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Stock-Based Compensation
6 Months Ended
Jun. 29, 2019
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]  
Stock-Based Compensation
9 Stock-Based Compensation
The Company maintains various shareholder-approved, stock-based compensation plans which allow for the issuance of incentive or
non-qualified
stock options, stock appreciation rights, restricted stock or other types of awards (e.g. restricted stock units and performance stock units).
The Company accounts for stock-based compensation costs in accordance with the accounting standards for stock-based compensation, which require that all share-based payments to employees be recognized in the statements of operations, based on their grant date fair values. The Company recognizes the expense using the straight-line attribution method. The stock-based compensation expense recognized in the consolidated statements of operations is based on awards that ultimately are expected to vest; therefore, the amount of expense has been reduced for estimated forfeitures. Forfeitures are estimated based on historical experience. If actual results differ significantly from these estimates, stock-based compensation expense and the Company’s results of operations could be materially impacted. In addition, if the Company employs different assumptions in the application of these standards, the compensation expense that the Company records in the future periods may differ significantly from what the Company has recorded in the current period.
The consolidated statements of operations for the three and six months ended June 29, 2019 and June 30, 2018 include the following stock-based compensation expense related to stock option awards, restricted stock awards, restricted stock unit awards, performance stock unit awards and the employee stock purchase plan (in thousands):
 
Three Months Ended
   
Six Months Ended
 
 
June 29, 2019
   
June 30, 2018
   
June 29, 2019
   
June 30, 2018
 
Cost of sales
  $
567
    $
603
    $
1,142
    $
1,208
 
Selling and administrative expenses
   
7,402
     
7,639
     
15,527
     
16,123
 
Research and development expenses
   
1,345
     
837
     
2,586
     
1,640
 
                                 
Total stock-based compensation
  $
9,314
    $
9,079
    $
19,255
    $
18,971
 
                                 
Stock Options
In determining the fair value of the stock options, the Company makes a variety of assumptions and estimates, including volatility measures, expected yields and expected stock option lives. The fair value of each option grant was estimated on the date of grant using the Black-Scholes option pricing model. The Company uses implied volatility on its publicly-traded options as the basis for its estimate of expected volatility. The Company believes that implied volatility is the most appropriate indicator of expected volatility because it is generally reflective of historical volatility and expectations of how future volatility will differ from historical volatility. The expected life assumption for grants is based on historical experience for the population of non-qualified stock option exercises. The risk-free interest rate is the yield currently available on U.S. Treasury zero-coupon issues with a remaining term approximating the expected 
term used as the input to the Black-Scholes model.
The relevant data used to determine the value of the stock options granted during the six months ended June 29, 2019 and June 30, 2018 are as follows:
 
 
Six Months Ended
 
Options Issued and Significant Assumptions Used to Estimate Option Fair Values
 
June 29, 2019
   
June 30, 2018
 
Options issued in thousands
   
139
     
140
 
Risk-free interest rate
   
2.5
%    
2.7
%
Expected life in years
   
5
     
6
 
Expected volatility
   
24.3
%    
23.2
%
Expected dividends
   
—  
     
—  
 
 
Six Months Ended
 
Weighted-Average Exercise Price and Fair Value of Options on the Date of Grant
 
June 29, 2019
   
June 30, 2018
 
Exercise price
  $
231.30
    $
205.97
 
Fair value
  $
61.85
    $
58.26
 
The following table summarizes stock option activity for the plans for the six months ended June 29, 2019 (in thousands, except per share data):
 
Number of Shares
   
Exercise Price per Share
   
Weighted-Average

Exercise Price per
Share
   
Outstanding at December 31, 2018
   
1,790
    $
38.09
   
to
           $
208.47
    $
142.47
 
Granted
   
139
    $
183.41
   
to
  $
238.52
    $
231.30
 
Exercised
   
(239
)   $
38.09
   
to
  $
208.47
    $
110.07
 
Canceled
 
 
(56
)
 
$
113.36
 
 
to
 
$
194.26
 
 
$
153.14
 
                                     
Outstanding at June 29, 2019
   
1,634
    $
61.63
   
to
  $
238.52
    $
154.40
 
                                     
Restricted Stock
During the six months ended June 29, 2019, the Company granted five thousand shares of restricted stock. The weighted-average fair value per share of these awards on the grant date was $183.41.
Restricted Stock Units
The following table summarizes the unvested restricted stock unit award activity for the six months ended June 29, 2019 (in thousands, except per share data):
 
Shares
   
Weighted-Average

Fair Value per
Share
 
Unvested at December 31, 2018
   
304
    $
153.31
 
Granted
   
83
    $
236.28
 
Vested
   
(103
)   $
138.61
 
Forfeited
   
(15
)   $
167.10
 
                 
Unvested at June 29, 2019
   
269
    $
183.77
 
                 
Restricted stock units are generally granted annually in February and vest in equal annual installments over a five-year period.
 
Performance Stock Units
The Company’s performance stock units are equity compensation awards with a market vesting condition based on the Company’s Total Shareholder Return (“TSR”) relative to the TSR of the components of the S&P Health Care Index. TSR is the change in value of a stock price over time, including the reinvestment of dividends. The vesting schedule ranges from 0% to 200% of the target shares awarded.
 
In determining the fair value of the performance stock units, the Company makes a variety of assumptions and estimates, including volatility measures, expected yields and expected terms. The fair value of each performance stock unit grant was estimated on the date of grant using the Monte Carlo simulation model. The Company uses implied volatility on its publicly-traded options as the basis for its estimate of expected volatility. The Company believes that implied volatility is the most appropriate indicator of expected volatility because it is generally reflective of historical volatility and expectations of how future volatility will differ from historical volatility. The expected life assumption for grants is based on the performance period of the underlying performance stock units. The risk-free interest rate is the yield currently available on U.S. Treasury zero-coupon issues with a remaining term approximating the expected term used as the input to the Monte Carlo simulation model. The correlation coefficient is used to model the way in which each company in the S&P Health Care Index tends to move in relation to each other during the performance period. The relevant data used to determine the value of the performance stock units granted during the six months ended June 29, 2019 and June 30, 2018 are as follows:
 
                 
   
Six Months Ended
 
Performance Stock Units Issued and Significant Assumptions Used to Estimate Fair
Values
 
June 29, 2019
   
June 30, 2018
 
Performance stock units issued (in thousands)
   
13
     
16
 
Risk-free interest rate
   
2.4
%    
2.0
%
Expected life in years
   
2.8
     
2.8
 
Expected volatility
   
23.5
%    
23.4
%
Average volatility of peer companies
   
26.2
%    
25.8
%
Correlation coefficient
   
34.2
%    
37.2
%
Expected dividends
   
—  
     
—  
 
 
 
 
 
 
 
 
 
The following table summarizes the unvested performance stock unit award activity for the six months ended June 29, 2019 (in thousands, except per share data):
                 
 
Shares
   
Weighted-Average
Fair Value per
Share
 
Unvested at December 31, 2018
   
100
    $
212.34
 
Granted
   
13
    $
372.68
 
Forfeited
 
 
(6
)
 
$
208.58
 
                 
Unvested at June 29, 2019
   
107
    $
232.79