NATUS MEDICAL INC - FORM 10-Q - May 4, 2016

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EX-31.1 - EXHIBIT 31.1 - NATUS MEDICAL INCexhibit31133116.htm
EX-32.1 - EXHIBIT 32.1 - NATUS MEDICAL INCexhibit32133116.htm
EX-31.2 - EXHIBIT 31.2 - NATUS MEDICAL INCexhibit31233116.htm

 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
 
FORM 10-Q

 
 
ý
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended March 31, 2016
 
¨
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: 000-33001
 
 
NATUS MEDICAL INCORPORATED
(Exact name of registrant as specified in its charter)
 
 
 
Delaware
 
77-0154833
(State or other jurisdiction of
incorporation or organization)
 
(I.R.S. Employer
Identification No.)
6701 Koll Center Parkway, Suite 120, Pleasanton, CA 94566
(Address of principal executive offices) (Zip Code)
(925) 223-6700
(Registrant’s telephone number, including area code)
 
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 shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  ý    No  ¨
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes  ý    No  ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.:
Large Accelerated filer
 
ý
  
Accelerated filer
 
¨
 
 
 
 
Non-accelerated filer
 
o  (Do not check if a smaller reporting company)
  
Smaller reporting  company
 
¨
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  ¨    No  ý
The number of issued and outstanding shares of the registrant’s Common Stock, $0.001 par value, as of April 29, 2016 was 33,115,686.


NATUS MEDICAL INCORPORATED
TABLE OF CONTENTS
 
 
Page No.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

-2-

PART I.    FINANCIAL INFORMATION
Item 1.    Financial Statements
NATUS MEDICAL INCORPORATED AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS (unaudited)
(in thousands, except share and per share amounts)
 
March 31, 2016
 
December 31, 2015
ASSETS
 
 
 
Current assets:
 
 
 
Cash and cash equivalents
$
81,285

 
$
82,469

Accounts receivable, net of allowance for doubtful accounts of $4,933 in 2016 and $4,686 in 2015
90,013

 
99,080

Inventories
45,691

 
48,572

Prepaid expenses and other current assets
11,360

 
11,235

Total current assets
228,349

 
241,356

Property and equipment, net
17,624

 
16,967

Intangible assets, net
83,492

 
86,536

Goodwill
112,921

 
107,466

Deferred income tax
12,695

 
12,782

Other assets
17,649

 
14,389

Total assets
$
472,730

 
$
479,496

LIABILITIES AND STOCKHOLDERS’ EQUITY
 
 
 
Current liabilities:
 
 
 
Accounts payable
$
19,418

 
$
23,660

Accrued liabilities
36,911

 
42,137

Deferred revenue
11,460

 
11,311

Total current liabilities
67,789

 
77,108

Long-term liabilities:
 
 
 
Other liabilities
8,708

 
7,781

Deferred income tax
3,881

 
3,897

Total liabilities
80,378

 
88,786

Stockholders’ equity:
 
 
 
Common Stock, $0.001 par value, 120,000,000 shares authorized; shares issued and outstanding 33,092,026 in 2016 and 33,153,500 in 2015
316,189

 
323,745

Preferred stock, $0.001 par value; 10,000,000 shares authorized; no shares issued and outstanding in 2016 and 2015
—

 
—

Retained earnings
115,352

 
106,814

Accumulated other comprehensive loss
(39,189
)
 
(39,849
)
Total stockholders’ equity
392,352

 
390,710

Total liabilities and stockholders’ equity
$
472,730

 
$
479,496

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

-3-

NATUS MEDICAL INCORPORATED AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME
(unaudited)
(in thousands, except per share amounts)
 
Three Months Ended 
 March 31,
 
2016
 
2015
Revenue
$
87,329

 
$
89,395

Cost of revenue
32,469

 
35,105

Intangibles amortization
601

 
682

Gross profit
54,259

 
53,608

Operating expenses:
 
 
 
Marketing and selling
20,596

 
20,742

Research and development
7,802

 
6,857

General and administrative
12,481

 
11,552

Intangibles amortization
2,134

 
955

Restructuring
35

 
156

Total operating expenses
43,048

 
40,262

Income from operations
11,211

 
13,346

Other income (expense), net
456

 
(829
)
Income before provision for income tax
11,667

 
12,517

Provision for income tax expense
3,129

 
3,920

Net income
$
8,538

 
$
8,597

Foreign currency translation adjustment
660

 
(5,079
)
Comprehensive income
$
9,198

 
$
3,518

Earnings per share:
 
 
 
Basic
$
0.26

 
$
0.27

Diluted
$
0.26

 
$
0.26

Weighted average shares used in the calculation of earnings per share:
 
 
 
Basic
32,606

 
32,127

Diluted
33,222

 
33,097

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

-4-

NATUS MEDICAL INCORPORATED AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited)
(in thousands)
 
Three Months Ended 
 March 31,
 
2016
 
2015
Operating activities:
 
 
 
Net income
$
8,538

 
$
8,597

Adjustments to reconcile net income to net cash provided by operating activities:
 
 
 
Provision for losses on accounts receivable
352

 
276

Excess tax benefit on the exercise of stock options
—

 
(1,054
)
Depreciation and amortization
4,223

 
2,983

Loss on disposal of property and equipment
15

 
—

Warranty reserve
929

 
876

Share-based compensation
2,901

 
1,731

Changes in operating assets and liabilities:
 
 
 
Accounts receivable
10,266

 
413

Inventories
(903
)
 
(1,243
)
Prepaid expenses and other assets
(15
)
 
778

Accounts payable
(3,790
)
 
1,079

Accrued liabilities
(3,688
)
 
(2,492
)
Deferred revenue
446

 
159

Deferred income tax
108

 
1,709

Net cash provided by operating activities
19,382

 
13,812

Investing activities:
 
 
 
Acquisition of businesses, net of cash acquired
(5,649
)
 
(12,078
)
Purchases of property and equipment
(1,921
)
 
(1,399
)
Purchase of intangible assets
2

 
—

Net cash used in investing activities
(7,568
)
 
(13,477
)
Financing activities:
 
 
 
Proceeds from stock option exercises and Employee Stock Purchase Program purchases
623

 
1,319

Excess tax benefit on the exercise of stock options
—

 
1,054

Repurchase of common stock
(9,063
)
 
(1,312
)
Taxes paid related to net share settlement of equity awards
(2,017
)
 
(460
)
Contingent consideration earn-out
(1,284
)
 
—

Proceeds from short-term borrowings
6,000

 
—

Payments on borrowings
(6,000
)
 
—

Net cash used in financing activities
(11,741
)
 
601

Exchange rate changes effect on cash and cash equivalents
(1,257
)
 
(495
)
Net increase in cash and cash equivalents
(1,184
)
 
441

Cash and cash equivalents, beginning of period
82,469

 
66,558

Cash and cash equivalents, end of period
$
81,285

 
$
66,999

Supplemental disclosure of cash flow information:
 
 
 
Cash paid for interest
$
10

 
$
2

Cash paid for income taxes
$
3,950

 
$
149

Non-cash investing activities:
 
 
 
Property and equipment included in accounts payable
$
226

 
$
172

Inventory transferred to property and equipment
$
209

 
$
377

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

-5-

NATUS MEDICAL INCORPORATED AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (unaudited)

1 - Basis of Presentation
The accompanying interim condensed consolidated financial statements of Natus Medical Incorporated (“Natus,” “we,” “us,” “our,” or the “Company”) have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”). The accounting policies followed in the preparation of the interim condensed consolidated financial statements are consistent in all material respects with those presented in Note 1 to the consolidated financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2015.
Interim financial reports are prepared in accordance with the rules and regulations of the Securities and Exchange Commission; accordingly, they do not include all of the information and notes required by GAAP for annual financial statements. The interim financial information is unaudited, and except for the prior period correction of errors disclosed below, reflects all normal adjustments that are, in the opinion of management, necessary for the fair presentation of our financial position, results of operations, and cash flows for the interim periods presented. The consolidated balance sheet as of December 31, 2015 was derived from audited financial statements, but does not include all disclosures required by GAAP. The accompanying financial statements should be read in conjunction with the financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2015. We have made certain reclassifications to the prior period to conform to current period presentation.
Operating results for the three months ended March 31, 2016 are not necessarily indicative of the results that may be expected for the year ending December 31, 2016. The accompanying condensed consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries. All intercompany accounts and transactions have been eliminated in consolidation.
Recent Accounting Pronouncements
In May 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2014-09, Revenue from Contracts with Customers (Topic 606). ASU 2014-09 requires revenue recognition to depict the transfer of goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. ASU 2014-09 sets forth a new revenue recognition model that requires identifying the contract, identifying the performance obligations, determining the transaction price, allocating the transaction price to performance obligations and recognizing the revenue upon satisfaction of performance obligations.
The original effective date for ASU 2014-09 would have required the Company to adopt beginning in its first quarter of 2017. In July 2015, the FASB voted to amend ASU 2014-09 by approving a one-year deferral of the effective date as well as providing the option to early adopt the standard on the original effective date. Accordingly, the Company may adopt the standard in either its first quarter of 2017 or 2018. The new revenue standard may be applied retrospectively to each prior period presented or retrospectively with the cumulative effect recognized as of the date of adoption. The Company is currently evaluating the timing of its adoption and the impact of adopting the new revenue standard on its consolidated financial statements.
In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842). This standard requires a lessee to recognize the lease assets and lease liabilities arising from operating leases in the statement of financial position. Qualitative along with specific quantitative disclosures are required by lessees and lessors to meet the objective of enabling users of financial statements to assess the amount, timing, and uncertainty of cash flows arising from leases. ASU 2016-02 is effective for fiscal years beginning after December 15, 2018 including interim periods within those fiscal years.
In March 2016, the FASB issued ASU 2016-09, Compensation - Stock Compensation (Topic 718): Improvement to Employee Share-Based Payment Accounting. The new standard contains several amendments that will simplify the accounting for employee share-based payment transactions, including the accounting for income

-6-

taxes, forfeitures, statutory tax withholding requirements, classification of awards as either equity or liabilities, and classification on the statement of cash flows. The changes in the new standard eliminate the accounting for excess tax benefits to be recognized in additional paid-in capital and tax deficiencies recognized either in the income tax provision or in additional paid-in capital. The Company elected early adoption of ASU 2016-09 in the first quarter of 2016 which will be applied using a modified retrospective approach. For the three months ended March 31, 2016, we recognized all excess tax benefits and tax deficiencies as income tax expense or benefit as a discrete event. An income tax benefit of approximately $0.8 million was recognized in the quarterly period ended March 31, 2016 as a result of the adoption of ASU 2016-09. There will be no change to retained earnings with respect to excess tax benefits, as this is not applicable to the Company. The treatment of forfeitures has not changed as we are electing to continue our current process of estimating the number of forfeitures. As such, this has no cumulative effect on retained earnings. With the early adoption of 2016-09, we have elected to present the cash flow statement on a prospective transition method and no prior periods have been adjusted.
2 - Business Combinations
NeuroQuest
On March 2, 2016, we acquired NeuroQuest, LLC (“NeuroQuest”) through an asset purchase. NeuroQuest compliments our Global Neuro-Diagnostics ("GND") and Monarch Medical Diagnostics, LLC ("Monarch") acquisitions which offer patients a convenient way to complete routine electroencephalography ("EEG") and video electromyography ("EMG") testing. The cash consideration for NeuroQuest was $4.6 million. The purchase agreement also included an asset consideration holdback of $0.5 million. Pro forma financial information for the NeuroQuest acquisition is not presented as it is not considered material and the purchase accounting is not yet completed.
Monarch
We acquired Monarch through an asset purchase on November 13, 2015. Monarch's service compliments our GND acquisition which offers patients a convenient way to complete routine diagnostic EEG and EMG testing. The service also provides comprehensive reporting and support to the physician. The cash consideration for Monarch was $2.7 million. The purchase agreement also included a contingent consideration holdback of $1.0 million which we paid on January 11, 2016. Pro forma financial information for the Monarch acquisition is not presented as it is not considered material.
Global Neuro-Diagnostics
We acquired GND through an equity purchase on January 23, 2015. GND's service offers patients a convenient way to complete routine diagnostic EEG and EMG testing, which can be performed at the home, hospital or physician's office. The service also provides comprehensive reporting and support to the physician. The cash consideration for GND was $11.4 million. The purchase agreement also included an earn-out condition which we estimate to be $3.8 million. This earn-out is contingent upon GND achieving certain revenue milestones from 2015 to 2017. Pro forma financial information for the GND acquisition is not presented as it is not considered material.
NicView
On January 2, 2015, we purchased the assets of NicView for cash consideration of $1.1 million. NicView provides streaming video for families with babies in the neonatal intensive care unit. The asset purchase agreement included an earn-out condition of $1.3 million that was contingent upon orders received and installed by February 28, 2016. The earn-out was paid on March 28, 2016. Pro forma financial information for the NicView acquisition is not presented as it is not considered material.
3 - Earnings Per Share
The components of basic and diluted EPS are as follows (in thousands, except per share amounts):

-7-

 
Three Months Ended 
 March 31,
 
2016
 
2015
Net income
$
8,538

 
$
8,597

Weighted average common shares
32,606

 
32,127

Dilutive effect of stock based awards
616

 
970

Diluted Shares
33,222

 
33,097

Basic earnings per share
$
0.26

 
$
0.27

Diluted earnings per share
$
0.26

 
$
0.26

Shares excluded from calculation of diluted EPS
179

 
—


4 - Inventories
Inventories consist of the following (in thousands):
 
March 31, 2016
 
December 31, 2015
Raw materials and subassemblies
$
23,225

 
$
19,041

Work in process
1,773

 
1,343

Finished goods
32,204

 
36,149

Total inventories
57,202

 
56,533

Less: Non-current inventories
(11,511
)
 
(7,961
)
Inventories, current
$
45,691

 
$
48,572

At March 31, 2016 and December 31, 2015, we have classified $11.5 million and $8.0 million, respectively, of inventories as other assets. We expect that we will not use this inventory within the next twelve months. This inventory consists primarily of last time buy items from our suppliers, service components used to repair products pursuant to warranty obligations and extended service contracts, including service components for products we are not currently selling and inventory that we purchased in bulk quantities. Management believes that these inventories will be utilized for their intended purpose.

5 – Intangible Assets
The following table summarizes the components of gross and net intangible asset balances (in thousands):
 
March 31, 2016
 
December 31, 2015
 
Gross
Carrying
Amount
 
Accumulated
Impairment
 
Accumulated
Amortization
 
Net Book
Value
 
Gross
Carrying
Amount
 
Accumulated
Impairment
 
Accumulated
Amortization
 
Net Book
Value
Intangible assets with definite lives:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Technology
$
63,768

 
$
—

 
$
(32,557
)
 
$
31,211

 
$
63,668

 
$
—

 
$
(31,600
)
 
$
32,068

Customer related
35,661

 
—

 
(15,213
)
 
20,448

 
35,529

 
—

 
(14,352
)
 
21,177

Trade names
31,951

 
(3,394
)
 
(4,079
)
 
24,478

 
31,837

 
(3,340
)
 
(3,052
)
 
25,445

Internally developed software
15,526

 
—

 
(8,642
)
 
6,884

 
15,513

 
—

 
(8,155
)
 
7,358

Patents
2,707

 
—

 
(2,236
)
 
471

 
2,663

 
—

 
(2,175
)
 
488

Backlog
718

 
—

 
(718
)
 
—

 
717

 
—

 
(717
)
 
—

Definite-lived intangible assets
$
150,331

 
$
(3,394
)
 
$
(63,445
)
 
$
83,492

 
$
149,927

 
$
(3,340
)
 
$
(60,051
)
 
$
86,536



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Finite-lived intangible assets are amortized over their useful lives, which are 5 to 20 years for technology, 4 to 16 years for customer related intangibles, 4 to 10 years for internally developed software, 7 years for trade names, and 10 to 15 years for patents.
Internally developed software consists of $13.3 million relating to costs incurred for development of internal use computer software and $2.2 million for development of software to be sold.
Amortization expense related to intangible assets with definite lives was as follows (in thousands):
 
Three Months Ended 
 March 31,
 
2016
 
2015
Technology
$
853

 
$
960

Customer related
794

 
605

Trade names
1,029

 
—

Internally developed software
476

 
354

Patents
28

 
28

Total amortization
$
3,180

 
$
1,947


Expected amortization expense related to amortizable intangible assets is as follows (in thousands):
Nine months ending December 31, 2016
$
9,405

2017
12,283

2018
12,058

2019
10,908

2020
8,745

2021
8,007

Thereafter
22,086

Total expected amortization expense
$
83,492


6 – Goodwill
The carrying amount of goodwill and the changes in the balance are as follows (in thousands):
December 31, 2015
$
107,466

Acquisitions
5,149

Foreign currency translation
306

March 31, 2016
$
112,921


7 - Property and Equipment, net
Property and equipment, net consist of the following (in thousands):

-9-

 
March 31, 2016
 
December 31, 2015
Land
$
2,879

 
$
2,918

Buildings
5,454

 
5,662

Leasehold improvements
2,353

 
2,345

Office furniture and equipment
13,921

 
13,866

Computer software and hardware
12,125

 
10,488

Demonstration and loaned equipment
11,439

 
11,216

 
48,171

 
46,495

Accumulated depreciation
(30,547
)
 
(29,528
)
Total
$
17,624

 
$
16,967

Depreciation expense of property and equipment was approximately $1.0 million for the three months ended March 31, 2016, and approximately $1.0 million for the three months ended March 31, 2015.

8 - Reserve for Product Warranties
We provide a warranty with our products that is generally one year in length and in some cases, regulations may require us to provide repair or remediation beyond our typical warranty period. If any of our products contain defects, we may be required to incur additional repair and remediation costs. Service for domestic customers is provided by Company-owned service centers that perform all service, repair, and calibration services. Service for international customers is provided by a combination of Company-owned facilities and vendors on a contract basis.
A warranty reserve is included in accrued liabilities for the expected future costs of servicing products. Additions to the reserve are based on management’s best estimate of probable liability. We consider a combination of factors including material and labor costs, regulatory requirements, and other judgments in determining the amount of the reserve. The reserve is reduced as costs are incurred to honor existing warranty and regulatory obligations.
As of March 31, 2016 we had accrued $6.6 million of estimated costs to bring certain NeoBLUE® phototherapy products into U.S. regulatory compliance. Our estimate of these costs is primarily based upon the number of units outstanding that may require repair, costs associated with shipping and repairing the product, and the assumption that the FDA will approve our plan for compliance. We expect that costs associated with bringing the products back into compliance will not be incurred until the third quarter of 2016.
The details of activity in the warranty reserve are as follows (in thousands):
 
Three Months Ended 
 March 31,
 
2016
 
2015
Balance, beginning of period
$
10,386

 
$
2,753

Additions charged to expense
929

 
876

Reductions
(738
)
 
(654
)
Balance, end of period
$
10,577

 
$
2,975

The estimates we use in projecting future product warranty costs may prove to be incorrect. Any future determination that our product warranty reserves are understated could result in increases to our cost of sales and reductions in our operating profits and results of operations.
9 - Share-Based Compensation
At March 31, 2016, we have two active share-based compensation plans, the 2011 Stock Awards Plan and the 2011 Employee Stock Purchase Plan. The terms of awards granted during the three months ended March 31, 2016 and our methods for determining grant-date fair value of the awards are consistent with those described in the consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2015.

-10-

Details of share-based compensation expense are as follows (in thousands):
 
Three Months Ended 
 March 31,
 
2016
 
2015
Cost of revenue
$
76

 
$
51

Marketing and selling
279

 
363

Research and development
513

 
217

General and administrative
2,033

 
1,100

Total
$
2,901

 
$
1,731

As of March 31, 2016, unrecognized compensation expense related to the unvested portion of our stock options and other stock awards was approximately $15.1 million, which is expected to be recognized over a weighted average period of 1.3 years.

10 - Other Income (Expense), net
Other income (expense), net consists of (in thousands):
 
Three Months Ended 
 March 31,
 
2016
 
2015
Interest income
$
8

 
$
10

Interest expense
(31
)
 
(1
)
Foreign currency gain (loss)
450

 
(989
)
Other
29

 
151

Total other income (expense), net
$
456

 
$
(829
)

11 - Income Taxes
Provision for Income Tax Expense
We recorded provisions for income tax of $3.1 million and $3.9 million for the three months ended March 31, 2016 and 2015, respectively. Our effective tax rate was 26.8% and 31.3% for the three months ended March 31, 2016 and 2015, respectively. Our year-to-date results reflect the projected fiscal year 2016 effective tax rate as adjusted for the impact of any quarterly discrete events. Discrete items for the three months ended March 31, 2016 include the tax rate impact from adoption of ASU 2016-09, Compensation - Stock Compensation (Topic 718) Improvements to Employee Share-Based Payment Accounting and recording certain tax reserves. The impact from the adoption of ASU 2016-09 decreased our quarterly effective tax rate by 6.8%. Independent from the adoption of ASU 2016-09, the tax reserve we recorded in this quarter increased our quarterly tax rate by 4.7%. Discrete items recorded during the three months ended March 31, 2015 increased the quarterly tax rate by 3.6%. The decrease in our quarterly effective tax rate, excluding the impact of discrete items for the three months ended March 31, 2016, compared with the three months ended March 31, 2015 is primarily attributable to forecasted shifts in the geographical mix of income.
We recorded $0.6 million net tax expense of unrecognized tax benefits for the three months ended March 31, 2016. Within the next twelve months, it is possible our uncertain tax benefit may change within a range of approximately zero to $0.5 million. Our tax returns remain open to examinations as follows: U.S. Federal, 2012 through 2015, U.S. States 2011 through 2015 and significant foreign jurisdictions 2012 through 2015.

12 - Restructuring Reserves

-11-

The Company has historically incurred an ongoing level of restructuring-type activities to maintain a competitive cost structure, including manufacturing and workforce optimization resulting from acquisitions.
The balance of the restructuring reserve is included in accrued liabilities on the accompanying condensed consolidated balance sheets. Employee termination benefits are included as a part of restructuring expenses.
Activity in the restructuring reserves for the three months ended March 31, 2016 is as follows (in thousands):
 
Personnel Related
Facility Related
Total
Balance at December 31, 2015
$
1,676

$
—

$
1,676

Additions
140

232

372

Reversals
(337
)
—

(337
)
Payments
(239
)
(232
)
(471
)
Balance at March 31, 2016
$
1,240

$
—

$
1,240


13 - Segment, Customer and Geographic Information
We operate in one reportable segment in which we provide healthcare products and services used for the screening, detection, treatment, monitoring and tracking of common medical ailments.
Our end-user customer base includes hospitals, clinics, laboratories, physicians, nurses, audiologists, and governmental agencies. Most of our international sales are to distributors who resell our products to end users or sub-distributors.
Revenue and long-lived asset information are as follows (in thousands):
 
Three Months Ended 
 March 31,
 
2016
 
2015
Consolidated Revenue:
 
 
 
United States
$
56,899

 
$
54,564

Foreign countries
30,430

 
34,831

Totals
$
87,329

 
$
89,395

 
Three Months Ended 
 March 31,
 
2016
 
2015
Revenue by End Market:
 
 
 
Neurology Products
 
 
 
Devices and Systems
$
38,876

 
$
40,108

Supplies
15,355

 
14,876

Services
2,441

 
1,287

Total Neurology Revenue
56,672

 
56,271

Newborn Care Products
 
 
 
Devices and Systems
13,541

 
18,364

Supplies
11,614

 
12,388

Services
5,502

 
2,372

Total Newborn Care Revenue
30,657

 
33,124

Total Revenue
$
87,329

 
$
89,395


-12-

 
March 31, 2016
 
December 31, 2015
Property and equipment, net:
 
 
 
United States
$
7,032

 
$
6,664

Canada
5,082

 
5,165

Argentina
2,110

 
2,361

Ireland
1,919

 
1,651

Other foreign countries
1,481

 
1,126

Totals
$
17,624

 
$
16,967

During the three months ended March 31, 2016 and 2015, no single customer or foreign country contributed to more than 10% of revenue.

14 - Fair Value Measurements
ASC 820 defines fair value, establishes a framework for measuring fair value and expands disclosures about fair value measurements. Fair value is defined under ASC 820 as the exit price associated with the sale of an asset or transfer of a liability in an orderly transaction between market participants at the measurement date. ASC 820 establishes the following three-tier fair value hierarchy, which prioritizes the inputs used in measuring fair value:
Level 1 - Quoted prices (unadjusted) in active markets that are accessible at the measurement date for assets or liabilities. The fair value hierarchy gives the highest priority to Level 1 inputs.
Level 2 - Inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices for similar assets and liabilities; quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.
Level 3 - Unobservable inputs that are used when little or no market data is available. The fair value hierarchy gives the lowest priority to Level 3 inputs.
The Company does not have any financial assets or liabilities measured at fair value on a recurring basis.
The following financial instruments are not measured at fair value on the Company’s consolidated balance sheet as of March 31, 2016 and December 31, 2015, but require disclosure of their fair values: cash and cash equivalents, accounts receivable, and accounts payable. The carrying value of these financial instruments approximates fair values because of their relatively short maturity.
In the third quarter of 2014, the Company listed its facility in Mundelein, Illinois for sale. This asset was measured at fair value less cost to sell as of September 30, 2014 based on market price and is classified as a Level 2 asset. The book value of this asset on June 30, 2014 was $3.6 million. We expensed $2.2 million during the third quarter of 2014 for this impairment. As of March 31, 2016 we are carrying the asset as held for sale in other current assets on the accompanying condensed consolidated balance sheet at a value of $1.4 million.
The Company also has contingent consideration associated with earn-outs from acquisitions. Contingent consideration liabilities are classified as Level 3 liabilities, as the Company uses unobservable inputs to value them, which is a probability-based income approach. Contingent considerations are classified as accrued liabilities on our condensed consolidated balance sheet. Subsequent changes in the fair value of contingent consideration liabilities are recorded within the Company's income statement as an operating expense.
 
December 31, 2015
 
Additions
 
Payments
 
Adjustments
 
March 31, 2016
Liabilities:
 
 
 
 
 
 
 
 
 
Contingent consideration
$
6,209

 
$
500

 
$
(2,284
)
 
$
(102
)
 
$
4,323

Total
$
6,209

 
$
500

 
$
(2,284
)
 
$
(102
)
 
$
4,323

The significant unobservable inputs used in the fair value measurement of contingent consideration related to the acquisitions are annualized revenue forecasts developed by the Company’s management and the probability of

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achievement of those revenue forecasts. Significant increases (decreases) in these unobservable inputs in isolation would result in a significantly lower (higher) fair value measurement.

ITEM 2.    Management’s Discussion and Analysis of Financial Condition and Results of Operations
Overview
The following Management’s Discussion and Analysis of Financial Condition and Results of Operations (“MD&A”) supplements the MD&A in the Annual Report on Form 10-K for the year ended December 31, 2015 of Natus Medical Incorporated. MD&A should be read in conjunction with our condensed consolidated financial statements and accompanying footnotes, the risk factors referred to in Part II, Item 1A of this report, our Annual Report filed on Form 10-K for the year ended December 31, 2015 and the cautionary information regarding forward-looking statements at the end of this section.
Our Business
Natus is a leading provider of healthcare products used for the screening, detection, treatment, monitoring, and tracking of common medical ailments in newborn care, hearing impairment, neurological dysfunction, epilepsy, sleep disorders, and balance and mobility disorders.
We have completed a number of acquisitions since 2003, consisting of either the purchase of a company, substantially all of the assets of a company, or individual products or product lines. In 2015 and in the first quarter of 2016, we completed four acquisitions, NicView, GND, Monarch, and NeuroQuest. We expect to continue to pursue opportunities to acquire other businesses in the future.
End Markets
Our products address two primary end markets:
•
Neurology - Includes products and services for diagnostic electroencephalography and long term monitoring, Intensive Care Unit monitoring, electromyography, sleep analysis or polysomnography, intra-operative monitoring, and diagnostic and monitoring transcranial doppler ultrasound technology.
•
Newborn Care - Includes products and services for newborn care including video streaming, hearing screening, brain injury, thermoregulation, jaundice management, and various disposable products, as well as products for diagnostic hearing assessment for children through adult populations, and products to diagnose and assist in treating balance and mobility disorders.
Segment and Geographic Information
We operate in one reportable segment, which we have presented as the aggregation of our neurology and newborn care product families. Within this reportable segment we are organized on the basis of the healthcare products and services we provide which are used for the screening, detection, treatment, monitoring, and tracking of common medical ailments in newborn care, hearing impairment, neurological dysfunction, epilepsy, and sleep disorders.
Our end-user customer base includes hospitals, clinics, laboratories, physicians, nurses, audiologists, and governmental agencies. Most of our international sales are to distributors, who in turn, resell our products to end users or sub-distributors.
Information regarding our sales and long-lived assets in the U.S. and in countries outside the U.S. is contained in Note 13 – Segment, Customer and Geographic Information of our condensed consolidated financial statements included in this report and is incorporated in this section by reference.
Revenue by Product Category

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We generate our revenue from sales of Devices and Systems, which are generally non-recurring, and from related Supplies and Services, which are generally recurring. The products that are attributable to these categories are described in our Annual Report on Form 10-K for the year ended December 31, 2015. Revenue from Devices and Systems, Supplies, and Services, as a percent of total revenue for the three months ended March 31, 2016 and 2015, is as follows:
 
Three Months Ended 
 March 31,
 
2016
 
2015
Devices and Systems
60
%
 
65
%
Supplies
31
%
 
31
%
Services
9
%
 
4
%
Total
100
%
 
100
%
During the three months ended March 31, 2016 and 2015, no single customer or foreign country contributed to more than 10% of revenue.
2016 First Quarter Overview
Our business and operating results are driven in part by worldwide economic conditions. Our sales are significantly dependent on both capital spending by hospitals in the United States and healthcare spending by ministries of health outside the United States.
Our consolidated revenue decreased $2.1 million in the first quarter ended March 31, 2016 to $87.3 million compared to $89.4 million in the first quarter of the previous year. Our revenue decreases were primarily in the International markets and Newborn Care device sales in the United States partially offset by growth in our Services businesses and Neurology devices in the United States.
Net income was $8.5 million or $0.26 per diluted share in the three months ended March 31, 2016, compared with net income of $8.6 million or $0.26 per diluted share in the same period in 2015. The slight decrease in net income was a result of an increase in operating expenses, partially offset by increases in gross profit due to product mix and operating efficiencies, increases in other income and lower income taxes.
Application of Critical Accounting Policies
We prepare our financial statements in accordance with accounting principles generally accepted in the United States of America (“GAAP”). In so doing, we must often make estimates and use assumptions that can be subjective, and, consequently, our actual results could differ from those estimates. For any given individual estimate or assumption we make, there may also be other estimates or assumptions that are reasonable.
We believe that the following critical accounting policies require the use of significant estimates, assumptions, and judgments:
•
Revenue recognition
•
Inventory carried at the lower of cost or market value
•
Carrying value of intangible assets and goodwill
•
Liability for product warranties
•
Share-based compensation
The use of different estimates, assumptions, or judgments could have a material effect on the reported amounts of assets, liabilities, revenue, expenses, and related disclosures as of the date of the financial statements and during the reporting period. These critical accounting policies are described in more detail in our Annual Report

-15-

on Form 10-K for the year ended December 31, 2015, under Item 7, Management’s Discussion and Analysis of Financial Condition and Results of Operations.
Results of Operations
The following table sets forth selected consolidated statement of operations data as a percentage of total revenue for the periods indicated:
 
Three Months Ended 
 March 31,
 
2016
 
2015
Revenue
100.0
%
 
100.0
 %
Cost of revenue
37.2
%
 
39.3
 %
Intangibles amortization
0.7
%
 
0.8
 %
Gross profit
62.1
%
 
59.9
 %
Operating expenses:
 
 
 
Marketing and selling
23.6
%
 
23.2
 %
Research and development
8.9
%
 
7.7
 %
General and administrative
14.3
%
 
12.9
 %
Intangibles Amortization
2.4
%
 
1.1
 %
Restructuring
—
%
 
0.2
 %
Total operating expenses
49.2
%
 
45.1
 %
Income from operations
12.9
%
 
14.8
 %
Other expense, net
0.5
%
 
(0.9
)%
Income before provision for income tax
13.4
%
 
13.9
 %
Provision for income tax expense
3.6
%
 
4.4
 %
Net income
9.8
%
 
9.5
 %
Revenues
The following table shows revenue by products during the three months ended March 31, 2016 and March 31, 2015 (in thousands):
 
Three Months Ended
March 31,
 
2016
 
2015
 
Change
Neurology Products
 
 
 
 
 
Devices and Systems
$
38,876

 
$
40,108

 
(3
)%
Supplies
15,355

 
14,876

 
3
 %
Services
2,441

 
1,287

 
90
 %
Total Neurology Revenue
56,672

 
56,271

 
1
 %
Newborn Care Products
 
 
 
 
 
Devices and Systems
13,541

 
18,364

 
(26
)%
Supplies
11,614

 
12,388

 
(6
)%
Services
5,502

 
2,372

 
132
 %
Total Newborn Care Revenue
30,657

 
33,124

 
(7
)%
Total Revenue
$
87,329

 
$
89,395

 
(2
)%


-16-

For the three months ended March 31, 2016, Neurology revenue increased by 1% compared to the same quarter last year. Growth in our domestic market was partially offset by a decline in revenue from international markets due mainly to ongoing weakness of European markets. Revenues from sales of Neurology Devices and Systems decreased by 3%, driven mainly by declines in international EEG, EMG and IOM revenue partially offset by growth in United States device revenue, particularly for EEG. Revenue from Supplies increased by 3%, with growth in both our domestic and international markets. The growth in Services revenue is the result of our January 2015 acquisition of Global Neuro-Diagnostics followed by acquisitions of Monarch Diagnostics in November 2015 and NeuroQuest in March 2016.
For the three months ended March 31, 2016, Newborn Care revenue decreased by 7% compared to the same quarter last year. Geographically, the decrease was primarily in the international markets. Revenue from Devices and Systems decreased by 26% compared to the same period last year. The decrease was experienced across all devices including hearing, phototherapy, incubators, and warmers, and brain injury. We believe this decrease is due in part to customer delays in submitting orders in both domestics and international markets, some cannibalization due to the growth of Peloton, our hearing screening service, and a shipping hold on two of our products that we expect to be lifted in the following quarters. Revenue from supplies slightly decreased in the first quarter of 2016 as compared to the same period last year. Revenue from Services increased 132% compared to the same period last year. This increase was due to the growth of Peloton, our hearing screening service launched in the first quarter of 2014, and the growth of our Data Management services.
No single customer accounted for more than 10% of our revenue in the three months ended March 31, 2016 or March 31, 2015. Revenue from domestic sales increased 4% to $56.9 million for the three months ended March 31, 2016 from $54.6 million in the first quarter of 2015. Revenue from international sales decreased 13% to $30.4 million for the three months ended March 31, 2016 compared to $34.8 million in the first quarter of 2015. We believe, the decrease in international revenue was driven by slowing international economies.
Cost of Revenue and Gross Profit
Cost of revenue and gross profit consists of (in thousands):
 
Three Months Ended
March 31,
 
2016
 
2015
Revenue
$
87,329

 
$
89,395

Cost of revenue
32,469

 
35,105

Intangibles amortization
601

 
682

Gross profit
54,259

 
53,608

Gross profit percentage
62.1
%
 
60.0
%
For the three months ended March 31, 2016, gross profit as a percentage of revenue increased 2.1% compared to the same period in the prior year. This increase in gross profit as a percentage of revenue was attributable to the shift in our geographic mix towards the United States and a decrease in inventory provision charges compared to the same period last year.
Operating Costs
Operating costs consist of (in thousands):

-17-

 
Three Months Ended
March 31,
 
2016
 
2015
Marketing and selling
$
20,596

 
$
20,742

Percentage of revenue
23.6
%
 
23.2
%
Research and development
$
7,802

 
$
6,857

Percentage of revenue
8.9
%
 
7.7
%
General and administrative
$
12,481

 
$
11,552

Percentage of revenue
14.3
%
 
12.9
%
Intangibles amortization
$
2,134

 
$
955

Percentage of revenue
2.4
%
 
1.1
%
Restructuring
$
35

 
$
156

Percentage of revenue
—
%
 
0.2
%
Marketing and Selling
Marketing and selling expenses as a percentage of revenue increased slightly for the three months ended March 31, 2016 as compared to the same period in 2015. Marketing and selling expenses remained fairly constant as compared to the same period last year.
Research and Development
Research and development expenses increased during the three months ended March 31, 2016 compared to the same periods in 2015. This increase is attributable to activities related to the remediation of certain deficiencies identified in our quality system and an increase in project spend.
General and Administrative
General and administrative expense increased during the three months ended March 31, 2016 as compared to the same periods in 2015. This increase is attributable to changes in bad debt expense, consulting fees to improve productivity and an investment in managerial skills in Argentina.
Intangibles Amortization
Intangibles amortization increased during the three months ended March 31, 2016 as compared to the same periods in 2015. This was due to the acquisition of GND and to assigning lives to our trade names. During the second quarter of 2015 we initiated a strategy to increase the brand strength of Natus by replacing acquired product trade names with Natus branded products over time. The implementation of this strategy places definite expected future lives on our acquired trade names which previously had indefinite lives. We assigned these trade names lives of seven years based on the timeline of our branding strategy. We will continue to assess the lives of these assets based on the timing and execution of this strategy. Amortization expense for trade names is recorded as a component of operating expense.
Restructuring
Restructuring expenses decreased during the three months ended March 31, 2016 compared to the same periods in 2015. In 2015 we experienced higher expense related to severance accruals.
Other Income (Expense), net
Other income (expense), net consists of investment income, interest expense, net currency exchange gains and losses, and other miscellaneous income and expense. For the three months ended March 31, 2016 we reported other income of $0.5 million compared to other expense of $0.8 million for the same period in 2015. This increase is mainly attributable to an increase in net currency exchange gains.

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Provision for Income Tax
We recorded provisions for income tax of $3.1 million and $3.9 million for the three months ended March 31, 2016 and 2015, respectively. Our effective tax rate was 26.8% and 31.3% for the three months ended March 31, 2016 and 2015, respectively. Our year-to-date results reflect the projected fiscal year 2016 effective tax rate as adjusted for the impact of any quarterly discrete events. Our discrete items for the three months ended March 31, 2016 includes the tax rate impact from adoption of ASU 2016-09, Compensation - Stock Compensation (Topic 718) Improvements to Employee Share-Based Payment Accounting and recording certain tax reserves. The impact from the adoption of ASU 2016-09 decreased our quarterly effective tax rate by 6.8%. Independent from the adoption of ASU 2016-09, the tax reserve we recorded in this quarter increased our quarterly tax rate by 4.7%. The discrete items recorded during the three months ended March 31, 2015 increased the quarterly tax rate by 3.6%. The decrease in our quarterly effective tax rate, excluding the impact of discrete items for the three months ended March 31, 2016, compared with the three months ended March 31, 2015 is primarily attributable to forecasted shifts in the geographical mix of income.
We recorded $0.6 million net tax expense of unrecognized tax benefits for the three months ended March 31, 2016. Within the next twelve months, it is possible our uncertain tax benefit may change with a range of approximately zero to $0.5 million. Our tax returns remain open to examinations as follows: U.S. Federal, 2012 through 2015, U.S. States 2011 through 2015 and significant foreign jurisdictions 2012 through 2015.

Liquidity and Capital Resources
Liquidity and capital resources consist of (in thousands):
 
March 31, 2016
 
December 31, 2015
Cash and cash equivalents
$
81,285

 
$
82,469

Working capital
160,560

 
164,248

 
Three Months Ended 
 March 31,
 
2016
 
2015
Net cash provided by operating activities
$
19,382

 
$
13,812

Net cash used in investing activities
(7,568
)
 
(13,477
)
Net cash used in financing activities
(11,741
)
 
601

We believe that our current cash and cash equivalents and any cash generated from operations will be sufficient to meet our ongoing operating requirements for the foreseeable future.
As of March 31, 2016, we had cash and cash equivalents outside the U.S. in certain of our foreign operations of $64.3 million. We intend to permanently reinvest the cash held by our foreign subsidiaries. If, however, a portion of these funds were needed for and distributed to our operations in the United States, we would be subject to additional U.S. income taxes and foreign withholding taxes. The amount of taxes due would depend on the amount and manner of repatriation, as well as the country from which the funds were repatriated.
On October 9, 2015 we entered into a Credit Agreement with Citibank, National Association (“Citibank”). Pursuant to the terms of the Credit Agreement, Citibank agrees, on a non-committed basis, to make loans to us from time to time, not to exceed at any time the aggregate principal amount of $25.0 million. The proceeds under the Revolving Line of Credit shall be used by us for working capital and general corporate purposes. The Credit Agreement contains covenants, including covenants relating to maintenance of books and records, financial reporting and notification, compliance with laws, maintenance of properties and insurance, and limitations on guaranties, investments, issuance of debt, lease obligations and capital expenditures. The Credit Agreement provides for events of default, including failure to pay any principal or interest when due, failure to perform or

-19-

observe covenants, bankruptcy or insolvency events and the occurrence of a material adverse effect. Concurrent with the execution of the Credit Agreement, we exited an existing and previously disclosed credit agreement with Wells Fargo, N.A. We have no other significant credit facilities. As of March 31, 2016 no amounts were outstanding under the Credit Agreement.
During the three months ended March 31, 2016 cash provided by operating activities of $19.4 million was the result of $8.5 million of net income, non-cash adjustments to net income of $8.4 million, and net cash inflows of $2.4 million from changes in operating assets and liabilities. This was primarily driven by a large decrease in accounts receivable stemming from collections made during the three months ended March 31, 2016 offset by a decrease in accounts payable. Cash used in investing activities during the period was $7.6 million and consisted primarily of cash used in the acquisition of NeuroQuest of $4.6 million, net of cash acquired. Cash used to acquire other property and equipment was $1.9 million. Cash used in financing activities during the three months ended March 31, 2016 was $11.7 million and consisted of $9.1 million for repurchases of common stock under our share repurchase program, $2.0 million for taxes paid related to net share settlement of equity awards, and $1.3 million for a contingent consideration payment to NicView, which we acquired in 2015, offset by proceeds from stock option exercises of $0.6 million. During the three months ended March 31, 2016, we borrowed and paid back $6.0 million of cash within the quarter.
During the three months ended March 31, 2015 cash provided by operating activities of $13.8 million was the result of $8.6 million of net income, non-cash adjustments to net income of $4.8 million, and net cash inflows of $0.4 million from changes in operating assets and liabilities. Cash used in investing activities during the period was $13.5 million, and consisted of cash used to acquire GND of $11.4 million and cash used to acquire other property and equipment of $1.4 million. Cash provided by financing activities during the three months ended March 31, 2015 was $0.6 million and consisted primarily of $1.3 million for repurchases of common stock under our share repurchase program, and $0.5 million for taxes paid related to net share settlement of equity awards, offset by proceeds from stock options exercises and their related tax benefits of $2.4 million.
Our future liquidity and capital requirements will depend on numerous factors, including the:
 
•
Extent to which we make acquisitions;
•
Amount and timing of revenue;
•
Extent to which our existing and new products gain market acceptance;
•
Cost and timing of product development efforts and the success of these development efforts;
•
Cost and timing of marketing and selling activities; and
•
Availability of borrowings under line of credit arrangements and the availability of other means of financing.
Commitments and Contingencies
In the normal course of business we enter into obligations and commitments that require future contractual payments. The commitments result primarily from firm, noncancellable purchase orders placed with contract vendors that manufacture some of the components used in our medical devices and related disposable supply products, as well as commitments for leased office, manufacturing, and warehouse facilities.
There are no material changes to the table of contractual obligations presented in Item 7, Management’s Discussion and Analysis of Financial Condition and Results of Operations, of our Annual Report on Form 10-K for the year ended December 31, 2015.
Off Balance Sheet Arrangements

-20-

Under our bylaws, we have agreed to indemnify our officers and directors for certain events or occurrences arising as a result of the officer or director serving in such capacity. We have a directors and officers’ liability insurance policy that limits our exposure and enables us to recover a portion of any future amounts paid resulting from the indemnification of our officers and directors. In addition, we enter into indemnification agreements with other parties in the ordinary course of business. In some cases we have obtained liability insurance providing coverage that limits our exposure for these other indemnified matters. We have not incurred material costs to defend lawsuits or settle claims related to these indemnification agreements. We believe the estimated fair value of these indemnification agreements is minimal and have not recorded a liability for these agreements. During the three months ended March 31, 2016, we had no other off-balance sheet arrangements that had, or are reasonably likely to have, a material effect on our consolidated financial condition, results of operations, or liquidity.
Recent Accounting Pronouncements
See Note 1 to our Condensed Consolidated Financial Statements for a discussion of new accounting pronouncements that affect us.
Cautionary Information Regarding Forward Looking Statements
This report contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934 about Natus Medical Incorporated. These statements include, among other things, statements concerning our expectations, beliefs, plans, intentions, future operations, financial condition and prospects, and business strategies. The words “may,” “will,” “continue,” “estimate,” “project,” “intend,” “believe,” “expect,” “anticipate,” and other similar expressions generally identify forward-looking statements. Forward-looking statements in this Item 2 include, but are not limited to, statements regarding the following: our expectation regarding expansion of our international operations, our expectations regarding our new products, the sufficiency of our current cash, cash equivalents, and short-term investment balances, and any cash generated from operations to meet our ongoing operating and capital requirements for the foreseeable future, the use of debt to fund acquisitions, our expectations of earnout arrangements related to acquisitions, and our intent to acquire additional technologies, products, or businesses.
Forward-looking statements are not guarantees of future performance and are subject to substantial risks and uncertainties that could cause the actual results predicted in the forward-looking statements as well as our future financial condition and results of operations to differ materially from our historical results or currently anticipated results. Investors should carefully review the information contained under the caption “Risk Factors” contained in Part II, Item 1A of this report for a description of risks and uncertainties. All forward-looking statements are based on information available to us on the date hereof, and we assume no obligation to update forward-looking statements.

ITEM 3.    Quantitative and Qualitative Disclosures about Market Risk
During the three months ended March 31, 2016, there were no significant changes to our quantitative and qualitative disclosures about market risk. Please refer to Part II, Item 7A. Quantitative and Qualitative Disclosures About Market Risk included in our Annual Report on Form 10-K for the year ended December 31, 2015 for a more complete discussion on the market risks we encounter.

ITEM 4.    Controls and Procedures
Evaluation of Disclosure Controls and Procedures
Under the rules of the Securities and Exchange Commission, “disclosure controls and procedures” are controls and other procedures that are designed to ensure that information required to be disclosed in the reports that we file or submit under the Securities Exchange Act of 1934 is recorded, processed, summarized and reported within the time periods specified in the rules and forms of the Securities and Exchange Commission. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be

-21-

disclosed by us in our reports that we file or submit under the Securities Exchange Act of 1934 is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure.
Our management, including our chief executive officer and chief financial officer, does not expect that our disclosure controls and procedures or our internal control over financial reporting will prevent all errors and all fraud due to inherent limitations of internal controls. Because of such limitations, there is a risk that material misstatements will not be prevented or detected on a timely basis by internal control over financial reporting. However, these inherent limitations are known features of the financial reporting process. Therefore, it is possible to design into the process safeguards to reduce, though not eliminate, this risk.
Our management, with the participation of our chief executive officer and our chief financial officer, has evaluated the effectiveness of our disclosure controls and procedures as of the end of the period covered by this report. Based on that evaluation, our management, including our chief executive officer and chief financial officer, has concluded that our disclosure controls and procedures were effective at a reasonable assurance level as of March 31, 2016.
Changes in Internal Control over Financial Reporting
There were no changes in the Company's internal control over financial reporting during the first quarter of 2016, which were identified in connection with management's evaluation required by paragraph (d) of Rules 13a-15 and 15d-15 under the Exchange Act, that have materially affected, or are reasonable likely to materially affect, the Company's internal control over financial reporting.
PART II.    OTHER INFORMATION

ITEM 1.    Legal Proceedings
We may from time to time become a party to various legal proceedings or claims that arise in the ordinary course of business. Our management reviews these matters if and when they arise and believes that the resolution of any such matters currently known will not have a material effect on our results of operations or financial position.

ITEM 1A.    Risk Factors
A description of the risks associated with our business, financial condition and results of operations is set forth in Part 1, Item 1A “Risk Factors” of our Annual Report on Form 10-K for the fiscal year ended December 31, 2015. There have been no material changes in our risks from such description.

ITEM 2.    Unregistered Sales of Equity Securities and Use of Proceeds
The following table provides information regarding repurchases by the Company of its common stock for the three months ended March 31, 2016.
Period
Total Number of Shares Purchased
 
Average Price Paid per Share
 
Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs
 
Approximate Dollar Value of Shares that May Yet Be Purchased Under the Plans or Programs
January 1, 2016 - January 31, 2016
24,000

 
$
39.62

 
24,000

 
$
12,906,819

February 1, 2016 - February 29, 2016
134,520

 
$
34.36

 
134,520

 
$
8,286,096

March 1, 2016 - March 31, 2016
92,000

 
$
37.86

 
92,000

 
$
4,802,054

Total
250,520

 
$
36.15

 
250,520

 
$
4,802,054

In June 2014, the Board of Directors authorized the repurchase of up to $10 million of common stock pursuant to a stock repurchase program. In June 2015, the program was expanded to include up to an additional $20 million of our common stock. There is no set expiration date for the program.

-22-

ITEM 6.    Exhibits
 
(a)
Exhibits
 
  
 
  
Incorporated By Reference
Exhibit
No.
  
Exhibit
  
Filing
  
Exhibit
No.
  
File Date
  
Filed
Herewith
 
 
 
 
 
 
 
31.1
  
Certification of Principal Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
  
 
  
 
  
 
  
X
 
 
 
 
 
 
 
31.2
  
Certification of Principal Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
  
 
  
 
  
 
  
X
 
 
 
 
 
 
 
32.1
  
Certification of Principal Executive Officer and Principal Financial Officer pursuant to 18 U.S.C. Section 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
  
 
  
 
  
 
  
X
 
 
 
 
 
 
 
101
  
The following materials from the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2016, formatted in XBRL (Extensible Business Reporting Language): (i) Condensed Consolidated Balance Sheets, (ii) Condensed Consolidated Statements of Operations and Comprehensive Income, (iii) Condensed Consolidated Statements of Cash Flows, and (iv) Notes to Condensed Consolidated Financial Statements.
  
 
  
 
  
 
  
X

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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
 
 
 
NATUS MEDICAL INCORPORATED
 
 
 
 
 
Dated:
May 4, 2016
 
 
By:
/s/ James B. Hawkins
 
 
 
 
 
James B. Hawkins
President and Chief Executive Officer
(Principal Executive Officer)
 
 
 
 
 
Dated:
May 4, 2016
 
 
By:
/s/ Jonathan A. Kennedy
 
 
 
 
 
Jonathan A. Kennedy
Senior Vice President and
Chief Financial Officer
(Principal Financial and
Accounting Officer)

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