hospitals receive the applicable APC payment rate for the procedure regardless of the actual cost for such treatment. Some outpatient services such as oximetry services do not receive separate reimbursement. Rather, their reimbursement is deemed packaged into the APC for an associated procedure and the payment for that APC does not vary whether or not the packaged procedure is performed. Some procedures also are paid through composite APCs, which are APCs that establish a payment rate that applies when a specific combination of services is provided.
Reimbursement for certain pulse oximetry monitoring services, including those using our products, may be separately payable when they are the only service provided to the patient on that day, packaged if provided with certain critical care services, or reimbursed through a composite APC when provided in connection with certain other services.
Because payments through the Prospective Payment Systemprospective payment system in both the hospital inpatient and outpatient settings are based on predetermined rates and may be less than a hospital’s actual costs in furnishing care, hospitals have incentives to lower their operating costs by utilizing products that will reduce the length of inpatient stays, decrease labor costs or otherwise lower their costs. If hospitals cannot obtain adequate coverage and reimbursement for our products, or the procedures in which they are used, we cannot be certain that they will purchase our products, despite the clinical benefits and opportunity for cost savings that we believe can be derived from their use.
Our success with rainbow SET® technologies in the U.S. market in settings of care with reimbursable monitoring procedures, such as hospital emergency departments, hospital procedure labs and physician offices, may largely depend on the ability of providers to receive reimbursement for such procedures. While private insurance payers often follow Medicare coverage and payment, we cannot be certain of this and, in many cases, cannot control the coverage or payment rates that private insurance payers put in place. In addition, the potential amendment, repeal or judicial invalidation of the ACA, and/or the enactment of other legislation or regulations, could affect future payment for services involving the use of our products.
Our success in non-U.S. markets depends largely upon the availability of coverage and reimbursement from the third-party payers through which health care providers are paid in those markets. Health care payment systems in non-U.S. markets vary significantly by country, and include single-payer government managed systems, as well as systems in which private payers and government managed systems exist side-by-side. Our ability to achieve market acceptance or significant sales volume in international markets we enter will be dependent in large part on the availability of reimbursement for procedures performed using our products under health care payment systems in such markets.
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Other U.S. and Foreign Regulation
We and our OEM partners also must comply with numerous federal, state and local laws, as well as laws in other jurisdictions, relating to matters such as safe working conditions, manufacturing practices, environmental protection, fire hazard control and hazardous substance disposal. We cannot be sure that we will not be required to incur significant costs to comply with these laws and regulations in the future or that these laws or regulations will not hurt our business, financial condition and results of operations. Unanticipated changes in existing regulatory requirements or adoption of new requirements could hurt our business, financial condition and results of operations.

Data Privacy and Protection of Health and Other Personal Information
Both at the federal and state levels, the United States has increased legislative activity in connection with data privacy and data security. In addition to the California Privacy Rights Act (CPRA) which went into effect on January 1, 2023, a number of other states have passed comprehensive consumer privacy laws or have introduced related bills. On the federal level, an omnibus privacy bill (the American Data Privacy and Protection Act) was proposed and is currently under congressional review. If enacted, the law will dramatically increase oversight of how companies collect, use, and store the personal data. Federal agencies such as the FTC and the Securities and Exchange Commission (SEC) have increased their scrutiny and enforcement of how companies disclose their use of personal data to consumers, secure personal data, and report unauthorized disclosures of personal data. In particular, the FTC has issued statements that indicate increase in enforcement action against deceptive marketing practices that use cookies, pixels and other tracking tags to monitor consumer behavior. Moreover, there has been a similar increase in privacy-related class action litigation in connection with the use of consumers’ personal data.
Internationally, in addition to the General Data Protection Regulation (GDPR) in Europe, other jurisdictions have adopted their own data privacy and protection laws. China, Canada, the Kingdom of Saudi Arabia and the UAE have passed new privacy and data protection laws. Australia, Argentina and India are expected to introduce new privacy laws in 2023. We have implemented, and continue to implement, procedures and processes to comply with these various laws and regulations. As international data privacy and protection laws continue to evolve, and as new regulations, interpretive guidance and enforcement information become available, we may incur incremental costs to modify our business practices to comply with these requirements. In addition, our internal control policies and procedures may not always protect us from reckless or criminal acts committed by third-parties, nation states, our employees or agents.
Recently, we have seen a global rise in scrutiny and legislative activity in connection with data breaches of health information in medical devices. Data security related to medical devices has been a priority for us and will continue to be so as we strive to safeguard the health information of our device users and of our customers’ patients. We may be required to make costly system and device modifications to comply with privacy and security requirements. Our failure to comply may result in liability and adversely affect our business.
Additionally, in the U.S,. the Health Information Portability and Accountability Act (HIPAA) applies to covered entities and extends to their business associates. Covered entities include many healthcare facilities that purchase and use our products. The HIPAA Privacy Rule restricts the use and disclosure of protected health information (PHI) and requires covered entities and their business associates to safeguard that information. The HIPAA Security Rule establishes detailed technical, administrative and physical requirements for safeguarding PHI transmitted or stored electronically. Although we are not a covered entity, we are sometimes deemed by our U.S. customers to be a business associate due to activities that we perform for or on behalf of covered entity customers. As business associates, we may be subject to many of the requirements of HIPAA and could be directly subject to HIPAA civil and criminal enforcement and the associated penalties for violation of the Privacy, Security and Breach Notification Rules. Moreover, even when we are not a business associate, healthcare facilities impose contractual limitations on the use and disclosure of their patients’ health information, and otherwise require additional safeguards to protect that information. These laws, as well as any new developing laws around health data, could create liability for us and increase our cost of doing business as well as increase costs associated with complying with these various laws both in the U.S. and globally.
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Environmental Regulations
CompetitionWe are subject to stringent international, federal, state and local laws relating to the protection of the environment, including those governing the use, handling and disposal of hazardous materials and wastes. Products that we sell in Europe are subject to regulation in EU markets under the Restriction of Hazardous Substances Directive (RoHS). RoHS prohibits companies from selling products that contain certain hazardous materials in EU member states. Other regulations which affect the product content, manufacturing, and packaging of our products include, for example, the Registration, Evaluation, Authorization and Restriction of Chemical substances, the Waste Electrical and Electronic Equipment Directive, and the Directive on Packaging and Packaging Waste enacted in the EU which require the registration of and regulate the use of certain hazardous substances and chemicals in certain products we manufacture, and require the collection, reuse and recycling of waste product and packaging from, certain products we manufacture. Similar legislation that has been or is in the process of being enacted in Japan, China, other foreign countries and various states of the U.S. may require us to re-design our products to ensure compliance with the applicable standards, for example by requiring the use of different types of materials or adding country specific product and/or packaging labeling. Any redesigns or alternative materials may detrimentally impact the performance of our products, add greater testing lead-times for product introductions, result in additional costs or have other similar negative effects.
The medical device industry isFuture environmental laws may require us to alter our manufacturing processes, thereby increasing our manufacturing costs. We believe that our products and manufacturing processes at our facilities comply in all material respects with applicable environmental laws and worker health and safety laws; however, the risk of environmental liabilities cannot be completely eliminated.
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Markets
Competitive Conditions
We compete in both healthcare and consumer electronic markets throughout the globe. These markets are highly competitive and manyare characterized by continual change and improvements in technology. Many of our competitors have substantially greater financial technical,resources, broader product portfolios and more aggressive advertising and marketing strategies and other resourcesmay be able to adapt to market preferences or consumer demands more rapidly than we do. While we regard any company that sells pulse oximeters as a potential customer, we also recognize thatus. Competitors may develop superior products or products of similar quality for sale at the companies selling pulse oximeters on an OEM basis and/same or pulse oximetry sensors are also potential competitors. lower prices. Moreover, our products could be rendered obsolete by changes to industry standards or guidelines or advances in technology.
Our primary competitor in the healthcare market is Medtronic plc, (Medtronic, formerly Covidien Ltd.),who currently holds a substantial share of the pulse oximetry market. In addition, large technology companies that have not historically operated in the healthcare or medical device space, such as Alphabet Inc. (Alphabet), Amazon, Apple Inc. (Apple), Samsung Electronics Co., Ltd. (Samsung) and others, have developed or may develop products and technologies that may compete with our current or future products and technologies in the consumer health and clinicalprofessional healthcare marketplaces.
Medtronic sells its own brand of Nellcor pulse oximeters to end-users, sells pulse oximetry modules to other monitoring companies on an OEM basis, and licenses to certain OEMsIn the right to make their pulse oximetry platforms compatible with their sensors. We also face substantial competition from larger medical device companies, including companies that develop products thatnon-healthcare market, we compete with our proprietary Masimo SET® Sonos, Bang & Olufsen, Sony, Samsung (and its subsidiaries), Apple, Alphabet, Amazon and our OEM partners. We believe that a number of companies have announced products that claim to offer motion-tolerant accuracy. In addition, someothers. Many of our patentscompetitors in the non-healthcare market have expiredmore broadly diversified product lines, well established supply and distribution systems, loyal customer bases and significant financial, marketing, research, development and other will expire over time in accordance with the laws of the jurisdiction in which they were issued.resources.
We believe that the principal competitive factors in the market for pulse oximetry productsmarkets in which we operate include:
accurate monitoring during both patient motion and low perfusion;
ability to introduce other clinically beneficial measurements related to oxygenation and respiration, such as noninvasive and continuous oxygen reserve index and hemoglobin;
competitive pricing;
brand recognition, and perception of innovation abilities;abilities, and reputation;
salesproduct technology and marketing capability;innovation;
product quality and safety;
quality, cost-effectiveness and price;
breadth of product lines, network of technology and content partners;
access to hospitals which are members of GPOs;GPO and OEM partners;
access to integrated delivery networks;networks, third party retailers, sales channels, e-commerce, distributors, retailers and omni-channel retailers; and
access to OEM partners; and
patent protection.
Sales
Market Demand
We currently sell our healthcare products directly to hospitals and Marketing
We have sales and marketing employeesvarious distributors in the U.S. and around the world, including Europe, the Middle East and Asia Latin America, Canada and Australia. We currently sell all ofPacific, through our medical products both directly to hospitals and the alternate care market via ourdirect sales force and various distributors.force. We sell our non-medical/consumerhome wellness products through e-commerce Internetinternet sites such as www.masimopersonalhealth.com, www.amazon.comandwww.shopify.com.
Our sales and www.amazon.com.
The primary focusmarketing strategy for pulse oximetry has been, and will continue to be, focused on building end-user awareness of the clinical and cost-saving benefits of our technologies. Our healthcare sales representativesrepresentatives’ primary focus is to facilitate the conversion of competitor accounts to our Masimo SET® pulse oximetry and rainbow SET® Pulse CO-Oximetry® products, to expand the use of Masimo SET® and Patient SafetyNet on the general hospital floor and to create and expand the use of rainbow® measurements in both critical care and non-critical care areas. In addition to sales representatives, we employ clinical specialists to work with our sales representatives to educate end-users on the benefits of Masimo SET® and assist with the introduction and implementation of our technology and products to their sites. Our sales and marketing strategy for pulse oximetry has been and will continue to be focused on building end-user awareness of the clinical and cost-saving benefits of our technologies.
For the year ended December 28, 2019, two31, 2022, one just-in-time distributors, Cardinal Health and Medline Industries,healthcare distributor represented approximately 13.0% and 11.1%, respectively,10.1% of our total healthcare revenue. These wereThis was the only two customerscustomer that represented 10% or more of our healthcare revenue for the year ended December 28, 2019.31, 2022. Importantly, these two distributors takethis distributor takes and fulfillfulfills orders from our direct healthcare customers, many of which have signed long-term sensor purchase agreements with us. If a specific just-in-time healthcare distributor is unable to fulfill these orders, the orders would be redirected to other healthcare distributors or fulfilled directly by us.
Additionally, we sell certain of our healthcare products through our OEM partners who incorporate our technologies into their monitors and sometimes resell our sensors to their installed base. Our OEM agreements allow us to expand the availability of our technologies through the sales and distribution channels of each OEM partner. To facilitate clinician awareness of Masimo technologies, our OEM partners have generally agreed to place the applicable Masimo trademark prominently on their instruments.

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In order to facilitate our U.S. direct sales to hospitals, we have signed contracts with what we believe to be the five largest national GPOs in the U.S., based on the total volume of negotiated purchases. In return for the GPOs putting our healthcare products on contract, we have agreed to pay the GPOs a percentage of our healthcare revenue from their member hospitals. In 20192022 and 2018, revenue2021, healthcare revenues from the sale of our pulse oximetry products to hospitals that are associated with GPOs amounted to $517.6$721.3 million and $470.5$643.1 million, respectively.
We sell our non-healthcare products primarily through over 20,000 points of global retail distribution and our products are distributed in more than 130 countries. The majority of our non-healthcare sales are transacted through traditional physical retailers, third party distributors and big box resellers, including on their websites. We also sell through online retailers and custom installers and directly through our individual brand websites.

Our non-healthcare marketing efforts arestrategy is designed to build end-userbrand awareness, acquire new customers, enhance customer loyalty and drive in-store and online transactions with sustainable, profitable growth. Our non-healthcare marketing investments are focused on driving profitability growth through targeted advertising, public relations and brand promotion activities, including digital platforms, sponsorships, collaborations, brand activations, channel marketing and print advertising, direct mailstrategic partnerships. We continue to invest significant resources in our marketing and trade shows. In addition, we distribute published clinical studies, providebrand development efforts, including investing in capital expenditures on product education for doctors, nurses, biomedical engineersdisplays to support our channel marketing through our retail partners.
Seasonality
Our quarterly revenues are influenced by many factors, including new product releases, acquisitions, regulatory approvals, patient holiday schedules, hospital census, the timing of influenza season, and respiratory therapistsother factors. Our healthcare revenues in the third quarter of our fiscal years have generally historically represented a lower percentage of segment revenues due to the seasonality of the U.S., European and assist with product evaluations.Japanese markets, where summer vacation schedules normally result in fewer medical procedures utilizing our healthcare products. Our non-healthcare revenues in the fourth quarter of a fiscal year generally produce a higher percentage of our segment revenues than the other quarters of our fiscal year due to the holiday shopping season and our corresponding promotional activities.
Resources
Intellectual Property
We believe that in order to maintain a competitive advantage in the marketplace, we must develop and maintain protection of the proprietary aspects of our technology. The ownership of intellectual property rights is an important factor in our business. We rely on a combination of patent, trademark,patents, trademarks, trade secret, copyrightsecrets, copyrights, know-how, continuing technological innovations, licensing opportunities, internet domain names and other intellectual property rights and measures to protect our intellectual property.property in the U.S. and a number of foreign countries.
We have developed a patentdiverse intellectual property portfolio internally, and to a lesser extent, through acquisitions and licensing, that covers many aspects of our product offerings. AsIn aggregate, our intellectual property is of December 28, 2019,material importance to our business; however, we had 685 issued patents and 393 pending applications in the U.S., Europe, Japan, Australia, Canada and other countries throughout the world. Our patents expire in accordance with the laws of the particular jurisdiction in which they were issued, which sometimes change. Additionally, as of December 28, 2019, we owned 85 U.S. registered trademarks and 257 foreign registered trademarks, as well as trade namesbelieve that we use in conjunction with the saleno single intellectual property asset or license is material on its own to either segment of our products. Our trademarks are perpetually renewable.business or to our business as a whole.
Under the Cross-Licensing Agreement, we and Cercacor have agreed to allocate proprietary ownership of technology developed based on the functionality of the technology. We will have proprietary ownership, including ownership of all patents, copyrights and trade secrets, of all technology related to the noninvasive monitoring of vital signs measurements, and Cercacor will have proprietary ownership of all technology related to the noninvasive monitoring of non-vital signs measurements.
We have been issued hundreds of patents and trademarks and currently have hundreds of pending patent and trademark applications in the U.S. and abroad and continue to file for additional patent and trademark protection where appropriate and cost effective. We intend to hold these patents and trademarks as part of our strategy to protect and defend our technology and branding, including to protect and defend our company in patent‑related and trademark-related litigation. We believe that our intellectual property has significant value and is important to our brand‑building efforts and the marketing of our products and services. We cannot predict, however, whether steps taken by us to protect our proprietary rights will be adequate to prevent misappropriation of any of these rights.
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Some of our competitors may seek to compete primarily through aggressive pricing and low-cost structures while infringing on our intellectual property. Third parties may also rely upondesign around our proprietary rights, which may render our protected products less valuable if the design around is favorably received in the marketplace. Litigation may be necessary to enforce our intellectual property rights, to protect our trade secrets, continuing technological innovationsto determine the validity and licensing opportunitiesscope of the proprietary rights of others, or to developdefend against claims of infringement or invalidity, misappropriation, or other claims. There is no guarantee that we will prevail on our litigation claims against third parties and maintainany such litigation could result in substantial costs and diversion of our competitive position.resources. Moreover, any settlement of or adverse judgment resulting from such litigation could require us to obtain a license to continue to use the technology that is the subject of the claim, or otherwise restrict or prohibit our use of the technology. Any required licenses may not be available to us on acceptable terms, if at all. If we attempt to design around the technology at issue or to find another provider of suitable alternative technology to permit us to continue offering applicable software or product solutions, our continued supply of software or product solutions could be disrupted or our introduction of new or enhanced software or products could be significantly delayed.
We seek to protect our trade secrets and proprietary know-how, in part, with confidentiality agreements with consultants, vendors and employees, although we cannot be certain that the agreements will not be breached or that we will have adequate remedies for any breach.
There are risks related to our intellectual property rights. For further detail on these risks, see “Risks“Risks Related to Our Intellectual Property” under Item 1A“Risk Factors” in this Annual Report on Form 10-K.
Research and Product Development
We believe that ongoing research and development (R&D) efforts are essential to our success. Our research and developmentR&D efforts focus primarily on continuing to enhance our technical expertise in pulse oximetry,toward our existing product portfolios, expanding our noninvasive monitoringtechnological leadership in each of other measurementsthe markets we serve with new innovations, entering into strategic partnerships with third parties to fund the development of certain new technologies, driving growth in emerging markets and developing remote alarm and monitoring solutions.
Althoughintroducing new products necessary to maintain market superiority, while reducing the cost of care. In addition, we and Cercacor each have separate research and development projects, wecontinue to collaborate with Cercacor on multiple research and developmentR&D activities related to advancing rainbow® technology and other technologies. Under the Cross-Licensing Agreement, the parties have agreed to allocate proprietary ownership of technology developed by either party based on the functionality of the technology. We will have proprietary rights to all technology related to the noninvasive measurement of vital signs measurements, and Cercacor will have proprietary ownership of all technology related to the noninvasive monitoring of non-vital signs measurements.
Manufacturing
Our strategy is to manufacture products in-house when it is efficient and cost-effective for us to do so. We currently manufacture our bedsideproducts at facilities located in various countries throughout the world and handheld pulse oximeters, our full line of disposable and reusable sensors and most of our patient cables in-house or throughmaintain captive contract maquiladora operations. We maintain an approximate 70,700 square foot manufacturing facility in Irvine, California, and two separate manufacturing facilities in Mexicali and San Luis Rio Colorado, Mexico that have combined square footage of approximately 216,900 square feet. All three of these facilities are International Organizationoperations for Standardization (ISO) 13485:2016 certified. We also maintain an approximate 86,500 square foot facility in Hudson, New Hampshire, a portion of which is used to manufacture advanced light emitting diodes and other advanced component-level technologies. In addition, we maintain an ISO 13485:2016 certified facility approximating 16,400 square feet in Danderyd, Sweden, a portion of which is used to manufacture ultra-compact mainstream and sidestream capnography and gas monitoring technologies.

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key healthcare components. We will continue to utilize third-party contract manufacturers for products and subassemblies that can be more efficiently manufactured by these parties, such as our circuit boards.boards, speakers and certain audio components. We monitor our third-party manufacturers and perform inspections and product tests at various steps in the manufacturing cycle to ensure compliance with our specifications. We also do full functional testing of our circuit boards.
For raw materials, we and our contract manufacturers may rely on sole source suppliers for some components, including digital signal processor chips and analog-to-digital converter chips. We and our contract manufacturers have taken steps to minimize the impact of a shortage or stoppage of shipments of digital signal processor chips or analog to digital converter chips, including maintaining a safety stock of inventory and designing software that may be easily ported to another digital signal processor chip. We believe that our sourcesGenerally, we have been able to obtain adequate supplies of supply for components andsuch raw materials are adequate. In the event of a delay or disruption in the supply of sole source components,and components. However, we believe that we and our contract manufacturers willmay not be able to locatequickly establish additional or replacement sources of these sole sourcefor certain components on commercially reasonable termsor materials if we experience a sudden or unexpected reduction or interruption in supply and without experiencing material disruption in our business or operations.are unable to develop alternative sources.
We have agreements with certain major suppliers and each agreement provides for varying terms with respect to contract expiration, termination and pricing. Most of these agreements allow for termination upon specified advance notice ranging from four to twelve months,of various periods to the non-terminating party. Certain of these agreements with our major suppliers allow for pricing adjustments and each agreement provides for annual pricing negotiation, and one agreement also guarantees us the most favorable pricing offered by the suppliernegotiation.
For additional information related to any of its other customers.our manufacturing facilities, refer toItem 2. Properties in this Annual Report on Form 10-K.
Employees
Sustainability
As a global manufacturer of technology products, we understand the materials we use and the products we manufacture can have an impact on the environment. We are continuously evaluating ways to reduce our overall environmental footprint. We have implemented measures to promote greater environmental responsibility, conserve resources and reduce waste in an effort to help combat climate change.
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We are committed to operating in an environmentally responsible manner and support the internationally recognized environmental principles set forth in the United Nations Global Compact. We strive to identify new opportunities to improve the sustainability of our business and encourage our employees to join in our efforts. In furtherance of these commitments, we reinforce the following sustainability principles:
Environmental. We undertake initiatives to promote greater environmental responsibility and incorporate energy efficiency measures in all areas of our business. We comply with applicable environmental protection laws in all areas of our business.
Social. We train and encourage our employees to conduct their activities in an environmentally responsible and sustainable manner.
Economic. We continuously take steps to minimize material waste and energy inefficiencies in our products and manufacturing processes.
Communities. We have a long and proud history of investing in and giving back to the communities in which we live and work, as well as providing aid around the globe. Through the partnerships with organizations like the World Health Organization and the Masimo Foundation, we give back by providing grants to humanitarian aid organizations and offering in-kind donations of medical equipment. In addition, our employees also actively support causes by raising awareness and funds for non-profit organizations. Organizations that our employees have supported in recent years include Syrian American Medical Society, Juvenile Diabetes Research Foundation, Feeding America, Patient Safety Movement Foundation and the Sound Start Foundation.
Human Capital Resources
Core to our long-term strategy for human capital is attracting, developing and retaining the best talent globally with the right skills to drive our future success. We consider our employees to be our greatest assets and the greatest strength behind our innovation and success. We seek to attract and retain highly talented, experienced and well-educated individuals to support our long-term growth and profitability goals.
Our success and future growth is largely dependent on our ability to attract, retain and develop a diverse workforce at all levels of the organization. To succeed, we have developed key recruitment and retention strategies that we focus on as part of our overall management of our business. These include:
Compensation. Our compensation programs are designed to align the compensation of our employees with their performance and to provide the proper incentives to attract and retain employees while motivating them to achieve superior results. The structure of our compensation programs balance incentive earnings for both short-term and long-term performance.
Our executive compensation is aligned with stockholder interests by aligning pay-for-performance metrics.
We utilize nationally-recognized compensation consultants to evaluate our executive compensation benefit programs and provide benchmarking against our peer groups.
We provide employee wages that are competitive and consistent with employee positions, experience, skills, knowledge and geography.
Our annual increases and cash incentives are based on market and awarded based on merit.
We offer a wide variety of benefits, including health insurance, paid time off, retirement plans, and voluntary benefits such as financial and personal wellness benefits, etc.
Health and Safety. We are committed to the safety and well-being of our employees. In response to the COVID-19 pandemic, we implemented changes to our business in an effort to protect our employees and customers. We instituted safety protocols and procedures for our employees who work on site, including: installation of plexiglass partitions between work stations at our primary manufacturing and assembly facilities, increased distancing and implementation of extensive cleaning and sanitation procedures for our manufacturing and assembly facilities and our general administration and sales facilities.
Developing Leaders of Tomorrow/Succession Planning.We are committed to identifying and developing the talents of our next generation of leaders. Our executive management team conducts organization and leadership reviews of all business leaders, focusing on our high-performing and high potential talent, diversity, and the succession planning for critical roles.
Employee Feedback and Retention. In 2021 and 2022, we were certified as a Great Place to Work®. In addition, for 2021 and 2022, we were recognized on Fortune Best Workplaces in Manufacturing & Production. To assess and improve employee retention and engagement, we survey employees and take actions to address areas of employee concerns. The average tenure of our employee is approximately 5.4 years and more than 18% of our employees have been employed by us for more than ten years.
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Inclusion and Diversity. In fiscal 2022, our full-time employees increased from approximately 2,000 as of January 1, 2022 to 4,000 as of December 28, 2019, we had approximately 1,600 full-time employees31, 2022 and approximately 3,700our dedicated contract personnel worldwide.worldwide increased from approximately 4,200 as of January 1, 2022 to approximately 5,900 as of December 31, 2022. Of our full-time employees, approximately 69% were male and approximately 31% were female, and women represented approximately 23% of our management/leadership roles. Minorities represented approximately 47% of our U.S. workforce, and approximately 40% of our management/leadership roles.
Address
Cybersecurity
We regularly perform risk assessments relating to cybersecurity risks. We have a risk-based cybersecurity program, dedicated to protecting our data and data that may be collected from patient monitoring devices. We utilize a defense-in-depth strategy with multiple layers of security controls to protect our data and systems. We mitigate cybersecurity risks by employing extensive measures, including employee training, systems monitoring and testing and maintenance of protective systems and contingency plans. We continually evaluate ourselves for appropriate business continuity and disaster recovery planning, with test scenarios that include simulations and penetration tests. We also install and regularly update antivirus software on all of our Company-managed systems to detect malicious code and prevent it from impacting our systems. We require cybersecurity awareness training for all staff members with access to our network. We also maintain cyber liability insurance coverage to further reduce our risk profile. Security of our financial data and other sensitive information remains a high priority for us, led by our global information security team. We employ an appropriate encryption and tokenization platform for all online and direct-to-consumer sales from our websites, ensuring no credit card data is stored in our internal systems. For more information on risks related to cybersecurity and data security, see Item 1A. “Risk Factors - Risks Related to Our principal executive offices are located at 52 Discovery, Irvine, California 92618,Regulatory Environment and our telephone number at that address is (949) 297-7000. Our website address is www.masimo.com. General Risk Factors.
Available Information
Our annual reports on Form 10-K, quarterly reports on Form 10-Q, proxy statements, current reports on Form 8-K and amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended, are available free of charge at www.masimo.comour website, www.masimo.com, as soon as reasonably practicable after electronically filing such reports with the SEC. Any information contained on, or that can be accessed through, our website is not incorporated by reference into, nor is it in any way a part of, this Annual Report on Form 10-K.

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ITEM 1A.     RISK FACTORS
ITEM 1A.RISK FACTORS
The following risk factors and other information included in this Annual Report on Form 10-K should be carefully considered. The risks and uncertainties described below are not the only ones we face. Additional risks and uncertainties not presently known to us or that we presently deem less significant may also impair our business operations. If any of the following risks come to fruition, our business, financial condition, results of operations and future growth prospects would likely be materially and adversely affected. In these circumstances, the market price of our common stock could decline, and you could lose all or part of your investment.
Risks Related to Our RevenuesSummary of Material Risk Factors
Below is a summary of the principal factors that make an investment in our securities speculative or risky. This summary does not address all of the risks that we face. Additional discussion of the risks summarized in this summary, and other risks that we face, can be found following this summary and should be carefully considered together with all of the other information appearing in this Annual Report on Form 10-K.
We currently derive the majoritya significant portion of our revenue from our Masimo SET® platform, Masimo rainbow SET® platform and related products. If these technologies and related products do not continue to achieve market acceptance, our business, financial condition and results of operations would be adversely affected.
Some of our products are in development or have been recently introduced into the market and may not achieve market acceptance, which could limit our growth and adversely affect our business, financial condition and results of operations.
If we are not able to maintain and enhance the value and reputation of our non-healthcare brands, or if our reputation is otherwise damaged, our business and operating results could be harmed.
Our ability to commercialize new products, new or improved technologies and additional applications for Masimo SET® and our licensed rainbow® technology is limited to certain markets by our Cross-Licensing Agreement with Cercacor Laboratories, Inc. (Cercacor), which may impair our growth and adversely affect our business, financial condition and results of operations.
We face competition from other companies, many of which have substantially greater resources than we do. If we do not successfully develop and commercialize enhanced or new products that remain competitive with products or alternative technologies developed by others, we could lose revenue opportunities and customers, and our ability to grow our business would be impaired, adversely affecting our financial condition and results of operations.
We depend on our domestic and international OEM partners for a portion of our revenue. If they do not devote sufficient resources to the promotion of products that use our technologies, our business would be harmed.
If we fail to maintain or develop relationships with GPOs, sales of our healthcare products would decline.
Inadequate levels of coverage or reimbursement from governmental or other third-party payers for our healthcare products, or for procedures using our healthcare products, may cause our revenue to decline or prevent us from realizing revenues from future products.
Consolidation in the healthcare industry could lead to demands for price concessions or to the exclusion of existing market participants from certain markets, which could have an adverse effect on our business, results of operations or financial condition.
The loss of any large customer or distributor, or any cancellation or delay of a significant purchase by a large customer, could reduce our net sales and harm our operating results.
Counterfeit Masimo sensors and third-party reprocessed single-patient-use Masimo sensors may harm our reputation and adversely affect our business, financial condition and results of operations.
Competition and other conflicts with our non-healthcare distribution partners could harm our business and operating results.
Certain of our non-healthcare products are dependent on integrations with third-party technology.
If the patents we own or license, or our other intellectual property rights, do not adequately protect our technologies, we may lose market share to our competitors and be unable to operate our business profitably.
If third-parties claim that we infringe their intellectual property rights, we may incur liabilities and costs and may have to redesign or discontinue selling certain products.
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We believe competitors may currently be violating and may in the future violate our intellectual property rights. As a result, we may initiate litigation to protect and enforce our intellectual property rights, which may result in substantial expense and may divert management’s attention from implementing our business strategy.
The laws of foreign countries may not adequately protect our intellectual property rights.
Our failure to obtain and maintain FDA clearances or approvals on a timely basis, or at all, would prevent us from commercializing our current, upgraded or new healthcare products in the U.S., which could severely harm our business.
If we or our suppliers fail to comply with ongoing regulatory requirements, or if we experience unanticipated problems with our products, these products could be subject to restrictions or withdrawal from the market.
Regulatory reforms may impact our ability to develop and commercialize our healthcare products and technologies.
If our healthcare products cause or contribute to a death or serious injury, or malfunction in a way that would likely cause or contribute to a death or serious injury, we will be subject to medical device reporting regulations and other applicable laws, and may need to initiate voluntary or mandatory corrective actions, such as the recall of our healthcare products.
Promotion of our healthcare products using claims that are off-label, unsubstantiated, false or misleading could subject us to substantial penalties.
The regulatory environment governing information, data security and privacy is increasingly demanding and evolving. Many of the laws and regulations in this area are subject to uncertain interpretation, and our failure to comply could result in claims, penalties or increased costs or otherwise harm our business.
We may be subject to or otherwise affected by federal and state healthcare laws, including fraud and abuse laws, and could face substantial penalties if we are unable to fully comply with these laws.
U.S. and international legislative and regulatory changes in the healthcare industry could have a negative impact on our financial performance.
We may experience conflicts of interest with Cercacor with respect to business opportunities and other matters.
We will be required to assign to Cercacor and pay Cercacor for the right to use certain products and technologies we develop that relate to the monitoring of non-vital sign parameters, including improvements to Masimo SET®.
In the event that the Cross-Licensing Agreement is terminated for any reason, or Cercacor grants a license to rainbow® technology to a third-party, our business would be adversely affected.
Rights provided to Cercacor in the Cross-Licensing Agreement may impede a change in control of our company.
If we are unable to obtain key materials and components from sole or limited source suppliers, we will not be able to deliver our products to customers.
Future strategic initiatives, including acquisitions of businesses and strategic investments, could negatively affect our business, financial condition and results of operations if we fail to integrate the acquired businesses and their employees successfully into our existing operations or achieve the desired results of our initiatives.
Our new products and changes to existing products as a result of our acquisition of Sound United could fail to attract or retain users or generate revenue and profits. Further, we may not be successful in our non-healthcare expansion, which could adversely affect our business, reputation or financial results.
Our credit facility contains certain covenants and restrictions that may limit our flexibility in operating our business.
Concentration of ownership of our stock among our existing directors, executive officers and principal stockholders may prevent new investors from influencing significant corporate decisions.
Our corporate documents, Delaware law and our stockholder rights plan contain provisions that could discourage, delay or prevent a change in control of our company, prevent attempts to replace or remove current management and reduce the market price of our stock.
Shareholder activism could cause us to incur significant expense, disrupt our business, result in a proxy contest or litigation and impact our stock price.
Exclusive forum provisions in our bylaws could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us or our directors, officers or employees.





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Risks Related to Our Revenues
We currently derive a significant portion of our revenue from our Masimo SET® platform, Masimo rainbow SET® platform and related products. If these technologies and related products do not continue to achieve market acceptance, our business, financial condition and results of operations would be adversely affected.
Our healthcare business is highly dependent upon the continued success and market acceptance of our proprietary Masimo SET® and Masimo rainbow SET® technologies that serve as the basis of our primary healthcare product offerings. Continued market acceptance of products incorporating these technologies will depend upon us continuing to provide evidence to the medical community that our products are cost-effective and offer significantly improved performance compared to conventional pulse oximeters. Healthcare providers that currently have significant investments in competitive pulse oximetry products may be reluctant to purchase our products. If hospitals and other healthcare providers do not believe our Masimo SET® and Masimo rainbow SET® platforms are cost-effective, safe or more accurate or reliable than competitive pulse oximetry products, they may not buy our healthcare products in sufficient quantities to enable us to generate revenue growth from the sale of these products. In addition, allegations regarding the safety and effectiveness of our products, whether or not substantiated, may impair or impede the acceptance of our products.
Some of our products are in development or have been recently introduced into the market and may not achieve market acceptance, which could limit our growth and adversely affect our business, financial condition and results of operations.
Many of our noninvasive measurement technologies are considered disruptive. These technologies have performance levels that we believe are acceptable for many clinical environments but may be insufficient in others. In addition, these technologies may perform better in some patients and settings than others. Over time, we hope to continue to improve the performance of these technologies and educate the clinical community on how to properly evaluate them. If we are successful in these endeavors, we expect these technologies will become more useful in more environments and will become more widely adopted. Our product portfolio continues to expand, and we are investing significant resources to enter into, and in some cases create, new markets for theseour products. For example, our acquisition of Sound United expanded our business and product strategy to additionally focus on non-healthcare products to integrate with our successful medical technology.See the risk factor with the heading “Our new products and changes to existing products as a result of our acquisition of Sound United could fail to attract or retain users or generate revenue and profits. Further, we may not be successful in our non-healthcare expansion, which could adversely affect our business, reputation or financial results” for additional risks related to this expansion of our business.
We are continuing to invest in sales and marketing resources to achieve market acceptance of theseour products, but are unable to guarantee that our technologies will achieve general market acceptance.
The degree of market acceptance of theseour healthcare products will depend on a number of factors, including:including but not limited to:
perceived clinical benefits from our products;
perceived cost effectiveness of our products;
perceived safety and effectiveness of our products;
reimbursement available through government and private healthcare programs for using some of our products; and
introduction and acceptance of competing products or technologies.
Further, market acceptance of our non-healthcare products will depend on certain additional factors, including but not limited to:
perceived quality of our non-healthcare brands and technology;
our ability to accurately forecast consumer demand and maintain manufacturing capacity to meet such demand;
our ability to introduce new innovative products that align with rapidly changing consumer tastes; and
implementation of pricing and marketing strategies that drive consumer adoption without eroding our premium market position.
If our products do not gain market acceptance or if our customers prefer our competitors’ products, our potential revenue growth would be limited, which would adversely affect our business, financial condition and results of operations.

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If we are not able to maintain and enhance the value and reputation of our non-healthcare brands, or if our reputation is otherwise damaged, our business and operating results could be harmed.
Our non-healthcare business in the premium audio market depends on the reputation associated with our brands, including Bowers & Wilkins®, Denon®, Marantz®, HEOS®, Classé®, Polk Audio®, Boston Acoustics® and Definitive Technology®, for providing high-quality products and consumer experiences.The reputation of our brands is dependent on a number of factors, including product quality, research and development, trademark protection and sales and marketing initiatives, each of which requires a wide variety of talented professionals and significant expenditures.
The value of our brands could be damaged by a number of factors, including defects or other quality issues, perceived lack of innovation, evolving consumer tastes, or ineffective marketing strategies. Further, certain third parties, such as installers of home audio systems or independent retailers over which we exert no control, may damage our reputation if their services or business practices negatively impact the consumer experience with our products.Damage to our brands’ reputation or other negative consumer perceptions may adversely affect our business, financial condition and results of operations.
Our ability to commercialize new products, new or improved technologies and additional applications for Masimo SET® and our licensed rainbow® technology is limited to certain markets by our Cross-Licensing Agreement with Cercacor Laboratories, Inc. (Cercacor), which may impair our growth and adversely affect our business, financial condition and results of operations.
Since 1998, we have been a party to a cross-licensing agreement with Cercacor (as amended, the Cross-Licensing Agreement), under which we granted Cercacor:
an exclusive, perpetual and worldwide license, with sublicense rights, to use all Masimo SET® technology owned by us, including all improvements to this technology, for the monitoring of non-vital signs parameters and to develop and sell devices incorporating Masimo SET® for monitoring non-vital signs parameters in any product market in which a product is intended to be used by a patient or pharmacist rather than by a professional medical caregiver, which we refer to as the Cercacor Market; and worldwide license, with sublicense rights, to use all Masimo SET® technology owned by us, including all improvements to this technology, for the monitoring of non-vital signs parameters and to develop and sell devices incorporating Masimo SET® for monitoring non-vital signs parameters in any product market in which a product is intended to be used by a patient or pharmacist rather than by a professional medical caregiver, which we refer to as the “Cercacor Market”; and
a non-exclusive, perpetual and worldwide license, with sublicense rights, to use all Masimo SET® technology owned by us for measurement of vital signs in the “Cercacor Market”.
a non-exclusive, perpetual and worldwide license, with sublicense rights, to use all Masimo SET® technology owned by us for measurement of vital signs in the Cercacor Market.
Non-vital signs measurements consist of body fluid constituents other than vital signs measurements, including, but not limited to, carbon monoxide, methemoglobin, blood glucose, hemoglobin and bilirubin. Under the Cross-Licensing Agreement, we are only permitted to sell devices utilizing Masimo SET® for the monitoring of non-vital signs parameters in markets where the product is intended to be used by a professional medical caregiver, including, but not limited to, hospital caregivers and alternate care facility caregivers, rather than by a patient or pharmacist, which we refer to as the Masimo Market.“Masimo Market”. Accordingly, our ability to commercialize new products, new or improved technologies and additional applications for Masimo SET® is limited. In particular, our inability to expand beyond the Masimo Market“Masimo Market” may limit our ability to maintain or increase our revenue and impair our growth.
Pursuant to the Cross-Licensing Agreement, we have licensed from Cercacor the right to make and distribute products in the Masimo Market“Masimo Market” that utilize rainbow® technology for certain noninvasive measurements. As a result, the opportunity to expand the market for our products incorporating rainbow® technology is also limited, which could limit our ability to maintain or increase our revenue and impair our growth.
We face competition from other companies, many of which have substantially greater resources than we do. If we do not successfully develop and commercialize enhanced or new products that remain competitive with products or alternative technologies developed by others, we could lose revenue opportunities and customers, and our ability to grow our business would be impaired, adversely affecting our financial condition and results of operations.
The medical device industry isindustries in which we compete are intensely competitive and is significantly affected by new product introductions and other market activities of industry participants. A number of our competitors have substantially greater capital resources, larger product portfolios, larger customer bases, larger sales forces and greater geographic presence, have established stronger reputations with specific customers, and have built relationships with Group Purchasing Organizations and other hospital purchasing groups (collectively, GPOs) that may be more effective than ours. Our Masimo SET® platform faces additional competition from companies developing products for use with third-party monitoring systems, as well as from companies that currently market their own pulse oximetry monitors. In addition, competitors with larger product portfolios than ours are engaging in bundling practices, whereby they offer increased discounts to hospitals that purchase their requirements for a variety of different products from the competitor, including products that we do not offer, effectively pricing their competing products at a loss.
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Continuing technological advances and new product introductions withinin the medical device industryindustries in which we compete place our products at risk of obsolescence. Our long-term success depends upon the development and successful commercialization of new products, new or improved technologies and additional applications for our existing technologies. TheIn our non-healthcare business, we face significant risks associated with new product introductions, including accurately forecasting initial consumer demand, effectively managing any third-party strategic alliances related to manufacturing and commercialization, as well as the risk that new products may not achieve market acceptance or, if acceptance is achieved, may negatively impact the sales of older products. Accordingly, if we cannot properly manage the introduction of new products, our operating results and financial condition may be adversely impacted. In addition, the research and development process is time-consuming and costly and may not result in products or applications that we can successfully commercialize. In particular, we may not be able to successfully commercialize our healthcare products for applications other than arterial blood oxygen saturation and pulse rate monitoring, such as for respiration rate, hemoglobin, carboxyhemoglobin and methemoglobin monitoring.
If we do not successfully adapt our products and applications, both within and outside these measurements, we could lose revenue opportunities and customers. Furthermore, one or more of our competitors may develop products that are substantially equivalent to those of our healthcare products that are cleared or approved for use, or those of our original equipment manufacturer (OEM) partners, in which case a competitor of ours may use our products or those of our OEM partners as predicate devices to more quickly obtain regulatory clearance or approval of their competing products. Competition could result in pressure from our customers to reduce the price of our products and could cause them to place fewer orders for our products, which could, in turn, cause a reduction in our revenues and product gross margins, thereby adversely impacting our business, financial condition and results of operations.

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Some of the world’s largest technology companies that have not historically operated in the healthcare or medical device space, such as Alphabet Inc., Amazon.com, Inc., Apple Inc., Samsung Electronics Co., Ltd. and others, have developed or may develop products and technologies that may compete with our current or future products and technologies. TheseFor example, in September 2021, Apple, Inc. announced that its Apple Watch Series 7 includes a blood oxygen level monitoring feature and a sleep tracking function, both of which compete with our existing products. In August 2022, Apple, Inc. announced that its Apple Watch Series 8 includes an ECG app, as well as fall detection and temperature sensing capabilities, which may compete with certain of our existing products and products in development. In September 2022, Apple, Inc. announced that its Apple watchOS9 will include expanded workout enhancements, medication reminders, sleep reporting, temperature tracking and atrial fibrillation history, which may compete with certain of our existing products and products in development. In our non-healthcare business, our competition includes the technology companies referenced above as well as sellers of consumer audio products, such as Bang & Olufsen®, Bose®, Harman International®, JBL®, Sonos® and Sony®. Many of these companies have substantially greater capital, research and development, and sales resources than we have. IfTo effectively compete, we are unablemay need to successfully compete against them,expand our product offerings and distribution channels, which in the interim could increase our research and development costs and decrease our operating margins, thereby adversely impacting our business, financial performance could decline.condition and results of operations.
We depend on our domestic and international OEM partners for a portion of our revenue. If they do not devote sufficient resources to the promotion of products that use our technologies, our business would be harmed.
We are, and will continue to be, dependent upon our domestic and international OEM partners for a portion of our revenue through their marketing, selling and distribution of certain of their products that incorporate our technologies. Although we expect that our OEM partners will accept and actively market, sell and distribute products that incorporate our technologies, they may not do so. Because products that incorporate our technologies may represent a relatively small percentage of business for some of our OEM partners, they may have less incentive to promote these products over other products that do not incorporate these technologies.
In addition, some of our OEM partners offer products that compete with ours and also may be involved in intellectual property disputes with us. Therefore, we cannot guarantee that our OEM partners, or any company that may acquire any of our OEM partners, will vigorously promote products incorporating our technologies. The failure of our OEM partners to successfully market, sell or distribute products incorporating our technologies, the termination of OEM agreements, the loss of OEM partners or the inability to enter into future OEM partnership agreements would have a material adverse effect on our business, financial condition and results of operations.
If we fail to maintain or develop relationships with GPOs, sales of our healthcare products would decline.
Our ability to sell our healthcare products to hospitals depends, in part, on our relationships with GPOs. Many existing and potential customers for our products are members of GPOs. GPOs negotiate pricing arrangements and contracts with medical supply manufacturers and distributors that may include provisions for sole sourcing and bundling, which generally reduce the choices available to themember hospitals.
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These negotiated prices are made available to a GPO’s members. If we are not one of the providers selected by a GPO, the GPO’s members may be less likely or unlikely to purchase our products. If a GPO has negotiated a strict sole source, market share compliance or bundling contract for another manufacturer’s products, we may be prohibited from making sales to members of such GPO for the duration of such contractual arrangement. Shipments of our pulse oximetry products to customers that are members of GPOs represent more than 80% approximately 95%of our U.S. healthcare product sales. Our failure to renew our contracts with GPOs may cause us to lose market share in our healthcare business and could have a material adverse effect on our business, financial condition and results of operations. In addition, if we are unable to develop new relationships with GPOs, our competitive position would likely suffer and our opportunities to grow our revenues and business would be harmed.
Inadequate levels of coverage or reimbursement from governmental or other third-party payers for our healthcare products, or for procedures using our healthcare products, may cause our revenue to decline or prevent us from realizing revenues from future products.
Sales of our healthcare products depend in part on the reimbursement and coverage policies of governmental and private healthcare payers. The lack of adequate coverage and reimbursement for our healthcare products or the procedures in which our healthcare products are used may deter customers from purchasing our products.
We cannot guarantee that governmental or third-party payers will reimburse or begin reimbursing a customer for the cost of our healthcare products or the procedures in which our healthcare products are used. For example, some insurance carriers have issued policies denying coverage for transcutaneous hemoglobin measurement on the grounds that the technology is investigational in the outpatient setting. Other payers are continuing to investigate our products to determine if they will provide reimbursement for their use. the use of such products. In addition, we may incur significant expenses to generate clinical data to demonstrate not only the safety and efficacy, but also the cost-effectiveness of our products in order to obtain favorable reimbursement policies from payers.
These trends could lead to pressure to reduce prices for our current and future healthcare products, hinder our ability to obtain market adoption, cause a decrease in the size of the market or potentially increase competition, any of which could have a material adverse effect on our business, financial condition and results of operations.
We do not control payer decision-making with respect to coverage and payment levels for our products. Additionally, we expect many payers to continue to explore cost-containment strategies (e.g., comparative and cost-effectiveness analyses, so-called “pay-for-performance” programs implemented by various public government healthcare programs and private third-party payers, and expansion of payment bundling initiatives, and other such methods that shift medical cost risk to providers) that may potentially impact coverage and/or payment levels for our current products or products we develop in the future.

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Outside of the U.S., reimbursement systems vary by country. These systems are often subject to the same pressures to curb rising healthcare costs and control healthcare expenditures as those in the U.S. In addition, as economies of emerging markets develop, these countries may implement changes in their healthcare delivery and payment systems. If adequate levels of reimbursement from third-party payers outside of the U.S. are not obtained, sales of our products outside of the U.S. may be adversely affected.
Consolidation in the healthcare industry could lead to demands for price concessions or to the exclusion of existing market participants from certain markets, which could have an adverse effect on our business, results of operations or financial condition.
Because healthcare costs have risen significantly over the past decade, numerous initiatives and reforms initiated by legislators, regulators and third-party payers to curb these costs have resulted in a consolidation trend in the healthcare industry to aggregate purchasing power. As the healthcare industry consolidates, competition to provide products and services to industry participants has become, and will continue to become, more intense. This has resulted in, and will likely continue to result in, greater pricing pressures and the exclusion of certain existing market participants from important market segments as GPOs, independent delivery networks and large single accounts continue to use their market power to consolidate purchasing decisions for hospitals.
We expect that market demand, government regulation, third-party coverage and reimbursement policies and societal pressures will continue to impact the worldwide healthcare industry, resulting in further business consolidations and alliances among our customers, which may reduce competition, exert further downward pressure on the prices of our healthcare products and adversely impact our business, financial condition and results of operations.
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Our healthcare customers may reduce, delay or cancel purchases due to a variety of factors, such as lower hospital census levels or third-party guidelines, which could adversely affect our business, financial condition and results of operations.
Our healthcare customers are facing growing levels of uncertainties, including variations in overall hospital census for paying patients and the impact of such census variations on hospital budgets. As a result, many hospitals are reevaluating their entire cost structure, including the amount of capital they allocate to medical device technologies and products. Such developmentsIn addition, certain of our products, including our rainbow® measurements such as carbon monoxide, methemoglobin and hemoglobin, that are sold with upfront license fees and more complex and expensive sensors, could also be impacted by hospital budget reductions. Any reductions in capital spending budgets by hospitals could have a significant negative impact on our OEM customers who, due to their traditionally larger capital equipment sales model, could see declines in purchases from their hospital customers. This, in turn, could reduce our board sales to our OEM customers.
In addition, certain of our products, including our rainbow® measurements such as carbon monoxide, methemoglobin and hemoglobin, that are sold with upfront license fees and more complex and expensive sensors, could also be impacted by hospital budget reductions.
StatesFrom time to time, states and other local regulatory authorities may issue guidelines regarding the appropriate scope and use of our products from time to time.products. For example, some of our noninvasive monitoring devices may be subject to authorization by individual states as part of the Emergency Medical Services (EMS) scope of practice procedures. A lack of inclusion into scope of practice procedures may limit adoption.adoption of our products.
Additionally, increases in demand resulting from global medical crises, such as the ongoing COVID-19 pandemic, may be short lived. If the increased demand results in a stockpiling of our healthcare products by, or excess inventory at, our customers, future orders may be delayed or canceled until such on-hand inventory is consumed.
The loss of any large customer or distributor, or any cancellation or delay of a significant purchase by a large customer, could reduce our net sales and harm our operating results.
We haveOur healthcare business has a concentration of OEM, distributiondistributor and direct customers. For example, sales to twoone just-in-time distributors each represented more thandistributor represented 10% or more of our healthcare product sales for the year ended December 28, 2019. 31, 2022. Similarly, within our non-healthcare business, we sell products through distributors and resellers, direct-to-consumer and to large retailers. No individual retailer represented more than 10% of our non-healthcare product sales for the year ended December 31, 2022.
We cannot provide any assuranceassurances that we will retain our current customers, groups of customers or distributors, that they will maintain their current or forecasted demand for our products, or that we will be able to attract and retain additional customers in the future. If for any reason we were to lose our ability to sell to a specific group or class of customers or through a distributor, we could experience a significant reduction in revenue or loss of market share, which would adversely impact our operating results.
Our salesrevenues could also be negatively affected by any rebates, discounts or fees that are required by, or offered to, GPOs and customers, including wholesalers or distributors. Additionally, some just-in-time distributors of our just-in-time distributorshealthcare products have been demanding higher fees, which we may be forcedobligated to pay in order to continue to offer products to our customers through these distributors or which may forceobligate us to distribute our products directly to our customers. The loss of any large customer or distributor, or an increase in distributor fees, or the risks associated with selling directly to our customers could have a material adverse effect on our business, financial condition and results of operations.
Our royalty and other revenue has historically consisted primarily of royalties received from Medtronic plc (Medtronic) related to its U.S. sales, and more recently, revenue from non-recurring engineering (NRE) services for a certain OEM customer. However, Medtronic is no longer required to pay us royalties and we have completed the majority of our contracted NRE services. We have not replaced this royalty and NRE services revenue with similar revenues, and such loss of revenue had an adverse effect on our results of operations for the year ended December 28, 2019.

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Counterfeit Masimo sensors and third-party medical device reprocessors that reprocess ourreprocessed single-patient-use Masimo sensors may harm our reputation. Also, these counterfeitreputation and third-party reprocessed sensors, as well as genuine Masimo reprocessed sensors, are sold at lower prices than new Masimo sensors and could cause our revenue to decline, which may adversely affect our business, financial condition and results of operations.
We believe that other entities are manufacturing and selling counterfeit Masimo sensors. In addition, certain medical device reprocessors have been collecting our used single-patient-use sensors from hospitals and then reprocessing, repackaging and reselling those sensors to hospitals. These counterfeit and third-party reprocessed sensors are sold at lower prices than new Masimo sensors. Our experience with both these counterfeit sensors and third-party reprocessed sensors is that they provide inferior performance, increased sensor consumption, reduced comfort and a number of monitoring problems. Notwithstanding these limitations, some of our customers have indicated a willingness to purchase some of their sensor requirements from these counterfeit manufacturers and third-party reprocessors in an effort to reduce their sensor costs.
These counterfeit and reprocessed sensors have led and may continue to lead to confusion with our genuine Masimo products, have reduced and may continue to reduce our revenue, and, in some cases, have harmed and may continue to harm our reputation if customers conclude incorrectly that these counterfeit or reprocessed sensors are original Masimo sensors.
In addition, we have expended a significant amount of time and expense investigating issues caused by counterfeit and reprocessed sensors, troubleshooting problems stemming from such sensors, educating customers about why counterfeit and reprocessed sensors do not perform to their expectations, enforcing our proprietary rights against the counterfeit manufacturers and reprocessors, and enforcing our contractual rights under our contracts.rights.
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In response to these counterfeit sensors and third-party reprocessors, we have incorporated X-Cal® technology into certain products to ensure our customers get the performance they expect by using genuine Masimo sensors and that such sensors do not continue to be used beyond their useful life. However, some customers may object to the X-Cal® technology, potentially resulting in the loss of customers and revenues.
We also offer our own Masimo reprocessed sensors, which meet the same performance specifications as our new Masimo sensors, to our customers. Reprocessed sensors sold by us are also offered at a lower price and, therefore, may reduce certain customer demand for our new sensors. As a result, increased sales of our own Masimo reprocessed sensors may result in lower revenues, which could negatively impact our business, financial condition and results of operations.
Competition and other conflicts with our non-healthcare distribution partners could harm our business and operating results.
Several of our existing non-healthcare products compete, and future products may compete, with the product offerings of some of our significant channel and distribution partners. These partners may choose to market and promote their own products over ours or could cease or reduce selling or promoting our products. Any reduction in our ability to place and promote our non-healthcare products, or increased competition from our distribution partners for available shelf or website placement, especially during peak retail sales periods, could adversely affect our non-healthcare business. In addition, the expansion of our direct-to-consumer channel in our non-healthcare business through our brand websites could increase our competition with our channel partners and cause these partners to reduce their purchases of our non-healthcare products. Conflicts in our sales channels could arise and cause channel partners to divert resources away from the promotion and sale of our products. Any of these situations could adversely impact our business, financial condition and results of operations.
Certain of our non-healthcare products are dependent on integrations with third-party technology.
We integrate our non-healthcare products with technologies from third parties, some of which have developed or may develop and sell competitive products. If these third parties view us as a competitive threat, they may cease doing business with us or disable (or require us to disable) the technology they integrate into our products. If one or more of these third parties do not maintain their integration with our products or seek to adversely modify the terms under which they provide integration in a manner that is unacceptable to us, our products may lose important functionality, our reputation may be harmed, and our business, financial condition and results of operations may be damaged.

Risks Related to Our Intellectual Property
If the patents we own or license, or our other intellectual property rights, do not adequately protect our technologies, we may lose market share to our competitors and be unable to operate our business profitably.
Our success depends significantly on our ability to protect our rights to the technologies used in our products. Our utilization of patent protection, trade secrets and a combination of copyright and trademark laws, as well as nondisclosure, confidentiality and other contractual arrangements, to protect our intellectual property afford us only limited protection and may not adequately protect our rights or permit us to gain or maintain any competitive advantage.
Certain of our patents related to our technologies have begun to expire. Upon the expiration of our issued or licensed patents, we generally lose some of our rights to exclude competitors from making, using, selling or importing products using the technology based on the expired patents.
Furthermore, in recent years, the U.S. Supreme Court has ruled on several patent cases and several laws have been enacted that, in certain situations, potentially narrow the scope of patent protection available and weaken the rights of patent owners. As a result, we believe large technology companies may be pursuing an “efficient infringement” strategy, having concluded that it is cheaper to infringe third-party intellectual property rights than to acquire, license or otherwise respect them. There can be no assurance that we will be successful in securing additional patents on commercially desirable improvements, that such additional patents will adequately protect our innovations or offset the effect of expiring patents, or that competitors will not be able to design around our patents.
In addition, third partiesthird-parties have challenged, and may continue to challenge, our issued patents through procedures such as Inter-Partes Review (IPR). In many IPR challenges, the U.S. Patent and Trademark Office (PTO) cancels or significantly narrows issued patent claims. IPR challenges could increase the uncertainties and costs associated with the maintenance, enforcement and defense of our issued and future patents and could have a material adverse effect on our business, financial condition and results of operations.
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We also utilize unpatented proprietary technology and know-how and often rely on confidentiality agreements and intellectual property assignment agreements with our employees, OEM partners, independent distributors and consultants to protect such unpatented proprietary technology and know-how. However, such agreements may not be enforceable or may not provide meaningful protection for our proprietary information in the event of unauthorized use or disclosure or other breaches of the agreements, or in the event that our competitors discover or independently develop similar or identical designs or other proprietary information.

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We rely on the use of registered and common law trademarks with respect to our brands and the brand names of some of our products. Common law trademarks provide less protection than registered trademarks. Loss of rights in our trademarks could adversely affect our business, financial condition and results of operations.
The laws of foreign countries may not adequately protect our intellectual property rights.
Intellectual property protection laws in foreign countries differ substantially from those in the U.S. If we fail to apply for intellectual property protection in foreign countries, or if we cannot adequately protect our intellectual property rights in these foreign countries, our competitors may be able to compete more effectively against us, which could adversely affect our competitive position, as well as our business, financial condition and results of operations.
If third partiesthird-parties claim that we infringe their intellectual property rights, we may incur liabilities and costs and may have to redesign or discontinue selling certain products.
Searching for existing intellectual property rights may not reveal important intellectual property and our competitors may also have filed for patent protection, which may not be publicly-available information, or claimed trademark rights that have not been revealed through our searches. In addition, some of our employees were previously employed at other medical device companies.our competitors. We may be subject to claims that our employees have disclosed, or that we have used, trade secrets or other proprietary information of our employees’ former employers. Our efforts to identify and avoid infringing on third parties’third-parties’ intellectual property rights may not always be successful. Any claims of patent or other intellectual property infringement against us, even those without merit, could:
be expensive and time-consuming to defend and result in payment of significant damages to third parties;third-parties;
force us to stop making or selling products that incorporate the intellectual property;
require us to redesign, reengineer or rebrand our products, product candidates and technologies;
require us to enter into royalty agreements that would increase the costs of our products;
require us to indemnify third partiesthird-parties pursuant to contracts in which we have agreed to provide indemnification for intellectual property infringement claims;
divert the attention of our management and other key employees; and
result in our customers or potential customers deferring or limiting their purchase or use of the affected products impacted by the claims until the claims are resolved;
any of which could have a material adverse effect on our business, financial condition and results of operations. In addition, new patents obtained by our competitors could threaten the continued commercialization of our products in the market even after they have already been introduced.
We believe competitors may currently be violating and may in the future violate our intellectual property rights. As a result, we may initiate litigation to protect and enforce our intellectual property rights, which may result in substantial expense and may divert management’s attention from implementing our business strategy.
We believe that the success of our business depends, in part, on obtaining patent protection for our products and technologies, defending our patents and preserving our trade secrets. We were previously been involved in significant litigation to protect our patent positions related to some of our pulse oximetry signal processing patents that resulted in various settlements. We believe some of the new market entrants in the healthcare and monitoring space, including some of the world’s largest technology companies, and some consumer audio companies may be infringing our intellectual property, and we may be required to engage in additional litigation to protect our intellectual property in the future. In addition, we believe that certain individuals who previously held high level technical and clinical positions with us misappropriated our intellectual property for the benefit of themselves and other companies. For example, on January 9, 2020, we initiated litigation against Apple Inc. for infringement of a number of patents, for trade secret misappropriation and for ownership and correction of inventorship of a number of Apple Inc. patents that list one of our former employees as an inventor. In addition, on June 30, 2021, we filed a complaint with the ITC against Apple Inc. for infringement of a number of other patents. On October 20, 2022, Apple filed two complaints against us and Sound United alleging that the Masimo W1 watch infringes a number of patents. On January 10, 2023, an Administrative Law Judge ruled that Apple Inc. violated Section 337 of the Tariff Act of 1930, as amended, by importing and selling within the United States certain Apple Watches with light-based pulse oximetry functionality and components, which infringe one of our pulse oximeter patents. For additional information related to these litigations, please see Note 24, “Commitments and Contingencies”, to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K. Our ongoing and future litigation could result in significant additional costs and further divert the attention of our management and key personnel from our business operations and the implementation of our business strategy and may not be successful or adequate to protect our intellectual property rights.

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The laws of foreign countries may not adequately protect our intellectual property rights.
Intellectual property protection laws in foreign countries differ substantially from those in the U.S. If we fail to apply for intellectual property protection in foreign countries, or if we cannot adequately protect our intellectual property rights in these foreign countries, our competitors may be able to compete more effectively against us, which could adversely affect our competitive position, as well as our business, financial condition and results of operations.
Risks Related to Our Regulatory Environment
Our failure to obtain and maintain FDA clearances or approvals on a timely basis, or at all, would prevent us from commercializing our current, upgraded or upgradednew healthcare products in the U.S., which could severely harm our business.
Unless an exemption applies, each medical device that we market in the U.S. must first undergo premarket review pursuant to the Federal Food, Drug, and Cosmetic Act (FDCA) by receiving clearance of a 510(k) premarket notification, receiving clearance through the de novo classification review process or obtaining approval of a premarket approval (PMA) application. Even if regulatory clearance or approval of a product is granted, the FDAU.S. Food and Drug Administration (FDA) may clear or approve our products only for limited indications for use. Additionally, the FDA may not grant 510(k) clearance on a timely basis, if at all, for new products or new uses that we propose for Masimo SET® or licensed rainbow® technology.
The traditional FDA 510(k) clearance process for our productsmedical devices has generally taken between four to nine months. However, our more recent experience and interactions with the FDA, along with information we have received from other medical device manufacturers, suggests that, in some cases, the FDA is requiring applicants to provide additional or different information and data for 510(k) clearance than it had previously required, and that the FDA may not rely on approaches that it had previously accepted to support 510(k) clearance. As a result, FDA 510(k) clearance can be delayed for our products in some cases.
To support our product applications to the FDA, we frequently are required to conduct clinical testing of our products. Such clinical testing must be conducted in compliance with FDA requirements pertaining to human research. Among other requirements, we must obtain informed consent from study subjects and approval by institutional review boards before such studies may begin. We must also comply with other FDA requirements such as monitoring, record-keeping, reporting and the submission of information regarding certain clinical trials to a public database maintained by the National Institutes of Health. In addition, if the study involves a significant risk device, we are required to obtain the FDA’s approval of the study under an Investigational Device Exemption (IDE). Compliance with these requirements can require significant time and resources. In addition, public health emergencies and other extraordinary circumstances may disrupt the conduct of our clinical trials. If the FDA determines that we have not complied with such requirements, the FDA may refuse to consider the data to support our applications or may initiate enforcement actions.
Even though 510(k) clearances have been obtained, if safety or effectiveness problems are identified with our pulse oximeters incorporating Masimo SET® and licensed rainbow® technology, patient monitor devices, sensors, cables and other products, we may need to initiate a recall of such devices.products. Furthermore, our new products or significantly modified marketed products could be denied 510(k) clearance and be required to undergo the more burdensome PMA or de novo classification review processes. The process of obtaining a de novo classification or PMA approval is much more costly, lengthy and uncertain than the process for obtaining 510(k) clearance.
De novo classification review generally takes six months to one year from the time of submission of the de novo request, although it can take longer. Approval of a PMA generally takes one year from the time of submission of the PMA, but may be longer.
We sell consumer versions of our iSpO2® and MightySat® pulse oximeters that are not intended for medical use. Some of our products or product features may alsonot be exempted fromsubject to the 510(k) process and/or other regulatory requirements in accordance with specific FDA guidance and policies, such as the FDA guidance related to mobile medical applications. In addition, some of our products or product features may not be subject to device regulation pursuant to Section 520(o) of the FDCA, which excludes certain software functions from the statutory definition of a device. In addition, we may market certain products pursuant to enforcement discretion policies the FDA previously announced to address the need for these products as a result of the COVID-19 pandemic. Such policies only remain in effect during the COVID-19 public health emergency, such that we will need to seek clearance or approval of such products to continue marketing these products when the public health emergency expires, which is expected to expire on May 11, 2023. If the FDA changes its policypolicies or concludes that our marketing of these products is not in accordance with its current policypolicies and/or Section 520(o) of the FDCA, we may be required to seek clearance or approval of these devices through the 510(k), de novo classification review or PMA processes.
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The failure of our OEM partners to obtain required FDA clearances or approvals for products that incorporate our healthcare technologies could have a negative impact on our revenue.
Our healthcare OEM partners are required to obtain their own FDA clearances in the U.S. for most products incorporating Masimoour technologies. The FDA clearances we have obtained may not make it easier for our OEM partners to obtain clearances of products incorporating these technologies, or the FDA may not grant clearances on a timely basis, if at all, for any future products incorporating Masimoour technologies that our OEM partners propose to market.
If we or our suppliers fail to comply with ongoing regulatory requirements, or if we experience unanticipated problems with our products, these products could be subject to restrictions or withdrawal from the market.
Our healthcare products, along with the manufacturing processes, labeling and promotional activities for ourthose products, are subject to continual review and periodic inspections by the FDA and other regulatory bodies. Among other requirements, we and certain of our suppliers are required to comply with the FDA’s Quality System Regulation (QSR), which governs the methods and documentation of the design, control testing, production, component suppliers control, quality assurance, complaint handling, labeling control, packaging, storage and shipping of our healthcare products. The FDA enforces the QSR through announced and unannounced inspections. We are also subject to similar state requirements and licenses.

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In addition to the FDA, from time to time we are subject to inspections by the California Food and Drug Branch, international regulatory authorities and other similar governmental agencies. The standards used by these regulatory authorities are complex and may differ from those used by the FDA.
Failure by us or one of our suppliers to comply with statutes and regulations administered by the FDA and other regulatory bodies or failure to adequately respond to any FDA Form 483 observations, any California Food and Drug Branch notices of violation or any similar reports could result in, among other things, any of the following:
warning letters or untitled letters issued by the FDA;
fines, civil penalties, in rem forfeiture proceedings, injunctions, consent decrees and criminal prosecution;
import alerts;
unanticipated expenditures to address or defend such actions;
delays in clearing or approving, or refusal to clear or approve, our products;
withdrawals or suspensions of clearance or approval of our products or those of our third-party suppliers by the FDA or other regulatory bodies;
product recalls or seizures;
orders for physician notification or device repair, replacement or refund;
interruptions of production or inability to export to certain foreign countries; and
operating restrictions.
In addition, many of our healthcare and non-healthcare products are subject to various laws, regulations and legal requirements, including those governing consumer protection, product import and export, hazardous materials usage and discharge, product related energy consumption,electrical safety, wireless emissions, e-commerce,packaging and recycling.Compliance with these requirements, which vary widely depending on jurisdiction, is time consuming and expensive.
If any of these items werewe fail to occur,comply with applicable legal requirements, it would harm our reputation and adversely affect our business, financial condition and results of operations.
Failure to obtain regulatory authorizations in foreign jurisdictions may prevent us from marketing our products abroad.
We currently market and intend to continue to market our products internationally. Outside of the U.S., we can generally market a productour healthcare products only if we receive a marketing authorization (and/or meet certain pre-marketing requirements) and, in some cases, pricing approval, from the appropriate regulatory authorities. The regulatory registration/licensing process varies among international jurisdictions and may require additional or different product testing than required to obtain FDA clearance. FDA clearance does not ensure new product registration/licensing by foreign regulatory authorities, and we may be unable to obtain foreign regulatory registration/licensing on a timely basis, if at all.
In addition, clearance by one foreign regulatory authority does not ensure clearance by any other foreign regulatory authority or by the FDA. If we fail to receive necessary approvals to commercialize our products in foreign jurisdictions on a timely basis, or at all, our business, financial condition and results of operations could be adversely affected.
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Furthermore, foreign regulatory requirements may change from time to time, which could adversely affect our ability to market new products, and/or continue to market existing products, internationally. Certain significant changes in the international regulatory landscape have recently taken place or will take place in the near future. These include the EU Medical Devices Regulation (EU) 2017/745 (MDR), which came into effect on May 26, 2021 and a regulatory regime in the UK effective since January 1, 2021 as a result of the UK’s exit from the EU (Brexit).
Modifications to our marketed medical devices may require new regulatory clearances or premarket approvals, or may require us to cease marketing or to recall the modified devices until clearances or approvals are obtained.
We have made modifications to our medical devices in the past and we may make additional modifications in the future. Any modificationsmodification to a medical device whichthat is cleared or approved by a government agency, such as the FDA that could significantly affect its safety or effectiveness or that could constitute a major change in its intended use would require a new clearance or approval and certain modifications to devices cleared or approved by foreign regulatory authorities may also require a new clearance or approval.
We may not be able to obtain such clearances or approvals in a timely fashion, or at all. Delays in obtaining future clearances would adversely affect our ability to introduce new or enhanced products in a timely manner, which in turn would have an adverse effect on our business, financial condition and results of operations.
For device modifications that we conclude do not require a new regulatory clearance or approval, we may be required to recall and to stop marketing the modified devices if the government agency disagrees with our conclusion and requires new clearances or approvals for the modifications. This could have an adverse effect on our business, financial condition and results of operations.

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a new 510(k) for certain modifications to 510(k)-cleared non-invasive vital-sign patient monitoring devices. However, these policies remain in effect only during the COVID-19 pandemic. Manufacturers that make modifications pursuant to these policies will need to stop marketing the modifications at the end of the COVID-19 pandemic unless the manufacturer receives 510(k) clearance for the modifications.
Regulatory reforms may impact our ability to develop and commercialize our healthcare products and technologies.
From time to time, legislation is drafted and introduced by countriesgovernments that could significantly change the statutory provisions governing the clearance or approval, manufacture and marketing of medical devices. For example, in August 2017,December 2022, Congress enacted the FDA ReauthorizationFood and Drug Omnibus Reform Act of 2017 (FDARA)2022 (FDORA). FDARAFDORA reauthorized the FDA to collect device user fees including a new user fee for de novo classification requests, and contained substantive amendments to the device provisions of the FDCA. Among other changes, FDARA requiredFDORA requires premarket submissions for “cyber devices” to include plans to address postmarket cybersecurity vulnerabilities and exploits and other cybersecurity-related information.FDORA also imposes a new requirement for sponsors of medical device clinical trials to develop diversity action plans that must be submitted to the FDA update and revise its processeswith an IDE application, if an IDE is required for scheduling inspections ofthe study, or in the marketing application for the device establishments, communicating about those inspections with manufacturers and providing feedback on the manufacturer’s responses to Form 483s.if an IDE application is not required. The statute also required thatauthorizes the FDA study the impact of device servicing, including third-party services,to approve or clear predetermined change control plans in PMAs or 510(k) premarket notifications, and createdonce such a plan is approved or cleared, then a supplemental PMA or a new process510(k) is not required for a change to a device sponsors to request classification of accessory devices as part of the PMA application for the parent devicethat is consistent with such approved or to request a separate classification of accessory devices.cleared plan.
In addition, regulations and guidance are often revised or reinterpreted by the government agency in ways that may significantly affect our business or products. Future regulatory changes could make it more difficult for us to obtain or maintain approval to develop and commercialize our products and technologies. Public health emergencies may also prompt temporary or permanent regulatory reforms that could change the processes governing the clearance or approval, manufacture and marketing of medical devices.
In the EU, for example, the new MDR became applicable to our medical devices on May 26, 2021. The MDR requires medical devices and their manufacturers to comply with more stringent standards than before. The MDR also imposes new and enhanced obligations on importers and distributors of medical devices in the EU. Although the MDR is subject to certain transitional periods, both we and others involved in the distribution and commercialization of our medical devices in the EU will need to comply with more stringent EU rules.
Due to Brexit, from January 1, 2021, a new regulatory framework applies to medical devices commercialized in Great Britain (England, Scotland and Wales). This is now separate from the regime in the EU. Although certain transition periods apply until June 30, 2023 (expected to be extended imminently to June 30, 2024), the medical devices we intend to commercialize in Great Britain will need to conform to different requirements than the requirements in the EU. These factors are likely to add more complexity to our regulatory compliance obligations in Europe and our ability to commercialize medical devices in European markets.
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If our healthcare products cause or contribute to a death or serious injury, or malfunction in a way that would likely cause or contribute to a death or serious injury, we will be subject to medical device reporting regulations and other applicable laws, and may need to initiate voluntary or mandatory corrective actions, such as the recall of our healthcare products.
Regulatory agencies in many countries require us to report anytime our healthcare products cause or contribute to a death or serious injury, or malfunction in a way that would likely cause or contribute to a death or serious injury. For example, under the FDA medical device reporting regulations, we are required to report to the FDA any incident in which a product of ours may have caused or contributed to a death or serious injury or in which a product of ours malfunctioned and, if the malfunction were to recur, would be likely to cause or contribute to death or serious injury. In addition, all manufacturers placing medical devices on the market in the European Union (EU)EU are legally required to report any serious or potentially serious incidents involving devices produced or sold by the manufacturer to the relevant authority in those jurisdictions where any such incident occurred.
The FDA and similar foreign regulatory authorities have the authority to require the recall of our commercialized healthcare products in the event of material deficiencies or defects in, for example, design, labeling or manufacture. The FDA must find that there is a reasonable probability that the device would cause serious adverse health consequences or death in order to require a recall. The standard for recalling deficient products may be different in foreign jurisdictions. Manufacturers may, under their own initiative, recall a product if any material deficiency is found in a device is found or they become aware of a safety issue involving a marketed product. A government-mandated or voluntary recall by us or by one of our distributors could occur as a result of component failures, manufacturing errors, design or labeling defects or other deficiencies and issues.
We may initiate certain field actions, such as a product correction or removal of our products in the future. In addition, third- parties that commercialize products incorporating our technologies may initiate similar actions or product corrections. Any correction or removal initiated by us to reduce a health risk posed by our device, or to remedy a violation of the FDCA or other regulations caused by the device that may present a risk to health, must be reported to the FDA. If the FDA subsequently determines that a report was required for a correction or removal of our products that we did not believe required a report, we could be subject to enforcement actions.
In addition, our non-healthcare products, including components we source from third parties, may be found to have design or manufacturing defects. Such defects may result in additional costs for product modifications, voluntary or mandated product recalls or other liabilities resulting from product malfunctions. For example, defects in our audio products may result in overheating or electrical shock, creating a risk of personal injury or property damage.
Any recalls or corrections of our products or third-party products that incorporate our technologies, or enforcement actions would divert managerial and financial resources and could have an adverse effect on our financial condition and results of operations. In addition, given our dependence upon patient, physician and physicianconsumer perceptions, any negative publicity associated with any recalls could materially and adversely affect our business, financial condition, results of operations and growth prospects.
Promotion of our healthcare products using claims that are off-label, unsubstantiated, false or misleading could subject us to substantial penalties.
Obtaining 510(k) clearance permits us to promote our products for the uses cleared by the FDA. Use of a device outside its cleared or approved indications is known as “off-label” use. Physicians may use our products off-label because the FDA does not restrict or regulate a physician’s choice of treatment within the practice of medicine.medicine, but we may not promote our products “off-label”. While we may request additional cleared indications for our current products, the FDA may deny those requests, require additional expensive clinical data to support any additional indications or impose limitations on the intended use of any cleared product as a condition of clearance. If the FDA determines that our products were promoted for off-label use or that false, misleading or inadequately substantiated promotional claims have been made by us or our OEM partners, it could request that we or our OEM partners modify those promotional materials or it could take regulatory or enforcement actions, including the issuance of an untitled letter, warning letter, injunction, seizure, civil fine and criminal penalties. While certain U.S. courts have held that truthful, non-misleading, off-label information is protected under the First Amendment under certain circumstances, the FDA continues to take the position that off-label promotion is subject to enforcement action.

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It is also possible that other federal, state or foreign enforcement authorities may take action if they consider our communications, including promotional or training materials, to constitute promotion of an uncleared or unapproved use. If not successfully defended, enforcement actions related to off-label promotion could result in significant fines or penalties under other statutory authorities, such as laws prohibiting false claims for reimbursement. In any such event, our reputation could be damaged, adoption of our products could be impaired and we could be subject to extensive fines and penalties.
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Additionally, we must have adequate substantiation for the claims we make for our products. If any of our claims are determined to be false, misleading or deceptive, our products could be considered misbranded under the FDCA or in violation of the Federal Trade Commission Act. We could also face lawsuits from our competitors under the Lanham Act alleging that our marketing materials are false or misleading.
Government agencies in the EU, UK, Japan and other countries and jurisdictions have similar regulations on the advertising and promotion of medical devices. If we fail to comply with any of these regulations, our reputation could be damaged, adoption of our products could be impaired and we could be subject to extensive fines and penalties.
The regulatory environment governing information, cybersecuritydata security and privacy laws is increasingly demanding and continuesevolving. Many of the laws and regulations in this area are subject to evolve.uncertain interpretation, and our failure to comply could result in claims, penalties or increased costs or otherwise harm our business.
Personal privacy and data security have become significant issues in the U.S., Europe, the Middle East, Canada, China and many other jurisdictions where we offer our products. The regulatory framework for privacy and security issues worldwide is rapidly evolving and is likely to remain uncertain for the foreseeable future.
CertainSeveral U.S. states have passed comprehensive privacy laws that have gone or will go into effect in 2023. For example, the California Consumer Privacy Rights Act (CPRA) amended and expanded the California Consumer Privacy Act (CCPA) effective January 1, 2023, with enforcement of the CPRA beginning July 1, 2023. Other states have also enacted data privacy laws, including the Virginia Consumer Data Protection Act, the Colorado Privacy Act, Utah’s Consumer Privacy Act, and the Connecticut Data Privacy Act, all of which became or will become effective in 2023. These state laws govern the processing of residents’ personal information. Among many new requirements, some of these laws (including the CPRA) subject health-related information to additional safeguards and disclosures. In addition, the state privacy laws expand consumers’ rights (such as opting out of certain data sales to third parties and targeted advertising, restricting certain uses and disclosures of sensitive data, and requesting access, deletion, or correction of personal information). These state laws also minimize what data we can collect from consumers and how we may use and disclose it. These state privacy laws also require us to make disclosures to consumers about our data collection, use and sharing practices. There is significant uncertainty regarding how regulators will interpret and enforce this patchwork of new laws, particularly to the extent there are inconsistencies or differences in their requirements.
We continue to be subject to federal privacy laws such as the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), govern the transmission, security and privacy of individually identifiable in connection with any personal health information or medical information that we may obtain or have access to in connection with the operation of our business, includingbusiness. Moreover, a comprehensive federal data privacy bill, the conduct of clinical research trials or other research studiesAmerican Data Privacy and Protection Act, has been proposed and, if passed, will further change the privacy and data security compliance landscape. In addition, the SEC recently passed a cybersecurity rule that may provide us with access to sensitive healthgo into effect as early as the first half of 2023. The new cybersecurity rule will require, among other things, increased monitoring and other personal information. We may be required to make costly system modifications to comply with thesereporting of data privacysecurity incidents.
All 50 U.S. states have data breach notification laws that, if violated, could result in penalties, fines and security requirements.litigation. In addition, if we do not properly comply with applicablemany states have implemented or are in the process of implementing related legislation, including state-specific biometric privacy laws and regulations related to the protection of this information, we could be subject to criminal or civil sanctions.that have resulted in class-action lawsuits against businesses. The California Consumer Privacy Act of 2018 (CCPA), which became effective on January 1, 2020, requires us to make new disclosures to consumers about our data collection, use and sharing practices. The CCPA also allows consumers to opt out of certain data sharing with third parties, and provides a new cause of action for data breaches with the possibility of significant statutory damage awards as well as injunctive or declaratory relief if there has been unauthorized access, theft or disclosure of personal information due to failure to implement reasonable security procedures. Thefull impact of the CCPAthese laws on our business is yet to be determined, but it could result in increased operating expenses as well as additional exposure to the risk of litigation by or on behalf of consumers. The CCPA is
Internationally, in 2022, the most comprehensive data privacy regulationEuropean Data Protection Board released new guidelines on enforcement and fines related to date in the United States, and could be the precursor to other similar legislation in other states or at the federal level. Internationally, the General Data Protection Regulation (GDPR) took effect in May 2018 within. The new guidelines suggest a tougher stance on enforcement and stiffer fines for companies that violate the European Economic Area (EEA) and many EEA jurisdictions have also adopted their own data privacy and protection lawsGDPR. This is in addition to the GDPR. Furthermore,continued complexities involving the transfer of personal data from Europe to the U.S. following the Schrems II decision. The U.S. and the European Commission have been in discussions for a new Trans-Atlantic data privacy framework, Privacy Shield 2.0, which is anticipated to go into effect sometime in 2023, and will require additional compliance efforts from our company. Most recently, on March 25, 2022, the European Commission and the U.S. White House announced that an agreement on Privacy Shield 2.0 has been reached and in October 2022, President Joe Biden signed an Executive Order to implement the new framework. The new framework is designed to address the deficiencies that led to the invalidation of the original Privacy Shield. However, it is too soon to tell how the future of Privacy Shield 2.0 will evolve and what impact it will have on our international activities. The new framework has not yet been implemented beyond an executive order signed by President Biden on October 7, 2022 on Enhancing Safeguards for United States Signals Intelligence Activities and formal approval on EU level is expected to take several months. In addition, the new framework is very likely to be challenged in the EU immediately after its approval. Fortunately, the new framework is just one possible mechanism to transfer personal data; other mechanisms remain available to us, including reliance upon standard contractual clauses.
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Further, Brexit has led and could also lead to legislative and regulatory changes that may increase our compliance costs. As of January 1, 2021 and the expiry of transitional arrangements agreed to between the UK and the EU, data processing in the UK is governed by a UK version of the GDPR (combining the GDPR and the Data Protection Act 2018), exposing us to two parallel regimes, each of which authorizes similar fines and other potentially divergent enforcement actions for certain violations. On June 28, 2021, the European Commission adopted an Adequacy Decision for the UK, allowing for the relatively free exchange of personal information between the EU and the UK (as the UK correspondingly allows transfers back to the EU). However, the European Commission may suspend the Adequacy Decision if it considers that the UK no longer provides for an adequate level of data protection. There are no signs as yet that the European Commission will take that step, which would be unprecedented.
Other international jurisdictions, including Singapore,Canada, China, Saudi Arabia, South Korea, China,Africa, the UAE, and Brazil, Mexico and Australia,among others, have also implemented laws relating to data privacy and protection.protection that went into effect in 2022 or are anticipated to go into effect in early 2023. In 2023, we anticipate Australia, Argentina and India to propose new data privacy and protection laws. In addition, several jurisdictions such as South Korea have shown increased enforcement of their existing data privacy and security laws. Although we believe that we are complying with the GDPR and similar laws, these laws are still relatively new. Therefore, as international data privacy and protection laws continue to evolve, and as new regulations, interpretive guidance and enforcement information become available, we may incur incremental costs to modify our business practices to comply with these requirements. In addition, our internal control policies and procedures may not always protect us from reckless, intentional or criminal acts committed by our employees or agents.
We may be required to make costly system modifications to comply with applicable data privacy and security laws. Violations of these laws, or allegations of such violations, could subject us to criminal or civil, monetary or and non-monetary penalties, for noncompliance, disrupt our operations, involve significant management distraction, negatively impact our brand image, subject us to class action lawsuits and result in a material adverse effect on our business, financial condition and results of operations.
We may be subject to or otherwise affected by federal and state healthcare laws, including fraud and abuse laws, and could face substantial penalties if we are unable to fully comply with these laws.
Healthcare fraud and abuse laws potentially applicable to our operations include, but are not limited to:
the federal Anti-Kickback Statute, which prohibits, among other things, knowingly and willfully offering, paying, soliciting or receiving any bribe, kickback or other remuneration intended to induce the purchase, order or recommendation of an item or service reimbursable under a federal healthcare program (such as the Medicare or Medicaid programs);
the federal False Claims Act and other federal laws which prohibit, among other things, knowingly and willfully presenting, or causing to be presented, claims for payment from Medicare, Medicaid, other government payers or other third-party payers that are false or fraudulent;
the Physician Payments Sunshine Act, (Sunshine Act), which requires medical device companies to track and publicly report, with limited exceptions, all payments and transfers of value to physicianscertain health care professionals and teaching hospitals in the U.S;U.S.; and
state laws analogous to each of the above federal laws, such as state anti-kickback and false claims laws that may apply to items or services reimbursed by governmental programs and non-governmental third-party payers, including commercial insurers.

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If we are found to have violated any such laws or other similar governmental regulations, including their foreign counterparts, that are directly or indirectly applicable to us, we may be subject to penalties, including civil and criminal penalties, damages, fines, exclusion of our products from reimbursement under Medicare, Medicaid and other federal healthcare programs, and the curtailment or restructuring of our operations. Any penalties could adversely affect our ability to operate our business and our financial results. Any action against us for violation of these laws, even if we successfully defend against such action, could cause us to incur significant legal expenses and divert our management’s attention from the operation of our business.
LegislativeU.S. and international legislative and regulatory changes in the healthcare industry could have a negative impact on our financial performance. Furthermore, our business, financial condition, results of operations and cash flows could be significantly and adversely affected by healthcare reform legislation in the U.S. or in our key international markets.
Changes in the healthcare industry in the U.S. and abroad could adversely affect the demand for our products and the way in which we conduct our business. For example, the Patient Protection and Affordable Care Act (the ACA), enacted in 2010, required most individuals to have health insurance, established new regulations on health plans, created insurance-pooling mechanisms and reduced Medicare spending on services provided by hospitals and other providers. The long-term viability of the ACA, and its impact on our business and results of operations, remains uncertain. There have also been recent U.S. Congressional actions to repeal and replace the ACA, and future actions are expected. For example, the Tax Cuts and Jobs Act of 2017 (TCJA), among other things, eliminated the individual mandate requiring most Americans (other than those who qualify for a hardship exemption) to carry a minimum level of health coverage effective January 1, 2019.
In December 2018, a federal district court judge in Texas found the ACA’s individual mandate to be unconstitutional and therefore the entire law to be invalid. In December 2019, the Fifth Circuit affirmed the ruling regarding the individual mandate but remanded the case to the district court for additional analysis
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Although we cannot predict the ultimate content or timing of any healthcare reform legislation or other court challenges to the ACA, potential changes resulting from any amendment, repeal, replacement or invalidation of these programs, including any reduction in the future availability of healthcare insurance benefits, may decrease the number of people who are insured, which could adversely affect our business and future results of operations.
Our medical devices and business activities are subject to rigorous regulation by the FDA and other federal, state and international governmental authorities. These authorities and members of Congress have been increasing their scrutiny over the medical device industry. In recent years, Congress, the Department of Justice, the Office of Inspector General of the Department of Health and Human Services and the Department of Defense have issued subpoenas and other requests for information to medical device manufacturers, primarily related to financial arrangements with healthcare providers, regulatory compliance and marketing and product promotional practices. Furthermore, certain state governments have enacted legislation to limit and/or increase transparency of interactions with healthcare providers, pursuant to which we are required by law to disclose payments and other transfers of value to healthcare providers licensed by certain states.
We anticipate that the government will continue to scrutinize ourthe healthcare industry closely, and any new regulations or statutory provisions could result in delays or increased costs during the periods of product development, clinical trials and regulatory review and approval, as well as increased costs to assure compliance.
Risks Related to Our Business and Operations
We may experience conflicts of interest with Cercacor with respect to business opportunities and other matters.
Prior to our initial public offering in August 2007, our stockholders owned 99% of the outstanding shares of capital stock of Cercacor, and we believe that a number of our stockholders, including certain of our directors and executive officers, continue to own shares of Cercacor stock. Joe Kiani, our Chairman and Chief Executive Officer (CEO), is also the Chairman and CEO of Cercacor.
Due to the interrelated nature of Cercacor with us, conflicts of interest may arise with respect to transactions involving business dealings between us and Cercacor, potential acquisitions of businesses or products, the development and ownership of technologies and products, the sale of products, markets and other matters in which our best interests and the best interests of our stockholders may conflict with the best interests of the stockholders of Cercacor. In addition, we and Cercacor may disagree regarding the interpretation of certain terms in the Cross-Licensing Agreement. We cannot guarantee that any conflict of interest will be resolved in our favor, or that, with respect to our transactions with Cercacor, we will negotiate terms that are as favorable to us as if such transactions were with another third-party.

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We will be required to assign to Cercacor and pay Cercacor for the right to use certain products and technologies we develop that relate to the monitoring of non-vital sign parameters, including improvements to Masimo SET®.
Under the Cross-Licensing Agreement, if we develop certain products or technologies that relate to the noninvasive monitoring of non-vital sign parameters, including improvements to Masimo SET® for the noninvasive monitoring of non-vital sign parameters, we would be required to assign these developments to Cercacor and then license the technology back from Cercacor in consideration for upfront payments and royalty obligations to Cercacor. Therefore, these products and technologies would be deemed to have been developed or improved exclusively by Cercacor.
In addition, we will not be reimbursed by Cercacor for our expenses relating to the development or improvement of any such products or technologies, which expenses may be significant. As a result of these terms, we may not generate any revenue from the further development of certain products and technologies for the monitoring of non-vital sign parameters, including improvements to Masimo SET®, which could adversely affect our business, financial condition and results of operations.
In the event that the Cross-Licensing Agreement is terminated for any reason, or Cercacor grants a license to rainbow® technology to a third-party, our business would be adversely affected.
Cercacor owns all of the proprietary rights to certain rainbow® technology developed with our proprietary Masimo SET® for products intended to be used in the Cercacor Market,“Cercacor Market”, and all rights to any non-vital signs measurement for which we do not exercise an option pursuant to the Cross-Licensing Agreement. In addition, Cercacor has the right to terminate the Cross-Licensing Agreement or grant licenses covering rainbow® technology to third partiesthird-parties if we breach certain terms of the agreement, including any failure to meet our minimum royalty payment obligations or failure to use commercially reasonable efforts to develop or market products incorporating licensed rainbow® technology. If we lose our exclusive license to rainbow® technology, we would lose the ability to prevent others from making, using, selling or importing products using rainbow® technology in our market. As a result, we would likely be subject to increased competition within our market, and Cercacor or competitors who obtain a license to rainbow® technology from Cercacor would be able to offer related products.
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We may not be able to commercialize our products incorporating licensed rainbow® technology cost-effectively or successfully.
As a result of the royalties that we must pay to Cercacor, it is generally more expensive for us to make products that incorporate licensed rainbow® technology than products that do not include licensed rainbow® technology.
We cannot assure you thatAccordingly, we willmay not be able to sell products incorporating licensed rainbow® technology at a price the market is willing to accept. If we cannot commercialize our products incorporating licensed rainbow® technology successfully, we may not be able to generate sufficient product revenue from these products to be profitable, which could adversely affect our business, financial condition and results of operations.
Rights provided to Cercacor in the Cross-Licensing Agreement may impede a change in control of our company.
Under the Cross-Licensing Agreement, a change in control includes the resignation or termination of Joe Kiani from his position as CEO of either Masimo or Cercacor. A change in control also includes other customary events, such as the sale or merger of Masimo or Cercacor to a non-affiliated third-party or the acquisition of 50% or more of the voting power of Masimo or Cercacor by a non-affiliated third-party. InAmong other things, the event we undergo a change in control, we are required to immediately pay a $2.5 million fee to exercise an option to license technology developed by Cercacor for use in blood glucose monitoring. Additionally, our per product royalties payable to Cercacor will become subject to specified minimums, and the minimum aggregate annual royalties for licensed rainbow® measurements payable to Cercacor related to carbon monoxide, methemoglobin, fractional arterial oxygen saturation, hemoglobin and blood glucose will increase to $15.0 million, plus up to $2.0 million for other rainbow® measurements. Also,Cross-Licensing Agreement provides that if the surviving or acquiring entity ceases to use “Masimo” as a company name and trademark following a change in control, all rights to the “Masimo” trademark will automatically be assigned to Cercacor. This could delay or discourage transactions involving an actual or potential change in control of us, including transactions in which our stockholders might otherwise receive a premium for their shares over our then-current trading price. In addition, our requirement to assign all future improvements for non-vital signs to Cercacor could impede a change in control of our company.
We may experience significant fluctuations in our periodic financial results and may not maintain our current levels of profitability in the future.
Our operating results have fluctuated in the past and are likely to fluctuate in the future. Many of the countries in which we operate, including the U.S. and several of the members of the EU, have experienced and continue to experience uncertain economic conditions resulting from global as well as local factors. In addition, continuing strength and growth in the U.S. economy may raise the probability of inflationary pressures and contribute to future interest rate volatility.

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Our business or financial results may be adversely impacted by these uncertain economic conditions, including: adverse changes in interest rates, foreign currency exchange rates, tax laws or tax rates; inflation; contraction in the availability of credit in the marketplace due to legislation or other economic conditions, which may potentially impair our ability to access the capital markets on terms acceptable to us or at all; and the effects of government initiatives to manage economic conditions.
We are also unable to predict how changing global economic conditions or potential global health concerns such as the COVID-19 coronavirus will affect our critical customers, suppliers and distributors. Any negative impact of such matters on our critical customers, suppliers or distributors may also have an adverse impact on our results of operations or financial condition. Our expense levels are based, in part, on our expectations regarding future revenue levels and are relatively fixed in the short term. As a result, if our revenue for a particular period was below our expectations, we would not be able to proportionately reduce our operating expenses for that period. Any revenue shortfall would have a disproportionately negative effect on our operating results for the period.
In addition, the methods, estimates and judgments that we use in applying our accounting policies are, by their nature, are subject to substantial risks, uncertainties and assumptions. Factors may arise over time that lead us to change our methods, estimates and judgments, the impact of which could significantly affect our results of operations. See “Critical Accounting Estimates” contained in Part II, Item 7 of this Annual Report on Form 10-K.
Recent accounting changes related to our embedded leases within certain deferred equipment agreements have also resulted in the acceleration of the timing related to our recognition of revenue and expenses associated with certain equipment provided to customers at no up-front charge. Since we cannot control the timing of when our customers will request us to deliver such equipment, our revenue and costs with respect to leased equipment could vary substantially in any given quarter or year, which could further increase quarterly or annual fluctuations within our financial results.
Due to these and other factors, you should not rely on our results for any one quarter as an indication of our future performance. If our operating results fail to meet or exceed the expectations of securities analysts or investors, our stock price could drop suddenly and significantly.
Future changes in accounting pronouncements and tax laws, or the interpretation thereof, could have a significant impact on our reported results, and may affect our historical reporting of previous transactions.
New accounting pronouncements or taxation rules, and evolving interpretations thereof, have occurred and are likely to occur in the future. For example, in recent years, the Financial Accounting Standards Board (FASB) issued new accounting standards that impact our reporting of revenue and expenses, including Accounting Standards Codification (ASC) Topic 606, Revenue from Contracts with Customers (ASC 606)and ASC Topic 842, Leases (ASC 842). Changes made by these new accounting standards not only apply prospectively, but depending on the method of adoption, may also recast previously reported results. In addition, the 2017 Tax Act, which took effect on January 1, 2018, included a number of changes to existing tax law impacting businesses including, among other things, a permanent reduction in the corporate income tax rate from 35% to 21%, a one-time transition tax on the “deemed repatriation” of cumulative undistributed foreign earnings as of December 31, 2017 and changes in the prospective taxation of the foreign operations of U.S. multinational companies. Moreover, Congressional leaders have recognized that the process of adopting extensive tax legislation in a short amount of time without hearings and substantial time for review is likely to have led to drafting errors, issues needing clarification and unintended consequences that will have to be reviewed in subsequent tax legislation or addressed in future tax regulations. For additional information related to the impact of new accounting pronouncements and the 2017 Tax Act, please see Notes 2 and 20, respectively, to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K.
If we lose the services of our key personnel, or if we are unable to attract and retain other key personnel, we may not be able to manage our operations or meet our growth objectives.
We are highly dependent on our senior management, especially Joe Kiani, our CEO, and other key officers. We are also heavily dependent on our engineers and field sales team, including sales representatives and clinical specialists. The loss of the services of members of our key personnel or the inability to attract and retain qualified personnel in the future could prevent the implementation and completion of our objectives, including the development and introduction of our products. In general, our key personnel may terminate their employment at any time and for any reason without notice, unless the individual is a participant in our 2007 Severance Protection Plan, in which case the individual has agreed to provide us with six months’ notice if such individual decides to voluntarily resign.

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We are involved, and may become involved in the future, in disputes and other legal or regulatory proceedings that, if adversely decided or settled, could materially and adversely affect our business, financial condition and results of operations.
We are, and may in the future become, party to litigation, regulatory proceedings or other disputes. In general, claims made by or against us in disputes and other legal or regulatory proceedings can be expensive and time-consuming to bring or defend against, requiring us to expend significant resources and divert the efforts and attention of our management and other personnel from our business operations. These potential claims may include but are not limited to personal injury and class action lawsuits, intellectual property claims and regulatory investigations relating to the advertising and promotional claims about our products and employee claims against us based on, among other things, discrimination, harassment or wrongful termination. Any one of these claims, even those without merit, may divert our financial and management resources that would otherwise be used to benefit the future performance of our operations. Any adverse determination against us in these proceedings, or even the allegations contained in the claims, regardless of whether they are ultimately found to be without merit, may also result in settlements, injunctions or damages that could have a material adverse effect on our business, financial condition and results of operations.
Changes to government immigration regulations may materially affect our workforce and limit our supply of qualified professionals, or increase our cost of securing workers.
We recruit professionals on a global basis and must comply with the immigration laws in the countries in which we operate, including the U.S. Some of our employees are working under Masimo-sponsored temporary work visas, including H1-B visas. Statutory law limits the number of new H1-B temporary work permit petitions that may be approved in a fiscal year. Furthermore, there is a possibility that the current U.S. immigration visa program may be significantly overhauled, and the number of H1-B visas available, as well as the process to obtain them, may be subject to significant change. Any resulting changes to this visa program could impact our ability to recruit, hire and retain qualified skilled personnel. If we are unable to obtain work visas in sufficient quantities or at a sufficient rate for a significant period of time, our business, operating results and financial condition could be adversely affected.
The risks inherent in operating internationally, including the purchase, sale and shipment of our components and products across international borders, may adversely impact our business, financial condition and results of operations.
We currently derive approximately 30% of our net sales from international operations. In addition, we purchase a portion of our raw materials and components from international sources. The sale and shipment of our products across international borders, as well as the purchase of materials and components from international sources, subject us to extensive U.S. and foreign governmental trade regulations, including those related to conflict minerals. Compliance with such regulations is costly and we could be exposed to potentially significant penalties if we are found not to be in compliance with such regulations. Any failure to comply with applicable legal and regulatory obligations could impact us in a variety of ways that include, but are not limited to, significant criminal, civil and administrative penalties, including imprisonment of individuals, fines and penalties, denial of export privileges, seizure of shipments, restrictions on certain business activities, and exclusion or debarment from government contracting. Also, the failure to comply with applicable legal and regulatory obligations could result in the disruption of our shipping, manufacturing and sales activities. Any material decrease in our international sales would adversely affect our business, financial condition and results of operations.
In June 2016, the United Kingdom (UK) held a referendum pursuant to which voters elected to leave the EU, commonly referred to as Brexit. The UK formally left the EU on January 31, 2020 and began a transition period that is scheduled to end on December 31, 2020. During the transition period, the UK remains subject to EU law while they negotiate their future relationship with the EU, but is no longer part of the EU's political institutions and agencies. Although the long-term effects of Brexit will depend on any agreements the UK makes to retain access to the EU markets, Brexit has created additional uncertainties that may ultimately result in new regulatory costs and challenges for medical device companies and increased restrictions on imports and exports throughout Europe, which could adversely affect our ability to conduct and expand our operations in Europe and which may have an adverse effect on our business, financial condition and results of operations. Additionally, Brexit may increase the possibility that other countries may decide to leave the EU in the future.
In addition, our international operations expose us and our representatives, agents and distributors to risks inherent in operating in foreign jurisdictions. These risks include, but are not limited to:
the imposition of additional U.S. and foreign governmental controls or regulations;
the imposition of costly and lengthy new export licensing requirements;
a shortage of high-quality sales people and distributors;
the loss of any key personnel that possess proprietary knowledge, or who are otherwise important to our success in certain international markets;

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changes in duties and tariffs, license obligations and other non-tariff barriers to trade;
the imposition of new trade restrictions;
the imposition of restrictions on the activities of foreign agents, representatives and distributors;
compliance with foreign tax laws, regulations and requirements;
pricing pressure;
changes in foreign currency exchange rates;
laws and business practices favoring local companies;
political instability and actual or anticipated military or political conflicts;
financial and civil unrest worldwide;
outbreaks of illnesses, pandemics or other local or global health issues;
the inability to collect amounts paid by foreign government customers to our appointed foreign agents;
longer payment cycles, increased credit risk and different collection remedies with respect to receivables; and
difficulties in enforcing or defending intellectual property rights.
The U.S. government has recently initiated substantial changes in U.S. trade policy and U.S. trade agreements, including the initiation of tariffs on certain foreign goods. In response to these tariffs, certain foreign governments instituted or are considering imposing tariffs on certain U.S. goods. In addition, the U.S. has recently negotiated new trade agreements that could impact us, including the United States-Mexico-Canada Agreement (USMCA), which will ultimately replace the North American Free Trade Agreement. While ratified by the U.S. and Mexico, USMCA is still subject to ratification by Canada, and various components may not be effective until 2021 or after. A trade war, trade barriers or other governmental actions related to tariffs, international trade agreements, import or export restrictions or other trade policies could adversely impact demand for our products, our costs, customers, suppliers and/or the U.S. economy or certain sectors thereof and, therefore, adversely affect our business, financial condition and results of operations.
The U.S. Foreign Corrupt Practices Act and similar worldwide anti-bribery laws in non-U.S. jurisdictions generally prohibit companies and their intermediaries from promising or making improper payments to non-U.S. officials for the purpose of obtaining an advantage to secure or retain business. Because of the predominance of government-sponsored healthcare systems around the world, many of our customer relationships outside of the U.S. are with governmental entities and are therefore subject to such anti-bribery laws. We have adopted policies and practices that help us ensure compliance with these anti-bribery laws. However, such policies and practice may require us to invest in additional monitoring resources or forgo certain business opportunities in order to ensure global compliance with these laws.
Our operations may be adversely impacted by our exposure to risks related to foreign currency exchange rates.
We market our products in certain foreign markets through our subsidiaries and other international distributors. As a result, events that result in global economic uncertainty could significantly affect our results of operations in the form of gains and losses on foreign currency transactions and potential devaluation of the local currencies of our customers relative to the U.S. Dollar.
While a majority of our sales are transacted in U.S. Dollars, some of our sales agreements with foreign customers provide for payment in currencies other than the U.S. Dollar. These foreign currency revenues, when converted into U.S. Dollars, can vary depending on the approximation of the exchange rates applied during a respective period. Similarly, certain of our foreign subsidiaries transact business in their respective country’s local currency, which is also their functional currency. In addition, certain production costs related to our manufacturing operations in Mexico are denominated in Mexican Pesos. As a result, expenses of these foreign subsidiaries and certain production costs, when converted into U.S. Dollars, can vary depending on average monthly exchange rates during a respective period.
We are also exposed to foreign currency gains or losses on outstanding foreign currency denominated receivables and payables, as well as cash deposits. When converted to U.S. Dollars, these receivables, payables and cash deposits can vary depending on the monthly exchange rates at the end of the period. In addition, certain intercompany transactions may give rise to realized and unrealized foreign currency gains or losses based on the currency underlying such intercompany transactions. Accordingly, our operating results are subject to fluctuations in foreign currency exchange rates.

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The balance sheets of our foreign subsidiaries whose functional currency is not the U.S. Dollar are translated into U.S. Dollars at the rate of exchange at the balance sheet date and the statements of operations and cash flows are translated into U.S. Dollars using an approximation of the average monthly exchange rates applicable during the period. Any foreign currency exchange gain or loss as a result of translating the balance sheets of our foreign subsidiaries whose functional currency is not the U.S. Dollar is included in equity as a component of accumulated other comprehensive income (loss).
We currently do not hedge our foreign currency exchange rate risk. As a result, changes in foreign exchange rates could have a material adverse effect on our business, financial condition and results of operations. For additional information related to our foreign currency exchange rate risk, please see Quantitative and Qualitative Disclosures about Market Risk in Part II, Item 7(a) of this Annual Report on Form 10-K.
We currently manufacture our products at a limited number of locations and any disruption to, expansion of, or changes in trade programs related to such manufacturing operations could adversely affect our business, financial condition and results of operations.
We rely on manufacturing facilities in California, New Hampshire, Mexico and Sweden that may be affected by natural or man-made disasters. Earthquakes are of particular significance since some of our facilities are located in earthquake-prone areas. We are also vulnerable to damage from other types of disasters, including power loss, attacks from extremist or terrorist organizations, epidemics, communication failures, fire, floods and similar events. Our facilities and the manufacturing equipment we use to produce our products would be difficult to replace and could require substantial time to repair if significant damage were to result from any of these occurrences.
If one of our manufacturing facilities was affected by a natural or man-made disaster, we would be forced to rely on third-party manufacturers if we could not shift production to our other manufacturing facilities. Furthermore, our insurance for damage to our property and the disruption of our business from casualties may not be sufficient to cover all of our potential losses and may not continue to be available to us on acceptable terms, or at all. If the lease for any of our leased facilities is terminated, we are unable to renew any of our leases or we are otherwise forced to seek alternative facilities, or if we voluntarily expand one or more of our manufacturing operations to new locations, we may incur additional transition costs and experience a disruption in the supply of our products until the new facilities are available and operating. Additionally, we have occasionally experienced seasonality among our manufacturing workforce, and if we continue to experience such seasonality or other workforce shortages or otherwise have issues retaining employees at our manufacturing facilities, we may not be able to meet our customers’ demands.
Our global manufacturing and distribution are dependent upon our manufacturing facilities in Mexico, and the expedient importation of raw materials and exportation of finished goods between the U.S. and Mexico. Undue delays and/or closures of the proximal cross-border transit facilities, or any restrictions by the U.S. federal administration related to the movement of goods across the U.S. and Mexico border, may adversely affect our ability to fulfill orders and supply our healthcare provider customers with essential replenishment supplies, as well as adversely impact our business, operating results and financial condition.
In addition, our manufacturing facilities in Mexico are authorized to operate under the Mexican Maquiladora, or IMMEX program. The IMMEX program allows us to import certain items from the U.S. into Mexico duty-free, provided that such items, after processing, are exported from Mexico within a stipulated timeframe. Maquiladora status, which is renewed periodically, is subject to various restrictions and requirements, including compliance with the terms of the IMMEX program and other local regulations. Failure to comply with the IMMEX program regulations, including any changes thereto, could increase our manufacturing costs and adversely affect our business, operating results and financial condition.
If we do not accurately forecast customer demand, we may hold suboptimal inventory levels that could adversely affect our business, financial condition and results of operations.
If we are unable to meet the demand of our customers, our customers may cancel orders or purchase products from our competitors, which could reduce our revenue and gross profit margin. Conversely, if product demand decreases, we may be unable to timely adjust our manufacturing cost structure, resulting in excess capacity, which would lower gross product margins. Similarly, if we are unable to forecast demand accurately, we could be required to record charges related to excess or obsolete inventory, which would also lower our gross margin.

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If we are unable to obtain key materials and components from sole or limited source suppliers, we will not be able to deliver our noninvasive patient monitoring solutionsproducts to customers.
We depend on certain sole or limited source suppliers for certain key materials and components, including digital signal processor chips and analog-to-digital converter chips for our noninvasive patient monitoring solutions. Some of thesecertain products. These suppliers are based in China, which is currently facing a major health crisis relatedlocated around the world, and the production and shipment of such materials and components may be constrained globally due to freight carrier delays and other disruptions to the COVID-19 coronavirus.supply chain. We may experience manufacturing problems related to these suppliers and other outside sources if such suppliers fail to develop, manufacture or ship products and components to us on a timely basis, or provide us with products and components that do not meet our quality standards and required quantities. We have experienced supply constraints with regard to certain digital signal processor chips and other components during the COVID-19 pandemic, which adversely affected our sales during 2022, and may adversely affect our future sales. In addition, from time to time there have been industry-wide shortages of certain components that we use in our noninvasive blood constituent patient monitoring solutions.certain products. We may also experience price increases for materials, or components and shipping with no guarantee that such increases can be passed along to our customers, which could adversely impact our gross margins.
If any of these problems occur, we may be unable to obtain substitute sources for these products and components on a timely basis or on terms acceptable to us, which could harm our ability to manufacture our own products and components profitably or on time.
If we fail to comply with the reporting obligations of the Securities Exchange Act of 1934, or if we fail to maintain adequate internal control over financial reporting, our business, results of operations and financial condition and investors’ confidence in us could be adversely affected.
We are required to prepare and disclose certain information under the Securities Exchange Act of 1934 in a timely manner and meet our reporting obligations in their entirety, and our failure to do so could subject us to penalties under federal securities laws and regulations of The Nasdaq Stock Market LLC, expose us to lawsuits and restrict our ability to access financing on favorable terms, or at all.
If we fail to maintain adequate internal controls over financial reporting, we may not be able to conclude on an ongoing basis that we have effective internal control over financial reporting in accordance with the Sarbanes-Oxley Act. Moreover, any material weakness in our internal control environment could result in the loss of investor confidence in the reliability of our financial statements, which in turn could harm our business, negatively impact the trading price of our stock, and adversely affect investors’ confidence in our company and our ability to access capital markets for financing.
Changing laws and increasingly complex corporate governance and public disclosure requirements could have an adverse effect on our business and operating results.
Changing laws, regulations and standards relating to corporate governance and public disclosure, including the Sarbanes-Oxley Act, the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act), the California Transparency in Supply Chains Act, the UK Modern Slavery Act and new regulations issued by the SEC and The Nasdaq Stock Market LLC, have and will create additional compliance requirements for us. For example, the Dodd-Frank Act includes provisions regarding, among other things, advisory votes on named executive officer compensation and “conflict minerals” reporting. Complying with these rules and regulations has increased and will increase our legal and financial compliance costs, make some activities more difficult, time-consuming or costly and increase demand on our systems and resources. As a result, management’s attention may be diverted from other business concerns, which could adversely affect our business, financial condition and results of operations. We may also need to hire additional employees or engage outside consultants to comply with these requirements, which will increase our costs and expenses. To maintain high standards of corporate governance and public disclosure, we have invested in, and intend to continue to invest in, reasonably necessary resources to comply with evolving standards.
In addition, stockholder litigation surrounding executive compensation and disclosure of executive compensation has increased with the passage of the Dodd-Frank Act. Furthermore, our stockholders may not continue to approve our advisory vote on named executive officer compensation that is required to be voted on by our stockholders annually pursuant to the Dodd-Frank Act. If we are involved in a lawsuit related to compensation matters or any other matters not covered by our directors’ and officers’ liability insurance, we may incur significant expenses in defending against such lawsuits, or be subject to significant fines or required to take significant remedial actions, each of which could adversely affect our business, financial condition and results of operations.
If product liability claims are brought against us, we could face substantial liability and costs.
Our products are predominantly used in patient care and expose us to product liability claims and product recalls, including, but not limited to, those that may arise from unauthorized off-label use, malfunctions, design flaws or manufacturing defects related to our products or the use of our products with incompatible components or systems. In addition, as we continue to expand our product portfolio, we may enter or create new markets, including consumer markets, that may expose us to additional product liability risks.

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We cannot be certain that our product liability insurance will be sufficient to cover any or all damages for product liability claims that may be brought against us in the future. Furthermore, we may not be able to obtain or maintain insurance in the future at satisfactory rates or in adequate amounts to protect us against any product liability claims.
Additionally, the laws and regulations regarding product liability are constantly evolving, both through the passage of new legislation at the state and federal levels and through new interpretations of existing legislation. For example, in February 2017, the Washington Supreme Court determined that, under the Washington Product Liability Act, medical device manufacturers have a duty to warn hospitals of any potential risks posed by their products. As the legal and regulatory landscape surrounding product liability change, we may become exposed to greater liability than currently anticipated.
Any losses that we may suffer from product liability claims, and the effect that any product liability litigation may have upon the reputation and marketability of our technology and products, together with the corresponding diversion of the attention of our key employees, may subject us to significant damages and could adversely affect our business, financial condition and results of operations.
Future strategic initiatives, including acquisitions of businesses and strategic investments, could negatively affect our business, financial condition and results of operations if we fail to integrate the acquired businesses and their employees successfully into our existing operations or achieve the desired results of our investment.initiatives.
We have acquired several businesses since our inception and we may acquire additional businesses in the future. For example, on April 11, 2022, we completed our acquisition of Sound United. In connection with the Sound United Acquisition, we entered into a new credit facility to partially fund the acquisition. Future acquisitions may require additional debt or equity financing, which could be dilutive to our existing stockholders or reduce our earnings per share.share or other financial metrics. Even if we complete acquisitions, there are many factors that could affect whether such acquisition, including our acquisition of Sound United, will be beneficial to our business, including, without limitation:
payment of above-market prices for acquisitions and higher than anticipated acquisition costs;
issuance of common stock as part of the acquisition price or a need to issue stock options or other equityequity-based compensation to newly-hired employees of target companies, resulting in dilution of ownership to our existing stockholders;
reduced profitability if an acquisition is not accretive to our business over either the short-term or the long-term;
difficulties in integrating any acquired companies, personnel, products and other assets into our existing business;
delays in realizing the benefits of the acquired company, products or other assets;
regulatory challenges;challenges and becoming subject to additional regulatory requirements;
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cybersecurity and compliance relatedcompliance-related issues;
diversion of our management’s time and attention from other business concerns;
limited or no direct prior experience in new markets or countries we may enter;
unanticipated issues dealing with unfamiliar suppliers, service providers or other collaborators of the acquired company;
higher costs of integration than we anticipated;
write-downs or impairments of goodwill or other intangible assets associated with the acquired company;
difficulties in retaining key employees of the acquired business who are necessary to manage these acquisitions;
negative impacts on our relationships with our employees, clients, customers or collaborators;
intellectual property and other litigation, or other claims or liabilities in connection with the acquisition; and
changes in the overall financial model as certain acquired companies may have a different revenue, gross profit margin or operating expense profile.
Further, our ability to benefit from future acquisitions and/or external strategic investments depends on our ability to successfully conduct due diligence, negotiate acceptable terms, evaluate prospective opportunities and bring acquired technologies and/or products to market at acceptable margins and operating expense levels. For example, we acquired TNI medical AG® (TNI®) and added softFlow® technology to our product portfolio. In addition, we acquired LiDCO Group, Plc, which specializes in hemodynamic monitoring solutions. As these are our first therapeutic and hemodynamic monitoring solutions, the integration of these technologies may require substantial management time and attention and may divert attention and resources from other important areas, including our existing business and product lines, and we may not be able to sell softFlow® technology and hemodynamic monitoring solutions at acceptable margins and operating expense levels. Our failure in any of these tasks could result in unforeseen liabilities associated with an acquired company, acquiring a company on unfavorable terms or selecting and eventually acquiring a suboptimal acquisition target.
We may also discover deficiencies in internal controls, data adequacy and integrity, product quality, regulatory compliance, product liabilities or other undisclosed liabilities that we did not uncover prior to our acquisition or investment, which could result in us becoming subject to penalties, other liabilities or asset impairments. In addition, if we do not achieve the anticipated benefits of an acquisition or other external investment as rapidly as expected, or at all, investors or analysts may downgrade our stock.

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We also expect to continue to carry out internal strategic initiatives that we believe are necessary to grow our revenues and expand our business, both in the U.S. and abroad. For example, we have continued to invest in international expansion programs designed to increase our worldwide presence and take advantage of market expansion opportunities around the world. Although we believe our investments in these initiatives continue to be in the long-term best interests of Masimo and our stockholders, there are no assurances that such initiatives will yield favorable results for us. Accordingly, if these initiatives are not successful, our business, financial condition and results of operations could be adversely affected.
If these risks materialize, our stock price could be materially adversely affected. Any difficulties in the integration of acquired businesses or unexpected penalties, liabilities or asset impairments in connection with such acquisitions or investments could have a material adverse effect on our business, financial condition and results of operations.
We
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Our new products and changes to existing products as a result of our acquisition of Sound United could fail to attract or retain users or generate revenue and profits. Further, we may incur environmental and personal injury liabilities related to certain hazardous materials usednot be successful in our operations.
Certain manufacturing processes for our products may involve the storage, use, generation and disposal of certain hazardous materials and wastes, including silicone adhesives, solder and solder paste, sealants, epoxies and various solvents such as methyl ethyl ketone, acetone and isopropyl alcohol. As a result, we are subject to certain environmental laws, as well as certain other laws and regulations, that restrict the materials that can be used in our products or in our manufacturing processes. For example, products that we sell in Europe are subject to regulation in the EU markets under the Restriction of the Use of Hazardous Substances Directive (RoHS). RoHS prohibits companies from selling products that contain certain hazardous materials in EU member states. In addition, the EU’s Registration, Evaluation, Authorization, and Restriction of Chemicals Directive also restricts substances of very high concern in products. Compliance with such regulations may be costly and, therefore, we may incur significant costs to comply with these laws and regulations.
In addition, new environmental laws may further affect how we manufacture our products, how we use, generate or dispose of hazardous materials and waste, or further affect what materials can be used in our products. Any required changes to our operations may increase our manufacturing costs, detrimentally impact the performance of our products, add greater testing lead-times for product introductions or have other similar effects.
In connection with our research and manufacturing activities, we use, and our employees may be exposed to, materials that are hazardous to human health, safety or the environment. The risk of accidental injury to our employees or contamination from these materials cannot be eliminated, and we could be held liable for any resulting damages, the related liability for which could exceed our reserves. We do not specifically insure against environmental liabilities. If an enforcement action were to occur, our reputation and our business and financial condition may be harmed, even if we were to prevail or settle the action on terms favorable to us.
We rely significantly on information technology and any failure, inadequacy, interruption or security lapse of that technology, including any cybersecurity incidents, could harm our ability to operate our business effectively.
Increased global cybersecurity vulnerabilities, cybersecurity threats, and sophisticated and targeted cybersecurity attacks pose a risk to the security of Masimo’s systems and networks, including the confidentiality, availability and integrity of any underlying information and data, and those of our customers, partners, suppliers and third-party service providers. Our ability to effectively manage and maintain our internal business information, and to ship products to customers and invoice them on a timely basis, depends significantly on our enterprise resource planning system and other information systems. Portions of our information technology systems may experience interruptions, delays or cessations of service or produce errors in connection with ongoing systems implementation work. In addition, interfaces between our products and our customers’ computer networks could provide additional opportunities for cybersecurity attacks on us and our customers. The techniques used to attack computer systems are sophisticated, change frequently and may originate from less regulated and remote areas of the world. Cybersecurity attacks in particular are evolving and include, but are not limited to, threats, malicious software, ransom ware, attempts to gain unauthorized access to data and other electronic security breaches that could lead to disruptions in systems, misappropriation of confidential or otherwise protected information and corruption of data. As a result, there can be no assurance that our protective measures will prevent or detect security breaches that could have a significant impact on our business, reputation, financial condition and results of operations.
The failure of these systems to operate or integrate effectively with other internal, customer, supplier or third-party service provider systems and to protect the underlying information technology system and data integrity, including from cyber-attacks, intrusions or other breaches or unauthorized access of these systems, or any failure by us to remediate any such attacks or breaches, may also result in damage to our reputation or competitiveness, delays in product fulfillment and reduced efficiency of our operations, and could require significant capital investments to remediate any such failure, problem or breach, all ofnon-healthcare expansion, which could adversely affect our business, reputation or financial conditionresults.
In connection with the Sound United Acquisition, we have expanded our business and resultsproduct strategy to additionally focus on non-healthcare consumer products to integrate with our successful medical technology businesses. Further, we may introduce certain changes to our existing healthcare products or introduce new and unproven products. Prior to the Sound United Acquisition, we did not have significant experience with consumer hardware products, and Sound United does not have experience with healthcare products, which may adversely affect our ability to successfully develop and market these products and technologies and integrate them with our existing products and platforms. We expect this will be a complex, evolving, and long-term strategic initiative that will involve the development of operations.

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features, products or services we build for our consumer business may be uncertain. We may be unsuccessful in our research and product development efforts, including if we are unable to develop relationships with key participants in the consumer products business. Our new strategic efforts may also divert resources and management attention from other areas of our business. In addition, as our non-healthcare business continues to evolve, we may be subject to a variety of laws and regulations in the U.S. and international jurisdictions, which we were not previously affected by, including in the areas of privacy, which may delay or impede the development of our products and services, increase our operating costs, require significant management time and attention, or otherwise harm our business. As a result of these or other factors, our non-healthcare expansion and investments may not be successful in the foreseeable future, or at all, which could adversely affect our business, reputation, or financial results.
Our credit agreementfacility contains certain covenants and restrictions that may limit our flexibility in operating our business.
Our credit agreement dated December 17, 2018 (Credit Facility) with JPMorgan Chase Bank, N.A., as Administrative Agent and a Lender, and Bank of the West, a Lender,facility contains various affirmative covenants and restrictions that limit our ability to engage in specified types of transactions, including:
incurring specified types of additional indebtedness, there can be no assurance that we will be able to obtain any additional debt or equity financing at the time needed or that such financing will be available on terms that are favorable or acceptable to us (including guarantees or other contingent obligations);
paying dividends on, repurchasing or making distributions in respect of our common stock or making other restricted payments, subject to specified exceptions;
making specified investments (including loans and advances);
selling or transferring certain assets;
creating certain liens;
consolidating, merging, selling or otherwise disposing of all or substantially all of our assets; and
entering into certain transactions with any of our affiliates.
In addition, under our Credit Facility,credit facility, we are required to satisfy and maintain specified financial ratios and other customary affirmative and negative covenants. Our ability to meet those financial ratios and affirmative and negative covenants could be affected by events beyond our control and, therefore, we cannot be assured that we will be able to continue to satisfy these requirements. A breach of any of these ratios or covenants could result in a default under our Credit Facility.credit facility. Upon the occurrence of an event of default, the Lenders could elect to declare all amounts outstanding under the Credit Facilityour credit facility immediately due and payable, terminate all commitments to extend further credit and pursue legal remedies for recovery, all of which could adversely affect our business and financial condition. As of December 28, 2019, we had no outstanding draws and $1.7 million of outstanding letters of credit under our Credit Facility and were in compliance with all applicable covenants. See Note 15, “Debt” to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K for additional information on our Credit Facility.credit facility.
Discontinuation, reform or replacement of LIBOR and other benchmark rates, or uncertainty relatedFurther, if we do not achieve the anticipated benefits from the Sound United Acquisition, our ability to service our indebtedness may be adversely impacted. Even if we achieve the potential for any ofanticipated benefits from the foregoing, may adversely affect our business.
The U.K. Financial Conduct Authority announced in 2017 that it intends to phase out the London Inter-Bank Offered Rate (LIBOR) by the end of 2021. In addition, other regulators have suggested reforming or replacing other benchmark rates. The discontinuation, reform or replacement of LIBOR or any other benchmark rates may have an unpredictable impact on contractual mechanics in the credit markets or cause disruption to the broader financial markets. Uncertainty as to the nature of such potential discontinuation, reform or replacement may also negatively impact interest expense related to borrowings under our Credit Facility. Borrowings under our Credit Facility bear interest, at our election, either at the Alternate Base Rate (as defined in the Credit Facility), or at the Adjusted LIBO Rate (as defined in the Credit Facility), which is derived from LIBOR. We may in the future pursue amendments to our Credit Facility to provide for a transition mechanism or other reference rate in anticipation of LIBOR’s discontinuation, butacquisition, we may not be ablerequired to reach agreement with our lenders on any such amendments. As a result,raise substantial additional financing to replace any then-outstanding LIBOR-based debt mayfund working capital, capital expenditures, acquisitions, or other general corporate purposes. Our ability to arrange additional financing and make payments of principal and interest on our indebtedness will depend on our future performance, which will be unavailable, more expensive or restricted by the termssubject to general economic, financial, and business conditions as well as other factors affecting our operations, many of such outstanding indebtedness.
We may experience conflicts of interest with respectwhich are beyond our CEO’s role in the Patient Safety Movement Foundation.
Joe Kiani, our Chairman and CEO, founded the Patient Safety Movement Foundation in 2012 with the aim of eliminating preventable deaths caused by medical errors. Conflicts of interest issues may arise between our business and customers and the objectives of the Patient Safety Movement Foundation. For example, one of the objectives of the Patient Safety Movement Foundation is to request that hospitals implement Actionable Patient Safety Solutions to overcome some of the leading patient safety challenges that hospitals currently face. Some hospitals and other healthcare providers may disagree with the Patient Safety Movement Foundation’s recommendations or may determine that these steps and other actions encouraged by the Patient Safety Movement Foundation may not be practicable or may be too costly or burdensome to implement. Although Mr. Kiani’s role in the Patient Safety Movement Foundation is separate from his role as our President and CEO, hospitals and healthcare providers that do not agree with the actions or recommendations of the Patient Safety Movement Foundation may nonetheless disfavor Masimo products, which could adversely affect our business, financial condition and results of operations.


control.
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Risks Related to Our Stock
Our stock price may be volatile, and your investment in our stock could suffer a decline in value.
There has been and could continue to be significant volatility in the market price and trading volume of equity securities. For example, our closing stock price ranged from $102.78 to $159.87 per share from December 30, 2018 to December 28, 2019. Factors contributing to our stock price volatility may include our financial performance, as well as broader economic, political and market factors. In addition to the other risk factors previously discussed in this Annual Report on Form 10-K, there are many other factors that we may not be able to control that could have a significant effect on our stock price. These include, but are not limited to:
actual or anticipated fluctuations in our operating results or future prospects;
our announcements or our competitors’ announcements of new products;
the public’s reaction to our press releases, our other public announcements and our filings with the SEC;
strategic actions by us or our competitors, such as acquisitions or restructurings;
new laws or regulations or new interpretations of existing laws or regulations applicable to our business;
changes in accounting standards, policies, guidance, interpretations or principles;
changes in our growth rates or our competitors’ growth rates;
developments regarding our patents or proprietary rights or those of our competitors;
ongoing legal proceedings;
our inability to raise additional capital as needed;
concerns or allegations as to the safety or efficacy of our products;
changes in financial markets or general economic conditions, including the effects of recession or slow economic growth in the U.S. and abroad;
sales of stock by us or members of our management team, our Board of Directors (Board) or certain institutional stockholders; and
changes in stock market analyst recommendations or earnings estimates regarding our stock, other comparable companies or our industry generally.
Therefore, you may not be able to resell your shares at or above the price you paid for them.
Concentration of ownership of our stock among our existing directors, executive officers and principal stockholders may prevent new investors from influencing significant corporate decisions.
As of December 28, 2019,31, 2022, our current directors and executive officers and their affiliates, in the aggregate, beneficially owned approximately 11.1%9.8% of our outstanding stock. Subject to any fiduciary duties owed to our other stockholders under Delaware law, these stockholders may be able to exercise significant influence over matters requiring stockholder approval, including the election of directors and approval of significant corporate transactions, and will have some control over our management and policies.policies in their roles as stockholders. Some of these persons or entities may have interests that are different from yours. For example, these stockholders may support proposals and actions with which you may disagree or which are not in your best interests.
The concentration of ownership could delay or prevent a change in control of us, or otherwise discourage a potential acquirer from attempting to obtain control of us, which in turn could reduce the price of our stock.
In addition, these stockholders could use their voting influence to maintain our existing management and directors in office or support or reject other management and Board proposals that are subject to stockholder approval, such as amendments to our employee stock plans and approvals of significant financing transactions.
Our corporate documents, Delaware law and our stockholder rights plan contain provisions that could discourage, delay or prevent a change in control of our company, prevent attempts to replace or remove current management and reduce the market price of our stock.
Provisions in our certificate of incorporation and bylaws may discourage, delay or prevent a merger or acquisition involving us that our stockholders may consider favorable. For example, our certificate of incorporation authorizes our Board to issue up to 5.0 million shares of “blank check” preferred stock. As a result, without further stockholder approval, our Board has the authority to attach special rights, including voting and dividend rights, to this preferred stock, including pursuant to a stockholder rights plan, such as those underlying the Rights Agreement we adopted on September 9, 2022. The Rights Agreement may have the effect of discouraging or preventing a change in control by, among other things, making it uneconomical for a third party to acquire us without the consent of our Board. With these rights, preferred stockholders could make it more difficult for a third-party to acquire us. The rights of holders of common stock will be subject to, and may be adversely affected by, the rights of the holders of any such class or series of preferred stock that may be issued pursuant to the Rights Agreement.
In addition, our certificate of incorporation provides for a staggered Board, whereby directors serve for three-year terms, with one-third of the directors coming up for reelection each year. A staggered Board will make it more difficult for a third-party to obtain control of our Board through a proxy contest, which may be a necessary step in an acquisition of us that is not favored by our Board.
We are also subject to anti-takeover provisions under the General Corporation Law of the State of Delaware (DGCL). Under these provisions, if anyone becomes an “interested stockholder,” we may not enter into a “business combination” with that person for three years without special approval, which could discourage a third party from making a takeover offer and could delay or prevent a change in control of us. For purposes of these provisions, an “interested stockholder” generally means someone owning 15% or more of our outstanding voting stock or an affiliate of ours that owned 15% or more of our outstanding voting stock during the past three years, subject to certain exceptions as described in the DGCL.
Shareholder activism could cause us to incur significant expense, disrupt our business, result in a proxy contest or litigation and impact our stock price.
We have been subject to shareholder activism and may be subject to such activism in the future, which could result in substantial costs and divert management’s and our Board’s attention and resources from our business. Such shareholder activism could give rise to perceived uncertainties as to our future, adversely affect our relationships with our employees, customers, or suppliers, make it more difficult to attract and retain key personnel, and result in a change in control pursuant to the employment agreement between us and Joe Kiani, our Chairman and CEO. We may be required to incur significant fees and other expenses related to activist shareholder matters, including for third-party advisors.
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We may be subjected to a proxy contest or to litigation by activist investors, including litigation related to the Rights Agreement adopted on September 9, 2022. For example, on October 21, 2022, a complaint was filed in the Delaware Court of Chancery against us and members of our Board (Director Defendant) by Politan Capital Management LP and Politan Capital NY LLC (Activist Plaintiffs). The complaint seeks relief to (i) declare certain amendments to our bylaws that became effective on September 9, 2022 (Bylaw Amendments) unenforceable, (ii) find that our Board breached their fiduciary duties by approving and implementing the Bylaw Amendments and the shareholder rights plan adopted by us on September 9, 2022, and refusing to invalidate certain change in control provisions in our employment agreement with Joe Kiani, our CEO (iii) invalidate certain change in control provisions in Mr. Kiani’s employment agreement, (iv) permanently enjoin us and our Board from taking any actions to prevent the Activist Plaintiffs from exercising their rights in accordance with our prior bylaws to nominate directors, and (v) award the Activist Plaintiffs their fees, costs and expenses in connection with the action covered by the complaint. In response to the complaint, on October 24, 2022, we filed a counterclaim, answer and defense against the Activist Plaintiffs, seeking relief to (a) have the court declare that the Bylaw Amendments are valid and enforceable and that we are permitted to invalidate any director nominations by the Activist Plaintiffs that are not made in accordance with the amended bylaws and (b) award us reasonable costs, including attorneys’ fees and expenses. On October 28, 2022, the Activist Plaintiffs filed a counterclaim and answer generally denying substantially all of the allegations raised in our counterclaim and raising a number of affirmative defenses against our counterclaim. On February 5, 2023,we withdrew the Bylaw Amendments.
We believe that we and the Director Defendants have good and substantial defenses to the Activist Plaintiffs’ claims (including those raised in their counterclaim), but there is no guarantee that we and the Director Defendants will prevail. Our stock price could be subject to significant fluctuation or otherwise be adversely affected by the events, risks and uncertainties related to any shareholder activism.
Exclusive forum provisions in our bylaws could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us or our directors, officers or employees.
Our bylaws provide that the state or federal courts located within the State of Delaware are the sole and exclusive forum for: (i) any derivative action or proceeding brought on our behalf, (ii) any action asserting a claim of breach of fiduciary duty owed by any of our directors, officers or other employees or stockholders to our stockholders, (iii) any action asserting a claim against us arising pursuant to the DGCL, our certificate of incorporation or our bylaws or as to which the DGCL confers jurisdiction on the Court of Chancery of the State of Delaware, or (iv) any action asserting a claim governed by the internal affairs doctrine. However, this choice of forum provision does not apply to (a) actions in which the Court of Chancery in the State of Delaware concludes that an indispensable party is not subject to the jurisdiction of Delaware courts, or (b) actions in which a federal court has assumed exclusive jurisdiction to a proceeding. This choice of forum provision is not intended to apply to any actions brought under the Securities Act of 1933, as amended (the Securities Act), or the Securities Exchange Act of 1934, as amended (the Exchange Act). Section 27 of the Exchange Act creates exclusive federal jurisdiction over all suits brought to enforce any duty or liability created by the Exchange Act or the rules and regulations thereunder. As a result, the exclusive forum provision will not apply to suits brought to enforce any duty or liability created by the Exchange Act or any other claim for which the federal courts have exclusive jurisdiction. This choice of forum provision may limit a stockholder’s ability to bring a claim in a judicial forum that it finds favorable for disputes with us or our directors, officers or other employees or stockholders, which may discourage such lawsuits against us and our directors, officers and other employees or stockholders.
Furthermore, the enforceability of similar choice of forum provisions in other companies’ certificates of incorporation has been challenged in legal proceedings, and it is possible that a court could find these types of provisions to be inapplicable or unenforceable. If a court were to find the choice of forum provision in our bylaws to be inapplicable or unenforceable in an action, we may incur additional costs associated with resolving such action in other jurisdictions, which could adversely affect our business, financial condition and results of operations.
General Risk Factors
We may experience significant fluctuations in our periodic financial results and may not maintain our current levels of profitability in the future.
Our operating results have fluctuated in the past and are likely to fluctuate in the future. Many of the countries in which we operate, including the U.S. and several of the members of the EU, have experienced and continue to experience uncertain economic conditions resulting from global as well as local factors. In addition, continuing uncertainty in the U.S. economy may result in continued inflationary pressures globally and in the U.S. in particular, which may contribute to future interest rate volatility.
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Our business or financial results may be adversely impacted by these uncertain economic conditions, including: adverse changes in interest rates, foreign currency exchange rates, tax laws or tax rates; inflation; contraction in the availability of credit in the marketplace due to legislation or other economic conditions, which may potentially impair our ability to access the capital markets on terms acceptable to us or at all; changes in consumer spending during a recession; and the effects of government initiatives to manage economic conditions.
We are also unable to predict how changing global economic conditions or potential global health concerns such as the COVID-19 pandemic will affect our critical customers, suppliers and distributors. Any negative impact of such matters on our critical customers, suppliers or distributors may also have an adverse impact on our results of operations or financial condition. Our expense levels are based, in part, on our expectations regarding future revenue levels and are relatively fixed in the short-term.
As a result, if our revenue for a particular period was below our expectations, we would not be able to proportionately reduce our operating expenses for that period. Any revenue shortfall would have a disproportionately negative effect on our operating results for the period.
In addition, the methods, estimates and judgments that we use in applying our accounting policies are, by their nature, subject to substantial risks, uncertainties and assumptions. Factors may arise over time that lead us to change our methods, estimates and judgments, the impact of which could significantly affect our results of operations. See “Critical Accounting Policies and Estimates” contained in Part I, Item 2 of this Annual Report on Form 10-K.
Recent accounting changes related to our embedded leases within certain deferred equipment agreements have also resulted in the acceleration of the timing related to our recognition of revenue and expenses associated with certain equipment provided to healthcare customers at no up-front charge. Since we cannot control the timing of when our customers will request us to deliver such equipment, our revenue and costs with respect to leased equipment could vary substantially in any given quarter or year, which could further increase quarterly or annual fluctuations within our financial results.
Due to these and other factors, you should not rely on our results for any one quarter as an indication of our future performance. If our operating results fail to meet or exceed the expectations of securities analysts or investors, our stock price could drop suddenly and significantly.
A regional or global recession and other negative macro-economic trends could adversely affect our consumer business.
Our consumer products are generally considered non-essential, discretionary products. As such, many of these products can be especially sensitive to general downturns in the economy. Negative macroeconomic conditions, such as high inflation, recession, changes to monetary policy, increasing interest rates and decreasing consumer confidence can adversely impact demand for these products, which could negatively impact our business, financial condition and results of operations.
Future changes in accounting pronouncements and tax laws, or the interpretation thereof, could have a significant impact on our reported results, and may affect our historical reporting of previous transactions.
New accounting pronouncements or taxation rules, and evolving interpretations thereof, have occurred and are likely to occur in the future. Future changes made by new accounting standards may apply prospectively or retrospectively, depending on the method of adoption, and may recast previously reported results. For additional information related to the impact of new accounting pronouncements, please see Note 2, “Summary of Significant Accounting Policies”, to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K.
In addition, future changes to the U.S. tax code and its regulations could have a material impact on our effective tax rate and the implementation of these changes could require us to make substantial changes to our business practices, allocate resources, and increase our costs, which could negatively affect our business, results of operations and financial condition.
Our retirement and post-retirement pension benefit plans are subject to financial market risks that could adversely affect our future results of operations and cash flows.
We sponsor several defined benefit plans with post-retirement benefits to certain employees in certain international markets. These defined benefit plans are funded with trust assets invested in a diversified portfolio of securities and other investments. Changes in interest rates, mortality rates, early retirement rates, investment returns, discount rates and the market value of plan assets could affect the funded status of our defined benefit plan and post-retirement benefit obligations, causing volatility in the net periodic benefit cost and future funding requirements of the plans. A significant increase in our obligations or future funding requirements could have a negative impact on our results of operations and cash flows from operations.
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If we lose the services of our key personnel, or if we are unable to attract and retain other key personnel, we may not be able to manage our operations or meet our growth objectives.
We are highly dependent on our senior management, especially Joe Kiani, our CEO, and other key officers. We are also heavily dependent on our engineers and field sales team, including sales representatives and clinical specialists. We believe certain of our competitors with greater financial resources than us have targeted our key personnel for recruitment and will likely continue to do so in the future. To the extent that key personnel depart, we may be required to bring on new hires that require training and take time before they achieve full productivity. New employees may not become as productive as we expect, and we may be unable to hire or retain sufficient numbers of qualified individuals. The loss of the services of members of our key personnel or the inability to attract and retain qualified personnel in the future could prevent the implementation and completion of our objectives, including the development and introduction of our products. In general, our key personnel may terminate their employment at any time and for any reason without notice, unless the individual is a participant in our 2007 Severance Protection Plan, in which case the individual has agreed to provide us with six months’ notice if such individual decides to voluntarily resign. We do not maintain any “key person” life insurance policies with respect to any of our key personnel.
In addition, regulation or legislation impacting the workforce, such as the proposed rule published by the Federal Trade Commission which would, if issued, generally prevent employers from entering into non-compete with employees and require employers to rescind existing non-competes, may lead to increased uncertainty in hiring and competition for talent.
We are involved, and may become involved in the future, in disputes and other legal or regulatory proceedings that, if adversely decided or settled, could materially and adversely affect our business, financial condition and results of operations.
We are, and may in the future become, party to litigation, regulatory proceedings or other disputes. In general, claims made by or against us in disputes and other legal or regulatory proceedings can be expensive and time-consuming to bring or defend against, requiring us to expend significant resources and divert the efforts and attention of our management and other personnel from our business operations. These potential claims may include, but are not limited to personal injury and class action lawsuits, intellectual property claims and regulatory investigations relating to the advertising and promotional claims about our products and employee claims against us based on, among other things, discrimination, harassment or wrongful termination. In addition, we may become subject to claims against companies we acquire based on circumstances arising prior to the acquisition, and the sellers of the acquired company may have no obligation to reimburse us for any resulting damages or expenses. Any litigation, proceedings or dispute, even those without merit, may divert our financial and management resources that would otherwise be used to benefit the future performance of our operations. Any adverse determination against us in these proceedings, or even the allegations contained in the claims, regardless of whether they are ultimately found to be without merit, may also result in settlements, injunctions or damages that could have a material adverse effect on our business, financial condition and results of operations.
Changes to government immigration regulations may materially affect our workforce and limit our supply of qualified professionals, or increase our cost of securing workers.
We recruit professionals on a global basis and must comply with the immigration laws in the countries in which we operate, including the U.S. Some of our employees are working under Masimo-sponsored temporary work visas, including H1-B visas. Statutory law limits the number of new H1-B temporary work permit petitions that may be approved in a fiscal year. Furthermore, there is a possibility that the current U.S. immigration visa program may be significantly overhauled, and the number of H1-B visas available, as well as the process to obtain them, may be subject to significant change. Any resulting changes to this visa program could impact our ability to recruit, hire and retain qualified skilled personnel. If we are unable to obtain work visas in sufficient quantities or at a sufficient rate for a significant period of time, our business, operating results and financial condition could be adversely affected.
The risks inherent in operating internationally, including the purchase, sale and shipment of our components and products across international borders, may adversely impact our business, financial condition and results of operations.
We currently derive approximately 45% of our net sales from international operations. In addition, we purchase a portion of our raw materials and components from international sources. The sale and shipment of our products across international borders, as well as the purchase of materials and components from international sources, subject us to extensive U.S. and foreign governmental trade regulations, including those related to duties, tariffs and conflict minerals. Compliance with such regulations is costly and we could be exposed to potentially significant penalties, fines and interest if we are found not to be in compliance with such regulations. Any failure to comply with applicable legal and regulatory obligations could impact us in a variety of ways that include, but are not limited to, significant criminal, civil and administrative penalties, including imprisonment of individuals, fines and penalties, denial of export privileges, seizure of shipments, restrictions on certain business activities, and exclusion or debarment from government contracting. We have historically engaged in transactions with entities related to or located in countries subject to certain U.S. export restrictions. For example, we have had sales of medical products destined for Iran.
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In addition, changes in policy in the U.S. and other countries regarding international trade, including import and export regulation and international trade agreements, could negatively impact our business. In recent years, the U.S. has imposed tariffs on goods imported from China and certain other countries, which has resulted in retaliatory tariffs by China and other countries. Changes or uncertainty in tariffs or further retaliatory trade measures taken by China or other countries in response could affect the demand for our products and services, impact the competitive position of our products, prevent us from being able to sell products in certain countries or otherwise adversely impact our results of operations. The implementation of more restrictive trade policies, such as more detailed inspections, higher tariffs or new barriers to entry, could negatively impact our business, results of operations and financial condition.
In addition, our international operations expose us and our representatives, agents and distributors to risks inherent in operating in foreign jurisdictions. These risks include, but are not limited to:
the imposition of additional U.S. and foreign governmental controls or regulations;
the imposition of costly and lengthy new export licensing requirements;
a shortage of high-quality sales people and distributors;
the loss of any key personnel who possess proprietary knowledge, or who are otherwise important to our success in certain international markets;
changes in duties and tariffs, license obligations and other non-tariff barriers to trade;
the imposition of new trade restrictions;
the imposition of restrictions on the activities of foreign agents, representatives and distributors;
compliance with foreign tax laws, regulations and requirements;
pricing pressure;
changes in foreign currency exchange rates;
laws and business practices favoring local companies;
political instability and actual or anticipated military or political conflicts, including the ongoing conflict between Ukraine and Russia and the global impact of restrictions and sanctions imposed on Russia;
financial and civil unrest worldwide;
outbreaks of illnesses, pandemics or other local or global health issues;
the inability to collect amounts paid by foreign government customers to our appointed foreign agents;
longer payment cycles, increased credit risk and different collection remedies with respect to receivables; and
difficulties in enforcing or defending intellectual property rights.
The U.S. government initiated substantial changes in U.S. trade policy and U.S. trade agreements, including tariffs on certain foreign goods. In response to these tariffs, certain foreign governments instituted or are considering imposing tariffs on certain U.S. goods. In addition, the U.S. has negotiated new trade agreements that could impact us, including the United States-Mexico-Canada Agreement (USMCA), which went into force on July 1, 2020 and replaced the North American Free Trade Agreement. A trade war, trade barriers or other governmental actions related to tariffs, international trade agreements, import or export restrictions or other trade policies could adversely impact demand for our products, our costs, customers, suppliers and/or the U.S. economy or certain sectors thereof and, therefore, adversely affect our business, financial condition and results of operations.
The U.S. Foreign Corrupt Practices Act and similar worldwide anti-bribery laws in non-U.S. jurisdictions generally prohibit companies and their intermediaries from promising or making improper payments to foreign officials for the purpose of obtaining an advantage to secure or retain business. Because of the predominance of government-sponsored healthcare systems around the world, many of our customer relationships outside of the U.S. are with governmental entities and are therefore subject to such anti-bribery laws. We have adopted policies and practices that help us ensure compliance with these anti-bribery laws. However, such policies and practice may require us to invest in additional monitoring resources or forgo certain business opportunities in order to ensure global compliance with these laws.
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Although these activities have not been financially material to our business, financial condition or results of operations, and were undertaken in accordance with general licenses authorizing such activities issued by the U.S. Treasury Department’s Office of Foreign Assets Control, we may not be successful in ensuring compliance with limitations or restrictions on business in Iran or any other countries subject to economic sanctions and embargoes imposed by the U.S. Also, the failure to comply with applicable legal and regulatory obligations could result in the disruption of our shipping, manufacturing and sales activities. Any material decrease in our international sales would adversely affect our business, financial condition and results of operations.
Our operations may be adversely impacted by our exposure to risks related to foreign currency exchange rates.
We market our products in certain foreign markets through our subsidiaries and other international distributors. As a result, events that result in global economic uncertainty could significantly affect our results of operations in the form of gains and losses on foreign currency transactions and potential devaluation of the local currencies of our customers relative to the U.S. Dollar.
While a majority of our sales are transacted in U.S. Dollars, some of our sales agreements with foreign customers provide for payment in currencies other than the U.S. Dollar. These foreign currency revenues, when converted into U.S. Dollars, can vary depending on the approximation of the exchange rates applied during a respective period. Similarly, certain of our foreign subsidiaries transact business in their respective country’s local currency, which is also their functional currency. In addition, certain production costs related to our manufacturing operations are denominated in local currency. As a result, expenses of these foreign subsidiaries and certain production costs, when converted into U.S. Dollars, can vary depending on average monthly exchange rates during a respective period.
We are also exposed to foreign currency gains or losses on outstanding foreign currency denominated receivables and payables, as well as cash deposits. When converted to U.S. Dollars, these receivables, payables and cash deposits can vary depending on the monthly exchange rates at the end of the period. In addition, certain intercompany transactions may give rise to realized and unrealized foreign currency gains or losses based on the currency underlying such intercompany transactions. Accordingly, our operating results are subject to fluctuations in foreign currency exchange rates.
The balance sheets of our foreign subsidiaries whose functional currency is not the U.S. Dollar are translated into U.S. Dollars at the rate of exchange at the balance sheet date and the statements of operations and cash flows are translated into U.S. Dollars using an approximation of the average monthly exchange rates applicable during the period. Any foreign currency exchange gain or loss as a result of translating the balance sheets of our foreign subsidiaries whose functional currency is not the U.S. Dollar is included in equity as a component of accumulated other comprehensive income (loss).
We currently do not hedge our foreign currency exchange rate risk. As a result, changes in foreign exchange rates could have a material adverse effect on our business, financial condition and results of operations. For additional information related to our foreign currency exchange rate risk, please see “Quantitative and Qualitative Disclosures about Market Risk” in Part I, Item 3 of this Annual Report on Form 10-K.
We currently manufacture our products at a limited number of locations and any disruption to, expansion of, or changes in trade programs related to such manufacturing operations could adversely affect our business, financial condition and results of operations.
We rely on manufacturing facilities in the U.S., Mexico, Asia and Europe that may be affected by natural or man-made disasters. Earthquakes are of particular significance since some of our facilities are located in earthquake-prone areas. We are also vulnerable to damage from other types of disasters, including power loss, attacks from extremist or terrorist organizations, epidemics, communication failures, fire, floods, hurricanes and similar events. Our facilities and the manufacturing equipment we use to produce our products would be difficult to replace and could require substantial time to repair if significant damage were to result from any of these occurrences.
If one of our manufacturing facilities was affected by a natural or man-made disaster, we would be forced to rely on third-party manufacturers if we could not shift production to our other manufacturing facilities. Furthermore, our insurance for damage to our property and the disruption of our business from casualties may not be sufficient to cover all of our potential losses and may not continue to be available to us on acceptable terms, or at all. If the lease for any of our leased facilities is terminated, we are unable to renew any of our leases or we are otherwise forced to seek alternative facilities, or if we voluntarily expand one or more of our manufacturing operations to new locations, we may incur additional transition costs and experience a disruption in the supply of our products until the new facilities are available and operating. Additionally, we have occasionally experienced seasonality and other shortages among our manufacturing workforce, and if we continue to experience such seasonality or other workforce shortages or otherwise have issues retaining employees or contractors at our manufacturing facilities, we may not be able to meet our customers’ demands.
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Our global manufacturing and distribution are dependent upon our manufacturing facilities in multiple countries, and the expedient importation of raw materials and exportation of finished goods between these facilities. Undue delays and/or closures of cross-border transit facilities, or any restrictions by local governments related to the movement of goods to or from the U.S., may adversely affect our ability to fulfill orders and supply our customers, as well as adversely impact our business, operating results and financial condition.
In addition, delays and closures of shipping ports, or ports of entry into and out of the U.S., including as a result of labor strikes or shortages, may delay our ability to fulfill order and supply of our non-healthcare consumer products, which could also adversely impact our business, operating results and financial condition.
Our manufacturing facilities in Mexico are authorized to operate under the Mexican Maquiladora (IMMEX) program. The IMMEX program allows us to import certain items from the U.S. into Mexico duty-free, provided that such items, after processing, are exported from Mexico within a stipulated timeframe. Maquiladora status, which is renewed periodically, is subject to various restrictions and requirements, including compliance with the terms of the IMMEX program and other local regulations. Failure to comply with the IMMEX program regulations, including any changes thereto, could increase our manufacturing costs and adversely affect our business, operating results and financial condition.
If we do not accurately forecast customer demand, we may hold suboptimal inventory levels that could adversely affect our business, financial condition and results of operations.
If we are unable to meet the demand of our customers, our customers may cancel orders or purchase products from our competitors, which could reduce our revenue and gross profit margin. Conversely, if product demand decreases, we may be unable to timely adjust our manufacturing cost structure, resulting in excess capacity, which would lower gross product margins. Similarly, if we are unable to forecast demand accurately, we could be required to record charges related to excess or obsolete inventory, which would also lower our gross margin.
In addition, we may experience seasonal demand for our non-healthcare products and demand for such products could decrease significantly during a recession.Any shortfalls in expected revenue due to a mismatch in supply of and demand for our products could cause our operating results to suffer significantly.
If we fail to comply with the reporting obligations of the Exchange Act or if we fail to maintain adequate internal control over financial reporting, our business, results of operations and financial condition and investors’ confidence in us could be adversely affected.
We are required to prepare and disclose certain information under the Exchange Act, in a timely manner and meet our reporting obligations in their entirety, and our failure to do so could subject us to penalties under federal securities laws and regulations of The Nasdaq Stock Market LLC, expose us to lawsuits and restrict our ability to access financing on favorable terms, or at all.
If we fail to maintain adequate internal controls over financial reporting, we may not be able to conclude on an ongoing basis that we have effective internal control over financial reporting in accordance with the Sarbanes-Oxley Act. Moreover, any material weakness in our internal control environment could result in the loss of investor confidence in the reliability of our financial statements, which in turn could harm our business, negatively impact the trading price of our stock, and adversely affect investors’ confidence in our company and our ability to access capital markets for financing.
Changing laws and increasingly complex corporate governance and public disclosure requirements could have an adverse effect on our business and operating results.
Changing laws, regulations and standards relating to corporate governance and public disclosure, including the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act), the California Transparency in Supply Chains Act, the UK Modern Slavery Act and new regulations issued by the SEC and The Nasdaq Stock Market LLC, have created, and will create, additional compliance requirements for us. For example, the Dodd-Frank Act includes provisions regarding, among other things, advisory votes on named executive officer compensation and “conflict minerals” reporting. Complying with these rules and regulations has increased and will increase our legal and financial compliance costs, make some activities more difficult, time-consuming or costly and increase demand on our systems and resources. As a result, management’s attention may be diverted from other business concerns, which could adversely affect our business, financial condition and results of operations.
We may also need to hire additional employees or engage outside consultants to comply with these requirements, which will increase our costs and expenses. To maintain high standards of corporate governance and public disclosure, we have invested in, and intend to continue to invest in, reasonably necessary resources to comply with evolving standards.
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In addition, stockholder litigation surrounding executive compensation and disclosure of executive compensation has increased with the passage of the Dodd-Frank Act. Furthermore, our stockholders in certain instances have not approved our advisory vote on named executive officer compensation that is being voted on by our stockholders annually pursuant to the Dodd-Frank Act. If we are involved in a lawsuit related to compensation matters or any other matters not covered by our directors’ and officers’ liability insurance, we may incur significant expenses in defending against such lawsuits, or be subject to significant fines or required to take significant remedial actions, each of which could adversely affect our business, financial condition and results of operations.
If product liability claims are brought against us, we could face substantial liability and costs.
Our products expose us to product liability claims and product recalls, including, but not limited to, those that may arise from unauthorized off-label use, malfunctions, design flaws or manufacturing defects related to our products or the use of our products with incompatible components or systems. In addition, as we continue to expand our product portfolio, we may enter or create new markets, including consumer markets, which may expose us to additional product liability risks. For example, with our previous acquisition of TNI®, we added softFlow® technology to our product portfolio. While this technology provides efficient, quiet and comfortable respiratory support to patients, it may present increased risk of infection to caregivers. In addition, with the Sound United Acquisition, we added multiple broadly distributed premium audio brands to our product portfolio and significantly expanded our consumer base worldwide, which could expose us to increased product liability claims.
We cannot be certain that our product liability insurance will be sufficient to cover any or all damages for product liability claims that may be brought against us in the future. Furthermore, we may not be able to obtain or maintain insurance in the future at satisfactory rates or in adequate amounts to protect us against any product liability claims.
Additionally, the laws and regulations regarding product liability are constantly evolving, both through the passage of new legislation at the state and federal levels and through new interpretations of existing legislation. For example, in February 2017, the Washington Supreme Court determined that, under the Washington Product Liability Act, medical device manufacturers have a duty to warn hospitals of any potential risks posed by their products. As the legal and regulatory landscape surrounding product liability change, we may become exposed to greater liability than currently anticipated.
Any losses that we may suffer from product liability claims, and the effect that any product liability litigation may have upon the reputation and marketability of our technology and products, together with the corresponding diversion of the attention of our key employees, may subject us to significant damages and could adversely affect our business, financial condition and results of operations.
We may incur environmental and personal injury liabilities related to certain hazardous materials used in our operations.
Certain manufacturing processes for our products may involve the storage, use, generation and disposal of certain hazardous materials and wastes, including silicone adhesives, solder and solder paste, sealants, epoxies and various solvents such as methyl ethyl ketone, acetone and isopropyl alcohol. As a result, we are subject to certain environmental laws, as well as certain other laws and regulations, that restrict the materials that can be used in our products or in our manufacturing processes. For example, products that we sell in Europe are subject to regulation in the EU markets under the Restriction of the Use of Hazardous Substances Directive (RoHS). RoHS prohibits companies from selling products that contain certain hazardous materials in EU member states. In addition, the EU’s Registration, Evaluation, Authorization, and Restriction of Chemicals Directive also restricts substances of very high concern in products. Compliance with such regulations may be costly and, therefore, we may incur significant costs to comply with these laws and regulations.
In addition, new environmental laws may further affect how we manufacture our products, how we use, generate or dispose of hazardous materials and waste, or further affect what materials can be used in our products. Any required changes to our operations or products may increase our manufacturing costs, detrimentally impact the performance of our products, add greater testing lead-times for product introductions or have other similar effects.
In connection with our research and manufacturing activities, we use, and our employees may be exposed to, materials that are hazardous to human health, safety or the environment. The risk of accidental injury to our employees or contamination from these materials cannot be eliminated, and we could be held liable for any resulting damages, the related liability for which could exceed our reserves. We do not specifically insure against environmental liabilities. If an enforcement action were to occur, our reputation and our business and financial condition may be harmed, even if we were to prevail or settle the action on terms favorable to us.
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We rely significantly on information technology and any failure, inadequacy, interruption or security lapse of that technology, including any cybersecurity incidents, could harm our ability to operate our business effectively.
Increased global cybersecurity vulnerabilities, cybersecurity threats and sophisticated and targeted cybersecurity attacks pose a risk to the security of our systems and networks, including the confidentiality, availability and integrity of any underlying information and data, and those of our customers, partners, suppliers and third-party service providers. Our ability to effectively manage and maintain our internal business information, and to ship products to customers and invoice them on a timely basis, depends significantly on our enterprise resource planning system and other information systems.
Portions of our information technology systems may experience interruptions, delays or cessations of service or produce errors in connection with ongoing systems implementation work. In addition, interfaces between our products and our customers’ computer networks could provide additional opportunities for cybersecurity attacks on us and our customers. The techniques used to attack computer systems are sophisticated, change frequently and may originate from less regulated and remote areas of the world. Cybersecurity attacks in particular are evolving and include, but are not limited to: threats, malicious software, ransomware, attempts to gain unauthorized access to data and other electronic security breaches that could lead to disruptions in systems, misappropriation of confidential or otherwise protected information and corruption of data. As a result, there can be no assurance that our protective measures will prevent or detect security breaches that could have a significant impact on our business, reputation, financial condition and results of operations.
The failure of these systems to operate or integrate effectively with other internal, customer, supplier or third-party service provider systems and to protect the underlying information technology system and data integrity, including from cyber-attacks, intrusions or other breaches or unauthorized access of these systems, or any failure by us to remediate any such attacks or breaches, may also result in damage to our reputation or competitiveness, delays in product fulfillment and reduced efficiency of our operations, and could require significant capital investments to remediate any such failure, problem or breach, all of which could adversely affect our business, financial condition and results of operations.
The impact of the Russian invasion of Ukraine on the global economy, energy supplies and raw materials is uncertain, but may prove to negatively impact our business and operations.
The short and long-term implications of Russia’s invasion of Ukraine are difficult to predict at this time. We continue to monitor any adverse impact that the outbreak of war in Ukraine and the subsequent institution of sanctions against Russia by the U.S. and several European and Asian countries may have on the global economy in general, on our business and operations and on the businesses and operations of our suppliers and customers. For example, a prolonged conflict may result in challenges associated with timely receipt of customer payments and banking transactions, increased inflation, escalating energy prices and constrained availability, and thus increasing costs of raw materials. In addition, as a result of the current conflict, we have stopped selling non-healthcare products in Russia indefinitely. We will continue to monitor this fluid situation and develop contingency plans as necessary to address any disruptions to our business operations as they develop. To the extent the war in Ukraine may adversely affect our business as discussed above, it may also have the effect of heightening many of the other risks described herein. Such risks include, but are not limited to, adverse effects on macroeconomic conditions, including inflation; disruptions to our global technology infrastructure, including through cyberattack, ransom attack, or cyber-intrusion; adverse changes in international trade policies and relations; our ability to maintain or increase our product prices; disruptions in global supply chains; our exposure to foreign currency fluctuations; and constraints, volatility, or disruption in the capital markets, any of which could negatively affect our business and financial condition.
Our stock price may be volatile, and your investment in our stock could suffer a decline in value.
There has been and could continue to be significant volatility in the market price and trading volume of equity securities. For example, our closing stock price ranged from $110.88 to $284.87 per share from January 2, 2022 to December 31, 2022. Factors contributing to our stock price volatility may include our financial performance, as well as broader economic, political and market factors, including the COVID-19 pandemic. In addition to the other risk factors previously discussed in this Annual Report on Form 10-K, there are many other factors that we may not be able to control that could have a significant effect on our stock price. These include, but are not limited to:
actual or anticipated fluctuations in our operating results or future prospects;
our announcements or our competitors’ announcements of new products;
the public’s reaction to our press releases, including those relating to our earnings or financial guidance, our other public announcements and our filings with the SEC;
strategic actions by us or our competitors, such as acquisitions or restructurings;
new laws or regulations or new interpretations of existing laws or regulations applicable to our business;
changes in accounting standards, policies, guidance, interpretations or principles;
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changes in our growth rates or our competitors’ growth rates;
developments regarding our patents or proprietary rights or those of our competitors;
ongoing legal proceedings;
our inability to raise additional capital as needed;
concerns or allegations as to the safety or efficacy of our products;
changes in financial markets or general economic conditions, including the effects of recession or slow economic growth in the U.S. and abroad;
effects of public health crises, epidemics and pandemics, such as the COVID-19 pandemic;
sales of stock by us or members of our management team, our Board or certain institutional stockholders;
shareholder activism;
changes in stock market analyst recommendations or earnings estimates regarding our stock, other comparable companies or our industry generally; and
short selling or other hedging activity in our stock.
Therefore, you may not be able to resell your shares at or above the price you paid for them.
Our investors could experience substantial dilution of their investments as a result of subsequent exercises of our outstanding options, vesting of outstanding restricted stock units (RSUs) and performance stock units (PSUs), or the grant of future equity awards by us.
As of December 28, 2019,31, 2022, approximately 10.810.2 million shares of our common stock were reserved for issuance under our equity incentive plans, of which approximately 5.22.8 million shares were subject to options outstanding at such date at a weighted-average exercise price of $54.23$83.85 per share, approximately 2.83.2 million shares were subject to outstanding RSUs, approximately 0.40.3 million shares were subject to outstanding PSUs and approximately 2.43.9 million shares were available for future awards under our 2017 Equity Incentive Plan. Over the past 2448 months, we have experienced higher rates of stock option exercises compared to many earlier periods, and this trend may continue. To the extent outstanding options are exercised or outstanding RSUs or PSUs vest, our existing stockholders may incur dilution.

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We rely on equity awards to motivate current employees and to attract new employees. The grant of future equity awards by us to our employees and other service providers may further dilute our stockholders.
Future resales of our stock, including those by our insiders and a few investment funds, may cause our stock price to decline.
A significant portion of our outstanding shares are held by our directors, our executive officers and a few investment funds. Resales by these stockholders of a substantial number of such shares, announcements of any proposed resale of substantial amounts of our stock or the perception that substantial resales may be made, could significantly reduce the market price of our stock. Some of our directors and executive officers have entered into Rule 10b5-1 trading plans pursuant to which they have arranged to sell shares of our stock from time to time in the future. Generally, these sales require public filings. Actual or potential sales by these insiders, including those under a pre-arranged Rule 10b5-1 trading plan, could be interpreted by the market as an indication that the insider has lost confidence in our stock and reduce the market price of our stock.
We have registered and expect to continue to register shares reserved under our incentive equity plans pursuant to Registration Statements on Form S-8. All shares issued pursuant to a Registration Statement on Form S-8 can be freely sold in the public market upon issuance, subject to restrictions on our affiliates under Rule 144. If a large number of these shares are sold in the public market, the sales could reduce the trading price of our stock.
Our corporate documents and Delaware law contain provisions that could discourage, delay or prevent a change in control of our company, prevent attempts to replace or remove current management and reduce the market price of our stock.
Provisions in our amended and restated certificate of incorporation and second amended and restated bylaws may discourage, delay or prevent a merger or acquisition involving us that our stockholders may consider favorable. For example, our amended and restated certificate of incorporation authorizes our Board to issue up to 5.0 million shares of “blank check” preferred stock. As a result, without further stockholder approval, our Board has the authority to attach special rights, including voting and dividend rights, to this preferred stock, including pursuant to a stockholder rights plan. With these rights, preferred stockholders could make it more difficult for a third-party to acquire us. In addition, our amended and restated certificate of incorporation provides for a staggered Board, whereby directors serve for three year terms, with one-third of the directors coming up for reelection each year. A staggered Board will make it more difficult for a third-party to obtain control of our Board through a proxy contest, which may be a necessary step in an acquisition of us that is not favored by our Board.
We are also subject to anti-takeover provisions under the General Corporation Law of the State of Delaware. Under these provisions, if anyone becomes an “interested stockholder,” we may not enter into a “business combination” with that person for three years without special approval, which could discourage a third-party from making a takeover offer and could delay or prevent a change in control of us. For purposes of these provisions, an “interested stockholder” generally means someone owning 15% or more of our outstanding voting stock or an affiliate of ours that owned 15% or more of our outstanding voting stock during the past three years, subject to certain exceptions as described in the General Corporation Law of the State of Delaware.
Our second amended and restated bylaws provide that the state or federal courts located within the State of Delaware are the exclusive forum for substantially all disputes between us and our stockholders, which could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us or our directors, officers or employees.
Our second amended and restated bylaws provide that the state or federal courts located within the State of Delaware are the sole and exclusive forum for: (i) any derivative action or proceeding brought on our behalf, (ii) any action asserting a claim of breach of fiduciary duty owed by any of our directors, officers or other employees or stockholders to our stockholders, (iii) any action asserting a claim against us arising pursuant to the General Corporation Law of the State of Delaware, our amended and restated certificate of incorporation or our second amended and restated bylaws or as to which the General Corporation Law of the State of Delaware confers jurisdiction on the Court of Chancery of the State of Delaware, or (iv) any action asserting a claim governed by the internal affairs doctrine. However, this choice of forum provision does not apply to (a) actions in which the Court of Chancery in the State of Delaware concludes that an indispensable party is not subject to the jurisdiction of Delaware courts, or (b) actions in which a federal court has assumed exclusive jurisdiction to a proceeding. This choice of forum provision is not intended to apply to any actions brought under the Securities Act of 1933, as amended (the Securities Act), or the Securities Exchange Act of 1934, as amended (the Exchange Act). Section 27 of the Exchange Act creates exclusive federal jurisdiction over all suits brought to enforce any duty or liability created by the Exchange Act or the rules and regulations thereunder. As a result, the exclusive forum provision will not apply to suits brought to enforce any duty or liability created by the Exchange Act or any other claim for which the federal courts have exclusive jurisdiction This choice of forum provision may limit a stockholder’s ability to bring a claim in a judicial forum that it finds favorable for disputes with us or our directors, officers or other employees or stockholders, which may discourage such lawsuits against us and our directors, officers and other employees or stockholders.

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Furthermore, the enforceability of similar choice of forum provisions in other companies’ certificates of incorporation has been challenged in legal proceedings, and it is possible that a court could find these types of provisions to be inapplicable or unenforceable. If a court were to find the choice of forum provision in our second amended and restated bylaws to be inapplicable or unenforceable in an action, we may incur additional costs associated with resolving such action in other jurisdictions, which could adversely affect our business, financial condition and results of operations.
We may elect not to declare cash dividends on our stock, may elect to only pay dividends on an infrequent or irregular basis, or may elect not to make any additional stock repurchases. As a result, any return on your investment may be limited to the value of our stock. In addition, the payment of any future dividends or the repurchase of our stock might limit our ability to pursue other growth opportunities.
Our Board may from time to time declare, and we may pay, dividends on our outstanding shares in the manner and upon the terms and conditions provided bypermitted under applicable law. However, we may elect to retain all future earnings for the operation and expansion of our business, rather than paying cash dividends on our stock. In addition, under certain circumstances, our Credit Facilitycredit facility may limit our ability to pay cash dividends, as well as repurchase our common stock or make other distributions to shareholders.stockholders. Any payment of cash dividends on our stock will be at the discretion of our Board and will depend upon our results of operations, earnings, capital requirements, financial condition, business prospects, contractual restrictions and other factors deemed relevant by our Board. In addition, our credit facility places limitations on our ability to pay dividends. In the event our Board declares any dividends, there is no assurance with respect to the amount, timing or frequency of any such dividends.
Any repurchase of our common stock under the stock repurchase plan authorized by our Board in July 2018 (2018 RepurchaseJune 2022 (Repurchase Program) will be at the discretion of a committee comprised of our CEO and Chief Financial Officer, and will depend on several factors, including, but not limited to, results of operations, capital requirements, financial conditions, available capital from operations or other sources, including debt, and the market price of our common stock. In addition, on August 16, 2022, the U.S. enacted the Inflation Reduction Act of 2022, which, among other things, imposes an excise tax of 1% tax on the fair market value of net stock repurchases made after December 31, 2022. Therefore, there is no assurance with respect to the amount, price or timing of any such repurchases. We may elect to retain all future earnings for the operation and expansion of our business, rather than repurchasing additional outstanding shares. For additional information related to our 2018 Repurchase Program, please see Note 1719, “Equity”, to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K.
In the event we pay dividends, or make any stock repurchases in the future, our ability to finance any material expansion of our business, including through acquisitions, investments or increased capital spending, or to fund our operations, may be limited. In addition, any repurchases we may make in the future may not prove to be at optimal prices. Our Board may modify or amend the 2018 Repurchase Program, or adopt a new stock repurchase program, at any time at its discretion without stockholder approval.

Environmental, social and corporate governance (ESG) regulations, global climate change, corporate citizenship and related matters may adversely affect our business.
There is an increasing focus on ESG risks. Our customers, including distributors and retail partners have adopted, or may adopt, procurement policies that include ESG provisions that their suppliers or manufacturers must comply with, or they may seek to include such provisions in their terms and conditions. An increasing number of participants in our industries are also joining voluntary ESG groups or organizations. These ESG 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 the outsourced manufacturing of certain components of our products. If we are unable to comply, or are unable to cause our suppliers to comply, with such policies or provisions, a customer may cease purchasing products from us, and may take legal action against us, which could harm our reputation, revenue and results of operations.
Further, increased public awareness and concern regarding global climate change may result in new or enhanced legal requirements. There continues to be a lack of consistent climate legislation, which creates economic and regulatory uncertainty. Such uncertainty may have an impact on our business, from the demand for our products to our costs of compliance in the manufacturing and servicing of our products, all of which may impact our results of operations. In addition, climate change initiatives and legislation could also disrupt our operations by impacting the availability and cost of materials within our supply chain, and could also increase insurance and other operating costs. In addition, the SEC has announced proposed rules that, among other matters, will establish a framework for reporting climate related risks. To the extent that any proposed rules impose additional reporting obligations, we could face increased costs. Separately, the SEC has also announced that it is scrutinizing existing climate change related disclosures in public filings, increasing the potential for enforcement if the SEC were to allege our existing climate disclosures are misleading or deficient.
Investors, stockholders, consumers, customers, suppliers and other third-parties are increasingly focusing on ESG and corporate social responsibility endeavors and reporting and transparency. Certain institutional investors, investment funds, other influential investors, customers, suppliers and other third-parties are also increasingly focused on ESG practices. If we do not adapt to or comply with evolving investor or stakeholder expectations and standards, or if we are perceived to have not responded appropriately, we may suffer from reputational damage and our business, financial condition and/or stock price may be materially and adversely affected. Further, this increased focus on ESG issues may result in new regulations and/or third-party requirements that could adversely impact our business or certain shareholders reducing or eliminating their holdings of our stock, causing our stock price to decline.
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ITEM 1B.     UNRESOLVED STAFF COMMENTS
ITEM 1B.UNRESOLVED STAFF COMMENTS
None.
ITEM 2.     PROPERTIES
Our U.S. corporate headquarters is located in Irvine, California. We manage our global operation based on two reporting segments. We own twoand or lease facilities in Irvine, California with combined square footage of approximately 314,400globally that house our corporate headquarters and the majority of our U.S.are utilized for research and development, activities. We also own approximately 86,500 square feet of property in Hudson, New Hampshire, which is used to develop and manufacture advanced light emitting diodes and other advanced component-level technologies, as well as warehousing andengineering, sales, administrative, operations.
We continue to lease and occupy various other buildings in Irvine, California approximating a total of 105,800 square feet for product manufacturing, warehousing, distribution and sales support operations. These leases expire from December 2019 through December 2026. We also operate two separate facilities in Mexicali and San Luis Rio Colorado, Mexico with combined square footagewarehousing. The following is a summary of approximately 216,900 square feet, which are used to manufacture our products under a shelter labor agreement with Industrial Vallera de Mexicali, S.A. de C.V. (IVEMSA). IVEMSA leases these manufacturing facilities directly from the owners of the properties under separate agreements that are guaranteed by us. These leases expire in June 2021.largest facilities:
LocationOwnership Status
(Owned/Leased)
Approximate
Square Footage
Lease TermBusiness SegmentPrimary Usage
Fukushima, JapanOwned358,000N/ANon-healthcareManufacturing and distribution
Irvine, CaliforniaOwned314,000N/AHealthcareExecutive offices, engineering, research and development
Mexicali, MexicoLeased266,000June 2024, August 2024HealthcareManufacturing, warehousing and distribution
Irvine, CaliforniaLeased230,000August 2025, November 2026, January 2032HealthcareSales and administrative, warehousing, manufacturing and distribution
Memphis, TennesseeLeased180,000January 2027Non-healthcareWarehousing and distribution
Worthing, United KingdomLeased151,000August 2036Non-healthcareWarehousing, manufacturing and distribution
Zhuhai, ChinaLeased142,000May 2026Non-healthcareManufacturing, warehousing and distribution
Kawasaki, JapanLeased115,000September 2024Non-healthcareManufacturing and distribution
Hudson, New HampshireOwned87,000N/AHealthcareManufacturing, warehousing and distribution
Neuchatel, SwitzerlandOwned79,000N/AHealthcareSales and administrative
San Luis Ray, MexicoLeased68,000June 2024HealthcareManufacturing, warehousing and distribution
Worthing, United KingdomOwned15,000N/ANon-healthcareEngineering, research and development, sales and administrative
We also lease and occupy various other facilities throughout the world to operate our business. We believe that our existing facilities are adequate to meet our needs and that existing needs and future growth can be accommodated by purchasing or leasing alternative or additional space.
ITEM 3.LEGAL PROCEEDINGS
ITEM 3.     LEGAL PROCEEDINGS
The information set forth in Note 2124 to our accompanying consolidated financial statements under the caption “Litigation”“Litigation” included in Part IV, Item 15(a) of this Annual Report on Form 10-K is incorporated herein by reference.
ITEM 4.MINE SAFETY DISCLOSURES
ITEM 4.     MINE SAFETY DISCLOSURES
Not applicable.

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PART II
ITEM 5.MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES
ITEM 5.    MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES
Market Information
Our stock is traded on the Nasdaq Global Select Market under the symbol “MASI”. As of February 12, 2020,January 27, 2023, the closing price of our stock was $181.76$171.39 per share, and the number of stockholders of record, excluding persons whose stock is in nominee or “street name” accounts through brokers, was 19.
Dividend Policy
We have historically not paid dividends to our stockholders. Any determination to declare and pay dividends will be made by our Board and will depend upon our results of operations, earnings, capital requirements, financial condition, business prospects, contractual restrictions and other factors deemed relevant by our Board. In addition, under certain circumstances, our Credit Facilitycredit facility may limit our ability to pay cash dividends. In the event a dividend is declared, there is no assurance with respect to the amount, timing or frequency of any such dividends. The dividend declared in 2012 was deemed to be a special dividend and there is no assurance that special dividends will be declared again during the expected term.
Stock Performance Graph
The following stock performance graph and related information shall not be deemed “soliciting material” or to be “filed” with the SEC, nor shall such information be incorporated by reference into any future filing under the Securities Act or Exchange Act, except to the extent that we specifically incorporate it by reference into such filing.
The following stock performance graph compares total stockholder returns for Masimo Corporationour common stock from January 3, 2015December 30, 2017 through December 28, 201931, 2022 against the Nasdaq Market Composite Index and Nasdaq Medical Equipment Index, assuming a $100 investment made on January 3, 2015.December 30, 2017. Each of the two comparative measures of cumulative total return assumes reinvestment of dividends. The stock performance shown on the graph below is not necessarily indicative of future price performance.

5561


COMPARISON OF 5 YEAR CUMULATIVE TOTAL RETURN*
Among Masimo Corporation, the Nasdaq Market Composite Index, and
the Nasdaq Medical Equipment Index
chart-7ad02a0c28155241929.jpgmasi-20221231_g50.jpg
*$100 invested on 1/3/201512/30/2017 in stock or in index, including reinvestment of dividends. Indexes calculated on month-end basis.
Repurchases and Withholdings of Issuer SecuritiesStock Repurchase Programs
In July 2018,October 2021, our Board approved a new stock repurchase program, authorizing us to purchase up to 3.0 million shares of Directors (Board)our common stock over a period of up to three years (2021 Repurchase Program). The 2021 Repurchase Program became effective in October 2021 upon the expiration of the 2018 Repurchase Program. The 2021 Repurchase Program was completed in May 2022. In June 2022, our Board approved a new stock repurchase program, authorizing us to purchase up to 5.0 million additional shares of itsour common stock over a period of up to three years (Repurchaseon or before December 31, 2027 (2022 Repurchase Program). The 2022 Repurchase Program became effective in September 2018.July 2022. We expect to fund the 2022 Repurchase Program through itsour available cash, cash expected to be generated from future operations, our credit facility and other potential sources of capital. The 2022 Repurchase Program can be carried out at the discretion of a committee comprised of our Chief Executive Officer (CEO)CEO and Chief Financial Officer (CFO)CFO through open market purchases, one or more Rule 10b5-1 trading plans, block trades and privately negotiated transactions. Any repurchases under the Repurchase Plan are subjectNo shares were repurchased pursuant to the availability of stock, general market conditions,2022 Repurchase Program during the trading price of the stock, available capital, alternative uses for capital and our financial performance. During the yearquarter ended December 28, 2019, we repurchased approximately 0.331, 2022. As of December 31, 2022, 5.0 million shares under the Repurchase Program at an average cost of $136.61 per share, totaling approximately $37.6 million. The total remaining shares authorizedremained available for repurchase underpursuant to the 2022 Repurchase Program approximated 4.7 million shares as of December 28, 2019.Program.

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62


Issuer Repurchases and Withholdings of Equity Securities
During the three months ended December 28, 2019, we effected stock repurchases pursuant to the Repurchase Program. Shares repurchased by us or withheld to satisfy tax withholding obligations during each fiscal month of the quarter ended December 28, 2019 were as follows:
Period Total Number
of Shares
Purchased
 Average Price
Paid Per Share
 Total Number of
Shares Purchased
as Part of Publicly
Announced Plans
or Programs
 
Maximum Number
of Shares that May
Yet Be Purchased
Under the Plans or
Programs
(1)
September 29, 2019 to October 26, 2019 
 $
 
 4,791,684
October 27, 2019 to November 23, 2019 66,598
 144.60
 274,914
 4,725,086
November 24, 2019 to December 28, 2019 
 
 
 4,725,086
     Total 66,598
 $144.60
 274,914
 4,725,086
_____________
(1)
In July 2018, our board of directors authorized the Repurchase Program, whereby we may repurchase up to 5.0 million shares of our common stock. The Repurchase Program can be carried out at the discretion of a committee comprised of the Company’s CEO and CFO through open market purchases, one or more Rule 10b5-1 trading plans, block trades and privately negotiated transactions.
During the year ended December 28, 2019,31, 2022, we satisfied certain U.S. federal and state tax withholding obligations due upon the vesting of performance share unitsequity grants by withholding shares of our common stock, with an aggregate fair market value on the date of vesting equal to the tax withholding obligations, from the shares of our common stock actually issued in connection with such award. No shares were withheld to satisfy tax withholding obligations during the quarter ended December 31, 2022. Shares withheld to satisfy tax withholding obligations for the yearyears ended December 28, 201931, 2022 and December 29, 2018January 1, 2022 were as follows (in thousands,millions, except shares withheld and per share amounts):
Three Months EndedYear Ended
December 31,
2022
January 1,
2022(1)
December 31,
2022
January 1,
2022(1)
Shares withheld— 18 112,298 67,704 
Average cost per share$— $276.97 $226.22 $247.10 
Value of shares withheld$— $$25.4 $16.7 
_____________
(1)    Also included here is the option cost due upon the exercise of stock options that was paid by delivering the shares previously owned by the participant.
ITEM 6.     [RESERVED.]
63
  Three Months Ended Year Ended
  December 28,
2019
 December 29
2018
 December 28,
2019
 December 29,
2018
Shares withheld 
 
 1
 2
Average cost per share $
 $
 $105.52
 $86.08
Value of shares withheld $
 $
 $123
 $168


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ITEM 6.SELECTED FINANCIAL DATA
The following tables reflect selected financial data derived from our consolidated financial statements for each of the last five years. The consolidated statement of operations data for the years ended December 28, 2019, December 29, 2018 and December 30, 2017 and the consolidated balance sheet data as of December 28, 2019 and December 29, 2018 were derived from our audited consolidated financial statements included in this Annual Report on Form 10-K. The consolidated statement of operations data for the years ended December 31, 2016 and January 2, 2016, and the consolidated balance sheet data as of December 30, 2017, December 31, 2016 and January 2, 2016 were derived from our audited consolidated financial statements that are not included in this Annual Report on Form 10-K. Historical results are not necessarily indicative of future results.
We adopted Accounting Standards Codification (ASC) Topic 842, Leases (ASC 842), effective December 30, 2018, using the modified retrospective approach and applying the current-period adjustment method of adoption. Pursuant to such adoption method, all periods beginning on or after December 30, 2018 are presented under ASC 842 with a cumulative effect adjustment to the opening balance sheet as of the first day of fiscal year 2019, and all prior period amounts are not adjusted and continue to be reported in accordance with the legacy accounting requirements under ASC Topic 840, Leases. See Note 2 to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K for additional information related to our adoption of this new accounting standard.
The selected financial data set forth below should be read in conjunction with our consolidated financial statements, the related notes and Item 7 - “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included elsewhere in this Annual Report on Form 10-K.
 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 
Year Ended
December 30,
2017
(1)
 
Year Ended
December 31,
2016
(1)
 
Year Ended
January 2,
2016
(1)(2)
 (in thousands, except per share amounts)
Statement of Operations:         
Revenue:         
Product$936,408
 $829,874
 $738,242
 $673,962
 $599,334
Royalty and other revenue1,429
 28,415
 52,006
 38,936
 30,777
Total revenue937,837
 858,289
 790,248
 712,898
 630,111
Cost of goods sold308,665
 283,397
 268,216
 234,560
 220,128
Gross profit629,172
 574,892
 522,032
 478,338
 409,983
Operating expenses:         
Selling, general and administrative314,661
 285,417
 273,011
 254,707
 252,725
Research and development93,295
 81,006
 65,234
 57,686
 56,617
Litigation settlement, award and/or defense costs
 425
 
 (270,000) (19,609)
Total operating expenses407,956
 366,848
 338,245
 42,393
 289,733
Operating income221,216
 208,044
 183,787
 435,945
 120,250
Non-operating income (expense)12,950
 5,732
 2,013
 (2,429) (3,905)
Income before provision for income taxes234,166
 213,776
 185,800
 433,516
 116,345
Provision for income taxes37,950
 20,233
 61,011
 122,419
 34,845
Net income including noncontrolling interests196,216
 193,543
 124,789
 311,097
 81,500
Net income attributable to noncontrolling interests
 
 
 
 (1,800)
Net income attributable to Masimo Corporation stockholders$196,216
 $193,543
 $124,789
 $311,097
 $83,300
          
Net income per common share attributable to Masimo Corporation stockholders(3):
         
Basic$3.67
 $3.70
 $2.42
 $6.28
 $1.62
Diluted$3.44
 $3.45
 $2.23
 $5.85
 $1.55
Weighted-average number of common shares:         
Basic53,434
 52,296
 51,516
 49,530
 51,311
Diluted57,100
 56,039
 55,874
 53,195
 53,707
ITEM 7.     MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

58



 December 28,
2019
 December 29,
2018
 
December 30,
2017
(1)
 
December 31,
2016
(1)
 
January 2,
2016
(1)(2)
 (in thousands)
Balance Sheet Data:         
Cash, cash equivalents and short-term investments$687,687
 $552,490
 $315,302
 $305,970
 $132,317
Working capital823,843
 642,722
 430,041
 289,830
 166,509
Total assets1,396,128
 1,154,818
 905,436
 814,352
 601,735
Total debt
 
 
 71
 185,145
Total equity1,167,874
 969,065
 724,025
 584,177
 275,712
______________
(1)
Certain information presented as of and for the periods ended December 30, 2017 and December 31, 2016 have been previously restated to reflect the full retrospective application of the new revenue accounting standard, Accounting Standards Update (ASU) No. 2014-09, Revenue (Topic 606): Revenue from Contracts with Customers (ASU 2014-09), as of December 31, 2017. Information presented as of and for the period ended January 2, 2016 has not been restated and continues to reflect the prior revenue recognition guidance pursuant to ASC Topic 605, Revenue Recognition.
(2)
Cercacor was consolidated as a variable interest entity within our financial statements for all periods prior to January 3, 2016. Accordingly, all intercompany royalties, option and licensing fees, and other charges between us and Cercacor for such periods have been eliminated in the consolidation. For additional discussion of Cercacor, see Note 3 to our accompanying consolidated financial statements in Part IV, Item 15(a) of this Annual Report on Form 10-K.
(3)
See Note 2 to our accompanying consolidated financial statements in Part IV, Item 15(a) of this Annual Report on Form 10-K for a description of the method used to compute basic and diluted net income per common share.


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ITEM 7.MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
You should read this discussion together with the financial statements, related notes and other financial information included in this Annual Report on Form 10-K. The following discussion may contain predictions, estimates and other forward-looking statements that involve a number of risks and uncertainties, including those discussed under Item 1A—“Risk Factors” and elsewhere in this Annual Report on Form 10-K. These risks could cause our actual results to differ materially from any future performance suggested below.
Executive Overview
We are a global medical technology company thatdedicated to improving lives. In connection with the acquisition of Viper Holdings Corporation d/b/a Sound United, LLC (Sound United), we announced an organizational structure change designed to accelerate our growth strategies and strengthen our focus on patient care, thereby creating two reportable segments: healthcare and non-healthcare.
We commenced reporting under this new structure effective for the quarter ended July 2, 2022. The new non-healthcare segment was created as a result of the Sound United Acquisition. Please see Note 18 “Business Combinations”, accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K.
Healthcare
Our healthcare business develops, manufactures and markets a variety of noninvasive patient monitoring technologies, and hospital automation solutions. Our mission is to improve patient outcomes and reduce the cost of patient care.connectivity solutions, remote monitoring devices and consumer health products. Our patient monitoring solutions generally incorporate a monitor or circuit board, proprietary single-patient use or reusable sensors, software, and/or cables.cables and other services. We provideprimarily sell our healthcare products to hospitals, emergency medical service (EMS) providers, home care providers, physician offices, veterinarians, long-term care facilities physician offices, veterinarians and consumers through our direct sales force, distributors and original equipment manufacturersmanufacturer (OEM) partners. We were incorporated in California in May 1989partners, such as GE Healthcare, Hillrom, Mindray, Philips, Physio-Control and reincorporated in Delaware in May 1996.Zoll, just to name a few.
Our core business ismeasurement technologies are our breakthrough Measure-through Motion and Low Perfusionpulse oximetry, known as Masimo Signal Extraction Technology® (SET®) pulse oximetry. Our product offerings have expanded significantly over the years to also includeoximetry, and advanced rainbow® Pulse CO-Oximetry parameters such as noninvasive monitoring of blood constituents with an optical signature, optical regional oximetry monitoring, electricalhemoglobin (SpHb®), alongside many other modalities, including brain function monitoring, hemodynamic monitoring, regional oximetry, acoustic respiration rate monitoring, capnography and exhaled gas monitoring.monitoring, nasal high-flow respiratory support therapy, patient position and activity tracking and neuromodulation technology solutions.
Our measurement technologies are available on many types of devices, from bedside hospital monitors like the Root® Patient Monitoring and Connectivity Hub, to various handheld and portable devices, and to the tetherless Radius-PPG®, Radius-VSM® and Masimo SafetyNet remote patient surveillance solution. The Masimo Hospital Automation Platform facilitates data integration, connectivity and interoperability through solutions like Patient SafetyNet™(1), Iris, iSirona, Replica® and UniView to facilitate more efficient clinical workflows and to help clinicians provide the best possible care, both in-person and remotely. Leveraging our expertise in hospital-grade technologies, we are also expanding our suite of products intended for use both inside and outside the hospital and products for personal home wellness , including Masimo Sleep, a sleep quality solution, the Radius Tº™, a wireless wearable continuous thermometer, the Radius C® wireless thetherless capnograph and the Masimo W1 a wrist-worn continuous biosensing health watch.
Non-healthcare
Our non-healthcare consumer audio business develops, manufactures, markets, sells and licenses premium and luxury audio sound products and related integration technologies. Our consumer audio products are sold direct-to-consumers or through authorized retailers and wholesalers. We also license certain audio technologies to select luxury automotive manufacturers such as BMW®, Maserati®, McLaren®, Polestar® and Volvo®. In addition, we have developedmaintain partnerships with certain airlines for bespoke headphones, allowing for the Rootbest in-flight audio experience. Our premium and luxury audio business includes iconic brands like Bowers & Wilkins® patient monitoring and connectivity platform, the Radical-7, Denon®, Marantz®, Polk®, Definitive Technology®, Classe®, Boston Acoustics® and Rad-97HEOS® bedsideto meet differentiated consumers wants and portableneeds.
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Outlook and Strategy
We are excited about the long-term prospects of patient monitors and the Radius-7®wearable wireless patient monitor. We have also developedcare, hospital automation and advancing our initiatives of making hospital quality patient monitoring available in the home to meet consumer healthcare and wellness needs. Healthcare ecosystems are rapidly evolving and becoming visibly more interconnected. Accelerated by the need to adapt to the post-pandemic world, more patient care is moving closer to consumers’ homes. The widespread caregiver shortage demands transformative changes in the current healthcare space. Consumers will naturally gravitate toward products that can extend the reach of physicians without any compromise on the quality of care.
We sought differentiated growth opportunities to cross-leverage technologies, bringing our core clinically superior solutions into the “home” and “on-the-go” settings and bringing Sound United’s premium audio and system integration technologies into the hospital to advance hospital automation connectivity and cloud-based technologies. The technology and expertise within Sound United will serve us well as we aim to augment our hospital-to-home strategy, providing innovative solutions such asto improve patient outcomes and reduce the Masimo Patient SafetyNet supplemental remote patient surveillancecost of care. Furthermore, Sound United unlocks access to large, well-established consumer channels by offering us immediate scale with leading retail establishments across the U.S. and monitoring system, which currently allows upEurope. These collaborations will translate into products that broaden our access to 200 patients to be monitored and viewed simultaneously and remotely through a PC-based monitor or by care providers through their pagers, voice-over-IP phones or smartphones; Iris® and Iris Gateway®, which allowuntapped consumer demographics around the transfer of data from Masimo and third-party devices to hospital electronic medical records; and UniView, which provides an integrated display of real-time data from Masimo and third-party devices.world. Please see Part I, Item 1 of this Annual Report on Form 10-K for additional information related to our business, products and technologies.
Adoption of Lease Accounting StandardCOVID-19 Pandemic
Effective December 30, 2018, we adopted ASC Topic 842, Leases (ASC 842). Our adoption of ASC 842 generally resultedThe COVID-19 pandemic continues to create uncertainty in (a) the recognition of lessee right-of-use (ROU) assets forU.S. and around the right to use assets subject to operating leases; (b) the recognition of lessee lease liabilitiesglobe, resulting in both challenges and opportunities for our obligationbusiness. Given the continuing uncertainties related to make payments under operating leases;the COVID-19 pandemic, we cannot predict how it will continue to affect our product demand or our product mix. In addition, the increase in demand we experienced due to the COVID-19 pandemic could result in potential reductions in future demand if our customers have over purchased our products and (c) the acceleration of whenneed to consume their excess inventory before purchasing additional products. Furthermore, we recognize certain revenue and costs as a lessor of equipment providedcontinue to end-user hospitals at no up-front charge under deferred equipment agreements with fixed multi-year sensor purchase commitments. See “Critical Accounting Policies and Estimates” below and Note 2be exposed to potential disruptions to our accompanying consolidated financial statements includedmanufacturing operations and disruptions in the supply of critical manufacturing components and in our workforce as circumstances surrounding the global impact of the COVID-19 pandemic continue to change. As a federal contractor, we expect that our employees are vaccinated per the federal mandate, and current employees and candidates seeking employment with us may be opposed to being vaccinated and may risk possible termination or may seek employment with an employer that is not required to follow the federal mandate. Please see Risks Related to Our Revenues and “Risks Related to our Business and Operations in Part I, Item 11A of this Annual Report on Form 10-K for additional information relatedon potential negative impacts to our adoption of this new accounting standard.us resulting from the COVID-19 pandemic.
Stock Repurchase Program
In July 2018, ourJune 2022, the Board approved a new stock repurchase program, authorizing us to purchase up to 5.0 million shares of our common stock over a period of up to three years (2018on or before December 31, 2027 (2022 Repurchase Program). The 20182022 Repurchase Program may be carried out at the discretion of a committee comprised of our CEO and CFO through open market purchases, one or more Rule 10b5-1 trading plans, block trades and in privately negotiated transactions. For additional information regarding our current and prior stock repurchase programs, see Part II, Item 5 and Note 1719 “Equity” to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K.
CercacorSupply Chain and Inflationary Pressures
Cercacor Laboratories, Inc. (Cercacor) is an independent entity spun off from usUncertainty surrounding macroeconomic factors globally, including with respect to the supply chain environment, inflationary pressures, rising interest rates, labor shortages, and significant disruption in the capital markets, including as a result of the Russia and Ukraine conflict, may result in a recession, which could have a material adverse effect on our stockholders in 1998. Joe Kiani, our Chairman and Chief Executive Officer (CEO), is also the Chairman and CEO of Cercacor. We are a party to a cross-licensing agreementlong-term business. For example, we have experienced supply constraints with Cercacor, which was amended and restated effective January 1, 2007 (the Cross-Licensing Agreement), which governs each party’s rightsregard to certain intellectual property helddigital signal processor chips and other components during the COVID-19 pandemic, which negatively affected our sales during 2022, and may adversely affect our future sales. However, despite on-going supply chain uncertainties, logistical challenges and the global staffing challenges caused by COVID-19, we are optimistic about our long-term growth opportunities in both the two companies. See Note 3healthcare and non-healthcare segments as our broad portfolio of products and solutions are well-suited to address patient and customer needs.
Russian-Ukraine Conflict
In response to the ongoing conflict in Ukraine, we continue to monitor the developing situation with respect to ongoing business in Russia and the Ukraine, and are working on appropriate contingency plans that will support our accompanying consolidated financial statements includeddesire to serve existing patient populations while remaining compliant with all applicable U.S. and EU sanctions and regulations. While Russia and Ukraine do not constitute a material portion of our business, a significant escalation or expansion of economic disruption or the conflict’s current scope could have an impact on our business. In the interim, order acceptance for these countries has been halted. For the year ended December 31, 2022, sales derived from customers based in Part IV, Item 15(a)Russia represented an immaterial percentage of this Annual Report on Form 10-K for additional information related to Cercacor.

our total revenue.
60
65


Results of Operations
The following table sets forth, for the periods indicated, our results of operations expressed as U.S. Dollar amounts and as a percentage of revenue.revenue:
Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
Amount
(in millions)
% of RevenueAmount
(in millions)
% of Revenue
Amount 
% of
Revenue
 Amount % of
Revenue
 Amount % of
Revenue
(dollars in thousands)
Revenue:           
Product$936,408
 99.8% $829,874
 96.7% $738,242
 93.4%
Royalty and other revenue1,429
 0.2
 28,415
 3.3
 52,006
 6.6
Total revenue937,837
 100.0
 858,289
 100.0
 790,248
 100.0
RevenueRevenue$2,035.8 100.0 %$1,239.2 100.0 %
Cost of goods sold308,665
 32.9
 283,397
 33.0
 268,216
 33.9
Cost of goods sold977.0 48.0 430.8 34.8 
Gross profit629,172
 67.1
 574,892
 67.0
 522,032
 66.1
Gross profit1,058.8 52.0 808.4 65.2 
Operating expenses:           Operating expenses:
Selling, general and administrative314,661
 33.6
 285,417
 33.3
 273,011
 34.5
Selling, general and administrative657.4 32.3 395.4 31.9 
Research and development93,295
 9.9
 81,006
 9.4
 65,234
 8.3
Research and development191.4 9.4 137.2 11.1 
Litigation settlement, award and/or defense costs
 
 425
 
 
 
Total operating expenses407,956
 43.5
 366,848
 42.7
 338,245
 42.8
Total operating expenses848.8 41.7 532.6 43.0 
Operating income221,216
 23.6
 208,044
 24.2
 183,787
 23.3
Operating income210.0 10.2 275.8 22.2 
Non-operating income12,950
 1.4
 5,732
 0.7
 2,013
 0.3
Non-operating lossNon-operating loss(16.6)(0.8)(1.4)(0.1)
Income before provision for income taxes234,166
 25.0
 213,776
 24.9
 185,800
 23.5
Income before provision for income taxes193.4 9.5 274.4 22.1 
Provision for income taxes37,950
 4.0
 20,233
 2.4
 61,011
 7.7
Provision for income taxes49.9 2.5 44.8 3.6 
Net income$196,216
 20.9% $193,543
 22.5% $124,789
 15.8%Net income$143.5 7.0 %$229.6 18.5 %
Comparison of the Year ended December 28, 201931, 2022 to the Year ended December 29, 2018January 1, 2022
Revenue. Total revenueRevenue increased $79.5$796.6 million, or 9.3%64.3%, to $937.8$2,035.8 million for the year ended December 28, 2019,31, 2022, from $858.3$1,239.2 million for the year ended December 29, 2018.January 1, 2022. Contributing to the increase in revenue was approximately $695.5 million, or 34.2%, from the Sound United Acquisition and approximately $101.1 million, or 8.2%, as compared to the year ended January 1, 2022, from our healthcare business.
Revenue by segment: Revenue by segment is comprised of healthcare and non-healthcare segments. The healthcare segment consists of professional healthcare and consumer health products and services. The non-healthcare segment consists of consumer audio and related products and services. The following table details our total product revenues by the geographic area to which the products were shippedsegment for fiscal years 2019 and 2018 (dollars in thousands):
 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 
Increase/
(Decrease)
 
Percentage
Change
United States (U.S.)$636,371
 68.0% $566,816
 68.3% $69,555
 12.3 %
Europe, Middle East and Africa183,363
 19.6
 160,910
 19.4
 22,453
 14.0
Asia and Australia87,961
 9.4
 75,534
 9.1
 12,427
 16.5
North and South America (excluding U.S.)28,713
 3.0
 26,614
 3.2
 2,099
 7.9
Total product revenue$936,408
 100.0% $829,874
 100.0% $106,534
 12.8 %
Royalty and other revenue1,429
   28,415
   (26,986) (95.0)%
Total revenue$937,837
   $858,289
   $79,548
  

Product revenues increased $106.5 million, or 12.8%, to $936.4 million foreach of the year ended December 28, 2019 from $829.9 million for the year ended December 29, 2018. This31, 2022 and January 1, 2022:
Segment Revenue
( in millions, except percentages)
Year Ended
December 31,
2022
Year Ended
January 1,
2022
Increase/
(Decrease)
Percentage
Change
Healthcare$1,340.3 65.8 %$1,239.2 100.0 %$101.1 8.2 %
Non-healthcare695.5 34.2 — — 695.5 100.0 
Revenue by segment$2,035.8 100.0 %$1,239.2 100.0 %$796.6 64.3 %

The increase in healthcare segment revenue was primarily due to higher revenue from consumables, parameters and monitors, including approximately $10.2 million of net accelerated revenue pursuant to ASC 842. Partially offsetting this increaseservices, which was partially offset by the impact of approximately $6.7 million of unfavorable foreign exchange rate movements from the prior year that decreased the U.S. Dollar translation of foreign sales that were denominated in various foreign currencies. Revenue generated through our direct and distribution sales channels increased $93.6 million, or 8.5%, to $1,192.7 million for the year ended December 31, 2022, compared to $1,099.1 million for the year ended January 1, 2022. Revenues from our OEM channel increased $7.5 million, or 5.4%, to $147.6 million for the year ended December 31, 2022 as compared to $140.1 million for the year ended January 1, 2022.
During the year ended December 28, 2019,31, 2022, we shipped approximately 246,200307,600 noninvasive technology boards and monitors, an increase of approximately 14,50018,600 units, or 6.3%, from approximately 231,700 units shipped during6.4% over the year ended December 29, 2018.

January 1, 2022.
61
66


ProductThe non-healthcare revenue generated through our direct and distributionsegment is a new reportable segment resulting from the Sound United Acquisition. The non-healthcare segment saw strong demand for consumer audio products, which was partially offset by the impact of unfavorable foreign exchange rate movements from the prior year that decreased the U.S. Dollar translation of foreign sales channels increased $98.2 million, or 13.7%, to $816.8 million for the year ended December 28, 2019, compared to $718.6 million for the year ended December 29, 2018. Revenues from our OEM channel increased $8.3 million, or 7.5%, to $119.6 million for the year ended December 28, 2019 as compared to $111.3 million for the year ended December 29, 2018.
Royalty and other revenue historically consisted primarily of royalties received from Medtronic plc (Medtronic) and revenue from non-recurring engineering services for a certain OEM customer. For the year ended December 28, 2019, royalty and other revenue decreased $27.0 million, or 95.0%, to $1.4 million from $28.4 million for the year ended December 29, 2018, primarily due to lower royalties from Medtronic as a result of the expiration of their obligation to pay us sales-based royalties after October 6, 2018. We received our final royalty payment from Medtronic during the three months ended March 30, 2019. We currently do not expect any significant royalty or other revenuethat were denominated in the future.various foreign currencies.
Gross Profit. Gross profit consists of total revenue less cost of goods sold. Our gross profit for fiscal years 2019 and 2018 was as follows (dollars in thousands):
 Gross Profit
 Year Ended
December 28,
2019
 Percentage of
Net Revenues
 Year Ended
December 29,
2018
 
Percentage of
Net Revenues
 Increase/
(Decrease)
 Percentage
Change
Product gross profit$627,911
 67.1% $547,188
 65.9% $80,723
 14.8 %
Royalty and other revenue gross profit1,261
 88.2
 27,704
 97.5
 (26,443) (95.4)
Total gross profit$629,172
 67.1% $574,892
 67.0% $54,280
 9.4 %
Cost of goods sold includes labor, material, overhead and other similar costs related to the production, supply, distribution and support of our productsproducts. Our gross profit for the years ended December 31, 2022 and January 1, 2022 were as follows:
Gross Profit
(in millions, except percentages)
Year Ended
December 31,
2022
Percentage of
 Revenues
Year Ended
January 1,
2022
Percentage of
 Revenues
Increase/
(Decrease)
Percentage
Change
$1,058.852.0%$808.465.2%$250.431.0%
Gross profit as a percentage of revenue decreased to 52.0% for the renderingyear ended December 31, 2022, from 65.2% for the year ended January 1, 2022, primarily due to change in product revenue mix from the inclusion of non-recurring engineering (NRE) services.non-healthcare product sales. Cost of goods sold increased $25.3$546.2 million to $308.7$977.0 million for the year ended December 28, 2019,31, 2022, from $283.4430.8 million for the year ended December 29, 2018,January 1, 2022, primarily due to higher product sales volumematerial, manufacturing and a netdistribution costs associated with the overall increase in sales, the impact of the higher proportion of these types of costs inherent in the newly added non-healthcare segment and transaction costs incurred related to leased equipment pursuant to our recent adoptionthe Sound United Acquisition. Also impacting the increase in cost of ASC 842 of approximately $5.0 million, which was partially offset by lower costs of materials, increased leverage of our fixed production costs and lower inventory valuation reserves. Product gross margins increased to 67.1% for the year ended December 28, 2019 from 65.9% for the year ended December 29, 2018, primarily due to favorable customer and product mix, manufacturing cost improvements and lower inventory valuation reserves. Royalty and other revenue gross profit decreased by $26.4 million for the year ended December 28, 2019 comparedgoods sold are various expense inefficiencies related to the year ended December 29, 2018, due to lower royalties from Medtronic as a result ofcontinued global supply chain constraints in the expiration of their obligation to pay us royalties after October 6, 2018.current logistics environment.
Selling, General and Administrative. Selling, general and administrative expenses consist primarily of salaries, stock-based compensation and related expenses for sales, marketing and administrative personnel, sales commissions, advertising and promotion costs, professional fees related to legal, accounting and other outside services, public company costs and other corporate expenses. Selling, general and administrative expenses for fiscalthe years 2019ended December 31, 2022 and 2018January 1, 2022 were as follows (dollars in thousands):follows:
Selling, General and Administrative
Year Ended
December 28,
2019
Percentage of
Net Revenues
Year Ended
December 29,
2018
Percentage of
Net Revenues
Increase/
(Decrease)
Percentage
Change
$314,66133.6%$285,41733.3%$29,24410.2%
Selling, General and Administrative
(in millions, except percentages)
Year Ended
December 31,
2022
Percentage of
 Revenues
Year Ended
January 1,
2022
Percentage of
 Revenues
Increase/
(Decrease)
Percentage
Change
$657.432.3%$395.431.9%$262.066.3%
Selling, general and administrative expenses increased $29.2$262.0 million, or 10.2%66.3%, to $314.7$657.4 million for the year ended December 28, 201931, 2022 from $285.4$395.4 million for the year ended December 29, 2018. January 1, 2022. This increase was primarily attributable to the Sound United Acquisition in the form of higher payroll-relatedcompensation and other employee-related costs of approximately $18.4$77.2 million, higher legal and professional fees of approximately $3.0$47.5 million, higher advertising and marketing-related expenses of approximately $43.9 million, higher occupancy and other office-related costs of approximately $38.1 million and higher acquisition and strategic investment-relatedtransaction-related costs of approximately $3.2$34.6 million. In addition, during the year ended December 29, 2018, we recovered approximately $2.2 million in previously paid medical device excise taxes and realized approximately $2.0 million in bad debt recoveries related to proceedings against a foreign agent.
Approximately $30.5 million and $21.4 million of stock-based compensation expense was included in selling, general and administrative expenses for the years ended December 28, 2019 and December 29, 2018, respectively. The increase in stock-based compensation expense during the year ended December 28, 2019 was due to both the composition of the equity awards granted and a significant increase in the fair market value of our stock from the prior year that increased the value of the equity awards granted during the year. See Note 18 to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K for additional information on our stock-based compensation programs.

62



Research and Development. Research and development expenses consist primarily of salaries, stock-based compensation and related expenses for engineers and other personnel engaged in the design and development of our products. These expenses also include third-party fees paid to consultants, prototype and engineering supply expenses and the costs of clinical trials. Research and development expenses for fiscalthe years 2019ended December 31, 2022 and 2018January 1, 2022 were as follows (dollars in thousands):follows:
Research and Development
Year Ended
December 28,
2019
Percentage of
Net Revenues
Year Ended
December 29,
2018
Percentage of
Net Revenues
Increase/
(Decrease)
Percentage
Change
$93,2959.9%$81,0069.4%$12,28915.2%
Research and Development
(in millions, except percentages)
Year Ended
December 31,
2022
Percentage of
 Revenues
Year Ended
January 1,
2022
Percentage of
 Revenues
Increase/
(Decrease)
Percentage
Change
$191.49.4%$137.211.1%$54.239.5%
Research and development expenses increased $12.3$54.2 million, or 15.2%39.5%, to $93.3$191.4 million for the year ended December 28, 201931, 2022 from $81.0$137.2 million for the year ended December 29, 2018, primarily due to increases in payroll-related costs of approximately $8.6 million, higher information technology and systems allocations of $1.0 million, higher occupancy-related costs of $1.0 million and higher engineering project expenses of approximately $0.8 million.
Included in research and development expenses was approximately $8.3 million and $5.7 million of stock-based compensation expense for the years ended December 28, 2019 and December 29, 2018, respectively. The increase in stock-based compensation expense during the year ended December 28, 2019 wasJanuary 1, 2022, primarily due to the increaseSound United Acquisition in the fair market valueform of our stock from the prior year that increased the valuehigher compensation and employee-related costs of the equity awards granted during the year. See Note 18 to our accompanying consolidated financial statements included in Part IV, Item 15(a)approximately $29.3 million, higher engineering project costs of this Annual Report on Form 10-K for additional information on our stock-based compensation programs.approximately $13.2 million, higher occupancy and other office-related costs of approximately $4.2 million and higher professional fees of approximately $1.1 million.
67

Non-operating IncomeLoss. Non-operating incomeloss consists primarily of interest income, interest expense and foreign exchange gains and losses. Non-operating incomeloss for fiscalthe years 2019ended December 31, 2022 and 2018January 1, 2022 was as follows (dollars in thousands):follows:
Non-operating Income
Year Ended
December 28,
2019
Percentage of
Net Revenues
Year Ended
December 29,
2018
Percentage of
Net Revenues
Increase/
(Decrease)
Percentage
Change
$12,9501.4%$5,7320.7%$7,218125.9%
Non-operating Loss
(in millions, except percentages)
Year Ended
December 31,
2022
Percentage of
 Revenues
Year Ended
January 1,
2022
Percentage of
 Revenues
Increase/
(Decrease)
Percentage
Change
$(16.6)(0.8)%$(1.4)(0.1)%$(15.2)1,085.7%
Non-operating incomeloss was $13.0$16.6 million for the year ended December 28, 2019, as31, 2022 compared to $5.7$1.4 million of non-operating incomeloss for the year ended December 29, 2018.January 1, 2022. This net increase of approximately $7.2$15.2 million was primarily due to approximately $5.7$1.8 million of interest income on cash deposits in higher interest income. In addition, we recognizedcombination with approximately $0.6$7.2 million of net realized and unrealized losses on foreign currency denominated transactions, which were offset by interest expense incurred under our credit facility of approximately $25.7 million during the year ended December 28, 2019, as compared to approximately $2.0 million of net realized and unrealized losses on foreign currency denominated transactions during the year ended December 29, 2018.31, 2022.
Provision for Income Taxes. Our provision for income taxes for fiscalthe years 2019ended December 31, 2022 and 2018 wasJanuary 1, 2022 were as follows (dollars in thousands):follows:
Provision for Income Taxes
Year Ended
December 28,
2019
Percentage of
Net Revenues
Year Ended
December 29,
2018
Percentage of
Net Revenues
Increase/
(Decrease)
Percentage
Change
$37,9504.0%$20,2332.4%$17,71787.6%
Provision for Income Taxes
(in millions, except percentages)
Year Ended
December 31,
2022
Percentage of
 Revenues
Year Ended
January 1,
2022
Percentage of
 Revenues
Increase/
(Decrease)
Percentage
Change
$49.92.5%$44.83.6%$5.111.4%
Our provision for income taxes was $38.0$49.9 million for the year ended December 28, 201931, 2022 compared to $20.2$44.8 million for the year ended December 29, 2018.January 1, 2022. Our effective tax rate was 16.2%25.8% for the year ended December 28, 201931, 2022 compared to 9.5%16.3% for the year ended December 29, 2018.January 1, 2022. This increase in our effective tax rate for the year ended December 28, 201931, 2022 resulted primarily from aan decrease in the amount of excess tax benefits realized from stock-based compensation pursuant to ASUAccounting Standards Update (ASU) No. 2016-09, Compensation—Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting (ASU 2016-09), of approximately $6.3$14.0 million compared to the year ended December 29, 2018.January 1, 2022.

63



We have made no provision for U.S. income taxes or foreign withholding taxes on approximately $97.0$322.6 million in accumulated earnings from our foreign subsidiaries as we expect that such amounts will continue to be indefinitely reinvested in operations outside the U.S. Our effective tax rate was lower than the U.S. federal statutory rate primarily due to a portion of our earnings being generated from countries other than the U.S., where such earnings are generally subject to lower tax rates than the U.S., excess tax benefits from U.S. stock-based compensation and research and development tax credits. While we expect our worldwide consolidated effective tax rate will continue to be lower than the U.S. federal statutory rate, our actual future effective income tax rate will depend on various factors, including the geographic composition of our pre-tax income, the amount of excess tax benefits realized from U.S. stock-based compensation, the amount of our research and development tax credits, the deductibility of executive compensation, changes in tax laws, changes in deferred tax asset valuation allowances and the recognition and derecognition of tax benefits associated with uncertain tax positions.
Comparison of the Year ended December 29, 2018January 1, 2022 to the Year ended December 30, 2017January 2, 2021
Revenue. Total revenue increased $68.0 million, or 8.6%, to $858.3 millionFor a discussion regarding our financial condition and results of operations for the year ended December 29, 2018, from $790.2 million for the year ended December 30, 2017.The following table details our total product revenues by the geographic area to which the products were shipped for fiscal years 2018 and 2017 (dollars in thousands):
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
 Increase/
(Decrease)
 Percentage Change
United States (U.S.)$566,816
 68.3% $502,983
 68.1% $63,833
 12.7 %
Europe, Middle East and Africa160,910
 19.4
 138,689
 18.8
 22,221
 16.0
Asia and Australia75,534
 9.1
 72,434
 9.8
 3,100
 4.3
North and South America (excluding U.S.)26,614
 3.2
 24,136
 3.3
 2,478
 10.3
Total product revenue$829,874
 100.0% $738,242
 100.0% $91,632
 12.4 %
Royalty and other revenue28,415
   52,006
   (23,591) (45.4)%
Total revenue$858,289
   $790,248
   $68,041
  
Product revenues increased $91.6 million, or 12.4%, to $829.9 million for the year ended December 29, 2018 from $738.2 million for the year ended December 30, 2017. This increase was primarily due to higher sales of our sensor products resulting from an increase in our installed base of circuit boards and monitors, an increase in sales of parameter licensesJanuary 1, 2022 as well as higher sales of circuit boards, monitoring equipment and parameter licenses. Included in our product revenue growth was approximately $4.0 million of favorable foreign exchange rate movements from the prior year period that increased the U.S. Dollar translation of foreign sales that were denominated in various foreign currencies. During the year ended December 29, 2018, we shipped approximately 231,700 noninvasive technology boards and monitors, an increase of approximately 28,700 units, or 14.1%, from approximately 203,000 units shipped during the year ended December 30, 2017.
Product revenue generated through our direct and distribution sales channels increased $73.9 million, or 11.5%, to $718.6 million for the year ended December 29, 2018, compared to $644.7 million for the year ended December 30, 2017. Revenues from our OEM channel increased $17.7 million, or 18.9%, to $111.3 million for the year ended December 29, 2018 as compared to $93.6 million for the year ended December 30, 2017.
For the year ended December 29, 2018, royalty and other revenue decreased $23.6 million or 45.4%, to $28.4 million from $52.0 million for the year ended December 30, 2017, primarily due to the completion of the majority of our contracted NRE services in the prior year. In addition, Medtronic was no longer required to pay sales-based royalties to us after October 6, 2018.
Gross Profit. Gross profit consists of total revenue less cost of goods sold. Our gross profit for fiscal years 2018 and 2017 was as follows (dollars in thousands):
 Gross Profit
 Year Ended
December 29,
2018
 
Percentage of
Net Revenues
 Year Ended
December 30,
2017
 
Percentage of
Net Revenues
 Increase/
(Decrease)
 Percentage
Change
Product gross profit$547,188
 65.9% $473,647
 64.2% $73,541
 15.5 %
Royalty and other revenue gross profit27,704
 97.5
 48,385
 93.0
 (20,681) (42.7)
Total gross profit$574,892
 67.0% $522,032
 66.1% $52,860
 10.1 %

64



Cost of goods sold increased $15.2 million to $283.4 million for the year ended December 29, 2018, from $268.2 million for the year ended December 30, 2017, primarily due to increased product revenue that was partially offset by improved manufacturing efficiencies and product cost reductions. Product gross margins increased to 65.9% for the year ended December 29, 2018 from 64.2% for the year ended December 30, 2017. This increase in product gross margin was primarily due to improved manufacturing efficiencies and product cost reductions. Royalty and other revenue gross profit decreased by $20.7 million for the year ended December 29, 2018 compared to the year ended December 30, 2017, primarily dueJanuary 2, 2021, refer to lower NRE service revenuethe discussion under the heading “Comparison of the Year ended January 1, 2022 to the Year ended January 2, 2021” in the current year.
Selling, General and Administrative. Selling, general and administrative expenses for fiscal years 2018 and 2017 were as follows (dollarsItem 7, which should be read in thousands):
Selling, General and Administrative
Year Ended
December 29,
2018
Percentage of
Net Revenues
Year Ended
December 30,
2017
Percentage of
Net Revenues
Increase/
(Decrease)
Percentage
Change
$285,41733.3%$273,01134.5%$12,4064.5%
Selling, general and administrative expenses increased $12.4 million, or 4.5%, to $285.4 million for the year ended December 29, 2018 from $273.0 million for the year ended December 30, 2017. This net increase was primarily attributable to higher payroll-related costsconjunction with Item 7, in each case, of approximately $24.2 million, higher GPO fees and third-party commission expenses of approximately $2.8 million and higher charitable donations of approximately $2.6 million. These increased expenses were partially offset by lower legal expenses of approximately $2.7 million and the non-recurrence of a net charge of approximately $10.5 million recorded during the year ended December 30, 2017 related to an arbitration proceeding that we initiated against a former appointed foreign agent, and a $2.0 million partial recovery against such charge during the year ended December 29, 2018. See Note 21 to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K for additional information on the status of this arbitration proceeding.
Approximately $21.4 million and $13.3 million of stock-based compensation expense was included in selling, general and administrative expenses for the years ended December 29, 2018 and December 30, 2017, respectively. The increase in stock-based compensation expense during the year ended December 29, 2018 was due to bothJanuary 1, 2022, filed with the composition of the equity awards grantedSEC on February 16, 2022.
Liquidity and a significant increase in the fair market value of our stock from the prior year that increased the value of the equity awards granted during the year. See Note 18 to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K for additional information on our stock-based compensation programs.
Research and Development. Research and development expenses for fiscal years 2018 and 2017 were as follows (dollars in thousands):
Research and Development
Year Ended
December 29,
2018
Percentage of
Net Revenues
Year Ended
December 30,
2017
Percentage of
Net Revenues
Increase/
(Decrease)
Percentage
Change
$81,0069.4%$65,2348.3%$15,77224.2%
Research and development expenses increased $15.8 million, or 24.2%, to $81.0 million for the year ended December 29, 2018 from $65.2 million for the year ended December 30, 2017. This net increase was due primarily to increases in payroll-related costs of approximately $10.1 million, engineering project costs of approximately $0.8 million and occupancy-related costs of approximately $0.8 million, as well as $3.0 million less in allocations to cost of goods sold due to lower NRE service revenue.
Included in research and development expenses was approximately $5.7 million and $3.6 million of stock-based compensation expense for the years ended December 29, 2018 and December 30, 2017, respectively. The increase in stock-based compensation expense during the year ended December 29, 2018 was primarily due to the increase in the fair market value of our stock from the prior year that increased the value of the equity awards granted during the year. See Note 18 to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K for additional information on our stock-based compensation programs.

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Litigation Settlement, Award and/or Defense Costs. Litigation settlement, award and/or defense costs for fiscal years 2018 and 2017 were as follows (dollars in thousands):
Litigation Settlement, Award and/or Defense Costs
Year Ended
December 29,
2018
Percentage of
Net Revenues
Year Ended
December 30,
2017
Percentage of
Net Revenues
Increase/
(Decrease)
Percentage
Change
$425—%$——%$425100.0%
Litigation settlement, award and/or defense costs was $0.4 million for the year ended December 29, 2018, as compared to zero litigation settlement, award and/or defense costs for the year ended December 30, 2017. This increase relates entirely to a settlement agreement with our former insurance carrier relating to previously advanced defense costs in connection with an employment-related arbitration award.
Non-operating Income. Non-operating income consists primarily of interest income, interest expense and foreign exchange losses. Non-operating income for fiscal years 2018 and 2017 was as follows (dollars in thousands):
Non-operating Income
Year Ended
December 29,
2018
Percentage of
Net Revenues
Year Ended
December 30,
2017
Percentage of
Net Revenues
Increase/
(Decrease)
Percentage
Change
$5,7320.7%$2,0130.3%$3,719184.7%
Non-operating income was $5.7 million for the year ended December 29, 2018, as compared to $2.0 million of non-operating income for the year ended December 30, 2017. This net increase of approximately $3.7 million was primarily due to approximately $5.2 million in higher interest income. In addition, we recognized approximately $2.0 million of net realized and unrealized losses on foreign currency denominated transactions during the year ended December 29, 2018, as compared to $0.3 million of net realized and unrealized losses on foreign currency denominated transactions during the year ended December 30, 2017.
Provision for Income Taxes. Our provision for income taxes for fiscal years 2018 and 2017 was as follows (dollars in thousands):
Provision for Income Taxes
Year Ended
December 29,
2018
Percentage of
Net Revenues
Year Ended
December 30,
2017
Percentage of
Net Revenues
Increase/
(Decrease)
Percentage
Change
$20,2332.4%$61,0117.7%$(40,778)(66.8)%
Our provision for income taxes was $20.2 million for the year ended December 29, 2018 compared to $61.0 million for the year ended December 30, 2017. Our effective tax rate was 9.5% for the year ended December 29, 2018 compared to 32.8% for the year ended December 30, 2017. This decrease in our effective tax rate was primarily due to discrete charges of $43.5 million during the year ended December 30, 2017 for the estimated impact of the Tax Cuts and Jobs Act of 2017 that was signed in to law on December 22, 2017 (2017 Tax Act), and our related decision to repatriate up to $180.0 million of accumulated undistributed foreign earnings. During the year ended December 29, 2018, we recorded a tax benefit of approximately $5.0 million related to the derecognition of uncertain tax positions due to the expiration of the statutes of limitations. Partially offsetting these decreases to our effective tax rate were lower tax benefits for stock-based compensation of approximately $22.0 million for the year ended December 29, 2018 as compared to $39.2 million for the year ended December 30, 2017. See Note 20 to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K for additional information related to the impact of the 2017 Tax Act on our tax provision and tax rate for the years ended December 29, 2018 and December 30, 2017.
Our effective tax rate was lower than the U.S. federal statutory rate primarily due to a portion of our earnings being generated from countries other than the U.S., where such earnings are generally subject to lower tax rates than the U.S., excess tax benefits from U.S. stock-based compensation and research and development tax credits.

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LiquidityCapital Resources
Our principal sources of liquidity consist of our existing cash and cash equivalent balances, short-term investments, future funds expected to be generated from operations and available borrowing capacity under our credit facility. As of December 28, 2019,31, 2022, we had approximately $823.8$678.6 million in working capital, of which approximately $567.7$202.9 million inwas cash and cash equivalents andequivalents. In addition to net working capital, we had approximately $120.0$52.1 million in short-term investmentsof available borrowing capacity (net of outstanding letters of credit) under our credit facility as compared to approximately $642.7$970.8 million in working capital and approximately $552.5$745.3 million in cash and cash equivalents at December 29, 2018. Our short-term investments consist entirelyJanuary 1, 2022.
We currently maintain a credit facility which provides $705.0 million of certificatesunsecured borrowings. The credit facility also provides for a sublimit of deposits maturingup to $50.0 million for the issuance of letters of credit. Proceeds from the credit facility are being used for general corporate, capital investment and expenditures and working capital needs. For additional information regarding the credit facility, see Note 15 to our accompanying consolidated financial statements included in one year or less. We carry cash equivalents and short term investments at cost that approximates fair value.Part IV, Item 15(a) of this Annual Report on Form 10-K.
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In managing our day-to-day liquidity and capital structure, we generally do not rely on foreign earnings as a source of funds. As of December 28, 2019,31, 2022, we had cash totaling $108.7$106.6 million held outside of the U.S., of which approximately $83.8$25.7 million was accessible without additional tax cost and approximately $24.9$37.7 million was accessible at an incremental estimated tax cost of up to $0.2 million. The tax cost on the remaining $43.3 million is not determinable at this time. We currently have sufficient domestic funds on-hand and cash held outside the U.S. that is available without additional tax cost to fund our domesticglobal operations. In the event funds that are treated as permanently reinvested are repatriated, we may be required to accrue and pay additional U.S. taxes to repatriate these funds.
Uses of Cash. Our cash requirements depend on numerous factors, including but not limited to market acceptance of our technologies, our continued ability to commercialize new products and to create or improve our technologies and applications, expansion of our global footprint through acquisitions and/or strategic investments in technologies or technology companies, hedging and derivative activities, investments in property and equipment, the renewal of our credit facility, the impact of disruptions to the manufacturing industry supply chain for key components resulting from the COVID-19 pandemic, inflation, repurchases of our stock under our authorized stock repurchase program, costs related to our domestic and international regulatory requirements and other long-term commitment and contingencies. For further details regarding our commitment and contingencies, see Note 24 to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K.
Despite these investment requirements and potential expenditures, we anticipate that our existing cash and cash equivalents, amounts available under our credit facility and cash provided by operations will be sufficient to meet our working capital requirements, capital expenditures and other operational funding needs for the next 12 months and beyond.
Cash Flows
The following table summarizes our cash flows (in thousands):
The following table summarizes our cash flows (in millions):The following table summarizes our cash flows (in millions):
 Year EndedYear Ended
 December 28,
2019
 December 29,
2018
December 31,
2022
January 1,
2022
Net cash provided by (used in):Net cash provided by (used in):   Net cash provided by (used in):
Operating activitiesOperating activities$221,640
 $239,527
Operating activities$29.4 $264.6 
Investing activitiesInvesting activities(197,681) (26,152)Investing activities(1,057.7)(37.5)
Financing activitiesFinancing activities(9,339) 25,780
Financing activities520.4 (122.4)
Effect of foreign currency exchange rates on cashEffect of foreign currency exchange rates on cash814
 (1,997)Effect of foreign currency exchange rates on cash(30.9)(1.3)
Increase in cash, cash equivalents, and restricted cashIncrease in cash, cash equivalents, and restricted cash$15,434
 $237,158
Increase in cash, cash equivalents, and restricted cash$(538.8)$103.4 
Operating Activities. Cash provided by operating activities for the year ended December 28, 201931, 2022 was $221.6$29.4 million andwhich was primarily driven primarily by net income of $196.2$143.5 million. Non-cash activity included stock-based compensation of $39.2 million,This was increased by non-cash activities, including and depreciation and amortization of $23.5$136.1 million and stock-based compensation of $47.7 million, partially offset by a deferred income tax benefit of $6.0$39.3 million. Additional sources of cash related to changesincreases in operating assets and liabilities included increasescash resulted from changes in accounts payable, deferred revenuecosts and other contract-related liabilities,contract assets and accrued compensationlease receivables of $9.9approximately $60.5 million, $7.7$28.1 million and $5.3$12.8 million, respectively, primarily due to the timing of payments. These sources of cashAdditional increases to net income were partially offset by other changes in operating assets, and liabilities related to increasesincluding an increase in accounts receivable, inventories, deferred revenue and lease receivableother contract-related liabilities, income tax payable of $23.6$138.5 million, $155.9 million, $28.1 million and $12.0$3.8 million, respectively, primarily due to the timing of cash receipts, an increase in inventory of $21.3 million, primarily due to the growth in our business and the timing of shipments, and an increasewhich were offset by increases in other current assetsnon-current liabilities of $8.5$4.1 million, primarily due to the timing of various tax payments$16.1 million, $9.3 million, $7.4 million and refunds.$4.9 million, respectively.
Cash provided by operating activities for the year ended December 29, 2018January 1, 2022 was $239.5$264.6 million and was primarily driven primarily by net income of $193.5$229.6 million. Non-cash activity includedThis was increased by non-cash activities, including stock-based compensation of $27.4$44.7 million, and depreciation and amortization of $21.1$35.6 million, andpartially offset by a deferred income tax benefit of $8.3 million.$15.1 million Additional sources of cash related to changesincreases in operating cash resulted from decreases in inventory, accounts payable, accrued liabilities, deferred revenue and other contract-related liabilities, other current assets and liabilities included a decrease in accounts receivableincome tax payable of $10.8$13.5 million, primarily due to the timing of collections, and increases in accrued compensation, accounts payable and other accrued liabilities of $10.2$11.0 million $5.2$7.8 million, $7.1 million, $6.4 million and $3.9$6.4 million, respectively, primarily due to the timing of payments. These sources of cashAdditional increases to net income were partially offset by other changes in operating assets, and liabilities related toincluding an increase in accounts receivable, lease receivables, and deferred cost and other contract assets of goods$60.8 million, $16.1 million and $6.9 million, respectively.
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Investing Activities. Cash used in investing activities for the fiscal year ended December 28, 201931, 2022 was $197.7approximately $1,057.7 million, consisting primarily of $120.0approximately $999.7 million for purchasesbusiness combinations, net of short-term investments, $68.4cash acquired, approximately $52.8 million for purchases of property and equipment, of which $35.6 million related to the purchase of two buildings, $5.2 million related to the acquisition of a strategic investment and $4.1 million for intangible assets related to capitalized patent and trademark costs.

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Cash used in investing activities for the fiscal year ended December 29, 2018 was $26.2 million, consisting primarily of $17.1 million for purchases of property and equipment, $5.6approximately $3.5 million for intangible assets related to capitalized patent and trademark costs and $3.9approximately $1.7 million related to the purchaseacquisition of a private patient monitoring software company.strategic investment.
Cash used in investing activities for the year ended January 1, 2022 was approximately $37.5 million, consisting primarily of approximately $25.5 million for purchases of property and equipment, approximately $9.4 million for intangible assets related to capitalized patent and trademark costs and approximately $2.6 million related to the acquisition of a strategic investment.
Financing Activities. Cash used in financing activities for the fiscal year ended December 28, 201931, 2022 was approximately $520.4 million, consisting primarily of proceeds from borrowings under the line of credit of approximately $1,083.9 million and the issuance of common stock related to employee equity awards of approximately $8.1 million, which were partially offset by the repurchases of our common stock of approximately $401.5 million, repayments under the revolving line of credit of approximately $135.4 million, withholding of shares for employee payroll taxes for vested equity awards of approximately $25.4 million and debt issuance costs of approximately $9.3 million.
Cash used in financing activities for the year ended January 1, 2022 was approximately $122.4 million, resulting primarily from cash paid for common stock repurchase transactions that settled during the year of $37.6approximately $128.9 million, which were partially offset by proceeds from the issuance of common stock (upon exercise of options) of $28.3 million.
Cash provided by financing activities for the fiscal year ended December 29, 2018 was $25.8 million, resulting primarily from proceeds from the issuance of common stock (upon exercise of options) of $44.7 million, which were partially offset by cash paid for common stock repurchase transactions that settled during the year of $18.5approximately $23.2 million.
Capital Resources and Prospective Capital Requirements
We currently maintain a Credit Agreement (Credit Facility) with JPMorgan Chase Bank, N.A., as Administrative Agent and a Lender, and Bank of the West, as a Lender (collectively, the Initial Lenders). The Credit Facility provides for up to $148.3 million of unsecured borrowings, with an option, subject to certain conditions, for us to increase the aggregate borrowing capacity to up to $550.0 million in the future with the Initial Lenders and additional Lenders, as required. The Credit Facility also provides for a sublimit of up to $25.0 million for the issuance of letters of credit and a sublimit of $75.0 million for borrowings in specified foreign currencies. All unpaid principal under the Credit Facility will become due and payable on December 17, 2023. Proceeds from the Credit Facility are expected to be used for general corporate, capital investment and working capital needs. For additional information regarding the Credit Facility, see Note 15 to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K.
In July 2018, our Board approved the 2018 Repurchase Program, authorizing us to purchase up to 5.0 million additional shares of its common stock over a period of up to three years. The 2018 Repurchase Program became effective in September 2018 upon the expiration of our previous repurchase program. For additional information regarding our stock repurchase programs, see Note 17 to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K.
In January 2020, we entered into a definitive agreement for the acquisition of the Connected Care business from NantHealth, Inc. for approximately $47.3 million in cash, subject to certain purchase price adjustments. The transaction closed in February 2020. 
We expect to fund our future operating, investing and financing activities through our available cash, future cash from operations, our Credit Facility and other potential sources of capital. In addition to funding our working capital requirements, we anticipate additional capital expenditures during fiscal year 2020 of approximately $75.0 million, primarily related to investments in infrastructure growth. Possible additional uses of cash may include the acquisition of technologies or technology companies, as well as repurchases of stock under our authorized stock repurchase program. However, any repurchases of stock will be subject to numerous factors, including the availability of our stock, general market conditions, the trading price of our stock, available capital, alternative uses for capital and our financial performance. In addition, the amount and timing of our actual investing activities will vary significantly depending on numerous factors, including the timing and amount of capital expenditures, costs of product development efforts, our timetable for international sales operations and manufacturing expansion, stock repurchase activity and costs related to our domestic and international regulatory requirements. Despite these investment requirements, we anticipate that our existing cash and cash equivalents and amounts available under our new Credit Facility will be sufficient to meet our working capital requirements, capital expenditures and other operational funding needs for at least the next 12 months.
Off-Balance Sheet Arrangements
We do not currently have, nor have we ever had, any relationships with unconsolidated entities or financial partnerships, such as entities referred to as structured finance or special purpose entities, which would have been established for the purpose of facilitating off-balance sheet arrangements or for other contractually narrow or limited purposes. In addition, we do not engage in trading activities involving non-exchange traded contracts. As a result, we are not materially exposed to any financing, liquidity, market or credit risk that could arise if we had engaged in these relationships.

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Contractual Obligations and Commercial Commitments
The following table summarizes our outstanding contractual obligations and commercial commitments as of December 28, 2019 and the effect those obligations are expected to have on our cash liquidity and cash flow in future periods (in thousands). The estimated payments reflected in this table are based on management’s estimates and assumptions about these obligations. As a result, the actual cash outflows in future periods will vary, possibly materially, from those reflected in this table.
 Payments Due By Period
 
Less than
1 Year
 
 Between
1-3 Years
 
 Between
 3-5 Years
 
More than
5 Years
 Total
Operating leases(1)
$5,280
 $5,536
 $3,631
 $9,399
(3) 
$23,846
Purchase commitments(2)(4)
108,400
 
 
 
 108,400
Total contractual obligations$113,680
 $5,536
 $3,631
 $9,399
 $132,246
______________
(1)
Undiscounted lease payments for operating leases.
(2)
Certain inventory items under non-cancellable purchase orders.
(3)
Includes optional renewal periods for certain leases.
(4)
Excludes the purchase commitment of $47.3 million related to the acquisition of NantHealth, Inc.’s Connected Care business pursuant to the definitive agreement executed in January 2020.
Other obligations. As of December 28, 2019, our estimated liabilities related to uncertain tax positions, including interest, were $13.2 million. Due to the high degree of uncertainty regarding the timing of potential cash flows associated with these liabilities, we are unable to make a reasonably reliable estimate of the amounts and periods in which these liabilities might be made.
In addition, we had the following annual minimum royalty commitments to Cercacor, as of December 28, 2019 (in thousands):
 Payments Due By Period
 
Less than
1 Year
 
Between
1-3 Years
 
 Between
3-5 Years
 
More than
5 Years
Minimum royalty commitment to Cercacor(1)
$5,000
 $10,000
 $10,000
 
(1) 
 ______________
(1)
Subsequent to 2022, the royalty arrangement requires a $5.0 million minimum annual royalty payment unless the agreement is amended, restated or terminated.
See Note 3 to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K for additional information related to Cercacor.
Critical Accounting Estimates
Our financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America. The preparation of these financial statements requires management to make estimates and assumptionsjudgements that affect the reported amountamounts of net revenues, expenses, assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amount of revenue and expenses for each reporting period.liabilities. These estimates and assumptionsjudgements are based on historical experience and on various other factors that are believed to be reasonable under the circumstances, and form the basis for making management’s most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effects of matters that are inherently uncertain. Although we regularly evaluate these estimates and assumptions, changes in judgments and uncertainties relating to these estimates could potentially result in materially different results under different assumptions and conditions. If these estimates differ significantly from actual results, the impact to the consolidated financial statements may be material.

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We believe that the critical accounting policies that are the most significant for purposes of fully understanding and evaluating our reported financial results include the following:
Revenue Recognition, Deferred Revenue and Other Contract Liabilities
We derive the majority of our product revenue from four primary sources: (i) direct sales under deferred equipment agreements with end-user hospitals where we provide up-front monitoring equipment at no up-front charge in exchange for a multi-year sensor purchase commitment; (ii) other direct sales of noninvasive monitoring solutions to end-user hospitals, emergency medical response organizations and other direct customers; (iii) sales of noninvasive monitoring solutions to distributors who then typically resell to end-user hospitals, emergency medical response organizations and other customers; and (iv) sales of integrated circuit boards to OEM customers who incorporate our embedded software technology into their multiparameter monitoring devices. Subject to customer credit considerations, the majority of such sales are made on open account using industry standard payment terms based on the geography within which the specific customer is located.
We generally recognize revenue following a single, principles-based five-step model to be applied to all contracts with customers and generally provide for the recognition of revenue in an amount that reflects the consideration to which we expect to be entitled, net of allowances for estimated returns, discounts or sales incentives, as well as taxes collected from customers that are remitted to government authorities, when control over the promised goods or services are transferred to the customer. Revenue related to equipment supplied under sales-type lease arrangements is recognized once control over the equipment is transferred to the customer, while revenue related to equipment supplied under operating-type lease arrangements is generally recognized on a straight-line basis over the term of the lease.
While the majority of our sales transactions contain standard business terms and conditions, there are some transactions that contain non-standard business terms and conditions. As a result, contract interpretation and analysis is required to determine the appropriate accounting, including: (i) the amount of the total consideration, including variable consideration, (ii) whether the arrangement contains an embedded lease, and if so, whether such embedded lease is a sales-type lease or an operating lease, (iii) the identification of the distinct performance obligations contained within the arrangement, (iv) how the arrangement consideration should be allocated to each performance obligation when multiple performance obligations exist, including the determination of standalone selling price, and (v) when to recognize revenue on the performance obligations. Changes in judgments on these assumptions and estimates could materially impact the timing of revenue recognition.
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We enter into agreements to sell our monitoring solutions and services, sometimes as part of arrangements with multiple performance obligations that include various combinations of distinct product sales, equipment leases and services. In the case of contracts with multiple performance obligations, the authoritative guidance provides that the total consideration be allocated to each performance obligation on the basis of relative standalone selling prices. When a standalone selling price is not readily observable, we estimate the standalone selling price by considering multiple factors including, but not limited to, features and functionality of the product, geographies, type of customer, contractual prices pursuant to Group Purchasing Organization (GPO) contracts, our pricing and discount practices, and other market conditions.
Sales under deferred equipment agreements are generally structured such that we agree to provide certain monitoring-related equipment, software, installation, training and/or warranty support at no up-front charge in exchange for the customer’s commitment to purchase sensors over the term of the agreement, which generally ranges from three to six years. We allocate contract consideration under deferred equipment agreements containing fixed annual sensor purchase commitments to the underlying lease and non-lease components at contract inception. In determining whether any underlying lease components are related to a sales-type lease or an operating lease, we evaluate the customer’s rights and ability to control the use of the underlying equipment throughout the contract term, including any equipment substitution rights retained by us, as well as our expectations surrounding potential contract/lease extensions or renewals and the customer’s likelihood to exercise any purchase options. Revenue allocable to non-lease components is generally recognized as such non-lease components are satisfied. Revenue allocable to lease components under sales-type lease arrangements is generally recognized when control over the equipment is transferred to the customer. Revenue allocable to lease components under operating lease arrangements is generally recognized over the term of the operating lease. We generally do not expect to derive any significant value in excess of such asset’s unamortized book value from equipment underlying our operating leases arrangements.
Revenue from direct sales of our products to end-user hospitals, emergency medical response organizations, other direct customers, distributors and OEM customers is generally recognized by us when control of such products transfer to the customer based upon the terms of the contract or underlying purchase order. Revenue related to OEM rainbow® parameter software licenses is recognized by us upon the OEM’s shipment of its product to its customer, as reported to us by the OEM.

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We provide certain customers with various sales incentives that may take the form of discounts or rebates. We estimate and provide allowances for these programs as a reduction to revenue at the time of sale. In general, customers do not have a right of return for credit or refund. However, we allow returns under certain circumstances. At the end of each period, we estimate and accrue for these returns as a reduction to revenue. We estimate the revenue constraints related to these forms of variable consideration based on various factors, including expected purchasing volumes, prior sales and returns history, and specific contractual terms and limitations.
Inventory
Inventories are stated at the lower of cost or net realizable value. Cost is determined using a standard cost method, which approximates FIFO (first-in, first-out).first-in, first-out method and includes material, labor and overhead costs. Inventory valuation reserves are recorded for materials that have become excess or obsolete or are no longer used in current production and for inventory items that hashave a net realizable valuemarket price less than the carrying value in inventory. We generally purchase raw materials in quantities that we anticipate will be fully used within one year. However, changes in operating strategy and customer demand, and frequent unpredictable fluctuations in market values for such materials, can limit our ability to effectively utilize all of the raw materials purchased and sold through resulting finished goods to customers for a profit. We regularly monitor potential inventory excess, obsolescence and lower market values compared to standard costs and, when necessary, reduce the carrying amount of our inventory to its market value.
We determine any required inventory valuation adjustments based on an evaluation of the expected future use of our inventory on an item by item basis. We apply historical obsolescence rates to estimate the loss on inventory expected to have a recovery value below cost. Our historical obsolescence rates are developed from our company specific experience for major categories of inventory, which are then applied to excess inventory on an item by item basis. We also record other specific inventory valuation adjustments when we become aware of other unique events that result in a known recovery value below cost. For inventory items that have been written down, the reduced value becomes the new cost basis. If our assumptions, judgements or estimates for potential inventory losses prove to be too low, our future earnings will be affected when any related additional inventory losses are recorded.
Lessee ROU Assets and Lease Liabilities
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We determine if an arrangement contains a lease at inception. ROU assets represent our right to use an asset underlying an operating lease for the lease term and lease liabilities represent our obligation to make lease payments arising from an operating lease. ROU assets and lease liabilities are recognized at the commencement date based on the present value of lease payments over the lease term. We generally estimate the applicable discount rate used to determine the net present value of lease payments based on available information at the lease commencement date. Many of our lessee agreements include options to extend the lease, which we do not include in our lease terms unless they are reasonably certain to be exercised. We utilize a portfolio approach to account for the ROU assets and liabilities associated with certain equipment leases. We have also made a policy election not to separate lease and non-lease components for our real estate leases and to exclude short-term leases with a term of twelve months or less from our ROU assets and lease liabilities. Rental expense for lease payments related to operating leases is recognized on a straight-line basis over the lease term.
Stock-Based Compensation
Our stock-based compensation awards are currently comprised of stock options, restricted stock units (RSUs) and performance share units (PSUs), all of which are equity-classified awards. For equity-classified awards granted on or after January 1, 2006, we estimate the fair value of the award on the date of grant and expense stock-based compensation over the requisite service period. In the case of PSUs, the amount of expense recognized is also dependent upon the expected achievement level for the specified performance criteria. The fair value of RSU and PSU awards is the closing price of our common stock on the grant date. To calculate the fair value of stock option awards, we use the Black-Scholes option pricing model, which, in addition to the closing price of our stock on the grant date and the option strike price, requires the input of subjective assumptions. These assumptions include the estimated length of time employees will retain their stock options before exercising them (the expected term), the estimated volatility of our stock price over the expected term and the dividend yield on our common stock. We estimate expected term based on both our specific historical option exercise experience, as well as expected term information available from a peer group of companies with similar vesting schedules. The estimated volatility is based on both the historical and implied volatilities of our share price.
Changes in the types and quantity of equity awards, as well as the fair market value of our stock may impact the cost of future stock option grants. In general, to the extent that the fair market value of our stock increases, the overall cost of granting these options will also increase.increase. Any changes in the assumptions, judgments and estimates mentioned above could cause our actual stock-based compensation expense to vary, resulting in changes to future earnings. For further details regarding our stock-based compensation see Note 1820 to our accompanying consolidated financial statements includedincluded in Part IV, Item 15(a) of this Annual Report on Form 10-K.

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Accounting for Income Taxes
We account for income taxes using the asset and liability method, under which we recognize deferred tax assets and liabilities for the future tax consequences attributable to temporary differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and for net operating loss and tax credit carryforwards. A tax position that meets a more-likely-than-not recognition threshold is recognized in the first reporting period that it becomes more-likely-than-not such tax position will be sustained upon examination. A tax position that meets this more-likely-than-not recognition threshold is recorded at the largest amount of tax benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. Previously recognized income tax positions that fail to meet the recognition threshold in a subsequent period are derecognized in that period. Differences between actual results and our assumptions, or changes in our assumptions in future periods, are recorded in the period they become known. We record potential accrued interest and penalties related to unrecognized tax benefits in income tax expense.
As a multinational corporation, we are subject to complex tax laws and regulations in various jurisdictions. The application of tax laws and regulations is subject to legal and factual interpretation, judgment and uncertainty. Tax laws themselves are subject to change as a result of changes in fiscal policy, changes in legislation, evolution of regulations and court rulings. We have concluded all U.S. federal income tax matters for years through 20152018 and all material state, local and foreign income tax matters for years through 2012.2015. Given the foregoing,foregoing, our actual liability for U.S. or foreign taxes may be materially different from our estimates, which could result in the need to record additional liabilities or potentially to reverse previously recorded tax liabilities.
Deferred tax assets (DTA) and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in the period that includes the enactment date. A valuation allowance is recorded against any deferred tax assets when, in the judgment of management, it is more likely than not that all or part of a deferred tax asset will not be realized. In assessing the need for a valuation allowance, we consider all positive and negative evidence, including recent financial performance, scheduled reversals of temporary differences, projected future taxable income, availability of taxable income in carryback periods and tax planning strategies.
Income taxes are highly susceptible to changes from period to period, requiring management to make assumptions about our future income over the lives of our DTAs and the impact of changes in valuation allowances. Any difference in the assumptions, judgments and estimates mentioned above could results in changes to our results of operations.
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Litigation Costs and Contingencies
We record a charge equal to at least the minimum estimated liability for a loss contingency or litigation settlement when both of the following conditions are met: (i) information available prior to issuance of the financial statements indicates that it is probable that a liability had been incurred at the date of the financial statements and (ii) the range of loss can be reasonably estimated. The determination of whether a loss contingency or litigation settlement is probable or reasonably possible involves a significant amount of management judgment, as does the estimation of the range of loss given the nature of contingencies. Liabilities related to litigation settlements with multiple elements are recorded based on the fair value of each element. Legal and other litigation related expenses are recognized as the services are provided. We record insurance and other indemnity recoveries for litigation expenses when both of the following conditions are met: (i) the recovery is probable and (ii) collectability is reasonably assured. The insurance recoveries recorded are only to the extent the litigation costs have been incurred and recognized in the financial statements; however, it is reasonably possible that the actual recovery may be significantly different from our estimates. There are many uncertainties associated with any litigation, and we cannot provide assurance that any actions or other third-party claims against us will be resolved without costly litigation or substantial settlement charges. If any of those events were to occur, our business, financial condition and results of operations could be materially and adversely affected.
Business Combinations
We account for business combinations using the acquisition method of accounting, which requires that once control is obtained, all the assets acquired, liabilities assumed and noncontrolling interest in the acquired entity, if applicable, are recorded at their respective fair values at the date of acquisition. The determination of fair values of identifiable assets and liabilities requires estimates and the use of valuation techniques when market value is not readily available. For intangible assets acquired in a business combination, we typically use the income method. Significant estimates in valuing certain intangible assets include, but are not limited to, the amount and timing of future cash flows, growth rates, discount rates and useful lives. The excess of the purchase price over fair values of identifiable assets, liabilities, and noncontrolling interest in the acquired entity, if applicable, is recorded as goodwill. Should any of the assumptions, judgements or estimates associated with the valuation components change, the fair value of the assets acquired could vary. Transaction costs associated with a business combination are expensed as incurred. During the measurement period, which is up to one year from the acquisition date, we may record adjustments to the assets acquired and liabilities assumed, with the corresponding offset to goodwill. Upon the conclusion of the measurement period, any subsequent adjustments are recorded to earnings.
Recent Accounting Pronouncements
For details regarding any recently adopted and recently issued accounting standards, see Note 2 to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K.
73

ITEM 7A.QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
We are exposed to various market risks that may arise from adverse changes in market rates and prices, such as interest rates, foreign exchange fluctuations and inflation. We do not enter into derivatives or other financial instruments for trading or speculative purposes.

72



Interest Rate Risk
Our exposure to market risk for changes in interest rates relates to the increase or decrease in the amount of interest income we can earn on our cash and cash equivalents and on the increase or decrease in the amount of interest expense we must pay with respect to our various outstanding debt instruments. We do not believe our cash equivalents are subject to significant interest rate risk due to their short terms to maturity. As of December 28, 2019,31, 2022, the carrying value of our cash equivalents approximated fair value. We currently do not have any significant risks associated with interest rates fluctuations related to interest expense. Under our current policies, we do not use interest rate derivative instruments to manage exposure to interest rate changes. Therefore, declines in interest rates over time will reduce our interest income while increases in interest rates will increase our interest income. A hypothetical 100 basis point change in interest rates along the entire interest rate yield curve would increase or decrease our interest rate yields on our investments and interest income of approximately $0.1 million for each $10.0 million in interest-bearing investments.
We are exposed to risks associated with changes in interest rates, as the interest rates on our revolving lines of credit and term debt may vary with the federal funds rate and LIBOR. As of December 31, 2022, we had outstanding debt for an aggregate carrying amount of $956.7 million. We have entered, and in the future may continue to enter, into interest rate swaps to manage our interest rate risk. Therefore, increases in interest rates over time will increase our interest expense while decreases in interest rates will decrease our interest expense.
Our ultimate realized gain or loss with respect to interest rate fluctuations will depend on interest rates, the exposures that arise during the period and our hedging strategies at that time. A hypothetical 100 basis point change in interest rates would increase or decrease our annual interest expense by approximately $0.6 million based on average debt outstanding, after consideration of our interest rate swap contracts, for the quarter ended December 31, 2022 and approximately $2.9 million based on average debt outstanding, after consideration of our interest rate swap contracts for the year ended December 31, 2022.
We sponsor multiple defined benefit pension plans covering certain international employees. The aggregate fair value of the plans’ investments was $22.2 million as of December 31, 2022. The plans’ assets may be subject to market risk, interest rate risk, and credit risk, which may affect the value of the plans’ assets and the funding of the plans.
Increases in interest rates globally may impact the value of pension plan assets held by us. When interest rates increase, the value of fixed income securities, such as bonds, may decrease, which can negatively impact the fair value of the pension plan assets. However, interest rate increases may also improve the funded status of plan by increasing the discount rate used to measure the present value of the pension obligations, and potentially decreasing our requirement to make contributions to the plan. The most significant actuarial assumption affecting pension expense and pension obligations is discount rates. A hypothetical increase of 100 basis point in discount rates would result in a decrease of approximately $0.3 million in the projected benefit obligation. The impact of interest rate increases on the pension plan assets and funded status may not be predictable and may vary from period to period.
See Notes 2, “Summary of Significant Accounting Policies” and 21, “Employee Benefits” to our accompanying consolidated financial statements included in Part IV, Item 15(a) of this Annual Report on Form 10-K. for further discussion of these assets.
Foreign Currency Exchange Rate Risk
A majority of our assets and liabilities are maintained in the United States in U.S. Dollars and a majority of our sales and expenditures are transacted in U.S. Dollars. However, we also transact with foreign customers in currencies other than the U.S. Dollar. These foreign currency revenues, when converted into U.S. Dollars, can vary depending on average exchange rates during a respective period. In addition, certain of our foreign sales support subsidiaries transact in their respective country’s local currency, which is also their functional currency. As a result, expenses of these foreign subsidiaries when converted into U.S. Dollars can also vary depending on average monthly exchange rates during a respective period.
We are exposed to foreign currency gains or losses on outstanding foreign currency denominated receivables and payables, as well as our foreign currency denominated cash balances and certain intercompany transactions. In addition, other transactions between us or our subsidiaries and a third-party, denominated in a currency different from the functional currency, are foreign currency transactions. Realized and unrealized foreign currency gains or losses on these transactions are also included in our statements of operations as incurred.
74

The balance sheets of each of our foreign subsidiaries whose functional currency is not the U.S. Dollar are translated into U.S. Dollars at the rate of exchange at the balance sheet date and the statements of comprehensive income and cash flows are translated into U.S. Dollars using an approximation of the average monthly exchange rates applicable during the period. Any foreign exchange gain or loss as a result of translating the balance sheets of our foreign subsidiaries whose functional currency is not the U.S. Dollar is included in equity as a component of accumulated other comprehensive income.
Our primary foreign currency exchange rate exposures are with the Canadian dollar,Dollar, Euro, Japanese Yen, Swedish Krona, the British Pound, Mexico Peso, Turkish Lira and Australian Dollar. Foreign currency exchange rates may experience significant volatility from one period to the next. Specifically, during the fiscal year ended December 28, 2019,31, 2022, we estimate that fluctuations in the exchange rates between the U.S. Dollar and other foreign currencies, including the CanadianEuro, the Japanese Yen, the British Pound, the Chinese Yuan, the Hong Kong Dollar, Euro andthe South Korean Won, the Australian Dollar, adverselythe Turkish Lira, and the Canadian Dollar, unfavorably impacted our revenues by $6.7$80.6 million. We currently do not enter into forward exchange contracts to hedge exposures denominated in foreign currencies and do not use derivative financial instruments for trading or speculative purposes.currencies. The effect of additional changes in foreign currency exchange rates could have a material effect on our future operating results or cash flows, depending on which foreign currency exchange rates change and depending on the directional change (either a strengthening or weakening against the U.S. Dollar). We estimate that the potential impact of a hypothetical 10% adverse change in all applicable foreign currency exchange rates from the rates in effect as of December 28, 201931, 2022 would have resulted in an estimated reduction of $15.1$44.3 million in reported pre-tax income for the year ended December 28, 2019.31, 2022. As our foreign operations continue to grow, our exposure to foreign currency exchange rate risk may become more significant.
Inflation Risk
We continuously monitor the effects of inflationary factors, such as increases in our cost of goods sold and selling and operating expenses, which may adversely affect our results of operations. We do not believe that inflation has had a material effect on our business, financial condition or results of operations during the periods presented. If our costs were to become subject to significant inflationary pressures, we may strategically adjust product pricing to mitigate such inflation risks. However, we may not be able to fully offset such higher costs through price increases.the impact of persistent inflation. Our inability or failure to do so could have a material adverse effect on our business, financial condition and results of operations.
ITEM 8.FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
Our consolidated financial statements and supplementary data required by this item are set forth at the pages indicated in Part IV, Item 15(a)(1) and 15(a)(2), respectively, of this Annual Report on Form 10-K.
ITEM 9.CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE
ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE
None.

73ITEM 9A.     CONTROLS AND PROCEDURES



ITEM 9A.CONTROLS AND PROCEDURES
Evaluation of Disclosure Controls and Procedures
Under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, we conducted an evaluation of our disclosure controls and procedures, as such term is defined in Rule 13a-15(e) promulgated under the Exchange Act, as of the end of the period covered by this Annual Report on Form 10-K. We recognize that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures.
Based on this evaluation, our principal executive officer and principal financial officer concluded that our disclosure controls and procedures were effective as of the end of the period covered by this Annual Report on Form 10-K.
Management’s Report on Internal Control Over Financial Reporting
Our management is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined in Rule 13a-15(f) promulgated by the SEC under the Exchange Act. All internal control systems, no matter how well designed, have inherent limitations and may not prevent or detect all misstatements. Therefore, even those systems determined to be effective can provide only reasonable assurance with respect to financial statement preparation and presentation. 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.
75

Under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, we conducted an evaluation of the effectiveness of our internal control over financial reporting based on criteria established in the 2013 Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission. Based on this evaluation, our management concluded that our internal control over financial reporting was effective as of December 28, 2019.31, 2022.
Grant Thornton LLP, an independent registered public accounting firm, has audited the effectiveness of our internal control over financial reporting as of December 28, 2019.31, 2022. Their attestation report, which expresses an unqualified opinion on the effectiveness of our internal control over financial reporting as of December 28, 2019,31, 2022 is included in Part IV, Item 15(a)(1) of this Annual Report on Form 10-K.
Changes in Internal Control Over Financial Reporting
The Sound United Acquisition was completed on April 11, 2022. The financial results of Sound United are included in our consolidated financial statements for the year ended December 31, 2022. The Sound United business represented approximately $694.9 million of revenue and a net loss of $38.6 million for the period of April 11, 2022 through December 31, 2022. As this acquisition occurred in the second quarter of fiscal year 2022, the scope of our assessment of our internal control over financial reporting does not include Sound United. This exclusion is in accordance with the SEC’s general guidance that an assessment of a recently acquired business may be omitted from our scope during the first year following the date of acquisition.
During the quarterthree months ended December 28, 201931, 2022, there were no changes in our internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
ITEM 9B.OTHER INFORMATION
ITEM 9B. OTHER INFORMATION
None.
ITEM 9C. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS
Not applicable.

74



PART III

ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE
ITEM 10.DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE
The information required by this item is incorporated by reference from the information contained in our Definitive Proxy Statement to be filed with the SEC in connection with the Annual Meeting of Stockholders to be held in 2020 (20202023 (2023 Proxy Statement).
ITEM 11.EXECUTIVE COMPENSATION
ITEM 11. EXECUTIVE COMPENSATION
The information required by this item is incorporated by reference from the information contained in the 20202023 Proxy Statement.
ITEM 12.SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS
The information required by this item is incorporated by reference from the information contained in the 20202023 Proxy Statement.
ITEM 13.CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS AND DIRECTOR INDEPENDENCE
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS AND DIRECTOR INDEPENDENCE
The information required by this item is incorporated by reference from the information contained in the 20202023 Proxy Statement.
ITEM 14.PRINCIPAL ACCOUNTING FEES AND SERVICES
ITEM 14. PRINCIPAL ACCOUNTING FEES AND SERVICES
The information required by this item is incorporated by reference from the information contained in the 20202023 Proxy Statement.



75
76



PART IV

ITEM 15.     EXHIBITS, FINANCIAL STATEMENT SCHEDULES
(a)(1) Financial Statements
The Consolidated Financial Statements of Masimo Corporation and Reports of Grant Thornton LLP, Independent Registered Public Accounting Firm (PCAOB ID 248), are included in a separate section of this Annual Report on Form 10-K beginning on page F-1.
(a)(2) Financial Statement Schedules
The financial statement schedule is included in a separate section of this Annual Report on Form 10-K beginning on page F-1.
(a)(3) Exhibits
Exhibit
Number
Description of Document
3.1(1)2.1(1)^
3.1(2)
3.2(2)
3.2(3)
4.1(1)3.3 (4)
4.1(5)
4.2(4)#
4.2(6)#
4.3*4.3(4)
4.4*
10.1(1)10.1(2)#
10.2(5)10.2(7)#
10.3(16)10.3(8)
10.4(1)#10.4 (9)
10.5(1)10.5(10)#
10.6(6)#
10.7(22)#
10.8(17)10.6(11)#
10.9(5)10.7(7)#
10.10(5)10.8(7)#
10.11(7)10.9(12)#
10.12(11)10.10(13)#
10.13(22)#
10.14(24)#
10.15(3)#
10.16(20)#



76



77

Exhibit
Number
Description of Document
10.15(6)†
10.22(1)+10.16(6)†
10.23(8)+10.17(10)†
10.24(10)+10.18(17)†
10.25(1)10.19(2)
10.26(9)10.20(18)
10.27(1)10.21(2)+
10.28(1)10.22(2)
10.23(17)†
10.29(12)+
10.30(12)10.24(19)
10.31(12)10.25(19)
10.32(3)10.26(13)
10.33(12)10.27(19)
10.34(13)10.28(20)
10.35(14)10.29(21)
10.36(14)10.30(22)+
10.37(22)10.31(10)
10.38(21)10.32(23)#

77



78

Exhibit
Number
Description of Document
10.37(24)#
10.38(24)#
10.39(25)
10.40(26)
10.41(25)#
10.42(6)^†
10.43(6)^†
10.44(6)†
10.45(6)†
10.46(6)^†
10.47(6)^†
10.48(6)†
10.49(6)^†
10.50(6)†
10.51(6)†
10.52(6)
10.53(16)†
10.54(16)†
10.55(16)†
10.56*
21.1*
23.1*
31.1*
31.2*
79

32.1*Exhibit
Number
Description of Document
32.1**
101.INS*Inline XBRL Instance Document
101.SCH*Inline XBRL Taxonomy Extension Schema Document
101.CAL*Inline XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF*Inline XBRL Taxonomy Extension Definition Linkbase Document
101.LAB*Inline XBRL Taxonomy Extension Label Linkbase Document
101.PRE*Inline XBRL Taxonomy Extension Presentation Linkbase Document
___________
Attached as Exhibit 101 to this report are the following formatted in XBRL (ExtensibleiXBRL (Inline eXtensible Business Reporting Language): (i) Consolidated Balance Sheets as of December 28, 201931, 2022 and December 29, 2018,January 1, 2022, (ii) Consolidated Statements of Operations for the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017,January 2, 2021, (iii) Consolidated Statements of Comprehensive Income for the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017,January 2, 2021, (iv) Consolidated Statements of Stockholders’ Equity for the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017,January 2, 2021, (v) Consolidated Statements of Cash Flows for the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017,January 2, 2021, and (vi) Notes to Consolidated Financial Statements.
___________
(1)Incorporated by reference to the exhibits to the Registrant’s Registration Statement on Form S-1 (No. 333-142171), originally filed on April 17, 2007. The number given in parentheses indicates the corresponding exhibit number in such Form S-1, as amended.
(2)Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K, filed on October 30, 2019. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(3)
(1)    Incorporated by reference to the exhibit to the Registrant’s Annual Report on Form 8-K, filed on February 15, 2022. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(2)    Incorporated by reference to the exhibits to the Registrant’s Registration Statement on Form S-1 (No. 333-142171), originally filed on April 17, 2007. The number given in parentheses indicates the corresponding exhibit number in such Form S-1, as amended.
(3) Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K, filed on February 6, 2023. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(4) Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K, filed on September 9, 2022. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(5) Incorporated by reference to the exhibit to the Registrant’s Annual Report on Form 10-K, filed on February 16, 2022. The number given in parentheses indicates the corresponding exhibit number in such Form 10-K.
(6) Incorporated by reference to the exhibit to the Registrant’s Quarterly Report on Form 10-Q filed on August 10, 2022. The number given in parentheses indicates the corresponding exhibit number in such Form 10-Q.
(7)    Incorporated by reference to the exhibit to the Registrant’s Registration Statement on Form S-8, filed on February 11, 2008. The number given in parentheses indicates the corresponding exhibit number in such Form S-8.
(8) Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K filed on August 2, 2017 filed at 5:21 p.m. Eastern Time. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(9) Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K filed on January 14, 2022. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(10) Incorporated by reference to the exhibit to the Registrant’s Annual Report on Form 10-K filed on February 26, 2019. The number given in parentheses indicates the corresponding exhibit number in such Form 10-K.
(11) Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K filed on September 25, 2017. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(12) Incorporated by reference to the exhibit to the Registrant’s Annual Report on Form 10-K, filed on February 15, 2013. The number given in parentheses indicates the corresponding exhibit number in such Form 10-K.
(13) Incorporated by reference to the exhibit to the Registrant’s Annual Report on Form 10-K, filed on February 17, 2015. The number given in parentheses indicates the corresponding exhibit number in such Form 10-K.
(14) Incorporated by reference to the exhibit to the Registrant’s Annual Report on Form 10-K filed on February 28, 2018. The number given in parentheses indicates the corresponding exhibit number in such Form 10-K.
(15) Incorporated by reference to Appendix D to the Registrant’s Definitive Proxy Statement on Schedule 14A (File No. 001-33642) filed on April 16, 2020.
(16) Incorporated by reference to the exhibit to the Registrant’s Quarterly Report on Form 10-Q filed on November 9, 2022. The number given in parentheses indicates the corresponding exhibit number in such Form 10-Q.
(17) Incorporated by reference to the exhibit to the Registrant’s Annual Report on Form 10-K filed on February 23, 2021. The number given in parentheses indicates the corresponding exhibit number in such Form 10-K.
(4)Incorporated by reference to the exhibit to the Registrant’s Registration Statement on Form S-8, filed on February 11, 2008. The number given in parentheses indicates the corresponding exhibit number in such Form S-8.
(5)Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K, filed on November 5, 2015 at 4:45 p.m. Eastern Time. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(6)Incorporated by reference to the exhibit to the Registrant’s Annual Report on Form 10-K, filed on March 4, 2009. The number given in parentheses indicates the corresponding exhibit number in such Form 10-K.
(7)Incorporated by reference to the exhibit to the Registrant’s Annual Report on Form 10-K, filed on February 15, 2013. The number given in parentheses indicates the corresponding exhibit number in such Form 10-K.
(8)Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K, filed on June 5, 2008. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(9)Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K, filed on January 31, 2011. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.

78
80

(18) Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K, filed on January 31, 2011. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(19) Incorporated by reference to the exhibit to the Registrant’s Annual Report on Form 10-K, filed on February 24, 2016. The number given in parentheses indicates the corresponding exhibit number in such Form 10-K.
(20) Incorporated by reference to the exhibit to the Registrant’s Quarterly Report on Form 10-Q, filed on August 3, 2016. The number given in parentheses indicates the corresponding exhibit number in such Form 10-Q.
(21) Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K, filed on September 2, 2016. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(22) Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K, filed on November 7, 2016. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(23) Incorporated by reference to the exhibit to the Registrant’s Quarterly Report on Form 10-Q filed on May 7, 2018. The number given in parentheses indicates the corresponding exhibit number in such Form 10-Q.
(24) Incorporated by reference to the exhibit to the Company’s Current Report on Form 8-K filed on September 19, 2022. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(25) Incorporated by reference to the exhibit to the Registrant’s Quarterly Report on Form 10-Q filed on May 3, 2022. The number given in parentheses indicates the corresponding exhibit number in such Form 10-Q.
(26) Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K filed on May 20, 2022. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.

(10)Incorporated by reference to the exhibit to the Registrant’s Annual Report on Form 10-K filed February 14, 2014. The number given in parentheses indicates the corresponding exhibit number in such Form 10-K.
(11)Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K, filed on January 17, 2008. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(12)Incorporated by reference to the exhibit to the Registrant’s Annual Report on Form 10-K, filed on February 24, 2016. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(13)Incorporated by reference to the exhibit to the Registrant’s Quarterly Report on Form 10-Q, filed on August 3, 2016. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(14)Incorporated by reference to the exhibit to the Registrant’s Quarterly Report on Form 8-K, filed on September 2, 2016. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(15)Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K, filed on November 7, 2016. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(16)Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K filed on August 2, 2017. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(17)Incorporated by reference to the exhibit to the Registrant’s Current Report on Form 8-K filed on September 25, 2017. The number given in parentheses indicates the corresponding exhibit number in such Form 8-K.
(18)Incorporated by reference to Appendix B to the Registrant’s Definitive Proxy Statement on Schedule 14A (File No. 001-33642) filed on April 12, 2017.
(19)Incorporated by reference to Appendix C to the Registrant’s Definitive Proxy Statement on Schedule 14A (File No. 001-33642) filed on April 12, 2017.
(20)Incorporated by reference to the exhibit to the Registrant’s Annual Report on Form 10-K filed February 28, 2018. The number given in parentheses indicates the corresponding exhibit number in such Form 10-K.
(21)Incorporated by reference to the exhibit to the Registrant’s Quarterly Report on Form 10-Q filed May 7, 2018. The number given in parentheses indicates the corresponding exhibit number in such Form 10-Q.
(22)Incorporated by reference to the exhibit to the Registrant’s Annual Report on Form 10-K filed February 26, 2019. The number given in parentheses indicates the corresponding exhibit number in such Form 10-K.

*    Filed herewith.
*Filed herewith.
#Indicates management contract or compensatory plan.
+The SEC has granted confidential treatment with respect to certain portions of this exhibit. Omitted portions have been filed separately with the SEC.
**    Furnished herewith.
#    Indicates management contract or compensatory plan.
+    The SEC has granted confidential treatment with respect to certain portions of this exhibit. Omitted portions have been filed separately with the SEC.
†    Certain identified information has been omitted pursuant to Item 601(b)(10) of Regulation S-K because such information is both (i) not material and (ii) of the type that the Registrant customarily and actually treats as private or confidential The Registrant hereby undertakes to furnish supplemental copies of the unredacted exhibit upon request by the SEC.
‡    Non-material schedules and exhibits have been omitted pursuant to Item 601(a)(5) of Regulation S-K. The Registrant hereby undertakes to furnish supplementally copies of any of the omitted schedules and exhibits upon request by the SEC.
^    Schedules have been omitted from this filing pursuant to Item 601(b)(2) of Regulation S-K.The Registrant agrees to             furnish supplementally a copy of any omitted schedule to the SEC upon its request; provided, however, that the Registrant may request confidential treatment pursuant to Rule 24b-2 of the Securities Exchange Act of 1934, as amended for any schedule so furnished.
(b) Exhibits
See Item 15(a)(3) above.
(c) Financial Statement Schedules
See Item 15(a)(2) above.
ITEM 16.FORM 10-K SUMMARY
ITEM 16. FORM 10-K SUMMARY
None.

81
79



SIGNATURES
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.
 
Date:February 19, 202028, 2023By:
/s/ JOE KIANI
Joe Kiani

Chairman of the Board & Chief Executive Officer
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.
 
SIGNATURETITLE(S)DATE
/s/ JOE KIANI
Chairman of the Board & Chief Executive Officer
(Principal Executive Officer)
February 19, 202028, 2023
Joe Kiani
/s/ MICAH YOUNG
Executive Vice President, Chief Financial Officer
(Principal Financial Officer)
February 19, 202028, 2023
Micah Young
/s/ DPAVIDAUL J. VHAN RAMSHORSTATAISHI
Senior Vice President, Chief Accounting Officer
(Principal Accounting Officer)Officer)
February 19, 202028, 2023
David J. Van RamshorstPaul Hataishi
/s/ STEVEN J. BARKER, M.D. PH.D.
DirectorFebruary 19, 2020
Steven J. Barker, M.D., Ph.D.
/s/ H MICHAEL COHEN
DirectorFebruary 19, 202028, 2023
H Michael Cohen
/s/ SANFORD FITCH
DirectorFebruary 19, 2020
Sanford Fitch
/s/ THOMAS HARKIN
DirectorFebruary 19, 2020
Thomas Harkin
/s/ ADAM MIKKELSON
DirectorFebruary 19, 202028, 2023
Adam Mikkelson
/s/ CRAIG REYNOLDS
DirectorFebruary 19, 202028, 2023
Craig Reynolds
/s/ JULIE A. SHIMER, PH.D.D.
DirectorFebruary 19, 202028, 2023
Julie A. Shimer, Ph.D.

80
82




REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM


Board of Directors and Stockholders
Masimo Corporation
Opinion on the financial statements
We have audited the accompanying consolidated balance sheets of Masimo Corporation (a Delaware corporation) and subsidiaries (the “Company”) as of December 28, 201931, 2022 and December 29, 2018,January 1, 2022, the related consolidated statements of operations, comprehensive income, stockholders’ equity, and cash flows for each of the three years in the period ended December 28, 2019,31, 2022, and the related notes and financial statement schedule included under Item 15(a) (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 28, 201931, 2022 and December 29, 2018,January 1, 2022, and the results of its operations and its cash flows for each of the three years in the period ended December 28, 2019,31, 2022, in conformity with accounting principles generally accepted in the United States of America.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (“PCAOB”), the Company’s internal control over financial reporting as of December 28, 2019,31, 2022, based on criteria established in the 2013 Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (“COSO”), and our report dated February 19, 202028, 2023 expressed an unqualified opinion.
Changes in accounting principles
As described in Note 2 to the financial statements, the Company has changed its method of accounting for leases in fiscal year 2019 due to the adoption of the new leasing standard. The Company adopted the new leasing standard using the modified retrospective approach. Additionally, the Company changed its method of accounting for revenue from contracts with customers in fiscal year 2018 due to the adoption of the new revenue standard. The Company adopted the new revenue standard using the full retrospective approach.
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 supportingregarding 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 mattersmatter
The critical audit mattersmatter communicated below are mattersis a matter arising from the current period audit of the financial statements that werewas communicated or required to be communicated to the audit committee and that: (1) relaterelates to accounts or disclosures that are material to the financial statements and (2) involved our especially challenging, subjective, or complex judgments. The communication of critical audit matters 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.
Accounting for Deferred Equipment AgreementsAcquisition of Viper Holdings Corporation (“Sound United”) – Fair Value of Intangible Assets Acquired
As described further in Note 218 to the financial statements, on April 11, 2022, the Company derives a portioncompleted the acquisition of its product revenue from direct sales under deferred equipment agreements with end-user hospitals. ContractSound United for total consideration under such agreements containing fixed annual sensor purchase commitments is allocated to the identified performance obligations, including lease components, on the basis of relative standalone selling prices. When a standalone selling price is not readily observable, the Company estimates the standalone selling price$1,065.0 million. The identifiable intangible assets acquired include tradenames, customer relationships, and developed technology and have been recorded by considering multiple factors, including featuresmanagement at their preliminary fair values of $268.0 million, $196.0 million and functionality of the product, geographies, type of customer, contractual prices pursuant to Group Purchasing Organization contracts, the Company’s pricing and discount practices, and other market conditions.

F-2


$156.0 million, respectively. We identified the accounting for deferred equipment agreementspreliminary valuation of these intangible assets acquired in the Sound United acquisition as a critical audit matter.
The principal considerations for our determination that the accounting for deferred equipment agreementspreliminary valuation of the acquired tradenames, customer relationships, and developed technology is a critical audit matter are that the identificationdetermination of performance obligations requiresthe preliminary fair values of such assets required management judgment and interpretation of contract terms and management’s estimate of standalone selling price is subject to estimation uncertainty. Therefore, subjective and complex auditor judgment is necessary to evaluate the reasonableness of management’s judgmentsmake significant estimates and assumptions related to the discount rate used, forecasted revenues and operating margins. This required a high degree of auditor judgement including professionals with specialized skill and knowledge, in auditing these areas.assumptions made by management.
Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall opinion on the consolidated financial statements.
F-2

Our audit procedures related to deferred equipment agreementsthe preliminary valuation of the acquired tradenames, customer relationships, and developed technology included the following, among others.
Inspecting a sampleWe assessed the appropriateness of deferred equipment agreements with fixed sensor commitmentsthe valuation methodologies utilized and evaluating the reasonableness of performance obligations, including lease components, identifieddiscount rate selected by management in accordance with the relevant authoritative guidance.assistance of our valuation professionals with specialized skill and knowledge.
EvaluatingWe tested the forecasted revenues and operating margins by assessing the reasonableness of management’s process for estimating standalone selling prices for a sample of items selected. Comparing estimated standalone selling price informationforecast compared to historical sales prices charged to customers, when such observable inputs were available. When actual sales price history was not available, evaluating the reasonableness of management’s estimate by comparing estimated selling prices to (i) sales prices charged to customers for products with similar features, functionality,results and other similar economicforecasted market and market conditions, (ii) contractual prices pursuant to Group Purchasing Organization contracts, or (iii) the Company’s historical pricing and discount practices, as applicable based on the facts and circumstances of the transaction.
Testing the design and operating effectiveness of internal controls related to the accounting for deferred equipment agreements, including controls over the identification of performance obligations and the determination of standalone selling price.industry trends.
/s/ GRANT THORNTON LLP
We have served as the Company’s auditor since 2006.
Newport Beach, California
February 19, 202028, 2023




F-3



REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM


Board of Directors and Stockholders
Masimo Corporation

Opinion on internal controlscontrol over financial reporting
We have audited the internal control over financial reporting of Masimo Corporation (a Delaware corporation) and subsidiaries (the “Company”) as of December 28, 2019,31, 2022, based on criteria established in the 2013 Internal Control—Integrated Framework 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 28, 2019,31, 2022, based on criteria established in the 2013 Internal Control-IntegratedControl—Integrated Framework issued by COSO.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (“PCAOB”), the consolidated financial statements of the Company as of and for the year ended December 28, 2019,31, 2022, and our report dated February 19, 202028, 2023 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.Reporting (“Management’s Report”). 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.
Our audit of, and opinion on, the Company’s internal control over financial reporting does not include the internal control over financial reporting of Viper Holdings Corporation, a wholly owned subsidiary, whose financial statements reflect total assets and revenues constituting 50 and 34 percent, respectively, of the related consolidated financial statement amounts as of and for the year ended December 31, 2022. As indicated in Management’s Report, Viper Holdings Corporation was acquired during 2022. Management’s assertion on the effectiveness of the Company’s internal control over financial reporting excluded internal control over financial reporting of Viper Holdings Corporation.
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/ GRANT THORNTON LLP
Newport Beach, California
February 19, 202028, 2023


F-4


MASIMO CORPORATION
CONSOLIDATED BALANCE SHEETS
(in thousands,millions, except par value)
December 28,
2019
 December 29,
2018
December 31,
2022
January 1,
2022
ASSETS   ASSETS
Current assets   Current assets
Cash and cash equivalents$567,687
 $552,490
Cash and cash equivalents$202.9 $745.3 
Short-term investments120,000
 
Trade accounts receivable, net of allowance for doubtful accounts of $1,803 and $1,535 at December 28, 2019 and December 29, 2018, respectively132,433
 109,629
Trade accounts receivable, net of allowance for credit losses of $7.7 and $2.2 at December 31, 2022 and January 1, 2022, respectivelyTrade accounts receivable, net of allowance for credit losses of $7.7 and $2.2 at December 31, 2022 and January 1, 2022, respectively445.9 200.8 
Inventories115,871
 94,732
Inventories501.0 201.4 
Other current assets60,071
 32,426
Other current assets158.8 91.0 
Total current assets996,062
 789,277
Total current assets1,308.6 1,238.5 
Lease receivable, noncurrent49,936
 
Lease receivable, non-currentLease receivable, non-current73.1 73.6 
Deferred costs and other contract assets16,214
 122,906
Deferred costs and other contract assets41.9 28.1 
Property and equipment, net219,552
 165,972
Property and equipment, net402.5 272.8 
Intangible assets, net27,251
 27,924
Customer relationships, net - (Note 9)Customer relationships, net - (Note 9)201.6 15.3 
Acquired technologies, net - (Note 9)Acquired technologies, net - (Note 9)160.1 19.7 
Other intangible assets, netOther intangible assets, net98.9 37.5 
Trademarks - (Note 9)Trademarks - (Note 9)262.0 — 
Goodwill22,350
 23,297
Goodwill445.4 100.3 
Deferred tax assets35,972
 21,210
Deferred tax assets102.5 52.6 
Other non-current assets28,791
 4,232
Other non-current assets114.0 48.6 
Total assets$1,396,128
 $1,154,818
Total assets$3,210.6 $1,887.0 
LIABILITIES AND STOCKHOLDERS’ EQUITY   
LIABILITIES AND EQUITYLIABILITIES AND EQUITY
Current liabilities   Current liabilities
Accounts payable$54,548
 $40,388
Accounts payable$276.8 $75.6 
Accrued compensation54,705
 49,486
Accrued compensation89.3 70.8 
Deferred revenue and other contract-related liabilities, current25,939
 32,054
Deferred revenue and other contract-related liabilities, current80.6 50.9 
Other current liabilities37,027
 24,627
Other current liabilities183.3 70.4 
Total current liabilities172,219
 146,555
Total current liabilities630.0 267.7 
Long-term debtLong-term debt941.6 — 
Deferred tax liabilitiesDeferred tax liabilities163.6 5.1 
Other non-current liabilities56,035
 39,198
Other non-current liabilities136.5 64.0 
Total liabilities228,254
 185,753
Total liabilities1,871.7 336.8 
Commitments and contingencies (Note 21)

 

Commitments and contingencies - (Note 24)Commitments and contingencies - (Note 24)
Stockholders’ equity   Stockholders’ equity
Preferred stock, $0.001 par value; 5,000 shares authorized; 0 shares issued and outstanding
 
Common stock, $0.001 par value; 100,000 shares authorized; 53,696 and 53,085 shares issued and outstanding at December 28, 2019 and December 29, 2018, respectively54
 53
Treasury stock, 15,530 and 15,255 shares at December 28, 2019 and December 29, 2018, respectively(526,580) (489,026)
Preferred stock, $0.001 par value; 5.0 shares authorized; 0.0 shares issued and outstandingPreferred stock, $0.001 par value; 5.0 shares authorized; 0.0 shares issued and outstanding— — 
Common stock, $0.001 par value; 100.0 shares authorized; 52.5 and 55.3 shares issued and outstanding at December 31, 2022 and January 1, 2022, respectivelyCommon stock, $0.001 par value; 100.0 shares authorized; 52.5 and 55.3 shares issued and outstanding at December 31, 2022 and January 1, 2022, respectively0.1 0.1 
Treasury stock, 19.5 and 16.5 shares at December 31, 2022 and January 1, 2022, respectivelyTreasury stock, 19.5 and 16.5 shares at December 31, 2022 and January 1, 2022, respectively(1,169.2)(767.7)
Additional paid-in capital600,624
 533,164
Additional paid-in capital782.2 752.5 
Accumulated other comprehensive loss(6,718) (6,199)
Accumulated other comprehensive income (loss)Accumulated other comprehensive income (loss)11.5 (5.5)
Retained earnings1,100,494
 931,073
Retained earnings1,714.3 1,570.8 
Total stockholders’ equity1,167,874
 969,065
Total stockholders’ equity1,338.9 1,550.2 
Total liabilities and stockholders’ equity$1,396,128
 $1,154,818
Total liabilities and stockholders’ equity$3,210.6 $1,887.0 
The accompanying notes are an integral part of these consolidated financial statements.

F-5



MASIMO CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands,millions, except per share information)
 
Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
Revenue:     
Product$936,408
 $829,874
 $738,242
Royalty and other revenue1,429
 28,415
 52,006
Total revenue937,837
 858,289
 790,248
RevenueRevenue$2,035.8 $1,239.2 $1,143.7 
Cost of goods sold308,665
 283,397
 268,216
Cost of goods sold977.0 430.8 400.7 
Gross profit629,172
 574,892
 522,032
Gross profit1,058.8 808.4 743.0 
Operating expenses:     Operating expenses:
Selling, general and administrative314,661
 285,417
 273,011
Selling, general and administrative657.4 395.4 369.0 
Research and development93,295
 81,006
 65,234
Research and development191.4 137.2 118.7 
Litigation settlement, award and/or defense costs
 425
 
Litigation awards, settlements/or defense costsLitigation awards, settlements/or defense costs— — (0.5)
Total operating expenses407,956
 366,848
 338,245
Total operating expenses848.8 532.6 487.2 
Operating income221,216
 208,044
 183,787
Operating income210.0 275.8 255.8 
Non-operating income12,950
 5,732
 2,013
Non-operating (loss) incomeNon-operating (loss) income(16.6)(1.4)7.9 
Income before provision for income taxes234,166
 213,776
 185,800
Income before provision for income taxes193.4 274.4 263.7 
Provision for income taxes37,950
 20,233
 61,011
Provision for income taxes49.9 44.8 23.4 
Net income$196,216
 $193,543
 $124,789
Net income$143.5 $229.6 $240.3 
     
Net income per share:     Net income per share:
Basic$3.67
 $3.70
 $2.42
Basic$2.68 $4.16 $4.39 
Diluted$3.44
 $3.45
 $2.23
Diluted$2.60 $3.98 $4.14 
     
Weighted-average shares used in per share calculations:     Weighted-average shares used in per share calculations:
Basic53,434
 52,296
 51,516
Basic53.6 55.2 54.7 
Diluted57,100
 56,039
 55,874
Diluted55.2 57.7 58.0 
The accompanying notes are an integral part of these consolidated financial statements.


F-6



MASIMO CORPORATION
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(in thousands)millions)
 
Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
Net income$143.5 $229.6 $240.3 
Other comprehensive gain (loss), net of tax:
Unrealized gain (loss) from foreign currency translation adjustments4.9 (6.9)8.1 
Net change in retirement obligations(2.6)— — 
Unrealized gain on cash flow hedge(1)
14.7 — — 
Total comprehensive income$160.5 $222.7 $248.4 
 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
Net income$196,216
 $193,543
 $124,789
Other comprehensive gain (loss), net of tax:     
Foreign currency translation gains (losses)(519) (3,258) 4,201
Unrealized loss on marketable securities
 
 (115)
Total comprehensive income$195,697
 $190,285
 $128,875
______________
(1) See Note 17, “Derivative Instruments and Hedging Activities”, for further details.

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



F-7



MASIMO CORPORATION
CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
MASIMO CORPORATION
CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
(in thousands)
 Common Stock Treasury Stock 
Additional
Paid-In
Capital
 
Accumulated
Other
Comprehensive
Loss
 
Retained
Earnings
 
Total Stockholders’
Equity
Shares Amount Shares Amount 
Balance at December 31, 201650,188
 $50
 14,255
 $(404,276) $382,263
 $(7,027) $613,167
 $584,177
Stock options exercised2,246
 2
 
 
 62,044
 
 
 62,046
Restricted/Performance stock units vested6
 
 
 
 
 
 
 
Stock-based compensation
 
 
 
 17,187
 
 
 17,187
Repurchases of common stock(804) 
 804
 (68,260) 
 
 
 (68,260)
Net income
 
 
 
 
 
 124,789
 124,789
Foreign currency translation adjustment
 
 
 
 
 4,201
 
 4,201
Unrealized loss on marketable securities
 
 
 
 
 (115) 
 (115)
Balance at December 30, 201751,636
 52
 15,059
 (472,536) 461,494
 (2,941) 737,956
 724,025
Stock options exercised1,608
 1
 
 
 44,421
 
 
 44,422
Restricted/Performance stock units vested39
 
 
 
 
 
 
 
Shares paid for tax withholding(2) 
 
 
 (168) 
 
 (168)
Stock-based compensation
 
 
 
 27,417
 
 
 27,417
Repurchases of common stock(196) 
 196
 (16,490) 
 
 
 (16,490)
Net income
 
 
 
 
 
 193,543
 193,543
Adoption of ASU 2016-16
 
 
 
 
 
 (426) (426)
Foreign currency translation adjustment
 
 
 
 
 (3,258) 
 (3,258)
Balance at December 29, 201853,085
 53
 15,255
 (489,026) 533,164
 (6,199) 931,073
 969,065
Stock options exercised851
 1
 
 
 28,348
 
 
 28,349
Restricted/Performance stock units vested36
 
 
 
 
 
 
 
Shares paid for tax withholding(1) 
 
 
 (123) 
 
 (123)
Stock-based compensation
 
 
 
 39,235
 
 
 39,235
Repurchases of common stock(275) 
 275
 (37,554) 
 
 
 (37,554)
Net income
 
 
 
 
 
 196,216
 196,216
Adoption of ASU 2016-02
 
 
 
 
 
 (26,795) (26,795)
Foreign currency translation adjustment
 
 
 
 
 (519) 
 (519)
Balance at December 28, 201953,696
 $54
 15,530
 $(526,580) $600,624
 $(6,718) $1,100,494
 $1,167,874
(in millions)
Common StockTreasury StockAdditional
Paid-In
Capital
Accumulated
Other
Comprehensive
(Loss) Income
Retained
Earnings
Total Stockholders’
Equity
SharesAmountSharesAmount
Balance at December 28, 201953.7 $0.1 15.5 $(526.6)$600.7 $(6.7)$1,100.5 $1,168.0 
Stock options exercised1.9 — — — 63.0 — — 63.0 
Restricted/Performance stock units vested0.1 — — — — — — — 
Shares paid for tax withholding— — — (1.6)(2.2)— — (3.8)
Stock-based compensation— — — — 42.2 — — 42.2 
Repurchases of common stock(0.4)— 0.5 (110.5)— — — (110.5)
Net income— — — — — — 240.3 240.3 
Adoption of ASU 2016-13— — — — — — 0.4 0.4 
Foreign currency translation adjustment— — — — — 8.1 — 8.1 
Balance at January 2, 202155.3 0.1 16.0 (638.7)703.7 1.4 1,341.2 1,407.7 
Stock options exercised0.4 — — — 20.8 — — 20.8 
Restricted/Performance stock units vested0.3 — — — — — — — 
Shares paid for tax withholding(0.1)— — — (16.7)— — (16.7)
Stock-based compensation— — — — 44.7 — — 44.7 
Repurchases of common stock(0.6)— 0.5 (129.0)— — — (129.0)
Net income— — — — — — 229.6 229.6 
Foreign currency translation adjustment— — — — — (6.9)— (6.9)
Balance at January 1, 202255.3 0.1 16.5 (767.7)752.5 (5.5)1,570.8 1,550.2 
Stock options exercised0.1 — — — 7.4 — — 7.4 
Restricted/Performance stock units vested0.2 — — — — — — — 
Shares paid for tax withholding(0.1)— — — (25.4)— — (25.4)
Stock-based compensation— — — — 47.7 — — 47.7 
Repurchases of common stock(3.0)— 3.0 (401.5)— — — (401.5)
Net change on pension obligations— — — — — (2.6)— (2.6)
Unrealized gain on cash flow hedge— — — — — 14.7 — 14.7 
Net income— — — — — — 143.5 143.5 
Foreign currency translation adjustment— — — — — 4.9 — 4.9 
Balance at December 31, 202252.5 $0.1 19.5 $(1,169.2)$782.2 $11.5 $1,714.3 $1,338.9 
The accompanying notes are an integral part of these consolidated financial statements.

F-8



MASIMO CORPORATION
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)millions)
Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
Cash flows from operating activities:     Cash flows from operating activities:
Net income$196,216
 $193,543
 $124,789
Net income$143.5 $229.6 $240.3 
Adjustments to reconcile net income to net cash provided by operating activities:     Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization23,487
 21,127
 20,061
Depreciation and amortization136.1 35.6 29.3 
Stock-based compensation39,233
 27,417
 17,187
Stock-based compensation47.7 44.7 42.2 
Amortization of debt issuance costsAmortization of debt issuance costs1.4 — — 
Loss on disposal of equipment, intangibles and other assets357
 949
 522
Loss on disposal of equipment, intangibles and other assets0.5 0.5 0.6 
Provision (benefit) for doubtful accounts687
 (439) 251
(Benefit) provision for amount due from former foreign agent
 (2,016) 10,477
(Benefit) provision from deferred income taxes(5,965) (8,274) 17,276
Provision for credit lossesProvision for credit losses1.3 0.8 0.1 
Benefit from deferred income taxesBenefit from deferred income taxes(39.3)(15.1)(5.0)
Changes in operating assets and liabilities:     Changes in operating assets and liabilities:
(Increase) decrease in trade accounts receivable(23,580) 10,826
 (19,772)
Increase in inventories(21,257) (1,885) (24,014)
Increase in trade accounts receivableIncrease in trade accounts receivable(138.5)(60.8)(2.2)
(Increase) decrease in inventories(Increase) decrease in inventories(155.9)13.5 (94.4)
(Increase) decrease in other current assets(8,536) 3,843
 (5,406)(Increase) decrease in other current assets(7.4)6.9 (30.0)
Increase in lease receivable, net(11,958) 
 
Increase in lease receivable, net(12.8)(16.1)(7.7)
Decrease (increase) in deferred costs and other contract assets3,308
 (17,935) (14,102)
Increase in deferred costs and other contract assetsIncrease in deferred costs and other contract assets(13.4)(8.1)(2.8)
(Increase) decrease in other non-current assets(226) 407
 (10,771)(Increase) decrease in other non-current assets(4.9)— (1.3)
Increase (decrease) in accounts payable9,934
 5,211
 (4,057)
Increase (decrease) in accrued compensation5,338
 10,195
 (4,292)
Increase (decrease) in deferred revenue and other contract-related liabilities7,739
 1,420
 (13,295)
Increase in accounts payableIncrease in accounts payable60.5 11.0 7.6 
(Decrease) increase in accrued compensation(Decrease) increase in accrued compensation(9.3)— 15.5 
Increase in deferred revenue and other contract-related liabilitiesIncrease in deferred revenue and other contract-related liabilities28.1 7.1 10.9 
Increase (decrease) in income taxes payable4,079
 (1,208) (72,087)Increase (decrease) in income taxes payable3.8 6.4 (1.3)
Increase in accrued liabilities746
 3,923
 5,282
(Decrease) increase in accrued liabilities(Decrease) increase in accrued liabilities(16.1)7.8 9.4 
Increase (decrease) in other non-current liabilities2,038
 (7,577) 28,013
Increase (decrease) in other non-current liabilities4.1 0.8 (0.1)
Net cash provided by operating activities221,640
 239,527
 56,062
Net cash provided by operating activities29.4 264.6 211.1 
Cash flows from investing activities:     Cash flows from investing activities:
Purchases of short-term investments(120,000) 
 
Purchases of property and equipment(68,375) (17,126) (43,684)
Maturities of short-term investmentsMaturities of short-term investments— — 120.0 
Purchases of property and equipment, netPurchases of property and equipment, net(52.8)(25.5)(72.5)
Increase in intangible assets(4,117) (5,557) (3,079)Increase in intangible assets(3.5)(9.4)(7.4)
(Purchases of) proceeds from strategic investments(5,189) 453
 (1,145)
Business acquisition, net of cash acquired
 (3,922) 
Business combinations, net of cash acquiredBusiness combinations, net of cash acquired(999.7)— (112.7)
Deposit to acquire noncontrolling interestDeposit to acquire noncontrolling interest— — (3.4)
Other strategic investing activitiesOther strategic investing activities(1.7)(2.6)(6.8)
Net cash used in investing activities(197,681) (26,152) (47,908)Net cash used in investing activities(1,057.7)(37.5)(82.8)
Cash flows from financing activities:     Cash flows from financing activities:
Borrowings under revolving line of creditBorrowings under revolving line of credit1,083.9 — — 
Repayments under revolving line of creditRepayments under revolving line of credit(135.4)— — 
Proceeds from issuance of common stock28,339
 44,748
 62,205
Proceeds from issuance of common stock8.1 23.2 58.4 
Repurchases of common stock(37,555) (18,478) (66,272)Repurchases of common stock(401.5)(128.9)(110.5)
Other(123) (490) (71)
Payroll tax withholdings on behalf of employees for stock optionsPayroll tax withholdings on behalf of employees for stock options(25.4)(16.7)(2.2)
Debt issuance costsDebt issuance costs(9.3)— — 
Net cash provided by (used in) financing activities(9,339) 25,780
 (4,138)Net cash provided by (used in) financing activities520.4 (122.4)(54.3)
Effect of foreign currency exchange rates on cash814
 (1,997) 3,269
Effect of foreign currency exchange rates on cash(30.9)(1.3)2.9 
Net increase in cash, cash equivalents and restricted cash15,434
 237,158
 7,285
Net increase in cash, cash equivalents and restricted cash(538.8)103.4 76.9 
Cash, cash equivalents and restricted cash at beginning of period552,641
 315,483
 308,198
Cash, cash equivalents and restricted cash at beginning of period748.4 645.0 568.1 
Cash, cash equivalents and restricted cash at end of period$568,075
 $552,641
 $315,483
Cash, cash equivalents and restricted cash at end of period$209.6 $748.4 $645.0 
The accompanying notes are an integral part of these consolidated financial statements.

F-9



MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
1. Description of the Company
Masimo Corporation (the Company) is a global medical technology company that develops, manufactures and markets a varietywide array of noninvasive patient monitoring technologies, as well as automation and hospital automationconnectivity solutions. The Company’s mission is to improve patient outcomes, and reduce the cost of patient care.care and take noninvasive monitoring to new sites and applications. The Company’s patient monitoring solutions generally incorporate a monitor or circuit board, proprietary single-patient use or reusable sensors, software and/or cables. The Company primarily sells its products to hospitals, emergency medical service providers, home care providers, physician offices, veterinarians, long termlong-term care facilities and consumers through its direct sales force, distributors and original equipment manufacturer (OEM) partners.
The Company invented Masimo Signal Extraction Technology® (SET®), which provides the capabilities of Measure-through Motion and Low Perfusionpulse oximetry to address the primary limitations of conventional pulse oximetry. Over the years, the Company’s product offerings have expanded significantly to also include rainbow® Pulse CO-Oximetry, with its ability to monitor carboxyhemoglobin (SpCO®), methemoglobin (SpMet®), total hemoglobin concentration (SpHb®), fractional arterial oxygen saturation (SpfO2), Oxygen Content (SpOC), Pleth Variability Index (PVi®), rainbow® Pleth Variability Index (RPVi), respiration rate from the pleth (RRp®) and Oxygen Reserve Index (ORi); as well as acoustic respiration monitoring (RRa®), SedLine® brain function monitoring, NomoLine® capnography and gas monitoring and O3® regional oximetry.Regional Oximetry. These technologies are based upon Masimo SET®, rainbow® and other proprietary algorithms and are incorporated into a variety of product platforms depending on customers’ specifications. The Company’s current technology offerings also include remote patient monitoring, connectivity, and hospital automation solutions, including Masimo Patient SafetyNet™(1), Masimo Patient SafetyNet Surveillance1(1), Masimo SafetyNet, Masimo SafetyNet-Open, Replica, Iris®, MyView®, UniView and, Uniview: 60, Trace, Masimo Sleep, Centroid, and Bridge. The Company’s technologies are supported by a substantial intellectual property portfolio that the Company has built through internal development and, to a lesser extent, acquisitions and license agreements.
On April 11, 2022, the Company acquired Viper Holdings Corporation, the parent company of DEI Sales, Inc., d/b/a Sound United (Sound United), via the Company’s wholly-owned subsidiary, Sonic Boom Acquisition Corp (Sonic) (Sound United Acquisition). For additional information on Masimo’s acquisition of Sound United, see Note 18, “Business Combinations”. In addition, the Company updated its financial reporting segments to align with the way it manages its business units post-acquisition. See Note25, “Segment and Enterprise Reporting”, for additional details.
The terms “the Company” and “Masimo” refer to Masimo Corporation and, where applicable, its consolidated subsidiaries.
2. Summary of Significant Accounting Policies
Basis of Presentation
The consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (GAAP), and include the accounts of the Company and its wholly-owned or controlled subsidiaries. All significant intercompany balances and transactions have been eliminated in consolidation.
As further discussed below in this Note 2 to these consolidated financial statements, the Company adopted Financial Accounting Standards Board (FASB) Accounting Standards Update (ASU) No. 2016-02, Leases (Topic 842) (ASU 2016-02) effective December 30, 2018.
Fiscal Periods
The Company follows a conventional 52/53 week fiscal year. Under a conventional 52/53 week fiscal year, a 52 week fiscal year includes four quarters of 13 fiscal weeks while a 53 week fiscal year includes three 13 week fiscal week quarters and one 14 week fiscal week quarter. The Company’s last 53 week fiscal year was fiscal year 2014.2020. Fiscal year 2019 is2022 was a 52 week fiscal year.year ended December 31, 2022, with the fourth quarter having 13 weeks. All references to years in these notes to consolidated financial statements are references to fiscal years unless otherwise noted.




___________________________
(1)     The use of the trademark Patient SafetyNet is under license from the University HealthSystem Consortium.
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Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Use of Estimates
The Company prepares its financial statements in conformity with GAAP, which 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 dates of the financial statements and the reported amounts of revenues and expenses during the reporting periods. Significant estimates include the determination of standalone selling prices, variable consideration, and how total consideration should be allocated to each performance obligation within a contract, inventory valuation, valuation of the Company’s equity awards, valuation of identifiable assets and liabilities connected with business combinations, derivative instruments, deferred taxes and any associated valuation allowances, deferred revenue, accounting for pensions, uncertain income tax positions, and litigation costs and related accruals. Actual results could differ from such estimates.
___________________________ Business Combinations
(1) The Company accounts for business combinations using the acquisition method of accounting in accordance with Accounting Standards Codification (ASC) Topic 805, Business Combinations, which requires that once control is obtained, assets acquired, liabilities assumed and noncontrolling interests in the acquired entity, if applicable, are recorded at their respective fair values at the date of acquisition, with the exception of acquired contract assets and contract liabilities (i.e., deferred revenue) from contracts with customers. These are recognized and measured in accordance with ASC Topic 606, Revenue from Contracts with Customers. The useexcess of the trademark Patient SafetyNet is under license from the University HealthSystem Consortium.

F-10

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


Reclassifications
Certain amountsidentifiable assets, liabilities and noncontrolling interests in the accompanying consolidated financial statements have been reclassified to conform to the current period presentation, including previously reported selling, general and administrative expenses that have been reclassifiedacquired entity, if applicable, is recorded as research and development expenses within the consolidated financial statements for the years ended December 29, 2018 and December 30, 2017.goodwill.
Fair Value Measurements
The Company accounts for certain financial instruments at their fair values as either assets or liabilities on the balance sheet. The Company determines the fair value of its financial instruments using the framework prescribed by ASC Topic 820, Fair Value Measurements and Disclosures, and considers the estimated amount the Company would receive or pay to transfer these instruments at the reporting date with respect to current currency exchange rates, interest rates, the creditworthiness of the counterparty for unrealized gain positions and the Company’s creditworthiness for unrealized loss positions. In certain instances, the Company may utilize financial models to measure the fair value of its financial instruments. In doing so, the Company uses inputs that include quoted prices for similar assets or liabilities in active markets, quoted prices for identical or similar assets or liabilities in markets that are not active, other observable inputs for the asset or liability and inputs derived principally from, or corroborated by, observable market data by correlation or other means.
Recurring Fair Value Measurement
On a recurring basis, the Company measures certain financial assets and financial liabilities at fair value based upon quoted market prices. Where quoted market prices or other observable inputs are not available, the Company applies valuation techniques to estimate fair value. Authoritative guidance describes a fair value hierarchy based on three levels of inputs, of which the first two are considered observable and the last unobservable, that may be used to measure fair value:
Level 1 - Quoted prices in active markets for
    identical assets or liabilities.
Level 2 - Inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices for similar assets or liabilities, quoted prices in markets that are not active or other inputs that can be corroborated by observable market data for substantially the full term of the assets or liabilities.
Level 3 - 1—Quoted prices in active markets for identical assets or liabilities.
●    Level 2—Inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices for similar assets or liabilities, quoted prices in markets that are not active, or other inputs that can be corroborated by observable market data for substantially the full term of the assets or liabilities.
●    Level 3—Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.
Pursuant to current authoritative guidance, entities
F-11

Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The following tables represent the Company’s financial assets, measured at fair value on a recurring basis at December 31, 2022:
Total Carrying
Value
Fair Value Measurement Hierarchy
(in millions)Level 1Level 2Level 3
Assets
Cash and cash equivalents$148.5 $148.5 $— $— 
Money market funds54.4 54.4 — — 
Pension assets22.2 14.8 7.4 — 
      Cash and cash equivalents— 1.0 — — 
      Equity securities— 6.6 — — 
      Debt securities— 7.2 0.8 — 
      Real estate funds— — 3.5 — 
      Alternative investments— — 1.9 — 
      Other— — 1.2 — 
Derivative instruments - cash flow hedges19.7 — 19.7 — 
Total assets$244.8 $217.7 $27.1 $— 
Liabilities
None$— $— $— $— 
Total liabilities$— $— $— $— 
The following tables represent the Company’s financial assets, measured at fair value on a recurring basis at January 1, 2022:
Total Carrying
Value
Fair Value Measurement Hierarchy
(in millions)Level 1Level 2Level 3
Assets
Cash and cash equivalents$745.3 $745.3 $— $— 
Total assets$745.3 $745.3 $— $— 
Liabilities
None$— $— $— $— 
Total liabilities$— $— $— $— 
The Company invests in checking, savings and money market fund accounts, which are allowed an irrevocable option to electclassified within Level 1 of the fair value hierarchy as they are valued using quoted market prices. These investments are classified as cash and cash equivalents within the Company’s accompanying consolidated balance sheets, in accordance with GAAP and its accounting policies.
The Company’s pension asset consists of level 1 and level 2 investments. The fair value of level 2 assets are based on observable inputs such as prices or quotes for similar assets, adjusted for any differences in terms or conditions that may affect the initial and subsequent measurementvalue of the instrument being valued. The valuation techniques used for specifiedlevel 2 assets may include the use of models or other valuation techniques, but these methods are all based on observable market inputs.
Non-Recurring Fair Value Measurements
For certain other financial assets and liabilities, including restricted cash, accounts receivable, accounts payable and other current assets and liabilities, the carrying amounts approximate their fair value primarily due to the relatively short maturity of these balances. The Company also measures certain non-financial assets at fair value on a contract-by-contract basis. Thenon-recurring basis, primarily goodwill, intangible assets and operating lease right-of-use assets, in connection with periodic evaluations for potential impairment.
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Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Furthermore, the Company did not elect to apply the fair value option under this guidance to specific assets or liabilities on a contract-by contractcontract-by-contract basis. There were noThe Company did not have any transfers between Level 1, Level 2 and Level 3 inputs duringfor the years ended December 28, 2019 or December 29, 2018. The Company carries cash31, 2022 and cash equivalents, as well as certificates of deposit with maturities of one year or less, at cost, which approximates fair value.
The following tables represent the Company’s financial assets (in thousands), measured at fair value on a recurring basis as of December 28, 2019:
         Reported as
 Adjusted Basis
Cost
 Gross Unrealized
Gains
 Gross Unrealized
(Losses)
 Estimated
Fair Value
 
Cash and Cash
 Equivalents
 Short-Term
Investments
Cash$567,687
 $
 $
 $567,687
 $567,687
 $
Level 1:           
Certificates of deposit120,000
 
 
 120,000
 
 120,000
               Subtotal120,000
 
 
 120,000
 
 120,000
Level 2:           
          None
 
 
 
 
 
Level 3:           
          None
 
 
 
 
 
Total assets measured at fair value$687,687
 $
 $
 $687,687
 $567,687
 $120,000

As of December 29, 2018, the Company had an insignificant amount of other financial assets that were required to be measured under the fair value hierarchy, the measurement of which were based on LevelJanuary 1, inputs.2022.
Cash and Cash Equivalents
The Company considers all highly liquid investments with an original maturity from the date of purchase of three months or less, or highly liquid investments that are readily convertible into known amounts of cash, to be cash equivalents.
Short-Term Investments
The Company classifies its investments in certificates of deposits maturing in one year or less that do not constitutecarries cash and cash equivalents on the date of the original investment as short-term investments. The carrying value of such investmentsat cost, which approximates fair value, and they are accessible without any significant restrictions, taxes, or penalties. As of December 28, 2019,Level 1 under the Company had total investments in certificates of deposit of $120.0 million with maturities ranging from two months to ten months.

F-11

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


fair value hierarchy.
Accounts Receivable and Allowance for Doubtful AccountsCredit Losses
Accounts receivable consist of trade receivables recorded at the time of invoicing of product sales, reduced by reserves for estimated bad debts and returns. Trade accounts receivable are recorded at the invoiced amount and do not bear interest. Credit is extended based on an evaluation of the customer’s financial condition. Collateral is generally not required. The Company records an allowance for doubtful accounts is determinedcredit losses that it does not expect to collect based on relevant information, including historical write-off experience, current customer informationconditions, and other relevant factors, including specific identification of past due accounts, based on the age of the receivable in excess of the contemplated or contractual due date.reasonable and supportable forecasts. Accounts are charged off against the allowance when the Company believes they are uncollectible. The allowance for credit losses is measured on a collective (pool) basis when similar risk characteristics exist. Based on the risk of characteristics, the Company has identified U.S. and international customers as separate portfolios for both segments, and measures expected credit losses on such receivables using an aging methodology.
InventoryInventories
Inventories are stated at the lower of cost or net realizable value. Cost is determined using a standard cost method, which approximates the first in, first out method, and includes material, labor and overhead costs. Inventory valuation adjustments are recorded for inventory items that have become excess or obsolete or are no longer used in current production and for inventory items that have a market price less than carrying value in inventory. The Company generally determines inventory valuation adjustments based on an evaluation of the expected future use of its inventory on an item by item basis and applies historical obsolescence rates to estimate the loss on inventory expected to have a recovery value below cost. The Company also records other specific inventory valuation adjustments when it becomes aware of unique events or circumstances that result in an expected recovery value below cost. For inventory items that have been written down, the reduced value becomes the new cost basis.
Property and Equipment
Property and equipment are stated at cost. Depreciation is calculated using the straight-line method over estimated useful lives as follows:
Useful Lives
Buildings and building improvementsUseful Lives
Aircraft and components47 to 20 years
Buildings39 years
Building improvementsComputer equipment and software72 to 12 years
Demonstration units2 to 3 years
Furniture and office equipment2 to 15 years
Computer equipment2 to 6 years
Demonstration units3 years
Furniture and office equipment2 to 6 years
Leasehold improvementsLesser of useful life or term of lease
Machinery, equipment and equipmenttooling53 to 1020 years
ToolingOperating lease assets3Lesser of useful life or term of lease
Transportation, vehicles and other1 to 20 years
Vehicles5 years

Land is not depreciated and construction in progressconstruction-in-progress is not depreciated until placed in service. Normal repair and maintenance costs are expensed as incurred, whereas significant improvements that materially increase values or extend useful lives are capitalized and depreciated over the remaining estimated useful lives of the related assets. Upon sale or retirement of depreciable assets, the related cost and accumulated depreciation or amortization are removed from the accounts and any gain or loss on the sale or retirement is recognized in income.
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Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Lessee Right-of-Use (ROU) Assets and Lease Liabilities
As further discussed below within this Note 2 to these consolidated financial statements, the Company adopted ASC 842 effective December 30, 2018. The Company determines if an arrangement contains a lease at inception. ROU assets represent the Company’s right to use an asset underlying an operating lease for the lease term and lease liabilities represent the Company’s obligation to make lease payments arising from an operating lease. ROU assets and lease liabilities are recognized at the commencement date based on the present value of lease payments over the lease term. The Company generally estimates the applicable discount rate used to determine the net present value of lease payments based on available information at the lease commencement date. Many of the Company’s lessee agreements include options to extend the lease, which the Company does not include in its lease terms unless they are reasonably certain to be exercised. The Company utilizes a portfolio approach to account for the ROU assets and liabilities associated with certain equipment leases.

F-12

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


The Company has also made an accounting policy election not to separate lease and non-lease components for its real estate leases and to exclude short-term leases with a term of twelve months or less from its application of ASC 842.ROU assets and lease liabilities. Rental expense for lease payments related to operating leases is recognized on a straight-line basis over the lease term.
Intangible Assets
Intangible assets consist primarily of patents, trademarks, software development costs, customer relationships and acquired technology. Costs related to patents and trademarks, which include legal and application fees, are capitalized and amortized over the estimated useful lives using the straight-line method. Patent and trademark amortization commences once final approval of the patent or trademark has been obtained. Patent costs are amortized over the lesser of 10 years or the patent’s remaining legal life, which assumes renewals, and trademark costs are amortized over 17 years, and their associated amortization cost is included in selling, general and administrative expense in the accompanying consolidated statements of operations. For intangibles purchased in an asset acquisition or business combination, which mainly include patents, trademarks, customer relationships and acquired technology,technologies, the useful life is determined in the same manner as noted above.largely by valuation estimates of remaining economic life.
The Company’s policy is to renew its patents and trademarks. Costs to renew patents and trademarks are capitalized and amortized over the remaining useful life of the intangible asset. The Company continuallyperiodically evaluates the amortization period and carrying basis of patents and trademarks to determine whether any events or circumstances warrant a revised estimated useful life or reduction in value. Capitalized application costs are charged to operations when it is determined that the patent or trademark will not be obtained or is abandoned.
Intangibles purchased as part of an asset acquisition or business combination historically have included patents, trademarks, customer relationships, developed technologies and contractual licenses. In certain circumstances, the Company also has acquired non-compete agreements tied to certain employment relationships. The useful life for all of these is largely determined by valuation estimates of remaining economic life. In connection with the Sound United Acquisition, the Company acquired certain trademarks/tradenames, which are intangible assets with indefinite useful lives. These brands are expected to maintain brand value for an indefinite period of time.
Impairment of Goodwill, Intangible Assets and Other Long-Lived Assets
Goodwill is recorded as the difference, if any, between the aggregate consideration paid for an acquisition and the fair value of the acquired net tangible and intangible assets. Goodwill is not amortized, but instead is tested annually for impairment, or more frequently when events or changes in circumstances indicate that goodwill might be impaired. In assessing goodwill impairment, the Company has the option to first assess the qualitative factors to determine whether the existence of events or circumstances leads to a determination that it is more likely than notmore-likely-than-not that the fair value of a reporting unit is less than its carrying amount. The Company has two reporting units, healthcare and non-healthcare. The Company’s qualitative assessment of the recoverability of goodwill considers various macroeconomic, industry-specific and Company-specific factors, including: (i) severe adverse industry or economic trends; (ii) significant Company-specific actions; (iii) current, historical or projected deterioration of the Company’s financial performance; or (iv) a sustained decrease in the Company’s market capitalization below its net book value. If after assessing the totality of events or circumstances, the Company determinesqualitative assessment indicates that it is unlikelymore-likely-than-not that the fair value of a reporting unit is less than its carrying amount, then a quantitative analysis is unnecessary. However, if the Company concludes otherwise,value, or if the Company elects to bypass the qualitative analysis, then the Company must performperforms a quantitative analysis that compares the fair value of the reporting unit with its carrying amount, including goodwill. If the fair value of the reporting unit exceeds its carrying amount, goodwill is not considered impaired; otherwise, a goodwill impairment loss is recognized for the lesser of: (a) the amount that the carrying amount of asuch reporting unit exceeds its fair value; or (b) the amount of the goodwill allocated to thatsuch reporting unit. The annual impairment test is performed during the fourth fiscal quarter.
F-14

Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Similar to goodwill, indefinite-lived intangible assets are not amortized but instead are subject to annual impairment testing, unless circumstances dictate more frequent testing, if impairment indicators exist. Impairment for indefinite-lived assets exists if the carrying value of the indefinite-lived intangible asset exceeds its fair value. Determining whether impairment indicators exist and estimating the fair value of the Company’s indefinite-lived intangible assets if necessary for impairment testing require significant judgment. Qualitative factors considered in this assessment include industry and market conditions, overall financial performance, and other relevant events and factors.
The Company reviews long-livedfinite-lived intangible assets and identifiable intangibleslong-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset to the future undiscounted operating cash flows expected to be generated by the asset. If such asset is considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount exceeds the fair value of the asset. Long-lived assets to be disposed of are reported at the lower of carrying amount or fair value less costs to sell.
Employee Defined Benefit Plans
The Company maintains noncontributory defined benefit plans that cover certain employees in certain international locations. The Company recognizes the funded status, or the difference between the fair value of plan assets and the projected benefit obligations of the pension plan on the consolidated balance sheet, with a corresponding adjustment to accumulated other comprehensive income (loss). If the projected benefit obligation exceeds the fair value of plan assets, the difference or unfunded status represents the pension liability. The Company records a net periodic pension cost in the consolidated statement of operations. The liabilities and annual income or expense are determined using methodologies that involve several actuarial assumptions, the most significant of which are the discount rate and the expected long-term rate of asset return. The fair values of plan assets are determined based on prevailing market prices. See Note 21, “Employee Benefits”, for further details.
Income Taxes
The Company accounts for income taxes using the asset and liability method, under which the Company recognizes deferred tax assets and liabilities for the future tax consequences attributable to temporary differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and for net operating loss and tax credit carryforwards. Tax positions that meet a more-likely-than-not recognition threshold are recognized in the first reporting period that it becomes more-likely-than-not such tax position will be sustained upon examination. A tax position that meets this more-likely-than-not recognition threshold is recorded at the largest amount of tax benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. Previously recognized income tax positions that fail to meet the recognition threshold in a subsequent period are derecognized in that period. Differences between actual results and the Company’s assumptions, or changes in the Company’s assumptions in future periods, are recorded in the period they become known. The Company records potential accrued interest and penalties related to unrecognized tax benefits in income tax expense.

F-13

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


As a multinational corporation, the Company is subject to complex tax laws and regulations in various jurisdictions. The application of tax laws and regulations is subject to legal and factual interpretation, judgment and uncertainty. Tax laws themselves are subject to change as a result of changes in fiscal policy, changes in legislation, evolution of regulations and court rulings. Therefore, the actual liability for U.S. or foreign taxes may be materially different from the Company’s estimates, which could result in the need to record additional liabilities or potentially to reverse previously recorded tax liabilities.
Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in the period that includes the enactment date. A valuation allowance is recorded against any deferred tax assets when, in the judgment of management, it is more likely than notmore-likely-than-not that all or part of a deferred tax asset will not be realized. In assessing the need for a valuation allowance, the Company considers all positive and negative evidence, including recent financial performance, scheduled reversals of temporary differences, projected future taxable income, availability of taxable income in carryback periods and tax planning strategies.
Income taxes are highly susceptible to changes from period to period, requiring management to make assumptions about the Company’s future income over the lives of its deferred tax assets and the impact of changes in valuation allowances. Any difference in the assumptions, judgments and estimates mentioned above could result in changes to the Company’s results of operations.
F-15

Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Revenue Recognition, Deferred Revenue and Other Contract Liabilities
The Company derives the majority of its product revenue from 4 primary sources: (i) direct sales under deferred equipment agreements with end-user hospitals where the Company provides up-front monitoring equipment at no up-front charge in exchange for a multi-year sensor purchase commitment; (ii) other direct sales of noninvasive monitoring solutions to end-user hospitals, emergency medical response organizations and other direct customers; (iii) sales of noninvasive monitoring solutions to distributors who then typically resell to end-user hospitals, emergency medical response organizations and other customers; and (iv) sales of integrated circuit boards to OEM customers who incorporate the Company’s embedded software technology into their multiparameter monitoring devices. Subject to customer credit considerations, the majority of such sales are made on open account using industry standard payment terms based on the geography within which the specific customer is located.
The Company generally recognizes revenue following a single, principles-based five-step model to be applied to all contracts with customers and generally provides for the recognition of revenue in an amount that reflects the consideration to which the Company expects to be entitled, net of allowances for estimated returns, discounts or sales incentives, as well as taxes collected from customers that are remitted to government authorities when control over the promised goods or services are transferred to the customer. Revenue related to equipment supplied under sales-type lease arrangements is recognized once control over the equipment is transferred to the customer, while revenue related to equipment supplied under operating-type lease arrangements is generally recognized on a straight-line basis over the term of the lease.
Healthcare segment
While the majority of the Company’s healthcare segment revenue contracts and transactions contain standard business terms and conditions, there are some transactions that contain non-standard business terms and conditions. As a result, contract interpretation, judgment and analysis isare required to determine the appropriate accounting, including: (i) the amount of the total consideration, includingas well as variable consideration, (ii) whether the arrangement contains an embedded lease, and if so, whether such embedded lease is a sales-type lease or an operating lease, (iii) the identification of the distinct performance obligations contained within the arrangement, (iv) how the arrangement consideration should be allocated to each performance obligation when multiple performance obligations exist, including the determination of standalone selling price, and (v) when to recognize revenue on the performance obligations. Changes in judgments on these assumptions and estimates could materially impact the timing of revenue recognition. Revenue from fixed lease payments related to equipment supplied under sales-type lease arrangements is recognized once control over the equipment is transferred to the customer, while revenue from fixed lease payments related to equipment supplied under operating-type lease arrangements is generally recognized on a straight-line basis over the term of the lease and variable lease payments are recognized as they occur.
The Company derives the majority of its healthcare segment revenue from four primary sources: (i) direct sales under deferred equipment agreements with end-user hospitals where the Company provides up-front monitoring equipment at no up-front charge in exchange for a multi-year sensor purchase commitment; (ii) other direct sales of noninvasive monitoring solutions to end-user hospitals, emergency medical response organizations and other direct customers; (iii) sales of noninvasive monitoring solutions to distributors who then typically resell to end-user hospitals, emergency medical response organizations and other customers; and (iv) sales of integrated circuit boards to original equipment manufacturer (OEM) customers who incorporate the Company’s embedded software technology into their multiparameter monitoring devices. Subject to customer credit considerations, the majority of such sales are made on open accounts using industry standard payment terms based on the geography within which the specific customer is located.
The Company enters into agreements to sell its monitoring solutions and services, sometimes as a part of arrangements with multiple performance obligations that include various combinations of product sales, equipment leases and services. In the case of contracts with multiple performance obligations, the authoritative guidance provides that the total consideration be allocated to each performance obligation on the basis of relative standalone selling prices. When a standalone selling price is not readily observable, the Company estimates the standalone selling price by considering multiple factors including, but not limited to, features and functionality of the product, geographies, type of customer, contractual prices pursuant to Group Purchasing Organization (GPO) contracts, the Company’s pricing and discount practices, and other market conditions.
Sales under deferred equipment agreements are generally structured such that the Company agrees to provide certain monitoring-related equipment, software, installation, training and/or warranty support at no up-front charge in exchange for the customer’s commitment to purchase sensors over the term of the agreement, which generally ranges from three years to six years. The Company allocates contract consideration under deferred equipment agreements containing fixed annual sensor purchase commitments to the underlying lease and non-lease components at contract inception.

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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


In determining whether any underlying lease components are related to a sales-type lease or an operating lease, the Company evaluates the customer’s rights and ability to control the use of the underlying equipment throughout the contract term, including any equipment substitution rights retained by the Company, as well as the Company’s expectations surrounding potential contract/lease extensions or renewals and the customer’s likelihood to exercise any purchase options. Beginning January 2, 2022, for contracts that contain variable lease payments that are not dependent on an index or rate, the Company classifies as operating leases any lease components that would have otherwise been classified as sales-type leases that would result in a selling loss upon lease commencement. Revenue allocable to non-lease performance obligations is generally recognized as such non-lease performance obligations are satisfied. Revenue allocable to lease components under sales-type lease arrangements is generally recognized when control over the equipment is transferred to the customer. Revenue allocable to lease components under operating lease arrangements is generally recognized over the term of the operating lease. The Company generally does not expect to derive any significant value in excess of such asset’s unamortized book value from equipment underlying its operating lease arrangements after the end of the agreement.
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Revenue from the sale of products to end-user hospitals, emergency medical response organizations, other direct customers, distributors and OEM customers, is recognized by the Company when control of such products transfer to the customer based upon the terms of the contract or underlying purchase order.
Revenue related to OEM rainbow® parameter software licenses is recognized by the Company upon the OEM’s shipment of its product to its customer, as reported to the Company by the OEM.
The Company provides certain customers with various sales incentives that may take the form of discounts or rebates. The Company records estimates related to these programs as a reduction to revenue at the time of sale. In general, customers do not have a right of return for credit or refund. However, the Company allows returns under certain circumstances. At the end of each period, the Company estimates and accrues for these returns as a reduction to revenue. The Company estimates the revenue constraints related to these forms of variable consideration based on various factors, including expected purchasing volumes, prior sales and returns history, and specific contractual terms and limitations.
Non-healthcare segment
Non-healthcare segment revenue is related to hardware and embedded software that is integrated into final products that are manufactured and sold by the Company. Products and related software are accounted for as a single performance obligation and all intended functionality is available to the customer upon purchase. Non-healthcare segment revenue is recognized upon transfer of control of promised products or service to customers, which is either upon shipment or upon delivery to the customers, depending on delivery terms. The majorityCompany offers sales incentives and has customer programs consisting primarily of discounts and market development fund programs, and records them as a contra revenue. Estimates for sales incentives are developed using the most likely amount and are included in the transaction price to the extent that a significant reversal of revenue would not result once the uncertainty is resolved. In developing its estimates, the Company also considers the susceptibility of the incentive to outside influences, the length of time until the uncertainty is resolved and the Company’s royalty and otherexperience with similar contracts. Reductions in revenue arose from one agreement that was due and payable quarterly in arrears. An estimate of these royalty revenues was recorded in the period earnedrelated to discounts are allocated to products on a relative basis based on historical results, adjusted for any new information or trends knowntheir respective standard selling price if there are undelivered products in a contract. Judgement is required to managementdetermine the timing and amount of recognition of marketing funds, which the Company estimates based on past practice of providing similar funds.
Payment terms and conditions vary among the Company’s distribution channels, although terms generally include a requirement of payment within 30 to 60 days of product shipment. Sales made directly to customers from the Company’s website are paid at the time of estimation. This estimated revenue was adjusted prospectively when the Company received the underlying royalty report, approximately sixty days after the endproduct shipment. Prior to determining payment terms for each customer, an evaluation of the previous quarter. The Company received its final royalty payment from this agreement during the three months ended March 30, 2019. For the years ended December 28, 2019, December 29, 2018 and December 30, 2017, the Company recognized royalty revenue pursuantsuch customer’s credit risk is performed. Contractual allowances are an offset to this agreement of approximately $0.7 million, $26.4 million and $32.8 million, respectively.accounts receivable.
Shipping and Handling Costs and Fees
All shipping and handling costs are expensed as incurred and are recorded as a component of cost of goods sold in the accompanying consolidated statements of operations. Charges for shipping and handling billed to customers are included as a component of product revenue.
Taxes Collected From Customers and Remitted to Governmental Authorities
The Company’s policy is to present revenue net of taxes collected from customers and remitted to governmental authorities.
Deferred Costs and Other Contract Assets
The costs of monitoring-related equipment provided to customers under operating lease arrangements within the Company’s deferred equipment agreements are generally deferred and amortized to cost of goods sold over the life of the underlying contracts. Some of the Company’s deferred equipment agreements also contain provisions for certain allowances to be made directly to the end-user hospital customer at the inception of the arrangement. These allowances are generally allocated to the lease and non-lease components and recognized as a reduction to revenue as the underlying performance obligations are satisfied.
The Company generally invoices its customers under deferred equipment agreements as sensors are provided to the customer. However, the Company may recognize revenue for certain non-lease performance obligations under deferred equipment agreements with fixed annual commitments at the time such performance obligations are satisfied and prior to the customer being invoiced. When this occurs, the Company records an unbilled contract receivable related to such revenue until the customer has been invoiced pursuant to the terms of the underlying deferred equipment agreement.
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The incremental costs of obtaining a contract with a customer are capitalized and deferred if the Company expects such costs to be recoverable over the life of the contract and the contract term is greater than one year. Such deferred costs generally relate to certain incentive sales commissions earned by the Company’s internal sales team in connection with the execution of deferred equipment agreements and are amortized to expense over the expected term of the underlying contract.

In connection with the Sound United Acquisition, the Company recognized non-healthcare royalty revenue associated with certain prepaid license arrangements. The Company recognizes non-healthcare revenue from the prepaid license arrangements based upon sales-based royalties when a subsequent sale occurs.
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


Product Warranty
The Company generally provides a warranty against defects in material and workmanship for a period ranging from six months to forty-eight months, depending on the product type. In traditional sales activities, including direct and OEM sales, the Company establishes an accrued liability for the estimated warranty costs at the time of revenue recognition, with a corresponding provision to cost of goods sold. Customers may also purchase extended warranty coverage or service level upgrades separately or as part of a deferred equipment agreement. Revenue related to extended warranty coverage and service level upgrades is generally recognized over the extended life of the contract, which reasonably approximates the period over which such services will be provided. The related extended warranty and service level upgrade costs are expensed as incurred.

Changes in the product warranty accrual were as follows (in thousands):follows:
Year Ended
Year Ended
December 28,
2019
 December 29,
2018
 December 30,
2017
(in millions)(in millions)December 31,
2022
January 1,
2022
January 2,
2021
Warranty accrual, beginning of period$1,910
 $1,149
 $910
Warranty accrual, beginning of period$2.5 $2.7 $3.4 
Increase related to acquisitionIncrease related to acquisition8.4 — — 
Accrual for warranties issued1,715
 1,549
 1,061
Accrual for warranties issued1.8 2.2 0.8 
Changes in pre-existing warranties (including changes in estimates)(1)
1,130
 551
 332
4.7 (1.4)0.2 
Settlements made(1,360) (1,339) (1,154)Settlements made(6.8)(1.0)(1.7)
Warranty accrual, end of period$3,395
 $1,910
 $1,149
Warranty accrual, end of period$10.6 $2.5 $2.7 
______________
(1)
In connection with its adoption of ASC 842 on December 30, 2018, the Company recorded an adjustment to pre-existing warranties of $2.5 million related to equipment previously capitalized under its deferred equipment agreements where the embedded leases were treated as operating leases under prior guidance. See “Recently Adopted Accounting Pronouncements” in Note 2 to these consolidated financial statements for additional information related to the Company’s adoption of ASC 842.
Advertising Costs
Advertising costs are expensed as incurred. These costs are included in selling, general and administrative expense in the accompanying consolidated statements of operations. Advertising costs for the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017January 2, 2021 were $14.0$12.3 million, $17.9$9.0 million and $17.8$30.8 million, respectively.
Research and Development
Costs related to research and development activities are expensed as incurred. These costs include personnel costs, materials, depreciation and amortization on associated tangible and intangible assets and an allocation of facility costs, all of which are directly related to research and development activities.
Litigation Costs and Contingencies
The Company records a charge equal to at least the minimum estimated liability for a loss contingency or litigation settlement when both of the following conditions are met: (i) information available prior to issuance of the financial statements indicates that it is probable that a liability had been incurred at the date of the financial statements, and (ii) the range of loss can be reasonably estimated. The determination of whether a loss contingency or litigation settlement is probable or reasonably possible involves a significant amount of management judgment, as does the estimation of the range of loss given the nature of contingencies. Liabilities related to litigation settlements with multiple elements are recorded based on the fair value of each element. Legal and other litigation related expenses are recognized as the services are provided. The Company records insurance and other indemnity recoveries for litigation expenses when both of the following conditions are met: (a) the recovery is probable, and (b) collectability is reasonably assured. Insurance recoveries are only recorded to the extent the litigation costs to which they relate have been incurred and recognized in the financial statements.
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Foreign Currency Translation
The Company’s international headquarters is in Switzerland, and its functional currency is the U.S. Dollar. The Company has many other foreign subsidiaries, and the largest of which are locatedtransactions in Japan and Europe. The functional currencies of these subsidiaries areforeign currency translations occur in the Japanese Yen, the British Pound, the Chinese Yuan and Euro, respectively.

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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


the European Euro.
The Company records certain revenues and expenses in foreign currencies. These revenues and expenses are translated into U.S. Dollars based on the average exchange rate for the reporting period. Assets and liabilities denominated in foreign currencies are translated into U.S. Dollars at the exchange rate in effect as of the balance sheet date. Translation gains and losses related to foreign currency assets and liabilities of a subsidiary that are denominated in the functional currency of such subsidiary are included as a component of accumulated other comprehensive income (loss) within the accompanying consolidated balance sheets. Realized and unrealized foreign currency gains and losses related to foreign currency assets and liabilities of the Company or a subsidiary that are not denominated in the underlying functional currency are included as a component of non-operating (income) expense(loss) income within the accompanying consolidated statements of operations.
Derivatives Instruments and Hedging Activities
The Company addresses market risk from changes in foreign currency and interest rates risks through risk management programs, which include the use of derivative and nonderivative instruments. The Company’s exposure to a counterparty’s credit risk is generally limited to the amounts of the net obligation to the counterparty. The Company established policies to enter into contracts only with major investment-grade financial institutions to mitigate such counterparty credit risk. The Company also established a policy to further monitor the counterparty risks throughout the life of the instruments. None of the derivative instruments currently held by the Company were entered into for speculative trading purposes.
All derivative financial instruments are recognized as either assets or liabilities at fair value in the consolidated balance sheets and are classified as short-term or long-term based on the tenor of the instrument. The Company has elected not to separate a derivative instrument into current and long-term portions. A derivative instrument whose fair value is a net liability is classified as current in total. A derivative instrument whose fair value is a net asset and whose current portion is an asset is classified as non-current in total. For a derivative instrument that meets the criteria to qualify for hedge accounting, the Company marks the fair value of the derivative instrument to market periodically through other comprehensive income (loss). When the hedged items are recorded to income (expense), the associated deferred gains (losses) of the derivatives in accumulated other comprehensive income (loss) will be reclassified into earnings. Any fluctuation in the fair value of a derivative instrument that does not meet the criteria for hedge accounting is recorded to earnings (expense) in the period it occurs.
Comprehensive Income
Comprehensive income includes foreign currency translation adjustments, changes to pension benefits, unrealized gains or (losses) on cash flow hedges and any related tax benefits (expenses) that have been excluded from net income and reflected in stockholders’ equity.
Net Income Per Share
TheA computation of basic and diluted net income per share is as follows (in thousands, except per share data):follows:
Year Ended
(in millions, except per share amounts)December 31,
2022
January 1,
2022
January 2,
2021
Net income:$143.5 $229.6 $240.3 
Basic net income per share:
Weighted-average shares outstanding - basic53.6 55.2 54.7 
Net income per basic share$2.68 $4.16 $4.39 
Diluted net income per share:
Weighted-average shares outstanding - basic53.6 55.2 54.7 
Diluted share equivalents: stock options, RSUs and PSUs1.6 2.5 3.3 
Weighted-average shares outstanding - diluted55.2 57.7 58.0 
Net income per diluted share$2.60 $3.98 $4.14 
 Year Ended
 December 28,
2019
 December 29,
2018
 December 30,
2017
Net income$196,216
 $193,543
 $124,789
Basic net income per share:     
Weighted-average shares outstanding - basic53,434
 52,296
 51,516
Net income per basic share$3.67
 $3.70
 $2.42
Diluted net income per share:     
Weighted-average shares outstanding - basic53,434
 52,296
 51,516
Diluted share equivalents: stock options and RSUs3,666
 3,743
 4,358
Weighted-average shares outstanding - diluted57,100
 56,039
 55,874
Net income per diluted share$3.44
 $3.45
 $2.23
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Basic net income per share is computed by dividing net income by the weighted-average number of shares outstanding during the period. Net income per diluted share is computed by dividing the net income by the weighted-average number of shares and potential shares outstanding during the period, if the effect of potential shares is dilutive. Potential shares include incremental shares of stock issuable upon the exercise of stock options and the vesting of both restricted share units (RSUs) and performance stock units (PSUs). For the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017,January 2, 2021, weighted options to purchase 0.40.8 million, 1.10.2 million and 0.4 million shares of common stock, respectively, were outstanding but not included in the computation of diluted net income per share because the effect of including such shares would have been antidilutive in the applicable period. For each of the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017,January 2, 2021, certain RSUs were considered contingently issuable shares as their vesting is contingent upon the occurrence of certain future events. Since such events had not occurred and were not considered probable of occurring as of December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017,January 2, 2021, 2.7 million of weighted averageweighted-average shares related to such RSUs have been excluded from the calculation of potential shares. For additional information with respect to these RSUs, please see “Employment and Severance Agreements” in Note 21 to these consolidated financial statements.24, “Commitments and Contingencies”.

F-17

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


Supplemental Cash Flow Information
Supplemental cash flow information includes the following (in thousands):following:
Year Ended
(in millions)December 31,
2022
January 1,
2022
January 2,
2021
Cash paid during the year for:
Interest expense$23.0 $0.3 $0.3 
Income taxes87.3 43.9 39.5 
Operating lease liabilities17.2 7.3 6.3 
Non-cash operating activities:
ROU assets obtained in exchange for lease liabilities$— $6.0 $15.4 
Non-cash investing activities:
Unpaid purchases of property and equipment$3.8 $— $2.1 
Settlement of promissory note receivable in connection with business combination— — 5.1 
Non-cash financing activities:
       Unsettled common stock proceeds from option exercises$— $0.7 $3.0 
Fair value of common stock received for payment of stock option exercise price— — 1.6 
Reconciliation of cash, cash equivalents and restricted cash:
Cash and cash equivalents$202.9 $745.3 $641.4 
Restricted cash6.7 3.1 3.6 
Total cash, cash equivalents and restricted cash shown in the statement of cash flows$209.6 $748.4 $645.0 
 Year Ended
 December 28,
2019
 December 29,
2018
 December 30,
2017
Cash paid during the year for:     
Interest expense$211
 $193
 $551
Income taxes42,270
 36,589
 91,061
Operating lease liabilities6,676
 
 
      
Non-cash operating activities:     
ROU assets obtained in exchange for lease liabilities(1)
$26,484
 $
 $
      
Non-cash investing activities:     
Unpaid purchases of property, plant and equipment$6,686
 $2,391
 $1,559
      
Non-cash financing activities:     
       Unsettled common stock proceeds from option exercises$14
 $4
 $161
       Unsettled common stock repurchases
 
 1,988
      
Reconciliation of cash, cash equivalents and restricted cash:     
Cash and cash equivalents$567,687
 $552,490
 $315,302
Restricted cash388
 151
 181
Total cash, cash equivalents and restricted cash shown in the statement of cash flows$568,075
 $552,641
 $315,483
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(1)
In connection with its adoption of ASC 842 on December 30, 2018, the Company recorded a lessee operating lease ROU asset of $22.5 million. See “Recently Adopted Accounting Pronouncements” in Note 2 to these consolidated financial statements for additional information related to the Company’s adoption of ASC 842.
Segment InformationMASIMO CORPORATION
The Company uses the “management approach” in determining reportable business segments. The management approach designates the internal organization used by management for making operating decisions and assessing performance as the source for determining the Company’s reportable segments. Based on this assessment, management has determined it operates in 1 reportable business segment, which is comprised of patient monitoring and related products.NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Recently Adopted Accounting Pronouncements
In July 2019,November 2021, the FASBFinancial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) No. 2019-07,2021-08, Codification Updates to SEC Sections - Amendments to SEC Paragraphs Pursuant to SEC Final Rule Releases No. 33-10532, Disclosure UpdateBusiness Combinations (Topic 805): Accounting for Contract Assets and Simplification, and Nos. 33-10231 and 33-10442, Investment Company Reporting Modernization, and Miscellaneous UpdatesContract Liabilities from Contracts with Customers (ASU 2019-07)(ASU 2021-08). The new standard alignsrequires companies to apply ASC Topic 606, Revenue from Contracts with Customers, to recognize and measure contract assets and contract liabilities from contracts with customers acquired in a business combination. This creates an exception to the guidancegeneral recognition and measurement principle in various sections of the codification with the requirements of certain already effective SEC final rules.ASC Topic 805. ASU 2019-072021-08 is effective immediatelyfor annual reporting periods beginning after December 15, 2022, and wasfor interim periods within those years, and should be adopted upon issuance.prospectively. Early adoption is permitted. The Company’s early adoption of this standard, effective January 3, 2021, did not have a material impact on its consolidated financial statements. Subsequently, upon the closing of the Sound United Acquisition, the Company recognized and measured acquired contract assets and contract liabilities (i.e., deferred revenue) in accordance with the ASC Topic 606.

In July 2021, the FASB issued ASU No. 2021-05, Leases (Topic 842), Lessors - Certain Leases with Variable Lease Payments (ASU 2021-05). The new standard amends the original ASU No. 2016-02 lease standard by requiring lessors to classify leases as operating leases if they have variable lease payments that do not depend on an index or rate and would have selling losses at lease commencement if they were classified as sales-type. ASU 2021-05 is effective for annual reporting periods beginning after December 15, 2021, and for interim periods within those years, and may be adopted either prospectively or on a retrospective basis for leases that commenced or were modified after the date of initial adoption of ASC 842.
On January 2, 2022, the Company adopted ASU 2021-05 prospectively for leases that commenced or were modified on or after the date of adoption. As a result, certain leases that would have previously been classified as lease receivables (sales-type leases) were classified as operating leases, as they were determined to have variable lease payments that do not depend on an index or rate and would have selling losses at lease commencement. For leases that are classified as operating leases, the Company recorded these operating lease assets within property, plant and equipment, net of accumulated depreciation. The equipment costs associated with such new operating leases were initially deferred and will subsequently be amortized over the lease term on a straight-line basis, rather than being immediately recognized upon lease commencement. Similarly, revenue associated with such new operating leases is now being recognized over the term of the lease, rather than being immediately recognized at the date of the lease commencement.
Upon amendment of these leases, the Company applies the modification framework such that, based on this guidance, certain leases may be accordingly reclassified from sales-type to operating or vice versa. In certain situations, the reclassification from sales-type to operating lease results in the net investment in the original lease immediately before the effective date of the modification being reclassified to property, plant and equipment upon modification. This property, plant and equipment is depreciated to cost of goods sold over the lesser of the asset’s useful life or contractual term of the lease.
See Notes 6, “Lease Receivable” and 8, “Property and Equipment, net”, for further details.
In March 2020, the FASB issued ASU No. 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting (ASU 2020-04). The standard provides temporary optional expedients and exceptions to the guidance in GAAP on contract modifications and hedge accounting to ease the financial reporting burdens related to the expected market transition from the London Interbank Offered Rate (LIBOR) and other interbank offered rates to alternative reference rates, such as the Secured Overnight Financing Rate (SOFR). Entities can make a one-time election to sell and/or reclassify held-to-maturity debt securities that reference an interest rate affected by reference rate reform. ASU 2020-04 is effective beginning on March 12, 2020, and the Company may elect to apply this standard prospectively through December 31, 2022. The relief is temporary and generally cannot be applied to contract modifications that occur after December 31, 2022 or hedging relationships entered into or evaluated after that date. However, certain optional expedients can be applied to hedging relationships evaluated in periods after December 31, 2022.
In January 2021, the FASB issued ASU No. 2021-01, Reference Rate Reform (Topic 848): Scope (ASU 2021-01). The new standard clarified the scope and application of the original guidance. ASU 2021-01 is effective as of March 12, 2020 through December 31, 2022 and may be applied to contract modifications and hedging relationships from the beginning of an interim period that includes or is subsequent to March 12, 2020.
On April 11, 2022, the Company adopted ASU 2020-04 and ASU 2021-01 prospectively, in conjunction with the termination of the Company’s Prior Credit Facility (as defined in Note 15) and execution of a new Credit Facility (as defined in Note 15), which included both term loans and a revolving line of credit. At the time of transition, the Company no longer held any debt based upon the then-current reference rate, thus, it did not elect any optional practical expedients for contract modifications.
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


In August 2018,Ultimately, the FASB issued ASU No. 2018-15, Intangibles–Goodwill and Other–Internal-Use Software (Subtopic 350-40): Customer’s Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That Is a Service Contract (ASU 2018-15). The new standard aligns the requirements for capitalizing implementation costs incurred in a hosting arrangement that is a service contract with the requirements for capitalizing implementation costs incurredCompany transitioned away from an interest rate based on LIBOR to develop or obtain internal-use software (and hosting arrangements that include an internal-use software license). ASU 2018-15 is effective for annual periods, and interim periods within those annual periods, beginning after December 15, 2019. Early adoption is permitted, including adoption in an interim period. The Company early adopted this standard during the three months ended September 28, 2019,SOFR, and such adoption did not have a material impact on its consolidated financial statements.
In August 2018, the FASB issued ASU No. 2018-13,2018-14, Fair Value Measurement (Topic 820): Disclosure FrameworkCompensation - Changes to the Disclosure Requirements for Fair Value MeasurementRetirement benefits - Defined Benefit Plans - General (Subtopic 715-20) (ASU 2018-13)2018-14). The new standard adds and modifies certainfinal guidance changes the disclosure requirements for fair value measurements including when entities willemployers that sponsor defined benefit pension and/or other post-retirement benefit plans and eliminates requirements for certain disclosures that are no longer be required to disclose the amount ofconsidered cost beneficial and reasons for transfers between Level 1 and Level 2 of the fair value hierarchy, but will need to disclose the range and weighted average used to develop significant unobservable inputs for Level 3 fair value measurements.requires new ones that are considered pertinent. ASU 2018-132018-14 is effective for annual periods, and interim periods within those annual periods, beginning afteras of December 15, 2019.2020. Early adoption is permitted includingand is applied retrospectively. The Company’s adoption in an interim period. The Company early adoptedof this standard, during the three months ended September 28, 2019, and such adoptioneffective December 31, 2022, did not have a material impact on its consolidated financial statements.
In July 2018, the FASB issued ASU No. 2018-09, Codification Improvements (ASU 2018-09). This new standard amends, clarifies, corrects errors in and makes minor improvements to the ASC. The transition and effective date guidance is based on the facts and circumstances of each amendment. Some of the amendments of ASU 2018-09 do not require transition guidance and are effective upon issuance. The Company completed its adoption of all applicable items contained in ASU 2018-09 as of September 28, 2019, and such adoption did not have a material impact on its consolidated financial statements.
In February 2018, the FASB issued ASU No. 2018-02, Income Statement - Reporting Comprehensive Income (Topic 220): Reclassification of Certain Tax Effects from Accumulated Other Comprehensive Income (ASU 2018-02). The new standard allows a reclassification for certain stranded tax effects from accumulated other comprehensive income to retained earnings, and requires certain disclosures about stranded tax effects. ASU 2018-02 is effective for annual and interim periods beginning after December 15, 2018. The Company adopted this standard during the three months ended March 30, 2019, and such adoption did not have a material impact on its consolidated financial statements.
In February 2016, the FASB issued ASU No. 2016-02, Leases (Topic 842) (ASU 2016-02). Subsequent to the issuance of ASU 2016-02, the FASB clarified the guidance through several ASUs. The collective guidance was codified by the FASB in ASC 842,which, among other things (i) requires the Company to recognize an ROU asset and a lease liability for all operating leases for which the Company is the lessee; (ii) changes the classification of certain embedded leases within the Company’s deferred equipment agreements with its customers from operating to sales-type leases, resulting in the acceleration of revenue under certain contracts, as well as the immediate expensing of certain costs that were previously deferred and expensed over the term of the lease; and (iii) requires disclosures by the Company as a lessor and lessee about the amount, timing and uncertainty of cash flows arising from its leases.
On December 30, 2018, the Company adopted ASC 842 using the modified retrospective method for all lease arrangements at the beginning of the period of adoption. Results for reporting periods beginning December 30, 2018 are presented under ASC 842, while prior period amounts were not adjusted and continue to be reported in accordance with the Company’s historic accounting under ASC 840, Leases. Adoption of this new accounting standard had a material impact on the Company’s consolidated balance sheet upon adoption, but did not have a significant impact on the Company’s consolidated net earnings and cash flows for the year ended December 28, 2019. For leases that commenced before the effective date of ASC 842, the Company did not elect any of the permitted practical expedients. However, the Company utilized a portfolio approach for purposes of determining the discount rate associated with certain equipment leases and made certain accounting policy elections not to separate lease and non-lease components for its real estate leases and to exclude short-term leases with a term of twelve months or less from its application of ASC 842.

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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


In connection with its adoption of ASC 842, the Company recorded lessee operating lease ROU assets and lessee operating lease liabilities of $22.5 million as of December 30, 2018, primarily related to real estate and equipment leases, based on the present value of the future lease payments on such date. As a lessor, the Company also recorded customer lease receivables of $62.0 million, a reduction to equipment leased to customers (formerly titled deferred cost of goods sold) of $103.5 million, an increase to deferred tax assets of $8.6 million, a decrease to deferred revenue and contract-related liabilities of $9.1 million, an increase in other current liabilities of $3.0 million and a cumulative net decrease to retained earnings of $26.8 million, all related to the reclassification of certain embedded leases in existing deferred equipment agreements from operating to sales-type leases as of December 30, 2018. See Notes 6, 7 and 9 to these consolidated financial statements for additional disclosures required by ASC 842.
Recently Issued Accounting Pronouncements
In December 2019, the FASB issued ASU 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes (ASU 2019-12). The new standard simplifies the accounting for income taxes by removing exceptions to the incremental approach for intraperiod tax allocation when there is a loss from continuing operations and income or a gain from other items, to the requirement to recognize a deferred tax liability for equity method investments when a foreign subsidiary becomes an equity method investment, to the ability not to recognize a deferred tax liability for a foreign subsidiary when a foreign equity method investment becomes a subsidiary, and to the general methodology for calculating income taxes in an interim period when a year-to-date loss exceeds the anticipated loss for the year. In addition, the standard requires that an entity recognize a franchise tax that is partially based on income as an income-based tax and account for any incremental amount incurred as a non-income-based tax, evaluate when a step up in the tax basis of goodwill should be considered part of the business combination in which the book goodwill was originally recognized and when it should be considered a separate transaction, reflect the effect of an enacted change in tax laws or rates in the annual effective tax rate computation in the interim period that includes the enactment date, and specifying that an entity is not required to allocate the consolidated amount of current and deferred tax expense to a legal entity that is not subject to tax in its separate financial statements, however, an entity may elect to do so (on an entity-by-entity basis) for a legal entity that is both not subject to tax and disregarded by the taxing authority. ASU 2019-12 is effective for annual periods, and interim periods within those annual periods, beginning after December 15, 2020. Early adoption is permitted, including adoption in an interim period. The Company is currently evaluating the expected impact of this standard, but does not expect it to have a material impact on its consolidated financial statements upon adoption.
In June 2016, the FASB issued ASU No. 2016-13, Financial Instruments – Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments (ASU 2016-13). Subsequent to the issuance of ASU 2016-13, the FASB clarified the guidance through several ASUs. The collective new guidance (ASC 326) generally requires entities to use a current expected credit loss model, which is a new impairment model based on expected losses rather than incurred losses. Under this model, an entity would recognize an impairment allowance equal to its current estimate of all contractual cash flows that the entity does not expect to collect. The entity’s estimate would consider relevant information about past events, current conditions, and reasonable and supportable forecasts. ASC 326 is effective for annual and interim fiscal reporting periods beginning after December 15, 2019, with early adoption permitted for annual reporting periods beginning after December 15, 2018. The Company is continuing to evaluate the expected impact of ASC 326 but does not expect it to have a material impact on its consolidated financial statements upon adoption.
3. Related Party Transactions
Cercacor Laboratories, Inc. (Cercacor) is an independent entity that was spun off from the Company to its stockholders in 1998. Joe Kiani, the Company’s Chairman and Chief Executive Officer (CEO), is also the Chairman and CEO of Cercacor. Effective as of January 3, 2016, in connection with changes in the capital structure of Cercacor, the Company determined that Cercacor was no longer required to be consolidated. Although the Company believes that Cercacor continues to be considered a variable interest entity, the Company has determined that it is no longer the primary beneficiary of Cercacor as it does not have the power to direct the activities of Cercacor that most significantly impact Cercacor’s economic performance and has no obligation to absorb Cercacor’s losses.

F-20

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


The Company is a party to the following agreements with Cercacor:
Cross-Licensing Agreement - The Company and Cercacor are parties to the Cross-Licensing Agreement, which governs each party’s rights to certain intellectual property held by the two companies. The Company is subject to certain annual minimum aggregate royalty obligations for use of the rainbow® licensed technology. The current annual minimum royalty obligation is $5.0 million. Aggregate liabilities payable to Cercacor arising under the Cross-Licensing Agreement were $12.1 million, $10.9 million and $8.0 million for the years ended December 28, 2019, December 29, 2018 and December 30, 2017,
Cross-Licensing Agreement - The Company and Cercacor are parties to a cross-licensing agreement (Cross-Licensing Agreement), which governs each party’s rights to certain intellectual property held by the two companies. The Company is subject to certain annual minimum aggregate royalty obligations for use of the rainbow® licensed technology. The current annual minimum royalty obligation is $5.0 million. Aggregate liabilities payable to Cercacor arising under the Cross-Licensing Agreement were $16.9 million, $13.5 million and $13.3 million for the years ended December 31, 2022, January 1, 2022 and January 2, 2021, respectively. The Company had sales to Cercacor in the amount of $0.2 million, $0.1 million and less than $0.1 million for the years ended December 31, 2022, January 1, 2022 and January 2, 2021, respectively.
Administrative Services Agreement - The Company is a party to an administrative services agreement with Cercacor (G&A Services Agreement), which governs certain general and administrative services that the Company provides to Cercacor. Amounts charged by the Company pursuant to the G&A Services Agreement were $0.4 million, $0.3 million and $0.3 million for the years ended December 31, 2022, January 1, 2022 and January 2, 2021, respectively.
Lease Agreements - Effective December 2019, the Company entered into a new lease agreement with Cercacor for approximately 34,000 of square feet of office, research and development space at one of the Company’s owned facilities in Irvine (Cercacor Lease). The term of the Cercacor Lease expires on December 31, 2024. The Company recognized approximately $1.2 million, $1.2 million and $1.1 million of lease income for the years ended December 31, 2022, January 1, 2022 and January 2, 2021, respectively. The Company had $0.1 million in sales to Cercacor for the year ended December 28, 2019. The Company had less than $0.1 million in sales to Cercacor for each of the years ended December 29, 2018 and December 30, 2017. 
Administrative Services Agreement - The Company is a party to an administrative services agreement with Cercacor (G&A Services Agreement), which governs certain general and administrative services that the Company provides to Cercacor. Amounts charged by the Company pursuant to the G&A Services Agreement were $0.2 million for each of the years ended December 28, 2019, December 29, 2018 and December 30, 2017.
Patent Transfer and Licensing Agreement. The Company entered into a patent transfer and licensing agreement with Cercacor (the Patent Agreement) effective July 2015, pursuant to which, among other things, it purchased certain patents from Cercacor (the Purchased Patents) for an aggregate purchase price of $2.4 million. Pursuant to the Patent Agreement, the Company granted Cercacor an irrevocable, non-exclusive, worldwide license with respect to the products and services covered by the Purchased Patents.
Lease and Sublease Agreements - Effective December 14, 2019, the Company entered into a new lease agreement with Cercacor for approximately 34,000 of square feet of office, research and development space at one of the Company’s owned facilities in Irvine (Cercacor Lease). The term of the Cercacor Lease expires on December 31, 2024. In March 2016, the Company entered into a sublease agreement with Cercacor for approximately 16,830 square feet of excess office and laboratory space located at 40 Parker, Irvine, California (Cercacor Sublease). The Cercacor Sublease began on May 1, 2016 and expired on December 15, 2019. The Company recognized approximately $0.4 million of combined lease and sublease income for each of the years ended December 28, 2019, December 29, 2018, and December 30, 2017.
Net amounts due to Cercacor were approximately $2.9$3.8 million and $3.5 million as of December 28, 201931, 2022 and December 29, 2018.January 1, 2022, respectively.
The Company’s CEO is also the Chairman of the Masimo Foundation for Ethics, Innovation and Competition in Healthcare (Masimo Foundation), a non-profit organization that was founded in 2010 to provide a platform for encouraging ethics, innovation and competition in healthcare. In addition, the Company’s Executive Vice President (EVP), Chief Financial Officer (CFO) serves as the Treasurer of the Masimo Foundation and the Company’s EVP, General Counsel and Corporate Secretary serves as the Secretary for the Masimo Foundation. For the fiscal years ended December 28, 201931, 2022, January 1, 2022 and December 29, 2018,January 2, 2021, the Company made cash contributions of approximately $1.0 million, $0.0 million and $2.0$1.5 million, respectively, to the Masimo Foundation, a portion of which was, in turn, indirectly contributed by the Masimo Foundation to the Patient Safety Movement Foundation (PSMF) by a donor advised fund. For the fiscal year ended December 30, 2017, the Company made 0 cash contributions to the Masimo Foundation. In addition, for each of the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017,January 2, 2021, the Company made various in-kind contributions to the Masimo Foundation, mainly in the form of donated administrative services.
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Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The Company’s CEO is also a co-founder and a member of the Chairmanboard of PSMF,directors of Like Minded Media Ventures (LMMV), a non-profit organization which was foundedteam of storytellers that create content focused in 2013 to workthe areas of true stories, social causes and science. LMMV creates stories with hospitals, medical technology companiesa multi-platform strategy, bridging the gap between film, television, digital and patient advocates to unitesocial media. In 2020, the healthcare ecosystemCompany entered into a marketing service agreement with LMMV for audiovisual production services promoting brand awareness, including television commercials and eliminate the more than 200,000 U.S. preventable hospital deaths that occur every year by 2020. The Company’s EVP, CFO also serves as the Treasurer of PSMF.digital advertising. During the fiscal years ended December 28, 2019, December 29, 201831, 2022 and December 30, 2017,January 1, 2022, the Company contributed approximately $35,262, $207,530incurred $1.4 million and $1,300,less than $0.1 million in marketing expenses to LMMV under the marketing service agreement, respectively. During the fiscal year ended January 2, 2021, the Company incurred no marketing expenses to LMMV under the marketing service agreement. At December 31, 2022 and January 1, 2022, there were no amounts due to LMMV for services rendered.
During the second quarter of 2021, the Company entered into a software license and professional services agreement with Like Minded Labs (LML), a subsidiary of LMMV. Pursuant to the software license agreement, LML granted the Company a perpetual, non-exclusive and fully paid-up right and license to integrate LML’s software into the Company’s products in exchange for a $3.0 million one-time license fee. Pursuant to the professional services agreement, LML will provide professional services to the Company, including the development of custom software intended to support the integration of the licensed software into the Company’s products, as well as future support services upon the Company’s acceptance of deliverables.
In July 2021, the Company entered into a patent purchase and option agreement with Vantrix Corporation (Vantrix), an acquiree of LML, for certain patents for $0.5 million, and the right to purchase two pools of additional patents from Vantrix for an exercise fee of up to $1.1 million. The agreements with LML and Vantrix include sublicensing provisions whereby the software and patents are licensed back to LML or Vantrix, respectively, to PSMF.for further advancement of the technologies.
The Company maintains an aircraft time share agreement, pursuant to which the Company has agreed from time to time to make its aircraft available to the Company’s CEO for lease on a time-sharing basis. The Company charges the Company’s CEO for personal use based on agreed upon reimbursement rates. During the fiscal years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017,January 2, 2021, the Company charged the Company’s CEO $0.1 million, $0.2$0.1 million and less than $0.1 million, respectively, related to such reimbursements.

4. Inventories
Inventories consist of the following:
(in millions)December 31,
2022
January 1,
2022
Raw materials$209.9 $128.3 
Work-in-process30.4 17.1 
Finished goods260.7 56.0 
Total inventories$501.0 (1)$201.4 
______________
(1)     Included in the December 31, 2022 ending total inventories balance was approximately $53.3 million of step-up amortization related to the Sound United Acquisition. See Note 18, “Business Combinations”, for further details.
F-21
F-23

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


4. Inventories
Inventories consist of the following (in thousands):
 December 28,
2019
 December 29,
2018
Raw materials$55,920
 $38,955
Work-in-process10,966
 9,036
Finished goods48,985
 46,741
Total$115,871
 $94,732

5. Other Current Assets
Other current assets consist of the following (in thousands):following:
(in millions)December 31,
2022
January 1,
2022
Prepaid expenses$77.5 $30.9 
Indirect taxes receivable26.8 12.8 
Lease receivable, current28.5 28.7 
Prepaid income taxes12.4 7.0 
Contract assets, current3.9 2.1 
Prepaid rebates and royalties3.7 2.8 
Restricted cash(1)
2.4 3.0 
Other current assets3.6 3.7 
Total other current assets$158.8 $91.0 
 December 28,
2019
 December 29,
2018
Lease receivable, current$20,250
 $
Prepaid expenses11,746
 10,582
Indirect taxes receivable9,311
 6,516
Prepaid income taxes7,330
 3,071
Customer notes receivable4,847
 3,780
Other6,587
 8,477
Total other current assets$60,071
 $32,426
______________

(1)
    Restricted cash includes funds received from the Bill and Melinda Gates Foundation. As the Company incurs costs associated with research and development related to this project, on a quarterly basis, the Company reclasses amounts from the grant to offset costs incurred.
6. Lease Receivable
The Company adopted ASC 842, the lease accounting standard, effective as of December 30, 2018. Among other things, the Company’s adoption of ASC 842 resulted in changes to the classification of certain embedded leases within itsFor deferred equipment agreements from operating-typethat contain embedded operating leases, to sales-type leases. As a result,upon lease commencement, the Company nowdefers and records the equipment cost of operating lease assets within property, plant and equipment, net of accumulated depreciation. These operating lease assets are subsequently amortized to cost of goods sold over the lease term on a straight-line basis.

For deferred equipment agreements that contain embedded sales-type leases, the Company recognizes lease revenue and costs, as well as a lease receivable, at the time the lease commences pursuant to deferred equipment agreements containing embedded sales-type leases.commences. Lease revenue related to both operating-type and sales-type leases for the yearyears ended December 28, 201931, 2022 and January 1, 2022 was approximately $44.0$57.0 million and $59.4 million, respectively, and is included within product revenue in the accompanying consolidated statementstatements of operations. Revenue and costsCosts related to embedded sales-type leases within the Company’s deferred equipment agreements are included in product revenue and cost of goods sold, respectively. See “Recently Adopted Accounting Pronouncements” in Note 2 to these consolidated financial statements for additional information related to the Company’s adoption of ASC 842.sold.
Lease receivable from sales-type leases consists of the following (in thousands):following:
(in millions)December 31,
2022
January 2,
2021
Lease receivable$101.8 $102.6 
Allowance for credit loss(0.2)(0.3)
     Lease receivable, net101.6 102.3 
Less: current portion of lease receivable(28.5)(28.7)
     Lease receivable, non-current$73.1 $73.6 
 December 28,
2019
Lease receivable$70,589
Allowance for credit loss(403)
     Lease receivable, net70,186
Less: Current portion of lease receivable(20,250)
     Lease receivable, noncurrent$49,936
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F-22

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


As of December 28, 2019,31, 2022, estimated future maturities of customer sales-type lease receivables and operating lease payments for each of the following fiscal years are as follows (in thousands):follows:
Future Lease Receivables/Payments
(in millions)
Fiscal YearSales-Type LeasesOperating Leases
2023$28.4 $3.8 
202425.1 3.5 
202519.9 3.5 
202613.5 3.3 
20277.9 2.7 
Thereafter6.8 3.7 
     Total$101.6 $20.5 
Less: imputed interest(1)
— 
     Present value of total lease payments$101.6 
Fiscal yearAmount
2020$20,653
202116,541
202213,500
20239,380
20245,869
Thereafter4,646
    Total$70,589
______________

(1)
The calculation of the rates implicit in the leases resulted in negative discount rates. Therefore, the Company as a lessor used a 0% discount rate to measure the net investment in the lease.
Estimated future operating lease payments expected to be received from customers under deferred equipment agreements are not material as of December 28, 2019.
7. Deferred Costs and Other Contract Assets
Deferred costs and other contract assets consist of the following (in thousands):following:
December 28,
2019
 December 29,
2018
(in millions)(in millions)December 31,
2022
January 1,
2022
Deferred commissionsDeferred commissions$17.1 $11.9 
Prepaid contract allowances$8,098
 $7,036
Prepaid contract allowances13.7 8.6 
Deferred commissions5,260
 5,085
Unbilled contract receivables2,482
 2,368
Unbilled contract receivables9.4 5.0 
Equipment leased to customers, net(1)
374
 108,417
Deferred equipment agreements, netDeferred equipment agreements, net1.7 2.6 
Deferred costs and other contract assets$16,214
 $122,906
Deferred costs and other contract assets$41.9 $28.1 
______________
(1)
F-25

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

8. Property and Equipment, net
Property and equipment, net, consists of the following:
(in millions)December 31,
2022
January 1,
2022
Building and building improvements$151.0 $142.1 
Machinery, equipment and tooling149.4 103.5 
Land65.1 57.0 
Operating lease assets(1)
50.2 — 
Computer equipment and software42.1 32.5 
Transportation, vehicles and other32.7 33.1 
Leasehold improvements32.3 21.9 
Furniture and office equipment19.4 14.2 
Demonstration units11.2 0.9 
Construction-in-progress (CIP)50.6 25.1 
Total property and equipment604.0 430.3 
Accumulated depreciation(201.5)(157.5)
Property and equipment, net$402.5 $272.8 
______________
(1)     Effective January 2, 2022, the Company adopted ASU 2021-05, resulting in the Company recording these operating lease assets within property, plant, and equipment, net.
A significant portion of the increase in property and equipment was attributable to the Sound United Acquisition. See Note 18, “Business Combinations”, for further details.
Formerly titled “Deferred cost of goods sold”. In connection with its adoption of ASC 842 on December 30, 2018, the Company recorded a reduction to equipment leased to customers, net, of $103.5 million as a result of the reclassification of certain embedded leases within the Company’s deferred equipment agreements with its customers from operating to sales-type leases. See “Recently Adopted Accounting Pronouncements” under Note 2 to these consolidated financial statements for additional information related to the Company’s adoption of ASC 842.
For the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017, $1.0January 2, 2021, depreciation expense of property and equipment was $43.0 million, $30.0$25.3 million and $27.5$21.8 million, respectively,respectively.
For the years ended December 31, 2022, January 1, 2022 and January 2, 2021, depreciation expense of operating lease assets was $4.4 million, $0.5 million and $0.4 million, respectively.
For the years ended December 31, 2022 and January 1, 2022, $4.3 million and $0.5 million of equipment leased to customers was amortized to cost of goods sold.sold, respectively. As of December 28, 201931, 2022 and December 29, 2018,January 1, 2022, accumulated amortization of equipment leased to customers was $0.7$2.1 million and $103.1$0.5 million, respectively.

F-23

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


8. Property and Equipment
Property and equipment, net consists of the following (in thousands):
 December 28,
2019
 December 29,
2018
Building and building improvements$101,731
 $88,449
Machinery and equipment58,864
 54,525
Land40,216
 23,762
Aircraft and vehicles29,934
 25,555
Computer equipment19,650
 16,582
Leasehold improvements15,921
 16,428
Tooling15,346
 14,212
Furniture and office equipment11,049
 10,459
Demonstration units836
 470
Construction-in-progress (CIP)39,107
 13,320
Total property and equipment332,654
 263,762
Accumulated depreciation(113,102) (97,790)
Property and equipment, net$219,552
 $165,972

During the year ended December 28, 2019, the Company, through its wholly owned subsidiaries, completed the purchase of 2 buildings for an aggregate purchase price of $35.6 million.
The balance in CIP at December 28, 2019 relates31, 2022 and January 1, 2022, related primarily to acquisition and improvement costs for a portion of a recently purchased building andthe capitalized implementation costs related to a new enterprise resource planning software system and costs related to equipment and other facility improvements at the Company’s corporate headquarters, as well as at a new research and development facility, the underlying assets for which have not been completed or placed into service.
On February 14, 2022, the Company’s wholly owned subsidiary, Masimo Canada ULC, entered into a Purchase and Sale Agreement (Purchase Agreement) with Keltic (Prior) Development Limited Partnership (Vendor) for the purchase of a property in Vancouver, British Columbia, Canada for a purchase price of CAD123.0 million, plus goods and services tax (Purchase Price), subject to certain adjustments. The Company has paid CAD21.0 million as a deposit towards the purchase. The balance in CIP at December 29, 2018 related primarilyof the Purchase Price will be due and payable upon the closing of the transaction, which is currently expected to capitalized costs associatedoccur during the second half of 2024.

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Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

9. Intangible Assets, net
Intangible assets, net, consist of the following:
December 31,
2022
January 1,
2022
(in millions)Gross Carrying
Amount
Accumulated
Amortization
Net Carrying
Amount
Gross Carrying
Amount
Accumulated
Amortization
Net Carrying
Amount
Intangible assets subject to amortization:
Customer relationships$220.9 $(19.3)$201.6 $24.6 $(9.3)$15.3 
Acquired technologies185.3 (25.2)160.1 28.4 (8.7)19.7 
Trademarks39.3 (5.8)33.5 12.2 (4.1)8.1 
Licenses39.0 (4.4)34.6 8.1 (2.0)6.1 
Patents35.2 (13.9)21.3 31.5 (12.2)19.3 
Licenses-related party7.5 (6.3)1.2 7.5 (6.0)1.5 
Non-compete agreements(1)
6.3 (1.1)5.2 0.3 — 0.3 
Capitalized software development costs5.5 (2.9)2.6 4.3 (2.6)1.7 
Other1.6 (1.1)0.5 1.6 (1.1)0.5 
     Total intangible assets subject to amortization, net$540.6 $(80.0)$460.6 $118.5 $(46.0)$72.5 
Intangible assets not subject to amortization:
Trademarks262.0 — 
     Intangible assets, net$722.6 $72.5 
_______________
(1)    In connection with the implementationSound United Acquisition, the Company also acquired non-compete agreements with a gross carrying amount equal to $6.0 million.
A significant portion of the increase in intangible assets was attributable to the Sound United Acquisition. Please refer to Note 18, “Business Combinations”, for further details.
Finite lived intangible assets have a new enterprise resource planning software systemweighted-average amortization period of twelve years to fourteen years. For the years ended December 31, 2022, January 1, 2022 and capital improvements to various facilities,January 2, 2021, total amortization expense of intangible assets was $39.8 million, $10.3 million and $7.5 million, respectively.
As of December 31, 2022 and January 1, 2022, the underlying assets for which hadtotal costs of patents not been completed or placed into service.yet amortizing was $10.6 million and $9.0 million, respectively. As of December 31, 2022 and January 1, 2022, the total costs of trademarks not yet amortizing was $1.1 million and $1.0 million, respectively.
For the years ended December 28, 2019, December 29, 201831, 2022 and December 30, 2017, depreciation expense of propertyJanuary 1, 2022, total renewal costs capitalized for patents and equipmenttrademarks was $19.1 million, $16.3$1.2 million and $15.2$1.5 million, respectively.
As of December 31, 2022, the weighted-average number of years until the next renewal was one year for patents and six years for trademarks.
9.Estimated amortization expense for each of the next fiscal years is as follows:
Fiscal YearAmount
(in millions)
2023$44.9 
202447.7 
202547.2 
202646.3 
202745.7 
Thereafter228.8 
Total$460.6 
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Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

10. Goodwill
Changes in goodwill were as follows:
December 31,
2022
(in millions)HealthcareNon-healthcareTotal
Goodwill, beginning of period$100.3 $— $100.3 
Increase from business combinations— 347.8 347.8 
Adjustments to goodwill from purchase price allocation— — — 
Foreign currency translation adjustment(2.7)— (2.7)
Goodwill, end of period$97.6 $347.8 $445.4 
A significant portion of the increase in goodwill at December 31, 2022 was attributable to the Sound United Acquisition. See Note 18, “Business Combinations”, for further details.
January 1,
2022
(in millions)HealthcareNon-healthcareTotal
Goodwill, beginning of period$103.2 $— $103.2 
Increase from business combinations— — — 
Adjustments to goodwill from finalization of purchase price allocation— — — 
Foreign currency translation adjustment(2.9)— (2.9)
Goodwill, end of period$100.3 $— $100.3 
11. Lessee ROU Assets and Lease Liabilities
The Company adopted ASC 842, the lease accounting standard, effective as of December 30, 2018. Among other things, the Company’s adoption of ASC 842 resulted in: (a) the recognition of lessee ROU assets for the right to use assets subject to operating leases; and (b) the recognition of lessee lease liabilities for its obligation to make operating lease payments. See “Recently Adopted Accounting Pronouncements” in Note 2 to these consolidated financial statements for additional information related to the Company��s adoption of ASC 842.
The Company leases certain facilities in North and South America, Europe, the Middle East and Asia-Pacific regions under operating lease agreements expiring at various dates through June 2028.January 2032. In addition, the Company leases equipment in the U.S. and Europe pursuant to leases that are classified as operating leases and expire at various dates through September 2023.August 2026. The majority of these leases are non-cancellable and generally do not contain any material restrictive covenants, material residual value guarantees or other material guarantees. The Company recognizes lease costs under these agreements using a straight-line method based on total lease payments. Certain facility leases contain predetermined price escalations and in some cases renewal options, the longest of which is for five years.
The Company generally estimates the applicable discount rate used to determine the net present value of lease payments based on available information at the lease commencement date. As of December 28, 2019,31, 2022, the weighted averageweighted-average discount rate used by the Company for all operating leases was approximately 3.7%3.8%.

F-24

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


For the period ended December 28, 2019, theThe balance sheet classifications for amounts related to the Company’s operating leases for which it is the lessee wereare as follows:
 Balance sheet classification Amount
Lessee ROU assetsOther non-current assets $19,137
    
Lessee current lease liabilitiesOther current liabilities 4,653
Lessee non-current lease liabilitiesOther non-current liabilities 15,834
     Total operating lease liabilities  $20,487

(in millions)Balance Sheet ClassificationDecember 31,
2022
January 1,
2022
Lessee ROU assets, netOther non-current assets$69.6 $30.5 
Lessee current lease liabilitiesOther current liabilities18.7 6.4 
Lessee non-current lease liabilitiesOther non-current liabilities53.4 26.3 
     Total operating lease liabilities$72.1 $32.7 
For the years ended December 31, 2022 and January 1, 2022, accumulated amortization for lessee ROU assets was $36.6 million and $15.2 million, respectively. The weighted averageweighted-average remaining lease term for the Company’s operating leases was 8.05.9 years as of December 28, 2019.31, 2022.
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Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

As of December 28, 2019,31, 2022, estimated future operating lease payments for each of the following fiscal years were as follows (in thousands):follows:
Fiscal yearAmount
2020$5,280
20213,371
20222,165
Fiscal YearFiscal YearAmount
(in millions)
20231,875
2023$20.3 
20241,756
202417.2 
2025202513.0 
202620269.2 
202720274.7 
Thereafter(1)
9,399
Thereafter(1)
17.2 
Total23,846
Total81.6 
Imputed interest(3,359)Imputed interest(9.5)
Present value$20,487
Present value$72.1 
______________
(1)     Includes optional renewal period for certain leases.
As of December 29, 2018, the estimated future minimum lease payments, including interest, under operating leases for each of the following fiscal years ending on or about December 31 were as follows (in thousands):
Fiscal yearAmount
2019$6,926
20204,422
20212,384
20221,701
20231,568
Thereafter(1)
9,921
     Total$26,922
______________
(1)     Includes optional renewal period for certain leases.
Lease costs for the year ended December 28, 2019 were as follows (in thousands):
 Amount
Operating lease costs$6,790
Short-term lease costs12
Sublease income(232)
     Total lease cost$6,570


F-25

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


For the years ended December 29, 201831, 2022, January 1, 2022 and December 30, 2017, rental expense related toJanuary 2, 2021, the Company’s operating leases waslease costs were approximately $18.0 million, $8.2 million and $6.9 million, and $6.7 million, respectively.
10. Intangible12. Other Non-Current Assets
IntangibleOther non-current assets net consist of the following (in thousands):
 December 28,
2019
 December 29,
2018
Cost   
Patents$23,242
 $21,323
Customer relationships7,669
 7,669
Licenses-related party7,500
 7,500
Acquired technology5,580
 5,580
Trademarks4,614
 4,190
Capitalized software development costs3,328
 3,430
Other5,466
 5,466
Total cost$57,399
 $55,158
Accumulated amortization   
Patents$(9,251) $(8,868)
Licenses-related party(5,984) (5,252)
Customer relationships(5,688) (4,921)
Acquired technology(4,182) (3,624)
Trademarks(2,195) (1,889)
Capitalized software development costs(2,137) (1,983)
Other(711) (697)
Total accumulated amortization(30,148) (27,234)
Net carrying amount$27,251
 $27,924

following:
Estimated amortization expense for each of the next fiscal years is as follows (in thousands):
Fiscal yearAmount
2020$4,172
20213,926
20223,199
20232,097
20241,768
Thereafter12,089
Total$27,251

(in millions)December 31,
2022
January 1,
2022
Lessee ROU assets, net$69.6 $30.5 
Derivative assets - non-current19.3 — 
Strategic investments13.8 13.8 
Prepaid deposits and other11.0 3.9 
Other non-current assets0.3 0.4 
Total other non-current assets$114.0 $48.6 
For the years ended December 28, 2019, December 29, 2018 and December 30, 2017, amortization of intangible assets was $4.4 million, $4.8 million and $4.9 million, respectively. As of December 28, 2019 and December 29, 2018, the total costs of patents not yet amortizing was $6.1 million and $5.3 million, respectively. As of December 28, 2019 and December 29, 2018, the total costs of trademarks not yet amortizing was $0.7 million and $0.5 million, respectively. For the years ended December 28, 2019 and December 29, 2018, total renewal costs capitalized for patents and trademarks was $1.3 million and $0.5 million, respectively. As of December 28, 2019, the weighted-average number of years until the next renewal was two years for patents and six years for trademarks.

F-26

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


11. Goodwill
Changes in goodwill were as follows (in thousands):
 December 28,
2019
 December 29,
2018
Goodwill, beginning of period$23,297
 $20,617
Adjustments to goodwill from finalization of purchase price allocation(651) 3,402
Foreign currency translation adjustment(296) (722)
Goodwill, end of period$22,350
 $23,297

On September 21, 2018, the Company acquired all of the outstanding shares of a private patient monitoring software company for approximately $4.0 million. Based on the Company’s purchase price allocation, approximately $2.8 million of the purchase price has been assigned to goodwill, $0.7 million of which was recorded as an adjustment to the preliminary purchase price allocation to deferred tax assets based on additional analysis completed during the year ended December 28, 2019. The assets and liabilities of the acquired company and its operating results are included in these consolidated financial statements from the date of acquisition.
12. Other Non-Current Assets
Other assets, long-term consist of the following (in thousands):
 December 28,
2019
 December 29,
2018
Lessee ROU assets$19,137
 $
Strategic investments6,475
 1,200
Prepaid deposits3,022
 2,881
Other157
 151
Total other assets, long-term$28,791
 $4,232

13. Deferred Revenue and Other Contract Liabilities
Deferred revenue and other contract liabilities consist of the following (in thousands):following:
December 28,
2019
 December 29,
2018
Deferred revenue(1)
$13,998
 $10,328
(in millions)(in millions)December 31,
2022
January 1,
2022
Deferred revenueDeferred revenue$61.0 $35.1 
Accrued rebates and allowances8,436
 7,269
Accrued rebates and allowances38.5 13.6 
Accrued customer reimbursements(2)
5,739
 16,194
Accrued customer reimbursementsAccrued customer reimbursements6.1 7.4 
Total deferred revenue and other contract liabilities28,173
 33,791
Total deferred revenue and other contract liabilities105.6 56.1 
Less: Non-current portion of deferred revenue(2,234) (1,737)Less: Non-current portion of deferred revenue(25.0)(5.2)
Deferred revenue and other contract liabilities - current$25,939
 $32,054
Deferred revenue and other contract liabilities - current$80.6 $50.9 
______________
(1)
In connection with its adoption of ASC 842 on December 30, 2018, the Company recorded a reduction to deferred revenue of approximately $1.1 million due to the acceleration of revenue as a result of the reclassification of certain embedded leases within the Company’s deferred equipment agreements with its customers from operating to sales-type leases. See “Recently Adopted Accounting Pronouncements” in Note 2 to these consolidated financial statements for additional information related to the Company’s adoption of ASC 842.
(2)
In connection with its adoption of ASC 842 on December 30, 2018, the Company recorded a reduction to accrued customer reimbursements of approximately $12.3 million related to the derecognition of liabilities and leased equipment assets for certain OEM equipment reimbursements. See “Recently Adopted Accounting Pronouncements” in Note 2 to these consolidated financial statements for additional information related to the Company’s adoption of ASC 842.
Deferred revenue relates to contracted amounts that have been invoiced to customers for which remaining performance obligations must be completed before the Company can recognize the revenue. These amountsGenerally, both healthcare and non-healthcare segments record deferred revenue when revenue is to be recognized subsequent to invoicing.
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Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Healthcare Deferred Revenue
Healthcare deferred revenue primarily relaterelates to undelivered equipment, sensors and services under deferred equipment agreements, and extended warranty agreements and maintenance agreements.

F-27

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


Changes in deferred revenue for the year ended December 28, 2019 were as follows:
 Amount
Deferred revenue, beginning of the period$10,328
  Revenue deferred during the period11,261
  Recognition of revenue deferred in prior periods(7,591)
     Deferred revenue, end of the period$13,998

Expected revenue from remaining contractual performance obligations (Unrecognized Contract Revenue) includes deferred revenue, as well as other amounts that will be invoiced and recognized as revenue in future periods when the Company completes its performance obligations. While Unrecognized Contract Revenue is similar in concept to backlog, Unrecognized Contract Revenue excludes revenue allocable to monitoring-related equipment that is effectively leased to customers under deferred equipment agreements and other contractual obligations for which neither party has performed.
The following table summarizes the Company’s estimated Unrecognized Contract Revenue as of December 28, 2019 and the future periods within which the Company expects to recognize such revenue.
 
Expected Future Revenue By Period
(in thousands)
 
Less than
1 Year
 
 Between
1-3 Years
 
 Between
 3-5 Years
 
More than
5 Years
 Total
Unrecognized contract revenue$201,874
 $319,513
 $150,928
 $39,515
 $711,830

The estimated timing of this revenue is based, in part, on management’s estimates and assumptions about when its performance obligations will be completed. As a result, the actual timing of this revenue in future periods may vary, possibly materially, from those reflectedmaterially. As of December 31, 2022, the Company had approximately $1,289.3 million of Unrecognized Contract Revenue related to executed contracts with an original duration of one year or more. The Company expects to recognize approximately $354.8 million of this amount as revenue within the next twelve months and the remaining balance thereafter.
Non-Healthcare Deferred Revenue
In October 2020, Bowers and Wilkins (B&W), a subsidiary of Sound United, entered into an amendment to a licensing agreement, whereby B&W received a $20.0 million royalty prepayment in this table.
relation to sound system units manufactured by B&W for various high-end car manufacturers with a total commitment of $35.0 million to be received by September 30, 2028. As of December 31, 2022, non-healthcare deferred revenue was $17.5 million.
Changes in deferred revenue for the year ended December 31, 2022 were as follows:
(in millions)December 31,
2022
Deferred revenue, beginning of the period$35.1 
Increase from business combinations19.0 
  Revenue deferred during the period38.9 
  Recognition of revenue deferred in prior periods(32.0)
     Deferred revenue, end of the period$61.0 
14. Other Current Liabilities
Other current liabilities consist of the following (in thousands):following:
(in millions)December 31,
2022
January 1,
2022
Accrued expenses$39.9 $12.1 
Accrued indirect taxes payable28.2 16.3 
Lessee lease liabilities, current18.7 6.4 
Current portion of long-term debt15.1 — 
Accrued property taxes12.1 2.0 
Accrued legal fees11.4 7.1 
Accrued warranty10.6 2.5 
Income tax payable32.1 12.0 
Other current liabilities6.1 4.7 
Accrued donations5.1 3.7 
Related party payables4.0 3.6 
Total other current liabilities$183.3 $70.4 
 December 28,
2019
 December 29,
2018
Accrued indirect taxes payable$7,545
 $6,465
Income tax payable7,142
 3,071
Accrued expenses6,115
 5,038
Lessee lease liabilities, current4,653
 
Accrued warranty3,395
 1,910
Related party payables3,024
 4,000
Accrued legal fees1,839
 1,481
Accrued property taxes1,629
 791
Other1,685
 1,871
Total other current liabilities$37,027
 $24,627
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Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

15. Debt
(in millions)December 31,
2022
January 1,
2022
Term loan - current portion$7.5 $— 
Japanese loans - current portion7.6 — 
Short-term debt15.1 — 
Term loan - long-term278.9 — 
Revolver - long-term651.0 — 
Japanese loans - long-term11.7 — 
Long-term debt941.6 — 
Total debt$956.7 $— 
Prior Credit FacilitiesFacility
TheUntil April 11, 2022, the Company currently maintainsmaintained a credit agreement (Credit(Prior Credit Facility) with JPMorgan Chase Bank, N.A., as the Administrative Agent and a Lender, and Bank of the West, a Lender (collectively, the Lenders). The Prior Credit Facility providesprovided for up to $150.0 million of unsecured borrowings, with an option, subject to certain conditions, for the Company to increase the aggregate borrowing capacity up to $550.0 million in the future with the Lenders and additional lenders, as required. The Prior Credit Facility also providesprovided for a sublimit of up to $25.0 million for the issuance of letters of credit and a sublimit of $75.0 million for borrowings in specified foreign currencies. All unpaid principal
On April 11, 2022, the Company paid off all obligations owing under the Prior Credit Facility, and terminated it. As a result of the repayment, the Company expensed $0.1 million of previously capitalized debt issuance costs.
Credit Facility
On April 11, 2022, concurrently with the closing of the Sound United Acquisition, as disclosed in Note 18, “Business Combinations”, the Company entered into a new credit agreement (Credit Facility) with financial institutions party thereto as initial lenders (collectively, the Initial Lenders), Citibank, N.A., as Administrative Agent, Citibank, N.A., JPMorgan Chase Bank, N.A., Bank of the West and BofA Securities, Inc., as joint lead arrangers and joint bookrunners, and JPMorgan Chase Bank, N.A., Bank of the West and BofA Securities, Inc., as co-syndication agents.
The Credit Facility provides for an unsecured term loan of $300.0 million (Term Loan) and $500.0 million of ongoing unsecured revolving commitments (Revolver), with an option, subject to certain conditions, for the Company to increase the aggregate borrowing capacity by an additional $400.0 million (plus additional unlimited amounts if certain incurrence tests are met) in the future with the Initial Lenders and additional lenders, as required. Debt issuance costs of $8.4 million were recorded as a reduction to the carrying amount of the Credit Facility, will become due and payable on December 17, 2023. Proceeds fromare being amortized to interest expense using the effective interest method.
The Credit Facility are expectedalso provides for a sublimit of up to be used$50.0 million for general corporate, capital investment and working capital needs.

F-28

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


letters of credit.
Borrowings under the Credit Facility will be deemed, at the Company’s election, either: (a) an Alternate Base Rate (ABR) Loan, which bears interest at the ABR, plus a spread of 0.125%0.000% to 1.000%0.750% based upon a Company leverage ratio, or (b) a EurocurrencyTerm SOFR Loan, which bears interest at the Adjusted LIBOTerm SOFR Rate (as defined below), plus a spread of 1.125%1.000% to 2.000%1.750% based upon a Company net leverage ratio. Subject to certain conditions, the Company may also request swingline loans from time to time that bear interest similar to an ABR Loan. Pursuant to the terms of the Credit Facility, the ABR is equal to the greatest of (i) the prime rate, (ii) the Federal Reserve Bank of New York effective rate plus 0.50%, and (iii) the one-month Adjusted LIBO RateTerm SOFR plus 1.0%. The Adjusted LIBOTerm SOFR Rate is equal to the EurocurrencyTerm SOFR Rate (as defined withinin the 2018 Credit Facility) for the applicable interest period multiplied byplus a spread adjustment of 0.10%, 0.15% and 0.25% for the statutory reserve rate for such period, rounded upward, if necessary, to the next 1/16 of 1%. interest periods ending one, three and six months, respectively.
The Company is also obligated under the Credit Facility to pay an unused fee ranging from 0.150% to 0.275% per annum, based upon a Company leverage ratio, with respect to any unutilizednon-utilized portion of the Credit Facility.
Pursuant to the terms
F-31

Table of the Credit Facility, theContents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The Company is subject to certain covenants, including financial covenants related to a net leverage ratio and an interest charge coverage ratio, and other customary negative covenants. The Credit Facility also includes customary events of default which, upon the occurrence of any such event of default, provide the Initial Lenders (and any additional lenders) with the right to take either or both of the following actions: (a) immediately terminate the commitments, and (b) declare the loans then outstanding immediately due and payable in full. All unpaid principal under the Credit Facility will become due and payable on April 12, 2027.
On May 16, 2022, the Company entered into the First Amendment to the Credit Agreement (First Amendment) with the Initial Lenders and Citibank, N.A., as the administrative agent, which amended the Credit Facility. The First Amendment provides for an additional $205 million of unsecured revolving commitments, increasing the aggregate amount of the Revolver from $500 million to $705 million.
Borrowing rates, financial covenants, affirmative and negative covenants and other restricted terms remain unchanged from the Credit Facility. All unpaid principal under the First Amendment will become due and payable on April 12, 2027. The Company was in full compliance with all covenants contained in its debt or credit facility agreements at December 31, 2022.
For the years ended December 31, 2022 and January 1, 2022, the Company incurred total interest expense, including amounts capitalized of $23.7 million and $0.0 million, under the Credit Facility, respectively. For the year ended January 1, 2022, the Company did not incur any interest expense under the Credit Facility.
Furthermore, in connection with the Sound United Acquisition, the Company assumed three outstanding loans as follows:
Japanese Revolving Loan
In March 2020, Sound United entered into a secured revolving loan (Japanese Revolving Loan) with Mizuho Bank, which allows Sound United to borrow up to ¥800 million (approximately $6.1 million). The Japanese Revolving Loan is an evergreen agreement that terminates upon request by either the financial institution or the borrower and is collateralized with land and buildings in Shirakawa-Shi owned by the borrower. Interest accrues at a rate equal to the Mizuho Tokyo Interbank Offered Rate (TIBOR) plus a fixed spread of 0.50% per annum. In connection with the execution of the Japanese Revolving Loan, the Company incurred debt issuance costs of ¥7.2 million (approximately $0.1 million). As of December 28, 2019 and December 29, 2018,31, 2022, the Credit FacilityCompany had 0 outstanding draws and as of December 28, 2019, the Credit Facility had $1.7¥800 million (approximately $6.1 million) of outstanding lettersborrowing under the Japanese Revolving Loan, which is presented under short-term loans on the accompanying consolidated balance sheets.
The Japanese Revolving Loan agreement contains customary affirmative and negative covenants, such as financial reporting requirements and customary covenants that restrict the borrower’s ability to, among other things, provide collateral for obligations borne by the borrower, and determine the eligibility to declare, the amount of credit.potential dividends to be paid during a given fiscal year. The Company was in compliance with all covenants under the Credit FacilityJapanese Revolving Loan agreement at December 31, 2022.
On February 28, 2023, the Company and Mizuho Bank executed an amendment to the Japanese Revolving Loan, to increase the maximum aggregate revolving commitments to ¥3.00 billion (approximately $22.9 million). Under the amendment, the facility accrues interest at a rate equal to the TIBOR plus a fixed spread of 0.75% per annum. The Company also paid an upfront fee of ¥22.0 million (approximately $0.2 million) on the incremental amount of the revolving credit facility.
Japanese Government Loans
In May and June 2020, Sound United received ¥1.48 billion (approximately $11.3 million) in non-collateralized Japanese Government Loan facilities (Japanese Government Loans) as part of December 28, 2019.
its local Japanese stimulus program. Interest accrues at a weighted-average rate of 1.33% and is repayable in installments with various maturities through June 2035. The non-current portion of the Japanese Government Loans is presented under long-term debt and the current portion is presented under short-term loans on the accompanying consolidated balance sheets. The Company incurred total combinedno debt issuance costs in connection with the Japanese Government Loans.
Japanese Equipment Loans
In April and May 2021, Sound United entered into equipment collateralized loans (Japanese Equipment Loans) of ¥150 million (approximately $1.1 million), payable in installments through March 2031 with an interest expense of $0.30.58%, and ¥80 million (approximately $0.6 millionmillion) payable in installments through April 2028 with interest of 1.2%. The non-current portion of the Japanese Equipment Loans is presented under long-term debt and $0.7 million for the years ended December 28, 2019, December 29, 2018 and December 30, 2017, respectively,current portion is presented under its current and previous credit facilities.short-term loans on the accompanying consolidated balance sheets. The Company incurred no debt issuance costs in connection with these Japanese Equipment Loans.
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Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

As of December 31, 2022, the aggregate maturities of principal on all debt for each of the next five years and thereafter is as follows:
Fiscal YearAmount
(in millions)
2023$15.1 
202414.9
202516.8
202616.8
2027888.6
Thereafter4.5
Total$956.7 
16. Other Non-Current Liabilities
Other non-current liabilities consist of the following (in thousands):following:
 December 28,
2019
 December 29,
2018
Income tax payable, noncurrent$21,509
 $21,522
Lessee lease liabilities, noncurrent15,834
 
Unrecognized tax benefits13,184
 11,717
Deferred tax liabilities3,052
 2,956
Other2,456
 3,003
Total other non-current liabilities$56,035
 $39,198

(in millions)December 31,
2022
January 1,
2022
Lessee non-current lease liabilities$53.4 $26.3 
Deferred revenue, non-current25.0 5.2 
Unrecognized tax benefits18.0 14.9 
Pension benefit obligation10.1 — 
Income tax payable, non-current12.7 17.0 
Indirect tax payable, non-current8.2 — 
Other9.1 0.6 
Total other non-current liabilities$136.5 $64.0 
Unrecognized tax benefits relate to the Company’s long-term portion of tax liabilitiesliability associated with uncertain tax positions. Authoritative guidance prescribes a recognition threshold and a measurement attribute for the financial statement recognition and measurement of tax positions taken or expected to be taken in a tax return. See Note 2023, “Income Taxes”, for further details.
17. Derivative Instruments and Hedging Activities
Derivative Instruments - Cash Flow Hedges
The Company’s cash flow hedges are designed to mitigate the risk of exposure to variability in expected future cash flows of recognized assets, liabilities or any unrecognized forecasted transactions. In July 2022, the Company entered into various interest rate swaps that are designated as cash flow hedges on a substantial portion of the outstanding debt the Company issued to fund the Sound United Acquisition. The interest rate swaps reduce the variability of cash flow payments for the Company by converting the variable interest rate on the Company’s long-term debt to an average fixed interest rate of 2.75%. These contracts, carried at fair value, have maturities of approximately five years. All hedging relationships were highly effective at achieving offsetting changes in cash flows attributable to the risk being hedged. The Company used a regression analysis at hedge inception to assess the effectiveness of cash flow hedge and periodically thereafter.
The Company records gains and losses from the changes in the fair value of these instruments as a component of other comprehensive income (loss). Deferred gains or losses from these designated cash flow hedges are reclassified into earnings in the period that the hedged items affect earnings. The Company does not offset fair value amounts recognized for derivative instruments in its consolidated balance sheets for presentation purposes. The following table summarizes the fair value of the hedging instruments, presented on a gross basis, including accrued interest, as of December 31, 2022 and January 1, 2022.
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Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Consolidated
Balance Sheets
(in millions)Balance Sheet ClassificationDecember 31,
2022
January 1,
2022
Interest rate contracts, inclusive of accrued interestOther non-current assets$19.7 $— 
Total$19.7 $— 
The following table summarizes the gains (losses) reclassified from accumulated other comprehensive income to the consolidated financial statements for further details.the year ended December 31, 2022.
Consolidated
Statement of Operations
(in millions)Location of Gain (Loss)December 31,
2022
January 1,
2022
January 2,
2021
Cash flow hedges - interest rate contractsNon-operating loss (income)$0.7 $— $— 
Total$0.7 $— $— 
The following tables summarize the changes in accumulated other comprehensive income related to the hedging instruments:
(in millions)December 31,
2022
January 1,
2022
Beginning balance$— $— 
Amount recognized in other comprehensive income20.0 — 
Amount reclassified into earnings(0.7)— 
Ending balance$19.3 $— 
The net of tax unrealized gain was $14.7 million as of December 31, 2022.
The Company expects to reclassify a net amount of gains of $12.2 million from accumulated other comprehensive (loss) gain to non-operating loss (income) within the next 12 months.
18. Business Combinations
Sound United Acquisition
On April 11, 2022, the Company completed the previously announced acquisition of Sound United, pursuant to a Merger Agreement dated as of February 15, 2022 (Merger Agreement), by and among the Company, Sonic Boom Acquisition Corp., a wholly-owned subsidiary of the Company (Merger Sub), Viper Holdings Corporation (Sound United), and, solely in its capacity as the Seller Representative, Viper Holdings, LLC, Merger Sub merged with and into Sound United, with Sound United continuing as a wholly-owned subsidiary of the Company (Merger).
17.Sound United is a leading innovator of premium, high-performance audio products for consumers around the world, which operates iconic consumer brands: Bowers & Wilkins®, Denon®, Marantz®, HEOS®, Classé®, Polk Audio®, Boston Acoustics® and Definitive Technology®. The brands are linked by a commitment to the highest production standards and a focus on unparalleled audio quality and audio performance. Sound United delivers significant competitive benefits through its platform advantages, including global distribution across online, retail and custom installation channels; a cloud-connected home ecosystem; and a state-of-the-art research and development function focused on creating the highest-quality consumer products with world-class industrial design.
The Company acquired 100% of the equity interests of Sound United for $1.065 billion in cash, subject to adjustments based on Sound United’s net working capital, transaction expenses, cash and debt as of the closing of the Merger (Closing), payable by the Company in cash. The transaction was primarily funded with the proceeds from the Credit Facility. See Note 15, “Debt”, for additional information about the Credit Facility. There was no contingent consideration resulting from the transaction.
The results of operations of Sound United subsequent to the acquisition date and the acquired assets and assumed liabilities, including the preliminary allocation of goodwill and intangible assets, are included in the non-healthcare segment, including revenue of $694.9 million and a net loss of $38.6 million for the period of April 11, 2022 to December 31, 2022.
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Acquisition costs
The Company recognized transaction costs related to the Sound United Acquisition of $16.6 million for the year ended December 31, 2022. These costs include investment banker fees, legal, due diligence, and other external costs that the Company recorded within selling, general and administrative expense.
Purchase price allocations
The purchase price for the Sound United Acquisition is preliminary, pending final customary purchase price adjustments. Based on additional supportable information and changes in assumptions during the period, the Company recorded certain measurement period adjustments during the three months ended December 31, 2022. The valuations of the assets acquired and liabilities assumed have not yet been finalized as of December 31, 2022. The purchase price allocation is preliminary and subject to change, including measurement period adjustments, the valuation of intangible assets, leases, deferred taxes, inventory, property, plant and equipment and goodwill. The purchase price allocation will be finalized as the information necessary to complete the required analysis is obtained, which the Company will complete within one year from the acquisition date. Goodwill was calculated as the excess of the consideration transferred over the fair value of the identifiable net assets acquired in a business combination and represents the future economic benefits expected to arise from intangible assets acquired that do not qualify for separate recognition, including the assembled workforce. Goodwill is not expected to be deductible for tax purposes.
Measurement period adjustments for the period ended December 31, 2022 included changes to the purchase price allocation and total consideration, resulting in a net decrease of $4.4 million to goodwill. The measurement period adjustments resulted primarily from valuation inputs pertaining to certain acquired assets based on facts and circumstances that existed as of the acquisition date and did not result from events subsequent to the acquisition date. The fair values assigned to assets acquired and liabilities assumed as of December 31, 2022 are based on management’s best estimates and assumptions as of the reporting date and are considered preliminary pending finalization of the valuation analysis.
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The table below summarizes the preliminary allocation of fair value of assets acquired and liabilities assumed, inclusive of measurement period adjustments, as of April 11, 2022:
(in millions)Sound United
Cash consideration(1)
$1,065.0 
Purchase price$1,065.0 
Assets acquired:
Cash and cash equivalents$82.6 
Accounts receivables108.5 
Inventories235.8 
Prepaid expenses and other current assets31.1 
Property, plant and equipment113.2 
Intangible assets649.0 
Goodwill333.1 
Long-term other assets14.7 
Total assets acquired$1,568.0 
Liabilities assumed:
Accounts payable$(118.8)
Accrued liabilities and other current liabilities(165.9)
Deferred tax liabilities(143.1)
Other long-term liabilities(75.2)
Total liabilities assumed$(503.0)
______________
(1)    The purchase price for the Sound United Acquisition is preliminary, pending final customary purchase price adjustments.
Identifiable Intangible Assets
The following table sets forth the components of identifiable intangible assets acquired and the weighted-average amortization period as of the acquisition date:
Weighted-average
amortization period
(in years)
April 11,
 2022
(in millions)
Trademarks/tradenames10$6.0 
Customer relationships17196.0 
Developed technology8156.0 
Contractual license agreements1529.0 
Subtotal14 years$387.0 
Indefinite trademarks/tradenamesN/A262.0 
Total$649.0 
In determining the fair value of the identifiable intangible assets, the Company utilized various forms of the income approach, depending on the asset being valued. The estimation of fair value requires significant judgment related to cash flow forecasts, discount rates and operating margins reflecting the risk inherent in each cash flow stream, competitive trends, market comparables and other factors. Other inputs included historical data, current and anticipated market conditions, and growth rates. Contractual license agreements have a weighted-average amortization period of five years until the next renewal term.

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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The intangible assets were valued using the following valuation approaches:
Customer relationships
The fair value of customer relationships was determined using the multi-period excess earnings method. The multi-period excess earnings method involves forecasting the net earnings expected to be generated by the asset, reducing them by appropriate returns on contributory assets and then discounting the resulting net cash flows to a present value using an appropriate discount rate.
Trademarks/tradenames
The fair values of the trademark/tradenames were determined using the relief-from-royalty method under the income approach. This involves forecasting avoided royalties, reducing them by taxes, and discounting the resulting net cash flows to a present value using an appropriate discount rate. Judgment was applied for a number of assumptions in valuing the identified intangible assets, including revenue and cash flow forecasts, survival rates, technology life, royalty rate, obsolescence and discount rate.
Developed technology
The fair values of the developed technology was determined using the relief-from-royalty method under the income approach. This involves forecasting avoided royalties, reducing them by taxes, and discounting the resulting net cash flows to a present value using an appropriate discount rate. Judgment was applied for a number of assumptions in valuing the identified intangible assets, including revenue and cash flow forecasts, survival rates, technology life, royalty rate, obsolescence and discount rate.
Contractual licensing agreements
The fair value of the contractual license agreements was determined using a variation of the multi-period excess earnings method. This method involves forecasting the net earnings expected to be generated by the asset and then discounting the resulting net cash flows to a present value using an appropriate discount rate.
Unaudited pro forma financial information
The supplemental pro forma financial information has been prepared using the acquisition method of accounting and is based on the historical financial information of Masimo and Sound United, assuming the transaction occurred on January 1, 2021. The supplemental pro forma financial information does not necessarily represent what the combined companies’ revenue or results of operations would have been had the acquisition of Sound United been completed on January 1, 2021, nor is it intended to be a projection of future operating results of the combined company. It also does not reflect any operating efficiencies or potential cost savings that might be achieved from synergies of combining Masimo and Sound United.
The unaudited supplemental pro forma financial information has been calculated after applying Masimo’s accounting policies and adjusting the results of the combined company to reflect incremental amortization and depreciation expense resulting from the fair value adjustments for acquired intangible assets, inventory, property, plant and equipment as well as the net decrease to interest expense resulting from the elimination of the historical interest expense on Sound United’s debt that was paid off at closing partially offset by incremental interest expense resulting from the external debt borrowed by Masimo to fund the acquisition, and the corresponding income tax impact of these adjustments.
Also, during the year ended December 31, 2022, Masimo and Sound United incurred $22.4 million and $41.1 million of acquisition-related costs, respectively. Additionally, there were $49.3 million of Profit Interest Units paid out in conjunction with the transaction. These expenses are reflected in pro forma net income for the twelve months ended December 31, 2022 in the table below and the acquisition related expenses incurred by Masimo are included in selling, general and administrative in the Company’s consolidated statements of comprehensive income for the twelve months ended January 1, 2022.
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

There are no other material non-recurring pro forma adjustments directly attributable to the acquisition included in the reported pro forma revenue and pro forma net income.
Twelve Months Ended
(in millions)December 31,
2022
January 1,
2022
Pro forma net revenue$2,293.4 $2,187.4 
Pro forma net income (loss)$181.8 $126.2 
19. Equity
Series A Junior Participating Preferred Stock Repurchase Programand Stockholder Rights Plan
In September 2015,2022, the Company authorized and declared a dividend of one preferred stock purchase right (Right) for each outstanding share of its common stock to stockholders of record at the close of business on September 20, 2022 (the Record Date) pursuant to a rights agreement, dated as of September 9, 2022, with Broadridge Corporate Issuer Solutions, Inc., as rights agent. In addition, one Right was issued with each share of common stock that became outstanding after the Record Date. Each Right entitles the registered holder to purchase from the Company one thousandth of one share of the Company’s Series A junior participating preferred stock, par value $0.001 per share, at a purchase price equal to $1,000.00 per Right, subject to adjustment. Generally, the Rights become exercisable in the event any person or group of affiliated or associated persons acquires beneficial ownership of 10% (20% in the case of a passive institutional investor), subject to certain exceptions. The Rights will expire on the earliest of (i) 5:00 p.m., New York City time, on September 8, 2023, (ii) the time at which the Rights are redeemed, and (iii) the time at which the Rights are exchanged in full.
Stock Repurchase Programs
In July 2018, the Company’s Board of Directors (Board) authorizedapproved a stock repurchase program, wherebyauthorizing the Company couldto purchase up to 5.0 million shares of its common stock over a period of up to three years (2015(2018 Repurchase Program). A total of 3.11.3 million shares were purchased by the Company pursuant to the 20152018 Repurchase Program prior to its expiration in September 2018.2021.
In JulyOctober 2021, the Board approved a stock repurchase program, authorizing the Company to purchase up to 3.0 million shares of its common stock over a period of up to three years (2021 Repurchase Program). The 2021 Repurchase Program became effective in October 2021 upon the expiration of the 2018 Repurchase Program. The 2021 Repurchase Program was completed in May 2022.
In June 2022, the Board approved a new stock repurchase program, authorizing the Company to purchase up to 5.0 million additional shares of its common stock over a period of up to three years (2018on or before December 31, 2027 (2022 Repurchase Program). The 20182022 Repurchase Program became effective in September 2018 upon the expiration of the 2015 Repurchase Program.July 2022. The Company expects to fund the 20182022 Repurchase Program through its available cash, cash expected to be generated from future operations, the Credit Facility and other potential sources of capital. The 20182022 Repurchase Program can be carried out at the discretion of a committee comprised of the Company’s CEO and CFO through open market purchases, one or more Rule 10b5-1 trading plans, block trades and privately negotiated transactions. As of December 28, 2019, 4.731, 2022, 5.0 million shares remained available for repurchase pursuant the 20182022 Repurchase Program.

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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


The following table provides a summary of the Company’s stock repurchase activities during the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017 (in thousands, except per share amounts):January 2, 2021:
Years Ended
(in millions, except per share amounts)December 31,
2022
January 1,
2022
January 2,
2021
Shares repurchased3.0 (1)0.5 (1)0.5 (1)
Average cost per share$133.82 $235.88 $242.40 
Value of shares repurchased$401.5 $129.0 $110.5 
______________
(1)     Excludes shares withheld from the shares of its common stock actually issued in connection with the vesting of PSU or RSU awards to satisfy certain U.S. federal and state tax withholding obligations.
 Years Ended
 December 28,
2019
 December 29,
2018
 December 30,
2017
Shares repurchased275
(1) 
196
(1) 
804
Average cost per share$136.61
 $84.12
 $84.90
Value of shares repurchased$37,554
 $16,490
 $68,260
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

______________
(1)
Excludes shares withheld from the shares of its common stock actually issued in connection the vesting of PSU awards to satisfy certain U.S. federal and state tax withholding obligations.
20. Stock-Based Compensation
18. Stock-Based CompensationEquityIncentive Plans
Total stock-based compensation expense for2007 Stock Incentive Plan
Effective June 1, 2017, upon the years ended December 28, 2019, December 29, 2018approval and December 30, 2017 was $39.2 million, $27.4 million and $17.2 million, respectively. Asratification of December 28, 2019, an aggregate of 10.8 million shares of common stock were reserved for future issuance under the Company’s equity plans, of which 2.4 million shares were available for future grant under the Masimo Corporation 2017 Equity Incentive Plan (2017 Equity Plan). Additional information related, the Company’s 2007 Stock Incentive Plan (2007 Equity Plan) terminated, provided that awards outstanding under the 2007 Equity Plan will continue to be governed by the terms of that plan. In addition, upon the effectiveness of the 2017 Equity Plan, an aggregate of 5.0 million shares of the Company’s common stock registered under prior registration statements for issuance pursuant to the Company’s current equity incentive plans, stock-based award activity2007 Equity Plan were deregistered and valuation of stock-based awards is included below.
concurrently registered under the 2017 EquityIncentive Plans Plan.
2017 Equity Incentive Plan
On June 1, 2017, the Company’s stockholders ratified and approved the 2017 Equity Plan. The 2017 Equity Plan permits the grant of stock options, restricted stock, RSUs, stock appreciation rights, PSUs, performance shares, performance bonus awards and other stock or cash awards to employees, directors and consultants of the Company and employees and consultants of any parent or subsidiary of the Company. Upon effectiveness, an aggregate of 5.0 million shares were available for issuance under the 2017 Equity Plan. In May 2020, the Company’s stockholders approved an increase of 2.5 million shares to the 2017 Equity Plan. The aggregate number of shares that may be awarded under the 2017 Equity Plan is 5.07.5 million shares.
The 2017 Equity Plan provides that at least 95% of the equity awards issued under the 2017 Equity Plan must vest over a period of not less than one year following the date of grant. The exercise price per share of each option granted under the 2017 Equity Plan may not be less than the fair market value of a share of the Company’s common stock on the date of grant, which is generally equal to the closing price of the Company’s common stock on the Nasdaq Global Select Market on the grant date.
2007 Stock Incentive Plan
Effective June 1, 2017, upon the approval and ratification of the 2017 Equity Plan, the Company’s 2007 Stock Incentive Plan (2007 Equity Plan) terminated, provided that awards outstandingTotal stock-based compensation expense under both the 2007 Equity Plan will continue to be governed by the terms of that plan. In addition, upon the effectiveness ofand the 2017 Equity Incentive Plan for the years ended December 31, 2022, January 1, 2022 and January 2, 2021 was $47.7 million, $44.6 million and $42.2 million, respectively. As of December 31, 2022, an aggregate of 5.010.2 million shares of common stock were reserved for future issuance under the Company’s common stock registered under prior registration statementsequity plans, of which 3.9 million shares were available for issuance pursuant to the 2007 Equity Plan were deregistered and concurrently registeredfuture grant under the 2017 Equity Plan.

F-30

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


Stock-Based Award Activity
Stock Options
The number and weighted-average exercise price of options issued and outstanding under all of the Company’s equity plans are as follows (in thousands, except for exercise prices):follows:
 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
 Shares Average
Exercise
Price
 Shares 
Average
Exercise
Price
 Shares Average
Exercise
Price
Options outstanding, beginning of period5,676
 $43.61
 6,953
 $36.26
 8,521
 $28.56
Granted545
 140.56
 564
 98.47
 928
 86.69
Canceled/Forfeited(158) 83.14
 (233) 67.45
 (250) 38.59
Exercised(851) 33.32
 (1,608) 27.62
 (2,246) 27.63
Options outstanding, end of period5,212
 $54.23
 5,676
 $43.61
 6,953
 $36.26
Options exercisable, end of period3,311
 $33.80
 3,273
 $29.63
 3,812
 $26.28

Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
(in millions, except for weighted-average exercise prices)SharesWeighted-Average
Exercise
Price
SharesWeighted-Average
Exercise
Price
SharesWeighted-Average
Exercise
Price
Options outstanding, beginning of period2.9 $81.38 3.4 $77.44 5.2 $54.23 
Granted0.1 150.91 0.1 250.15 0.4 187.83 
Canceled(0.1)162.77 (0.2)149.11 (0.3)126.98 
Exercised(0.1)54.53 (0.4)53.55 (1.9)32.41 
Options outstanding, end of period2.8 $83.85 2.9 $81.38 3.4 $77.44 
Options exercisable, end of period2.4 $65.83 2.2 $57.09 2.0 $47.31 
Total stock option expense for the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017January 2, 2021 was $14.8$11.4 million, $13.8$13.0 million and $12.0$16.1 million, respectively. As of December 28, 2019,31, 2022, the Company had $44.9$18.9 million of unrecognized compensation cost related to outstanding and unvestednon-vested stock options that are expected to vest over a weighted averageweighted-average period of approximately 2.84.3 years.
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Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The number and weighted-average exercise price of outstanding and exercisable stock options segregated by exercise price ranges (in thousands, except range of exercise prices and remaining contractual life) were as follows:
 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Options Outstanding 
Options
Exercisable
 Options Outstanding 
Options
Exercisable
Range of Exercise Prices
Number of
Options
 
Average
Remaining
Contractual
Life
 
Number of
Options
 
Number of
Options
 
Average
Remaining
Contractual
Life
 
Number of
Options
$15.00 to $35.002,287
 3.35 2,240
 2,956
 4.24 2,560
$35.01 to $55.001,189
 5.95 724
 1,341
 6.97 548
$55.01 to $75.0053
 6.69 23
 72
 7.75 20
$75.01 to $95.00985
 7.76 291
 1,076
 8.75 141
$95.01 to $115.00144
 8.61 26
 160
 9.54 4
$115.01 to $135.00251
 9.12 7
 71
 9.73 
$135.01 to $160.00303
 9.63 
 
 0.00 
     Total5,212
 5.60 3,311
 5,676
 6.01 3,273

Year Ended
December 31,
2022
Year Ended
January 1,
2022
(in millions, except range of exercise prices and average remaining contractual life)Options OutstandingOptions
Exercisable
Options OutstandingOptions
Exercisable
Range of Exercise PricesNumber of
Options
Average
Remaining
Contractual
Life
Number of
Options
Number of
Options
Average
Remaining
Contractual
Life
Number of
Options
$15.00 to $50.001.3 2.41.3 1.4 3.31.4 
$50.01 to $80.000.1 3.70.1 0.1 4.80.1 
$80.01 to $120.000.8 4.80.7 0.8 5.80.5 
$120.01 to $160.000.4 7.10.2 0.4 7.40.1 
$160.01 to $200.000.2 7.20.1 0.2 8.20.1 
$200.01 to $230.00— 7.2— — 8.5— 
$230.01 to $280.00— 8.0— — 9.0— 
     Total2.8 4.32.4 2.9 5.12.2 
As of December 28, 201931, 2022 and December 29, 2018,January 1, 2022, the weighted-average remaining contractual term of options outstanding was 5.64.3 years and 6.05.1 years, respectively. As of December 28, 201931, 2022 and December 29, 2018,January 1, 2022, the weighted averageweighted-average remaining contractual term of options exercisable with an exercise price less than the closing price of the Company’s common stock was 3.6 years and 4.3 years, and 4.7 years, respectively.

F-31

MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


RSUs
The number of RSUs issued and outstanding under all of the Company’s equity plans are as follows (in thousands, except for weighted average grant date fair value amounts):follows:
 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
 Units Weighted Average
Grant Date
Fair Value
 Units Weighted Average
Grant Date
Fair Value
 Units Weighted Average
Grant Date
Fair Value
RSUs outstanding, beginning of period2,707
 $95.54
 2,708
 $95.51
 2,706
 $95.40
Granted100
 133.57
 7
 99.05
 33
 86.42
Canceled/Forfeited(3) 133.50
 
 
 (25) 85.79
Vested(7) 99.05
 (8) 88.40
 (6) 43.09
RSUs outstanding, end of period2,797
 $96.85
 2,707
 $95.54
 2,708
 $95.51

Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
(in millions, except for weighted-average grant date fair value amounts)UnitsWeighted-Average
Grant Date
Fair Value
UnitsWeighted-Average
Grant Date
Fair Value
UnitsWeighted-Average
Grant Date
Fair Value
RSUs outstanding, beginning of period3.0 $104.13 2.9 $99.66 2.8 $96.85 
Granted0.3 148.52 0.1 257.43 0.1 193.77 
Canceled(0.1)168.90 — 204.33 — 165.03 
Vested— 184.04 — 163.71 — 134.78 
RSUs outstanding, end of period3.2 $105.65 3.0 $104.13 2.9 $99.66 
Total RSU expense for the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017January 2, 2021 was $2.8$14.4 million, $0.7$9.0 million and $0.5$5.7 million, respectively. As of each of December 28, 2019,31, 2022, the Company had $10.4$54.2 million of unrecognized compensation cost related to unvestednon-vested RSU awards expected to be recognized and vest over a weighted-average period of approximately 3.93.7 years, excluding any contingent compensation expense related to certain RSUs that were granted to the Company’s Chairman and CEO in connection with the amendment and restatement of his employment agreement. See “EmploymentEmployment and Severance Agreements”Agreements in Note 21 to these consolidated financial statements24, “Commitments and Contingencies” for further details on the CEO’s employment agreement.
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Table of Contents
MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

PSUs
The number of PSUs outstanding under all of the Company’s equity plans are as follows (in thousands, exceptfollows:
Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
(in millions, except for weighted-average grant date fair value)UnitsWeighted-Average
Grant Date
Fair Value
UnitsWeighted-Average
Grant Date
Fair Value
UnitsWeighted-Average
Grant Date
Fair Value
PSUs outstanding, beginning of period0.3 $168.68 0.4 $120.28 0.3 $102.22 
Granted0.3 (1)145.49 0.2 (1)250.73 0.1 179.42 
Canceled(0.1)139.73 — 166.84 — 122.13 
Vested(0.2)127.46 (0.3)86.95 — 90.69 
PSUs outstanding, end of period0.3 $180.04 0.3 $168.68 0.4 $120.28 
(1) On February 27, 2023, the Audit Committee approved the weighted payout percentage for weighted average grant date fair value amounts):
 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
 Units Weighted Average
Grant Date
Fair Value
 Units Weighted Average
Grant Date
Fair Value
 Units Weighted Average
Grant Date
Fair Value
PSUs outstanding, beginning of period313
 $88.34
 233
 $90.70
 
 $
Granted128
 133.50
 197
 86.95
 248
 90.71
Canceled/Forfeited
 
 (86) 90.71
 (15) 90.87
Vested(29) 90.69
 (31) 90.70
 
 
PSUs outstanding, end of period412
 $102.22
 313
 $88.34
 233
 $90.70

the 2019 PSU awards (three-year performance period), which were based upon the Company’s actual fiscal year 2022 performance against pre-established performance objectives. Included in the granted amount are those additional PSUs earned based on actual performance achieved. These PSUs were originally awarded at target.
Duringthe year ended December 30, 2017,January 2, 2021, the Company awarded 248,00097,000 PSUs that wouldwill vest in part over timethree years from the award date based on the achievement of certain 2017fiscal year 2022 performance criteria approved by the Compensation Committee of the Board (Compensation Committee). In March 2018, the Compensation Committee determined that 165,000 shares had been earned based on the 2017 performance criteria, at which time 20% of the PSUs granted were vested. The remaining award vests in four equal installments at the beginning of each of the following four years based on continued employment with the Company.
Duringthe year ended December 29, 2018, the Company awarded 197,000 PSUs that would vest three years from the award date based on the achievement of certain 2020 performance criteria approved by the Compensation Committee. If earned, the PSUs granted will vest at the time the achievement level of the performance criteria is determined by the Compensation Committee. The number of shares that may be earned can range from 0% to 200% of the target amount; therefore, the maximum number of shares that can be issued under these awards is twice the original award of 197,00097,000 PSUs, or 394,000194,000 shares. On February 27, 2023, the Audit Committee determined that the performance criteria were achieved within the range.

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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


During the year ended December 28, 2019,January 1, 2022, the Company awarded 128,00069,000 PSUs that wouldwill vest three years from the award date, based on the achievement of certain 2021fiscal year 2023 performance criteria approved by the Board.Compensation Committee. If earned, the PSUs granted will vest upon achievement of the performance criteria after the year in which the performance achievement level has been determined. The number of shares that may be earned can range from 0% to 200% of the target amount; therefore, the maximum number of shares that can be issued under these awards is twice the original award of 128,00069,000 PSUs, or 256,000138,000 shares.
During the year ended December 31, 2022, the Company awarded 162,562 PSUs that will vest three years from the award date, based on the achievement of certain fiscal year 2024 performance criteria approved by the Compensation Committee. If earned, the PSUs granted will vest upon achievement of the performance criteria after the year in which the performance achievement level has been determined. The number of shares that may be earned can range from 0% to 200% of the target amount; therefore, the maximum number of shares that can be issued under these awards is twice the original award of 162,562 PSUs, or 325,124 shares.
TheBased on management’s estimate of the number of units expected to vest, total PSU expense for the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017January 2, 2021 was $21.6$21.9 million, $12.9$22.6 million and $4.7$20.4 million, respectively. As of December 28, 2019,31, 2022, the Company had $37.7$42.3 million of unrecognized compensation cost related to non-vested PSU awards expected to be recognized and vest over a weighted-average period of approximately 1.4 years.
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Valuation of Stock-Based Award Activity
The fair value of each RSU awardand PSU is determined based on the closing price of the Company’s common stock on the grant date.
The Black-Scholes option pricing model is used to estimate the fair value of stock options granted under the Company’s stock-based compensation plans. The range of assumptions used and the resulting weighted-average fair value of stock options granted at the date of grant were as follows:
 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
Risk-free interest rate1.4% to 2.6% 2.3% to 3.1% 1.7% to 2.2%
Expected term5.1 years to 5.2 years 5.2 years to 5.6 years 5.5 years to 5.6 years
Estimated volatility28.2% to 30.0% 26.8% to 32.0% 29.7% to 32.1%
Expected dividends0% 0% 0%
Weighted-average fair value of options granted$42.29 per share $31.85 per share $27.81 per share

Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
Risk-free interest rate1.0% to 1.9%0.3% to 0.9%0.2% to 1.7%
Expected term5.1 years to 5.7 years5.1 years to 5.6 years5.1 years to 5.1 years
Estimated volatility31.2% to 38.9%30.9% to 34.7%26.9% to 35.5%
Expected dividends0%0%0%
Weighted-average fair value of options granted$49.69 per share$75.72 per share$51.10 per share
Risk-free interest rate. The risk-free interest rate is based on the implied yield available on U.S. Treasury zero-coupon issues with a remaining term approximately equal to the expected term of the Company’s stock options.
Expected term. The expected term represents the average period that the Company’s stock options are expected to be outstanding. The expected term is based on both the Company’s specific historical option exercise experience, as well as expected term information available from a peer group of companies with a similar vesting schedule.
Estimated volatility. The estimated volatility is the amount by which the Company’s share price is expected to fluctuate during a period. The Company’s estimated volatilities for 2019, 2018the years ended December 31, 2022, January 1, 2022 and 2017January 2, 2021 are based on historical and implied volatilities of the Company’s share price over the expected term of the option.
Expected dividends. The Board may from time to time declare, and the Company may pay, dividends on its outstanding shares in the manner and upon the terms and conditions provided by law. Any determination to declare and pay dividends will be made by the Board and will depend upon the Company’s results of operations, earnings, capital requirements, financial condition, business prospects, contractual restrictions and other factors deemed relevant by the Board. In the event a dividend is declared, there is no assurance with respect to the amount, timing or frequency of any such dividends. The dividend declared in 2012 was deemed to be a special dividend and there is no assurance that special dividends will be declared again during the expected term. Based on this uncertainty and unknown frequency, for the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017,January 2, 2021, no dividend rate was used in the assumptions to calculate the stock-based compensation expense.
The Company has elected to recognize stock-based compensation expense on a straight-line basis over the requisite service period for the entire award.award, net of forfeitures. Forfeitures of stock-based awards are recognized as they occur. The total fair value of all options that vested during fiscalthe years 2019, 2018ended December 31, 2022, January 1, 2022 and 2017January 2, 2021 was $14.2$12.4 million, $13.7$15.2 million and $10.5$15.1 million, respectively.
The aggregate intrinsic value of options is calculated as the positive difference, if any, between the market value of the Company’s common stock on the date of exercise or the respective period end, as appropriate, and the exercise price of the options. The aggregate intrinsic value of options outstanding, with an exercise price less than the closing price of the Company’s common stock, as of December 28, 201931, 2022 was $548.6$204.1 million. The aggregate intrinsic value of options exercisable, with an exercise price less than the closing price of the Company’s common stock, as of December 28, 201931, 2022 was $416.2$199.2 million.

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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


The aggregate intrinsic value of options exercised during the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017January 2, 2021 was $93.9$14.6 million, $127.1$84.7 million and $140.3$355.3 million, respectively.
The total income tax benefit recognized in the consolidated statements of operations for stock-based compensation expense was $15.7$2.5 million, $22.0$16.4 million and $39.2$30.4 million for the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017,January 2, 2021, respectively.
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The following table presents the total stock-based compensation expense that is included in each functional line item of the consolidated statements of operations (in thousands):operations:
(in millions)Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
Cost of goods sold$1.0 $0.8 $0.7 
Selling, general and administrative32.9 31.3 31.5 
Research and development13.8 12.5 10.0 
Total$47.7 $44.6 $42.2 
 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
Cost of goods sold$445
 $334
 $351
Selling, general and administrative30,450
 21,391
 13,272
Research and development8,340
 5,692
 3,564
Total$39,235
 $27,417
 $17,187

21. Employee Benefits
Defined Contribution Plans
In the U.S., the Company sponsors one qualified defined contribution plan or 401(k) plan, the Masimo Retirement Savings Plan (MRSP), covering the Company’s full-time U.S. employees who meet certain eligibility requirements. On April 11, 2022, in connection with the Sound United Acquisition, the MRSP was amended to allow for participation by eligible Sound United employees.
The increaseMRSP matches 100% of a participant’s salary deferral, up to a maximum of 3% of each participant’s compensation for the pay period, subject to a maximum amount. The Company may also contribute to the MRSP on a discretionary basis. The Company contributed $4.5 million, $3.4 million and $3.2 million to the MRSP for the years ended December 31, 2022, January 1, 2022 and January 2, 2021, respectively, all in total stock-based compensation expense duringthe form of matching contributions.
In addition, some of the Company’s international subsidiaries also have defined contribution plans to which both the employee and employers are eligible to make contributions. The Company’s contributions to these plans for the year ended December 28, 2019 was due31, 2022 were $4.3 million. The Company contributed immaterial amounts to both the compositionthese plans for each of the equity awards grantedyears ended January 1, 2022 and a significantJanuary 2, 2021.
Defined Benefit Plans
The Company sponsors several international noncontributory defined benefit plans. In connection with the Sound United Acquisition, the Company assumed sponsorship of several international defined benefit plans and post-retirement benefit plans. All defined benefit plans and post-retirement benefit plans assumed with the acquisition of Sound United were closed to new participants prior to the acquisition. The post-retirement benefit plans assumed within the Sound United Acquisition are not material.
The service cost component for the defined benefit plans are recorded in operating expenses in the consolidated statement of operations. All other cost components are recorded in other income (expense), net in the consolidated statement of operations.
The following table sets forth the funded status and amounts recognized in the consolidated balance sheet for the Company’s defined benefit plans.
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

(in millions)December 31,
2022
January 1,
2022
Plan Assets
Fair value of plan assets at beginning of year(1)
$21.7 $— 
Actual net loss on plan assets(2.5)— 
Employer contributions1.5 — 
Participant contributions0.5 
Benefits paid2.8 — 
Other, includes translation(1.8)— 
Fair value of plan assets at end of year$22.2 $— 
Projected Benefit Obligation
Projected benefit obligation at beginning of year(2)
$32.3 $— 
Service cost1.1 — 
Interest cost0.1 — 
Participant contributions0.5 — 
Actuarial loss(1.9)— 
Benefits paid2.0 — 
Other, includes translation(1.8)— 
Projected benefit obligation at end of year$32.3 $— 
Funded status$(10.1)$— 
______________
(1)    In connection with the Sound United Acquisition, the Company acquired $4.6 million of plan asset at April 11,2022, which is included in the fair value of plan assets amount at the beginning of the year.
(2)     In connection with the Sound United Acquisition, the Company assumed $12.9 million of pension benefit obligation at April 11,2022, which is included in the projected benefit obligation at beginning of year.
The net increase in the fair market value of the Company’s stockplan assets for the year ended December 31, 2022 was principally driven by $2.8 million of benefit paid, partially offset by a $2.5 million net loss. The Company’s projected benefit obligation for the year ended December 31, 2022 did not change materially from the prior year. It was primarily driven by a slight increase in the discount rate from the year which increasedended January 1, 2022 and $2.0 million of benefit payments, partially offset by $1.9 million of actuarial loss.
The underfunded balance of $10.1 million was included in the long-term other liabilities on the consolidated balance sheet as of December 31, 2022.
The Company’s consolidated statement of operations reflect the following components of net periodic defined benefit costs:
(in millions)Year Ended
December 31,
2022
Year Ended
January 1,
2022
Components of net periodic benefit cost$— $— 
Service cost1.1 — 
Interest cost0.1 — 
Expected return on plan assets(0.6)— 
Amortization of net losses0.1 — 
Recognized net actuarial gain0.3 — 
Net periodic defined benefit plan cost$1.0 $
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The amounts provided above for amortization of prior service costs (credits) and amortization of net losses represent the reclassifications of prior service cost (credits) and net actuarial gain (losses) that were recognized in accumulated other comprehensive income (loss) in prior periods.
Classification of amounts recognized in the consolidated balance sheets are as follows:
(in millions)December 31,
2022
January 1,
2022
Non-current assets$— $— 
Current liability— — 
Non-current liability10.1 — 
International defined benefit plans with accumulated benefit obligations in excess of fair value of plan assets consist of the equity awards granted during such year.following:
(in millions)December 31,
2022
January 1,
2022
Projected benefit obligation$32.3 $— 
Accumulated benefit obligation31.0 — 
Fair value of plan assets22.1 — 
Plan Assumptions
The Company determines actuarial assumptions on an annual basis. The actuarial assumptions used for the Company’s defined benefit plans for international participants will vary depending on the applicable country. On a weighted-average basis, the following assumptions were used to determine benefit obligations and to determine net periodic benefit cost:
Year Ended
December 31,
2022
Year Ended
January 1,
2022
Assumptions - benefit obligations:
Discount rate1.61 %— %
Rate of compensation increase0.96 — 
Assumptions - net periodic benefit costs:
Discount rate0.49 %— %
Rate of compensation increase0.09 — 
Expected long-term return on plan assets(1)
1.70 — 
Interest credit rate2.34 — 
______________
19.(1)     The pension expected return on assets assumption is derived primarily from underlying investment allocations and historical risk premiums per each plan, adjusted for current and future expectations, such as easing of global inflationary pressure.
Plan Assets
The weighted-average asset allocations at year end by asset category were as follows:
Actual Allocation
Asset CategoryDecember 31,
2022
January 1,
2022
Cash and cash equivalents3.0 %— %
Equity securities30.0 — 
Debt securities36.0 — 
Other31.0 — 
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The Plan invests in a diversified portfolio of assets intended to minimize risk of poor returns while maximizing expected portfolio returns. The actual portfolio investment mix may, from time to time, deviate from the established target mix due to various factors such as normal market fluctuations, the reliance on estimates in connection with the determination of allocations and normal portfolio activity such as additions and withdrawals. The target allocations are subject to periodic review, including a review of the asset portfolio’s performance, by the named fiduciary of the plans. Such plans have local independent fiduciary advisors with responsibility for the development and oversight of the investment policy, including asset allocation decisions. In making such decisions, consideration is given to local regulations, investment practices and funding rules. The fair value of investments is included in the fair value hierarchy, see Note 2, “Summary of Significant Accounting Policies”.While the Company believes its valuation methods are appropriate and consistent with other market participants, the use of different methodologies or assumptions to determine the fair value of certain financial instruments could result in a different estimate of fair value at the reporting date.
Plan Contributions
The Company determines expected funding needs of its defined benefit pension plans based on legal funding requirements, plus any additional amounts that may be appropriate considering the funded status of the plans, tax consequences, the cash flow generated by the Company and other factors. The Company made $1.5 million and no contributions to its defined benefit plans for the years ended December 31, 2022 and January 1, 2022, respectively. The Company expects to contribute $1.7 million for the fiscal year 2023.
Estimated Future Benefit Payments
The estimated future benefit payments, based upon the same assumptions used to measure the benefit obligations and expected future employee service, were as follows:
(in millions)Year Ended
December 31,
2022
2023$2.1 
20243.5 
20252.9 
20262.7 
20272.7 
2028-203210.6 
Total$24.5 
22. Non-operating (Loss) Income
Non-operating (loss) income consists of the following (in thousands):following:
 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
Interest income$13,917
 $8,178
 $2,974
Realized and unrealized foreign currency loss(627) (2,027) (270)
Interest expense(328) (706) (678)
Other(12) 287
 (13)
Total$12,950
 $5,732
 $2,013

(in millions)Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
Interest income$1.8 $0.9 $5.5 
Realized and unrealized foreign currency gain (loss)7.3 (2.0)2.7 
Interest expense(25.7)(0.3)(0.3)
Total non-operating (loss) income$(16.6)$(1.4)$7.9 
20.23. Income Taxes
The components of income before provision for income taxes are as follows (in thousands):follows:
(in millions)Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
United States$77.6 $221.2 $214.8 
Foreign115.8 53.2 48.9 
Total$193.4 $274.4 $263.7 
 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
United States$181,664
 $173,848
 $159,245
Foreign52,502
 39,928
 26,555
Total$234,166
 $213,776
 $185,800
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


The following table presents the current and deferred provision (benefit) for income taxes (in thousands):taxes:
 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
Current:     
Federal$30,218
 $20,418
 $38,777
State5,273
 3,075
 1,940
Foreign8,424
 5,014
 3,018
Subtotal$43,915
 $28,507
 $43,735
Deferred:     
Federal$(3,732) $(6,678) $20,735
State(1,985) (1,258) (3,420)
Foreign(248) (338) (39)
Subtotal(5,965) (8,274) 17,276
Total$37,950
 $20,233
 $61,011

(in millions)Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
Current:
Federal$48.7 $38.1 $13.9 
State6.1 7.1 6.4 
Foreign34.4 14.7 8.1 
Subtotal$89.2 $59.9 $28.4 
Deferred:
Federal$(20.5)$(4.9)$1.3 
State(8.7)(6.1)(6.2)
Foreign(10.1)(4.1)(0.1)
Subtotal(39.3)(15.1)(5.0)
Total$49.9 $44.8 $23.4 
Included in the fiscal year 2019, 20182022, 2021 and 20172020 tax provisions are increases/(decrease)increases of $1.8$4.5 million, ($1.6 million)$3.6 million and $1.6$0.2 million, respectively, for tax and accrued interest related to uncertain tax positions for each fiscal year.
The reconciliation of the U.S. federal statutory tax rate to the Company’s effective tax rate is as follows:
 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
Statutory regular federal income tax rate21.0 % 21.0 % 35.0 %
State provision, net of federal benefit1.1
 0.7
 (0.6)
Nondeductible executive compensation2.1
 1.9
 1.3
Research and development tax credits(1.1) (1.4) (2.2)
Foreign income taxed at different rates(1.7) (2.0) (3.4)
U.S. tax on foreign income, net0.1
 0.7
 
Impact of 2017 Tax Act
 0.1
 18.8
Withholding taxes on undistributed foreign earnings, net
 (0.6) 3.5
Excess stock-based compensation(6.0) (9.4) (20.3)
Derecognition of uncertain tax position
 (1.5) 
Other0.7
 
 0.7
Total16.2 % 9.5 % 32.8 %

The Tax Cuts and Jobs Act of 2017 that was signed in to law on December 22, 2017 (2017 Tax Act) included a number of changes to existing U.S. federal tax law impacting businesses including, among other things, a permanent reduction in the corporate income tax rate from 35% to 21%, a one-time transition tax on the “deemed repatriation” of cumulative undistributed foreign earnings as of December 31, 2017 and changes in the prospective taxation of the foreign operations of U.S. multinational companies. The SEC issued Staff Accounting Bulletin No. 118 (SAB 118) to address the application of GAAP in situations when a registrant did not have the necessary information available, prepared or analyzed (including computations) in reasonable detail to complete the accounting for certain income tax effects of the 2017 Tax Act and provided for a measurement period of one year from the enactment date to finalize the accounting for effects of the 2017 Tax Act. Given the complexity and lack of specificity related to certain provisions of the 2017 Tax Act, the Company made certain estimates and assumptions in connection with the calculation of its provision for income taxes for the year ended December 30, 2017 and recorded a discrete tax charge of approximately $37.0 million. In addition, as a result of this change in U.S. tax policy, the Company recorded a related discrete tax charge of $6.5 million as a result of its decision to repatriate certain accumulated undistributed earnings from the Company’s foreign subsidiaries.

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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


During the year ended December 29, 2018, the Company completed its analysis of the income tax effects of the 2017 Tax Act and, pursuant to SAB 118, recorded an adjustment of approximately $0.9 million to reduce its previously estimated accrual based on additional information and guidance that became available with respect to the application of certain provisions of the 2017 Tax Act. The U.S. Treasury Department, the Internal Revenue Service, and other standard-setting bodies will continue to interpret or issue guidance on how provisions of the 2017 Tax Act will be applied or otherwise administered. As future guidance is issued, the Company may make adjustments to amounts that it has previously recorded that may materially impact its provision for income taxes in the period in which such adjustments are made.
Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
Statutory regular federal income tax rate21.0 %21.0 %21.0 %
State provision, net of federal benefit(1.0)0.3 0.1 
Nondeductible executive compensation2.9 2.1 1.8 
Research and development tax credits(1.7)(1.8)(2.2)
Foreign income taxed at different rates— (0.3)(1.0)
U.S. tax on foreign income, net4.8 0.9 1.0 
Excess stock-based compensation(1.2)(5.5)(10.4)
Derecognition of uncertain tax position(0.8)(1.0)(2.2)
Transaction-related costs0.9 — — 
Other0.9 0.6 0.8 
Total25.8 %16.3 %8.9 %
As of December 28, 2019,31, 2022, the Company has accumulated undistributed earnings generated by its foreign subsidiaries of approximately $183.5$409.1 million. Because such earnings have previously been subject to U.S. tax, any additional taxes due with respect to such earnings or the excess of the amount for financial reporting over the tax basis of its foreign investments would generally be limited to foreign withholding and state taxes. The Company considers $86.5 million of these accumulated undistributed earnings as no longer permanently reinvested and has accrued foreign withholding and state taxes, net of estimated foreign tax credits, of $1.6 million. The Company intends, however, to indefinitely reinvest the remaining $97.0$322.6 million of earnings. If the Company decides to distribute such permanently reinvested earnings, the Company would accrue estimated additional income tax expense of up to approximately $4.8$15.6 million.
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The components of the deferred tax assets are as follows (in thousands):follows:
 December 28,
2019
 December 29,
2018
Deferred tax assets:   
Tax credits$6,438
 $5,672
Deferred revenue13,948
 331
Accrued liabilities13,273
 12,645
Stock-based compensation7,926
 6,615
Operating lease assets4,174
 
Other1,591
 
Total47,350
 25,263
Valuation allowance
 
Total deferred tax assets$47,350
 $25,263
    
Deferred tax liabilities:   
Property and equipment$(6,604) $(2,504)
State taxes and other(1,152) (857)
Withholding taxes on undistributed foreign earnings(2,829) (2,803)
Operating lease liabilities(3,845) 
Other
 (845)
Total deferred tax liabilities(14,430) (7,009)
Net deferred tax assets$32,920
 $18,254

(in millions)December 31,
2022
January 1,
2022
Deferred tax assets:
Deferred revenue$27.8 $26.1 
Net operating losses34.7 9.5 
Accrued liabilities32.1 19.2 
Interest22.4 — 
Capitalized R&D18.5 — 
Tax credits18.0 13.1 
Stock-based compensation10.9 8.9 
Operating lease assets8.7 5.7 
Other5.8 — 
Total178.9 82.5 
Valuation allowance(7.3)(6.5)
Total deferred tax assets$171.6 $76.0 
Deferred tax liabilities:
Property and equipment$(18.2)$(13.0)
Intangible assets(186.7)(2.7)
Operating lease liabilities(8.6)(5.4)
Withholding taxes on undistributed foreign earnings(2.8)(2.8)
State taxes and other(7.5)(4.3)
Interest rate hedge(4.1)— 
Inventory(4.0)— 
Other(0.9)(0.4)
Total deferred tax liabilities(232.8)(28.6)
Net deferred tax assets$(61.2)$47.4 
As of December 28, 2019,31, 2022, the Company has $1.2 million and $213.0 million of net operating losses from federal and various states,state jurisdictions, which will begin to expire in 2023.2037 and 2023, respectively. Additionally, the Company has $76.3 million of net operating losses from foreign jurisdictions that will begin to expire in 2024. The Company also has federal research and development tax credits of $2.8 million that will begin to expire in 2031, state research and development tax credits of $10.1$22.4 million that will carry forward indefinitely and $0.3$0.9 million of Canadian investment tax credits on research and development expenditures that will begin to expire in 2032. The2040. In assessing the realizability of deferred tax assets, the Company believes thatconsiders whether it is more likely than notmore-likely-than-not that all or some portion of the deferred tax assets related to these carryforwards will not be realized. In making this determination, the Company considered all available positive and negative evidence, including scheduled reversals of liabilities, projected future taxable income, tax planning strategies and recent financial performance.
During the year ended January 1, 2022, the Company established a valuation allowance to reduce the deferred tax assets relating to certain acquired operating losses in certain foreign jurisdictions that the Company believes are not likely to be realized. During the year ended December 31, 2022, there was an increase in the valuation allowance of $0.8 million, primarily due to the losses of certain foreign operations.
As a result of certain business and employment actions undertaken by the Company, income earned in a certain European country is subject to a reduced tax rate through 2018 as the Company has met2022, which, upon meeting certain employment thresholds.requirements, can be extended through 2026. For the yearsyear ended December 29, 201831, 2022 and December 30, 2017,January 1, 2022, the estimated income tax benefit related to such business arrangement was $1.7 million and $1.0 million, respectively, and favorably impacted net income per diluted share by $0.03 and $0.02, respectively. These estimated benefit amounts exclude any incremental U.S. taxes imposed as a result of various provisions of the 2017 Tax Act.

for each year.
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


The following is a tabular reconciliation of the total amounts of unrecognized tax benefits (in thousands):benefits:
 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
Unrecognized tax benefits (gross), beginning of period$15,412
 $16,157
Increase from tax positions in prior period81
 701
Increase from tax positions in current period2,636
 2,633
Settlements
 (33)
Lapse of statute of limitations(1,120) (4,046)
Unrecognized tax benefits (gross), end of period$17,009
 $15,412

(in millions)Year Ended
December 31,
2022
Year Ended
January 1,
2022
Unrecognized tax benefits (gross), beginning of period$21.6 $18.0 
Increase from tax positions in prior period0.7 0.6 
Decrease from tax position in prior period(0.6)(0.9)
Increase from tax positions in current period6.0 7.0 
Lapse of statute of limitations(1.6)(3.1)
Unrecognized tax benefits (gross), end of period$26.1 $21.6 
The amount of unrecognized benefits which, if ultimately recognized, could favorably affect the tax rate in a future period was $15.7$24.0 million and $14.2$19.8 million as of December 28, 201931, 2022 and December 29, 2018,January 1, 2022, respectively. It is reasonably possible that the amount of unrecognized tax benefits in various jurisdictions may change in the next 12 months due to the expiration of statutes of limitation and audit settlements. However, due to the uncertainty surrounding the timing of these events, an estimate of the change within the next 12 months cannot be made at this time.
For the yearsyear ended December 28, 2019, December 29, 2018 and December 30, 2017,31, 2022 the Company recorded an expense/(benefit)expense of $0.5 million, ($0.8 million) and $0.3 million respectively, for interest and penalties related to unrecognized tax benefits as part of income tax expense. For the year ended January 1, 2022, the Company recorded a benefit of $0.1 million for interest and penalties related to unrecognized tax benefits as part of income tax expense.
Total accrued interest and penalties related to unrecognized tax benefits as of December 28, 201931, 2022 and December 29, 2018January 1, 2022 were $1.3$1.1 million and $0.8 million, respectively.
The Company conducts business in multiple jurisdictions, and as a result, one or more of the Company’s subsidiaries files income tax returns in the U.S. federal, various state, local and foreign jurisdictions. The Company has concluded all U.S. federal income tax matters for years through 2015.2018. All material state, local and foreign income tax matters have been concluded for years through 2012. 2015.
In March 2020, the Coronavirus Aid, Relief, and Economic Security Act (the CARES Act) was enacted and signed into law in response to the market volatility and instability resulting from the COVID-19 pandemic. It includes a significant number of tax provisions and lifts certain deduction limitations originally imposed by the 2017 Tax Cuts and Jobs Act of 2017. The changes are primarily related to: (1) the business interest expense disallowance rules for 2019 and 2020; (2) net operating loss rules; (3) charitable contribution limitations; (4) employee retention credit; and (5) the realization of corporate alternative minimum tax credits.
The Company doeshas reviewed the tax provision in the CARES Act and did not believe thatidentify any material impact to the results of any tax authority examination would have a significant impact on itsCompany’s consolidated financial statements.
21.24. Commitments and Contingencies

Employee Retirement Savings Plan
The Company sponsors a qualified defined contribution plan or 401(k) plan, the Masimo Retirement Savings Plan (MRSP), covering the Company’s full-time U.S. employees who meet certain eligibility requirements. In general, the Company matches an employee’s contribution up to 3% of the employee’s compensation, subject to a maximum amount. The Company may also contribute to the MRSP on a discretionary basis. The Company contributed $2.5 million, $2.3 million and $2.2 million to the Plan for the years ended December 28, 2019, December 29, 2018 and December 30, 2017, respectively, all in the form of matching contributions. In addition, the Company sponsors various defined contribution plans in certain locations outside of the United States, the contributions to which were not material for any period.
Employment and Severance Agreements
In July 2017, the Company entered into the First Amendment to the certain Amended and Restated Employment Agreement entered into between the Company and Mr. Kiani on November 4, 2015 (as amended, the Amended Employment Agreement). Pursuant to the terms of the Amended Employment Agreement, upon a “Qualifying Termination”Qualifying Termination (as defined in the Amended Employment Agreement), Mr. Kiani will be entitled to receive a cash severance benefit equal to two times the sum of his then-current base salary and the average annual bonus paid to Mr. Kiani during the immediately preceding three years, the full amount of the “Award Shares”Award Shares (as defined in the Amended Employment Agreement) and the full amount of the “Cash Payment”Cash Payment (as defined in the Amended Employment Agreement). In addition, in the event of a “ChangeChange in Control”Control (as defined in the Amended Employment Agreement) prior to a Qualifying Termination, on each of the first and second anniversaries of the Change in Control, 50% of the Cash Payment and 50% of the Award Shares will vest, subject in each case to Mr. Kiani’s continuous employment through each such anniversary date; however, in the event of a Qualifying Termination or a termination of Mr. Kiani’s employment due to death or disability prior to either of such anniversaries, any unvested amount of the Cash Payment and all of the unvested Award Shares shall vest and be paid in full. Additionally, in the event of a Change in Control prior to a Qualifying Termination, Mr. Kiani’s stock options and any other equity awards will vest in accordance with their terms, but in no event later than in two equal installments on each of the one year and two year anniversaries of the Change in Control, subject in each case to Mr. Kiani’s continuous employment through each such anniversary date.

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On January 14, 2022, the Company entered into the Second Amendment to the Amended Employment Agreement (the “Second Amendment”) with Mr. Kiani. The Second Amendment provides that the RSUs granted to Mr. Kiani pursuant to the Amended Employment Agreement will vest in full upon the termination of Mr. Kiani’s employment with the Company pursuant to Mr. Kiani’s death or disability. As of December 28, 2019,31, 2022, the expense related to the Award Shares and Cash Payment that would be recognized in the Company’s consolidated financial statements upon the occurrence of a Qualifying Termination under the Restated Employment Agreement was approximately $292.9$664.3 million.
As of December 28, 2019,31, 2022, the Company had severance plan participation agreements with 8six executive officers. The participation agreements (the Agreements) are governed by the terms and conditions of the Company’s 2007 Severance Protection Plan, which became effective on July 19, 2007 and which was amended effective December 31, 2008.
Under each of the Agreements, the applicable executive officer may be entitled to receive certain salary, equity, medical and life insurance benefits if he is terminated by the Company without cause or if he terminates his employment for good reason under certain circumstances. Each executive officer is also required to give the Company six months advance notice of his resignation under certain circumstances.
On September 16, 2022, the Company appointed Blair Tripodi as its Chief Operating Officer (COO), Consumer Division. The offer letter entered into with Mr. Tripodi upon completion of the Sound United Acquisition included certain compensation, retention and benefit provisions. In addition, Mr. Tripodi is also a limited participant in the Severance Plan, which provides that, if (a) Mr. Tripodi’s employment is terminated on the date of a Change in Control (as defined in the Severance Plan) specifically because his current job, or similar job, is not offered to him on the date of such Change in Control, or (b) Mr. Tripodi’s employment is terminated by the Company without cause or if he terminates his employment with the Company for Good Reason (as defined in the Severance Plan) upon or within 36 months of a Change in Control, fifty percent of Mr. Tripodi’s unvested and outstanding equity-based awards will immediately vest.
Cercacor Cross-Licensing Agreement Provisions
The Company’s Cross-Licensing Agreement with Cercacor contains annual minimum aggregate royalty obligations for use of the rainbow® licensed technology. The current annual minimum royalty obligation is $5.0 million. Upon a changeChange in controlControl (as defined in the Cross-Licensing Agreement) of the Company or Cercacor: (i) all rights to the “Masimo” trademark will be assigned to Cercacor if the surviving or acquiring entity ceases to use “Masimo” as a company name and trademark; (ii) the option to license technology developed by Cercacor for use in blood glucose monitoring will be deemed automatically exercised and a $2.5 million license fee for this technology will become immediately payable to Cercacor; and (iii) the minimum aggregate annual royalties payable to Cercacor for carbon monoxide, methemoglobin, fractional arterial oxygen saturation, hemoglobin and/or glucose measurements will increase to $15.0 million per year until the exclusivity period of the agreement ends, plus up to $2.0 million for each additional vital sign measurement with no maximum ceiling for non-vital sign measurements.
Purchase Commitments
Pursuant to contractual obligations with vendors, the Company had $108.4$473.8 million of purchase commitments as of December 28, 2019, which31, 2022 that are expected to be purchased within one year. These purchase commitments have been made for certain inventory items in order to secure sufficient levels of those items, other critical inventory and manufacturing supplies and to achieve better pricing.
Other Contractual Commitments
In the normal course of business, the Company may provide bank guarantees to support government hospital tenders in certain foreign jurisdictions. As of December 28, 2019,31, 2022, the Company had approximately $2.3$4.8 million in outstanding unsecured bank guarantees.
In certain circumstances, the Company also provides limited indemnification within its various customer contracts whereby the Company indemnifies the parties to whom it sells its products with respect to potential infringement of intellectual property, and against bodily injury caused by a defective Company product. It is not possible to predict the maximum potential amount of future payments under these or similar agreements, due to the conditional nature of the Company’s obligations and the unique facts and circumstances involved. As of December 28, 2019,31, 2022, the Company had not incurred any significant costs related to contractual indemnification of its customers.
In January 2020, the Company entered into a definitive agreement for the acquisitionConcentrations of the Connected Care business from NantHealth, Inc. for approximately $47.3 million in cash, subject to certain purchase price adjustments. The transaction closed in February 2020.Risk
Concentrations
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The Company is exposed to credit loss for the amount of its cash deposits with financial institutions in excess of federally insured limits. The Company invests a portion of its excess cash in time depositssavings accounts with major financial institutions. As of December 28, 2019,31, 2022, the Company had $687.7$202.9 million of bank balances, of which was comprised of $120.0 million of certificates of deposit and $567.7 million in checking or deposit accounts. Of the $567.7 million of bank balances, $3.8$8.2 million was covered by either the U.S. Federal Deposit Insurance Corporation limit or foreign countries’ deposit insurance organizations.

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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


The Company’s ability to sell its products to U.S. hospitals depends in part on its relationships with GPOs. Many existing and potential customers for the Company’s products become members of GPOs. GPOs negotiate pricing arrangements and contracts, sometimes exclusively, with medical supply manufacturers and distributors, and these negotiated prices are made available to a GPO’s affiliated hospitals and other members. ForDuring the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017,January 2, 2021, revenue from the sale of the Company’s products to U.S. hospitalscustomers that are members of GPOs approximated 55.3%53.8%, 56.7%51.9% and 56.5%49.3% of total product revenue, retrospectively.respectively.
For the years ended December 28, 2019, December 29, 201831, 2022, January 1, 2022 and December 30, 2017,January 2, 2021, the Company had sales through 2two just-in-time distributors that represented 13.0%10.1% and 11.1%5.1%, 12.9%14.6% and 10.4%9.6%, and 13.7%11.5% and 12.1%10.1% of total product revenue, respectively.
As of December 28, 201931, 2022 and December 29, 2018,January 1, just-in-time distributor2022, one customer represented 6.2%9.1% and 6.7%15.7%, respectively, of the Company’s accounts receivable balance. The receivable balance respectively.related to such customer is fully secured by letters of credit.
Litigation
On January 9, 2020, the Company filed a complaint against Apple Inc. (Apple) in the District Court for infringement of a number of patents, for trade secret misappropriation, and for ownership and correction of inventorship of a number of Apple patents listing one of its former employees as an inventor. The majorityCompany is seeking damages, injunctive relief, and declaratory judgment regarding ownership of the Apple patents. Apple filed petitions for Inter Partes review (IPR) of the asserted patents in the U.S. Patent and Trademark Office (PTO). The PTO instituted IPR of the asserted patents. On October 13, 2020, the District Court stayed the patent infringement claims pending completion of the IPR proceedings. On February 5, 2021, the Company filed a fourth amended complaint. On February 26, 2021, Apple filed a partial motion to dismiss the trade secrets claim in the fourth amended complaint. On April 21, 2021, the District Court issued an order granting in part and denying in part the motion to dismiss. On May 5, 2021, Apple filed its answer to the fourth amended complaint. On December 7, 2021, Apple filed a motion for partial summary judgment on the trade secrets claim, which was denied on February 17, 2022. In December 2022, Apple filed another motion for summary judgment on the Company’s trade secrets claim, which was denied in February 2023. Trial is currently set to begin on March 27, 2023. In the IPR proceedings, one or more of the challenged claims of three of the asserted patents were found valid. The challenged claims of nine of the asserted patents were found invalid. The Company and Apple filed notices of appeal with the U.S. Court of Appeals for the Federal Circuit seeking review of the IPR decisions on all asserted patents. The Company and Apple filed briefs in one consolidated appeal for five asserted patents and in two appeals for two asserted patents and now await scheduling of oral arguments. The Company filed an opening brief in another consolidated appeal for four asserted patents on December 12, 2022, and Apple filed a reply brief in that other consolidated appeal on February 21, 2023.
On June 30, 2021, the Company filed a complaint with the U.S. International Trade Commission (ITC) against Apple for infringement of a number of other patents. The Company filed an amended complaint on July 12, 2021. On August 13, 2021, the ITC issued a Notice of Institution of Investigation on the asserted patents. From June 6, 2022 to June 10, 2022, the ITC conducted an evidentiary hearing. The current target date for completion of the ITC investigation is May 10, 2023. Apple filed petitions for IPR of the asserted patents in the PTO. In February 2023, the PTO denied Apple’s IPR petitions on some of the asserted patents and instituted IPRs on other asserted patents. Apple has sought rehearing on certain patents for which Apple’s IPR Petitions were denied. On January 10, 2023, a United States Administrative Law Judge in Washington, D.C. ruled that Apple violated Section 337 of the Tariff Act of 1930, as amended, by importing and selling within the United States certain Apple Watches with light-based pulse oximetry functionality and components, which infringe one of the Company’s historical royalty revenue arose from 1 agreement with Medtronic plc (Medtronic). Forpulse oximeter patents. On January 24, 2023, the years ended December 28, 2019, December 29, 2018United States Administrative Law Judge further recommended that the ITC issue an exclusion order and Decembera cease and desist order on certain Apple Watches. The ITC will now consider whether to implement a ban on imports of certain Apple Watches. On January 30, 2017,2023, the Company recognized royalty revenue pursuant to this agreementPTO denied institution of $0.7 million, $26.4 million and $32.8 million, respectively. PursuantIPR proceedings for the Company’s pulse oximeter patent that the United States Administrative Law Judge ruled was infringed. With respect to the agreement, Medtronic is not obligated to pay royalties toother patents asserted at the CompanyITC, the PTO denied institution of IPR proceedings for its sales occurring aftertwo patents and instituted IPR proceedings for two patents in January or February 2023, and Apple filed requests for rehearing of some decisions that denied institution of IPR proceedings on February 23, 2023.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

On October 6, 2018.
The majority of the Company’s historical non-recurring engineering (NRE) service revenue arose from 1 agreement with Philips N.V. For the years ended December 28, 2019, December 29, 2018 and December 30, 2017, the Company recognized NRE service revenue pursuant to this agreement of approximately $0.7 million, $2.0 million and $19.2 million, respectively. As of December 28, 2019, the Company had completed the majority of the contracted NRE services for Philips N.V.
Litigation
During the third quarter of fiscal year 2017, the Company became aware that certain amounts had been paid by a foreign government customer to the Company’s former appointed foreign agent in connection with a foreign government tender, but had not been remitted by such agent to20, 2022, Apple filed two complaints against the Company in accordance with the agency agreement.U.S. District Court of for the District of Delaware alleging that the Masimo W1 watch infringes a number of utility and design patents. Apple is seeking damages and injunctive relief. On December 28, 2017,12, 2022, the Company initiated arbitration proceedings against this foreign agent after unsuccessful attemptscounterclaimed for monopolization, attempted monopolization, false advertising (and related causes of action) and infringement of multiple patents. The Company is seeking damages and injunctive relief. The Court has not set a schedule or trial date in either case. On February 3, 2023, Apple moved to recover such remittances. As(1) sever the Company’s monopolization and false advertising counterclaims into a result,separate case, (2) stay the Company’s patent-infringement claims and (3) to expedite Apple’s design-patent claims. The Company opposed Apple’s motions on February 24, 2023. On the same day, the Company recorded a net charge of approximately $10.5 million duringmoved to consolidate Apple’s utility-patent claims, Apple’s design-patents claims and the fourth quarter of fiscal year 2017 in connection with this dispute, of which $2.0 million was recovered duringCompany’s counterclaims for discovery and all pretrial proceedings. On February 21, 2023, Apple moved to dismiss the year ended December 28, 2019. An arbitration hearing was held on February 11, 2019. On July 8, 2019, the arbitrator awarded the Company $10.5 million in damages, feesCompany’s monopolization and costs. On January 12, 2020, the Company received notice that bankruptcy restructuring proceedings had been initiated for the foreign agent.false advertising claims. The Company filed its claim with the bankruptcy trustee on January 16, 2020. Although the Company intends to vigorously pursue collectionall of its legal remedies in its litigation against Apple and believes the arbitration award,Company has good and substantial defenses to Apple’s claims, but there is no guarantee that the Company will be successful in these efforts.

On January 2, 2014,October 21, 2022, a putative class action complaint was filed in the Delaware Court of Chancery against the Company and the members of the Company’s Board (Director Defendants) by Politan Capital Management LP and Politan Capital NY LLC (Activist Plaintiffs). The complaint seeks relief to (i) declare certain amendments to the Company’s bylaws that became effective on September 9, 2022 (Bylaw Amendments) unenforceable, (ii) find that the Director Defendants breached their fiduciary duties by approving and implementing the Bylaw Amendments and the shareholder rights plan adopted by the Company on September 9, 2022, and refusing to invalidate certain change in control provisions in the U.S. DistrictCompany’s employment agreement with Joe Kiani, the Company’s Chief Executive Officer (CEO), (iii) invalidate certain change in control provisions in Mr. Kiani’s employment agreement, (iv) permanently enjoin the Company and its Board from taking any actions to prevent the Activist Plaintiffs from exercising their rights in accordance with the Company’s prior bylaws to nominate directors, and (v) have Mr. Kiani, the Company’s CEO and founder leave the Company, and (vi) award the Activist Plaintiffs their fees, costs and expenses in connection with the action covered by the complaint. In response to the complaint, on October 24, 2022, the Company and the Director Defendants filed a counterclaim, answer and defense in the Delaware Court forof Chancery against the Central District of California by Physicians Healthsource, Inc. The complaint allegesActivist Plaintiffs, seeking relief to (i) have the court declare that the Bylaw Amendments are valid and enforceable and that the Company sent unsolicited facsimile advertisementsis permitted to invalidate any director nominations by the Activist Plaintiffs that are not made in violationaccordance with the amended bylaws and (ii) award the Company reasonable costs, including attorneys’ fees and expenses. On October 28, 2022, the Activist Plaintiffs filed a counterclaim and answer generally denying substantially all of the Junk Fax Protection Actallegations raised in the Company’s counterclaim and raising a number of 2005 and related regulations. The complaint seeks $500 for each alleged violation, treble damages ifaffirmative defenses against the District Court finds the alleged violations to be knowing, plus interest, costs and injunctive relief.Company’s counterclaim. On March 26, 2019, an amended complaint was filed adding Radha Geismann, M.D. PC as an additional named plaintiff. On June 17, 2019, the plaintiffs filed their motion for class certification. On September 10, 2019, the parties filed motions for summary judgment. On September 30, 2019,February 5, 2023, the Company filed its opposition towithdrew the motion for class certification, and the plaintiffs filed their reply on October 7, 2019. On November 21, 2019, the District Court issued an order denying plaintiffs’ motion for class certification, granting in part and denying in part the Company’s motion for summary judgment, and deferring ruling on plaintiffs’ motion for summary judgment. On December 5, 2019, plaintiffs filed a petition for permission to appeal the order denying class certification, which was denied on January 24, 2020. Trial of the individual plaintiffs’ claims is scheduled for June 2, 2020.Bylaw Amendments. The Company believes it hasthat the Company and the Director Defendants have good and substantial defenses to the Activist Plaintiffs’ claims (including those raised in their counterclaim), but there is no guarantee that the Company and the Director Defendants will prevail. The Company is unable to determine whether any loss will ultimately occur or to estimate the range of such loss; therefore, no amount of loss has been accrued by the Company in the accompanying consolidated financial statements.
On January 9, 2020, the Company filed a complaint against Apple Inc. (Apple) in the U.S. District Court for the Central District of California for infringement of a number of patents, for trade secret misappropriation, and for ownership of a number of Apple patents listing one of its former employees as an inventor. The Company is seeking damages, injunctive relief, and declaratory judgment regarding ownership of the Apple patents.

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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


From time to time, the Company may be involved in other litigation and investigations relating to claims and matters arising out of its operations in the normal course of business. The Company believes that it currently is not a party to any other legal proceedings which, individually or in the aggregate, would have a material adverse effect on its consolidated financial position, results of operations or cash flows.
22.25. Segment Information and Enterprise Reporting
The Company’s reportable segments are determined based upon the Company’s new organizational structure and the way in which the Company’s Chief Operating Decision Maker (CODM), the CEO, makes operating decisions and assesses financial performance. The CODM considered several factors including, but not limited to, customer base, technology, and homogeneity of products. The two segments are:
Healthcare - develops, manufactures, and markets a variety of noninvasive monitoring technologies and hospital automation solutions and therapeutics. This segment includes the Company’s core legacy hospital business and new Masimo-technology-enabled consumer products that are distributed through many channels including e-commerce sites, leading national retailers and specialty chains globally.
Non-healthcare - designs, develops, manufactures, markets and sells a broad portfolio of premium, high-performance audio products and services. This is a new reportable segment comprised primarily of Sound United’s operations.
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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Income from operations for each segment includes all geographic revenues, related cost of net revenues and operating expenses directly attributable to the segment. The Company uses gross profit, as presented in the Company’s financial reports, as the primary measure of segment profitability. The Company uses the same accounting policies to generate segment results as the Company does for consolidated results. Segment information presented herein reflects the impact of these changes for all periods presented. There was no inter-segment revenue for any of the periods presented.
Selected information by reportable segment is presented below for the years ended December 31, 2022, January 1, 2022 and January 2, 2021:
(in millions)Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
Revenues by segment:
Healthcare$1,340.3 $1,239.2 $1,143.7 
Non-healthcare695.5 — — 
Total revenue by segment$2,035.8 $1,239.2 $1,143.7 
Gross profit:
Healthcare$870.2 $808.4 $743.0 
Non-healthcare252.5 — — 
Other(1)
(63.9)— — 
Gross profit$1,058.8 $808.4 $743.0 
__________________
(1)     Management excludes certain corporate expenses from segment gross profit. In addition, certain amounts that management considers to be non-recurring or non-operational are excluded from segment gross profit because management evaluates the operating results of the segments excluding such items.
The Company’s chief operating decision maker, the CEO, reviews financial information presented on a consolidated basis, accompanieddepreciation and amortization by disaggregated information about revenues by geographic region for purposes of making operating decisions and assessing financial performance. Accordingly, the Company considers itself to be in a single reporting segment specifically noninvasive patient monitoring solutions and related products. In addition, the Company’s assets are primarily located in the U.S. The Company does not produce reports for, or measure the performance of, its geographic regions on any asset-based metrics. Therefore, geographic information is presented only for revenues and long-lived assets.as follows:
(in millions)Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
Depreciation and amortization by segment:
Healthcare$36.0 $35.6 $29.3 
Non-healthcare100.1 — — 
Total depreciation and amortization$136.1 $35.6 $29.3 
The following schedule presents an analysis of the Company’s product revenues based upon the geographic area to which the product was shipped (in thousands, except percentages):total assets by segment are as follows:
 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
Geographic area by destination:           
United States (U.S.)$636,371
 68.0% $566,816
 68.3% $502,983
 68.1%
Europe, Middle East and Africa183,363
 19.6
 160,910
 19.4
 138,689
 18.8
Asia and Australia87,961
 9.4
 75,534
 9.1
 72,434
 9.8
North and South America (excluding U.S.)28,713
 3.0
 26,614
 3.2
 24,136
 3.3
     Total product revenue$936,408
 100.0% $829,874
 100.0% $738,242
 100.0%

(in millions)December 31,
2022
January 1,
2022
Total assets by segment:
Healthcare$1,594.1 $1,866.4 
Non-healthcare1,597.5 — 
Corporate overhead19.0 20.6 
Total assets$3,210.6 $1,887.0 
The Company’s consolidated long-lived assets (tangible non-current assets) by geographic area are (in thousands, except percentages):as follows:
(in millions, except percentages)Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
Long-lived assets by geographic area:
United States$319.7 79.1 %$239.4 86.9 %$238.1 86.9 %
International84.5 20.9 36.0 13.1 35.7 13.1 
     Total long-lived assets$404.2 100.0 %$275.4 100.0 %$273.8 100.0 %
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 Year Ended
December 28,
2019
 Year Ended
December 29,
2018
 Year Ended
December 30,
2017
Long-lived assets by geographic area:           
United States$216,650
 98.5% $262,373
 95.6% $247,555
 96.2%
International3,276
 1.5
 12,016
 4.4
 9,802
 3.8
     Total$219,926
 100.0% $274,389
 100.0% $257,357
 100.0%
The Company possesses licenses from the U.S. Treasury Department’s Office of Foreign Assets Control for conducting business with certain countries identified by the State Department as state sponsors of terrorism. The Company does not have any subsidiaries, affiliates, offices, investments or employees in any country identified as a state sponsor of terrorism. In addition, the Company did not have any sales to customers in Sudan or Syria during the years ended December 28, 2019, December 29, 2018 and December 30, 2017. However, the Company did have immaterial product sales to certain customers where such products were ultimately destined for Iran during the years ended December 28, 2019, December 29, 2018 and December 30, 2017, but does not believe that such sales activities were material to its business, financial condition or results of operations.

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MASIMO CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)


23. Quarterly Financial Data
The following tables contain selected unaudited consolidated statements of operations data for each quarter of 2019 and 2018 (in thousands, except per share data):
 Quarters Ended
Fiscal 2019March 30,
2019
 June 29,
2019
 September 28,
2019
 December 28,
2019
Total revenue$231,664
 $229,652
 $229,011
 $247,510
Gross profit151,642
 154,339
 156,268
 166,923
Operating income56,023
 52,004
 51,632
 61,557
Net income49,322
 44,888
 49,085
 52,921
Net income per share       
Basic(1)
$0.93
 $0.84
 $0.92
 $0.99
Diluted(1)
$0.87
 $0.79
 $0.86
 $0.92
 Quarters Ended
Fiscal 2018March 31,
2018
 June 30,
2018
 September 29,
2018
 December 29,
2018
Total revenue$212,953
 $211,621
 $210,583
 $223,132
Gross profit143,661
 142,147
 140,753
 148,331
Operating income53,885
 51,612
 48,641
 53,906
Net income45,630
 43,853
 57,126
 46,934
Net income per share       
Basic(1)
$0.88
 $0.84
 $1.09
 $0.88
Diluted(1)
$0.82
 $0.79
 $1.02
 $0.83
 ______________
(1) The sumschedule presents an analysis of the basic and diluted earnings per share numbers for each quarter may not equalCompany’s revenues based upon the basic and diluted earnings per share number for the entire year due to quarterly rounding.geographic area:


(in millions, except percentages)Year Ended
December 31,
2022
Year Ended
January 1,
2022
Year Ended
January 2,
2021
Geographic area by destination:
United States (U.S.)$1,141.7 56.1 %$822.4 66.4 %$763.1 66.7 %
Europe, Middle East and Africa523.6 25.7 251.8 20.3 238.7 20.9 
Asia and Australia326.8 16.1 123.6 10.0 103.7 9.1 
North and South America (excluding U.S.)43.7 2.1 41.4 3.3 38.2 3.3 
     Total revenue$2,035.8 100.0 %$1,239.2 100.0 %$1,143.7 100.0 %
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MASIMO CORPORATION
VALUATION AND QUALIFYING ACCOUNTS
MASIMO CORPORATION
VALUATION AND QUALIFYING ACCOUNTS
Years ended December 28, 2019, December 29, 2018 and December 30, 2017
(in thousands)

Description
Balance at
Beginning of Period
 
Additions Charged to
 Expense and Other Accounts
 
Amounts Charged
 Against Reserve
 
Balance at
End of Period
Year ended December 28, 2019       
 
Allowance for doubtful accounts(1)
$1,535
 $1,021
 $(350) $2,206
 Allowance for sales returns and allowances432
 1,696
 (1,428) 700
Year ended December 29, 2018       
 Allowance for doubtful accounts2,116
 (486) (95) 1,535
 Allowance for sales returns and allowances424
 1,416
 (1,408) 432
Year ended December 30, 2017       
 Allowance for doubtful accounts1,698
 251
 167
 2,116
 Allowance for sales returns and allowances605
 1,646
 (1,827) 424
Years ended December 31, 2022, January 1, 2022 and January 2, 2021
(in millions)
DescriptionBalance at
Beginning of Period
Additions Charged to
 Expense and Other Accounts
Amounts Charged
 Against Reserve
Balance at
End of Period
Year ended December 31, 2022
Allowance for credit losses$2.5 $5.6 (1)$(0.2)$7.9 
Allowance for sales returns and allowances0.1 0.2 (1.0)— 0.3 
Year ended January 1, 2022
Allowance for credit losses1.8 0.7 (1.0)— 2.5 
Allowance for sales returns and allowances1.2 (1.0)(1.0)(0.1)0.1 
Year ended January 2, 2021
Allowance for credit losses2.2 0.1 (0.5)1.8 
Allowance for sales returns and allowances0.7 0.8 (0.3)1.2 
______________
(1)
(1)     Additions charged to expense and other accounts include amounts from immaterial business combinations.
In connection with its adoption of ASC 842 on December 30, 2018, the Company recorded allowance for credit loss for lease receivable which is included in the allowance for doubtful accounts for the year ended December 28, 2019. See “Recently Adopted Accounting Pronouncements” in Note 2 to these consolidated financial statements for additional information related to the Company’s adoption of ASC 842.



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