Quarterlytics / Healthcare / Medical - Care Facilities / Tivity Health, Inc.

Tivity Health, Inc.

tvty · NASDAQ Healthcare
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Ticker tvty
Exchange NASDAQ
Sector Healthcare
Industry Medical - Care Facilities
Employees 501-1000
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FY2010 Annual Report · Tivity Health, Inc.
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2010 ANNUAL REPORT

About Healthways (NASDAQ: HWAY)
Healthways is the leading provider of specialized, comprehensive solutions to help 
millions of people maintain or improve their health and well-being and as a result, 
reduce  overall  costs.  Healthways’  solutions  are  designed  to  keep  healthy  people 
healthy, mitigate or eliminate lifestyle risk factors that can lead to disease and optimize 
care for those with chronic illness.

Our  proven,  evidence-based  programs  provide  highly  specific  and  personalized 
interventions for each individual in a population, irrespective of age or health status, 
and are delivered to consumers by phone, mail, internet and face-to-face interactions, 
both  domestically  and  internationally.  Healthways  also  provides  a  national,  fully- 
accredited complementary and alternative Health Provider Network and a national 
Fitness  Center  Network,  offering  convenient  access  to  individuals  who  seek  health 
services  outside  of,  and  in  conjunction  with,  the  traditional  healthcare  system.  For 
more information, please visit www.healthways.com.

Financial Highlights

Year Ended and at December 31, 
(In thousands, except per share data)

Operating Data
Revenues
Adjusted revenues(1)
Net income
Diluted earnings per share
Adjusted diluted earnings per share(1)
Diluted weighted average common 

shares and equivalents

Financial Position
Cash and cash equivalents
Working capital (deficit)
Total assets
Long-term debt
Other long-term liabilities
Stockholders’ equity

2010

2009

$ 720,333
$ 698,053
$   47,330
$        1.36
$        1.11

$ 717,426
$ 717,426
$   10,374
$        0.30
$        0.99

34,902

34,359

$      1,064
547
861,689
243,425
39,140
430,841 

$      2,356
(44,296)
882,366
254,345
42,615
377,277

(1) See tables following letter to stockholders for a reconciliation of GAAP and non-GAAP results.

Form 10-K/Investor Contact
A copy of the Healthways, Inc. Annual Report on Form 10-K for fiscal 2010 filed with 
the  Securities  and  Exchange  Commission  is  available  on  the  Company’s  website, 
www.healthways.com.  It  is  also  available  from  the  Company  (without  exhibits) 
at  no  charge.  These  requests  and  other  investor  contacts  should  be  directed  to 
Chip Wochomurka, Director, Investor Relations, at the Company’s corporate office.

Annual Meeting
The annual meeting of stockholders will be held on May 26, 2011, at 9:00 a.m. at the 
Franklin Marriott Cool Springs, 700 Cool Springs Boulevard, Franklin, Tennessee.

Corporate Information
Corporate Office
Healthways, Inc.
701 Cool Springs Boulevard
Franklin, Tennessee 37067
(800) 327-3822
www.healthways.com

Registrar and Transfer Agent
Computershare Shareholder Services, LLC
P.O. Box 43078
Providence, Rhode Island 02940-3078
(800) 622-6757

Fellow Stockholders:

Healthways produced solid operating and financial results for 2010, even though we faced substantial 
headwinds from weak economic growth and high unemployment. In addition, a long, divisive debate 
about  health  care  reform  and  lack  of  visibility  with  regard  to  the  impact  of  its  implementation 
compounded  market  uncertainty,  especially  leading  up  to  the  mid-term  elections.  Despite  these 
challenges, we met our financial guidance for the year, achieving increased profitability and significant 
free cash flow, which contributed to the strengthening of our financial position. 

Our adjusted revenues for 2010 were $698.0 million compared with $717.4 million for 2009. Despite the 
modest decline in adjusted revenues, margins improved for the year, resulting in a 12.1% increase in 
adjusted net income per diluted share to $1.11 for 2010 from $0.99 for the prior year. Total debt to total 
capitalization improved 400 basis points to 36.5% at the end of 2010 from 40.5% at the end of 2009.

Importantly, the debate over health care reform, and the industry’s response, crystallized an emerging 
reality in the structure, operation and economics of health care. This new reality is characterized by a 
shift toward more provider-centric responsibility for population health management, with a growing 
focus on pay-for-value reimbursement mechanisms that align rewards according to the longitudinal 
health and cost of whole populations. This shift represents radical change away from the industry’s 
traditional reimbursement system, which focuses on episodic care and rewards transaction volume 
without respect to results.

Despite the current market disruption caused by this transformation, we expect it to be substantially 
positive for our longer-term growth prospects. Simply put, we welcome this change. For nearly two 
decades we have worked to expand our value proposition in anticipation of this change. We know 
of no organization better or more uniquely positioned than Healthways to address this change with 
proven, integrated, comprehensive solutions that embrace whole populations regardless of age, gender 
or health status and with the tools, platform and infrastructure to deliver at scale on a global basis.

Due to intense regulatory forces and economic pressures, the time for the market to prepare for this 
transformation  is  relatively  brief.  Because  of  our  unique  capabilities,  we  expect  to  add  new  business 
during  2011  that  will  drive  growth  in  2012  and  beyond. We  base  this  expectation  on  our  strong 
and  growing  pipeline  of  potential  contracts,  of  which  an  unprecedented  number  seek  unusually 
comprehensive  and  highly  sophisticated  solutions  designed  to  serve  large  populations.  After  the 
market  uncertainty  experienced  in  2010,  there  is  a  new  urgency  in  our  contracting  discussions, 
reflecting strategic clarity in identifying immediate priorities and compressing the decision-making 
process. Many of these potential contracts will require us to apply all our capabilities and are being 
pursued by both new and existing customers in our traditional health plan and employer markets, as 
well as in new distribution channels created by physicians, hospitals and/or integrated delivery systems 
and in support of well-being improvement needs of communities and federal and state governments.

This new momentum was recently validated by our signing of two large, innovative contracts: the 
first  with  Hawaii  Medical  Service  Association  (“HMSA”),  which  is  a  long-term  customer;  and  the 
second with the State Government of New South Wales, which is a new customer and our third contract 
in  Australia.  Each  of  these  contracts  expands  the  boundaries  of  integrated  health  management, 
requiring an extraordinary level of integration with hospitals, physicians and other ancillary providers.

While these two contracts alone provide momentum for growth in 2012, we expect to sign additional 
contracts during 2011 that are related to clearly emerging trends representing near-term opportunities 
that Healthways is well positioned to address. Among these trends are: 

1)  Health plan preparation for the implementation of state insurance exchanges, which is projected 
to cause significant disruption in the plans’ individual and small group fully insured business;

HEALTHWAYS 2010 ANNUAL REPORT

2)  Change from a service-based to a performance-based payment system and the associated shift of 

responsibility for population cost and quality from health plans to providers;

3)  Increasing payer requests for a comprehensive, integrated solution that addresses longitudinal 

health risk and care needs for total populations; 

4)  Global adoption of population health management by both foreign government and foreign 

private sector health organizations; and

5)  Recognition by large employers of the expanded value of improved well-being to reduce medical 

cost and improve individual and company productivity and performance.

We  are  keenly  focused  on  signing,  implementing  and  successfully  executing  on  contracts  during 
2011 with respect to both our new and ongoing growth opportunities, proof-points which would 
have favorable implications for our prospects for long-term growth and increased shareholder value. 
Our  financial  guidance  for  2011  recognizes,  however,  that  start-up  costs  for  the  HMSA  and  New 
South Wales  contracts  and  the  timing  of  recognition  of  related  performance-based  revenues  and 
member enrollment will bring margins under significant pressure, resulting in an expected decline in 
year-over-year earnings. Consequently, our financial guidance for 2011 includes revenue in a range 
of $672 million to $710 million and net income per diluted share in a range of $0.90 to $1.08. The 
impact of the emerging market trends may result in additional contracts in 2011 that have similar 
financial profiles as HMSA and New South Wales, in which significant costs are required before full 
revenue recognition and margin maturity are achieved, and that are not included in our guidance. 
During 2012, we expect HMSA and New South Wales to reach and sustain target revenue performance 
with profit margins consistent with our historical results.

As  a  result  of  these  two  contracts  and  our  robust  contracting  pipeline,  we  have  better  visibility 
to future growth than we have had since the financial crisis erupted in the fall of 2008. Given the 
context  of  the  worst  economic  environment  of  our  time,  we  are  proud  of  our  solid  results  and 
improved  financial  position  during  the  past  two  years.  As  we  have  demonstrated  throughout  our 
history, we owe our current strong market position to our willingness to continue adapting our model 
to the rapidly evolving needs of the market, innovating and investing to ensure that our capabilities 
deliver a continually expanding value proposition to both our existing and potential customers.

That  we  continued  this  successful  strategy  through  the  severe  recessionary  environment  and 
emerged financially fit with opportunities to drive sustainable growth speaks directly to the strength 
of  our  colleagues  throughout  this  Company  and  their  shared  vision  of  improving  the  health  and 
well-being of millions of people around the world. We thank them for their passion and commitment 
and for the continuing hard work we expect of them in 2011 in executing on our opportunities to 
re-establish Healthways on the path of sustainable growth for 2012 and beyond. We are confident 
that the firming prospects for this growth, as we achieve proof-points during the current year, will 
favorably affect the Company’s shareholder value.

Sincerely,

Ben R. Leedle, Jr. 
President and Chief Executive Officer

HEALTHWAYS 2010 ANNUAL REPORT

Reconciliation of Non-GAAP Measures to GAAP Measures (Unaudited)

Reconciliation of Adjusted Revenues to Revenues, GAAP Basis (In millions)

Adjusted revenues (1)
Revenues attributable to CMS settlement (2)
Revenues, GAAP basis 

Twelve Months Ended
December 31, 2010

$

$

698.0
22.3

720.3

(1)  Adjusted revenues is a non-GAAP financial measure. The Company excludes revenues attributable to CMS settlement from this measure because of its comparability 
to the Company’s historical operating results. The Company believes it is useful to investors to provide disclosures of its operating results and guidance on the same basis 
as that used by management. You should not consider adjusted revenues in isolation or as a substitute for revenues determined in accordance with accounting principles 
generally accepted in the United States.
(2)  Revenues attributable to CMS settlement consists of pre-tax revenues of $22.3 million attributable to the December 2010 final settlement with The Centers for Medicare 
and Medicaid Services (CMS) associated with the Company’s participation in two Medicare Health Support programs.

Reconciliation of Adjusted Diluted Earnings Per Share (EPS) to EPS, GAAP Basis

Adjusted EPS (3)
EPS attributable to earn-out adjustment 
     and investment gain (4)
EPS (loss) attributable to restructuring charges (5)

EPS attributable to CMS settlement (6)

EPS (loss) attributable to lawsuit settlement costs (7)

EPS, GAAP basis (8)

Twelve Months Ended
December 31, 2010

Twelve Months Ended
December 31, 2009

$

$

1.11

0.07

(0.20)

0.37

—

1.36

$

$

0.99

0.05

—

—

(0.73)

0.30

(3)  Adjusted EPS is a non-GAAP financial measure. The Company excludes EPS (loss) attributable to earn-out adjustment and investment gain, restructuring charges, CMS 
settlement, and lawsuit settlement costs from this measure because of its comparability to the Company’s historical operating results. The Company believes it is useful to 
investors to provide disclosures of its operating results and guidance on the same basis as that used by management. You should not consider Adjusted EPS in isolation or 
as a substitute for EPS determined in accordance with accounting principles generally accepted in the United States.
(4)  EPS attributable to earn-out adjustment and investment gain includes income during fiscal 2010 of $3.0 million attributable to an adjustment to the estimated earn-out 
liability from the 2009 HealthHonors acquisition and a $1.2 million gain during fiscal 2010 attributable to a final escrow release related to the January 2009 sale of a private 
company in which we held a preferred stock investment. It also includes a $2.6 million gain during fiscal 2009 related to the sale of this investment. 
(5)  EPS (loss) attributable to restructuring charges includes charges of $10.3 million during fiscal 2010 associated with both domestic and international capacity consolidation 
and other restructuring costs. 
(6)  EPS attributable to CMS settlement includes revenues of $22.3 million and expenses of $1.0 million during fiscal 2010 attributable to the December 2010 final settlement 
with The Centers for Medicare and Medicaid Services (CMS) associated with the Company’s participation in two Medicare Health Support programs.
(7)  EPS (loss) attributable to lawsuit settlement costs consists of pre-tax charges during fiscal 2009 of $40.0 million related to the Company’s settlement of a qui tam lawsuit.
(8)  Figures do not add due to rounding.

Performance Graph
The following graph compares the total stockholder return of $100 invested on August 31, 2005 in (a) the 
Company, (b) the CRSP Index for Nasdaq Stock Market (U.S. Companies), and (c) the CRSP Index for Nasdaq 
Health Services Stocks (“Nasdaq Health Services”), assuming the reinvestment of all dividends.

8/31/05

8/31/06

8/31/07

8/31/08

12/31/08

12/31/09

12/31/10

  HWAY
  Nasdaq U.S. Stocks
  Nasdaq Health Services

100.0
100.0
100.0

118.1
102.0
110.8

114.0
120.5
128.1

43.6
110.2
133.1

26.3
59.0
104.9

42.0
84.8
138.7

25.5
100.6
167.0

The  stock  price  performance  shown  on 
this graph is not necessarily indicative of 
future price performance.

Notes:    A.  The  lines  represent  annual 
index  levels  derived  from  compounded 
daily  returns  that  include  all  dividends. 
B.  The indexes are reweighted daily, us-
ing the market capitalization on the pre-
vious trading day.  C.  If the monthly in-
terval, based on the fiscal year end, is not 
a trading day, the preceding trading day 
is used.  D.  The index level for all series 
was set to $100.00 on August 31, 2005.

200

100

0

8/31/2005

8/31/2006

8/31/2007

8/31/2008

12/31/2009

12/31/2010

12/31/2008

UN
URITIES AND

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Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 
15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that 
the registrant was required to file such reports) and (2) has been subject to such filing requirements for the past 
90 days. 

Yes  (cid:95)   No  (cid:133) 

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   (cid:133)   No   (cid:133)  

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§ 229.405 of 
this chapter) is not contained herein, and will not be contained, to the best of the registrant’s knowledge, in 
definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any 
amendment to this Form 10-K.    

               (cid:95) 

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  (cid:133)   Accelerated filer  (cid:95)     Non-accelerated filer  (cid:133)    Smaller reporting company  (cid:133) 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). 

Yes  (cid:133)   No  (cid:95) 

As of June 30, 2010, the last business day of the registrant’s most recently completed second fiscal quarter, the 
aggregate market value of the voting and non-voting common equity held by non-affiliates of the registrant 
was approximately $396.1 million based on the price at which the shares were last sold for such date on The 
NASDAQ Stock Market. 

As of March 8, 2011, 34,032,985 shares of Common Stock were outstanding.   

DOCUMENTS INCORPORATED BY REFERENCE 

Portions of the registrant’s Proxy Statement for the Annual Meeting of Stockholders to be held May 26, 2011 
are incorporated by reference into Part III of this Form 10-K. 

2 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Healthways, Inc. 
Form 10-K 
Table of Contents 

Business 
Risk Factors 
Unresolved Staff Comments 
Properties 
Legal Proceedings 
Removed and Reserved 

Market for Registrant’s Common Equity, Related Stockholder 
Matters and Issuer Purchases of Equity Securities 
Selected Financial Data 
Management’s Discussion and Analysis of Financial Condition and 
Results of Operations 
Quantitative and Qualitative Disclosures About Market Risk 
Financial Statements and Supplementary Data 
Changes in and Disagreements with Accountants on Accounting and 
Financial Disclosure  
Controls and Procedures 
Other Information 

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

Part I 

Part II 

Part III 

Part IV 

Item 1. 
Item 1A. 
Item 1B. 
Item 2. 
Item 3. 
Item 4. 

Item 5. 

Item 6. 
Item 7. 

Item 7A. 
Item 8. 
Item 9. 

Item 9A. 
Item 9B. 

Item 10. 
Item 11. 
Item 12. 

Item 13. 
Item 14. 

Item 15. 

Exhibits, Financial Statement Schedules 

Page 

4 
11 
17 
17 
18 
19 

21 
23 

24 
39 
42 

74 
74 
75 

75 
75 
75 

75 
75 

75 

3 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 1. Business 

PART I. 

Founded in 1981, Healthways, Inc. provides specialized, comprehensive solutions to help people 

improve physical, emotional and social well-being, reducing both direct healthcare costs and associated costs 
from the loss of employee productivity. 

We provide highly specific and personalized interventions for each individual in a population, 
irrespective of health status, age or payor.  Our evidence-based health, prevention and well-being services are 
made available to consumers via phone, mobile devices, direct mail, the Internet, face-to-face consultations 
and venue-based interactions. 

In North America, our customers include health plans, governments, employers, pharmacy benefit 
managers, and hospitals in all 50 states, the District of Columbia and Puerto Rico. We also provide health 
improvement programs and services in Brazil and Australia.  We operate care enhancement and coaching 
centers worldwide staffed with licensed health professionals.  Our fitness center network encompasses 
approximately 15,000 U.S. locations.  We also maintain an extensive network of over 39,000 complementary 
and alternative medicine and chiropractic practitioners, which offers convenient access to the significant 
number of individuals who seek health services outside of the traditional healthcare system.   

Our guiding philosophy and approach to market is predicated on the fundamental belief that healthier 

people cost less and are more productive.  As described more fully below, our programs are designed to 
improve well-being by helping people to adopt or maintain healthy behaviors, reduce health-related risk 
factors, and optimize care for identified health conditions.   

First, our programs are designed to help people adopt or maintain healthy behaviors by: 

(cid:120)(cid:3)

fostering wellness and disease prevention through total population screening, well-being 
assessments and supportive interventions; and 

(cid:120)(cid:3) providing access to health improvement programs, such as fitness, weight management, and 

complementary and alternative medicine.(cid:3)

Our prevention programs focus on education, physical fitness, health coaching, and behavior change 
techniques and support.  We believe this approach improves the well-being status of member populations and 
reduces the short- and long-term direct healthcare costs for participants, including associated costs from the 
loss of employee productivity. 

Second, our programs are designed to help people reduce health-related risk factors by: 

(cid:120)(cid:3) promoting the change and improvement of the lifestyle behaviors that lead to poor health or 

chronic conditions; and 

(cid:120)(cid:3) providing educational materials and personal interactions with highly trained nurses and other 

healthcare professionals to create and sustain healthier behaviors for those individuals at-risk or in 
the early stages of chronic conditions. 

We enable our customers to engage everyone in their covered populations through specific 

interventions that are sensitive to each individual’s health risks and needs. Our programs are designed to 
motivate people to make positive lifestyle changes and accomplish individual goals, such as increasing 
physical activity for seniors through the Healthways SilverSneakers® fitness program or overcoming nicotine 
addiction through the QuitNet® on-line smoking cessation community. 

4 

 
 
 
 
 
 
 
 
 
 
 
 
Finally, our programs are designed to help people optimize care for identified health conditions by: 

(cid:120)(cid:3)

incorporating the latest, evidence-based clinical guidelines into interventions to optimize patient 
health outcomes; 

(cid:120)(cid:3) developing care support plans and motivating members to set attainable goals for themselves;(cid:3)
(cid:120)(cid:3) providing local market resources to address acute episodic interventions; 
(cid:120)(cid:3)
(cid:120)(cid:3) providing software licensing and management consulting in support of well-being improvement 

coordinating members’ care with their healthcare providers;  

services; and 

(cid:120)(cid:3)(cid:3)(cid:3)(cid:3)providing high-risk care management for members at risk for hospitalization due to complex 

conditions. 

Our approach is to use proprietary, analytic models to identify individuals who are likely to incur 

future high costs, including those who have specific gaps in care, and through evidence-based interventions 
drive adherence to proven standards of care, medication regimens and physicians’ plans of care to reduce 
disease progression and related medical spending. 

We recognize that each individual plays a variety of roles in his or her pursuit of health, often 

simultaneously.  By providing the full spectrum of services to meet each individual’s needs, we believe our 
interventions can be delivered at scale and in a manner that reflects those unique needs over time.  We believe 
creating real and sustainable behavior change generates measurable, long-term cost savings and improved 
individual and business performance. 

Change in Fiscal Year 

In August 2008, our Board of Directors approved a change in our fiscal year-end from August 31 to 

December 31.  Accordingly, our 2009 fiscal year began on January 1, 2009 following a four-month transition 
period ended December 31, 2008.  References herein to fiscal 2009 refer to the year ended December 31, 
2009; references herein to fiscal 2008 refer to the year ended August 31, 2008. 

Customer Contracts 

Contract Terms 

We generally determine our contract fees by multiplying a contractually negotiated rate per member 

per month (“PMPM”) by the number of members covered by our services during the month.  We typically set 
the PMPM rates during contract negotiations with customers based on the value we expect our programs to 
create and a sharing of that value between the customer and the Company.  In addition, some of our services, 
such as the SilverSneakers® fitness program, include fees that are based upon member participation.   

Our contracts with health plans generally range from three to five years with provisions for subsequent 

renewal; contracts with self-insured employers, either directly or through their health plans or pharmacy 
benefit manager, typically have one to three-year terms.  Some of our contracts allow the customer to 
terminate early.  

Some of our contracts provide that a portion of our fees may be refundable to the customer 

(“performance-based”) if our programs do not achieve, when compared to a baseline year, a targeted 
percentage reduction in the customer’s healthcare costs and selected clinical and/or other criteria that focus on 
improving the health of the members.  Approximately 3% of revenues recorded during 2010 were 
performance-based and were subject to final reconciliation as of December 31, 2010.  We anticipate that this 
percentage will fluctuate due to the level of performance-based fees in new contracts and the timing and 
amount of revenue recognition associated with performance-based fees.  Some contracts also provide for 

5 

 
 
 
 
 
 
 
 
 
 
additional fees for incentive bonuses in excess of the contractual PMPM rate if we meet or exceed contractual 
performance targets.    

Technology 

Our solutions require sophisticated analytical, data management, Internet and computer-telephony 

solutions based on state-of-the-art technology. These solutions help us deliver our services to large populations 
within our customer base. Our predictive modeling capabilities allow us to identify and stratify those 
participants who are most at risk for an adverse health event. We incorporate behavior-change science with 
consumer-friendly interactions such as face-to-face, telephonic, print materials and web portals to facilitate 
consumer preferences for engagement and convenience. We use sophisticated data analytical and reporting 
solutions to validate the impact of our programs on clinical and financial outcomes. We continue to invest 
heavily in technology and are continually expanding and improving our proprietary clinical, data management, 
and reporting systems to continue to meet the information management requirements of our services.  The 
behavior change techniques and predictive modeling incorporated in our technology identify an individual’s 
readiness to change and provide personalized support through appropriate messaging using any method 
desired, including venue-based face-to-face; print; phone; mobile and remote devices; on-line; emerging 
modalities; and any combination thereof to motivate and sustain healthy behaviors. 

Backlog 

Backlog represents the estimated annualized revenue at target performance for business awarded but 

not yet started at December 31, 2010.  Annualized revenue in backlog as of December 31, 2010 and 2009 was 
as follows: 

(In 000s) 
Annualized revenue in backlog  

December 31, 

December 31, 

2010 

2009 

$

37,100 

$

32,400

Demand for our services from self-insured employer accounts, which generally begin their benefit 

year on January 1, has often resulted in a disproportionate amount of our new business beginning on this date. 

Business Strategy 

 The  World Health  Organization  defines  health  as  “…not  only  the  absence  of  infirmity  and  disease, 

but also a state of physical, mental, and social well-being.”  

Our business strategy reflects our passion to enhance health and well-being, and as a result, reduce 
overall healthcare costs and improve workforce engagement, yielding better business performance for our 
customers.  Our programs are designed to improve well-being by helping people to: 

adopt or maintain healthy behaviors; 
reduce health-related risk factors; and  

(cid:120)(cid:3)
(cid:120)(cid:3)
(cid:120)(cid:3) optimize care for identified health conditions. 

Through our solutions, we work to optimize the health and well-being of entire populations, one 

person at a time, domestically and internationally, thereby creating value by reducing overall healthcare costs 
and improving productivity for individuals, families, health plans, governments, employers and communities. 

We believe it is critical to impact an entire population’s underlying health status and well-being in a 

long-term, cost effective way.  Believing that what gets measured gets acted upon, in January 2008, we entered 
into an exclusive, 25-year relationship with Gallup to provide a national, daily pulse of individual and 

6 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
collective well-being.  The Gallup-Healthways Well-Being IndexTM is the result of a unique partnership in 
well-being measurement and research that is based on surveys of 1,000 Americans every day, seven days a 
week.  Under the agreement, Gallup evaluates and reports on the well-being of individuals of countries, states 
and communities; Healthways provides similar services for companies, families and individuals.   

To enhance health and well-being within their respective populations, our current and prospective 
customers require solutions that focus on the underlying drivers of healthcare demand, address worsening 
health status, reverse or slow unsustainable cost trends, foster healthy behaviors, mitigate health risk factors, 
and manage chronic conditions.  Our strategy is to deliver programs that engage individuals and help them 
enhance their health status and well-being regardless of their starting point.  We believe we can achieve health 
and well-being improvements in a population and generate significant cost savings and increases in 
productivity by providing effective programs that support the individual throughout his or her health journey. 

We are adding and enhancing solutions to extend our reach and effectiveness and to meet increasing 
demand for integrated solutions.  The flexibility of our programs allows customers to provide those services 
they deem appropriate for their organizations.  Customers may select from certain single program options up 
to a total-population approach, in which all members of a customer’s population are eligible to receive our 
services. 

Our strategy includes as a priority the ongoing expansion of our value proposition through the 
introduction of our total population management solution.  This solution, in addition to improving individuals’ 
health and reducing direct healthcare costs, targets a much larger improvement in employer profitability by 
reducing the impact of lost productivity for health-related reasons.  With the success of our total population 
management solution, we expect to gain an even greater competitive advantage in responding to employers’ 
needs for a healthier, higher-performing and less costly workforce. 

Our strategy also includes the further enhancement and deployment of our proprietary next generation 
technology platform known as Embrace.  This platform, which is essential to our total population management 
solution, enables us to integrate data from the healthcare organizations and other entities interacting with an 
individual.  Embrace provides for the delivery of our integrated solutions and ongoing communications 
between the individual and his or her medical and health experts, using any method desired, including venue-
based face-to-face; print; phone; mobile and remote devices; on-line; emerging modalities; and any 
combination thereof.  

We plan to increase our competitive advantage in delivering our services by leveraging our scalable, 
state-of-the-art call centers, medical information content, behavior change processes and techniques, strategic 
relationships, health provider networks, fitness center relationships, and proprietary technologies and 
techniques.  We may add new capabilities and technologies through internal development, strategic alliances 
with other entities and/or through selective acquisitions or investments.   

We anticipate continuing to enhance, expand and integrate additional capabilities with health plans 

and to pursue opportunities with domestic government entities and communities as well as the public and 
private sectors of healthcare in international markets.  In addition, the significant changes in government 
regulation of healthcare (see “Industry Integration and Consolidation” and “Government Regulation” below) 
may afford us expanded opportunities to provide services to health plans and employers as well as collaborate 
with and/or directly provide solutions to integrated medical systems and provider groups in the post healthcare 
reform marketplace.   

7 

 
 
 
 
 
 
 
 
 
 
 
Segment and Major Customer Information 

We have one reportable segment, well-being improvement services.  During 2010, CIGNA 
HealthCare, Inc. comprised approximately 19% of our revenues.  No other customer accounted for 10% or 
more of our revenues in 2010. 

Competition 

The healthcare industry is highly competitive and subject to continual change in the manner in which 

services are provided.  Other entities, whose financial, research, staff, and marketing resources may exceed our 
resources, are marketing a variety of well-being improvement services and other services to health plans and 
self-insured employers, or have announced an intention to offer such services.  These entities include disease 
management companies, health and wellness companies, retail drug stores, major pharmaceutical companies, 
health plans, healthcare organizations, providers, pharmacy benefit management companies, medical device 
and diagnostic companies, healthcare information technology companies, web-based medical content 
companies, and other entities that provide services to health plans, self-insured employers and government 
entities.  

We believe we have advantages over our competitors because of the breadth and depth of our well-

being improvement capabilities, including our scope of strategic relationships, state-of-the-art call center 
technology linked to our proprietary information technology, predictive modeling capabilities, behavior-
change techniques, the comprehensive recruitment and training of our clinical colleagues, our experienced 
management team, the comprehensive clinical nature of our product offerings, our established reputation for 
providing well-being improvement services to members with health risk factors or chronic diseases, and the 
proven financial and clinical outcomes of our programs; however, we cannot assure you that we can compete 
effectively with other companies such as those noted above. 

Industry Integration and Consolidation 

Consolidation has been an important factor in all aspects of the healthcare industry, including the well-
being and health management sector.  While we believe the size of our membership base provides us with the 
economies of scale to compete even in a consolidating market, we cannot assure you that we can effectively 
compete with companies formed as a result of industry consolidation or that we can retain existing health plan 
or employer customers if they are acquired by other health plans or employers which already have, or are not 
interested in, our programs. 

In March 2010, President Obama signed the Patient Protection and Affordable Care Act, as amended 

by the Health Care and Education Reconciliation Act of 2010 (collectively, “PPACA”), into law.  Among 
other things, PPACA requires the U.S. Department of Health & Human Services (“HHS”) to establish a 
Medicare Shared Savings Program that promotes accountability and coordination of care among providers 
through the creation of Accountable Care Organizations (“ACOs”) beginning no later than January 1, 2012.  
The program will allow providers, including hospitals, physicians, and other designated professionals, to form 
ACOs and voluntarily work together to invest in infrastructure and redesign delivery processes to achieve high 
quality and efficient delivery of services.  Further, PPACA requires HHS to establish voluntary national 
bundled payment programs under which participating groups of providers would receive a single payment for 
certain medical conditions or episodes of care.  While ACOs and bundled payments are Medicare programs 
under PPACA, commercial insurers and private managed care health plans may increasingly shift to ACO and 
bundled payment models as well.  We expect these and other changes resulting from PPACA to further 
encourage integration and increase consolidation in the healthcare industry. 

8 

 
 
 
 
 
 
 
 
 
 
 
 
Governmental Regulation 

Governmental regulation impacts us in a number of ways in addition to those regulatory risks 

presented under the “Risk Factors” below. 

Patient Protection and Affordable Care Act 

PPACA changes how healthcare services are covered, delivered, and reimbursed through, among other 

things, significant reductions in the growth of Medicare program payments.  In addition, PPACA reforms 
certain aspects of health insurance, expands existing efforts to tie Medicare and Medicaid payments to 
performance and quality, and contains provisions intended to strengthen fraud and abuse enforcement.  
PPACA contains provisions that have, and will continue to have an impact on our customers, including 
commercial health plans and Medicare Advantage programs. 

Among other things, PPACA, as enacted, seeks to decrease the number of uninsured individuals and 

expand coverage through the expansion of public programs and private sector health insurance in addition to a 
number of health insurance market reforms.  In addition, PPACA contains several provisions that encourage 
utilization of preventative services and wellness programs, such as those provided by the Company.  However, 
PPACA also contains various provisions that directly affect the customers or prospective customers that 
contract for our services and may increase their costs and/or reduce their revenues.  For example, as enacted, 
PPACA prohibits commercial health plans from using gender, health status, family history, or occupation to 
set premium rates, eliminates pre-existing condition exclusions, and bans annual benefit limits.  In addition, 
PPACA mandates minimum medical loss ratios (“MLRs”) for health plans such that the percentage of health 
coverage premium revenue spent on healthcare medical costs and quality improvement expenses be at least 
80% for individual and small group health coverage and 85% for large group coverage and Medicare 
Advantage plans, with policyholders receiving rebates if the actual loss ratios fall below these minimums.  We 
anticipate that a substantial majority of our services will qualify as medical expenses; however, regulations 
implementing MLR requirements have yet to be finalized. 

It is difficult to predict with any reasonable certainty the full impact of PPACA on the Company due 

to the law’s complexity, lack of implementing regulations or interpretive guidance, gradual and potentially 
delayed implementation, pending court challenges, and possible amendment.  Implementation of PPACA, 
particularly those provisions expanding health insurance coverage, could be delayed or even blocked due to 
court challenges and efforts to repeal or amend the law.  Some federal district courts have upheld the 
constitutionality of PPACA or dismissed cases on procedural grounds.  Others have found unconstitutional the 
requirement that individuals maintain health insurance or pay a penalty and have either declared PPACA void 
in its entirety or left the remainder of the law intact.  These lawsuits are subject to appeal, and it is unclear how 
federal lawsuits challenging the constitutionality of PPACA will be resolved or what the effect will be on any 
resulting changes to the law. 

Changes in laws governing reimbursement to health plans providing services under governmental 

programs such as Medicare and Medicaid may affect us.  As enacted, PPACA will impact Medicare 
Advantage programs in a variety of ways.  PPACA reduces premium payments to Medicare Advantage plans 
such that the managed care per capita payments paid by the Centers for Medicare & Medicaid Services 
(“CMS”) to Medicare Advantage plans are, on average, equal to those for traditional Medicare.  While 
PPACA will award bonuses to Medicare Advantage plans that achieve service benchmarks and quality ratings, 
overall payments to Medicare Advantage plans are expected to be significantly reduced under PPACA.  The 
impact of these reductions on the Company’s business is not yet clear. 

9 

 
 
 
 
 
 
 
 
 
 
 
While many of the governmental and regulatory requirements affecting healthcare delivery generally 

do not directly apply to us, our customers must comply with a variety of regulations including Medicare 
Advantage marketing and other restrictions, the licensing and reimbursement requirements of federal, state and 
local agencies and the requirements of municipal building codes and health codes.  Certain of our services, 
including health service utilization management and certain claims payment functions, require licensure by 
government agencies.  We are subject to a variety of legal requirements in order to obtain and maintain such 
licenses. 

Certain of our professional healthcare employees, such as nurses, must comply with individual 

licensing requirements.  All of our healthcare professionals who are subject to licensing requirements are 
licensed in the state in which they are physically present, such as the professionals located at a call center.  
Multiple state licensing requirements for healthcare professionals who provide services telephonically over 
state lines may require some of our healthcare professionals to be licensed in more than one state.  We 
continually monitor legislative, regulatory and judicial developments in telemedicine in order to stay in 
compliance with state and federal laws; however, new agency interpretations, federal or state legislation or 
regulations, or judicial decisions could increase the requirement for multi-state licensing of all call center 
health professionals, which would increase our costs of services.  

Federal privacy regulations issued pursuant to the Health Insurance Portability and Accountability Act 

of 1996 (“HIPAA”) extensively restrict the use and disclosure of individually-identifiable health information 
by health plans, most healthcare providers, and certain other entities (collectively, “covered entities”).  Federal 
security regulations issued pursuant to HIPAA require covered entities to implement and maintain 
administrative, physical and technical safeguards to protect the confidentiality, integrity and availability of 
electronic individually-identifiable health information.  We are required to comply with certain aspects of the 
HIPAA privacy and security regulations as a result of the American Recovery and Reinvestment Act of 2009 
(“ARRA”), the services we provide, and our customer contracts.  We may be subject to civil and criminal 
penalties for violations of the regulations.  ARRA significantly increased the civil penalties for violations, with 
penalties of up to $50,000 per violation for a maximum civil penalty of $1.5 million in a calendar year for 
violations of the same requirement.  In addition, we may be contractually or directly obligated to comply with 
any applicable state laws or regulations related to the confidentiality and security of confidential personal 
information.  In the event of a data breach involving protected health information, we are subject to contractual 
obligations and state and federal requirements that may require us to notify our customers or individuals 
affected by the breach.  These requirements may also require us or our customers to notify regulatory agencies 
and the media of the data breach. 

Federal law contains various prohibitions related to false statements and false claims, some of which 
apply to private payors as well as federal programs.  Actions may be brought under the federal False Claims 
Act by the government as well as by private individuals, known as “whistleblowers,” who are permitted to 
share in any settlement or judgment.  

There are many potential bases for liability under the False Claims Act.  Liability under the False 

Claims Act arises when an entity knowingly submits a false claim for reimbursement to the federal 
government, and the False Claims Act defines the term “knowingly” broadly.  In some cases, whistleblowers, 
the federal government, and some courts have taken the position that entities that allegedly have violated other 
statutes, such as the “fraud and abuse” provisions of the Social Security Act, have thereby submitted false 
claims under the False Claims Act.  From time to time, participants in the healthcare industry, including our 
company and our customers, may be subject to actions under the False Claims Act, and it is not possible to 
predict the impact of such actions.   

10 

 
 
 
 
 
 
Employees 

As of March 1, 2011, we had approximately 2,800 employees.  Our employees are not subject to any 

collective bargaining agreements.  We believe we have a good relationship with our employees. 

Available Information 

Our Internet address is www.healthways.com.  We make available free of charge, on or through our 

Internet website, our annual report on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-
K, and amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Securities 
Exchange Act of 1934, as amended, as soon as reasonably practicable after we electronically file such material 
with, or furnish it to, the Securities and Exchange Commission. 

Item 1A. Risk Factors 

In the execution of our business strategy, our operations and financial condition are subject to certain 
risks.  A summary of certain material risks is provided below, and you should take such risks into account in 
evaluating any investment decision involving our company.  This section does not describe all risks applicable 
to us and is intended only as a summary of certain material factors that could impact our operations in the 
industry in which we operate.  Other sections of this Annual Report on Form 10-K contain additional 
information concerning these and other risks.   

We depend on payments from customers, and cost reduction pressure on these entities may adversely 
affect our business and results of operations. 

The healthcare industry in which we operate currently faces significant cost reduction pressures as a 

result of increased competition, constrained revenues from governmental and private revenue sources, 
increasing underlying medical care costs, and general economic conditions.  We believe that these pressures 
will continue and possibly intensify.   

We believe that our solutions, which are geared to foster wellness and disease prevention and provide 

access to health improvement programs, specifically assist our customers in controlling the high costs of 
healthcare; however, the pressures to reduce costs in the short term may negatively affect our ability to sign 
and/or retain contracts under existing terms or to restructure these contracts on terms that would not have a 
material negative impact on our results of operations.  These financial pressures could have a negative impact 
on our results of operations. 

A significant percentage of our revenues is derived from health plan customers. 

A significant percentage of our revenues is derived from health plan customers.  The health plan 
industry continues to undergo a period of consolidation, and we cannot assure you that we will be able to 
retain health plan customers if they are acquired by other health plans that already participate in competing 
programs or are not interested in our programs.  In addition, a reduction in the number of covered lives 
enrolled with our health plan customers or a decision by our health plan customers to take programs in-house 
could adversely affect our results of operations.  Our health plan customers are subject to increased obligations 
under PPACA, including new benefit mandates, limitations on exclusions and factors used for rate setting, 
requirements on MLRs and increased taxes.  In determining how to meet these requirements, health plan 
customers or prospective customers may seek reduced fees or choose to reduce or delay the purchase of our 
services.   

11 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We currently derive a large percentage of our revenues from one customer.   

Because of the size of its membership and the breadth of the services purchased from us, CIGNA 

HealthCare, Inc. comprised approximately 19% of our revenues in 2010.  Our contract with CIGNA continues 
into 2013.  The loss of, or the restructuring of a contract with, this or other large customers could have a 
material adverse effect on our business and results of operations.  No other customer accounted for 10% or 
more of our revenues in 2010.   

Our business strategy is dependent in part on developing new and additional products to complement 
our existing services, as well as establishing additional distribution channels through which we may 
offer our products and services. 

Our strategy focuses on helping people to adopt or maintain healthy behaviors, reducing health-related 

risk factors, and optimizing care for identified health conditions.  While we have considerable experience in 
solutions with a broad range of medical conditions, any new or modified programs will involve inherent risks 
of execution, such as our ability to implement our programs within expected timelines or cost estimates; our 
ability to obtain adequate financing to provide the capital that may be necessary to support our operations and 
to support or guarantee our performance under new contracts; and our ability to deliver outcomes on any new 
products or services.  In addition, as part of our business strategy, we may enter into relationships, such as our 
strategic relationship with Medco Health Solutions, Inc., to establish additional distribution channels through 
which we may offer our products and services.  As we offer products through new or alternative distribution 
channels, we may face difficulties, such as potential customer overlap that may lead to pricing conflicts, which 
may adversely affect our business.   

Failure to successfully execute on the terms of our contracts could result in significant harm to our 
business.   

Our ability to grow and expand our business is contingent upon our ability to achieve desired financial 

savings, clinical performance targets, and productivity improvements under our existing contracts and to 
favorably resolve contract billing and interpretation issues with our customers.  Certain customer contracts 
provide that a portion of our fees may be refundable to the customer if our programs do not achieve targeted 
savings performance.  There is no guarantee that we will achieve the necessary cost savings and clinical 
outcomes improvements under our contracts within the time frames contemplated and reach mutual agreement 
with customers with respect to cost savings.  Unusual and unforeseen patterns of healthcare utilization by 
individuals with diseases or conditions for which we provide services could adversely affect our ability to 
achieve desired financial savings and clinical outcomes.  Our inability to meet or exceed the targets under our 
customer contracts could have a material adverse effect on our business and results of operations.  Also, our 
ability to provide financial guidance with respect to performance-based contracts is contingent upon our ability 
to accurately forecast performance and the timing of revenue recognition under the terms of our contracts 
ahead of data collection and reconciliation.   

In addition, certain of our contracts are increasing in complexity, requiring integration of data, 
systems, people, programs and services, the execution of sophisticated business activities, and the delivery of a 
broad array of services to large numbers of people who may be geographically disbursed.  The failure to 
successfully manage and execute the terms of these agreements could result in the loss of fees and/or contracts 
and could adversely affect our business and results of operations. 

We depend on the timely receipt of accurate data from our customers and our accurate analysis of such 
data.   

Identifying which members are eligible to receive our services and measuring our performance under 

our contracts are highly dependent upon the timely receipt of accurate data from our customers and our 

12 

 
 
 
 
 
 
 
 
 
 
 
accurate analysis of such data.  Data acquisition, data quality control and data analysis are complex processes 
that carry a risk of untimely, incomplete or inaccurate data from our customers or flawed analysis of such data, 
which could have a material adverse impact on our ability to recognize revenues. 

Our ability to recognize estimated annualized revenue in backlog is based on certain estimates.   

Our ability to recognize estimated annualized revenue in backlog in the manner and within the 
timeframe we expect is based on certain estimates regarding the implementation of our services.  We cannot 
assure you that the amounts in backlog will ultimately result in revenues in the manner and within the 
timeframe we expect.  

Changes in macroeconomic conditions may adversely affect our business.   

Economic difficulties and other macroeconomic conditions have reduced the demand and/or the 

timing of purchases for certain of our services from customers and potential customers.  A loss of a customer 
or a reduction in a customer’s enrolled lives could have a material adverse effect on our business and results of 
operations.  In addition, current economic conditions could create liquidity and credit constraints.  We cannot 
assure you that we would be able to secure additional financing if needed and, if such funds were available, 
whether the terms or conditions would be acceptable to us.  

The expansion of our services into international markets subjects us to additional business, regulatory 
and financial risks. 

We intend to continue expanding our international operations as part of our business strategy.  We 

have incurred and expect to continue to incur costs in connection with pursuing business opportunities in 
international markets.  Our success in the international markets will depend in part on our ability to anticipate 
the rate of market acceptance of our solutions and the individual market dynamics and regulatory requirements 
in potential international markets.  Because the international market for our services is relatively immature and 
also involves many new solutions, there is no guarantee that we will be able to achieve the necessary cost 
savings and clinical outcomes improvements under our contracts with international customers within the time 
frames contemplated and reach mutual agreement with customers with respect to those outcomes.  The failure 
to accurately forecast the costs necessary to implement our strategy of establishing a presence in these markets 
could have a material adverse effect on our business.    

In addition, as a result of doing business in foreign markets, we are subject to a variety of risks which 

are different from or additional to the risks we face within the United States. Our future operating results in 
these countries or in other countries or regions throughout the world could be negatively affected by a variety 
of factors which are beyond our control.  These factors include political conditions, economic conditions, legal 
and regulatory constraints, currency regulations, and other matters in any of the countries or regions in which 
we operate, now or in the future.  In addition, foreign currency exchange rates and fluctuations may have an 
impact on our future costs or on future cash flows from our international operations, and could adversely affect 
our financial performance.  Other factors which may impact our international operations include foreign trade, 
monetary and fiscal policies both of the United States and of other countries, laws, regulations and other 
activities of foreign governments, agencies and similar organizations. Additional risks inherent in our 
international operations generally include, among others, the costs and difficulties of managing international 
operations, adverse tax consequences and greater difficulty in enforcing intellectual property rights in 
countries other than the United States.  

13 

 
 
 
 
 
 
 
 
 
 
 
We may experience difficulties associated with the implementation and/or integration of new businesses 
or technologies. 

We may face substantial difficulties, costs and delays in effectively implementing and/or integrating 

new businesses and technologies into our platform.  Implementing internally-developed solutions and/or 
integrating newly acquired organizations and technologies could be costly and time-consuming and may strain 
our resources.  Consequently, we may not be successful in implementing and/or integrating these new 
businesses or technologies and may not achieve anticipated revenue and cost benefits. 

Our level of indebtedness could adversely affect our future financial condition. 

On March 30, 2010, we entered into a Fourth Amended and Restated Credit Agreement (the “Fourth 
Amended Credit Agreement”).  The Fourth Amended Credit Agreement contains various financial covenants, 
restricts the payment of dividends, and limits the amount of repurchases of our common stock.  As of 
December 31, 2010, our long-term debt, including the current portion, was $241.3 million.   

Our indebtedness could have a material adverse effect on our financial condition by, among other 

things,: 

(cid:120) 

increasing our vulnerability to a downturn in general economic conditions or to increases in 
interest rates, particularly with respect to the portion of our outstanding debt that is subject to 
variable interest rates; 

(cid:120)  potentially limiting our ability to obtain additional financing or to obtain such financing on 

(cid:120) 

favorable terms;  
causing us to dedicate a portion of future cash flow from operations to service or pay down our 
debt, which reduces the cash available for other purposes, such as operations, capital expenditures, 
and future business opportunities; and 

(cid:120)  possibly limiting our ability to adjust to changing market conditions and placing us at a 
competitive disadvantage compared to our competitors who may be less leveraged. 

Our ability to service our indebtedness will depend on our ability to generate cash in the future.  We 

cannot assure you that our business will generate sufficient cash flow from operations or that future 
borrowings will be available in an amount sufficient to enable us to service our indebtedness or to fund other 
liquidity needs.   

We have a significant amount of goodwill and intangible assets, the value of which could become 
impaired. 

We have recorded significant portions of the purchase price of certain acquisitions as goodwill and/or 
intangible assets.  At December 31, 2010, we had approximately $496.3 million and $94.3 million of goodwill 
and intangible assets, respectively.  On an ongoing basis, we evaluate whether the carrying values of goodwill 
and intangible assets are impaired.  If we determine that the carrying values of our goodwill and/or intangible 
assets are impaired, we may incur a non-cash charge to earnings which could have a material adverse effect on 
our results of operations for the period in which the impairment occurs and/or could impact our compliance 
with the covenant requirements of the Fourth Amended Credit Agreement. 

A failure of our information systems could adversely affect our business. 

Our ability to deliver our services depends on effectively using information technology.  We believe 

that our state-of-the-art integrated technology platform and call center technology provides us with a 
competitive advantage in the industry; however, we expect to continually invest in updating and expanding our 
information technology.  In some cases, we may have to make systems investments before we generate 

14 

 
 
 
 
 
 
 
 
 
 
 
revenues from contracts with new customers.  In addition, these system requirements expose us to technology 
obsolescence risks.  

The nature of our business involves the receipt and storage of a significant amount of health 

information about the participants of our programs.  If we experience a data security breach, we could be 
exposed to government enforcement actions and private litigation.  In addition, our customers could lose 
confidence in our ability to protect the health information of their members, which could cause them to 
discontinue usage of our services. 

We rely upon our information systems for operating and monitoring all major aspects of our business. 

These systems and our operations could be damaged or interrupted by natural disasters, power loss, network 
failure, improper operation by our employees, security breaches, computer viruses, intentional attacks by third 
parties or other unexpected events. Any disruption in the operation of our information systems, regardless of 
the cause, could adversely impact our operations, which may affect our financial condition, results of 
operations and cash flows.  

Our revenues are subject to seasonal pressure from the disenrollment processes of employer customers 
of our contracted health plans.  In addition, some of our contracts with employers, either direct or 
through their health plans, are one year in length, often beginning on January 1. 

Employers typically make decisions on which health insurance carriers they will offer to their 

employees and also may allow employees to switch between health plans on an annual basis.  These annual 
membership disenrollment and re-enrollment processes of employers (whose employees are the health plan 
members) from health plans can result in a seasonal reduction in billed lives in January of each year.   

Another seasonal impact on billed lives could occur if a health plan decided to withdraw coverage 

altogether for a specific line of business, such as Medicare Advantage, or in a specific geographic area, thereby 
automatically disenrolling previously covered members.  

We face competition for staffing, which may increase our labor costs and reduce profitability. 

We compete with other healthcare and services providers in recruiting qualified management and staff 
personnel for the day-to-day operations of our business and call centers, including nurses and other healthcare 
professionals.  In some markets, the scarcity of nurses and other medical support personnel has become a 
significant operating issue to healthcare businesses.  This shortage may require us to enhance wages and 
benefits to recruit and retain qualified nurses and other healthcare professionals.  A failure to recruit and retain 
qualified management, nurses and other healthcare professionals, or to control labor costs, could have a 
material adverse effect on profitability. 

We are party to litigation that could force us to pay significant damages and/or harm our reputation.  

We are subject to certain legal proceedings, which potentially involve large claims and significant 

defense costs (see Item 3: “Legal Proceedings”).  These legal proceedings and any other claims that we may 
face, whether with or without merit, could result in costly litigation, and divert the time, attention, and 
resources of our management.  Although we currently maintain liability insurance, there can be no assurance 
that the coverage limits of such insurance policies will be adequate or that all such claims will be covered by 
insurance.  Although we believe that we have conducted our operations in full compliance with applicable 
statutory and contractual requirements and that we have meritorious defenses to outstanding claims, it is 
possible that resolution of these legal matters could have a material adverse effect on our consolidated results 
of operations.  In addition, legal expenses associated with the defense of these matters may be material to our 
consolidated results of operations in a particular financial reporting period.   

15 

  
 
 
 
 
 
 
 
 
 
Compliance with new federal and state legislative and regulatory initiatives could adversely affect our 
results of operations or may require us to spend substantial amounts acquiring and implementing new 
information systems or modifying existing systems. 

Our customers are subject to considerable state and federal government regulation.  Many of these 

regulations are vaguely written and subject to differing interpretations that may, in certain cases, result in 
unintended consequences that could impact our ability to effectively deliver services.  The ARRA legislation 
strengthening the privacy and security requirements of HIPAA is one such example.   

We believe that federal requirements governing the confidentiality of individually-identifiable health 

information permit us to obtain individually-identifiable health information for well-being improvement 
purposes from a covered entity; however, state legislation or regulation could preempt federal confidentiality 
and security regulations if it is more restrictive.  We are required by contract, the services we provide, and 
ARRA to comply with certain aspects of the federal confidentiality and security regulations. 

Although we continually monitor the extent to which federal and state legislation or regulations may 

govern our operations, new federal or state legislation or regulation in this area that restricts our ability to 
obtain and handle individually-identifiable health information or that otherwise restricts our operations could 
have a material negative impact on our results of operations.   

Government regulators may interpret current regulations or adopt new legislation governing our 
operations in a manner that subjects us to penalties or negatively impacts our ability to provide services. 

Broadly written Medicare fraud and abuse laws and regulations that are subject to varying 
interpretations may expose us to potential civil and criminal litigation regarding the structure of current and 
past contracts entered into with our customers.  

Expanding the well-being and health management industry to Medicare beneficiaries enrolled in 
Medicare Advantage plans could lead to increased direct regulation of well-being and health management 
services.  Further, providing services to Medicare Advantage beneficiaries may result in our being subject 
directly to various federal laws and regulations, including provisions related to fraud and abuse, false claims 
and billing and reimbursement for services, and the federal False Claims Act.  

In addition, certain of our services, including health utilization management and certain claims 

payment functions, require licensure by government agencies.  We are subject to a variety of legal 
requirements in order to obtain and maintain such licenses, but little guidance is available to determine the 
scope of some of these requirements.  Failure to obtain and maintain any required licenses or failure to comply 
with other laws and regulations applicable to our business could have a material negative impact on our 
operations. 

Certain of our professional healthcare employees, such as nurses, must comply with individual licensing 
requirements.   

All of our healthcare professionals who are subject to licensing requirements, such as the professionals 

located at a call center, are licensed in the state in which they are physically present.  Multiple state licensing 
requirements for healthcare professionals who provide services telephonically over state lines may require us 
to license some of our healthcare professionals in more than one state.  We continually monitor legislative, 
regulatory and judicial developments in telemedicine; however, new agency interpretations, federal or state  
legislation or regulations, or judicial decisions could increase the requirement for multi-state licensing of all 
call center health professionals, which would increase our costs of services. 

16 

 
 
 
 
 
 
 
 
 
 
 
 
Healthcare reform legislation may result in a reduction to our revenues from government health plans 
and private insurance companies. 

In March 2010, President Obama signed PPACA into law.  Among other things, PPACA seeks to 

decrease the number of uninsured individuals and expand coverage through the expansion of public programs 
and private sector health insurance and a number of health insurance market reforms.  PPACA also contains 
several provisions that encourage the utilization of preventive services and wellness programs, such as those 
provided by the Company.  However, PPACA also contains various provisions that directly affect the 
customers or prospective customers that contract for our services and may increase their costs and/or reduce 
their revenues.  For example, as enacted, PPACA prohibits commercial health plans from using gender, health 
status, family history, or occupation to set premium rates, eliminates pre-existing condition exclusions, and 
bans annual benefit limits.  In addition, PPACA mandates minimum MLRs for health plans such that the 
percentage of health coverage premium revenue spent on healthcare medical costs and quality improvement 
expenses must be at least 80% for individual and small group health coverage and 85% for large group 
coverage and Medicare Advantage plans, with policyholders receiving rebates if the actual loss ratios fall 
below these minimums.  While we anticipate that a substantial majority of our services will qualify as medical 
expenses in MLR calculations, we cannot guarantee that the final regulations implementing the MLR mandate 
will define our services as medical expenses.   

Increased obligations of health plans under PPACA as well as PPACA’s complexity, lack of 
implementing regulations or interpretive guidance, gradual and potentially delayed implementation, pending 
court challenges, and possible amendment or repeal may cause our customers or prospective customers to 
reduce or delay the purchase of our services or to demand reduced fees.  PPACA also reduces funding to 
Medicare Advantage programs, which may cause some Medicare Advantage plans to raise premiums or limit 
benefits, potentially reducing demand for our programs, either through Medicare Advantage plans eliminating 
our programs or causing some Medicare beneficiaries to terminate their Medicare Advantage coverage.  While 
we believe that our programs and services specifically assist our customers in controlling their costs and 
improving their competitiveness, it is possible that some provisions of PPACA will adversely affect the 
profitability of our customers in such a manner that the demand for our programs and services would be 
reduced.  Because of the many variables involved, we are unable to predict all of the ways in which PPACA 
could impact the Company.  These changes, other reforms imposed by PPACA, future legislative initiatives, 
and/or government regulation could adversely affect our operations or reduce the demand for our services.  

Item 1B. Unresolved Staff Comments 

Not applicable. 

Item 2.  Properties 

We lease approximately 264,000 square feet of office space in Franklin, Tennessee, which contains 

our corporate headquarters and one of our call centers, pursuant to an agreement that expires in February 2023.   

We also lease office space for our 12 other call center locations for an aggregate of approximately 
300,000 square feet of space with lease terms expiring on various dates from 2011 to 2016.  Our operations 
support and training offices contain approximately 130,000 square feet in aggregate and have lease terms 
expiring from 2011 to 2016.    

17 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 3.  Legal Proceedings  

Securities Class Action Litigation 

Beginning on June 5, 2008, Healthways and certain of its present and former officers and/or directors 

were named as defendants in two putative securities class actions filed in the U.S. District Court for the Middle 
District of Tennessee, Nashville Division. On August 8, 2008, the court ordered the consolidation of the two 
related cases, appointed lead plaintiff and lead plaintiff’s counsel, and granted lead plaintiff leave to file a 
consolidated amended complaint.  

The amended complaint, filed on September 22, 2008, alleged that the Company and the individual 

defendants violated Sections 10(b) of the Securities Exchange Act of 1934 (the “Act”) and that the individual 
defendants violated Section 20(a) of the Act as “control persons” of Healthways.  The amended complaint 
further alleged that certain of the individual defendants also violated Section 20A of the Act based on their 
stock sales.  The plaintiff purports to bring these claims for unspecified monetary damages on behalf of a class 
of investors who purchased Healthways stock between July 5, 2007 and August 25, 2008.  

In support of these claims, the lead plaintiff alleged generally that, during the proposed class period, 

the Company made misleading statements and omitted material information regarding (1) the purported loss or 
restructuring of certain contracts with customers, (2) the Company’s participation in the Medicare Health 
Support (“MHS”) pilot program for CMS, and (3) the Company’s guidance for fiscal year 2008.  The 
defendants filed a motion to dismiss the amended complaint on November 13, 2008.  On March 9, 2009, the 
Court denied the defendants’ motion to dismiss.  On April 27, 2010, the parties reached an agreement in 
principle to settle this matter for $23.6 million.  The District Court gave final approval to the settlement by an 
order entered on September 24, 2010.  As a result of the Company’s insurance coverage, this settlement did 
not result in any charge to the Company.   

Shareholder Derivative Lawsuits  

On June 27, 2008 and July 24, 2008, respectively, two shareholders filed putative derivative actions 

purportedly on behalf of Healthways in the Chancery Court for the State of Tennessee, Twentieth Judicial 
District, Davidson County, against certain directors and officers of the Company.  These actions are based 
upon substantially the same facts alleged in the securities class action litigation described above.  The 
plaintiffs are seeking to recover damages in an unspecified amount and equitable and/or injunctive relief.  

On August 13, 2008, the Court consolidated these two lawsuits and appointed lead counsel.  On 

October 3, 2008, the Court ordered that the consolidated action be stayed until the motion to dismiss in the 
securities class action had been resolved by the District Court.  By stipulation of the parties, the plaintiffs filed 
their consolidated complaint on May 9, 2009.  On June 19, 2009, the defendants filed a motion to dismiss the 
consolidated complaint.  The Court granted the defendants’ motion to dismiss on October 14, 2009.  The 
plaintiffs filed a notice of appeal on November 12, 2009.  The Tennessee Court of Appeals heard argument on 
the appeal on October 13, 2010 and affirmed the trial court’s dismissal on March 14, 2011. 

ERISA Lawsuits  

On July 31, 2008, a purported class action alleging violations of the Employee Retirement Income 
Security Act (“ERISA”) was filed in the U.S. District Court for the Middle District of Tennessee, Nashville 
Division against Healthways, Inc. and certain of its directors and officers alleging breaches of fiduciary duties 
to participants in the Company’s 401(k) plan.  The central allegation is that Company stock was an imprudent 
investment option for the 401(k) plan.  

18 

 
 
 
 
 
 
 
 
 
 
An amended complaint was filed on September 29, 2008, naming as defendants the Company, the 

Board of Directors, certain officers, and members of the Investment Committee charged with administering the 
401(k) plan.  The amended complaint alleged that the defendants violated ERISA by failing to remove the 
Company stock fund from the 401(k) plan when it allegedly became an imprudent investment, by failing to 
disclose adequately the risks and results of the MHS pilot program to 401(k) plan participants, and by failing 
to seek independent advice as to whether to continue to permit the plan to hold Company stock.  It further 
alleged that the Company and its directors should have been more closely monitoring the Investment 
Committee and other plan fiduciaries.  The amended complaint sought damages in an undisclosed amount and 
other equitable relief.  The defendants filed a motion to dismiss on October 29, 2008.   On January 28, 2009, 
the Court granted the defendants’ motion to dismiss the plaintiff’s claims for breach of the duty to disclose 
with regard to any non-public information and information beyond the specific disclosure requirements of 
ERISA and denied Defendants’ motion to dismiss as to the remainder of the plaintiff’s claims.  A period of 
discovery ensued. 

 On May 12, 2009, the plaintiff filed a motion for class certification.  After the plaintiff failed, without 

explanation, to appear for his scheduled deposition, the Court issued an Order on July 10, 2009 warning the 
plaintiff that his failure to participate in the lawsuit could result in sanctions, including but not limited to 
dismissal.  After the plaintiff’s failure to participate continued, on July 23, 2009, the defendants filed a motion 
to dismiss for failure to prosecute the action.  On August 6, 2009, the parties filed a stipulation of dismissal 
with prejudice as to the named plaintiff but otherwise without prejudice, and the Court entered an Order to that 
effect on the same date.   

On February 1, 2010, a new named plaintiff filed another putative class action complaint in the United 

States District Court for the Middle District of Tennessee, Nashville Division, alleging ERISA violations in 
the administration of the Company’s 401(k) plan.  The new complaint is identical to the original complaint, 
including the allegations and the requests for relief.  Defendants’ answer to this complaint was filed on March 
22, 2010.  A scheduling order was entered on April 1, 2010, and discovery commenced thereafter.  On April 
30, 2010, Plaintiff filed a motion for class certification.  On June 23, 2010, the parties reached an agreement in 
principle to settle this matter for $1.3 million, with such settlement being funded by the Company’s fiduciary 
liability insurance carrier.  On December 31, 2010, the District Court gave preliminary approval of the 
proposed settlement, ordered that the notice be provided to the class, and set the Fairness Hearing for final 
approval on April 25, 2011.  As a result of the Company’s insurance coverage, this settlement is not expected 
to result in any charge to the Company.   

Contract Dispute 

We currently are involved in a contractual dispute with Blue Cross Blue Shield of Minnesota 
regarding fees paid to us as part of a former contractual relationship.  In 2010, we received a notice of 
arbitration under the terms of our agreement alleging a violation of certain contract provisions.  An arbitration 
hearing has been scheduled for July 11, 2011.  We believe we performed our services in compliance with the 
terms of our agreement and that the assertions made in the arbitration notice are without merit. 

Item 4.  Removed and Reserved. 

Not applicable. 

Executive Officers of the Registrant 

The following table sets forth certain information regarding our executive officers as of December 31, 

2010.  Executive officers of the Company serve at the pleasure of the Board of Directors. 

19 

 
 
 
 
 
 
 
 
 
 
Officer 

Ben R. Leedle, Jr.  

Age 

49 

Stefen F. Brueckner 

61 

Mary A. Chaput 

Matthew E. Kelliher 

Alfred Lumsdaine 

Anne M. Wilkins 

60 

55 

45 

44 

Position 

Chief Executive Officer and director of the Company since 
September 2003, President from May 2002 through October 
2008, Executive Vice President and Chief Operating Officer 
of the Health Plan Group from 2000 until May 2002.  Senior 
Vice President from 1996 until 2000. 

President and Chief Operating Officer of the Company since 
October 2008.  Vice President, Senior Products, for Humana 
Inc., from 2005 to 2008 and Vice President, Market 
Operations and Large Group Underwriting, from 2001 to 
2005.   

Chief Financial Officer and Secretary of the Company since 
October 2001.  

President, International Business, of the Company since 
September 2004.  

Chief Accounting Officer since February 2002.   

Vice President, Marketing and Strategy, of the Company since 
May 2008.  Partner and Managing Director and lead of the 
North America Payer practice of the Boston Consulting Group 
from 2003 to 2008.  

20 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PART II 

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

Market Information 

Our common stock is traded over-the-counter on The NASDAQ Stock Market (“NASDAQ”) under 

the symbol HWAY. 

The following table sets forth the high and low sales prices per share of Common Stock as reported by 

NASDAQ for the relevant periods.   

Year ended December 31, 2010 
First quarter  
Second quarter  
Third quarter 
Fourth quarter 

Year ended December 31, 2009 
First quarter  
Second quarter  
Third quarter 
Fourth quarter 

High 

Low 

$

$

19.50  $
17.64 
15.18 
12.49 

15.52  $
14.78 
16.86 
19.44 

14.76 
11.78 
11.44 
9.50 

7.01 
8.27 
12.03 
13.31 

Holders 

At March 1, 2011, there were approximately 15,000 holders of our common stock, including 194 

stockholders of record. 

Dividends 

We have never declared or paid a cash dividend on our common stock.  We intend to retain our earnings to 
finance the growth and development of our business and do not expect to declare or pay any cash dividends in 
the foreseeable future.  Our Board of Directors will review our dividend policy from time to time and may 
declare dividends at its discretion; however, our Fourth Amended Credit Agreement places restrictions on the 
payment of dividends.  For further discussion of the Fourth Amended Credit Agreement, see “Management’s 
Discussion and Analysis of Financial Condition and Results of Operation - Liquidity and Capital Resources.”  

21 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Repurchases of Common Stock 

The following table contains information for shares of our common stock that we repurchased during 

the fourth quarter of 2010: 

Total 
Number of 
Shares 
Purchased     

Average Price 
Paid  per 
Share 

Total Number of Shares 
Purchased as Part of 
Publicly Announced Plans 
or Programs (1) 

Period 

Maximum Approximate 
Dollar Value of Shares that 
May Yet Be Purchased 
Under the Plans or 
Programs (1) 

October 1 through 31 
November 1 through 30    
December 1 through 31    

10,000   
182,200  
237,454  

$10.34  
$10.64  
$10.33  

 10,000  
192,200  
429,654  

$59,896,600
$57,957,992
$55,505,092

Total 

429,654  

(1)  All share repurchases between October 1, 2010 and December 31, 2010 were made pursuant to a share 
repurchase program authorized by the Company’s Board of Directors and publicly announced on October 21, 
2010, which allows for the repurchase of up to $60 million of our common stock from time to time in the open 
market or in privately negotiated transactions through October 19, 2012. 

22 

 
 
 
 
  
 
 
  
  
 
 
 
  
 
 
 
 
 
  
  
 
 
 
  
 
 
 
 
Item 6.  Selected Financial Data 

(In thousands, except per share data) 

Operating Results: 
Revenues 
Cost of services (exclusive of 
depreciation and amortization included 
below) 
Selling, general and administrative 

expenses 

Depreciation and amortization 
Impairment loss 
Restructuring and related charges 
Operating income 
Gain on sale of investment 
Interest expense 
Legal settlement and related costs 

Income before income taxes 
Income tax expense 
Net income 

Basic income per share: (1) 

Diluted income per share: (1) 

Weighted average common shares and  
equivalents:  
Basic 
Diluted 

Balance Sheet Data:  
Cash and cash equivalents 

Working capital (deficit) 
Total assets 
Long-term debt 
Other long-term liabilities 
Stockholders’ equity 

Other Operating Data:  
Annualized revenue in backlog 

Year Ended 
December 31,

Year Ended 
December 31,

Four Months  
Ended 
December 31,

Year Ended August 31, 

2010 
(1) 

2009 
(1)

2008 
(1) 

 2008 
(1) 

2007 
 (1) 

2006 

$ 

720,333 $

717,426 $

244,737

$ 736,243    $ 615,586

$ 412,308

493,713  

522,999  

177,651

  503,940      417,721

  281,161

72,830  
52,756  
—  
10,258  
90,776 $
(1,163) 
14,164  
—  

77,775 $
30,445  
47,330 $

71,535  
49,289  
—  
—  
73,603 $
(2,581)  
15,717  
39,956  

20,511 $
10,137  
10,374 $

27,790
16,188
4,344
10,264
8,500

—  

6,757

—  

  71,342      67,352
  47,479      37,044
—     
—     
$ 113,482    $  93,469
—     
  20,927      18,185
—     

—  
—  

—  

—  

  44,417
  24,517
—
—
$ 62,213
—
1,053
—

1,743
1,009
734

$ 92,555    $  75,284
  37,740      30,163
$ 54,815    $  45,121

$ 61,160
  24,009
$ 37,151

1.39 $

0.31 $

0.02

1.36 $

0.30 $

0.02

$

$

1.57    $ 

1.29

1.50    $ 

1.22

$

$

1.08

1.02

$ 

$ 

$ 

$

$

34,129  
34,902  

33,730
34,359

33,616
34,038

34,977   
36,597   

35,049
37,002

34,348
36,379

$ 

1,064 $

2,356 $

5,157

$ 35,242    $  47,655

$ 154,792

547
861,689
243,425
39,140
430,841

(44,296)
882,366
254,345
42,615
377,277

(6,034)
883,090
304,372
39,533
357,036

21,276   

10,792
906,813    828,845
345,395    297,059
14,388
354,334    362,750

31,227   

124,469
382,386
236
10,853
274,873

$ 

37,100 $

32,400 $

35,900

$ 13,600    $  39,900

$

6,625

(1) 

Includes operating results, balance sheet data, and other operating data of Axia Health Management, Inc. since the 
date of the acquisition, which was December 1, 2006. 

23 

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

Overview 

 Founded in 1981, Healthways, Inc. provides specialized, comprehensive solutions to help people 

improve physical, emotional and social well-being, reducing both direct healthcare costs and associated costs 
from the loss of employee productivity. 

We provide highly specific and personalized interventions for each individual in a population, 
irrespective of health status, age or payor.  Our evidence-based health, prevention and well-being services are 
made available to consumers via phone, mobile devices, direct mail, the Internet, face-to-face consultations 
and venue-based interactions. 

In North America, our customers include health plans, governments, employers, pharmacy benefit 
managers, and hospitals in all 50 states, the District of Columbia and Puerto Rico. We also provide health 
improvement programs and services in Brazil and Australia.  We operate care enhancement and coaching 
centers worldwide staffed with licensed health professionals.  Our fitness center network encompasses 
approximately 15,000 U.S. locations.  We also maintain an extensive network of over 39,000 complementary 
and alternative medicine and chiropractic practitioners, which offers convenient access to the significant 
number of individuals who seek health services outside of the traditional healthcare system.   

Our guiding philosophy and approach to market is predicated on the fundamental belief that healthier 

people cost less and are more productive.  As described more fully below, our programs are designed to 
improve well-being by helping people to adopt or maintain healthy behaviors, reduce health-related risk 
factors, and optimize care for identified health conditions.   

First, our programs are designed to help people adopt or maintain healthy behaviors by: 

(cid:120)(cid:3)

fostering wellness and disease prevention through total population screening, well-being 
assessments and supportive interventions; and 

(cid:120)(cid:3) providing access to health improvement programs, such as fitness, weight management, and 

complementary and alternative medicine.(cid:3)

Our prevention programs focus on education, physical fitness, health coaching, and behavior change 
techniques and support.  We believe this approach improves the well-being status of member populations and 
reduces the short- and long-term direct healthcare costs for participants, including associated costs from the 
loss of employee productivity. 

Second, our programs are designed to help people reduce health-related risk factors by: 

(cid:120)(cid:3) promoting the change and improvement of the lifestyle behaviors that lead to poor health or 

chronic conditions; and 

(cid:120)(cid:3) providing educational materials and personal interactions with highly trained nurses and other 

healthcare professionals to create and sustain healthier behaviors for those individuals at-risk or in 
the early stages of chronic conditions. 

We enable our customers to engage everyone in their covered populations through specific 

interventions that are sensitive to each individual’s health risks and needs. Our programs are designed to 
motivate people to make positive lifestyle changes and accomplish individual goals, such as increasing 
physical activity for seniors through the Healthways SilverSneakers fitness program or overcoming nicotine 
addiction through the QuitNet® on-line smoking cessation community.(cid:3)

24 

 
 
 
 
 
 
 
 
 
 
 
 
Finally, our programs are designed to help people optimize care for identified health conditions by: 

(cid:120)(cid:3)

incorporating the latest, evidence-based clinical guidelines into interventions to optimize patient 
health outcomes; 

(cid:120)(cid:3) developing care support plans and motivating members to set attainable goals for themselves;(cid:3)
(cid:120)(cid:3) providing local market resources to address acute episodic interventions; 
(cid:120)(cid:3)
(cid:120)(cid:3) providing software licensing and management consulting in support of well-being improvement 

coordinating members’ care with their healthcare providers;  

services; and 

(cid:120)(cid:3) providing high-risk care management for members at risk for hospitalization due to complex 

conditions. 

Our approach is to use proprietary, analytic models to identify individuals who are likely to incur 

future high costs, including those who have specific gaps in care, and through evidence-based interventions 
drive adherence to proven standards of care, medication regimens and physicians’ plans of care to reduce 
disease progression and related medical spending. 

We recognize that each individual plays a variety of roles in his or her pursuit of health, often 

simultaneously.  By providing the full spectrum of services to meet each individual’s needs, we believe our 
interventions can be delivered at scale and in a manner that reflects those unique needs over time.  We believe 
creating real and sustainable behavior change generates measurable, long-term cost savings and improved 
individual and business performance. 

Change in Fiscal Year 

In August 2008, our Board of Directors approved a change in our fiscal year-end from August 31 to 

December 31.  Accordingly, our 2009 fiscal year began on January 1, 2009 following a four-month transition 
period ended December 31, 2008.  References herein to fiscal 2009 refer to the year ended December 31, 
2009; references herein to fiscal 2008 refer to the year ended August 31, 2008. 

Forward-Looking Statements  

Management’s Discussion and Analysis of Financial Condition and Results of Operations contains 
forward-looking statements, which are based upon current expectations and involve a number of risks and 
uncertainties.  Forward-looking statements include all statements that do not relate solely to historical or 
current facts, and can be identified by the use of words like “may,” “believe,” “will,” “expect,” “project,” 
“estimate,” “anticipate,” “plan,” or “continue.”  In order for us to use the “safe harbor” provisions of the 
Private Securities Litigation Reform Act of 1995, we caution you that the following important factors, among 
others, may affect these forward-looking statements.  Consequently, actual operations and results may differ 
materially from those expressed in the forward-looking statements.  The important factors include but are not 
limited to:  

(cid:120)(cid:3) our ability to sign and implement new contracts for our solutions; 
(cid:120)(cid:3) our ability to accurately forecast the costs required to fully implement new contracts; 
(cid:120)  our ability to retain existing customers and to renew or maintain contracts with our customers under 
existing terms or restructure these contracts on terms that would not have a material negative impact 
on our results of operations; 

(cid:120)(cid:3) our ability to accurately forecast performance and the timing of revenue recognition under the terms of 
our customer contracts ahead of data collection and reconciliation in order to provide forward-looking 
guidance; 
the impact of PPACA on our operations and/or the demand for our services;   

(cid:120)(cid:3)

25 

 
 
 
 
 
 
 
 
(cid:120)(cid:3)

the impact of any new or proposed legislation, regulations and interpretations relating to the 
Medicare Prescription Drug, Improvement, and Modernization Act of 2003, including the potential 
expansion to Phase II for Medicare Health Support programs and any legislative or regulatory changes 
with respect to Medicare Advantage; 

(cid:120)(cid:3) our ability to anticipate the rate of market acceptance of our solutions in potential international 

markets; 

(cid:120)(cid:3) our ability to accurately forecast the costs necessary to implement our strategy of establishing a 

(cid:120)(cid:3)

(cid:120)(cid:3)

presence in international markets; 
the risks associated with foreign currency exchange rate fluctuations and our ability to hedge against 
such fluctuations; (cid:3)
the risks associated with deriving a significant concentration of our revenues from a limited number of 
customers;  

(cid:120)(cid:3) our ability to achieve the contractually required cost savings and clinical outcomes improvements and 
reach mutual agreement with customers with respect to cost savings, or to achieve such savings and 
improvements within the time frames contemplated by us;  

(cid:120)(cid:3) our ability to achieve estimated annualized revenue in backlog in the manner and within the timeframe 

we expect, which is based on certain estimates regarding the implementation of our services; 
(cid:120)(cid:3) our ability and/or the ability of our customers to enroll participants and to estimate their level of 

(cid:120)(cid:3)

enrollment and participation in our programs in a manner and within the timeframe anticipated by us; 
the ability of our customers to provide timely and accurate data that is essential to the operation and 
measurement of our performance under the terms of our contracts;  

(cid:120)(cid:3) our ability to favorably resolve contract billing and interpretation issues with our customers;  
(cid:120)(cid:3) our ability to service our debt and make principal and interest payments as those payments become 

(cid:120)(cid:3)

(cid:120)(cid:3)

due; 
the risks associated with changes in macroeconomic conditions, which may reduce the demand and/or 
the timing of purchases for our services from customers or potential customers, reduce the number of 
covered lives of our existing customers, or restrict our ability to obtain additional financing; 
counterparty risk associated with our interest rate swap agreements and foreign currency exchange 
contracts;  

(cid:120)(cid:3) our ability to integrate acquired businesses or technologies into our business and to accurately forecast 

the related costs; 
the impact of any impairment of our goodwill or other intangible assets; 
(cid:120)(cid:3)
(cid:120)(cid:3) our ability to develop new products and deliver outcomes on those products; 
(cid:120)(cid:3) our ability to implement our new integrated data and technology solutions platform within the required 

timeframe and expected cost estimates; 

(cid:120)(cid:3) our ability to obtain adequate financing to provide the capital that may be necessary to support our 

operations and to support or guarantee our performance under new contracts;  

(cid:120)(cid:3) unusual and unforeseen patterns of healthcare utilization by individuals with diseases or conditions for 

(cid:120)(cid:3)

(cid:120)(cid:3)
(cid:120)(cid:3)

(cid:120)(cid:3)

which we provide services;  
the ability of our customers to maintain the number of covered lives enrolled in the plans during the 
terms of our agreements;  
the impact of legal proceedings involving us and/or our subsidiaries;  
the impact of future state, federal, and international legislation and regulations applicable to our 
business, including PPACA, on our ability to deliver our services and on the financial health of our 
customers and their willingness to purchase our services; 
current geopolitical turmoil, the continuing threat of domestic or international terrorism, and the 
potential emergence of a health pandemic; and 

(cid:120)(cid:3) other risks detailed in this Annual Report on Form 10-K, including those set forth in Item 1A.  

We undertake no obligation to update or revise any such forward-looking statements. 

26 

 
 
 
Critical Accounting Policies 

We describe our accounting policies in Note 1 of the Notes to the Consolidated Financial Statements.  

We prepare the consolidated financial statements in conformity with U.S. GAAP, which requires us to make 
estimates and judgments that affect the reported amounts of assets and liabilities and related disclosures at the 
date of the financial statements and the reported amounts of revenues and expenses during the reporting 
period.  Actual results may differ from those estimates. 

We believe the following accounting policies are the most critical in understanding the estimates and 
judgments that are involved in preparing our financial statements and the uncertainties that could impact our 
results of operations, financial condition and cash flows.  

Revenue Recognition  

We generally determine our contract fees by multiplying a contractually negotiated rate per member 

per month (“PMPM”) by the number of members covered by our services during the month.  We typically set 
the PMPM rates during contract negotiations with customers based on the value we expect our programs to 
create and a sharing of that value between the customer and the Company.  In addition, some of our services, 
such as the SilverSneakers fitness program, include fees that are based upon member participation. 

Our contracts with health plans generally range from three to five years with provisions for subsequent 

renewal; contracts with self-insured employers, either directly or through their health plans or pharmacy 
benefit manager, typically have one to three-year terms. Some of our contracts allow the customer to terminate 
early.  

Some of our contracts provide that a portion of our fees may be refundable to the customer 

(“performance-based”) if our programs do not achieve, when compared to a baseline year, a targeted 
percentage reduction in the customer’s healthcare costs and selected clinical and/or other criteria that focus on 
improving the health of the members.  Approximately 3% of revenues recorded during 2010 were 
performance-based and were subject to final reconciliation as of December 31, 2010.  We anticipate that this 
percentage will fluctuate due to the level of performance-based fees in new contracts and the timing and 
amount of revenue recognition associated with performance-based fees.  Some contracts also provide for 
additional fees for incentive bonuses in excess of the contractual PMPM rate if we meet or exceed contractual 
performance targets.    

We generally bill our customers each month for the entire amount of the fees contractually due for the 

prior month’s enrollment, which typically includes the amount, if any, that is performance-based and may be 
subject to refund should we not meet performance targets.  Deferred revenues arise from contracts which 
permit upfront billing and collection of fees covering the entire contractual service period, generally 12 
months.  We typically bill for any incentive bonus after the contract is settled.  Fees for service are typically 
billed in the month after the services are provided.  

We recognize revenue as follows: 1) we recognize the fixed portion of PMPM fees and fees for service 

as revenue during the period we perform our services; 2) we recognize the performance-based portion of the 
monthly fees based on the most recent assessment of our performance, which represents the amount that the 
customer would legally be obligated to pay if the contract were terminated as of the latest balance sheet date; 
and 3) we recognize additional incentive bonuses based on the most recent assessment of our performance, to 
the extent we consider such amounts collectible.   

We assess our level of performance for our contracts based on medical claims and other data that the 
customer is contractually required to supply.  A minimum of four to six months’ data is typically required for 
us to measure performance.  In assessing our performance, we may include estimates such as medical claims 

27 

 
 
 
 
 
 
 
 
 
incurred but not reported and a medical cost trend compared to a baseline year.  In addition, we may also 
provide contractual allowances for billing adjustments (such as data reconciliation differences) as appropriate.   

In 2005, we began participating in two Medicare Health Support programs, which concluded in 

January 2008 and July 2008, respectively.  Substantially all of the fees under these programs were 
performance-based.   In late April 2009, we received the final reconciliation report from CMS’ independent 
financial reconciliation contractor.  We submitted our objections to the final reconciliation report and engaged 
in discussions with CMS regarding our objections.  Based upon this final reconciliation report as well as our 
performance over the term of the programs, as of September 30, 2010, we had recognized $9.5 million of 
cumulative performance-based fees related to these programs and $12.2 million of fixed fees.  In December 
2010 we reached a final settlement with CMS associated with our participation in both of these programs.  As 
a result of the settlement, we recorded additional revenues of $22.3 million during the fourth quarter of 2010, 
bringing the total revenues recognized for the programs to $44.0 million.  Additionally, we refunded $28.0 
million, which resulted in a reduction to our contract billings in excess of earned revenue balance sheet 
account during the fourth quarter of 2010.   

If data is insufficient or incomplete to measure performance, or interim performance measures indicate 
that we are not meeting performance targets, we do not recognize performance-based fees subject to refund as 
revenues but instead record them in a current liability account entitled “contract billings in excess of earned 
revenue.”  Only in the event we do not meet performance levels by the end of the measurement period, 
typically one year, are we contractually obligated to refund some or all of the performance-based fees.  We 
would only reverse revenues that we had already recognized if performance to date in the measurement period, 
previously above targeted levels, subsequently dropped below targeted levels.  Historically, any such 
adjustments have been immaterial to our financial condition and results of operations. 

During the settlement process under a contract, which generally occurs six to eight months after the 

end of a contract year, we settle any performance-based fees and reconcile healthcare claims and clinical data.  
As of December 31, 2010, performance-based fees that have not yet been settled with our customers but that 
have been recognized as revenue in the current and prior years totaled approximately $38.8 million, all of 
which was based on actual data received from our customers.  Data reconciliation differences, for which we 
provide contractual allowances until we reach agreement with respect to identified issues, can arise between 
the customer and us due to customer data deficiencies, omissions, and/or data discrepancies. 

Performance-related adjustments (including any amounts recorded as revenue that were ultimately 

refunded), changes in estimates, data reconciliation differences, or adjustments to incentive bonuses may cause 
us to recognize or reverse revenue in a current fiscal year that pertains to services provided during a prior 
fiscal year.  During fiscal 2010, we recognized a net increase in revenue of $25.8 million that related to 
services provided prior to fiscal 2010, which included the aforementioned $22.3 million related to a final 
settlement with CMS. 

Impairment of Intangible Assets and Goodwill 

We review goodwill for impairment on an annual basis (during the fourth quarter of our fiscal year) or 
more frequently whenever events or circumstances indicate that the carrying value may not be recoverable. We 
completed an annual goodwill impairment test as of October 31, 2010 and concluded that no impairment of 
goodwill exists. 

We estimate the fair value of each reporting unit using a discounted cash flow model and reconcile the 
aggregate fair value of our reporting units to our consolidated market capitalization.  The discounted cash flow 
model requires significant judgments, including management’s estimate of future cash flows, which is 
dependent on internal forecasts, estimation of the long-term growth rate for our business, the useful life over 
which cash flows will occur, and determination of our weighted average cost of capital.  Changes in these 

28 

 
 
 
 
 
 
 
 
estimates and assumptions could materially affect the estimate of fair value and goodwill impairment for each 
reporting unit.   

If we determined that the carrying value of goodwill was impaired based upon an impairment review, 

we would calculate any impairment using a fair-value-based goodwill impairment test as required by U.S. 
GAAP.  The fair value of a reporting unit is the price that would be received to sell the unit as a whole in an 
orderly transaction between market participants at the measurement date.   

Except for certain trade names which have an indefinite life and are not subject to amortization, we 

amortize identifiable intangible assets, such as acquired technologies and customer contracts, using the 
straight-line method over their estimated useful lives.  We assess the potential impairment of intangible assets 
subject to amortization whenever events or changes in circumstances indicate that the carrying values may not 
be recoverable. 

We review intangible assets not subject to amortization on an annual basis or more frequently 

whenever events or circumstances indicate that the assets might be impaired.  We estimate the fair value of 
trade names using a present value technique, which requires management’s estimate of future revenues 
attributable to these trade names, estimation of the long-term growth rate for these revenues, and determination 
of our weighted average cost of capital.  Changes in these estimates and assumptions could materially affect 
the estimate of fair value for the trade names.  

If we determine that the carrying value of other identifiable intangible assets may not be recoverable, 

we calculate any impairment using an estimate of the asset’s fair value based on the estimated price that would 
be received to sell the asset in an orderly transaction between market participants. 

Future events could cause us to conclude that impairment indicators exist and that goodwill and/or 
other intangible assets associated with our acquired businesses are impaired. Any resulting impairment loss 
could have a material adverse impact on our financial condition and results of operations. 

Income Taxes 

The objectives of accounting for income taxes are to recognize the amount of taxes payable or 
refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events 
that have been recognized in an entity’s financial statements or tax returns.  Accounting for income taxes 
requires significant judgment in determining income tax provisions, including determination of deferred tax 
assets, deferred tax liabilities, and any valuation allowances that might be required against deferred tax assets, 
and in evaluating tax positions. 

We recognize the tax benefit from an uncertain tax position only if it is more likely than not that the 

tax position will be sustained on examination by the taxing authorities, based on the technical merits of the 
position. The tax benefits recognized in the financial statements from such a position should be measured 
based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement.  
U.S. GAAP also provides guidance on derecognition of income tax assets and liabilities, classification of 
current and deferred income tax assets and liabilities, accounting for interest and penalties associated with tax 
positions, and income tax disclosures.  Judgment is required in assessing the future tax consequences of events 
that have been recognized in our financial statements or tax returns. Variations in the actual outcome of these 
future tax consequences could materially impact our financial position, results of operations, or cash flows.   

Share-Based Compensation 

We measure and recognize compensation expense for all share-based payment awards based on 

estimated fair values at the date of grant.  Determining the fair value of share-based awards at the grant date 

29 

 
 
 
 
 
 
 
 
   
 
requires judgment in developing assumptions, which involve a number of variables.  These variables include, 
but are not limited to, the expected stock price volatility over the term of the awards and expected stock option 
exercise behavior.  In addition, we also use judgment in estimating the number of share-based awards that are 
expected to be forfeited.   

Business Strategy 

The World Health Organization defines health as “…not only the absence of infirmity and disease, but 

also a state of physical, mental, and social well-being.”  

Our business strategy reflects our passion to enhance health and well-being, and as a result, reduce 
overall healthcare costs and improve workforce engagement, yielding better business performance for our 
customers.  Our programs are designed to improve well-being by helping people to: 

(cid:3)
(cid:3)
(cid:3)

adopt or maintain healthy behaviors; 
reduce health-related risk factors; and  

(cid:120)(cid:3)
(cid:120)(cid:3)
(cid:120)(cid:3) optimize care for identified health conditions. 

Through our solutions, we work to optimize the health and well-being of entire populations, one 

person at a time, domestically and internationally, thereby creating value by reducing overall healthcare costs 
and improving productivity for individuals, families, health plans, governments, employers and communities. 

We believe it is critical to impact an entire population’s underlying health status and well-being in a 

long-term, cost effective way.  Believing that what gets measured gets acted upon, in January 2008, we entered 
into an exclusive, 25-year relationship with Gallup to provide a national, daily pulse of individual and 
collective well-being.  The Gallup-Healthways Well-Being IndexTM is the result of a unique partnership in 
well-being measurement and research that is based on surveys of 1,000 Americans every day, seven days a 
week.  Under the agreement, Gallup evaluates and reports on the well-being of individuals of countries, states 
and communities; Healthways provides similar services for companies, families and individuals. 

To enhance health and well-being within their respective populations, our current and prospective 
customers require solutions that focus on the underlying drivers of healthcare demand, address worsening 
health status, reverse or slow unsustainable cost trends, foster healthy behaviors, mitigate health risk factors, 
and manage chronic conditions.  Our strategy is to deliver programs that engage individuals and help them 
enhance their health status and well-being regardless of their starting point.  We believe we can achieve health 
and well-being improvements in a population and generate significant cost savings and increases in 
productivity by providing effective programs that support the individual throughout his or her health journey. 

We are adding and enhancing solutions to extend our reach and effectiveness and to meet increasing 
demand for integrated solutions.  The flexibility of our programs allows customers to provide those services 
they deem appropriate for their organizations.  Customers may select from certain single program options up 
to a total-population approach, in which all members of a customer’s population are eligible to receive our 
services. 

Our strategy includes as a priority the ongoing expansion of our value proposition through the 
introduction of our total population management solution.  This solution, in addition to improving individuals’ 
health and reducing direct healthcare costs, targets a much larger improvement in employer profitability by 
reducing the impact of lost productivity for health-related reasons.  With the success of our total population 
management solution, we expect to gain an even greater competitive advantage in responding to employers’ 
needs for a healthier, higher-performing and less costly workforce. 

30 

 
 
 
 
 
 
 
 
 
 
Our strategy also includes the further enhancement and deployment of our proprietary next generation 
technology platform known as Embrace.  This platform, which is essential to our total population management 
solution, enables us to integrate data from the healthcare organizations and other entities interacting with an 
individual.  Embrace provides for the delivery of our integrated solutions and ongoing communications 
between the individual and his/her medical and health experts, using any method desired, including venue-
based face-to-face; print; phone; mobile and remote devices; on-line; emerging modalities; and any 
combination thereof.  

We plan to increase our competitive advantage in delivering our services by leveraging our scalable, 
state-of-the-art call centers, medical information content, behavior change processes and techniques, strategic 
relationships, health provider networks, fitness center relationships, and proprietary technologies and 
techniques.  We may add new capabilities and technologies through internal development, strategic alliances 
with other entities and/or through selective acquisitions or investments.   

We anticipate continuing to enhance, expand and integrate additional capabilities with health plans 

and to pursue opportunities with domestic government entities and communities as well as the public and 
private sectors of healthcare in international markets.  In addition, the significant changes in government 
regulation of healthcare may afford us expanded opportunities to provide services to health plans and 
employers as well as collaborate with and/or directly provide solutions to integrated medical systems and 
provider groups in the post healthcare reform marketplace.  

Results of Operations 

The following table shows the components of the statements of operations for the fiscal years ended 
December 31, 2010 and 2009, the four months ended December 31, 2008 and 2007, and the fiscal year ended 
August 31, 2008 expressed as a percentage of revenues. 

Revenues 
Cost of services (exclusive of depreciation 
and amortization included below) 
Selling, general and administrative expenses 
Depreciation and amortization 
Impairment loss 
Restructuring and related charges 
Operating income (1) 

Gain on sale of investment 
Interest expense 
Legal settlement 

Income before income taxes  
Income tax expense 

Year Ended 
December 31, 

Four Months Ended 
December 31, 

Year 
Ended 
  August 31,  

2010 

2009 

2008 

2007 

2008 

100.0% 

100.0% 100.0% 100.0%

100.0% 

68.5% 
10.1% 
7.3% 
— 
1.4% 
12.6% 

(0.2)%
2.0% 
— 

10.8% 
4.2% 

72.9%
10.0%
6.9%
— 
— 
10.3%

(0.4)%
2.2%
5.6%

2.9%
1.4%

72.6%
11.4%
6.6%
1.8%
4.2%
3.5%

—
2.8%
—

0.7%
0.4%

69.9%
9.3%
5.8%
— 
— 
15.0%

— 
3.0%
— 

68.4% 
9.7% 
6.4% 
— 
— 
15.4% 

— 
2.8% 
— 

11.9%
4.9%

12.6% 
5.1% 

Net income (1) 

6.6% 

1.4%

0.3%

7.0%

7.4% 

(1) Figures may not add due to rounding. 

31 

 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Revenues 

Revenues for fiscal 2010 increased $2.9 million, or 0.4%, over fiscal 2009, primarily due to the 

following:  

(cid:120)(cid:3)
(cid:120) 

(cid:120) 

the commencement of contracts with new customers; 
the recognition of revenues in connection with a final settlement with CMS associated with our 
participation in two Medicare Health Support programs; and 
an increase in participation in our fitness center programs as well as in the number of members 
eligible to participate in such programs. 

These increases were somewhat offset by decreases in revenues primarily due to the following:  

(cid:120)(cid:3)
(cid:120) 

contract restructurings and terminations with certain customers; and 
a decrease in performance-based revenues due to our inability to measure and achieve 
performance targets on certain contracts during fiscal 2010. 

Revenues for fiscal 2009 decreased $18.8 million, or 2.6%, over fiscal 2008, primarily due to the 

following: 

contract restructurings and terminations with certain customers; and 

(cid:120)(cid:3)
(cid:120)  decreased revenues related to our Medicare Health Support programs, which ended in January and 

July 2008, respectively. 

These decreases were somewhat offset by increases in revenues primarily due to the following:  

(cid:120)(cid:3)
(cid:120)(cid:3)

the commencement of contracts with new customers;  
an increase in participation in our fitness center programs as well as in the number of members 
eligible to participate in such programs; 

(cid:120)(cid:3) growth in the number of self-insured employer lives under existing customer contracts;   
(cid:120)(cid:3)

increased performance-based revenues due to our ability to measure and achieve performance 
targets on certain contracts during fiscal 2009; and 
increased membership in customers’ existing programs. 

(cid:120)(cid:3)

Revenues for the four months ended December 31, 2008 increased $10.5 million, or 4.5%, over 

revenues for the four months ended December 31, 2007, primarily due to the following: 

the commencement of new contracts; 

(cid:3)
(cid:120) 
(cid:120)  growth in the number of self-insured employers on behalf of our health plan customers; and 
(cid:120)(cid:3)

the addition of new programs or the expansion of existing programs into additional populations 
with existing customers. 

These increases were partially offset by decreases in revenues primarily due to contract restructurings and 
terminations with certain customers, program terminations by certain customers, and the loss by some of our 
health plan customers of their administrative services only (“ASO”) employer accounts. 

Cost of Services 

Cost of services (excluding depreciation and amortization) as a percentage of revenues for fiscal 2010 

decreased to 68.5% compared to 72.9% for fiscal 2009, primarily due to the following: 

32 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(cid:120) 

(cid:120) 

(cid:120) 

a decrease in the level of short-term incentive compensation based on the Company’s year-to-date 
financial performance against established internal targets for these periods;  
a decrease in salaries and benefits expense, primarily due to 1) a restructuring of the Company, 
which was largely completed during the fourth quarter of calendar 2008 but for which some 
employee terminations continued into early 2009; 2) certain employee reductions in 2010; and 3) 
a net decrease in health insurance costs related to changes in employee medical plan design, 
which included a number of wellness initiatives aimed at improving employee health, in 2010; 
and 
cost savings related to certain operational efficiencies. 

These decreases were somewhat offset by the following increases in cost of services as a percentage of 
revenues: 

(cid:120)(cid:3)

(cid:120)(cid:3)

an increase in consulting expenses primarily related to implementation of our new Embrace 
platform and the implementation of our first total population health contract; and  
a higher portion of our revenue being generated by fitness center and certain health improvement 
programs, which typically have a higher cost of services as a percentage of revenue than our other 
programs. 

Cost of services (excluding depreciation and amortization) as a percentage of revenues for fiscal 2009 

increased to 72.9% compared to 68.4% for fiscal 2008, primarily due to the following: 

(cid:120) 

(cid:120) 

(cid:120) 

(cid:120)(cid:3)

an increased portion of our revenue generated by fitness center and certain health improvement 
programs, which typically have a higher cost of services as a percentage of revenue than our other 
programs;  
the addition of certain participating locations to our fitness center network that have a higher cost 
of services as a percentage of revenue; 
contract restructurings with certain customers that resulted in either decreased revenues or lower 
per member fees without a proportional corresponding decrease in costs; and 
an increase in the level of short-term incentive compensation based on the Company’s financial 
performance against established internal targets during these periods. 

These increases were somewhat offset by the following decreases in cost of services as a percentage of 
revenues: 

(cid:120)(cid:3)

(cid:120)(cid:3)

a decrease in salaries and benefits expense, primarily due to a restructuring of the Company that 
was largely completed during the fourth calendar quarter of 2008 and a decrease in health 
insurance costs related to changes in employee medical plan design in fiscal 2009, which included 
a number of wellness initiatives aimed at improving employee health; and 
cost savings related to certain cost management initiatives. 

Cost of services (excluding depreciation and amortization) as a percentage of revenues increased to 

72.6% for the four months ended December 31, 2008 compared to 69.9% for the four months ended December 
31, 2007, primarily due to the following: 

(cid:120) 

the completion of an offer to purchase from our employees, excluding the chief executive officer 
and Board of Directors, outstanding options to acquire shares of common stock of the Company 
that were granted between September 1, 2004 and August 15, 2008 under our shareholder-
approved stock option plans (the “Tender Offer”) on December 30, 2008.  The Tender Offer 
resulted in additional stock-based compensation expense within cost of services of $7.4 million, 

33 

 
 
 
 
 
 
 
 
representing the remaining compensation cost for these options as measured at the grant date but 
not yet recognized prior to the completion of the Tender Offer; 
increased member utilization of fitness centers for contracts for which we receive a fixed fee per 
member;  
contract restructurings with certain customers, as noted above, that resulted in decreased revenues 
without a proportional corresponding decrease in costs; and 
increased costs related to information technology hosting security and storage for the four months 
ended December 31, 2008. 

(cid:120)(cid:3)

(cid:120) 

(cid:120)(cid:3)

These increases were somewhat offset by the following decreases in cost of services as a percentage of 
revenues: 

(cid:120)  decreased costs related to the two Medicare Health Support programs in which we participated, 

which ended in January 2008 and July 2008, respectively; and 
cost savings related to certain cost management initiatives. 

(cid:120) 

Selling, General and Administrative Expenses 

Selling, general and administrative expenses as a percentage of revenues remained relatively 

consistent for fiscal 2010 compared to fiscal 2009.  

Selling, general and administrative expenses as a percentage of revenues increased to 10.0% for fiscal 

2009 compared to 9.7% for fiscal 2008, primarily due to the following:  

(cid:120) 

(cid:120) 

a net increase in salaries and benefits expense, primarily due to the Company restructuring in the 
fourth calendar quarter of 2008, which included an increased focus on research and development 
activities, resulting in an increase in personnel dedicated to these activities that more than offset 
the reduction in headcount resulting from this restructuring and other workforce reductions; and 
an increase in the level of short-term incentive compensation based on the Company’s financial 
performance against established internal targets during these periods. 

These increases were partially offset by a decrease in professional consulting fees primarily related to product 
innovation and strategic and organizational design initiatives in fiscal 2008. 

Selling, general and administrative expenses as a percentage of revenues increased to 11.4% for the 

four months ended December 31, 2008 compared to 9.3% for the four months ended December 31, 2007, 
primarily due to the completion of the Tender Offer on December 30, 2008, which resulted in additional stock-
based compensation expense within selling, general and administrative expenses of $4.1 million, representing 
the remaining compensation cost for these options as measured at the grant date but not yet recognized prior to 
the completion of the Tender Offer. 

Depreciation and Amortization 

Depreciation and amortization expense increased 7.0% for fiscal 2010 compared to fiscal 2009, 
primarily due to increased depreciation expense resulting from the implementation of our new Embrace 
platform and other capital expenditures related to computer software, somewhat offset by a decrease in 
amortization expense related to certain intangible assets that became fully amortized in November 2009. 

Depreciation and amortization expense increased 3.8% for fiscal 2009 compared to fiscal 2008, 

primarily due to increased depreciation expense resulting from capital expenditures of computer software, 
which we made to enhance our information technology capabilities, somewhat offset by a decrease in 
amortization expense related to certain intangible assets that became fully amortized in September 2008. 

34 

 
 
 
 
 
 
 
 
 
 
 
Depreciation and amortization expense increased 18.3% for the four months ended December 31, 2008 

compared to the four months ended December 31, 2007, primarily due to increased depreciation expense 
resulting from capital expenditures of computer software and hardware, which we made to enhance our 
information technology capabilities, and capital expenditures related to our new corporate headquarters. This 
increase was partially offset by a decrease in amortization expense related to certain intangible assets that 
became fully amortized in September 2008. 

Restructuring and Related Charges and Impairment Loss 

During fiscal 2010, we incurred net charges of $10.3 million related to a restructuring of the Company 

in the fourth quarter of 2010, which primarily consisted of one-time termination benefits and costs associated 
with both domestic and international capacity consolidation. 

During the four months ended December 31, 2008, we incurred net charges of $10.3 million related to 

a restructuring of the Company, which primarily consisted of severance costs, net of equity forfeitures, and 
capacity consolidation costs. 

In December 2008, we decided to discontinue offering one of our products as a standalone program. 

As a result of this decision we did not renew the expiring trade name associated with this product and recorded 
an impairment loss of $4.3 million during the four months ended December 31, 2008 to write off this 
intangible asset. 

Gain on Sale of Investment 

In January 2009, a private company in which we held preferred stock was acquired by a third 
party.  As part of this sale, we received two payments totaling $11.6 million in January and February 2009 and 
recorded a gain of $2.6 million during the first quarter of 2009.  During the second quarter of 2010, we 
recognized a gain of $1.2 million related to the receipt of a final escrow payment.   

Interest Expense 

Interest expense for fiscal 2010 decreased $1.6 million compared to fiscal 2009, primarily as a result 

of a decrease in floating interest rates on outstanding borrowings as well as a lower average level of 
outstanding borrowings under our credit agreement during fiscal 2010 compared to fiscal 2009. 

Interest expense for fiscal 2009 decreased $5.2 million compared to fiscal 2008, primarily as a result 

of a decrease in floating interest rates on outstanding borrowings under our credit agreement during fiscal 2009 
compared to fiscal 2008. 

Interest expense for the four months ended December 31, 2008 decreased $0.4 million compared to the 

four months ended December 31, 2007, primarily as a result of a decrease in interest rates on outstanding 
borrowings somewhat offset by a higher average level of outstanding borrowings under our credit agreement 
during the four months ended December 31, 2008 compared to the four months ended December 31, 2007.  

Legal Settlement and Related Costs 

In March 2009, our Board of Directors approved a settlement of a qui tam lawsuit filed in 1994 on 

behalf of the United States government related to the Company’s former Diabetes Treatment Center of 
America business.  As a result of the settlement, which was effective as of April 1, 2009, we incurred a charge 
of approximately $40 million, including a $28 million payment to the United States government and payment 

35 

 
 
  
 
 
 
 
 
 
 
 
 
 
of approximately $12 million for other costs and fees related to the settlement, including the estimated legal 
costs and expenses of the plaintiff’s attorneys.  

Income Tax Expense 

Our effective tax rate decreased to 39.1% for fiscal 2010 compared to 49.4% for fiscal 2009, primarily 
due to the relatively small base of pretax income for fiscal 2009 in relation to certain unrecognized tax benefits 
and non-deductible expenses, in addition to the favorable impact on the effective tax rate of two earn-out 
adjustments recorded during fiscal 2010 (see Note 7).  These favorable impacts on the effective tax rate were 
partially offset by an increase during 2010 in the level of certain expenses related to international operations 
for which we do not receive a tax benefit. 

Our effective tax rate increased to 49.4% for fiscal 2009 compared to 40.8% for fiscal 2008, primarily 

due to a relatively small base of pretax income for fiscal 2009 in relation to both the lack of tax benefit on 
certain expenses incurred in international initiatives and certain non-deductible expenses.   

Our effective tax rate increased to 57.9% for the four months ended December 31, 2008 compared to 
41.1% for the four months ended December 31, 2007, primarily due to a relatively small base of pretax income 
for the four months ended December 31, 2008 in relation to the lack of tax benefit on certain expenses incurred 
in international initiatives, the impact of tax interest accruals, and the impact of certain non-deductible 
expenses for income tax purposes. 

Outlook 

We anticipate that revenues for fiscal 2011 will likely decrease slightly as compared to fiscal 2010 

primarily due to the recognition during fiscal 2010 of revenues in connection with a final settlement with CMS 
associated with our participation in two Medicare Health Support programs.  

We expect cost of services and selling, general and administrative expenses as a percentage of 
revenues for fiscal 2011 to increase compared to fiscal 2010 primarily due to implementation costs associated 
with significant new and innovative contracts and investments in longer term initiatives to position our 
company for new and evolving markets.  We anticipate depreciation and amortization expense for fiscal 2011 
will remain relatively consistent with fiscal 2010. 

As discussed in “Liquidity and Capital Resources” below, a significant portion of our long-term debt 

is subject to fixed interest rate swap agreements; however, we cannot predict the potential for changes in 
interest rates, which would impact our variable rate debt.  We anticipate that our effective tax rate for fiscal 
2011 will increase slightly over 2010 due to certain events in 2010 that we do not expect to recur in 2011; 
however, we continue to evaluate the impact on our effective tax rate of both international operations and any 
future adjustments related to uncertain tax positions. 

Liquidity and Capital Resources 

Operating activities for fiscal 2010 generated cash of $72.9 million compared to $112.9 million for 

fiscal 2009.  The decrease in operating cash flow resulted primarily from the following: 

(cid:120)  payments during fiscal 2010 related to short-term incentive compensation earned and accrued 

over the sixteen months ended December 31, 2009; 

(cid:120)  payments during fiscal 2010 related to a final settlement with CMS; and 
(cid:120)  payments during 2010 related to several significant vendor invoices accrued at December 31, 

2009. 

36 

 
 
 
 
 
 
 
 
 
 
 
 
These decreases were somewhat offset by increases in operating cash flow primarily related to the following: 

(cid:120)  payments during fiscal 2009 related to the aforementioned legal settlement and related costs and 

fees;  

(cid:120)  payments during fiscal 2009 related to a restructuring of the Company that was largely completed 
during the fourth quarter of calendar 2008, which primarily consisted of severance costs and costs 
associated with capacity consolidation; and 
income tax payments, which were higher during fiscal 2009 primarily due to a change in the 
timing of estimated tax payments resulting from the change in our fiscal year. 

(cid:120) 

Investing activities during fiscal 2010 used $48.8 million in cash, which primarily consisted of capital 

expenditures associated with our new Embrace platform. 

Financing activities during fiscal 2010 used $25.4 million in cash primarily due to net payments on 

borrowings under our credit agreement and repurchases of our common stock. 

On March 30, 2010, we entered into the Fourth Amended and Restated Credit Agreement (the “Fourth 

Amended Credit Agreement”).  The Fourth Amended Credit Agreement provides us with a $55.0 million 
revolving credit facility from March 30, 2010 to December 1, 2011 (the “2011 Revolving Credit Facility”) and 
a $345.0 million revolving credit facility from March 30, 2010 to December 1, 2013 (the “2013 Revolving 
Credit Facility”), including a swingline sub facility of $20.0 million and a $75.0 million sub facility for letters 
of credit.  The Fourth Amended Credit Agreement also provides a continuation of the term loan facility 
provided pursuant to the Third Amended and Restated Credit Agreement, of which $192.0 million remained 
outstanding on December 31, 2010, and an uncommitted incremental accordion facility of $200.0 million.  As 
of December 31, 2010, availability under our revolving credit facility totaled $297.4 million as calculated 
under the most restrictive covenant. 

Revolving advances under the Fourth Amended Credit Agreement are drawn first under the 2013 

Revolving Credit Facility, with any advances in excess of $345.0 million being drawn under the 2011 
Revolving Credit Facility.  Revolving advances under the 2013 Revolving Credit Facility generally bear 
interest, at our option, at 1) LIBOR plus a spread of 1.875% to 2.750% or 2) the greater of the federal funds 
rate plus 0.5%, or the prime rate, plus a spread of 0.375% to 1.250%.  Revolving advances under the 2011 
Revolving Credit Facility generally bear interest, at our option, at 1) LIBOR plus a spread of 0.875% to 
1.750% or 2) the greater of the federal funds rate plus 0.5%, or the prime rate, plus a spread of 0.000% to 
0.250%.  Term loan borrowings bear interest, at our option, at 1) LIBOR plus 1.50% or 2) the greater of the 
federal funds rate plus 0.5%, or the prime rate.  See below for a description of our interest rate swap 
agreements.  The Fourth Amended Credit Agreement also provides for a fee ranging between 0.150% and 
0.300% of the unused commitments under the 2011 Revolving Credit Facility and 0.275% and 0.425% of the 
unused commitments under the 2013 Revolving Credit Facility.  The Fourth Amended Credit Agreement is 
secured by guarantees from most of the Company’s domestic subsidiaries and by security interests in 
substantially all of the Company’s and such subsidiaries’ assets. 

We are required to repay outstanding revolving loans on the applicable commitment termination date, 

which is December 1, 2011 for the 2011 Revolving Credit Facility and December 1, 2013 for the 2013 
Revolving Credit Facility. We are required to repay term loans in quarterly principal installments aggregating 
$0.5 million each, which commenced on March 31, 2007.  The entire unpaid principal balance of the term 
loans is due and payable at maturity on December 1, 2013.   

The Fourth Amended Credit Agreement contains various financial covenants, which require us to 

maintain, as defined, ratios or levels of 1) total funded debt to EBITDA, 2) fixed charge coverage, and 3) net 
worth.  The Fourth Amended Credit Agreement also restricts the payment of dividends and limits the amount 

37 

  
 
 
 
 
 
 
 
of repurchases of the Company’s common stock.  As of December 31, 2010, we were in compliance with all of 
the covenant requirements of the Fourth Amended Credit Agreement. 

In order to reduce our exposure to interest rate fluctuations on our floating rate debt commitments, we 

maintain interest rate swap agreements with original notional amounts of $275.0 million ($115.0 million of 
which become effective in January 2012) and with termination dates ranging from March 30, 2011 to 
December 31, 2013.  These interest rate swap agreements effectively modify our exposure to interest rate risk 
by converting a portion of our floating rate debt to fixed obligations with interest rates ranging from 3.375% to 
3.855%, thus reducing the impact of interest rate changes on future interest expense.  Under these agreements, 
we receive a variable rate of interest based on LIBOR, and we pay a fixed rate of interest. 

We believe that cash flows from operating activities, our available cash, and our anticipated available 

credit under the Fourth Amended Credit Agreement will continue to enable us to meet our contractual 
obligations and to fund our current operations for the foreseeable future.  However, if our operations require 
significant additional financing resources, such as capital expenditures for technology improvements, 
additional call centers and/or letters of credit or other forms of financial assurance to guarantee our 
performance under the terms of new contracts, or if we are required to refund performance-based fees pursuant 
to contract terms, we may need to raise additional capital by expanding our existing credit facility and/or 
issuing debt or equity.  If we face a limited ability to arrange such financing, it may restrict our ability to 
effectively operate our business.  We cannot assure you that we would always be able to secure additional 
financing if needed and, if such funds were available, whether the terms or conditions would be acceptable to 
us. 

If contract development accelerates or acquisition opportunities arise, we may need to issue additional 

debt or equity to provide the funding for these increased growth opportunities.  We may also issue equity in 
connection with future acquisitions or strategic alliances.  We cannot assure you that we would be able to issue 
additional debt or equity on terms that would be acceptable to us. 

Contractual Obligations 

The following schedule summarizes our contractual cash obligations by the indicated period as of 

December 31, 2010: 

(In $000s) 

 Deferred compensation plan payments (1) 
 Long-term debt (2) 
 Operating lease obligations (3) 
 Capital lease obligations (4) 
 Purchase obligations 
 Other contractual cash obligations (5) 
Total contractual cash obligations (6) 

Payments Due By Year Ended December 31, 

2012 -

2014 -

2016 and

$

2011
3,675 
15,167 
15,043 
1,580 
9,432 
15,952 
$ 60,849 

$

$

2013
10,455 
260,332 
25,900 
3,160 
— 
13,921 
313,768 

$

$

2015
993 
— 
19,769 
1,185 
— 
2,000 
23,947 

$

After
5,516 
— 
48,289 
— 
— 
17,000 
$ 70,805 

$

$

Total 
20,639 
275,499 
109,001 
5,925 
9,432 
48,873 
469,369 

(1) Includes scheduled payments under a non-qualified deferred compensation plan and long-term performance 
cash awards. 

(2) Includes scheduled principal payments, repayment of outstanding revolving loans, and estimated interest 
payments on outstanding borrowings under our credit agreement.  Estimated interest payments are as follows: 
$13.1 million for fiscal 2011 and $21.0 million for fiscal 2012 and 2013 combined.   

38 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
(3) Excludes total sublease income of $1.9 million. 

(4) Includes scheduled principal payments and estimated interest payments on capital lease obligations.  
Estimated interest payments are as follows: $0.3 million for fiscal 2011 and $0.3 million for fiscal 2012 and 
2013 combined.   

(5) Other contractual cash obligations primarily represent a perpetual license agreement and 25-year strategic 
relationship agreement that we entered into in January 2008.  We have remaining contractual cash obligations 
of $30.0 million related to these agreements, $10.0 million of which will occur ratably during the next two 
years, and the remaining $20.0 million of which will occur ratably over the following 20 years. 

(6) We have excluded long-term liabilities of $1.1 million related to uncertain tax positions as we are unable to 
reasonably estimate the timing of these payments in individual years due to uncertainties in the timing of 
effective settlement of tax positions.   

Recently Issued Accounting Standards  

In January 2010, the FASB issued Accounting Standards Update (“ASU”) No. 2010-06, “Improving 
Disclosures about Fair Value Measurements”, an amendment to ASC Topic 820, “Fair Value Measurements 
and Disclosures”.  This amendment requires an entity to: 1) disclose separately the amounts of significant 
transfers in and out of Level 1 and Level 2 fair value measurements and describe the reasons for the transfers 
and 2) present separate information for Level 3 activity pertaining to gross purchases, sales, issuances, and 
settlements (rather than presenting such information on a net basis).  ASU No. 2010-06 is effective for the 
Company for interim and annual reporting periods beginning after December 15, 2009, except for item 2) 
above, which is effective for interim and annual reporting periods beginning after December 15, 2010.  The 
adoption of item 1) of this ASU did not have a material impact on our results of operations or statement of 
financial position.  We expect the adoption of item 2) above will not have a material impact on the results of 
operations or statement of financial position.   

Item 7A. Quantitative and Qualitative Disclosures About Market Risk 

We are subject to market risk related to interest rate changes, primarily as a result of the Fourth 
Amended Credit Agreement, which bears interest based on floating rates. Revolving advances under the 2011 
Revolving Credit Facility generally bear interest, at our option, at 1) LIBOR plus a spread of 0.875% to 
1.750% or 2) the greater of the federal funds rate plus 0.5%, or the prime rate, plus a spread of 0.000% to 
0.250%.  Revolving advances under the 2013 Revolving Credit Facility generally bear interest, at our option, 
at 1) LIBOR plus a spread of 1.875% to 2.750% or 2) the greater of the federal funds rate plus 0.5%, or the 
prime rate, plus a spread of 0.375% to 1.250%.  Term loan borrowings bear interest, at our option, at 1) 
LIBOR plus 1.50% or 2) the greater of the federal funds rate plus 0.5%, or the prime rate.    

In order to manage our interest rate exposure under the Fourth Amended Credit Agreement, we have 

entered into interest rate swap agreements effectively converting our floating rate debt to fixed obligations 
with interest rates ranging from 3.375% to 3.855%.  

A one-point interest rate change would have resulted in interest expense fluctuating approximately 

$0.9 million for fiscal 2010. 

As a result of our investment in international initiatives, as of December 31, 2010 we are also exposed 

to foreign currency exchange rate risks. Because a significant portion of these risks is economically hedged 
with currency options and forwards contracts and because our international initiatives are not yet material to 
our consolidated results of operations, a 10% change in foreign currency exchange rates would not have had a 

39 

 
 
 
 
 
 
 
 
 
 
material impact on our results of operations or financial position for fiscal 2010.  We do not execute 
transactions or hold derivative financial instruments for trading purposes. 

40 

 
 
Report of Independent Registered Public Accounting Firm 

The Board of Directors and Stockholders of Healthways, Inc. 

We have audited the accompanying consolidated balance sheets of Healthways, Inc. as of December 31, 2010 
and  2009  and  the  related  consolidated statements  of  operations,  stockholders'  equity,  and  cash  flows  for  the 
years  ended  December  31,  2010  and  2009,  the  four  months  ended  December  31,  2008  and  the  year  ended 
August  31,  2008.    These  financial  statements  are  the  responsibility  of  the  Company's  management.    Our 
responsibility is to express an opinion on these financial statements based on our audits. 

We  conducted  our  audits  in  accordance  with  the  standards  of  the  Public  Company  Accounting  Oversight 
Board  (United  States).  Those  standards  require  that  we  plan  and  perform  the  audit  to  obtain  reasonable 
assurance  about  whether  the  financial  statements  are  free  of  material  misstatement.  An  audit  includes 
examining,  on  a  test  basis,  evidence  supporting  the  amounts  and  disclosures  in  the  financial  statements.  An 
audit also includes assessing the accounting principles used and significant estimates made by management, as 
well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable 
basis for our opinion. 

In  our  opinion,  the  financial  statements  referred  to  above  present  fairly,  in  all  material  respects,  the 
consolidated  financial  position  of  Healthways,  Inc.  at  December  31,  2010  and  2009  and  the  consolidated 
results of its operations and its cash flows for the years ended December 31, 2010 and 2009, the fourth months 
ended December 31, 2008 and the year ended August 31, 2008, in conformity with U.S. generally accepted 
accounting principles. 

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board 
(United States), Healthways, Inc.’s internal control over financial reporting as of December 31, 2010, based on 
criteria  established  in  Internal  Control-Integrated  Framework  issued  by  the  Committee  of  Sponsoring 
Organizations  of  the  Treadway  Commission  and  our  report  dated  March15,  2011  expressed  an  unqualified 
opinion thereon. 

/s/ Ernst & Young LLP 

Nashville, Tennessee 
March 15, 2011 

41 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 8.  Financial Statements and Supplementary Data 

 HEALTHWAYS, INC. 
CONSOLIDATED BALANCE SHEETS 
(In thousands) 

ASSETS 

Current assets: 
Cash and cash equivalents 
Accounts receivable, net 
Prepaid expenses  
Other current assets 
Income taxes receivable 
Deferred tax asset 

Total current assets 

Property and equipment: 
Leasehold improvements 
Computer equipment and related software 
Furniture and office equipment 
Capital projects in process 

Less accumulated depreciation 

Other assets 

Customer contracts, net 
Other intangible assets, net 
Goodwill, net 

December 31, 

     December 31,  

2010 

2009 

  $ 

1,064    $ 
89,108   
12,577   
3,064   
8,695   
11,272   
125,780   

2,356 
100,833 
10,433 
4,945 
6,452 
24,197 
149,216 

40,662   
207,077   
27,328   
10,117   
285,184   
(154,528)  
130,656   

40,609 
166,448 
28,096 
23,052 
258,205 
(134,046) 
124,159 

14,733   

11,498 

23,654   
70,601   
496,265   

29,343 
71,704 
496,446 

Total assets 

  $ 

861,689    $ 

882,366 

See accompanying notes to the consolidated financial statements. 

42 

 
 
 
 
 
 
 
 
    
 
 
   
 
 
 
 
 
 
 
 
 
   
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
 
 
 
   
 
 
 
   
 
   
 
 
 HEALTHWAYS, INC. 
CONSOLIDATED BALANCE SHEETS 
(In thousands, except share and per share data) 

LIABILITIES AND STOCKHOLDERS’ EQUITY 

Current liabilities: 
Accounts payable 
Accrued salaries and benefits 
Accrued liabilities 
Deferred revenue 
Contract billings in excess of earned revenue 
Current portion of long-term debt 
Current portion of long-term liabilities 
Total current liabilities 

Long-term debt 
Long-term deferred tax liability 
Other long-term liabilities 

Stockholders’ equity: 
Preferred stock 

$ 

December 31,  
2010 

December 31,  
2009 

 $ 

22,555 
39,157 
31,532 
5,931 
18,814 
3,935 
3,309 
125,233 

243,425 
23,050 
39,140 

29,171 
58,212 
25,004 
4,639 
70,440 
2,192 
3,854 
193,512 

254,345 
14,617 
42,615 

$.001 par value, 5,000,000 shares 
authorized, none outstanding 
Common stock  
$.001 par value, 120,000,000 and 75,000,000 shares authorized,    
34,018,706 and 33,858,917 shares outstanding 

Additional paid-in capital 
Retained earnings 
Treasury stock, at cost, 429,654 and 0 shares in treasury 
Accumulated other comprehensive loss 
Total stockholders’ equity 

 — 

 — 

34 
232,524 
206,210 
(4,494) 
(3,433) 
430,841 

34 
222,472 
158,880 
— 
(4,109) 
377,277 

Total liabilities and stockholders’ equity 

$ 

861,689 

 $ 

882,366 

See accompanying notes to the consolidated financial statements. 

43 

 
 
 
 
  
 
 
 
  
 
 
 
  
 
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
 
 
  
 
 
  
 
  
 
  
 
 
 
  
 
 
 
  
 
 
 
  
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
  
 
  
 
  
 
  
 
  
 
 
 
  
 
 
 
 
  
 
 
  
 
 
 HEALTHWAYS, INC. 
CONSOLIDATED STATEMENTS OF OPERATIONS 
(In thousands, except earnings per share data) 

Year Ended December 31, 

Four Months Ended 
December 31, 

Year Ended 
August 31,

2010 
720,333 $

$

2009 

2008 

717,426 $

244,737  $ 

2008 
736,243 

Revenues 
Cost of services (exclusive of depreciation 
and amortization of $39,203, $35,433, 
$11,805, and $34,105, respectively, 
included below) 

Selling, general and administrative 

expenses 

Depreciation and amortization   
Impairment loss 
Restructuring and related charges 

Operating income 
Gain on sale of investment 
Interest expense 
Legal settlement and related costs  

Income before income taxes 
Income tax expense 

Net income 

Earnings per share: 

Basic 

Diluted 

$

$

$

Weighted average common shares and 

equivalents 
Basic 
Diluted 

493,713

522,999

177,651  

503,940 

72,830
52,756
—
10,258

90,776
(1,163)
14,164
—

77,775
30,445

71,535
49,289
—
—

73,603
(2,581)) 
15,717
39,956

20,511
10,137

27,790  
16,188  
4,344  
10,264  

8,500  
—  
6,757  
—  

1,743  
1,009  

71,342 
47,479 
— 
— 

113,482 
 — 
20,927 
— 

92,555 
37,740 

47,330 $

10,374 $

734  $ 

54,815 

1.39 $

0.31 $

0.02  $ 

1.57 

1.36 $

0.30 $

0.02  $ 

1.50 

34,129
34,902

33,730
34,359

33,616  
34,038  

34,977 
36,597 

  See accompanying notes to the consolidated financial statements. 

44 

 
 
 
 
 
 
  
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 HEALTHWAYS, INC. 
CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS’ EQUITY 
(In thousands) 

Additional  

  Preferred Common
  Stock 

Stock 

Paid-in 

Capital 

$—

$35 $188,126 

Accumulated 

Other 

Retained 

  Treasury Comprehensive

Earnings 
$174,641 

Stock 

— 

Income (Loss) 
$(52)

Total 
$362,750 

Balance, August 31, 2007 
Cumulative effect of a change in accounting  

principle – adoption of FIN 48  

Comprehensive income: 

Net income 
Net change in fair value of interest rate  

swap, net of income tax benefit of $1,064   

Foreign currency translation adjustment  

Total comprehensive income 

Repurchases of common stock 
Exercise of stock options and other 
Tax benefit of option exercises 
Share-based employee compensation expense   
Balance, August 31, 2008 
Comprehensive income: 

Net income 
Net change in fair value of interest rate 

swaps, net of income tax benefit of $3,371  

Change in fair value of investment, net of 

income taxes of $1,094 

Foreign currency translation adjustment 

Total comprehensive loss 

Write-off of deferred tax assets related to the    
   repurchase of stock options 
Exercise of stock options  
Tax effect of option exercises 
Share-based employee compensation expense   
Balance, December 31, 2008 
Comprehensive income: 

Net income 
Net change in fair value of interest rate 
swaps, net of income taxes of $1,783 
Change in fair value of investment, net of  

income tax benefit of $49 

Sale of investment, net of income taxes of 

$1,045 

Foreign currency translation adjustment 

Total comprehensive income 

Repurchase of stock options 
Exercise of stock options  
Tax effect of option exercises 

—

—

—
—

 —
 —
 —
 —
$—

—

—

—
—

—
—
—
—
$—

—

—

—

—
—

—
 —
 —

— 

 — 

 — 
 — 

(687)

54,815 

 — 
— 

 —

 —
 —

(13,341) 
(2)
6,710 
 1 
 —
9,893 
 — 16,530 
$34 $207,918 

(80,997)
 — 
 — 
 — 
$147,772 

734 

— 

— 
— 

— 
— 
— 
— 
$148,506 

10,374 

— 

— 

— 
— 

— 
 — 
 — 

—

—

—
—

— 

— 

— 
— 

— (9,088) 
56 
—
—
(340) 
— 14,915 
$34 $213,461 

—

—

—

—
—

— 

— 

— 

— 
— 

(736) 
—
—
727 
 — (1,193) 

45 

—

—

—
—

— 
—
—
—
—

—

—

—
—

—
—
—
—
—

—

—

—

—
—

—
—
—

—

 —

(687) 

54,815 

(1,510)
172

—
 —
 —
 —
 $(1,390 )

(1,510) 
172 
53,477 
(94,340) 
6,711  
9,893 
16,530 
$354,334  

—

734 

(5,007)

(5,007) 

1,607
(175)

1,607 
(175) 
(2,841) 

—
—
—
—
 $(4,965 )

(9,088) 
56 
(340) 
14,915 
$357,036 

—

10,374 

2,418

2,418 

(71)

(71) 

(1,536)
45

—
 —
 —

(1,536) 
45 
11,230 
(736) 
727 
(1,193) 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Share-based employee compensation expense   

Balance, December 31, 2009 
Comprehensive income: 

Net income 
Net change in fair value of interest rate  

swap, net of income taxes of $12 

Foreign currency translation adjustment  

Total comprehensive income 

Repurchases of common stock 
Exercise of stock options  
Tax effect of stock options and restricted  

stock units 

Share-based employee compensation expense   
Balance, December 31, 2010 

 —

$—

—

—
—

 —
 —

 —
 —
$—

 — 10,213 

 — 

$34 $222,472 

$158,880 

 —

 —
 —

—
  —

 — 

 — 
 — 

— 
1,133 

 — (2,531) 
 — 11,450 
$34 $232,524 

47,330 

 — 
— 

— 
 — 

 — 
 — 

—

— 

—

—
—

(4,494) 
—

—
—

 —

10,213 

 $(4,109 )

$377,277  

 —

47,330 

20
656

—
 —

20 
656 
48,006 
(4,494) 
1,133  

 —
 —
 $(3,433 )

(2,531) 
11,450 
$430,841 

$206,210  $(4,494) 

See accompanying notes to the consolidated financial statements. 

46 

  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 HEALTHWAYS, INC. 
CONSOLIDATED STATEMENTS OF CASH FLOWS 
(In thousands) 

Cash flows from operating activities:

Net income
Adjustments to reconcile net income to net cash provided by
operating activities, net of business acquisitions:
Depreciation and amortization
Gain on sale of investment
Loss on disposal of property and equipment
Impairment loss
Amortization of deferred loan costs
Share-based employee compensation expense
Excess tax benefits from share-based payment arrangements
Decrease (increase) in accounts receivable, net
(Increase) decrease in other current assets
(Decrease) increase in accounts payable
(Decrease) increase in accrued salaries and benefits
(Decrease) increase in other current liabilities
Deferred income taxes
Other
(Increase) decrease in other assets
Payments on other long-term liabilities
Net cash flows provided by operating activities

Cash flows from investing activities:

Acquisition of property and equipment
Sale of investment
Business acquisitions, net of cash acquired, and equity investments
Change in restricted cash
Other
Net cash flows used in investing activities

Cash flows from financing activities:

Proceeds from issuance of long-term debt
Deferred loan costs
Repurchases of common stock
Repurchase of stock options
Excess tax benefits from share-based payment arrangements
Exercise of stock options
Payments of long-term debt
Change in outstanding checks and other
Net cash flows used in financing activities

Effect of exchange rate changes on cash

Net decrease in cash and cash equivalents

Cash and cash equivalents, beginning of period

Cash and cash equivalents, end of period

Supplemental disclosure of cash flow information:

Cash paid during the period for interest
Cash paid during the period for income taxes

Noncash Activities:

Assets acquired through capital lease obligation and exchange of 
noncash assets

See accompanying notes to the consolidated financial statements.

Year Ended December 31,
2010
2009

Four Months 
Ended December 
31,
2008

Year Ended 
August 31,
2008

$

47,330

$

10,374

$

734

$

54,815

52,756
(1,163)
160
-
1,827
11,450
(1,067)
12,207
(159)
(2,256)
(19,715)
(45,206)
16,682
4,424
(1,121)
(3,262)
72,887

(44,431)
1,163

-
-
(5,581)
(48,849)

656,997
(3,219)
(4,494)
-
1,067
1,133
(673,188)
(3,717)
(25,421)

91

(1,292)

2,356

1,064

49,289
(2,581)
1,584
-
1,518
10,213
(381)
14,352
(1,972)
6,565
24,991
(11,067)
8,076
6,049
(172)
(3,970)
112,868

(49,110)
11,626
(19,486)
(538)
(4,918)
(62,426)

405,400
(784)
-
(736)
381
727
(457,303)
(1,113)
(53,428)

185

(2,801)

5,157

2,356

16,188
-
1,568
4,344
415
14,915
(68)
(1,796)
(3,011)
(3,620)
1,549
3,374
(14,133)
1,672
540
(504)
22,167

(13,753)
-
(449)
-
(2,208)
(16,410)

55,000
(290)
-
-
68
56
(96,825)
6,149
(35,842)

47,479
-
-
-
1,168
16,530
(9,480)
(33,131)
3,927
2,516
12,652
11,491
(10,835)
11,761
(1,367)
(2,220)
105,306

(82,521)
-
-
(452)
(3,690)
(86,663)

85,420
-
(94,340)
-
9,480
6,711
(38,327)
-
(31,056)

-

-

(30,085)

(12,413)

35,242

5,157

47,655

35,242

12,137
13,231

$
$

12,717
18,390

$
$

8,297
10,914

$
$

19,117
41,249

8,435

- 

- 

- 

$
$

$

47 

  
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 
Years  Ended  December  31,  2010 and  2009,  Four  Months  Ended  December  31,  2008,  and  Year Ended 
August 31, 2008  

1. 

Summary of Significant Accounting Policies 

Healthways, Inc. and its wholly-owned subsidiaries provide specialized, comprehensive solutions to 
help people improve physical, emotional and social well-being, reducing both direct healthcare costs and the 
costs associated with the loss of health-related employee productivity.  In North America, our customers 
include health plans, governments, employers, pharmacy benefit managers, and hospitals in all 50 states, the 
District of Columbia and Puerto Rico. We also provide health improvement programs and services in Brazil 
and Australia.    

a.  Principles of Consolidation - The consolidated financial statements include the accounts of the 

Company and its subsidiaries, all of which are wholly-owned.  We have eliminated all intercompany profits, 
transactions and balances.   

b.  Cash and Cash Equivalents - Cash and cash equivalents primarily include cash, tax-exempt debt 
instruments, commercial paper, and other short-term investments with original maturities of less than three 
months.   

c.  Accounts Receivable, net - Billed receivables primarily represent fees that are contractually due in 

the ordinary course of providing our services, net of contractual adjustments and allowances for doubtful 
accounts.  Unbilled receivables primarily represent fees for services based on the estimated utilization of 
fitness facilities and are generally billed in the following month.  Historically, we have experienced minimal 
instances of customer non-payment and therefore consider our accounts receivable to be collectible, but we 
provide reserves, when appropriate, for doubtful accounts and for billing adjustments (such as data 
reconciliation differences) on a specific identification basis.  

d.  Property and Equipment - Property and equipment is carried at cost and includes expenditures that 

increase value or extend useful lives.  We recognize depreciation using the straight-line method over useful 
lives of three to seven years for computer software and hardware and four to seven years for furniture and 
other office equipment.  Leasehold improvements are depreciated over the shorter of the estimated life of the 
asset or the life of the lease, which ranges from two to fifteen years.  Depreciation expense for the years ended 
December 31, 2010 and 2009, the four months ended December 31, 2008, and the year ended August 31, 2008 
was $40.4 million, $36.6 million, $12.1 million, and $31.5 million, respectively, including amortization of 
assets recorded under capital leases. 

e.  Other Assets - Other assets consist primarily of long-term investments and deferred loan costs net 

of accumulated amortization.   

f.  Intangible Assets - Intangible assets are initially recognized and measured at cost.  Intangible assets 

subject to amortization primarily include customer contracts, acquired technology, patents, distributor and 
provider networks, and other intangible assets which we amortize on a straight-line basis over estimated useful 
lives ranging from three to 25 years.  We assess the potential impairment of intangible assets subject to 
amortization whenever events or changes in circumstances indicate that the carrying values may not be 
recoverable. 

Intangible assets not subject to amortization at December 31, 2010 and 2009 consist of trade names of 

$29.9 million.  We review intangible assets not subject to amortization on an annual basis or more frequently

48 

  
 
 
 
 
 
 
 
 
 
 
 
whenever events or circumstances indicate that the assets might be impaired.  See Note 4 for further 
information on intangible assets. 

g.  Goodwill - We recognize goodwill for the excess of the purchase price over the fair value of 

tangible and identifiable intangible net assets of businesses that we acquire.     

We review goodwill at the reporting unit level (operating segment or one level below an operating 

segment) on an annual basis or more frequently whenever events or circumstances indicate that the carrying 
value may not be recoverable.  We estimate the fair value of each reporting unit using a discounted cash flow 
model and reconcile the aggregate fair value of our reporting units to our consolidated market capitalization. 
We allocate goodwill to reporting units based on the reporting unit expected to benefit from the combination.  
We completed our annual impairment test during our fourth quarter and concluded that no impairment of 
goodwill exists.   

h. Contract Billings in Excess of Earned Revenue - Contract billings in excess of earned revenue 

primarily represent performance-based fees subject to refund that we have not recognized as revenues because 
either 1) data from the customer is insufficient or incomplete to measure performance; or 2) interim 
performance measures indicate that we are not currently meeting performance targets.  

i. Income Taxes - We file a consolidated federal income tax return that includes all of our domestic 
wholly-owned subsidiaries.  U.S. GAAP generally requires that we record deferred income taxes for the tax 
effect of differences between the book and tax bases of our assets and liabilities.  We recognize the tax benefit 
from an uncertain tax position only if it is more likely than not that the tax position will be sustained on 
examination by the taxing authorities, based on the technical merits of the position.  The tax benefits 
recognized in the financial statements from such a position are measured based on the largest benefit that has a 
greater than 50% likelihood of being realized upon ultimate settlement.   

j. Revenue Recognition - We generally determine our contract fees by multiplying a contractually 

negotiated rate per member per month (“PMPM”) by the number of members covered by our services during 
the month.  We typically set the PMPM rates during contract negotiations with customers based on the value 
we expect our programs to create and a sharing of that value between the customer and the Company.  In 
addition, some of our services, such as the SilverSneakers fitness program, include fees that are based upon 
member participation.   

 Some of our contracts provide that a portion of our fees may be refundable to the customer 
(“performance-based”) if our programs do not achieve, when compared to a baseline year, a targeted 
percentage reduction in the customer’s healthcare costs and selected clinical and/or other criteria that focus on 
improving the health of the members.  Approximately 3% of revenues recorded during fiscal 2010 were 
performance-based and were subject to final reconciliation as of December 31, 2010.  We anticipate that this 
percentage will fluctuate due to the level of performance-based fees in new contracts and the timing and 
amount of revenue recognition associated with performance-based fees.  Some contracts also provide for 
additional fees for incentive bonuses in excess of the contractual PMPM rate if we meet or exceed contractual 
performance targets.    

We generally bill our customers each month for the entire amount of the fees contractually due for the 

prior month’s enrollment, which typically includes the amount, if any, that is performance-based and may be 
subject to refund should we not meet performance targets.  Deferred revenues can arise from contracts which 
permit upfront billing and collection of fees covering the entire contractual service period, generally 12 
months.  We typically bill for any incentive bonus after the contract is settled.  Fees for service are typically 
billed in the month after the services are provided. 

49 

 
 
   
 
 
 
 
 
 
We recognize revenue as follows: 1) we recognize the fixed portion of PMPM fees and fees for service 

as revenue during the period we perform our services; 2) we recognize the performance-based portion of the 
monthly fees based on the most recent assessment of our performance, which represents the amount that the 
customer would legally be obligated to pay if the contract were terminated as of the latest balance sheet date; 
and 3) we recognize additional incentive bonuses based on the most recent assessment of our performance, to 
the extent we consider such amounts collectible.   

We assess our level of performance for our contracts based on medical claims and other data that the 
customer is contractually required to supply.  A minimum of four to six months’ data is typically required for 
us to measure performance.  In assessing our performance, we may include estimates such as medical claims 
incurred but not reported and a medical cost trend compared to a baseline year.  In addition, we may also 
provide contractual allowances for billing adjustments (such as data reconciliation differences) as appropriate.   

In 2005, we began participating in two Medicare Health Support programs, which concluded in 

January 2008 and July 2008, respectively.  Substantially all of the fees under these programs were 
performance-based.  In late April 2009, we received the final reconciliation report from CMS’ independent 
financial reconciliation contractor.  We submitted our objections to the final reconciliation report and engaged 
in discussions with CMS regarding our objections.  Based upon this final reconciliation report as well as our 
performance over the term of the programs, as of September 30, 2010, we had recognized $9.5 million of 
cumulative performance-based fees related to these programs and $12.2 million of fixed fees.  In December 
2010 we reached a final settlement with CMS associated with our participation in both of these programs.  As 
a result of the settlement, we recorded additional revenues of $22.3 million during the fourth quarter of 2010, 
bringing the total revenues recognized for the programs to $44.0 million.  Additionally, we refunded $28.0 
million, which resulted in a reduction to our contract billings in excess of earned revenue balance sheet 
account during the fourth quarter of 2010.     

If data is insufficient or incomplete to measure performance, or interim performance measures indicate 
that we are not meeting performance targets, we do not recognize performance-based fees subject to refund as 
revenues but instead record them in a current liability account entitled “contract billings in excess of earned 
revenue.”  Only in the event we do not meet performance levels by the end of the measurement period, 
typically one year, are we contractually obligated to refund some or all of the performance-based fees.  We 
would only reverse revenues that we had already recognized if performance to date in the measurement period, 
previously above targeted levels, subsequently dropped below targeted levels.  Historically, any such 
adjustments have been immaterial to our financial condition and results of operations. 

During the settlement process under a contract, which generally occurs six to eight months after the 

end of a contract year, we settle any performance-based fees and reconcile healthcare claims and clinical data.  
As of December 31, 2010, performance-based fees that have not yet been settled with our customers but that 
have been recognized as revenue in the current and prior years totaled approximately $38.8 million, all of 
which was based on actual data received from our customers.  Data reconciliation differences, for which we 
provide contractual allowances until we reach agreement with respect to identified issues, can arise between 
the customer and us due to customer data deficiencies, omissions, and/or data discrepancies. 

Performance-related adjustments (including any amounts recorded as revenue that were ultimately 

refunded), changes in estimates, data reconciliation differences, or adjustments to incentive bonuses may cause 
us to recognize or reverse revenue in a current fiscal year that pertains to services provided during a prior 
fiscal year.  During fiscal 2010, we recognized a net increase in revenue of approximately $25.8 million that 
related to services provided prior to fiscal 2010. 

k.  Earnings Per Share – We calculate basic earnings per share using weighted average common shares 
outstanding during the period.  We calculate diluted earnings per share using weighted average common shares 

50 

 
 
 
 
 
 
outstanding during the period plus the effect of all dilutive potential common shares outstanding during the 
period.  See Note 18 for a reconciliation of earnings per share. 

l.  Share-Based Compensation – We recognize all share-based payments to employees, including 

grants of employee stock options, in the statement of operations based on their fair values.  See Note 14 for 
further information on share-based compensation. 

m. Derivative Instruments and Hedging Activities – We record all derivatives at estimated fair value 

as either assets or liabilities on the balance sheet and recognize the unrealized gains and losses in either the 
balance sheet or statement of operations, depending on whether the derivative is designated as a hedging 
instrument.  As permitted under our master netting arrangements, the fair value amounts of our derivative 
instruments are presented on a net basis by counterparty in the consolidated balance sheet.  See Note 6 for 
further information. 

n. Management Estimates – In preparing our consolidated financial statements in conformity with 

generally accepted accounting principles, management must make estimates and assumptions that affect: 1) the 
reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the 
financial statements; and 2) the reported amounts of revenues and expenses during the reporting period.  
Actual results could differ from those estimates. 

o. Fiscal Year - In August 2008, our Board of Directors approved a change in our fiscal year-end from 

August 31 to December 31.  Accordingly, our 2009 fiscal year began on January 1, 2009 following a four-
month transition period ended December 31, 2008.  References herein to fiscal 2009 refer to the year ended 
December 31, 2009; references herein to fiscal 2008 refer to the year ended August 31, 2008. 

2. 

Recently Issued Accounting Standards  

In January 2010, the FASB issued Accounting Standards Update (“ASU”) No. 2010-06, “Improving 
Disclosures about Fair Value Measurements”, an amendment to ASC Topic 820, “Fair Value Measurements 
and Disclosures”.  This amendment requires an entity to: 1) disclose separately the amounts of significant 
transfers in and out of Level 1 and Level 2 fair value measurements and describe the reasons for the transfers 
and 2) present separate information for Level 3 activity pertaining to gross purchases, sales, issuances, and 
settlements (rather than presenting such information on a net basis).  ASU No. 2010-06 is effective for the 
Company for interim and annual reporting periods beginning after December 15, 2009, except for item 2) 
above, which is effective for interim and annual reporting periods beginning after December 15, 2010.  The 
adoption of item 1) of this ASU did not have a material impact on our results of operations or statement of 
financial position.  We expect the adoption of item 2) above will not have a material impact on the results of 
operations or statement of financial position. 

3. 

Goodwill 

The change in carrying amount of goodwill during the four months ended December 31, 2008 and the years 
ended December 31, 2009 and 2010 is shown below: 

(In $000s) 
Balance, August 31, 2008 
Earn-out payments 
Balance, December 31, 2008 
HealthHonors purchase 
Balance, December 31, 2009 
HealthHonors purchase price adjustment 
Balance, December 31, 2010 

$

$

484,305 
291 
484,596 
11,850 
496,446 
(181) 
496,265 

51 

 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In October 2009, we acquired HealthHonors, a behavioral economics company that specializes in 

behavior change science and optimized use of incentives, for a net cash payment of $14.5 million and a multi-
year earn-out arrangement with an acquisition date fair value of $3.0 million.  

4. 

Intangible Assets 

Intangible assets subject to amortization at December 31, 2010 consisted of the following: 

(In $000s) 

Gross Carrying   

Amount 

Accumulated  
Amortization  

Net 

Customer contracts 
Acquired technology 
Patents 
Distributor and provider networks 
Other 

Total 

$ 

$ 

55,240 
26,757 
23,987 
8,709 
17,487 
132,180 

$

$

31,586 
21,090 
7,771 
4,986 
2,442 
67,875 

  $  23,654 
5,667 
16,216 
3,723 
15,045 
  $  64,305 

Intangible assets subject to amortization at December 31, 2009 consisted of the following: 

(In $000s) 

Gross Carrying   

Amount 

Accumulated  
Amortization  

Net 

Customer contracts 
Acquired technology 
Patents 
Distributor and provider networks 
Other 

Total 

$ 

$ 

55,240 
26,757 
23,405 
8,709 
12,486 
126,597 

$

$

25,897 
19,009 
5,419 
3,765 
1,410 
55,500 

  $  29,343 
7,748 
17,986 
4,944 
11,076 
  $  71,097 

Intangible assets subject to amortization are being amortized over estimated useful lives ranging from three to 
25 years.  Total amortization expense for the years ended December 31, 2010 and 2009, four months ended 
December 31, 2008 and year ended August 31, 2008 was $12.4 million, $12.7 million, $4.0 million, and $16.0 
million, respectively.  The following table summarizes the estimated amortization expense for each of the next 
five years and thereafter: 

(In $000s) 
Year ending December 31, 
2011 
2012 
2013 
2014 
2015 
2016 and thereafter 
    Total  

$ 12,416 
10,511 
10,389 
9,410 
6,150 
15,429 
$ 64,305 

Intangible assets not subject to amortization at December 31, 2010 and 2009 consist of trade names of 

$29.9 million.     

52 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
5. 

Income Taxes  

Income tax expense (benefit) is comprised of the following: 

(In $000s) 

Current taxes 
Federal 
State 
Deferred taxes 
Federal 
State 
Total 

Year Ended December 31, 

2010 

2009 

Four Months 
Ended 
December 31,   

Year Ended 
August 31, 

2008 

2008 

$

8,810 $
2,719

835  $
754 

11,946 
2,827 

16,952
1,964
30,445 $

7,638 
910 
10,137  $

(11,308) 
(2,456) 
1,009 

$

$

47,147 
9,569 

(15,500) 
(3,476) 
37,740 

Deferred income taxes reflect the net tax effects of temporary differences between the carrying 

amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax 
purposes.  The following table shows the significant components of our net deferred tax asset (liability) as of 
December 31, 2010 and 2009: 

(In $000s) 

December 31, 

December 31, 

2010 

2009 

Deferred tax asset: 
Accruals and reserves 
Deferred compensation 
Share-based payments 
Net operating loss carryforwards 
Other assets and liabilities 
Advance receipts  

Valuation allowance 

Deferred tax liability: 
Property and equipment 
Intangible assets 
Other assets and liabilities 

Net deferred tax asset (liability) 

Net current deferred tax asset 
Net long-term deferred tax liability 

$

$

$

$

$

$

12,174 
12,129 
15,594 
7,142 
2,780 
— 
49,819 
(1,985) 
47,834 

$

$

(34,976)  $
(24,115) 
(521) 
(59,612) 
(11,778)  $

$

11,272 
(23,050) 
(11,778)  $

10,710 
9,253 
15,877 
8,344 
3,381 
14,220 
61,785 
(1,648) 
60,137 

(22,668) 
(27,805) 
(84) 
(50,557) 
9,580 

24,197 
(14,617) 
9,580 

Based on the Company’s historical and expected future taxable earnings, and a consideration of 
available tax planning strategies, we believe it is more likely than not that the Company will realize the benefit 
of the existing deferred tax assets, net of the valuation allowance, at December 31, 2010.   

53 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
For fiscal 2010, 2009, and 2008, the tax benefit of share-based compensation, excluding the tax 

benefit related to the deferred tax asset for share-based payments, was recorded as additional paid-in capital.  
We recorded an immaterial tax effect in fiscal 2010, a tax effect of $1.8 million in fiscal 2009, a tax benefit of 
$3.4 million during the four months ended December 31, 2008, and a tax benefit of $1.1 million in fiscal 2008 
related to our interest rate swap agreements (see Note 6) to stockholders’ equity as a component of other 
comprehensive income (loss). 

At December 31, 2010, we had foreign net operating loss carryforwards, before valuation allowances, 
of approximately $7.6 million with an indefinite carryforward period, approximately $13.5 million of federal 
loss carryforwards originating from acquired entities, and approximately $10.0 million of state loss 
carryforward.  The federal loss carryforwards are subject to an annual limitation under Internal Revenue Code 
Section 382 and also have expiration dates ranging from 2011 until 2025.  The state loss carryforward is 
expected to be fully utilized during 2011.    

The difference between income tax expense computed using the statutory federal income tax rate and 

the effective rate is as follows: 

(In $000s) 

Year Ended December 31, 

Four Months 
Ended 
December 31,  

Year Ended 
August 31,

2010 

2009 

2008 

2008 

$
Statutory federal income tax  
State income taxes, less federal income tax benefit   
Other 

Income tax expense 

$

27,221
3,318
(94)
30,445

$

7,179  $
970 
1,988 
$ 10,137  $

610  $
62 
337 
1,009  $

32,394   
3,910   
1,436   
37,740   

Uncertain Tax Positions 

As of December 31, 2010 and 2009, we had $1.1 million of unrecognized tax benefits that, if 

recognized, would affect our effective tax rate.  Our policy is to include interest and penalties related to 
unrecognized tax benefits in income tax expense.  During fiscal 2010, fiscal 2009, the four months ended 
December 31, 2008, and fiscal 2008, we included approximately $20,000, $0.2 million, $0.1 million, and $0.5 
million respectively, of net interest related to uncertain tax positions as a component of income tax expense. 

The  aggregate  changes  in  the  balance  of  unrecognized  tax  benefits,  exclusive  of  interest,  were  as 

follows: 

(In $000s) 

Unrecognized tax benefits at September 1, 2007 
Decreases based on tax positions related to fiscal 2008 
Lapse of statutes of limitation 
Unrecognized tax benefits at August 31, 2008 and December 31, 2008 
Change based upon settlements with taxing authorities 
Increases based upon tax positions related to fiscal 2009 
Unrecognized tax benefits at December 31, 2009 and December 31, 2010 

$

$

11,050    
(8,534 )  
(140 )  
2,376    
(2,376 )  
1,072    
1,072    

54 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
   
 
   
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
 
 
 
 
 
We file income tax returns in the U.S. Federal jurisdiction and in various state and foreign 
jurisdictions.  Tax years remaining subject to examination in these jurisdictions include 2007 to present. 

6. 

Derivative Instruments and Hedging Activities 

We use derivative instruments to manage risks related to interest rates and foreign currencies.  We 

record all derivatives at estimated fair value as either assets or liabilities on the balance sheet and recognize the 
unrealized gains and losses in either the balance sheet or statement of operations, depending on whether the 
derivative is designated as a hedging instrument.  As permitted under our master netting arrangements, at 
December 31, 2010 and 2009, the fair value amounts of our derivative instruments are presented on a net basis 
by counterparty in the consolidated balance sheet. 

Interest Rate 

In order to reduce our exposure to interest rate fluctuations on our floating rate debt commitments, we 

maintain interest rate swap agreements with original notional amounts of $275.0 million ($115.0 million of 
which become effective in January 2012) and with termination dates ranging from March 30, 2011 to 
December 31, 2013.  These interest rate swap agreements effectively modify our exposure to interest rate risk 
by converting a portion of our floating rate debt to fixed obligations with interest rates ranging from 3.375% to 
3.855%, thus reducing the impact of interest rate changes on future interest expense.  Under these agreements, 
we receive a variable rate of interest based on LIBOR, and we pay a fixed rate of interest.  We have designated 
these interest rate swap agreements as qualifying cash flow hedges.  We currently meet the hedge accounting 
criteria under U.S. GAAP in accounting for these interest rate swap agreements. 

Foreign Currency 

We enter into foreign currency options and/or forward contracts in order to minimize our earnings 

exposure to fluctuations in foreign currency exchange rates.  Our foreign currency exchange contracts do not 
qualify for hedge accounting treatment under U.S. GAAP.  We routinely monitor our foreign currency 
exposures to maximize the overall effectiveness of our foreign currency hedge positions.  We do not execute 
transactions or hold derivative financial instruments for trading or other purposes.    

The estimated gross fair values of derivative instruments at December 31, 2010 and 2009, excluding 

the impact of netting derivative assets and liabilities when a legally enforceable master netting agreement 
exists, were as follows: 

55 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
December 31, 2010 

December 31, 2009 

Foreign 
currency 
exchange 
contracts 

Interest 
rate swap 
agreements 

Foreign 
currency 
exchange 
contracts 

Interest 
rate swap 
agreements 

$136

$—

$—

$— 

—
$136

—
$—

—
$—

88 
$88 

$245

$—

$12

$— 

— 4,465
— 2,593
$7,058

$245

236 
—
— 6,942 
$7,178 
$12

(In $000s) 
Assets: 

  Derivatives not designated as hedging instruments: 
     Other current assets 

  Derivatives designated as hedging instruments: 
     Other assets 

Total assets 

 Liabilities: 
  Derivatives not designated as hedging instruments: 
     Accrued liabilities 

  Derivatives designated as hedging instruments: 
     Accrued liabilities 
     Other long-term liabilities 

Total liabilities 

See also Note 7. 

Cash Flow Hedges 

Derivative instruments that are designated and qualify as cash flow hedges are recorded at estimated 

fair value in the balance sheet, with the effective portion of the gains and losses being reported in accumulated 
other comprehensive income or loss (“accumulated OCI”).  These gains and losses are reclassified into 
earnings in the same period during which the hedged transaction affects earnings or the period in which all or a 
portion of the hedge becomes ineffective.  As of December 31, 2010, we expect to reclassify $4.5 million of 
net losses on interest rate swap agreements from accumulated OCI to interest expense within the next 12 
months due to the scheduled payment of interest associated with our debt.   

Gains and losses representing either hedge ineffectiveness or hedge components excluded from the 
assessment of effectiveness are recognized in current earnings.  The following table shows the effect of our 
cash flow hedges on the consolidated statement of operations (or when applicable, the consolidated balance 
sheet) during the years ended December 31, 2010 and 2009: 

Year Ended December 31, 2010 

Year Ended December 31, 2009 

Amount of 
Gain (Loss) 
Recognized in 
Accumulated 
OCI on 
Derivatives 
(Effective 
Portion) 

Location of 
Gain (Loss) 
Reclassified 
from 
Accumulated 
OCI into 
Income 
(Effective 
Portion) 

Amount of 
Gain (Loss) 
Reclassified 
from 
Accumulated 
OCI into 
Income 
(Effective 
Portion) 

Amount of 
Gain (Loss) 
Recognized 
in 
Accumulated 
OCI on 
Derivatives 
(Effective 
Portion) 

Location of 
Gain (Loss) 
Reclassified 
from 
Accumulated 
OCI into 
Income 
(Effective 
Portion) 

Amount of 
Gain (Loss) 
Reclassified 
from 
Accumulated 
OCI into 
Income 
(Effective 
Portion) 

$(5,614) 

Interest 
expense 

$(5,646)

$(2,541)

Interest 
expense 

$(6,742) 

Derivatives in 
Cash Flow Hedging 
Relationships 

Interest rate swap 
agreements, gross 
of tax effect  

56 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
During the years ended December 31, 2010 and 2009, there were no gains or losses on cash flow 

hedges recognized in income resulting from hedge ineffectiveness.   

Derivative Instruments Not Designated as Hedging Instruments 

Our foreign currency exchange contracts require current period mark-to-market accounting, with any 

change in fair value being recorded each period in the statement of operations in selling, general and 
administrative expenses.  As of December 31, 2010 and 2009, we had forward contracts with notional amounts 
of $8.4 million and $1.1 million, respectively, to exchange foreign currencies, primarily the Australian dollar 
and Euro, that were entered into to hedge forecasted foreign net income (loss) and intercompany debt.   

These forward contracts did not have a material effect on our consolidated statement of operations 

during fiscal 2010 or 2009.  

7. 

Fair Value Measurements 

We account for certain assets and liabilities at fair value.  Fair value is defined as the price that would 
be received upon sale of an asset or paid upon transfer of a liability in an orderly transaction between market 
participants at the measurement date, assuming the transaction occurs in the principal or most advantageous 
market for that asset or liability. 

Fair Value Hierarchy 

The hierarchy below lists three levels of fair value based on the extent to which inputs used in 
measuring fair value are observable in the market. We categorize each of our fair value measurements in one 
of these three levels based on the lowest level input that is significant to the fair value measurement in its 
entirety. These levels are:  

Level 1:  Quoted prices in active markets for identical assets or liabilities; 

Level 2:  Quoted prices for similar instruments in active markets; quoted prices for identical 
or similar instruments in markets that are not active; and model-based valuation techniques in 
which all significant assumptions are observable in the market or can be corroborated by 
observable market data for substantially the full term of the assets or liabilities; and 

Level 3:  Unobservable inputs that are supported by little or no market activity and typically 
reflect management’s estimates of assumptions that market participants would use in pricing 
the asset or liability.  

Assets and Liabilities Measured at Fair Value on a Recurring Basis  

The following tables present our assets and liabilities measured at fair value on a recurring basis at 

December 31, 2010 and 2009:  

57 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(In 000s) 
December 31, 2010 
Assets: 

Foreign currency exchange contracts

Liabilities: 

Foreign currency exchange contracts
Interest rate swap agreements 
Contingent consideration liability 

(In 000s) 
December 31, 2009 
Assets: 

Interest rate swap agreements 

Liabilities: 

Foreign currency exchange contracts
Interest rate swap agreements 
Contingent consideration liability 

$

$

$

$

Level 2

Level 3

Gross Fair 
Value 

Netting (1)    

Net Fair 
Value   

136 $

245 $

7,058
—

— $

136 $

(116)  $

20 

— $
—
—

245 $

7,058
—

(116)  $
—
—

129
7,058 
— 

Level 2

Level 3

Gross Fair 
Value 

Netting (1)    

Net Fair 
Value   

88 $

— $

88 $

—  $

88 

7,178

12 $

— $
—
— 3,043

12 $

7,178
3,043

—  $
—
—

12
7,178 
3,043 

(1) This column reflects the impact of netting derivative assets and liabilities by counterparty when a legally 
enforceable master netting agreement exists.   

The fair values of forward foreign currency exchange contracts are valued using broker quotations of 

similar assets or liabilities in active markets.  The fair values of interest rate swap agreements are primarily 
determined based on the present value of future cash flows using internal models and third-party pricing 
services with observable inputs, including interest rates, yield curves and applicable credit spreads.   

The contingent consideration liability represents the fair value of a multi-year earn-out arrangement in 

connection with a business combination entered into during the fourth quarter of 2009.  The fair value was 
determined using a discounted cash flow model based on management’s estimate of future cash flows.  During 
fiscal 2010, we revised our estimate of future cash flows, resulting in a write-off of $3.0 million in the fair 
value of the contingent consideration liability, which was recorded to other income.  The change in the 
contingent consideration liability during the year ended December 31, 2010 was as follows: 

(In $000s) 
Balance, January 1, 2010 
Adjustment to liability 
Balance, December 31, 2010 

Contingent 
Consideration 
Liability   

$

$

3,043 
3,043 
— 

Assets and Liabilities Measured at Fair Value on a Non-Recurring Basis  

We measure certain assets at fair value on a nonrecurring basis in the fourth quarter of our fiscal year, 

including the following: 

(cid:120) 
(cid:120) 

reporting units measured at fair value in the first step of a goodwill impairment test; and 
indefinite-lived intangible assets measured at fair value for impairment assessment.   

58 

 
   
 
 
 
   
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Each of the assets above is classified as Level 3 within the fair value hierarchy.  Based on their estimated fair 
values, we did not record any impairment losses during the three months ended December 31, 2010 or 2009.   

We estimate the fair value of each reporting unit using a discounted cash flow model and reconcile the 
aggregate fair value of our reporting units to our consolidated market capitalization.  The discounted cash flow 
model requires significant judgments, including management’s estimate of future cash flows, which is 
dependent on internal forecasts, estimation of the long-term growth rate for our business, the useful life over 
which cash flows will occur, and determination of our weighted average cost of capital.  Changes in these 
estimates and assumptions could materially affect the estimate of fair value and goodwill impairment for each 
reporting unit.   

We estimate the fair value of indefinite-lived intangible assets, which consist of trade names, using a 
present value technique, which requires management’s estimate of future revenues attributable to these trade 
names, estimation of the long-term growth rate for these revenues, and determination of our weighted average 
cost of capital.  Changes in these estimates and assumptions could materially affect the estimate of fair value 
for the trade names.  

Fair Value of Other Financial Instruments  

In addition to foreign currency exchange contracts and interest rate swap agreements, the estimated fair 

values of which are disclosed above, the estimated fair value of each class of financial instruments at 
December 31, 2010 was as follows: 

(cid:120)(cid:3) Cash and cash equivalents – The carrying amount of $1.1 million approximates fair value because 

of the short maturity of those instruments (less than three months). 

(cid:120)(cid:3) Long-term debt –The estimated fair value of outstanding borrowings under our credit agreement is 
based on the average of the prices set by the issuing bank given current market conditions and is 
not necessarily indicative of the amount we could realize in a current market exchange. The 
estimated fair value and carrying amount of outstanding borrowings under the Fourth Amended 
Credit Agreement at December 31, 2010 are $223.4 million and $241.3 million, respectively.  

8. 

Long-Term Debt 

On March 30, 2010, we entered into the Fourth Amended and Restated Credit Agreement (the “Fourth 

Amended Credit Agreement”).  The Fourth Amended Credit Agreement provides us with a $55.0 million 
revolving credit facility from March 30, 2010 to December 1, 2011 (the “2011 Revolving Credit Facility”) and 
a $345.0 million revolving credit facility from March 30, 2010 to December 1, 2013 (the “2013 Revolving 
Credit Facility”), including a swingline sub facility of $20.0 million and a $75.0 million sub facility for letters 
of credit.  The Fourth Amended Credit Agreement also provides a continuation of the term loan facility 
provided pursuant to the Third Amended and Restated Credit Agreement, of which $192.0 million remained 
outstanding on December 31, 2010, and an uncommitted incremental accordion facility of $200.0 million.   

Revolving advances under the Fourth Amended Credit Agreement are drawn first under the 2013 

Revolving Credit Facility, with any advances in excess of $345.0 million being drawn under the 2011 
Revolving Credit Facility. Revolving advances under the 2013 Revolving Credit Facility generally bear 
interest, at our option, at 1) LIBOR plus a spread of 1.875% to 2.750% or 2) the greater of the federal funds 
rate plus 0.5%, or the prime rate, plus a spread of 0.375% to 1.250%.   Revolving advances under the 2011 
Revolving Credit Facility generally bear interest, at our option, at 1) LIBOR plus a spread of 0.875% to 
1.750% or 2) the greater of the federal funds rate plus 0.5%, or the prime rate, plus a spread of 0.000% to 
0.250%.  Term loan borrowings bear interest, at our option, at 1) LIBOR plus 1.50% or 2) the greater of the 
federal funds rate plus 0.5%, or the prime rate.  See Note 6 for a description of our interest rate swap 

59 

 
 
 
 
  
  
 
 
  
agreements.  The Fourth Amended Credit Agreement also provides for a fee ranging between 0.150% and 
0.300% of the unused commitments under the 2011 Revolving Credit Facility and 0.275% and 0.425% of the 
unused commitments under the 2013 Revolving Credit Facility.  The Fourth Amended Credit Agreement is 
secured by guarantees from most of the Company’s domestic subsidiaries and by security interests in 
substantially all of the Company’s and such subsidiaries’ assets. 

We are required to repay outstanding revolving loans on the applicable commitment termination date, 

which is December 1, 2011 for the 2011 Revolving Credit Facility and December 1, 2013 for the 2013 
Revolving Credit Facility. We are required to repay term loans in quarterly principal installments aggregating 
$0.5 million each, which commenced on March 31, 2007.  The entire unpaid principal balance of the term 
loans is due and payable at maturity on December 1, 2013.  

The following table summarizes the minimum annual principal payments and repayments of the 
revolving advances under the Fourth Amended Credit Agreement for each of the next five years and thereafter: 

(In $000s) 

Year ending December 31, 
2011 
2012 
2013 
2014 
2015 
2016 and thereafter 
    Total  

$

2,000 
2,000 
237,300 
— 
— 
— 
$ 241,300 

The Fourth Amended Credit Agreement contains various financial covenants, which require us to 

maintain, as defined, ratios or levels of 1) total funded debt to EBITDA, 2) fixed charge coverage, and 3) net 
worth.  The Fourth Amended Credit Agreement also restricts the payment of dividends and limits the amount 
of repurchases of the Company’s common stock.  As of December 31, 2010, we were in compliance with all of 
the covenant requirements of the Fourth Amended Credit Agreement. 

As described in Note 6 above, as of December 31, 2010, we are a party to interest rate swap 
agreements for which we receive a variable rate of interest based on LIBOR and for which we pay a fixed rate 
of interest. 

9. 

Other Long-Term Liabilities 

We have a non-qualified deferred compensation plan under which certain employeees may defer a 

portion of their salaries and receive a Company matching contribution plus a contribution based on our 
performance.  Company contributions vest at 25% per year.  We do not fund the plan and carry it as an 
unsecured obligation.  Participants in the plan elect payout dates for their account balances, which can be no 
earlier than four years from the period of the deferral.   

As of December 31, 2010 and 2009, other long-term liabilities included vested amounts under the non-
qualified deferred compensation plan of $8.7 and $7.8 million, respectively, net of the current portions of $1.6 
and $2.7 million, respectively.  For the next five years ended December 31, we must make estimated plan 
payments of $1.6 million, $1.2 million, $1.1 million, $0.8 million, and $0.2 million, respectively. 

In addition, under our stock incentive plan, we issue performance cash awards to certain  employees 
based on pre-established performance metrics. Based on achievement of the performance metrics, the awards 
vest on the third anniversary of the grant date and are paid shortly thereafter.  

60 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
As of December 31, 2010 and 2009, other long-term liabilities included accrued performance cash 

amounts of $7.9 and $2.9 million, respectively, net of the current portions of $1.6 million and $0, respectively.  
For the next five years ended December 31, we must make estimated plan payments of $1.6 million, $5.0 
million, $2.9 million, $0 and $0, respectively. 

10.  

Restructuring and Related Charges and Impairment Loss 

In November 2010, we began a restructuring of the Company primarily focused on aligning resources 
with current and emerging markets and consolidating operating capacity, which was largely completed by the 
end of fiscal 2010.  Through December 31, 2010, we had incurred cumulative net cash and non-cash charges 
of approximately $10.3 million, which primarily consisted of one-time termination benefits and costs 
associated with both domestic and international capacity consolidation.  For the year ended December 31, 
2010, these charges were presented as a separate line item in the consolidated statement of operations.  We do 
not expect to incur significant additional costs or adjustments related to this restructuring. 

The change in accrued restructuring and related charges related to the November 2010 restructuring 

activities described above during the year ended December 31, 2010 was as follows: 

(In 000s) 

Accrued restructuring and related charges at January 1, 2010 
Additions 
Payments 
Accrued restructuring and related charges at December 31, 2010 

$

$

—
8,507 
(900)   
7,607

The table above excludes non-cash charges of approximately $1.8 million, which primarily consisted 

of share-based compensation costs.  

In 2008, we began a restructuring of the Company primarily focused on streamlining management and 

better positioning the Company to deliver fully integrated solutions, which was largely completed by the end 
of calendar 2008.  For the four months ended December 31, 2008, these charges were presented as a separate 
line item in the consolidated statement of operations.   

In December 2008, we decided to discontinue offering one of our products as a standalone program. 

As a result of this decision, we did not renew the expiring trade name associated with this product and 
recorded an impairment loss of $4.3 million in December 2008 to write off this intangible asset. 

11.  

Legal Settlement and Related Costs 

In March 2009, our Board of Directors approved a settlement of a qui tam lawsuit filed in 1994 on 

behalf of the United States government related to the Company’s former Diabetes Treatment Center of 
America business.  As a result of the settlement, which was effective as of April 1, 2009, we incurred a charge 
of approximately $40 million, including a $28 million payment to the United States government and payment 
of approximately $12 million for other costs and fees related to the settlement, including the estimated legal 
costs and expenses of the plaintiff’s attorneys.  

12. 

Commitments and Contingencies  

Securities Class Action Litigation 

Beginning on June 5, 2008, Healthways and certain of its present and former officers and/or directors 

were named as defendants in two putative securities class actions filed in the U.S. District Court for the Middle 

61 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
District of Tennessee, Nashville Division. On August 8, 2008, the court ordered the consolidation of the two 
related cases, appointed lead plaintiff and lead plaintiff’s counsel, and granted lead plaintiff leave to file a 
consolidated amended complaint.  

The amended complaint, filed on September 22, 2008, alleged that the Company and the individual 

defendants violated Sections 10(b) of the Securities Exchange Act of 1934 (the “Act”) and that the individual 
defendants violated Section 20(a) of the Act as “control persons” of Healthways.  The amended complaint 
further alleged that certain of the individual defendants also violated Section 20A of the Act based on their 
stock sales.  The plaintiff purports to bring these claims for unspecified monetary damages on behalf of a class 
of investors who purchased Healthways stock between July 5, 2007 and August 25, 2008.  

In support of these claims, the lead plaintiff alleged generally that, during the proposed class period, 

the Company made misleading statements and omitted material information regarding (1) the purported loss or 
restructuring of certain contracts with customers, (2) the Company’s participation in the Medicare Health 
Support (“MHS”) pilot program for the Centers for Medicare & Medicaid Services, and (3) the Company’s 
guidance for fiscal year 2008.  The defendants filed a motion to dismiss the amended complaint on November 
13, 2008.  On March 9, 2009, the Court denied the defendants’ motion to dismiss.  On April 27, 2010, the 
parties reached an agreement in principle to settle this matter for $23.6 million.  The District Court gave final 
approval to the settlement by an order entered on September 24, 2010.  As a result of the Company’s insurance 
coverage, this settlement did not result in any charge to the Company.   

Shareholder Derivative Lawsuits  

On June 27, 2008 and July 24, 2008, respectively, two shareholders filed putative derivative actions 

purportedly on behalf of Healthways in the Chancery Court for the State of Tennessee, Twentieth Judicial 
District, Davidson County, against certain directors and officers of the Company.  These actions are based 
upon substantially the same facts alleged in the securities class action litigation described above.  The 
plaintiffs are seeking to recover damages in an unspecified amount and equitable and/or injunctive relief.  

On August 13, 2008, the Court consolidated these two lawsuits and appointed lead counsel.  On 

October 3, 2008, the Court ordered that the consolidated action be stayed until the motion to dismiss in the 
securities class action had been resolved by the District Court.  By stipulation of the parties, the plaintiffs filed 
their consolidated complaint on May 9, 2009.  On June 19, 2009, the defendants filed a motion to dismiss the 
consolidated complaint.  The Court granted the defendants’ motion to dismiss on October 14, 2009.  The 
plaintiffs filed a notice of appeal on November 12, 2009.  The Tennessee Court of Appeals heard argument on 
the appeal on October 13, 2010 and affirmed the trial court’s dismissal on March 14, 2011. 

ERISA Lawsuits  

On July 31, 2008, a purported class action alleging violations of the Employee Retirement Income 
Security Act (“ERISA”) was filed in the U.S. District Court for the Middle District of Tennessee, Nashville 
Division against Healthways, Inc. and certain of its directors and officers alleging breaches of fiduciary duties 
to participants in the Company’s 401(k) plan.  The central allegation is that Company stock was an imprudent 
investment option for the 401(k) plan.  

An amended complaint was filed on September 29, 2008, naming as defendants the Company, the 

Board of Directors, certain officers, and members of the Investment Committee charged with administering the 
401(k) plan.  The amended complaint alleged that the defendants violated ERISA by failing to remove the 
Company stock fund from the 401(k) plan when it allegedly became an imprudent investment, by failing to 
disclose adequately the risks and results of the MHS pilot program to 401(k) plan participants, and by failing 
to seek independent advice as to whether to continue to permit the plan to hold Company stock.  It further 
alleged that the Company and its directors should have been more closely monitoring the Investment 

62 

 
 
 
 
 
 
 
 
Committee and other plan fiduciaries.  The amended complaint sought damages in an undisclosed amount and 
other equitable relief.  The defendants filed a motion to dismiss on October 29, 2008.   On January 28, 2009, 
the Court granted the defendants’ motion to dismiss the plaintiff’s claims for breach of the duty to disclose 
with regard to any non-public information and information beyond the specific disclosure requirements of 
ERISA and denied Defendants’ motion to dismiss as to the remainder of the plaintiff’s claims.  A period of 
discovery ensued. 

 On May 12, 2009, the plaintiff filed a motion for class certification.  After the plaintiff failed, without 

explanation, to appear for his scheduled deposition, the Court issued an Order on July 10, 2009 warning the 
plaintiff that his failure to participate in the lawsuit could result in sanctions, including but not limited to 
dismissal.  After the plaintiff’s failure to participate continued, on July 23, 2009, the defendants filed a motion 
to dismiss for failure to prosecute the action.  On August 6, 2009, the parties filed a stipulation of dismissal 
with prejudice as to the named plaintiff but otherwise without prejudice, and the Court entered an Order to that 
effect on the same date.   

On February 1, 2010, a new named plaintiff filed another putative class action complaint in the United 

States District Court for the Middle District of Tennessee, Nashville Division, alleging ERISA violations in 
the administration of the Company’s 401(k) plan.  The new complaint is identical to the original complaint, 
including the allegations and the requests for relief.  Defendants’ answer to this complaint was filed on March 
22, 2010.  A scheduling order was entered on April 1, 2010, and discovery commenced thereafter.  On April 
30, 2010, Plaintiff filed a motion for class certification.  On June 23, 2010, the parties reached an agreement in 
principle to settle this matter for $1.3 million, with such settlement being funded by the Company’s fiduciary 
liability insurance carrier.  The District Court gave preliminary approval of the settlement on December 1, 
2010.  As a result of the Company’s insurance coverage, this settlement is not expected to result in any charge 
to the Company.   

Contract Dispute 

We currently are involved in a contractual dispute with Blue Cross Blue Shield of Minnesota 
regarding fees paid to us as part of a former contractual relationship.  In 2010, we received a notice of 
arbitration under the terms of our agreement alleging a violation of certain contract provisions.  An arbitration 
hearing has been scheduled for July 11, 2011.  We believe we performed our services in compliance with the 
terms of our agreement and that the assertions made in the arbitration notice are without merit.  We are not 
able to reasonably estimate a range of potential losses. 

Outlook 

We are also subject to other contractual disputes, claims and legal proceedings that arise from time to 
time in the ordinary course of our business.  While we are unable to estimate a range of potential losses, we do 
not believe that any of the legal proceedings pending against us as of the date of this report will have a 
material adverse effect on our liquidity or financial condition; however, we may settle disputes, claims, sustain 
judgments or incur expenses relating to these matters in a particular fiscal quarter which may adversely affect 
our results of operations.  As these matters are subject to inherent uncertainties, our view of these matters may 
change in the future. 

Contractual Commitment 

In January 2008, we entered into a perpetual license agreement and 25-year strategic relationship 
agreement.  We have remaining contractual cash obligations of $30.0 million related to these agreements, 
$10.0 million of which will occur ratably during the next two years, and the remaining $20.0 million of which 
will occur ratably over the following 20 years. 

63 

 
 
 
 
 
 
 
 
 
 
 
13. 

Leases 

We maintain operating lease agreements principally for our corporate office space, our call centers, 

and our operations support and training offices.  We lease approximately 264,000 square feet of office space in 
Franklin, Tennessee, which contains our corporate headquarters and one of our call centers.  This lease 
commenced in March 2008 and expires in February 2023.  We also lease office space for our 12 other call 
center locations for an aggregate of approximately 300,000 square feet of space with lease terms expiring on 
various dates from 2011 to 2016.  Our operations support and training offices contain approximately 130,000 
square feet in aggregate and have lease terms expiring from 2011 to 2016. 

Our corporate office lease agreement contains escalation clauses and provides for two renewal options 

of five years each at then prevailing market rates.  The base rent for the initial 15-year term ranges from $4.2 
million to $6.3 million per year over the term of the lease.  The landlord provided a tenant improvement 
allowance equal to approximately $10.3 million.  We record leasehold improvement incentives as deferred rent 
and amortize them as reductions to rent expense over the lease term.   

Most of our operating leases include escalation clauses, some of which are fixed amounts, and some of 
which reflect changes in price indices.  We recognize rent expense on a straight-line basis over the lease term.  
Certain operating leases contain renewal options to extend the lease for additional periods.  For the years 
ended December 31, 2010 and 2009, four months ended December 31, 2008, and year ended August 31, 2008, 
rent expense under lease agreements was approximately $14.2 million, $14.5 million, $5.0 million, and $16.9 
million, respectively.  Our capital lease obligations, which primarily include computer equipment leases, are 
included in long-term debt and the current portion of long-term debt. 

The following table summarizes our future minimum lease payments, net of total sublease income of 

$1.9 million, under all capital leases and non-cancelable operating leases for each of the next five years: 

(In $000s) 

Year ending December 31, 
2011 
2012 
2013 
2014 
2015 
2016 and thereafter 
Total minimum lease payments 
Less amount representing interest 
Present value of minimum lease payments 
Less current portion 

  Operating   

Leases 

$

14,435 
13,049 
11,578 
10,339 
9,429 
48,289 
$ 107,119 

Capital 

Leases 

1,580
1,580
1,580
1,185
—
—
5,925
(631) 
5,294
(1,290) 
4,004

$

$

14.        Share-Based Compensation 

We have several shareholder-approved stock incentive plans for employees and directors.  We 
currently have three types of share-based awards outstanding under these plans: stock options, restricted stock 
units, and restricted stock.  We believe that such awards align the interests of our employees and directors with 
those of our stockholders.    

We grant options under these plans at market value on the date of grant.  The options generally vest 

over or at the end of four years based on service conditions and expire seven or ten years from the date of 

64 

 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
grant.  Restricted share awards generally vest over or at the end of four years.  We recognize share-based 
compensation expense on a straight-line basis over the vesting period.  Certain option and restricted share 
awards generally provide for accelerated vesting upon a change in control or normal or early retirement (as 
defined in the plans).  At December 31, 2010, we have reserved approximately 0.9 million shares for future 
equity grants under our stock incentive plans. 

On December 30, 2008, we completed an offer to purchase from our employees, excluding the chief 

executive officer and Board of Directors, outstanding options to acquire shares of common stock of the 
Company that were granted between September 1, 2004 and August 15, 2008 under our shareholder-approved 
stock option plans (the “Tender Offer”). We purchased stock options representing the right to acquire 1.1 
million shares of the Company’s common stock in exchange for $0.7 million in cash. We also recognized  
$11.5 million of additional stock-based compensation expense in December 2008, which represented the 
remaining compensation cost for these options as measured at the grant date but not yet recognized prior to the 
completion of the Tender Offer on December 30, 2008. 

Following are certain amounts recognized in the statement of operations for share-based compensation 

arrangements for the years ended December 31, 2010 and 2009, four months ended December 31, 2008, and 
year ended August 31, 2008.  We did not capitalize any share-based compensation costs during these periods.     

Year Ended 

Four Months 
Ended 

  December 31,  December 31,   December 31,  

  Year Ended   
August 31,   

(In millions)  
Total share-based compensation 
Share-based compensation included in cost of services  
Share-based compensation included in selling, general 

$

and administrative expenses 

Share-based compensation included in restructuring 

and related charges 

Total income tax benefit recognized 

2010 

2009 

2008 

2008 

11.5  $
5.0

10.2   $ 
4.4 

14.9 (1) $
10.0 

5.0

1.5
4.5

5.8 

— 
4.0 

6.5 

(1.6) 
5.9 

16.5  
8.0 

8.5 

— 
6.5 

(1) Includes $11.5 million of additional expense related to the Tender Offer described above. 

As of December 31, 2010, there was $25.8 million of total unrecognized compensation cost related to 

nonvested share-based compensation arrangements granted under the stock incentive plans.  That cost is 
expected to be recognized over a weighted average period of 2.9 years.   

Stock Options 

We use a lattice-based binomial option valuation model (“lattice binomial model”) to estimate the fair 

values of stock options.  We base expected volatility on historical volatility due to the low volume of traded 
options on our stock.  The expected term of options granted is derived from the output of the lattice binomial 
model and represents the period of time that options granted are expected to be outstanding.  We used 
historical data to estimate expected option exercise and post-vesting employment termination behavior within 
the lattice binomial model.     

The following table shows the weighted average grant-date fair values of options and the weighted 

average assumptions we used to develop the fair value estimates under each of the option valuation models for 
the years ended December 31, 2010 and 2009, four months ended December 31, 2008, and year ended August 
31, 2008: 

65 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Weighted average grant-date fair value of options 

$

7.22 

$

6.72 

 $ 

4.97 

$ 

22.16 

Year Ended  
December 31, 

Four Months 
Ended 
December 31,  

Year Ended 
August 31, 

2010 

2009 

2008 

2008 

Assumptions: 

Expected volatility 
Expected dividends 
Expected term (in years) 
Risk-free rate 

51.9% 
— 
5.5 
3.2% 

51.6%     

— 
6.1 
2.5%     

46.5% 
— 
5.1 
3.6% 

37.8% 
— 
6.6 
4.2% 

A summary of option activity as of December 31, 2010 and the changes during the year then ended is 
presented below: 

Options 

Outstanding at January 1, 2010 
Granted 
Exercised 
Forfeited or expired 
Outstanding at December 31, 2010 

Exercisable at December 31, 2010 

Shares 
(000s) 

4,936
1,848
(223)
(353)
6,208

3,569

Weighted  
Average 
Exercise  
Price 

Weighted 
Average  
Remaining  
Contractual 
 Term 

Aggregate 
Intrinsic Value 
($000s) 

$

18.46
12.53
4.96
19.46
17.12

19.45

5.5 

3.2 

  $

  $

3,619

2,281

The total intrinsic value, which represents the difference between the underlying stock’s market price 

and the option’s exercise price, of options exercised during the years ended December 31, 2010 and 2009, four 
months ended December 31, 2008, and year ended August 31, 2008 was $1.9 million, $1.0 million, $0.2 
million, and $27.5 million, respectively.  

Cash received from option exercises under all share-based payment arrangements during fiscal 2010 

was $1.1 million.  The actual tax benefit realized during fiscal 2010 for the tax deductions from option 
exercises totaled $0.8 million.  We issue new shares of common stock upon exercise of stock options. 

Restricted Stock and Restricted Stock Units 

The fair value of restricted stock and restricted stock units (“nonvested shares”) is determined based 
on the closing bid price of the Company’s common stock on the grant date.  The weighted average grant-date 
fair value of nonvested shares granted during the years ended December 31, 2010 and 2009, four months 
ended December 31, 2008, and year ended August 31, 2008 was $11.32, $11.10, $9.20, and $43.17, 
respectively.   

The following table shows a summary of our nonvested shares as of December 31, 2010 as well as 
activity during the year then ended.  The total grant-date fair value of shares vested during the years ended 
December 31, 2010 and 2009, four months ended December 31, 2008, and year ended August 31, 2008 was 
$10.0 million, $3.9 million, $1.5 million, and $0.8 million, respectively.   

66 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Nonvested Shares 

Nonvested at January 1, 2010 
Granted 
Vested 
Forfeited 
Nonvested at December 31, 2010 

Shares (000s)   
1,015 
629 
(414) 
(77) 
1,153 

Weighted 
Average Grant 
Date Fair Value   
22.21 
$
11.32 
24.18 
25.86 
15.29 

$

15. 

Sale of Investment 

In January 2009, a private company in which we held preferred stock (recorded in “other assets”) was 
acquired by a third party.  As part of this sale, we received two payments totaling $11.6 million in January and 
February 2009 and recorded a gain of $2.6 million during the first quarter of 2009.  During the second quarter 
of 2010, we recognized a gain of $1.2 million related to the receipt of a final escrow payment.   

16.   

Share Repurchases 

Repurchases of Common Stock 

The following table contains information for shares of our Common Stock that we repurchased during 

the fourth quarter of 2010: 

Total 
Number of 
Shares 
Purchased     

Average Price 
Paid  per 
Share 

Total Number of Shares 
Purchased as Part of 
Publicly Announced Plans 
or Programs (1) 

Period 

Maximum Approximate 
Dollar Value of Shares that 
May Yet Be Purchased 
Under the Plans or 
Programs (1) 

October 1 through 31 
November 1 through 30    
December 1 through 31    

10,000   
182,200  
237,454  

$10.34  
$10.64  
$10.33  

 10,000  
192,200  
429,654  

$59,896,600
$57,957,992
$55,505,092

Total 

429,654  

(1)  All share repurchases between October 1, 2010 and December 31, 2010 were made pursuant to a share 
repurchase program authorized by the Company’s Board of Directors and publicly announced on October 21, 
2010, which allows for the repurchase of up to $60 million of our common stock from time to time in the open 
market or in privately negotiated transactions through October 19, 2012. 

17. 

Comprehensive Income 

Comprehensive income (loss), net of income taxes, was $48.0 million, $11.2 million, ($2.8) million, 
and $53.5 million, for the years ended December 31, 2010 and 2009, four months ended December 31, 2008, 
and year ended August 31, 2008, respectively.   

67 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
  
 
 
 
  
 
 
 
 
 
  
  
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
18. 

Earnings Per Share 

The following is a reconciliation of the numerator and denominator of basic and diluted earnings per 
share for the years ended December 31, 2010 and 2009, the four months ended December 31, 2008, and year 
ended August 31, 2008: 

(In 000s except per share data)

Year Ended December 31, 

  Four Months 
Ended 
December 31,

Year Ended 
August 31, 

Numerator: 
Net income - numerator for basic earnings per share 

2010 

2009 

2008

$

47,330 $

10,374 $

734  $

2008
54,815

Denominator: 

Shares used for basic earnings per share 
Effect of dilutive stock options and restricted stock units 

outstanding: 

Non-qualified stock options 
Restricted stock units 

Shares used for diluted earnings per share 

Earnings per share: 

Basic 

Diluted 

34,129

33,730

33,616 

34,977

384
389
34,902

336
293
34,359

270 
152 
34,038 

1,477
143
36,597

$

$

1.39 $

1.36 $

0.31 $

0.30 $

0.02  $

0.02  $

1.57

1.50

Dilutive securities outstanding not included in the computation 
of earnings per share because their effect is antidilutive: 

        Non-qualified stock options 
        Restricted stock units 

3,863 
81 

3,521
186

2,820 
268 

1,547
111

68 

 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
19. 

Unaudited Financial Information 

Below are the unaudited statement of operations and statement of cash flows for the four months 

ended December 31, 2007: 

(In 000s except per share data)
Revenues 
Cost of services (exclusive of depreciation and 

amortization) 

Selling, general and administrative expenses 
Depreciation and amortization   

Operating income 
Interest expense 

Income before income taxes 
Income tax expense 

Net income 

Earnings per share: 

Basic 

Diluted 

$

$

$

$

Weighted average common shares and equivalents  

Basic 
Diluted 

Four Months Ended 
December 31, 2007 

234,277

163,750
21,741
13,682

35,104
7,118

27,986
11,506

16,480

0.46

0.44

35,770
37,739

69 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Four Months Ended  
December 31, 2007 

$

16,480 

13,682 
221 
389 
5,057 

(6,072) 
(12,084) 
1,513 
(2,429) 
1,848 
10,257 
(3,025) 
3,951 
303  
(111) 
29,980 

(25,045) 
(15) 
(25,060) 

(132) 

6,072
3,070 
(21,070) 
(12,060) 

(7,140) 

47,655 

40,515 

(In 000s) 

Cash flows from operating activities: 

Net income 
Adjustments to reconcile net income to net cash  
provided by operating activities, net of 
business acquisitions: 
Depreciation and amortization 
Loss on disposal of property and equipment 
Amortization of deferred loan costs 
Share-based employee compensation expense 
Excess tax benefits from share-based payment 
arrangements 
Increase in accounts receivable, net 
Decrease in other current assets 
Decrease in accounts payable 
Increase in accrued salaries and benefits 
Increase  in other current liabilities 
Deferred income taxes 
Other 
Decrease in other assets 
Payments on other long-term liabilities 
Net cash flows provided by operating activities 

Cash flows from investing activities: 

Acquisition of property and equipment 
Acquisitions, net of cash acquired 
Net cash flows used in investing activities 

Cash flows from financing activities: 
Repurchases of common stock 
Excess tax benefits from share-based payment 
arrangements 
Exercise of stock options 
Payments of long-term debt 
Net cash flows used in financing activities 

Net decrease in cash and cash equivalents 

Cash and cash equivalents, beginning of period 

Cash and cash equivalents, end of period 

$

70 

  
 
 
 
   
 
 
   
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
  
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
20. 

Stockholder Rights Plan 

On June 19, 2000, the Board of Directors adopted a stockholder rights plan under which holders of 
common stock as of June 30, 2000 received preferred stock purchase rights as a dividend at the rate of one 
right per share.  As amended in June 2004 and July 2006, each right initially entitles its holder to purchase one 
one-hundredth of a Series A preferred share at $175.00, subject to adjustment.  Upon becoming exercisable, 
each right will allow the holder (other than the person or group whose actions have triggered the exercisability 
of the rights), under alternative circumstances, to buy either securities of the Company or securities of the 
acquiring company (depending on the form of the transaction) having a value of twice the then current 
exercise price of the rights.   

With certain exceptions, each right will become exercisable only when a person or group acquires, or 
commences a tender or exchange offer for, 15% or more of our outstanding common stock.  Rights will also 
become exercisable in the event of certain mergers or asset sales involving more than 50% of our assets or 
earning power.  The rights will expire on June 15, 2014.  The Board of Directors of the Company reviews the 
plan at least once every three years to determine if the maintenance and continuance of the plan is still in the 
best interests of the Company and its stockholders.  

21. 

Employee Benefits 

We have a 401(k) Retirement Savings Plan (the “Plan”) available to substantially all of our employees.  

Employees can contribute up to a certain percentage of their base compensation as defined in the Plan.  The 
Company matching contributions are subject to vesting requirements.  Company contributions under the Plan 
totaled $3.6 million, $3.9 million, $1.3 million, and $4.3 million for the years ended December 31, 2010 and 
2009, four months ended December 31, 2008, and year ended August 31, 2008, respectively. 

22. 

Segment Disclosures 

We have aggregated our operating segments into one reportable segment, well-being improvement 

services.  Our integrated well-being improvement product line includes programs for various diseases, 
conditions, and wellness programs.  It is impracticable for us to report revenues by program.  Further, we 
report revenues from our external customers on a consolidated basis since well-being improvement is the only 
service that we provide. 

During fiscal 2010 and 2009 as well as the four months ended December 31, 2008, we derived 

approximately 19% of our revenues from one customer, with no other customer comprising 10% or more of 
our revenues.  In fiscal 2008, two customers each comprised 10% or more of our revenues.  Revenues from 
each of these customers individually totaled approximately 20% and 10%, respectively, of fiscal 2008 
revenues.   

71 

 
 
 
 
 
 
 
 
 
23. 

Quarterly Financial Information (unaudited) 

(In thousands, except per share data) 

Twelve Months Ended 
December 31, 2010 

Revenues 
Gross margin  
Income before income taxes  
Net income  

First 

Second 
(1) 

Third 

Fourth 
(2) 

  $ 178,999 
39,898 
  $
15,920 
  $
9,414 
  $

  $ 175,523 
43,610 
  $
19,045 
  $
11,838 
  $

  $ 170,487 
41,492 
  $
17,122 
  $
10,524 
  $

   $  195,324 
   $  62,417 
   $  25,687 
   $  15,554 

Basic earnings per share (3) 
Diluted earnings per share (3) 

  $
  $

0.28 
0.27 

  $
  $

0.35 
0.34 

  $
  $

0.31 
0.30 

   $ 
   $ 

0.45 
0.45 

Twelve Months Ended 
December 31, 2009 

First 
(4) 

Second 

Third 

Fourth 

Revenues 
Gross margin  
Income (loss) before income taxes  
Net income (loss) 

  $ 182,736 
41,112 
  $
  $ (22,572) 
  $ (14,813) 

  $ 177,836 
41,534 
  $
15,534 
  $
8,876 
  $

  $ 181,642 
40,627 
  $
15,484 
  $
8,802 
  $

   $  175,212 
   $  35,720 
   $  12,065 
7,509 
   $ 

Basic earnings (loss) per share (3) 
Diluted earnings (loss) per share (3) 

  $
  $

  $
(0.44) 
(0.44)(5)    $

0.26 
0.26 

  $
  $

0.26 
0.26 

   $ 
   $ 

0.22 
0.22 

(1)  Includes revenues related to an adjustment to a multi-year earn-out arrangement in connection with a 
business combination entered into during the fourth quarter of 2009 of $1.5 million and an investment 
gain of $1.2 million. 

(2)  Includes revenues related to an adjustment to a multi-year earn-out arrangement in connection with a 
business combination entered into during the fourth quarter of 2009 of $1.5 million, restructuring 
charges of $10.3 million (which were presented as a separate line item in the consolidated statement of 
operations), and revenues of $22.3 million and expenses of $1.0 million attributable to a settlement 
with CMS. 

(3)  We calculated earnings per share for each of the quarters based on the weighted average number of 

shares and dilutive options outstanding for each period.  Accordingly, the sum of the quarters may not 
necessarily be equal to the full year income per share. 

(4)  Includes a legal settlement of approximately $40.0 million (which was presented as a separate line 

item in the consolidated statement of operations). 

(5)  The assumed exercise of stock-based compensation awards for this period was not considered because 

the impact would have been anti-dilutive. 

72 

 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
  
  
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
  
 
 
Report of Independent Registered Public Accounting Firm 

The Board of Directors and Stockholders of Healthways, Inc.  

We have audited Healthways, Inc.’s internal control over financial reporting as of December 31, 2010, based 
on  criteria  established  in  Internal  Control—Integrated  Framework  issued  by  the  Committee  of  Sponsoring 
Organizations  of  the  Treadway  Commission  (the  COSO  criteria).    Healthways,  Inc.’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 Annual 
Report  on  Internal  Control  over  Financial  Reporting.  Our  responsibility  is  to  express  an  opinion  on  the 
company’s internal control over financial reporting based on our audit.  

We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board 
(United  States).  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. 

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. 

In our opinion, Healthways, Inc. maintained, in all material respects, effective internal control over financial 
reporting as of December 31, 2010, based on the COSO criteria. 

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board 
(United States), the consolidated balance sheets of Healthways, Inc. as of December 31, 2010 and 2009, and 
the related consolidated statements of operations, stockholders’ equity, and cash flows for the years ended 
December 31, 2010 and 2009, the four months ended December 31, 2008, and the year ended August 31, 2008 
of Healthways, Inc. and our report dated March 15, 2011 expressed an unqualified opinion thereon. 

/s/ Ernst & Young LLP   

Nashville, Tennessee 
March 15, 2011 

73 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 9.  Changes in and Disagreements with Accountants on Accounting and Financial Disclosure 

  Not applicable.  

Item 9A.  Controls and Procedures 

Management’s Annual Report on Internal Control over Financial Reporting 

Management, including the principal executive officer and principal financial officer, is responsible 

for establishing and maintaining adequate internal control over financial reporting. Internal control over 
financial reporting (as defined in Rule 13a-15(f) under the Securities Exchange Act of 1934) 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.   

          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 and procedures may deteriorate.  

          Management has performed an assessment of the effectiveness of the Company’s internal control over 
financial reporting as of December 31, 2010 based on criteria established by the Committee of Sponsoring 
Organizations of the Treadway Commission (“COSO”), Internal Controls - Integrated Framework, and 
believes that the COSO framework is a suitable framework for such an evaluation. Management has concluded 
that the Company’s internal control over financial reporting was effective as of December 31, 2010.  

          Ernst & Young LLP, the independent registered public accounting firm that audited the Company’s 
consolidated financial statements for the year ended December 31, 2010, has issued an attestation report on the 
Company’s internal control over financial reporting which is included in this Annual Report on Form 10-K. 

          Our chief executive officer and chief financial officer have reviewed and evaluated the effectiveness 
of our “disclosure controls and procedures” (as defined in Rule 13a-15(e) and 15d-15(e) promulgated under 
the Securities Exchange Act of 1934 (the “Exchange Act”)) as of December 31, 2010.  Based on that 
evaluation, the chief executive officer and chief financial officer have concluded that our disclosure controls 
and procedures are effective.  They are designed to ensure that information required to be disclosed in the 
reports that the Company files or submits under the Exchange Act is recorded, processed, summarized and 
reported within the time periods specified in the Commission’s rules and forms and to ensure that information 
required to be disclosed in the reports that the Company files or submits under the Exchange Act is 
accumulated and communicated to management, including our chief executive officer and chief financial 
officer, to allow timely decisions regarding required disclosure. 

          There have been no changes in our internal controls over financial reporting during the quarter ended 
December 31, 2010 that have materially affected, or are reasonably likely to materially affect, our internal 
control over financial reporting. 

74 

 
 
  
Item 9B.  Other Information 

Not applicable.  

Item 10.  Directors, Executive Officers and Corporate Governance 

PART III 

Information concerning our directors, audit committee, audit committee financial experts, code of 

ethics, and compliance with Section 16(a) of the Exchange Act will be included in our Proxy Statement for the 
Annual Meeting of Stockholders to be held May 26, 2011, to be filed with the Securities and Exchange 
Commission pursuant to Rule 14a-6(c), and is incorporated herein by reference. 

Pursuant to General Instruction G(3), information concerning our executive officers is included in Part 

I of this Annual Report on Form 10-K, under the caption “Executive Officers of the Registrant.” 

Item 11.  Executive Compensation 

Information required by this item will be contained in our Proxy Statement for the Annual Meeting of 

Stockholders to be held May 26, 2011, to be filed with the Securities and Exchange Commission pursuant to 
Rule 14a-6(c), and is incorporated herein by reference. 

Item 12.  Security Ownership of Certain Beneficial Owners and Management and Related Stockholder 
Matters 

Except as set forth below, information required by this item will be contained in our Proxy Statement 
for the Annual Meeting of Stockholders to be held May 26, 2011, to be filed with the Securities and Exchange 
Commission pursuant to Rule 14a-6(c), and is incorporated herein by reference. 

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

Information required by this item will be contained in our Proxy Statement for the Annual Meeting of 

Stockholders to be held May 26, 2011, to be filed with the Securities and Exchange Commission pursuant to 
Rule 14a-6(c), and is incorporated herein by reference. 

Item 14.  Principal Accounting Fees and Services 

Information required by this item will be contained in our Proxy Statement for the Annual Meeting of 

Stockholders to be held May 26, 2011, to be filed with the Securities and Exchange Commission pursuant to 
Rule 14a-6(c), and is incorporated herein by reference. 

Item 15.  Exhibits, Financial Statement Schedules 

PART IV 

(a) 

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

The financial statements filed as part of this report are included in Part II, Item 8 of this Annual Report 

1. 
on Form 10-K. 

We have omitted all Financial Statement Schedules because they are not required under the 

2. 
instructions to the applicable accounting regulations of the Securities and Exchange Commission or the 
information to be set forth therein is included in the financial statements or in the notes thereto. 

75 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
3. 

Exhibits 

2.1 

3.1 

3.2 

3.3 

Stock Purchase Agreement dated October 11, 2006 among Healthways, 
Inc., Axia Health Management, Inc., and Axia Health Management LLC 
[incorporated herein by reference to Exhibit 2.1 to the Company’s Current 
Report on Form 8-K dated December 1, 2006] 

Restated Certificate of Incorporation for Healthways, Inc., as amended 
[incorporated by reference to Exhibit 3.1 to Form 10-Q of the Company’s 
fiscal quarter ended February 29, 2008] 

Bylaws, as amended [incorporated by reference to Exhibit 3.1 to Form 10-
Q of the Company’s fiscal quarter ended February 29, 2004] 

  Amendment to bylaws, as amended [incorporated by reference to Exhibit 
3.1 to the Company’s Current Report on Form 8-K dated November 15, 
2007] 

3.4 

  Amendment No. 2 to bylaws, as amended [incorporated by reference to 

Exhibit 3.1 to the Company’s Current Report on Form 8-K dated 
September 3, 2008] 

4.1 

  Article IV of the Company's Restated Certificate of Incorporation 

(included in Exhibit 3.1) 

4.2 

4.3 

Rights Agreement, dated June 19, 2000, between American Healthways, 
Inc. and SunTrust Bank, including the Form of Rights Certificate (Exhibit 
A), the Form of Summary of Rights (Exhibit B) and the Form of 
Certificate of Amendment to the Restated Certificate of Incorporation of 
American Healthways, Inc. (Exhibit C) [incorporated herein by reference 
to Exhibit 4 to the Company’s Current Report on Form 8-K dated June 21, 
2000] 

  Amendment No. 1 to Rights Agreement, dated June 15, 2004, between 
American Healthways, Inc. and SunTrust Bank [incorporated herein by 
reference to Exhibit 4 to the Company’s Current Report on Form 8-K 
dated June 17, 2004] 

4.4 

  Amendment No. 2 to Rights Agreement, dated July 19, 2006, between 

Healthways, Inc. and SunTrust Bank [incorporated herein by reference to 
Exhibit 4.1 to the Company’s Current Report on Form 8-K dated July 19, 
2006] 

10.1 

Fourth Amended and Restated Revolving Credit and Term Loan 
Agreement (“Fourth Amended Credit Agreement”) between the Company 
and SunTrust Bank as Administrative Agent, U.S. Bank National 
Association and Regions Bank as Co-Documentation Agents, and 
JPMorgan Chase Bank, N.A., and Fifth Third Bank, N.A. as Co-
Syndication Agents dated March 30, 2010 [incorporated by reference to 
Exhibit 10.1 to Company’s Current Report on Form 8-K dated April 5, 
2010] 

76 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10.2 

  Office Lease by and between Healthways, Inc. and Highwoods/Tennessee 
Holdings, L.P., dated as of May 4, 2006 [incorporated by reference to 
Exhibit 10.1 to the Company’s Current Report on Form 8-K dated May 5, 
2006] 

Management Contracts and Compensatory Plans 

10.3 

10.4 

10.5 

10.6 

10.7 

10.8 

10.9 

10.10 

10.11 

10.12 

Employment Agreement dated December 19, 2008 between the Company 
and Ben R. Leedle, Jr. [incorporated by reference to Exhibit 10.1 to the 
Company’s Form 10-QT of the Company’s transition period ended 
December 31, 2008] 

Employment Agreement dated December 19, 2008 between the Company 
and Mary A. Chaput [incorporated by reference to Exhibit 10.2 to the 
Company’s Form 10-QT of the Company’s transition period ended 
December 31, 2008] 

Transition Employment Agreement dated December 31, 2010 between the 
Company and Mary A. Chaput [incorporated by reference to Exhibit 10.1 
to the Company’s Current Report on Form 8-K dated January 6, 2011] 

Employment Agreement dated December 19, 2008 between the Company 
and Anne Wilkins [incorporated by reference to Exhibit 10.1 to Form 10-
Q of the Company’s fiscal quarter ended March 31, 2010] 

Employment Agreement dated December 10, 2008 between the Company 
and Matthew Kelliher [incorporated by reference to Exhibit 10.4 to Form 
10-QT of the Company’s transition period ended December 31, 2008] 

Employment Agreement dated October 11, 2008 between the Company 
and Stefen F. Brueckner [incorporated by reference to Exhibit 10.1 to the 
Company’s Current Report on Form 8-K dated October 16, 2008] 

Employment Agreement dated December 31, 2010 between the Company 
and Alfred Lumsdaine [incorporated by reference to Exhibit 10.2 to the 
Company’s Current Report on Form 8-K dated January 6, 2011] 

Employment Agreement dated December 31, 2010 between the Company 
and Thomas Cox  

Employment Agreement dated March 8, 2011 between the Company and 
James W. Elrod  

Long-term performance award agreement dated September 28, 2006 
between the Company and Matthew E. Kelliher [incorporated by 
reference to Exhibit 10.2 to Form 10-Q of the Company’s fiscal quarter 
ended February 28, 2007] 

77 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10.13 

10.14 

10.15 

10.16 

10.17 

10.18 

10.19 

10.20 

10.21 

10.22 

10.23 

21 

23 

Long-term performance award agreement dated October 26, 2010 
between the Company and Matthew E. Kelliher [incorporated by 
reference to Exhibit 10.1 to Form 10-Q of the Company’s fiscal quarter 
ended September 30, 2010] 

Capital Accumulation Plan, as amended and restated [incorporated by 
reference to Exhibit 10.4 to Form 10-Q of the Company’s fiscal quarter 
ended June 30, 2010] 

Form of Indemnification Agreement by and among the Company and the 
Company's directors [incorporated by reference to Exhibit 10.15 to 
Registration Statement on Form S-1 (Registration No. 33-41119)] 

2007 Stock Incentive Plan, as amended [incorporated by reference to 
Exhibit 10.1 to Form 10-Q of the Company’s fiscal quarter ended June 30, 
2010] 

1996 Stock Incentive Plan, as amended  [incorporated by reference to 
Exhibit 10.20 to Form 10-K of the Company’s fiscal year ended August 
31, 2006] 

2001 Amended and Restated Stock Option Plan, as amended  
[incorporated by reference to Exhibit 10.21 to Form 10-K of the 
Company’s fiscal year ended August 31, 2006] 

Form of Non-Qualified Stock Option Agreement under the Company’s 
2007 Stock Incentive Plan [incorporated by reference to Exhibit 10.24 to 
Form 10-K of the Company’s fiscal year ended August 31, 2007] 

Form of Restricted Stock Unit Award Agreement under the Company’s 
2007 Stock Incentive Plan [incorporated by reference to Exhibit 10.25 to 
Form 10-K of the Company’s fiscal year ended August 31, 2007] 

Form of Non-Qualified Stock Option Agreement (for Directors) under the 
Company’s 2007 Stock Incentive Plan [incorporated by reference to 
Exhibit 10.2 to Form 10-Q of the Company’s fiscal quarter ended June 30, 
2010] 

Form of Restricted Stock Unit Award Agreement (for Directors) under the 
Company’s 2007 Stock Incentive Plan [incorporated by reference to 
Exhibit 10.3 to Form 10-Q of the Company’s fiscal quarter ended June 30, 
2010] 

2007 Stock Incentive Plan Performance Cash Award Agreement 
[incorporated by reference to Exhibit 10.1 to the Company’s Current 
Report on Form 8-K dated March 4, 2009] 

Subsidiary List 

Consent of Ernst & Young LLP 

78 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
31.1 

31.2 

32 

Certification pursuant to section 302 of the Sarbanes-Oxley Act of 2002 
made by Ben R. Leedle, Jr., Chief Executive Officer 

Certification pursuant to section 302 of the Sarbanes-Oxley Act of 2002 
made by Alfred Lumsdaine, Chief Financial Officer 

Certification Pursuant to 18 U.S.C section 1350 as adopted pursuant to 
Section 906 of the Sarbanes-Oxley Act of 2002 made by Ben R. Leedle, 
Jr., Chief Executive Officer and Alfred Lumsdaine, Chief Financial 
Officer 

(b) 

Exhibits 

Refer to Item 15(a)(3) above. 

(c) 

Not applicable 

79 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
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. 

SIGNATURES 

March 15, 2011 

HEALTHWAYS, INC 

By: /s/ Ben R. Leedle, Jr. 
            Ben R. Leedle, Jr. 
            Chief Executive Officer 

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed by the following persons 
on behalf of the Registrant and in the capacities and on the dates indicated.  

Signature 

Title 

/s/ Ben R. Leedle, Jr. 
    Ben R. Leedle, Jr. 

  Chief Executive Officer and Director (Principal 
  Executive Officer) 

Date 

 March 15, 2011 

Chief Financial Officer (Principal Financial Officer) 

March 15, 2011 

Chairman of the Board and Director 

March 15, 2011 

/s/ Alfred Lumsdaine 
    Alfred Lumsdaine 

/s/ Thomas G. Cigarran 
    Thomas G. Cigarran 

/s/ John A. Wickens 
    John A. Wickens 

/s/ William D. Novelli  
    William D. Novelli 

  Director 

  Director 

/s/ William C. O’Neil, Jr. 
    William C. O'Neil, Jr. 

  Director 

/s/ John W. Ballantine 
   John W. Ballantine 

  Director 

/s/ Mary Jane England, M.D. 
   Mary Jane England, M.D. 

  Director 

/s/ Alison Taunton-Rigby 
   Alison Taunton-Rigby 

/s/ Jay C. Bisgard, M.D. 
    Jay C. Bisgard, M.D. 

/s/ C. Warren Neel 
   C. Warren Neel 

  Director 

  Director 

  Director 

80 

 March 15, 2011 

 March 15, 2011 

 March 15, 2011 

 March 15, 2011 

 March 15, 2011 

 March 15, 2011 

 March 15, 2011 

 March 15, 2011 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Board of Directors 
John W. Ballantine 
Former Executive Vice President 
and Chief Risk Management Officer 
First Chicago NBD Corporation

J. Cris Bisgard, M.D., M.P.H. 
Former Director of Health Services 
Delta Air Lines

Thomas G. Cigarran 
Chairman 
and former Chief Executive Officer 
Healthways, Inc.

Mary Jane England, M.D. 
President of Regis College

Ben R. Leedle, Jr. 
President and Chief Executive Officer 
Healthways, Inc.

C. Warren Neel, Ph.D. 
Executive Director of the 
Center for Corporate Governance 
University of Tennessee

William D. Novelli 
Professor 
McDonough School of Business 
Georgetown University 
Former Chief Executive Officer of AARP

William C. O’Neil, Jr. 
Former Chairman, President 
and Chief Executive Officer 
ClinTrials Research, Inc.

Alison Taunton-Rigby, Ph.D. 
Chief Executive Officer 
RiboNovix, Inc.

John A. Wickens 
Former National Health Plan President 
UnitedHealth Group

Executive Officers
Ben R. Leedle, Jr. 
President and Chief Executive Officer

Thomas F. Cox 
Vice President  
& Chief Operating Officer

Matthew E. Kelliher
President, International Business

Alfred Lumsdaine, CPA 
Vice President 
& Chief Financial Officer

James W. Elrod 
Vice President, 
General Counsel and Secretary

Stay in touch. 

Connect with us: 

800-327-3822

WWW.HEALTHWAYS.COM

info@healthways.com

701 Cool Springs Blvd.
Franklin, TN 37067