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

Tivity Health, Inc.

tvty · NASDAQ Healthcare
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Sector Healthcare
Industry Medical - Care Facilities
Employees 501-1000
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FY2016 Annual Report · Tivity Health, Inc.
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UNITED STATES 
SECURITIES AND EXCHANGE COMMISSION 
Washington, D.C.  20549 

FORM 10-K 

[X]   Annual Report Pursuant to Section 13 or 15(d) of the Securities 

Exchange Act of 1934  

For the Fiscal Year Ended December 31, 2016 

or 

 [  ]   Transition Report Pursuant to Section 13 or 15(d) of the Securities 

Exchange Act of 1934 Commission file number 000-19364 

TIVITY HEALTH, INC. 
(Exact name of registrant as specified in its 
charter) 

Delaware 

(State or other jurisdiction of 
incorporation or organization) 

62-1117144 
(I.R.S. Employer 
Identification No.) 

701 Cool Springs Boulevard, Franklin, TN  37067 
(Address of principal executive offices) (Zip code) 

(615) 614-4929 
(Registrant's telephone number, including area code) 

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

Title of each class 
Common Stock - $.001 par value 

Name of each exchange on which registered 
The NASDAQ Stock Market LLC 

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

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the 

Securities Act. 

Yes  (cid:1407) 

No (cid:1409) 

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act. 

Yes  (cid:1407) 

No (cid:1409)

 
 
 
 
 
 
 
 
 
 
  
  
  
 
 
 
  
  
  
  
 
 
 
 
 
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:1409) 

No  (cid:1407) 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Website, 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:1409) 

No  (cid:1407) 

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:1409) 

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:1407)     Accelerated filer  (cid:1409)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)Non-accelerated filer  (cid:1407)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)Smaller reporting company  (cid:1407) 

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

Yes  (cid:1407) 

No (cid:1409) 

As of June 30, 2016, 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 $365.4 million based on the price at which the shares were last sold for such date on The NASDAQ 
Stock Market LLC. 

As of February 28, 2017, 39,127,479 shares of Common Stock were outstanding. 

DOCUMENTS INCORPORATED BY REFERENCE 

Portions of the registrant's Proxy Statement for the 2017 Annual Meeting of Stockholders are incorporated by 
reference into Part III of this Form 10-K. 

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Tivity Health, Inc. 
Form 10-K 

Table of Contents 

Part I 

Business 

Item 1. 
Item 1A.  Risk Factors 
Item 1B.  Unresolved Staff Comments 
Item 2. 
Item 3. 
Item 4. 

Properties 
Legal Proceedings 
Mine Safety Disclosures 

Part II 

Part III 

Part IV 

Item 5. 

Item 6. 
Item 7. 

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 

Item 7A.  Quantitative and Qualitative Disclosures About Market Risk 
Financial Statements and Supplementary Data 
Item 8. 
Changes in and Disagreements with Accountants on Accounting and 
Item 9. 
Financial Disclosure 

Item 9A.  Controls and Procedures 
Item 9B.  Other Information 

Item 10. 
Item 11. 
Item 12. 

Item 13. 
Item 14. 

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 

Item 15. 
Item 16. 

Exhibits, Financial Statement Schedules 
Form 10-K Summary 

3 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
As used throughout this Annual Report on Form 10-K (this “Report”), unless the context otherwise indicates, the 
terms "we," "us," "our," "Tivity Health," or the "Company" refer collectively to Tivity Health, Inc. and its wholly-
owned subsidiaries. 

PART I 

Item 1.  Business 

Overview 

Tivity Health, Inc. was founded and incorporated in Delaware in 1981.  Through our three programs, 

SilverSneakers® senior fitness, Prime® fitness and WholeHealth LivingTM, we are focused on targeted 
population health for those aged 50 and older. The SilverSneakers senior fitness program is offered to 
members of Medicare Advantage, Medicare Supplement, and Group Retiree plans. We also offer Prime 
fitness, a fitness facility access program, through commercial health plans, employers and insurance 
exchanges. Our national network of fitness centers delivers both SilverSneakers and Prime fitness. Our fitness 
networks encompass approximately 16,000 participating locations and more than 1,000 alternative locations 
that provide classes outside of traditional fitness centers.  We sell access to our WholeHealth Living network 
primarily to commercial health plans. Our WholeHealth Living network includes over 88,000 complementary, 
alternative, and physical medicine practitioners to serve individuals through health plans and employers who 
seek health services such as physical therapy, occupational therapy, speech therapy, chiropractic care, 
acupuncture, and more. 

Effective July 31, 2016, we sold our total population health services ("TPHS") business to Sharecare, 

Inc. ("Sharecare").  The TPHS business took a systematic approach to keeping healthy people healthy, 
eliminating or reducing lifestyle risks and optimizing care for persistent or chronic conditions.  The TPHS 
business included our partnerships with Blue Zones, LLC, and Dr. Dean Ornish (the Blue Zones Project by 
Healthways™ and Dr. Dean Ornish's Program for Reversing Heart Disease™, respectively), our joint venture 
with Gallup, Inc. (“Gallup”), Navvis Healthcare, LLC (“Navvis”), MeYou Health, LLC (“MeYou Health”), and our 
international operations.  While Navvis and MeYou Health were part of our TPHS business, they were sold 
separately to other buyers in November 2015 and June 2016, respectively.  Results of operations for the TPHS 
business have been classified as discontinued operations for all periods presented in the Consolidated 
Financial Statements. 

In January 2017, we rebranded and changed the name of the Company from Healthways, Inc. to Tivity 

Health, Inc. to better align with our portfolio of fitness and health improvement programs.  The Company is 
headquartered at 701 Cool Springs Boulevard, Franklin, Tennessee 37067. 

Customer Contracts 

Our fees are generally billed per member per month ("PMPM"), upon member participation, or a 
combination of both.  For PMPM fees, we generally determine our contract fees by multiplying the contractually 
negotiated PMPM rate by the number of members covered by our services during the month. 

Our contracts with health plans generally range from three to five years.  Some of our contracts allow 

the customer to terminate early. 

Backlog 

Backlog represents the estimated average annualized revenue at target performance over the term of the 

contract for new contracts that have not yet started.  We do not consider backlog at December 31 to be a 
meaningful predictor of our future revenues as a significant portion of our new revenues come from a 
combination of expanding revenue from existing customers and new customers with contracts that are signed 
and started on a non-calendar year basis. Annualized revenue in backlog as of December 31, 2016 and 2015, 
excluding the TPHS business, was as follows: 

(In thousands) 
Annualized revenue in backlog 

December 31,    December 31,   

2016 

2015 

  $ 

3,800     $ 

3,700  

4 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
  
Business Strategy 

Beginning in October 2015, we engaged in a comprehensive review of the Company’s organization, our 

business structure, costs, product offerings, and delivery.  As a result of this review, effective as of July 31, 
2016, we sold our TPHS business to Sharecare, a digital health company helping people manage all their 
healthcare in one place.  

In August 2016, we announced our "A-B-C" strategy designed to (A) add new members in our three 
existing networks - SilverSneakers, Prime fitness and WholeHealth Living, (B) build engagement among current 
members, and (C) collaborate with partners to add new products and services that will leverage the value of our 
brand.  In addition to the A-B-C strategy, we are focused on supporting the ability of our health plan customers to 
meet the needs of their members as well as providing a valuable service to improve the health and well-being of 
the consumers we serve through our networks and with our products. 

We engage and support our members based on the needs and preferences of our customers.  Within our 
fitness networks, we have approximately 16,000 participating locations and more than 1,000 alternative locations 
that provide classes outside of traditional fitness centers. More than 13,000 of these participating locations within 
the national network deliver our proprietary SilverSneakers fitness program, and more than 10,000 of these 
locations offer Prime fitness.  

Segment and Major Customer Information 

Excluding the TPHS business, during 2016, we had one operating and reportable segment.  During 

2016, Humana, Inc. ("Humana") and United Healthcare, Inc. (“United Healthcare”) each comprised more than 
10%, and together comprised approximately 36%, of our revenues from continuing operations.  Our primary 
contract with Humana was renewed in 2015 and continues through 2020.  Our primary contract with United 
Healthcare continues through 2017.  No other customer accounted for 10% or more of our revenues from 
continuing operations in 2016.  See Note 19 to Notes to Consolidated Financial Statements included in this 
Report relating to revenues from external customers and customer concentration. 

Competition 

The healthcare industry is highly competitive, and the manner in which services are provided is subject 
to continual change.  Other entities, whose financial and marketing resources may exceed our resources, may 
choose to initiate or expand programs in competition with our offerings.  

We believe we have certain advantages over our competitors such as our proprietary class programming; 

the brand recognition of programs such as SilverSneakers; the depth and breadth of our fitness center network 
relationships; and the trusting connections with our members developed over 25 years.  However, we cannot 
assure you that we can compete effectively with other entities such as those noted above. 

Industry Integration and Consolidation 

Consolidation remains an important factor in all aspects of the healthcare industry  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 customers if they are acquired by other entities that already have or contract for 
programs similar to ours or are not interested in our programs. 

Governmental Regulation 

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

under Item 1A. "Risk Factors" below. 

Health Reform 

In recent years, Congress and certain state governments have passed a large number of laws and 

regulations intended to result in major changes within the healthcare system. The Patient Protection and 

5 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (collectively, 
the "ACA"), the most prominent of these efforts, changes how healthcare services are covered, delivered, and 
reimbursed through, among other things, expanded health insurance coverage, reduced growth in Medicare 
program spending and the establishment of programs that tie reimbursement to care quality and value. 
However, there is substantial uncertainty regarding the ongoing effects of the ACA because of the results of 
the 2016 federal elections, which could result in the repeal of the ACA or significant changes to the ACA, its 
implementation or its interpretation. For example, President Donald Trump has signed an executive order that 
directs agencies to minimize “economic and regulatory burdens” of the ACA, but it is unclear how this will be 
implemented. It is difficult to predict whether, when or how the ACA will be changed, what alternative 
provisions, if any, will be enacted, the timing of implementation of any alternative provisions, and the impact 
of alternative provisions on providers and other healthcare industry participants. 

The ACA contains provisions that have had, and will (if not revised or repealed) continue to have, an 

impact on our customers, including commercial health plans and Medicare Advantage programs. The ACA has 
decreased the number of uninsured individuals and expanded coverage through the expansion of public 
programs and private sector health insurance. However, the ACA also may increase costs and/or reduce the 
revenues of our customers or prospective customers.  For example, the ACA 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, the ACA 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 must be at least 80% for individual and small group health 
plans and 85% for large group coverage and Medicare Advantage plans, with policyholders receiving rebates 
and, in the case of Medicare Advantage plans, the U.S. Department of Health & Human Services ("HHS") 
receiving refunds if the actual loss ratios fall below these minimums. The ACA also reduces premium payments 
to Medicare Advantage plans such that the managed care per capita payments paid by HHS to Medicare 
Advantage plans are, on average, equal to those for traditional Medicare.  While the ACA provides for bonuses to 
Medicare Advantage plans that achieve service benchmarks and quality ratings, overall payments to Medicare 
Advantage plans are significantly reduced under the ACA.   

It is difficult to predict with any reasonable certainty the full impact of the ACA on the Company due to the 
likelihood of repeal and significant changes to the law as a result of the 2016 federal elections, and other factors 
such as the law's complexity, lack of implementing regulations or interpretive guidance, and remaining or new 
court challenges. 

Other Laws 

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 those governing 
Medicare Advantage plans and their marketing and the licensing and reimbursement requirements of federal, 
state and local agencies.  Certain of our services, including health service utilization management and certain 
claims payment functions, require licensure by state government agencies. We are subject to a variety of legal 
requirements in order to obtain and maintain such licenses. 

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. Because we handle individually-identifiable health information on behalf of 
covered entities, we are considered a "business associate" and are required to comply with most aspects of the 
HIPAA privacy and security regulations. 

Violations of HIPAA and its implementing regulations may result in criminal penalties and in civil 
penalties of up to $55,010 per violation for a maximum civil penalty of $1,650,300 million in a calendar year for 
violations of the same requirement. Beginning in 2017, these penalties will be updated annually based on 
changes to the consumer price index.  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 individually-identifiable health information, we are subject to 
contractual obligations and state and federal requirements that require us to notify our customers. These 

6 

 
 
 
 
 
 
 
requirements may also require us or our customers to notify affected individuals, regulatory agencies, and the 
media of the data breach. In addition, non-permitted uses and disclosures of unsecured individually identifiable 
health information are presumed to be breaches for which notice is required, unless it can be demonstrated 
that there is a low probability the information has been compromised. 

Federal law contains various prohibitions related to false statements and false claims, some of which 

apply to private payors as well as federal programs. Our contracts with Medicare Advantage plans may subject 
us to a number of obligations, including billing and reimbursement requirements, prohibitions on fraudulent and 
abusive conduct and fraud and abuse training and screening obligations.  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. Liability under the federal False Claims Act arises when an 
entity knowingly submits a false claim for reimbursement to the federal government. The federal False Claims 
Act defines the term "knowingly" broadly. There are many other potential bases for liability under the federal 
False Claims Act, including knowingly and improperly avoiding repayment of an overpayment received from the 
government and the knowing failure to report and return an overpayment within 60 days of identifying the 
overpayment. The submission of claims for services or items generated in violation of certain "fraud and abuse" 
provisions of the Social Security Act, including the anti-kickback provisions, constitutes a false or fraudulent 
claim under the federal False Claims Act. 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 federal self-
referral prohibition commonly known as the Stark Law, have thereby submitted false claims under the federal 
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 federal False Claims Act or other fraud and abuse laws, including similar 
state statutes, and it is not possible to predict the impact of such actions. Violations of applicable laws may 
result in significant civil and criminal penalties. For example, violations of the federal False Claims Act may 
result in penalties of three times the actual damages sustained by the government, plus mandatory civil 
penalties of between $10,781 and $21,563 for each separate false claim. Beginning in 2017, most federal civil 
penalties, including penalties under the federal False Claims Act, will be updated annually based on change to 
the consumer price index. 

Because of the international operations previously conducted as part of our TPHS business that we sold 

to Sharecare in July 2016, we were subject to the U.S. Foreign Corrupt Practices Act (the "FCPA") and similar 
anti-bribery laws of other countries in which we provided services prior to the sale. The FCPA and similar anti-
bribery laws generally prohibit companies and their intermediaries from making improper payments to government 
officials or other third parties for the purpose of obtaining or retaining business or gaining any business advantage.  
Failure to comply with the FCPA and similar legislation prior to the sale of our TPHS business could result in the 
imposition of civil or criminal fines and penalties. 

Employees 

As of February 28, 2017, we had approximately 500 employees.  Our employees are not subject to any 

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

Available Information 

Our Internet address is www.tivityhealth.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 (the "Exchange Act"), as soon as reasonably practicable after we 
electronically file such material with, or furnish it to, the Securities and Exchange Commission (the "SEC").  The 
public may read and copy any materials that we file with the SEC at the SEC's Public Reference Room at 100 F 
Street NE, Washington DC 20549. The public may obtain information on the operation of the Public Reference 
Room by calling the SEC at 1-800-SEC-0330. The SEC maintains an Internet site that contains reports, proxy 
and information statements, and other information regarding issuers that file electronically with the SEC at 
www.sec.gov. 

7 

 
 
 
 
 
 
 
 
 
 
 
 
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 the 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 Report contain additional information concerning these 
and other risks. 

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 may continue to consolidate, and we cannot assure you that we will be able to retain health plan 
customers, or continue to provide our products and services to such health plan customers on terms at least as 
favorable to us as currently provided, if they are acquired by other health plans that already participate in 
competing programs or are not interested in our programs. Further, consolidation among our customers, 
particularly our health plan customers that are part of larger healthcare enterprises, could provide these 
organizations with greater bargaining power, which may lead to further pressure on the prices for our products 
and services. In addition, a reduction in the number of covered lives enrolled with our health plan customers or 
in the payments we receive could adversely affect our results of operations. Our health plan customers are 
subject to continuing competition and reduced reimbursement rates from governmental and private sources, 
which could lead current or prospective customers to seek reduced fees or choose to reduce or delay the 
purchase of our services. Finally, health plan customers could attempt to offer services themselves that compete 
directly with our offerings or stop providing our offerings to their members. 

Reductions in Medicare Advantage health plan reimbursement rates may negatively impact our business 
and results of operations. 

A significant portion of our revenue is indirectly derived from the monthly premium payments paid by HHS 
to health plans, who are our customers, for services provided to Medicare Advantage beneficiaries.  As a result, 
our results of operations are, in part, dependent on government funding levels for Medicare Advantage programs. 
Any changes that limit or reduce Medicare Advantage reimbursement levels, such as reductions in or limitations of 
reimbursement amounts or rates under these programs, reductions in funding of these programs, expansion of 
benefits without adequate funding, elimination of coverage for certain benefits, or elimination of coverage affecting 
the services that we provide, could have a material adverse effect on our customers, and as a result, on our 
business and results of operations. 

We currently derive a significant percentage of our revenues from two customers. 

For the year ended December 31, 2016, Humana and United Healthcare each comprised more than 
10%, and together comprised approximately 36%, of our revenues from continuing operations. Our primary 
contract with Humana was renewed in 2015 and continues through 2020. The term of our contract with United 
Healthcare continues through 2017. The loss or restructuring of a contract with Humana, United Healthcare or 
our other significant customers could have a material adverse effect on our business and results of operations. 

Our business strategy relating to the development and introduction of new products and services 
exposes us to risks such as limited customer acceptance and additional expenditures that may not 
result in additional net revenue. 

An important component of our business strategy is to focus on new products and services that enable 

us to provide immediate value to our customers.  Customer acceptance of these new products and services 
cannot be predicted with certainty, and if we fail to execute properly on this strategy or to adapt this strategy as 
market conditions evolve, our ability to grow revenue and our results of operations may be adversely affected. 

If we fail to successfully implement our business strategy, our financial performance and our growth 
could be materially and adversely affected. 

8 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Our future financial performance and success are dependent in large part upon our ability to implement 

our business strategy successfully.  Implementation of our strategy will require effective management of our 
operational, financial and human resources and will place significant demands on those resources.  See Item 1. 
"Business – Business Strategy" for more information regarding our business strategy.   There are risks involved 
in pursuing our strategy, including the ability to hire or retain the personnel necessary to manage our strategy 
effectively. 

In addition to the risks set forth above, implementation of our business strategy could be affected by a 

number of factors beyond our control, such as increased competition, legal developments, government 
regulation, general economic conditions, increased operating costs or expenses, and changes in industry 
trends. We may decide to alter or discontinue certain aspects of our business strategy at any time. If we are not 
able to implement our business strategy successfully, our long-term growth and profitability may be adversely 
affected. Even if we are able to implement some or all of the initiatives of our business strategy successfully, 
our operating results may not improve to the extent we anticipate, or at all. 

Our inability to renew and/or maintain contracts with our customers could adversely affect our 
business and results of operations. 

If our customers choose not to renew their contracts with us, our business and results of operations could 

be materially adversely affected. 

Changes in macroeconomic conditions may adversely affect our business. 

Economic difficulties and other macroeconomic conditions could reduce the demand and/or the timing 

of purchases for certain of our services from customers and potential customers.  Loss of a significant 
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, changes in 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, that the terms and conditions would be acceptable to us. 

We  may  experience  difficulties  associated  with  the  implementation  and/or  integration  of  new  
businesses,  services (including outsourced services), technologies, solutions, or products. 

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

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

The performance of our business and the level of our indebtedness could prevent us from meeting the 
obligations under our credit agreement or the cash convertible senior notes or have an adverse effect on 
our future financial condition, our ability to raise additional capital, or our ability to react to changes in the 
economy or our industry. 

On June 8, 2012, we entered into the Fifth Amended and Restated Revolving Credit and Term Loan 

Agreement (as amended, the "Fifth Amended Credit Agreement"). On July 16, 2013, we completed the issuance 
of $150.0 million aggregate principal amount of cash convertible senior notes due 2018 (the "Cash Convertible 
Notes"). As of December 31, 2016, our long-term debt under these arrangements, including the current portion but 
excluding the debt discount, was $223.5 million. 

Our ability to service our indebtedness (including the debt outstanding under the Fifth Amended Credit 

Agreement and the Cash Convertible Notes) 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. 

The Fifth Amended Credit Agreement contains various financial covenants, restricts the payment of 

dividends, and limits the amount of repurchases of our common stock.  A breach of any of these covenants could 
result in a default under the Fifth Amended Credit Agreement in which all amounts outstanding under the Fifth 

9 

 
 
 
 
 
 
 
 
 
 
 
 
Amended Credit Agreement may become immediately due and payable and all commitments under the Fifth 
Amended Credit Agreement to extend further credit may be terminated. In addition, a payment default, including 
an acceleration following an event of default, under the Fifth Amended Credit Agreement or under our indenture 
for the Cash Convertible Notes could each trigger an event of default under the other debt instrument, which could 
result in the principal of and the accrued and unpaid interest on such debt becoming due and payable. 

Our indebtedness could adversely affect our future financial condition or our ability to react to changes in 

the economy or industry by, among other things: 

(cid:120) 

(cid:120) 

(cid:120) 

(cid:120) 

increasing our vulnerability to a downturn in general economic conditions, loss of revenue and/or 
profit margins in our business, or to increases in interest rates, particularly with respect to the 
portion of our outstanding debt that is subject to variable interest rates; 
potentially limiting our ability to obtain additional financing or to obtain such financing on 
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 
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. 

The conditional cash conversion feature of the Cash Convertible Notes, if triggered, may adversely affect 
our liquidity, financial condition and operating results. 

In the event the Cash Conversion Derivative is triggered, holders of Cash Convertible Notes will be entitled 

to convert the Cash Convertible Notes at any time during specified periods at their option.  Although the Cash 
Convertible Notes are not currently convertible, the Cash Convertible Notes will become convertible into cash 
during any calendar quarter (and only during such calendar quarter) if the last reported sale price of our common 
stock for at least 20 trading days (whether or not consecutive) during a period of 30 consecutive trading days 
ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to 
approximately $25.30 per share. The last reported sale price of our common stock as reported on Nasdaq 
on March 1, 2017 was $28.95 per share. If one or more holders elect to convert their Cash Convertible Notes, we 
would be required to pay cash to settle any such conversion, which could adversely affect our liquidity. In addition, 
even if holders do not elect to convert their Cash Convertible Notes, we would be required under applicable 
accounting rules to reclassify the outstanding principal of the Cash Convertible Notes that are convertible as a 
current rather than long-term liability, which could result in a material reduction of our net working capital and 
result in a material adverse effect on our financial condition and results of operations. 

The accounting for the Cash Convertible Notes and related cash convertible notes hedge transactions 
may result in volatility to our consolidated statements of comprehensive income (loss). 

The Cash Conversion Derivative that is part of the Cash Convertible Notes is accounted for as a derivative 
liability pursuant to Accounting Standards Codification (“ASC”) Topic 470, Debt, relating to derivative instruments 
and hedging activities. In general, the initial valuation of the conversion option was bifurcated from the debt 
component of the Cash Convertible Notes and is measured at fair value each reporting period. For each financial 
statement period after issuance of the Cash Convertible Notes, a hedge gain (or loss) will be reported in our 
consolidated statements of comprehensive income (loss) to the extent the valuation of the Cash Conversion 
Derivative changes from the previous period. In connection with the issuance of the Cash Convertible Notes, we 
entered into privately negotiated convertible note hedge transactions (the "Cash Convertible Notes Hedges"), 
which are cash-settled, recorded and carried at fair value as a derivative asset and intended to offset the gain (or 
loss) associated with changes to the valuation of the Cash Conversion Derivative. Although we do not expect there 
to be a material net impact to our consolidated statements of comprehensive income (loss) as a result of our 
issuing the Cash Convertible Notes and entering into the Cash Convertible Notes Hedges, we cannot assure you 
these transactions will be completely offset, which may result in volatility to our consolidated statements of 
comprehensive income (loss).  

We are subject to counterparty risk with respect to the Cash Convertible Notes Hedges. 

The counterparties to the Cash Convertible Notes Hedges (the "Counterparties") are financial institutions 

10 

 
 
 
  
 
 
 
 
 
or affiliates of financial institutions, and we will be subject to the risk that these Counterparties may default or 
otherwise fail to perform, or may exercise certain rights to terminate their obligations, under the Cash 
Convertible Notes Hedges. Our exposure to the credit risk of the Counterparties will not be secured by any 
collateral. If one or more of the Counterparties to one or more of the Cash Convertible Notes Hedges becomes 
subject to insolvency proceedings, we will become an unsecured creditor in those proceedings with a claim 
equal to our exposure at the time under those transactions. Our exposure will depend on many factors but, 
generally, the increase in our exposure will be correlated to the increase in the market price of our common 
stock and in volatility of our common stock. In addition, upon a default or other failure to perform, or a termination 
of obligations by one of the Counterparties we may suffer adverse tax consequences and dilution with respect to 
our common stock.  We can provide no assurances as to the financial stability or viability of any of the 
Counterparties. 

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, 2016, we had approximately $334.7 million and $29.0 million of goodwill 
and intangible assets, respectively.  We review goodwill and intangible assets not subject to amortization for 
impairment on an annual basis (during the fourth quarter) or more frequently whenever events or circumstances 
indicate that the carrying value may not be recoverable.  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. 

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

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

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

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

A cybersecurity incident could result in the loss of confidential data, give rise to remediation and other 
expenses, expose us to liability under HIPAA, consumer protection laws, or common law theories, 
subject us to litigation and federal and state governmental inquiries, damage our reputation, and 
otherwise be disruptive to our business. 

The nature of our business involves the receipt and storage of individually identifiable health 
information about the participants in our programs. The secure maintenance of this confidential information is 
critical to our business operations. To protect our information systems from attack, damage and unauthorized 
use, we have implemented multiple layers of security, including technical safeguards, processes, and our 
people. Our defenses are monitored and routinely tested internally and by external parties. Despite these 
efforts, threats from malicious persons and groups, new vulnerabilities, and advanced attacks against 
information systems create risk of cybersecurity incidents.  There can be no assurance that we will not be 
subject to cybersecurity incidents that bypass our security measures, result in loss of personal health 
information or other data subject to privacy laws or disrupt our information systems or business. As a result, 
cybersecurity and the continued development and enhancement of our controls, processes and practices 
remain a priority for us. We may be required to expend significant additional resources in our efforts to modify 
or enhance our protective measures against evolving threats or to investigate and remediate any cybersecurity 
vulnerabilities. The occurrence of a breach in security of our systems or those of our third-party vendors and 
other service providers could result in interruptions, delays, the loss, access, misappropriation, disclosure or 
corruption of data, liability under privacy, security and consumer protection laws or litigation under these or 
other laws, including common law theories, and subject us to federal and state governmental inquiries, any of 
which could have a material adverse effect on our financial condition and results of operations and harm our 
business reputation.    

In order to be successful, we must attract, engage, retain and integrate key employees and have 
adequate succession plans in place, and failure to do so could have an adverse effect on our ability to 

11 

 
 
 
 
 
 
 
 
 
manage our business. 

Our success depends, in large part, on our ability to attract, engage, retain and integrate qualified 

executives and other key employees throughout all areas of our business. Identifying, developing internally or 
hiring externally, training and retaining highly-skilled managerial and other personnel are critical to our future, and 
competition for experienced employees can be intense.  Failure to successfully hire executives and key 
employees or the loss of any executives and key employees could have a significant impact on our operations. 
The loss of services of any key personnel, the inability to retain and attract qualified personnel in the future, or 
delays in hiring may harm our business and results of operations.  Further, changes in our management team 
may be disruptive to our business, and any failure to successfully integrate key new hires could adversely affect 
our business and results of operations. 

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, including 
executives with the required skills and experience to operate and grow our business, and staff personnel for the 
day-to-day operations of our business.  These challenges may require us to enhance wages and benefits to 
recruit and retain qualified management and other professionals.  Difficulties in attracting and retaining qualified 
management and other professionals, or in controlling labor costs, could have a material adverse effect on our 
profitability. 

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

We are subject to certain legal proceedings that arise in the ordinary course of business.  These legal 
proceedings and any other claims that we may face in the future, whether with or without merit, could result in 
costly litigation, and divert the time, attention, and resources of our management.  Although we currently 
maintain various types of 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 results of operations.  In addition, legal expenses associated with 
the defense of these matters may be material to our results of operations in a particular financial reporting 
period.  

We could be adversely affected by violations of the FCPA and similar anti-bribery laws of other countries 
in which we provided services prior to the sale of our TPHS business. 

Because of the international operations that we previously conducted as part of our TPHS business that 

we sold to Sharecare in July 2016, we could be adversely affected by violations of the FCPA and similar anti-
bribery laws of other countries in which we provided services prior to the sale. The FCPA and similar anti-
bribery laws generally prohibit companies and their intermediaries from making improper payments to 
government officials or other third parties for the purpose of obtaining or retaining business or gaining any 
business advantage. While our policies mandated compliance with these anti-bribery laws, we cannot provide 
assurance that our internal control policies and procedures always protected us from reckless or criminal acts 
committed by our employees, contractors or agents. Failure to comply with the FCPA and similar legislation 
prior to the sale of our TPHS business could result in the imposition of civil or criminal fines and penalties and 
could disrupt our business and adversely affect our results of operations, cash flows and financial condition. 

Compliance with existing or newly adopted federal and state laws and regulations or new or revised 
interpretations of such requirements could adversely affect our results of operations or may require us 
to spend substantial amounts, and the failure to comply with applicable laws and regulations could 
subject us to penalties or negatively impact our ability to provide services. 

Our customers are subject to considerable state and federal government regulation, and a substantial 
majority of our business involves providing services to Medicare Advantage beneficiaries. As a result, we are 
subject directly to various federal laws and regulations, including the federal False Claims Act, billing and 
reimbursement requirements and other provisions related to fraud and abuse. Further, our contracts with 
Medicare Advantage plans require us to comply with a number of regulatory provisions and permit these 

12 

 
 
 
 
 
 
 
 
 
 
customers to perform compliance audits. 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. Further, we are required to comply with most requirements of the HIPAA privacy and 
security laws and regulations and may be subject to criminal or civil penalties for violations of these regulations. 
Certain of our services, including health utilization management and certain claims payment functions, require 
licensure and may be regulated 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.  

We continually monitor the extent to which federal and state legislation and regulations govern our 
operations. New federal or state laws or regulations or new interpretations of existing requirements that affect our 
operations could have a material adverse effect on our results of operations. If we are found to have violated 
applicable laws, to have caused any of our customers to submit false claims or make false statements, or to have 
failed to comply with our contractual compliance obligations, we could be required to restructure our operations, 
be subject to contractual penalties, including termination of our customer agreements, and be subject to 
significant civil and criminal penalties. 

Healthcare reform efforts may result in a reduction to our revenues from government health programs 
and private insurance companies or otherwise directly or indirectly impact our business. 

The healthcare industry is subject to various political, regulatory, scientific, and technological influences. 

Efforts at federal and state levels of government have resulted in laws and regulations intended to effect 
significant change within the healthcare system. The ACA, the most prominent of these efforts, affects 
coverage, delivery, and reimbursement of healthcare services. It has decreased the number of uninsured 
individuals, but may increase the costs and/or reduce the revenues of our customers or prospective customers. 
For example, the ACA eliminates pre-existing condition exclusions by commercial health plans, bans annual 
benefit limits, mandates minimum MLRs for health plans, and provides for reductions in funding to Medicare 
Advantage programs.  

However, there is substantial uncertainty regarding the net effect and future impact of the ACA because of 

the results of the 2016 federal elections, which will likely result in the repeal of the ACA or significant changes to 
the ACA, its implementation and its interpretation. It is possible that the reforms imposed by the ACA or 
uncertainty regarding its repeal or significant changes to the law will adversely affect the profitability of our 
customers and cause our customers or prospective customers to reduce or delay the purchase of our services or 
to demand reduced fees. Because of this uncertainty and many other variables, including the ACA 's complexity, 
lack of implementing regulations or interpretive guidance and the outcome of court challenges, we are unable to 
predict all of the ways in which the ACA could impact the Company. Furthermore,  we could also be impacted by 
future healthcare reform legislative and regulatory initiatives. 

Item 1B. Unresolved Staff Comments 

  Not applicable. 

Item 2.  Properties 

We lease approximately 264,000 square feet of office space for our corporate headquarters in Franklin, 
Tennessee, approximately 221,000 square feet of which is subleased, pursuant to an agreement that expires in 
February 2023.  We also lease approximately 92,000 square feet of office space in Chandler, Arizona (pursuant 
to an agreement that expires in April 2020), and approximately 13,000 square feet of office space in Sterling, 
Virginia.   

Item 3.  Legal Proceedings 

We are subject to 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, some of which are expected to 
be covered by insurance policies, will have a material adverse effect on our financial statements.  As these 
matters are subject to inherent uncertainties, our view of these matters may change in the future.  

13 

 
 
 
 
 
 
 
 
 
 
 
Item 4.  Mine Safety Disclosures 

Not applicable. 

14 

 
 
 
 
 
 
Executive Officers of the Registrant 

The following table sets forth certain information regarding our executive officers as of March 6, 2017.  

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

Officer 

Donato Tramuto 

Age 

60 

Position 

Chief Executive Officer of the Company since November 2015. Chief Executive 
Officer and Chairman of the Board of Physicians Interactive Holdings from July 
2013 to October 2015. Chief Executive Officer, Founder and Vice Chairman of 
Physicians Interactive Holdings from October 2008 to July 2013. Chief 
Executive Officer of i3 from 2004 to 2006. Chief Executive Officer and Co-
Founder of Constella Health Strategies from 1998 to 2003. 

Glenn Hargreaves 

50 

Interim Chief Financial Officer since November 2016.  Chief Accounting 
Officer of the Company since July 2012 and Controller since January 2011. 
Director of Tax of the Company from April 2005 until January 2011. 

Mary Flipse 

50 

Chief Legal Officer since November 2015.  General Counsel of the Company 
from July 2012 to March 2016.  Director, Corporate Counsel of the Company 
from February 2012 to July 2012.  Operations Counsel of the Company from 
August 2011 until February 2012.  Assistant General Counsel of King 
Pharmaceuticals from May 2005 to July 2011. 

15 

 
 
 
 
 
 
 
 
 
 
 
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 on The NASDAQ Stock Market ("NASDAQ") under the symbol "TVTY". 

The following table sets forth the high and low sales prices per share of our common stock as reported 

by NASDAQ for the relevant periods. 

Year ended December 31, 2016 
First quarter 
Second quarter 
Third quarter 
Fourth quarter 

Year ended December 31, 2015 
First quarter 
Second quarter 
Third quarter 
Fourth quarter 

  $ 

  $ 

High 

Low 

13.27     $ 
12.79       
27.30       
26.92       

23.30     $ 
20.71       
14.22       
13.72       

9.18 
9.54  
11.48 
19.25 

18.12 
11.86  
10.84  
9.93  

Performance Graph 

The following graph compares the total stockholder return of $100 invested on December 31, 2011 in 

(a) the Company, (b) the NASDAQ U.S. Stocks Benchmark index and (c) the NASDAQ Health Care Providers 
index, assuming the reinvestment of all dividends. 

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

performance.  

Notes: 
A. 

B. 
C. 

The lines represent annual index levels derived from compounded daily returns that include all 
dividends. 
The indexes are reweighted daily, using the market capitalization on the previous trading day. 
If the annual interval, 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 December 31, 2011. 

16 

 
 
 
 
 
 
 
   
 
   
     
 
    
    
    
 
    
        
  
    
        
   
    
    
    
 
 
 
Unregistered Sales of Equity Securities 

Pursuant to the Investment Agreement with CareFirst Holdings, LLC (“CareFirst”) (as described in Note 

7 of the Notes to Consolidated Financial Statements included in this Report), CareFirst had an opportunity to 
earn warrants based on achievement of certain quarterly thresholds for revenue. On April 8, 2016, we issued to 
CareFirst warrants to purchase 22,895 shares of our common stock at an exercise price of $11.94 per share, 
and on June 13, 2016, we issued to CareFirst warrants to purchase 17,008 shares of our common stock at an 
exercise price of $12.97 per share. The issuance of these warrants was exempt from registration under Section 
4(a)(2) of the Securities Act of 1933, as amended, because it was a transaction not involving a public offering.  

In accordance with the terms of the Investment Agreement (as further discussed in Note 7 to Notes to 
Consolidated Financial Statements in this Report), in September 2016, CareFirst exercised its right to convert 
590,683 CareFirst warrants for a total of 218,162 shares of our common stock.  In December 2016, CareFirst 
exercised its right to convert 39,903 CareFirst Warrants for a total of 18,104 shares of our common stock. The 
issuance of shares of our common stock as a result of the conversion of the CareFirst Warrants was exempt 
from registration under Section 4(a)(2) of the Securities Act of 1933, as amended, because it was a transaction 
not involving a public offering. 

Holders 

At February 24, 2017, there were approximately 7,050 holders of our common stock, including 216 

stockholders of record. 

Dividends 

We have never declared or paid a cash dividend on our common stock.  We intend to retain any 
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 will review our dividend policy from time to time and may declare 
dividends at its discretion; however, our Fifth Amended Credit Agreement places restrictions on the payment of 
dividends.  For further discussion of the Fifth Amended Credit Agreement, see Item 7. "Management's 
Discussion and Analysis of Financial Condition and Results of Operation - Liquidity and Capital Resources." 

Securities Authorized for Issuance Under Equity Compensation Plans 

See Part III, Item 12. "Security Ownership of Certain Beneficial Owners and Management and Related 

Stockholder Matters," for information regarding securities authorized for issuance under our equity compensation 
plans, which is incorporated by reference herein. 

Annual Report 

A copy of the Tivity Health, Inc. Annual Report on Form 10-K for 2016 filed with the Securities and 

Exchange Commission is available on the Company's website, www.tivityhealth.com.  It is also available from 
the Company (without exhibits) at no charge. These requests should be directed to Chip Wochomurka, Vice 
President – Investor Relations, at the Company's corporate office. 

17 

 
 
 
 
 
 
 
 
 
 
 
 
 
Item 6. Selected Financial Data 

The following table represents selected financial data. The table should be read in conjunction with Item 

7. "Management's Discussion and Analysis of Financial Condition and Results of Operations" and Item 8. 
"Financial Statements and Supplementary Data" of this Report.  As further discussed in Note 1 to Notes to 
Consolidated Financial Statements included in this Report, our results from continuing operations do not include 
the results of the TPHS business, which we sold effective July 31, 2016.  

(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 
Restructuring and related charges 
Legal settlement charges 
Operating income (loss) 
Interest expense 

Income (loss) before income taxes 
Income tax expense (benefit) 

Net income from continuing 
operations 
Loss from discontinued operations, 
net of income tax benefit 

Net income (loss) 
Less: net income (loss) attributable to 
non-controlling interest 

Net income (loss) attributable to Tivity 
Health, Inc. 

  $  

Basic income (loss) per share 
attributable to Tivity Health, Inc.: 
   Continuing operations 
   Discontinued operations 
   Net loss 

Diluted income (loss) per share 
attributable to Tivity Health, Inc.:  
   Continuing operations 
   Discontinued operations 
   Net loss (1) 

  $ 

  $ 

  $ 

  $ 

Weighted average common shares 
and equivalents: 

Basic 
Diluted  

Selected Balance Sheet Data: 
Total assets (2) (3) 

2016 

Year Ended December 31,  
2015 

2014 

2013 

2012 

  $ 

500,998      $ 

452,092      $ 

405,263      $  359,434    $ 314,032  

357,120        

318,060        

272,400        

248,312       216,570  

39,478        
4,085        
4,933        
—        
95,382      $ 
17,318        

35,546        
6,869        
702        
—        
90,915      $ 
17,996        

32,075        
7,035        
—        
5,910        
87,843      $ 
17,449        

29,584      
6,403      
—      
—      
75,135    $
15,748      

32,389  
5,413  
487  
—  
59,173 
14,081  

78,064  
21,973 

  $ 

  $ 

72,919  
29,285  

70,394      $ 
27,558        

59,387    $
24,096      

45,092  
18,197  

  $ 

  $ 

  $ 

56,091  

 $ 

43,634 

  $ 

42,836 

  $ 

35,291    $

26,895  

(184,706 

)    

(74,952 )     

(48,397 )     

(43,832 )   

)
(18,871 

  $ 

(128,615 

)   $ 

(31,318 

)    $ 

(5,561 

)    $ 

(8,541 )  $

8,024 

496 

(371 

)      

— 

—      

— 

(129,111 

)    $ 

(30,947 

)    $ 

(5,561 

)    $ 

(8,541 )  $

8,024  

 $ 

1.52  
(5.01 )    
(3.49 )   $ 

  $ 

1.22  
(2.08 )     
(0.86 )    $ 

  $ 

1.21  
(1.37 )     
(0.16 )    $ 

1.02    $
(1.27 )   
(0.25 )  $

0.80  
(0.56 )
0.24  

 $ 

1.47  
(4.86 )    
(3.39 )   $ 

  $ 

1.18  
(2.02 )     
(0.84 )    $ 

  $ 

1.18  
(1.33 )     
(0.15 )    $ 

1.00    $
(1.24 )   
(0.24 )  $

0.79  
(0.56 )
0.24  

36,999        
38,075        

35,832        
36,854        

35,302        
36,346        

34,489      
35,237      

33,597  
33,836  

544,782        

712,924        

806,207        

741,845       744,681  

18 

 
 
  
 
  
  
   
     
     
   
  
   
     
      
      
   
 
  
    
    
    
    
    
    
  
    
         
         
         
       
   
    
 
    
    
 
   
  
  
  
   
  
   
     
  
 
  
   
 
 
 
 
 
 
    
 
 
    
 
  
    
 
 
 
 
  
    
         
         
         
       
   
   
 
 
  
 
 
   
 
 
   
     
 
 
   
  
    
         
         
         
       
   
   
  
 
  
 
  
 
     
  
   
  
    
         
         
         
       
   
    
         
         
         
       
   
    
    
 
   
  
  
  
   
  
   
     
  
    
         
         
         
       
   
    
Long-term debt (3) 

164,297        

208,289        

225,411        

230,416       274,947  

Includes assets held for sale within discontinued operations.   

(1)  Figures may not add due to rounding. 
(2) 
(3)  Reflects the impact of the adoption of Accounting Standards Update (“ASU”) No. 2015-03, “Simplifying the 
Presentation of Debt Issuance Costs” in fiscal 2016 related to balance sheet classification of debt issuance 
costs, which was applied retrospectively to all periods presented.   

19 

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

Please read the following discussion and analysis of our financial condition and results of operations 
together with our Consolidated Financial Statements and related notes included under Item 8 of this Report. 

Overview 

Tivity Health, Inc. was founded and incorporated in Delaware in 1981.  Through our three programs, 

SilverSneakers® senior fitness, Prime® fitness and WholeHealth LivingTM, we are focused on targeted 
population health for those aged 50 and older. The SilverSneakers senior fitness program is offered to 
members of Medicare Advantage, Medicare Supplement, and Group Retiree plans. We also offer Prime 
fitness, a fitness facility access program, through commercial health plans, employers and insurance 
exchanges. Our national network of fitness centers delivers both SilverSneakers and Prime fitness. Our fitness 
networks encompass approximately 16,000 participating locations and more than 1,000 alternative locations 
that provide classes outside of traditional fitness centers.  We sell access to our WholeHealth Living network 
primarily to commercial health plans. Our WholeHealth Living network includes over 88,000 complementary, 
alternative, and physical medicine practitioners to serve individuals through health plans and employers who 
seek health services such as physical therapy, occupational therapy, speech therapy, chiropractic care, 
acupuncture and more. 

Effective July 31, 2016, we sold our TPHS business to Sharecare.  The TPHS business took a 
systematic approach to keeping healthy people healthy, eliminating or reducing lifestyle risks and optimizing 
care for persistent or chronic conditions.  The TPHS business included our partnerships with Blue Zones, LLC 
and Dr. Dean Ornish (the Blue Zones Project by Healthways™ and Dr. Dean Ornish's Program for Reversing 
Heart Disease™, respectively), our joint venture with Gallup, Navvis, MeYou Health, and our international 
operations.  While Navvis and MeYou Health were part of our TPHS business, they were sold separately to 
other buyers in November 2015 and June 2016, respectively.  Results of operations for the TPHS business 
have been classified as discontinued operations for all periods presented in the Consolidated Financial 
Statements. 

In January 2017, we rebranded and changed the name of the company from Healthways, Inc. to Tivity 

Health, Inc. to better align with our portfolio of fitness and health improvement programs. The Company is 
headquartered at 701 Cool Springs Boulevard, Franklin, Tennessee 37067. 

Forward-Looking Statements 

This Report contains forward-looking statements, which are based upon current knowledge, 

assumptions, beliefs, estimates and expectations, involve a number of risks and uncertainties, and are subject to 
the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995.  Forward-looking statements 
include all statements that are not historical statements of fact and those regarding the intent, belief, or 
expectations of the Company, including, without limitation, all statements regarding the Company's future 
earnings and results of operations, and can be identified by the use of words like "may," "believe," "will," "can," 
"expect," "project," "estimate," "anticipate," "plan," or "continue" and similar expressions.  Readers are cautioned 
that any such forward-looking statements are not guarantees of future performance and involve significant risks 
and uncertainties, and that actual results may vary from those in the forward-looking statements as a result of 
various factors, including, but not limited to: 

• 

• 

• 

• 

• 

our ability to implement and realize the anticipated benefits of the sale of the TPHS business; 

the effectiveness of management's strategies and decisions, including the decision to sell the TPHS 
business and focus exclusively on the retained business; 

the effectiveness of the ongoing reorganization of our business; 

the risks associated with recent changes to our senior management team; 

our ability to sign and implement new contracts for our solutions; 

20 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

our ability to accurately forecast the costs required to successfully implement new contracts; 

our ability to renew and/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; 

our ability to effectively compete against other entities, whose financial, research, staff, and 
marketing resources may exceed our resources; 

our ability to accurately forecast our revenues, margins, earnings and net income, as well as any 
potential charges that we may incur as a result of changes in our business and leadership; 

the impact of the Patient Protection and Affordable Care Act, as amended by the Health Care and 
Education Reconciliation Act of 2010 (the “ACA”), on our operations and/or the demand for our services; 

our ability to anticipate change and respond to emerging trends for healthcare and the impact of the 
same on demand for our services; 

the risks associated with deriving a significant concentration of our revenues from a limited number of 
customers; 

our ability and/or the ability of our customers to enroll participants and to accurately forecast 
their level of enrollment and participation in our programs in a manner and within the timeframe 
anticipated by us; 

the ability of our customers to maintain the number of covered lives enrolled in the plans during the terms 
of our agreements; 

our ability to service our debt, make principal and interest payments as those payments become due, 
and remain in compliance with our debt covenants; 

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; 

the risks associated with the conditional cash conversion feature of the Cash Convertible Notes, 
which, if triggered, may adversely affect our liquidity, financial condition and results of operations; 

counterparty risk associated with the Cash Convertible Notes Hedges; 

the risks associated with valuation of the Cash Convertible Notes Hedges and the Cash Conversion 
Derivative, which may result in volatility to our consolidated statements of comprehensive income (loss) if 
these transactions do not completely offset one another; 

our ability to integrate new or acquired businesses, services, or technologies into our business and 
to accurately forecast the related costs; 

our ability to anticipate and respond to strategic changes, opportunities, and emerging trends in our 
industry and/or business and to accurately forecast the related impact on our revenues and earnings; 

the impact of any impairment of our goodwill, intangible assets, or other long-term assets; 

our ability to develop new products; 

our ability to obtain adequate financing to provide the capital that may be necessary to support our 
operations; 

21 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
• 

• 

• 

• 

• 

• 

the risks associated with data privacy or security breaches, computer hacking, network 
penetration and other illegal intrusions of our information systems or those of third-party 
vendors or other service providers, which may result in unauthorized access by third parties to 
customer, employee or our information or patient health information and lead to enforcement 
actions, fines and other litigation against us; 

the impact of any new or proposed legislation, regulations and interpretations relating to Medicare or 
Medicare Advantage; 

the impact of future state and federal legislation and regulations applicable to our business, 
including ACA, 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 or infectious disease outbreak; 

the impact of legal proceedings involving us and/or our subsidiaries; 

other risks detailed in this Report, including those set forth in Item 1A. "Risk Factors." 

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

Critical Accounting Policies 

We describe our significant accounting policies in Note 1 to the Consolidated Financial Statements.  We 
prepare the Consolidated Financial Statements in conformity with generally accepted accounting principles in the 
United States ("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. 

Following the sale of the TPHS business, 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 recognize revenue as services are performed when persuasive evidence of an arrangement exists, 

collectability is reasonably assured, and amounts are fixed or determinable. 

Our fees are generally billed per member per month ("PMPM"), upon member participation, or a 
combination of both.  For PMPM fees, we generally determine our contract fees by multiplying the contractually 
negotiated PMPM rate by the number of members eligible for or receiving our services during the month. Some 
of our contracts, predominantly within the now-disposed TPHS business, were performance-based and placed 
a portion of our fees at risk based on achieving certain performance metrics, cost savings, and/or clinical 
outcomes improvements.   

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.  Fees for participation 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; and (2) we recognize performance-based revenue 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. 

We are currently evaluating the impact that the adoption of ASU No. 2014-09, (as discussed under 

“Recent Relevant Accounting Standards” below) will have on our revenue recognition policies and procedures, 

22 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
financial position, result of operations, cash flows, financial disclosures and control framework. 

Impairment of Intangible Assets and Goodwill 

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

operating segment) 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.  Following the sale 
of the TPHS business, a single reporting unit remains.   

We may elect to perform a qualitative assessment to determine whether it is more likely than not that the 
fair value of a reporting unit is less than its carrying value.  If we conclude during the qualitative assessment that 
this is the case or if we elect not to perform a qualitative assessment, we perform a quantitative review as 
described below. 

During a quantitative review of goodwill, we estimate the fair value of a reporting unit using a 
combination of a discounted cash flow model and a market-based approach, and in the event we were to have 
multiple reporting units, we reconcile the aggregate fair value of our reporting units to our consolidated market 
capitalization.  Estimating fair value 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, as 
well as relevant comparable company earnings multiples for the market-based approach.  Changes in these 
estimates and assumptions could materially affect the estimate of fair value and potential goodwill impairment 
for each reporting unit. 

If we determine that the carrying value of goodwill is impaired based upon an impairment review, we 
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 upon a sale of the unit as a whole in an orderly 
transaction between market participants at the measurement date. 

Except for a tradename that has an indefinite life and is not subject to amortization, we amortize 

identifiable intangible assets over their estimated useful lives using the straight-line method.  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.  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. We estimated the fair value of our indefinite-lived intangible asset, a tradename, 
using a present value technique, which requires management's estimate of future revenues attributable to this 
tradename, estimation of the long-term growth rate and royalty rate for this revenue, 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 tradename. 

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 evaluating tax positions and 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. 

Valuation allowances are established when necessary to reduce deferred tax assets to the amounts that 

are expected to be realized. When we determine that it is more likely than not that we will be able to realize our 
deferred tax assets in the future, an adjustment to the deferred tax asset is made and reflected in income. This 
determination will be made by considering various factors, including the reversal and timing of existing temporary 
differences, tax planning strategies and estimates of future taxable income exclusive of the reversal of temporary 
differences. 

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. 
23 

 
 
 
 
 
 
 
 
 
 
 
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 consolidated financial position, results of operations, and cash flows. 

Share-Based Compensation 

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

required vesting period based on estimated fair values at the date of grant. Determining the fair value of stock 
options at the grant date 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. These assumptions and judgments are further described in Note 
13 to the Consolidated Financial Statements. 

24 

 
 
 
 
 
 
 
Executive Overview of Results 

The key financial results for the year ended December 31, 2016 are: 

•  Revenues from continuing operations of $501.0 million, up 10.8% from $452.1 million for 2015; 

•  Net income from continuing operations of $56.1 million, up 28.5% from $43.6 million for 2015; 

•  Restructuring charges of $4.9 million; and 

• 

Loss from discontinued operations, net of income tax benefit, of $184.7 million compared to 
$75.0 million for 2015.  

Results of Operations 

The following table sets forth the components of the consolidated statements of operations for the years 
ended December 31, 2016, 2015, and 2014 expressed as a percentage of revenues for continuing operations. 

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

Interest expense 
Income before income taxes (1) 
Income tax expense 

Year Ended December 31, 
2015 

2014 

2016 

100.0 %       

100.0%       

100.0%    

71.3 %       
7.9 %       
0.8 %       
 1.0 %       
— %       
19.0 %       

3.5 %       
15.6 %       
4.4 %       

70.4%       
7.9%       
1.5%       
0.2%       
—%       
20.1%       

4.0%       
16.1%       
6.5%       

67.2% 
7.9%    
1.7%    
—%    
1.5%    
21.7%    

4.3%    
17.4%    
6.8%    

Net income from continuing operations (1) 
Loss from discontinued operations, net of income tax 
benefit 
Net loss 
Net income (loss) attributable to non-controlling interest 
Net loss attributable to Tivity Health, Inc. (1) 

11.2 %       

9.7%       

10.6%    

(36.9 
)%    
(25.7 )%    
0.1 %       
 (25.8 )%       

(16.6

)%    
(6.9)%    
(0.1)%      
(6.8)%      

(11.9

)% 
(1.4)%  
—%    
 (1.4)%    

(1) 

Figures may not add due to rounding. 

Revenues 

Revenues from continuing operations for 2016 increased $48.9 million, or 10.8%, over 2015, primarily as a 

result of the following: an increase of $49.0 million due to both a net increase in the number of members eligible 
to participate in our fitness solutions as well as a net increase in the average participation per member in such 
solutions, an increase of $5.4 million due to contracts with new customers or expanded contracts with existing 
customers, and a decrease of $5.5 million due to contract terminations. 

Revenues from continuing operations for 2015 increased $46.8 million, or 11.6%, over 2014, primarily as a 

result of the following: an increase of $61.1 million due to both a net increase in the number of members eligible 
to participate in our fitness solutions as well as a net increase in the average participation per member in such 
solutions, an increase of $7.5 million due to contracts with new customers or expanded contracts with existing 
customers, and a decrease of $21.7 million due to contract terminations. 

25 

 
 
 
 
 
 
 
 
 
  
     
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
     
  
     
  
     
  
  
     
     
  
     
     
     
     
     
  
     
    
     
   
     
   
  
     
     
     
  
     
    
     
   
     
   
  
     
   
 
 
 
 
   
     
     
  
 
 
 
 
 
Cost of Services 

Cost of services from continuing operations (excluding depreciation and amortization) as a percentage of 
revenues did not materially change from 2015 (70.4%) to 2016 (71.3%).  Overall, this slight increase is primarily 
attributable to an increase in short-term incentive compensation due to the Company’s financial performance 
against established targets. 

Cost of services from continuing operations (excluding depreciation and amortization) as a percentage of 

revenues increased from 67.2% for 2014 to 70.4% for 2015 primarily due to a change in the mix of customer 
contracts, with a greater number of contracts containing a somewhat fixed revenue structure, while the related 
contract costs remained variable. 

Selling, General and Administrative Expenses 

Selling, general and administrative expenses from continuing operations as a percentage of revenues 

remained consistent at 7.9% for 2016, 2015, and 2014. 

Depreciation and Amortization 

Depreciation and amortization expense from continuing operations decreased $2.8 million from 2015 to 

2016, primarily due to a decrease in the amount of depreciable assets. 

Depreciation and amortization expense from continuing operations remained relatively consistent for 

2015 compared to 2014.  

Restructuring and Related Charges 

During 2016, we incurred restructuring charges from continuing operations of $4.9 million, primarily in 

connection with the reorganization of our corporate support infrastructure (the “2016 Restructuring Plan”), which 
we began implementing in the third quarter of 2016. We expect to incur a total of approximately $6.0 million in 
restructuring charges related to the 2016 Restructuring Plan, with the majority incurred in 2016 and the 
remainder expected to be incurred in the first quarter of 2017 and to consist of severance and other employee-
related costs.  The 2016 Restructuring Plan is expected to create cost savings beginning in 2017, with total 
annualized savings of approximately $15.0 million to $16.0 million, approximately half of which we expect to be 
reinvested into business initiatives during 2017 intended to drive increased growth in 2018. 

During 2015, we incurred restructuring charges from continuing operations of $0.7 million in connection 

with our reorganization and cost rationalization plan (the “2015 Restructuring Plan”), which primarily consisted of 
one-time termination benefits. 

We did not incur any restructuring charges from continuing operations in 2014. 

Legal Settlement Charges 

During 2014, we incurred legal settlement charges from continuing operations of $5.9 million in 

connection with the Company's settlement of two legal matters. 

Interest Expense 

Interest expense from continuing operations remained relatively consistent for 2016, 2015 and 2014. 

Income Tax Expense 

For the year ended December 31, 2016, we had an effective income tax rate from continuing 

operations of 28.1%, compared to an effective income tax rate of 40.2% for the year ended December 31, 
2015, primarily due to an income tax benefit of $9.6 million recognized during 2016 related to the reversal of a 
domestic deferred tax asset valuation allowance initially recorded in the fourth quarter of 2015. 

26 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Our effective income tax rate from continuing operations remained relatively consistent from 2014 to 

2015. 

Liquidity and Capital Resources 

Overview 

As of December 31, 2016, we had a working capital deficit of $74.3 million, including outstanding 

aggregate borrowings under our credit facility of $44.8 million due by December 31, 2017.  As of February 28, 
2017, we had cash of $20.1 million, and, based upon the pro-forma calculations of compliance with the 
restrictive covenants under our credit agreement, we anticipate the ability to borrow under the revolving credit 
facility up to a maximum of $125.0 million through June 8, 2017 and up to a maximum of $79.7 million for the 
period beginning on June 9, 2017 and ending on June 8, 2018. We believe our cash on hand, cash flows from 
operations and available borrowings are sufficient to fund our operations, debt payments and capital 
expenditures for the next twelve months and the foreseeable future. 

Cash Flows Provided by Operating Activities 

Operating activities during 2016 provided cash of $37.9 million compared to $61.0 million during 2015. 

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

• 
• 

• 

a decrease in cash collections on accounts receivable; 
payments associated with the sale of the TPHS business, including consulting and transaction fees and 
certain employee-related payments; and 
increased payments related to restructuring activities, such as severance and lease costs. 

These decreases were partially offset by an increase in operating cash flows related to legal settlement payments 
in 2015 that did not recur in 2016. 

Operating activities during 2015 provided cash of $61.0 million compared to $52.1 million during 2014. 

The increase in operating cash flows resulted primarily from the following: 

• 

• 

a decrease in day sales outstanding in accounts receivable from 58 days at December 31, 2014 to 53 
days at December 31, 2015; and 
the timing of several significant vendor payments. 

Cash Flows Used in Investing Activities 

Investing activities during 2016 used $38.9 million in cash, as compared to $37.4 million during 2015, 
which was primarily due to decreased capital expenditures in 2016 associated with our technology platform, 
offset by payments made to Sharecare related to the sale of the TPHS business. 

Investing activities during 2015 used $37.4 million in cash, as compared to $51.2 million during 2014, 

which, in each case, primarily consisted of capital expenditures associated with our technology platform. 

Cash Flows Provided By/Used in Financing Activities 

Financing activities during 2016 provided $1.0 million in cash, while financing activities during 2015 used 

$21.9 million in cash.  This change is primarily due to a decrease in net payments under the Fifth Amended 
Credit Agreement during 2016 and increased proceeds from the exercise of stock options.  

Financing activities during 2015 used $21.9 million in cash, as compared to $0.2 million during 2014, 
primarily due to an increase in net payments under the Fifth Amended Credit Agreement during 2015 and the 
change in our cash overdraft position. 

Credit Facility 

For a detailed description of the Fifth Amended Credit Agreement, refer to Note 7 of the Notes to 

Consolidated Financial Statements in this Report.  The Fifth Amended Credit Agreement contains financial 
covenants that require us to maintain specified ratios or levels at December 31, 2016 of (1) a maximum total 

27 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
funded debt to EBITDA of 3.50 and (2) a minimum total fixed charge coverage of 1.50.  We were in compliance 
with all of the financial covenant requirements of the Fifth Amended Credit Agreement as of December 31, 2016.  

Cash Convertible Senior Notes  

For a detailed description of the Cash Convertible Notes, Cash Convertible Notes Hedges, Cash 
Conversion Derivative, and Warrants (as such terms are defined in Note 7 of the Notes to Consolidated 
Financial Statements) entered into in July 2013, refer to Note 7 of the Notes to Consolidated Financial 
Statements included in this Report. Aside from the initial premium paid, we will not be required to make any 
cash payments under the Cash Convertible Notes Hedges and could be entitled to receive an amount of cash 
from the option counterparties generally equal to the amount by which the market price per share of common 
stock exceeds the strike price of the Cash Convertible Note Hedges during the relevant valuation period. The 
strike price under the Cash Convertible Notes Hedges is initially equal to the conversion price of the Cash 
Convertible Notes. Although the Cash Convertible Notes are not currently convertible, the Cash Convertible 
Notes will become convertible into cash during any calendar quarter (and only during such calendar quarter) if 
the last reported sale price of our common stock for at least 20 trading days (whether or not consecutive) during 
a period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar 
quarter is greater than or equal to approximately $25.30 per share. The last reported sale price of our common 
stock as reported on Nasdaq on March 1, 2017 was $28.95 per share. 

The estimated fair value based on the last traded price of the Cash Convertible Note at December 31, 

2016 was $187.7 million (as discussed in Note 9 of the Notes to Consolidated Financial Statements included in 
this Report). Additionally, if the market price per share of our common stock exceeds the strike price of the 
Warrants on any warrant exercise date, we will be obligated to issue to the option counterparties a number of 
shares based on the amount by which the then-current market price per share of our common stock exceeds 
the then-effective strike price of each Warrant. We will not receive any additional proceeds if the Warrants are 
exercised. 

CareFirst Convertible Note 

For a description of the CareFirst Convertible Note and CareFirst Warrants, refer to Note 7 of the 

Notes to Consolidated Financial Statements included in this Report.   

General 

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

credit under the Fifth Amended Credit Agreement will continue to enable us to meet our contractual obligations 
and fund our current operations and debt payments for at least the next 12 months.  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 securities to provide the funding for these increased growth opportunities. We may also issue 
debt or equity securities in connection with future acquisitions or strategic alliances.  We cannot assure you that 
we would be able to issue additional debt or equity securities on terms that would be acceptable to us. 

Any material commitments for capital expenditures are included in the "Contractual Obligations" table 

below. 

28 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Contractual Obligations 

The following schedule summarizes our contractual cash obligations as of December 31, 2016: 

Payments due by year ended December 31, 

(in thousands) 
Deferred compensation plan payments (1)   $ 
Long-term debt and related interest (2) 
Operating lease obligations (3) 
Capital lease obligations (4) 
Severance and related obligations 
Other contractual cash obligations (5) 
Total Contractual Cash Obligations 

  $ 

2017 

       2018-2019       
148     $ 
179,794       
10,763       
56       
3,539       
—       
194,300     $ 

6,023     $ 
49,213       
5,699       
95       
4,942       
3,623       
69,595     $ 

2020-
2021     

2022 and 
After 

Total 

203    $ 
—       
3,858      
—      
—      
—      
4,061    $ 

1,239    $ 

7,613   
—       229,007   
21,283   
151   
8,481   
3,623   
2,202    $  270,158   

963      
—      
—      
—      

(1)  Consists of payments under a non-qualified deferred compensation plan and long-term incentive cash awards. 

(2)  Consists of scheduled principal payments and estimated interest payments on outstanding borrowings under 
the Fifth Amended Credit Agreement. Also includes payments in respect of the Cash Convertible Notes and 
payments of cash interest thereon. The Cash Convertible Notes will mature on July 1, 2018, unless earlier 
repurchased or converted into cash in accordance with their terms prior to such date (see Note 7 of the Notes 
to Consolidated Financial Statements included in this Report). Total estimated interest payments included in the 
table above are $4.4 million for 2017 and $1.1 million for 2018 and 2019 combined. 

(3)  Excludes cash receipts from sublease contracts of $4.6 million, $11.2 million, $11.4 million, and $6.7 
million, respectively. 

(4)  Consists of scheduled principal payments on capital lease obligations.  Estimated interest payments are 
zero. 

(5)  Other contractual cash obligations primarily include payments related to a joint venture with Gallup that was 
transferred to Sharecare but for which we agreed to be responsible for two-thirds of the remaining payment 
obligations in respect of the purchase price to be paid in connection with Sharecare's acquisition of additional 
membership interest in the joint venture.  

Off-Balance Sheet Arrangements 

We do not have any off-balance sheet arrangements as of December 31, 2016. 

Recent Relevant Accounting Standards 

In May 2014, the Financial Accounting Standards Board ("FASB") issued ASU No. 2014-09, which creates 

Accounting Standards Codification ("ASC") Topic 606, "Revenue from Contracts with Customers" ("ASC Topic 
606") and supersedes ASC Topic 605, "Revenue Recognition." The provisions of ASC Topic 606 provide for a 
single comprehensive principles-based standard for the recognition of revenue across all industries and expanded 
disclosure about the nature, amount, timing and uncertainty of revenue, as well as certain additional quantitative 
and qualitative disclosures. The standard is effective for annual periods beginning after December 15, 2017, 
including interim periods within those years. The guidance permits the use of either a retrospective or cumulative 
effect transition method. We have not yet selected a transition method.  We are currently conducting analysis to 
quantify the adoption impact of the provisions of the new standard and evaluating our current contracts and 
revenue streams. The FASB has issued, and may issue in the future, interpretive guidance which may cause our 
evaluation to change. We believe we are following an appropriate timeline to allow for proper recognition, 
presentation and disclosure upon adoption effective the beginning of fiscal year 2018. 

In August 2014, the FASB issued ASU No. 2014-15, "Presentation of Financial Statements – Going 

Concern: Disclosure of Uncertainties about an Entity's Ability to Continue as a Going Concern," which requires 
management to evaluate whether there is substantial doubt about the entity's ability to continue as a going 
concern and, if so, provide certain footnote disclosures. This ASU is effective for annual periods ending after 

29 

 
 
 
  
  
  
  
    
  
    
    
    
    
    
 
 
 
 
 
 
 
 
 
  
December 15, 2016, including interim reporting periods thereafter. This ASU was adopted in the fourth quarter of 
2016 and did not have an impact on our financial statements or footnote disclosures. 

In April 2015, the FASB issued ASU No. 2015-03, "Simplifying the Presentation of Debt Issuance 
Costs," which requires that debt issuance costs related to a recognized debt liability be presented in the balance 
sheet as a direct deduction from the carrying amount of the related debt liability, consistent with debt discounts. 
This ASU was adopted in the first quarter of 2016 and has been applied on a retrospective basis to all periods 
presented. The adoption of this standard resulted in debt issuance costs being presented as a direct deduction 
from the carrying amount of the related debt liability and totaled $2.3 million and $4.1 million as of December 31, 
2016 and December 31, 2015, respectively. 

In November 2015, the FASB issued ASU No. 2015-17, "Income Taxes: Balance Sheet Classification of 
Deferred Taxes" ("ASU 2015-17"), which simplifies the presentation of deferred income taxes by eliminating the 
separate classification of deferred income tax liabilities and assets into current and noncurrent amounts in the 
consolidated balance sheet. The amendments in ASU 2015-17 require that all deferred tax liabilities and assets be 
classified as noncurrent in the consolidated balance sheet. This ASU was adopted in the first quarter of 2016 and 
is presented prospectively. 

In February 2016, the FASB issued ASU No. 2016-02, "Leases" ("ASU 2016-02"), which requires that 
lessees recognize assets and liabilities for leases with lease terms greater than twelve months in the statement of 
financial position. ASU 2016-02 also requires improved disclosures to help users of financial statements better 
understand the amount, timing and uncertainty of cash flows arising from leases. The update is effective for fiscal 
years beginning after December 15, 2018, including interim reporting periods within those years. We are currently 
evaluating the impact the adoption of ASU 2016-02 will have on our financial position, results of operations and 
cash flows. 

In March 2016, the FASB Issued ASU No. 2016-09, "Compensation-Stock Compensation (Topic 718): 
Improvements to Employee Share-Based Payment Accounting" ("ASU 2016-09"), which we adopted on January 1, 
2017.  ASU 2016-09 requires all income tax effects of share-based awards to be recognized in the income 
statement, which were previously presented as a component of shareholders’ equity, on a prospective basis.  In 
addition, any excess tax benefits that were not previously recognized because the related tax deduction had not 
reduced current taxes payable are to be recorded on a modified retrospective basis through a cumulative-effect 
adjustment to retained earnings as of the beginning of the period of adoption, which resulted in an increase of $6.5 
million to our retained earnings as of January 1, 2017.  Regarding the statement of cash flows, the standard (a) 
requires the presentation of excess tax benefits as an operating activity rather than as a financing activity and (b) 
that cash paid by the Company when directly withholding shares for tax withholding purposes be classified as a 
financing activity on a retrospective basis. The standard also allows for an accounting policy election to estimate 
the number of awards that are expected to vest or to account for forfeitures when they occur. We elected to 
account for forfeitures as they occur, which did not result in a material cumulative effect adjustment to our retained 
earnings as of January 1, 2017.  Finally, the standard no longer allows windfall tax benefits to be included in the 
assumed proceeds when applying the treasury stock method for computing diluted earnings per share (“EPS”), 
which will result in share-based awards having a more dilutive effect on EPS.  

In August 2016, the FASB issued ASU No. 2016-15, "Statement of Cash Flows" (Topic 230) ("ASU 2016-
15").  ASU 2016-15 addresses how certain cash receipts and cash payments are presented and classified in the 
statement of cash flows. ASU 2016-15 is effective in the first quarter of 2018, with early adoption permitted, and is 
to be applied using a retrospective approach. We are currently evaluating the potential effects of adopting the 
provisions of ASU 2016-15. 

In January 2017, the FASB issued ASU No. 2017-04, “Intangibles - Goodwill and Other”, which simplifies 

the subsequent measurement of goodwill by eliminating step two from the goodwill impairment test.  ASU No. 
2017-04 is effective for annual and interim impairment tests in fiscal years beginning after December 15, 2019 and 
is required to be applied prospectively. Early adoption is allowed for annual goodwill impairment tests performed 
on testing dates after January 1, 2017. We have not yet determined the effect of the standard on our consolidated 
financial statements and related disclosures. 

30 

 
  
 
  
 
 
 
 
Item 7A.  Quantitative and Qualitative Disclosures About Market Risk 

Interest Rate Risk 

We are subject to market risk related to interest rate changes, primarily as a result of the Fifth Amended 

Credit Agreement.  Borrowings under the Fifth Amended Credit Agreement generally bear interest at variable 
rates based on a margin or spread in excess of either (1) one-month, two-month, three-month or six-month (or 
with the approval of affected lenders, nine-month or twelve-month) LIBOR or (2) the greatest of (a) the SunTrust 
Bank prime lending rate, (b) the federal funds rate plus 0.50% and (c) one-month LIBOR plus 1.00% (the "Base 
Rate"), as selected by the Company.  The LIBOR margin varies between 1.75% and 3.00%, and the Base Rate 
margin varies between 0.75% and 2.00%, depending on our leverage ratio.  

We estimate that a one-point interest rate change in our floating rate debt would have resulted in a change 

in interest expense of approximately $0.6 million for the year ended December 31, 2016. 

31 

 
 
 
 
 
 
 
 
 
 
Item 8.  Financial Statements and Supplementary Data 

To the Board of Directors and Stockholders of Tivity Health, Inc. 

Report of Independent Registered Public Accounting Firm

In our opinion, the accompanying consolidated balance sheets and the related consolidated statements of 
operations, comprehensive (income) loss, changes in stockholders’ equity, and cash flows present fairly, in all 
material respects, the financial position of Tivity Health, Inc. and its subsidiaries at December 31, 2016 and 
December 31, 2015, and the results of their operations and their cash flows for each of the three years in the 
period ended December 31, 2016 in conformity with accounting principles generally accepted in the United States 
of America.  Also in our opinion, the Company maintained, in all material respects, effective internal control over 
financial reporting as of December 31, 2016, based on criteria established in Internal Control - Integrated 
Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO).  
The Company's management is responsible for these financial statements, for maintaining effective internal 
control over financial reporting and for its assessment of the effectiveness of internal control over financial 
reporting, included in Management's Annual Report on Internal Control over Financial Reporting appearing under 
Item 9A.  Our responsibility is to express opinions on these financial statements and on the Company's internal 
control over financial reporting based on our integrated 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 audits to obtain reasonable assurance about whether the financial statements are free of 
material misstatement and whether effective internal control over financial reporting was maintained in all material 
respects.  Our audits of the financial statements included examining, on a test basis, evidence supporting the 
amounts and disclosures in the financial statements, assessing the accounting principles used and significant 
estimates made by management, and evaluating the overall financial statement presentation.  Our audit of internal 
control over financial reporting included obtaining an understanding of internal control over financial reporting, 
assessing the risk that a material weakness exists, and testing and evaluating the design and operating 
effectiveness of internal control based on the assessed risk.  Our audits also included performing such other 
procedures as we considered necessary in the circumstances. We believe that our audits provide a reasonable 
basis for our opinions. 

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 (i) pertain to the maintenance of records that, in reasonable detail, 
accurately and fairly reflect the transactions and dispositions of the assets of the company; (ii) 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 (iii) provide reasonable 
assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the 
company’s assets that could have a material effect on the financial statements. 

Because of its inherent limitations, internal control over financial reporting may not prevent or detect 
misstatements.  Also, projections of any evaluation of effectiveness to future periods are subject to the risk that 
controls may become inadequate because of changes in conditions, or that the degree of compliance with the 
policies or procedures may deteriorate. 

/s/ PricewaterhouseCoopers LLP 
Nashville, Tennessee 
March 6, 2017 

32 

 
 
 
 
 
 
 
 
TIVITY HEALTH, INC. 

CONSOLIDATED BALANCE SHEETS 
(In thousands) 
ASSETS 

December 31, 
2016 

December 31, 
2015 

Current assets: 
Cash and cash equivalents 
Accounts receivable, net 
Prepaid expenses 
Other current assets 
Income taxes receivable 
Deferred tax asset 
Current assets held for sale within discontinued operations 
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 
Cash convertible notes hedges 
Long-term deferred tax asset  
Intangible assets, net 
Goodwill, net 
Long-term assets held for sale within discontinued operations 

1,602  $
50,424     
3,409    
2,250    
426     
—    
—   
58,111     

10,144    
23,024    
8,670     
2,079     
43,917     
(35,586)   
8,331    

6,688     
48,361   
59,562     
29,049   
334,680     
—     

233 
50,608 
7,662 
2,508 
257 
7,717 
65,802 
134,787 

10,009 
21,832 
10,136 
1,089 
43,066 
(33,470) 
9,596 

509 
12,632 
— 
29,526 
336,974 
188,900 

Total assets 

 $ 

544,782   $

712,924 

See accompanying notes to the Consolidated Financial Statements. 

33 

 
 
 
 
 
   
  
  
   
  
   
   
   
   
   
  
   
  
   
      
  
   
     
  
   
   
   
   
  
   
   
 
   
  
   
      
  
   
  
   
  
  
   
 
   
     
  
 
 
 
 
TIVITY HEALTH, INC.  

CONSOLIDATED BALANCE SHEETS 

(In thousands, except share and per share data) 

LIABILITIES AND STOCKHOLDERS’ EQUITY 

December 31, 
2016 

December 31, 
2015 

Current liabilities: 
Accounts payable 
Accrued salaries and benefits 
Accrued liabilities 
Other current liabilities 
Current portion of long-term debt 
Current portion of long-term liabilities 
Current liabilities held for sale within discontinued operations 
Total current liabilities 

  $ 

Long-term debt 
Long-term deferred tax liability 
Cash conversion derivative 
Other long-term liabilities 

Stockholders' equity: 

26,029     $ 
18,686       
33,623       
397       
46,046       
7,582       
—       
132,363       

164,297       
—       
48,361      
10,463       

21,184   
7,240   
28,384   
226   
23,308   
6,204  
75,644   
162,190   

208,289   
23,617   
12,632  
25,606   

Preferred stock $.001 par value, 5,000,000 shares authorized, 

none outstanding 

Common stock $.001 par value, 120,000,000 shares authorized, 

38,933,580 and 36,079,446 shares outstanding 

Additional paid-in capital 
(Accumulated deficit) retained earnings 
Treasury stock, at cost, 2,254,953 shares in treasury 
Accumulated other comprehensive loss 
Total stockholders' equity 

—       

—   

39       
341,270       
(119,327 )     
(28,182 )     
(4,502 )     
189,298       

36   
303,687   
9,288   
(28,182 ) 
(4,239 ) 
280,590   

Total liabilities and stockholders' equity 

  $ 

544,782     $ 

712,924   

See accompanying notes to the Consolidated Financial Statements. 

34 

 
 
 
 
  
  
    
  
   
     
  
    
    
    
    
    
    
    
  
    
        
    
    
    
   
    
  
    
        
    
    
        
    
  
    
        
    
    
    
    
    
    
    
    
 
    
        
    
  
 
 
 
TIVITY HEALTH, INC.  

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

Revenues 
Cost of services (exclusive of depreciation and 

amortization of $3,468, $5,440, 
and $4,974, respectively, included below) 
Selling, general and administrative expenses 
Depreciation and amortization 
Restructuring and related charges 
Legal settlement charges 

Operating income 
Interest expense 

Income before income taxes 
Income tax expense  

Year Ended December 31, 
2015 

2016 

2014 

  $ 

500,998      $ 

452,092      $ 

405,263   

357,120        
39,478        
4,085        
4,933        
—        

318,060        
35,546        
6,869        
702        
—        

95,382        
17,318        

90,915        
17,996        

78,064  
21,973  

72,919  
29,285  

272,400   
32,075   
7,035   
—   
5,910   

87,843   
17,449   

70,394   
27,558 

Net income from continuing operations 
Loss from discontinued operations, net of 

income tax benefit 

Net loss 
Less: net income (loss) attributable to non-

controlling interest 

  $ 

56,091 

  $ 

43,634 

  $ 

42,836   

(184,706 
)      
(128,615 )    $ 

(74,952 )      
(31,318 )    $ 

(48,397 
) 
(5,561 ) 

  $ 

496 

(371 

)     

— 

Net loss attributable to Tivity Health, Inc. 

  $ 

(129,111 )    $ 

(30,947 )    $ 

(5,561 ) 

Earnings (loss) per share attributable to Tivity 

Health, Inc. - basic: 
  Continuing operations 
  Discontinued operations  
  Net loss 

Earnings (loss) per share attributable to Tivity 

Health, Inc. – diluted: 
   Continuing operations 
  Discontinued operations  
  Net loss 

Comprehensive loss 

Weighted average common shares and 

equivalents: 

   Basic 
  Diluted 

  $ 
  $ 
  $ 

  $ 
  $ 
  $ 

  $ 

1.52  
  $ 
(5.01 )    $ 
(3.49 )    $ 

1.22  
  $ 
(2.08 )    $ 
(0.86 )    $ 

1.47 
  $ 
(4.86 )    $ 
(3.39 )    $ 

1.18 
  $ 
(2.02 )    $ 
(0.84 )    $ 

1.21   
(1.37 )  
(0.16 )  

1.18   
(1.33 )  
(0.15 )  

(128,878 )    $ 

(33,509 )    $ 

(7,202 )  

36,999        
38,075        

35,832        
36,854        

35,302   
36,346   

See accompanying notes to the Consolidated Financial Statements. 

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TIVITY HEALTH, INC. 
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) 
(In thousands) 

Net loss 
Other comprehensive income (loss), net of tax 
Net change in fair value of interest rate swaps, net of income 

tax of $157, $1, and $44, respectively 

Year Ended December 31, 

2016 

2015 

2014 

 $ 

(128,615)    $ 

(31,318)   $ 

(5,561 )  

239       

103      

171   

Foreign currency translation adjustment 
Total other comprehensive loss, net of tax 

Comprehensive loss 

(502
)      
(263)    $

)     

(2,294
(2,191)    $ 

(128,878)    $ 

(33,509)    $ 

(1,812 
)  
(1,641 )  

(7,202 )  

 $

 $ 

See accompanying notes to the Consolidated Financial Statements. 

36 

 
 
  
 
  
  
 
     
    
  
  
  
      
     
  
   
        
       
    
   
   
 
 
 
 
  
 
   
    
  
  
 
 
TIVITY HEALTH, INC. 
CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS' EQUITY 
(In thousands) 

Preferred 
Stock 

Common 
Stock 

Additional 
Paid-in 
Capital 

Retained 
Earnings 
(Accumulated 
Deficit) 

Treasury 
Stock 

Accumulated Other 
Comprehensive 
Income (Loss)  

Total 

Balance, 
December 31, 2013 

 $ 

Comprehensive loss 
Exercise of stock 
options 
Tax effect of stock 
options and restricted 
stock units 
Share-based employee 
compensation expense     
Issuance of CareFirst 
Warrants 
Balance, 
December 31, 2014 

$ 

Comprehensive loss 
Exercise of stock 
options 
Repurchase of common 
stock 
Tax effect of stock 
options and restricted 
stock units 
Share-based employee 
compensation expense     
Issuance of CareFirst 
Warrants 
Proceeds from non-
controlling interest 
Balance, 
December 31, 2015 

 $ 

Comprehensive loss 
Exercise of stock 
options 
Tax effect of stock 
options and restricted 
stock units 
Share-based employee 
compensation expense     
Issuance of CareFirst 
Warrants 
Conversion of CareFirst 
note  
Settlement of non-
controlling interest 

—     $ 

—       

—       

—       

—       

—       

—     $ 

—       

—       

—       

—       

—       

—       

—       

—     $ 

—       

—       

—       

—       

—       

—       

—       

48,000       

(28,182 )  $ 

(407 )  $ 

302,690   

35   

 $ 

—   

—   

—   

—   

—   

283,244   

$ 
—      

(5,561 )     

2,851      

—       

(3,737 )    

8,349      

1,639      

—       

—       

—       

—      

—      

—      

—      

—      

(1,641 )     

(7,202 ) 

—      

2,851   

—      

(3,737 ) 

—      

—      

8,349   

1,639  

35   

 $ 

$
292,346   

42,439     $  (28,182 )  $ 

(2,048 )  $ 

304,590   

—   

1   

—   

—   

—   

—   

—   

—      

(31,318 )     

2,466      

—       

—      

(1,833 )      

(5,617 )    

10,469      

2,408      

1,615      

—       

—       

—       

—       

—      

—      

—      

—      

—      

—      

—      

(2,191 )    

(33,509 ) 

—      

2,467   

—      

(1,833 ) 

—      

(5,617 ) 

—      

10,469   

—      

—      

2,408  

1,615   

36   

 $ 

303,687   

$ 

9,288     $  (28,182 )  $ 

(4,239 )  $ 

280,590   

—   

2   

—   

—   

—   

1   

—   

—      

(128,615 )     

10,000      

—       

(8,947 )    

17,538      

192      

19,999      

(1,199 

)    

—       

—       

—       

—       

—       

—      

—      

—      

—      

—      

—      

—      

(263 )    

(128,878 ) 

—      

10,002   

—      

(8,947 ) 

—      

17,538   

—      

192   

—      

20,000  

—      

) 
(1,199 

Balance, 
December 31, 2016 

 $ 

—     $ 

39   

 $ 

341,270   

$ 

(119,327 

)   $  (28,182 )  $ 

(4,502 )  $ 

189,298   

See accompanying notes to the Consolidated Financial Statements. 

37 

 
 
  
 
   
  
 
    
    
   
  
 
 
   
   
   
   
   
   
   
   
   
 
 
   
   
   
 
   
   
   
   
 
   
   
   
 
   
   
   
   
   
   
   
   
   
   
 
   
 
 
 
 
 
 
 
 
TIVITY HEALTH, INC. 

CONSOLIDATED STATEMENTS OF CASH FLOWS 

(in thousands) 

Cash flows from operating activities: 
Net income from continuing operations 
Net loss from discontinued operations 
Adjustments to reconcile net income (loss) to net cash 

provided by operating activities, net of business 
acquisitions: 

Depreciation and amortization 
Amortization of deferred loan costs 
Amortization of debt discount 
Share-based employee compensation expense 
Loss on sale of MeYou Health 
Loss on sale of TPHS business 
Gain on sale of Navvis business 
Equity in (income) loss from joint ventures 
Deferred income taxes 
Excess tax benefits from share-based payment 

arrangements 

Decrease (increase) in accounts receivable, net 
Decrease in other current assets 
(Decrease) increase in accounts payable 
(Decrease) increase in accrued salaries and benefits 
(Decrease) increase in other current liabilities 
Other 
Net cash flows provided by operating activities 

Cash flows from investing activities: 
Acquisition of property and equipment 
Investment in joint ventures 
Proceeds from sale of MeYou Health 
Proceeds from sale of Navvis 
Payments related to sale of TPHS business 
Other 
Net cash flows used in investing activities 

Year Ended December 31, 
2015 

2016 

2014 

  $ 

56,091  
(184,706 ) 

  $

43,634    $ 
(74,952)    

42,836   
(48,397 ) 

31,292   
2,209   
7,564   
17,538   
5,325  
192,034  
—   
(271 )       

(75,942 ) 

—   
8,330   
2,819   
(3,376 )       
(8,755 )       
(4,825 )       
(7,425 )       
   $
37,902   

49,855       
2,520       
7,148       
10,469       
—     
—     
(1,873)      
20,229       
(5,916)     

—       
16,971       
2,796       
5,248       
(4,345)      
(11,764)      
940       
60,960      $ 

53,378   
1,855   
6,757   
8,349   
—  
—  
—   
—   
(6,972 ) 

(525 ) 
(38,130 )  
1,589   
(9,343 )  
3,165   
26,990   
10,546   
52,098   

(14,474 ) 
(1,298 ) 
5,156   
—   
(27,469 ) 
(787 ) 
(38,872 ) 

   $

   $

(34,730)    $ 
(5,881)     
—       
4,369       
—     
(1,121)     
(37,363)    $ 

(42,991 ) 
(7,050 ) 
—   
—   
—  
(1,164 ) 
(51,205 ) 

   $ 

   $ 

   $ 

Cash flows from financing activities: 
Proceeds from issuance of long-term debt 
Payments of long-term debt 
Excess tax benefits from share-based payment 

arrangements 

Exercise of stock options 
Repurchase of common stock 
Deferred loan costs 
Proceeds from non-controlling interest 
Change in cash overdraft and other 
Net cash flows provided by (used in) financing activities     $ 

515,666   
(527,115 ) 

572,981       
(597,837)     

467,126   
(481,515 ) 

—   
10,002   
—   
(424 ) 
—   
2,834   
963  

   $

—       
2,467       
(1,833)      
(892)     
1,615       
1,648       
(21,851)    $ 

525   
2,851   
—   
(391 ) 
—   
11,227   
(177 ) 

Effect of exchange rate changes on cash 

   $ 

(261 ) 

   $

(1,641)    $ 

(1,535 ) 

Less: net (decrease) increase in discontinued operations 
cash and cash equivalents 

  $ 

(1,637 ) 

  $

388    $

(347 ) 

38 

 
 
 
  
  
 
  
  
  
     
  
   
  
   
      
  
  
  
    
    
    
        
    
    
    
    
    
    
    
    
    
  
  
  
  
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
  
    
    
    
        
    
    
    
    
        
    
    
    
    
    
    
    
  
  
    
    
  
    
    
    
        
    
    
    
    
        
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
  
    
    
    
        
    
  
    
    
    
        
    
 
  
  
  
     
  
Net increase (decrease) in cash and cash equivalents 

   $ 

1,369   

   $

(283)     $ 

(472 )  

Cash and cash equivalents, beginning of period 

233   

516       

Cash and cash equivalents, end of period 

  $ 

1,602   

  $

233      $

988   

516   

Supplemental disclosure of cash flow information: 
  Cash paid during the period for interest 

  Cash paid during the period for income taxes 

Noncash Activities: 
  Issuance of CareFirst Warrants 
  Assets acquired through capital lease obligation 

Conversion of CareFirst Convertible Note 

  $ 

  $ 

  $ 
  $ 
  $ 

7,474   

1,458   

  $

  $

8,303      $

262      $

9,503   

2,399   

192   
—   
20,000   

  $ 
  $
  $

2,408      $
898      $
—      $

1,639   
6,702   
—   

See accompanying notes to the Consolidated Financial Statements. 

39 

 
  
    
    
    
        
    
    
    
  
    
    
    
        
    
 
     
    
    
      
 
    
     
    
    
      
 
    
 
     
    
    
      
 
    
     
    
    
      
 
    
 
 
 
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 
Years Ended December 31, 2016, 2015, and 2014 

1. 

Summary of Significant Accounting Policies 

Tivity Health, Inc. was founded and incorporated in Delaware in 1981.  Through our three programs, 

SilverSneakers® senior fitness, Prime® fitness and WholeHealth LivingTM, we are focused on targeted 
population health for those aged 50 and older. In January 2017, we rebranded and changed the name of the 
Company from Healthways, Inc. to Tivity Health, Inc. to better align with our portfolio of fitness and health 
improvement programs. 

Our results from continuing operations do not include the results of the total population health services 
("TPHS") business, which we sold effective July 31, 2016.  The TPHS business included our partnerships with 
Blue Zones, LLC and Dr. Dean Ornish (the Blue Zones Project by Healthways™ and Dr. Dean Ornish's 
Program for Reversing Heart Disease™, respectively), our joint venture with Gallup, Inc. (“Gallup”), Navvis 
Healthcare, LLC (“Navvis”), MeYou Health, LLC (“MeYou Health”), and our international operations, including 
our joint venture with SulAmérica.  While Navvis and MeYou Health were part of our TPHS business, they 
were sold separately to other buyers in November 2015 and June 2016, respectively.  Results of operations for 
the TPHS business have been classified as discontinued operations for all periods presented in the 
accompanying Consolidated Financial Statements. 

On March 11, 2015, we formed a joint venture with SulAmérica, one of the largest independent insurers 

in Brazil, to sell total population health services to the Brazilian market. With its contribution, SulAmérica 
acquired a 49% interest in the joint venture, Healthways Brasil Servicos de Consultoria LTDA ("Healthways 
Brazil"). We determined that our interest in Healthways Brazil represented a controlling financial interest and, 
therefore, prior to selling the TPHS business, consolidated the financial statements of Healthways Brazil and 
presented a non-controlling interest for the portion owned by SulAmérica. The net assets and results of 
operations of Healthways Brazil are included within discontinued operations in the accompanying Consolidated 
Financial Statements.  

We have reclassified certain items in prior periods to conform to current classifications.  As used 

throughout these notes to the Consolidated Financial Statements, unless the context otherwise indicates, the 
terms "we," "us," "our," or the "Company" refer collectively to Tivity Health, Inc. and its wholly-owned subsidiaries. 

a.  Principles of Consolidation – See discussion above regarding the TPHS business, including a non-

controlling interest.  We have eliminated all intercompany profits, transactions and balances. 

b.  Cash and Cash Equivalents - Cash and cash equivalents primarily include cash on deposit. 

c.  Accounts Receivable, net - Accounts receivable includes billed and unbilled amounts.  Billed 

receivables represent fees that are contractually due for services performed, net of contractual allowances 
(reflected as a reduction of revenue) and allowances for doubtful accounts (reflected as selling, general and 
administrative expenses). These combined allowances totaled $0.7 million at both December 31, 2016 and 
December 31, 2015. Unbilled receivables primarily represent fees recognized for monthly member utilization of 
fitness facilities under our SilverSneakers fitness solution, billed one month in arrears.  Historically, we have 
experienced minimal instances of customer non-payment and therefore consider our accounts receivable to be 
collectible; however, we provide reserves, when appropriate, for doubtful accounts and for contractual 
allowances (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, 
2016, 2015, and 2014 was $3.6 million, $6.3 million, and $6.5 million, respectively, including depreciation of 
assets recorded under capital leases. 

e.  Other Assets - Other assets consist primarily of an adjustable convertible equity right (see Note 

3). 

40 

 
 
 
 
 
 
 
 
 
 
 
 
 
f.  Intangible Assets - Intangible assets subject to amortization include customer contracts, acquired 

technology, and distributor and provider networks, which we amortized on a straight-line basis over estimated 
useful lives ranging from three to ten years.  All intangible assets subject to amortization were fully amortized at 
December 31, 2016.   

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. If we determine that the 
carrying value of 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. 

Intangible assets not subject to amortization at December 31, 2016 and 2015 consist of a trade name 

of $29.0 million.  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.  See Note 5 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 for impairment at the reporting unit level (operating segment or one level below an 
operating segment) on an annual basis (during the fourth quarter the fiscal year) or more frequently whenever 
events or circumstances indicate that the carrying value may not be recoverable. Following the sale of the TPHS 
business effective July 31, 2016, a single reporting unit remains. 

We may elect to perform a qualitative assessment to determine whether it is more likely than not that the 
fair value of the reporting unit is less than its carrying value. If we conclude during the qualitative assessment that 
this is the case or if we elect not to perform a qualitative assessment, we perform a quantitative review as 
described below. 

During a quantitative review of goodwill, we estimate the fair value of a reporting unit using a combination 

of a discounted cash flow model and a market-based approach, and in the event we were to have multiple 
reporting units, we reconcile the aggregate fair value of our reporting units to our consolidated market 
capitalization. Estimating fair value 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, as well as relevant 
comparable company earnings multiples for the market-based approach. Changes in these estimates and 
assumptions could materially affect the estimate of fair value and potential goodwill impairment for a reporting unit. 

If we determine that the carrying value of goodwill is impaired, we 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 upon a sale of the unit as a whole in an orderly transaction between market participants at the 
measurement date. 

h. Accounts Payable - Accounts payable consists of short-term trade obligations and includes cash 

overdrafts attributable to disbursements not yet cleared by the bank. 

i. Income Taxes - We file a consolidated federal income tax return that includes all of our wholly-owned 

subsidiaries.  U.S. GAAP generally require 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. 

Valuation allowances are established when necessary to reduce deferred tax assets to the amounts that 

are expected to be realized. When we determine that it is more likely than not that we will be able to realize our 
deferred tax assets in the future, an adjustment to the deferred tax asset is made and reflected in income. 

j.  Revenue Recognition - We recognize revenue as services are performed when persuasive evidence 

of an arrangement exists, collectability is reasonably assured, and amounts are fixed or determinable. 

41 

 
 
 
 
 
 
 
 
 
 
 
 
Our fees are generally billed per member per month ("PMPM"), upon member participation, or a 
combination of both.  For PMPM fees, we generally determine our contract fees by multiplying the contractually 
negotiated PMPM rate by the number of members eligible for or receiving our services during the month. Some of 
our contracts, predominantly within the now disposed TPHS business, were performance-based and placed a 
portion of our fees at risk based on achieving certain performance metrics, cost savings, and/or clinical outcomes 
improvements.   

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.  Fees for participation 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; and (2) we recognize performance-based revenue 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. 

We are currently evaluating the impact that the adoption of ASU No. 2014-09 (as discussed under "Recent 

Relevant Accounting Standards" below) will have on our revenue recognition policies and procedures, financial 
position, results of operations, cash flows, financial disclosures, and control framework. 

k. Earnings (Loss) Per Share – We calculate basic earnings (loss) per share using weighted average 

common shares outstanding during the period.  We calculate diluted earnings (loss) per share using weighted 
average common shares outstanding during the period plus the effect of all dilutive potential common shares 
outstanding during the period unless the impact would be anti-dilutive.  See Note 15 for a reconciliation of basic 
and diluted earnings (loss) per share. 

l.  Share-Based Compensation – We recognize all share-based payments to employees in the 

consolidated statements of operations over the required vesting period based on estimated fair values at the date 
of grant.  See Note 13 for further information on share-based compensation. 

m.  Derivative Instruments and Hedging Activities – We use derivative instruments to manage risks related to 

interest expense and the cash convertible senior notes (as discussed in Note 7). We account for derivatives in 
accordance with Financial Accounting Standards Board ("FASB") Accounting Standard Codification ("ASC") Topic 
815, which establishes accounting and reporting standards requiring that certain derivative instruments be recorded 
on the balance sheet as either an asset or liability measured at fair value. Additionally, changes in the derivative's 
fair value will be recognized currently in earnings unless specific hedge accounting criteria are met. As permitted 
under our master netting arrangements, the fair value amounts of our interest rate swaps are presented on a net 
basis by counterparty in the consolidated balance sheets. See Note 10  for further information on derivative 
instruments and hedging activities. 

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

GAAP, 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. 

2. 

Recent Relevant Accounting Standards 

In May 2014, the Financial Accounting Standards Board ("FASB") issued Accounting Standard Update 

("ASU") No. 2014-09, which creates Accounting Standards Codification ("ASC") Topic 606, "Revenue from 
Contracts with Customers" ("ASC Topic 606") and supersedes ASC Topic 605, "Revenue Recognition." The 
provisions of ASC Topic 606 provide for a single comprehensive principles-based standard for the recognition of 
revenue across all industries and expanded disclosure about the nature, amount, timing and uncertainty of 
revenue, as well as certain additional quantitative and qualitative disclosures. The standard is effective for annual 
periods beginning after December 15, 2017, including interim periods within those years. The guidance permits 
the use of either a retrospective or cumulative effect transition method. We have not yet selected a transition 
method.  We are currently conducting analysis to quantify the adoption impact of the provisions of the new 
standard and evaluating our current contracts and revenue streams. The FASB has issued, and may issue in the 

42 

 
 
 
 
 
 
 
 
 
 
 
future, interpretive guidance which may cause our evaluation to change. We believe we are following an 
appropriate timeline to allow for proper recognition, presentation and disclosure upon adoption effective the 
beginning of fiscal year 2018. 

In August 2014, the FASB issued ASU No. 2014-15, "Presentation of Financial Statements – Going 

Concern: Disclosure of Uncertainties about an Entity's Ability to Continue as a Going Concern," which requires 
management to evaluate whether there is substantial doubt about the entity's ability to continue as a going 
concern and, if so, provide certain footnote disclosures. This ASU is effective for annual periods ending after 
December 15, 2016, including interim reporting periods thereafter. This ASU was adopted in the fourth quarter of 
2016 and did not have an impact on our financial statements or footnote disclosures. 

In April 2015, the FASB issued ASU No. 2015-03, "Simplifying the Presentation of Debt Issuance 
Costs," which requires that debt issuance costs related to a recognized debt liability be presented in the balance 
sheet as a direct deduction from the carrying amount of the related debt liability, consistent with debt discounts. 
This ASU was adopted in the first quarter of 2016 and has been applied on a retrospective basis to all periods 
presented. The adoption of this standard resulted in debt issuance costs being presented as a direct deduction 
from the carrying amount of the related debt liability and totaled $2.3 million and $4.1 million as of December 31, 
2016 and December 31, 2015, respectively. 

In November 2015, the FASB issued ASU No. 2015-17, "Income Taxes: Balance Sheet Classification of 
Deferred Taxes" ("ASU 2015-17"), which simplifies the presentation of deferred income taxes by eliminating the 
separate classification of deferred income tax liabilities and assets into current and noncurrent amounts in the 
consolidated balance sheet. The amendments in ASU 2015-17 require that all deferred tax liabilities and assets be 
classified as noncurrent in the consolidated balance sheet. This ASU was adopted in the first quarter of 2016 and 
is presented prospectively. 

In February 2016, the FASB issued ASU No. 2016-02, "Leases" ("ASU 2016-02"), which requires that 
lessees recognize assets and liabilities for leases with lease terms greater than twelve months in the statement of 
financial position. ASU 2016-02 also requires improved disclosures to help users of financial statements better 
understand the amount, timing and uncertainty of cash flows arising from leases. The update is effective for fiscal 
years beginning after December 15, 2018, including interim reporting periods within those years. We are currently 
evaluating the impact the adoption of ASU 2016-02 will have on our financial position, results of operations and 
cash flows. 

In March 2016, the FASB Issued ASU No. 2016-09, "Compensation-Stock Compensation (Topic 718): 
Improvements to Employee Share-Based Payment Accounting" ("ASU 2016-09"), which we adopted on January 1, 
2017.  ASU 2016-09 requires all income tax effects of share-based awards to be recognized in the income 
statement, which were previously presented as a component of shareholders’ equity, on a prospective basis.  In 
addition, any excess tax benefits that were not previously recognized because the related tax deduction had not 
reduced current taxes payable are to be recorded on a modified retrospective basis through a cumulative-effect 
adjustment to retained earnings as of the beginning of the period of adoption, which will result in an increase of 
$6.5 million to our retained earnings as of January 1, 2017.  Regarding the statement of cash flows, the standard 
requires the presentation of excess tax benefits as an operating activity rather than as a financing activity and that 
cash paid by the Company when directly withholding shares for tax withholding purposes be classified as a 
financing activity on a retrospective basis. The standard also allows for an accounting policy election to estimate 
the number of awards that are expected to vest or to account for forfeitures when they occur. We elected to 
account for forfeitures as they occur, which did not result in a material cumulative effect adjustment to our retained 
earnings as of January 1, 2017.  Finally, the standard no longer allows windfall tax benefits to be included in the 
assumed proceeds when applying the treasury stock method for computing diluted earnings per share (“EPS”), 
which will result in share-based awards having a more dilutive effect on EPS.  

In August 2016, the FASB issued ASU No. 2016-15, "Statement of Cash Flows" (Topic 230) ("ASU 2016-
15").  ASU No. 2016-15 addresses how certain cash receipts and cash payments are presented and classified in 
the statement of cash flows. ASU 2016-15 is effective in the first quarter of 2018, with early adoption permitted, 
and is to be applied using a retrospective approach. The company is currently evaluating the potential effects of 
adopting the provisions of ASU 2016-15. 

43 

 
  
  
 
  
 
 
 
In January 2017, the FASB issued ASU No. 2017-04, “Intangibles - Goodwill and Other”, which simplifies 

the subsequent measurement of goodwill by eliminating step two from the goodwill impairment test.  ASU No. 
2017-04 is effective for annual and interim impairment tests in fiscal years beginning after December 15, 2019 and 
is required to be applied prospectively. Early adoption is allowed for annual goodwill impairment tests performed 
on testing dates after January 1, 2017. We have not yet determined the effect of the standard on our consolidated 
financial statements and related disclosures. 

3. 

Discontinued Operations 

On July 27, 2016, we entered into a Membership Interest Purchase Agreement (the "Purchase 
Agreement") with Sharecare, Inc. ("Sharecare"), and Healthways SC, LLC ("Healthways SC"), a newly formed 
Delaware limited liability company and wholly owned subsidiary of the Company, pursuant to which Sharecare 
acquired the TPHS business, which closed effective July 31, 2016 ("Closing"). 

At Closing, Sharecare delivered to the Company an Adjustable Convertible Equity Right (the "ACER") with 
an initial face value of $30.0 million, which will be convertible into shares of common stock of Sharecare 24 months 
after the Closing, at an initial conversion price of $249.87 per share, subject to customary adjustment for stock 
splits, stock dividends and other reorganizations of Sharecare.  Additionally, pursuant to the Purchase Agreement, 
we paid Sharecare $25.0 million in cash at the Closing to fund projected losses of the TPHS business during the 
year following the Closing (the "Transition Year"). Pursuant to Sharecare's acquisition of the TPHS business, our 
ownership interest in the joint venture with Gallup was transferred to Sharecare. We agreed with Sharecare to be 
responsible for two-thirds of the remaining payment obligations in respect of the purchase price to be paid in 
connection with Sharecare's acquisition of additional membership interest in the joint venture. This obligation is 
currently expected to result in aggregate payments by us of approximately $4.2 million, payable in five equal 
quarterly installments that began in the fourth quarter of the 2016 calendar year and end in the fourth quarter of the 
2017 calendar year. As of December 31, 2016, this obligation totaled $3.3 million and was included in accrued 
liabilities. 

 The Purchase Agreement provided for post-closing adjustments based on (i) net working capital (which is 

expected to result in an increase in the face amount of the ACER due to a net working capital surplus, as further 
discussed below), (ii) negative cash flows of the TPHS business during the Transition Year in excess of $25.0 
million (which may result in a reduction in the face amount of the ACER up to a maximum reduction of $20.0 
million), and (iii) any successful claims for indemnification by Sharecare (which may result in a reduction in the face 
amount of the ACER, unless the Company elects, in its sole discretion, to satisfy any such successful claims with 
cash payments). 

We recorded the ACER net of the $20.0 million face value maximum negative cash flow adjustment, or 

$10.0 million face value, at its estimated fair value of $2.7 million as of the Closing.  We have classified this amount 
as an equity receivable included in other assets.  We will record the $20.0 million face value contingent portion of 
the ACER at its estimated fair value as of the date the contingency is resolved, expected to be approximately 12 
months from Closing. As of December 31, 2016, we recorded an estimate of the net working capital adjustment (a 
surplus), which resulted in an estimated fair value of the ACER of $5.7 million.  The working capital 
adjustment is subject to the review process set forth in the Purchase Agreement. 

The terms of the Purchase Agreement also impacted other existing contractual commitments, including the 

elimination of the minimum fee requirements under our technology services outsourcing agreement with HP 
Enterprise Services, LLC (“HP”). 

Effective July 31, 2016, in connection with the Closing, the Company and CareFirst Holdings, LLC 
("CareFirst"), agreed to terminate the Investment Agreement between them (see Note 7).  Also in connection with 
the Closing, all of the Commercial Agreements (defined in Note 7) between the Company and CareFirst relating to 
the TPHS business were transferred to Healthways SC that, effective at the Closing, became a wholly-owned 
subsidiary of Sharecare.  As a result, CareFirst no longer has the opportunity to earn CareFirst Warrants in respect 
of the periods following the Closing.  The Convertible Note, the Registration Rights Agreement and the CareFirst 
Warrants previously issued to CareFirst were not affected by the termination of the Investment Agreement. 

44 

 
 
  
 
  
  
 
  
  
The following table presents the aggregate carrying amounts of the major classes of assets and liabilities 

related to the disposition of the TPHS business: 

(In thousands) 
Cash and cash equivalents 
Accounts receivable, net 
Prepaid expenses 
Other current assets 
Income taxes receivable 
Deferred tax asset 
Property and equipment, net 
Other assets 
IIntangible assets, net 

Total assets 

Accounts payable 
Accrued salaries and benefits 
Accrued liabilities 
Deferred revenue 
Contract billings in excess of earned revenue 

Total liabilities 

December 31, 
2015 

1,637       

57,587   
2,545   
2,722      
819   
492   
146,404   
10,705   
31,791  

254,702   

19,851   
14,380   
21,690   
6,931   
12,792   

75,644   

    $ 

    $ 

    $ 

    $ 

The following table presents financial results of the TPHS business included in “loss from discontinued 

operations" for the years ended December 31, 2016, 2015, and 2014. 

   $ 

(In thousands) 

Revenues 
Cost of services 
Selling, general & administrative expenses 
Depreciation and amortization 
Restructuring and related charges 
Legal settlement charges 
Equity in income (loss) from joint ventures 

Pretax loss on discontinued operations 
Pretax gain on sale of Navvis business 
Pretax loss on sale of MeYou Health business 
Pretax loss on sale of TPHS business 

Total pretax loss on discontinued operations 

Income tax benefit 
Loss from discontinued operations, net of income tax 
benefit 

   $ 

Year Ended December 31, 
2015 

2016 

2014 

   $ 

151,780   
173,302   
18,594   
27,207   
8,626   
—  
243   

(75,706 )        
—   
(4,826 )        
(202,095 )        
(282,627 )        

(97,921 ) 

318,506  
317,849  
32,928  
42,986  
14,395  
— 
(20,229)        
(109,881)        
1,873  
— 
—  
(108,008)        

   $  336,920   
325,243   
33,434   
46,343   
—   
11,805  
(637 ) 
(80,542 ) 
—  
—   
—   
(80,542 ) 
(32,145 )  

(33,056) 

(184,706 )      $ 

(74,952)      $ 

(48,397 ) 

The depreciation, amortization and significant operating and investing non-cash items of the discontinued 

operations were as follows:  

(In thousands) 

Year Ended December 31, 
2015 

2016 

2014 

Depreciation and amortization on discontinued operations    $ 
Capital expenditures on discontinued operations 
 Assets acquired through capital lease obligations 
Share-based compensation on discontinued operations 

27,207     $ 
10,258       
—      
10,144       

42,986       $ 
29,984        
898        
3,404        

46,343  
38,669  
6,321  
3,359  

45 

 
    
  
      
      
      
      
      
      
      
   
  
      
    
  
      
    
      
      
      
      
  
      
    
  
  
  
  
 
  
   
     
 
    
  
    
  
    
        
           
 
  
  
  
  
  
  
    
 
  
  
     
  
     
  
        
  
  
     
     
     
     
     
     
     
     
     
     
     
     
   
   
 
 
     
     
     
   
   
 
 
     
     
     
     
     
     
     
     
4. 

 Goodwill 

The change in carrying amount of goodwill during the years ended December 31, 2016, 2015, and 2014 

is shown below: 

(In thousands) 
Balance, December 31, 2013 
Other adjustments 
Balance, December 31, 2014 
Navvis sale 
Balance, December 31, 2015 
MeYou Health sale 
Balance, December 31, 2016 

  $ 

  $ 

338,800   
—   
338,800   
(1,826 )  
336,974   
(2,294 )  
334,680   

On November 1, 2015, we sold Navvis, a provider of healthcare consulting and advisory services, for 

$4.4 million in cash, which resulted in a gain of $1.9 million. 

In June 2016, we sold the assets of MeYou Health, a wholly-owned subsidiary of the Company that was 
engaged in the business of developing and delivering certain digital health applications, for $5.5 million in cash 
and additional contingent consideration up to $1.5 million, which resulted in a loss of $4.8 million. This loss is 
included in loss from discontinued operations in our consolidated statement of comprehensive income (loss) for 
the year ended December 31, 2016. 

No goodwill was allocated to the disposal group in connection with the sale of the TPHS business. 

As of December 31, 2016 and December 31, 2015, the gross amount of goodwill totaled $517.0 million 

and $519.3 million, respectively, and we had accumulated impairment losses of $182.4 million. 

5. 

  Intangible Assets 

Intangible assets subject to amortization at December 31, 2016 consisted of the following.  

(In thousands) 

Gross 
Carrying 
Amount 

Accumulated 
Amortization      

Net 

Acquired technology 
Distributor and provider networks 
Total 

   $ 

  $ 

6,422      $ 
8,709      
15,131     $ 

(6,422 )     
(8,709 )    
(15,131 )   $ 

—   
—  
—   

Intangible assets subject to amortization at December 31, 2015 consisted of the following: 

(In thousands) 

Gross 
Carrying 
Amount 

Accumulated 
Amortization      

Net 

Acquired technology 
Distributor and provider networks 
Total 

   $ 

  $ 

6,422      $ 
8,709      
15,131     $ 

(6,422 )     
(8,232 )    
(14,654 )   $ 

—   
477  
477   

As all intangible assets subject to amortization were fully amortized as of December 31, 2016, no 

amortization expense is expected over the next five years and thereafter.  Total amortization expense for the years 
ended December 31, 2016, 2015, and 2014 was $0.5 million for each of these years.   

Intangible assets not subject to amortization at December 31, 2016 and 2015 consist of a tradename of 

$29.0 million. 

46 

 
 
 
   
  
    
    
    
    
    
 
 
 
 
 
 
 
  
  
    
  
  
   
     
     
  
   
 
 
  
    
  
  
   
     
     
  
   
 
 
 
Intangible assets related to the disposition of the TPHS business include the following: 

(In thousands) 

Gross 
Carrying 
Amount 

Accumulated 
Amortization      

Net 

Customer contracts 
Acquired technology 
Patents 
Perpetual license to survey-based data 
Other 
Total 

  $ 

  $ 

12,170    $ 
12,126      
24,832     
32,000     
530      
81,658    $ 

(12,044)   $ 
(11,525)     
(19,121)    
(6,695)    
(482)     
(49,867)   $ 

126   
601   
5,711  
25,305  
48   
31,791   

6. 

Income Taxes 

Income tax expense is comprised of the following: 

(In thousands) 

Current taxes 
Federal 
State 

Deferred taxes 
Federal 
State 

Total 

Year Ended December 31, 

2016 

2015 

2014 

  $ 

(426)   
311   

   $ 

457     $ 
670       

483  
263   

18,910  
3,178  

23,342      
4,816      

22,936   
3,876   

  $ 

21,973 

   $ 

29,285

  $ 

27,558   

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 sets forth the significant components of our net deferred tax asset and liability as of December 31, 
2016 and 2015: 

(In thousands) 

Deferred tax asset: 

Accruals and reserves 
Deferred compensation 
Share-based payments 
Net operating loss carryforwards 
Capital loss carryforwards 
Cash conversion derivative and cash convertible notes 
hedge, respectively 
Basis difference on joint ventures 
Other assets 

Valuation allowance 

Deferred tax liability: 

Property and equipment 
Intangible assets 
Cash convertible notes hedge and cash conversion 
derivative, respectively 
Other liabilities 

Net deferred tax asset (liability) 

47 

December 31, 
2016 

December 31, 
2015 

  $ 

  $ 

  $ 

  $ 

4,085     $ 
4,344       
5,818       
68,271       
11,861      

4,592       
1,621       
4,297       
104,889       
(15,176 )     
89,713     $ 

(2,386 )   $ 
(21,520 )     

(4,592 )     
(1,653 )     
(30,151 )     
  $ 
59,562 

9,809   
6,010   
8,344   
30,545   
—  

9,539   
6,466   
3,933   
74,646   
(13,594 ) 
61,052   

(49,645 ) 
(17,666 ) 

(9,539 ) 
(102 ) 
(76,952 ) 
(15,900 ) 

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

  $ 

  $ 

—     $ 

59,562 
59,562 

  $ 

7,717   
(23,617 ) 
(15,900 ) 

At December 31, 2016, we provided valuation allowances for $3.3 million of deferred tax assets 

associated with our international net operating loss carryforwards and $11.9 million for deferred tax assets 
related to capital loss carryforwards incurred in the sale of the TPHS business.  As a result, we recorded a total 
increase in our valuation allowance of $1.6 million for the year ended December 31, 2016.  Of the change in 
valuation allowance for 2016, $9.6 million of income tax benefit was allocated to continuing operations that 
related to the reversal of a valuation allowance on domestic deferred tax assets initially recorded at December 
31, 2015.  We believe that the projected core earnings of the remaining business will be sufficient to utilize the 
net operating losses within the expiration period.  The $11.2 million offsetting increase in valuation allowance 
for 2016 related to international net operating loss and capital loss carryforwards and was allocated to 
discontinued operations. Our valuation allowance as of December 31, 2016 is $15.2 million. 

At December 31, 2016, we had international net operating loss carryforwards totaling approximately $12.8 

million with an indefinite carryforward period, approximately $177.6 million of federal net operating loss 
carryforwards, approximately $207.2 million of state net operating loss carryforwards expiring between 2017 and 
2036, and approximately $30.0 million of capital loss carryforwards expiring in 2021. Of the federal loss 
carryforwards, $6.9 million originating from acquired entities is subject to an annual limitation under Internal 
Revenue Code Section 382 and expire in 2021, if not utilized. The remainder of the federal net operating loss 
carryforwards will expire between 2035 and 2036. 

Pursuant to ASC Topic 718-740, “Stock Compensation”, we are tracking in a separate memo account 

the portion of our cumulative net operating losses attributable to excess tax deductions from share-based 
payment awards, which totaled $16.5 million and $4.0 million at December 31, 2016 and December 31, 2015, 
respectively. The tax benefits related to these amounts were not included in our gross or net deferred tax assets 
and were not recorded to additional paid-in capital since the related tax deduction would not have reduced cash 
taxes payable.  Upon the adoption of ASU 2016-09 on January 1, 2017, these previously unrecognized excess 
tax benefits will be recorded as a cumulative-effect adjustment to retained earnings as of January 1, 2017.  For 
2014, 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 a tax effect of $157,000, $1,000, and $44,000 in 2016, 2015 and 2014, respectively, 
related to our interest rate swap agreements to stockholders' equity as a component of accumulated other 
comprehensive income (loss). 

After the sale of the TPHS business, we determined that the undistributed earnings of the Company’s 

remaining foreign subsidiaries were not permanently reinvested.  As a result, we recorded a $1.6 million deferred 
tax liability on $13.9 million of undistributed earnings at December 31, 2016.  At December 31, 2015, the 
undistributed earnings were considered to be indefinitely reinvested, and no U.S. federal or state income taxes 
were recorded thereon.  

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

the effective rate is as follows: 

48 

 
  
    
        
    
    
 
    
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(In thousands) 

Year Ended December 31, 
2015 

2014 

2016 

Statutory federal income tax 
State income taxes, less federal income tax benefit 
Permanent items 
Change in valuation allowance 
Prior year tax adjustments 
State income tax credits 
Income tax expense 

  $ 

  $ 

27,321     $ 
3,801       
954       
(9,615)       
(444)       
(44)       
  $ 

21,973 

25,522    $ 
3,488      
167      
—      
108      
—      
  $ 

29,285

24,638  
3,334  
230   
—   
6   
(650)   
27,558 

Uncertain Tax Positions 

As of December 31, 2016, we had no unrecognized tax benefits that would affect our effective tax rate. 

Our policy is to include interest and penalties related to unrecognized tax benefits in income tax expense. 
During 2015, we included an immaterial amount of net interest related to uncertain tax positions as a 
component of income tax expense. During 2016 and 2014, there were no interest and penalties related to 
unrecognized tax benefits recorded as income tax expense. 

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

follows: 

(In thousands) 
Unrecognized tax benefits at December 31, 2014 
Decreases based upon settlements with taxing authorities 
Unrecognized tax benefits at December 31, 2015 
Increases (decreases) in 2016 
Unrecognized tax benefits at December 31, 2016 

  $ 

  $ 

  $ 

253   
(253 ) 
—   
—   
—   

We file income tax returns in the U.S. Federal jurisdiction and in various state and foreign jurisdictions.  Our 

2014 federal income tax return is currently under IRS examination.  Tax years remaining subject to examination in 
the U.S. Federal jurisdiction include 2013 to present. 

7. 

Long-Term Debt 

The Company's long-term debt, net of unamortized deferred loan costs, consists of the following at 

December 31, 2016 and 2015: 

(In thousands) 
Cash Convertible Notes, net of unamortized discount 
CareFirst Convertible Note 
Fifth Amended Credit Agreement: 

Term Loan 
Revolver 

Capital lease obligations and other 

Less: deferred loan costs 

Less: current portion 

Credit Facility 

  December 31, 2016     December 31, 2015   
130,296  
  $ 
20,000  

137,859    $ 
—      

60,000      
13,500      
1,270      
212,629      
(2,286 )  
210,343    
(46,046 )   
164,297    $ 

80,000  
—  
5,374  
235,670  
(4,073) 
231,597 
(23,308) 
208,289  

  $ 

On June 8, 2012, we entered into the Fifth Amended and Restated Revolving Credit and Term Loan 
Agreement (as amended, the "Fifth Amended Credit Agreement").  As amended in August 2016 and further 
described below, the Fifth Amended Credit Agreement provides us with a $125 million revolving credit facility that 
includes a swingline sub facility of $20 million and a $75 million sub facility for letters of credit.  The Fifth Amended 

49 

 
  
  
  
  
    
    
  
  
  
 
    
 
    
 
  
    
    
    
    
    
 
 
 
 
 
 
 
  
 
  
    
    
 
 
 
 
 
 
    
    
       
   
    
    
    
 
    
  
 
  
    
  
 
 
Credit Agreement also provides a $200 million term loan facility, $60 million of which remained outstanding at 
December 31, 2016, and an uncommitted incremental accordion facility of $100 million. 

Borrowings under the Fifth Amended Credit Agreement generally bear interest at variable rates based on a 

margin or spread in excess of either (1) the one-month, two-month, three-month or six-month rate (or with the 
approval of affected lenders, nine-month or twelve-month rate) for Eurodollar deposits ("LIBOR", which may not be 
less than zero), or (2) the greatest of (a) the SunTrust Bank prime lending rate, (b) the federal funds rate plus 
0.50% and (c) one-month LIBOR plus 1.00% (the "Base Rate"), as selected by the Company.  The LIBOR margin 
varies between 1.75% and 3.00%, and the Base Rate margin varies between 0.75% and 2.00%, depending on our 
leverage ratio.  The Fifth Amended Credit Agreement also provides for an annual fee ranging between 0.30% and 
0.50% of the unused commitments under the revolving credit facility.  Extensions of credit under the Fifth Amended 
Credit Agreement are secured by guarantees from all of the Company's active domestic subsidiaries and by 
security interests in substantially all of the Company's and such subsidiaries' assets. 

 On August 4, 2016, we entered into the Eighth Amendment to the Fifth Amended Credit Agreement (the 
"Eighth Amendment").  The Eighth Amendment (1) extends the expiration date of the Company's revolving credit 
facility and the maturity date of the Company's term loan facility under the Fifth Amended Credit Agreement from 
June 8, 2017 to June 8, 2018 (the "Extended Maturity Date") and (2) amends the definition of "Consolidated 
EBITDA" to include an add-back for certain non-cash gains and losses and to take into account certain financial 
consequences of the sale by the Company of its TPHS business to Sharecare pursuant to the terms of the 
Purchase Agreement.  The Eighth Amendment contemplates that some lenders might not agree to the Extended 
Maturity Date and preserved June 8, 2017 as the non-extended maturity date (the "Non-Extended Maturity Date") 
for such lenders.  Lenders holding $45.3 million of the revolving commitments and $25.4 million of outstanding term 
loans as of August 4, 2016 did not consent to the Extended Maturity Date.  On the Non-Extended Maturity Date, the 
revolving commitments of non-consenting revolving lenders will terminate and any outstanding term loans and 
revolving loans owed to non-consenting lenders must be paid in full.  The outstanding revolving loans under the 
revolving credit facility held by consenting lenders must be paid in full on June 8, 2018.  We are required to repay 
term loans in quarterly principal installments aggregating 2.500% of the original aggregate principal amount of the 
term loans ($5.0 million) during each of the remaining quarters prior to maturity on June 8, 2018, at which time the 
entire unpaid principal balance of the term loans held by consenting lenders is due and payable. 

The impact of the Eighth Amendment on the maturity of our debt is reflected in our balance sheet.  As of 

December 31, 2016, availability under the revolving credit facility totaled $103.8 million. Based upon the pro-forma 
calculations of compliance with the restrictive covenants under our credit agreement, we anticipate the ability to 
borrow under the revolving credit facility up to a maximum of $125.0 million through June 8, 2017 and up to a 
maximum of $79.7 million for the period beginning on June 9, 2017 and ending on June 8, 2018. 

The Fifth Amended Credit Agreement contains financial covenants that require us to maintain, as defined, 

specified ratios or levels of (1) total funded debt to EBITDA and (2) fixed charge coverage. The Fifth Amended 
Credit Agreement contains various other affirmative and negative covenants that are typical for financings of this 
type.  Among other things, the Fifth Amended Credit Agreement limits repurchases of our common stock and the 
amount of dividends that we can pay to holders of our common stock. 

1.50% Cash Convertible Senior Notes Due 2018 

On July 16, 2013, we completed the issuance of $150.0 million aggregate principal amount of cash 
convertible senior notes due 2018 (the "Cash Convertible Notes"), which bear interest at a rate of 1.50% per year, 
payable semiannually in arrears on January 1 and July 1 of each year, beginning on January 1, 2014. The Cash 
Convertible Notes will mature on July 1, 2018, unless earlier repurchased or converted into cash in accordance with 
their terms prior to such date. At the option of the holders, the Cash Convertible Notes are convertible into cash 
based on the conversion rate set forth below only upon occurrence of certain triggering events as defined in the 
Indenture dated as of July 8, 2013 by and between the Company and U.S. Bank National Association, none of 
which had occurred as of December 31, 2016. Accordingly, we have classified the Cash Convertible Notes as long-
term debt at December 31, 2016 and December 31, 2015. The Cash Convertible Notes are not convertible into our 
common stock or any other securities under any circumstances. The initial cash conversion rate is approximately 
51.38 shares of our common stock per $1,000 principal amount of Cash Convertible Notes (equivalent to an initial 
conversion price of approximately $19.46 per share of common stock). The Cash Convertible Notes are our senior 
unsecured obligations and rank senior in right of payment to any of our indebtedness that is expressly subordinated 
in right of payment to the Cash Convertible Notes. As a result of this transaction, we recognized deferred loan costs 
50 

 
  
 
  
 
 
 
of approximately $3.9 million, which are being amortized over the term of the Cash Convertible Notes using the 
effective interest method. 

Although the Cash Convertible Notes are not currently convertible, the Cash Convertible Notes will become 

convertible into cash during any calendar quarter (and only during such calendar quarter) if the last reported sale 
price of our common stock for at least 20 trading days (whether or not consecutive) during a period of 30 
consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater 
than or equal to approximately $25.30 per share.  Even if holders do not elect to convert their Cash Convertible 
Notes, we would be required under applicable accounting rules to reclassify the outstanding principal of the Cash 
Convertible Notes that are convertible as a current rather than long-term liability. 

The cash conversion feature of the Cash Convertible Notes (the "Cash Conversion Derivative") requires 

bifurcation from the Cash Convertible Notes in accordance with FASB ASC Topic 815, "Derivatives and Hedging" 
("ASC Topic 815"), and is recorded in other long-term liabilities as a derivative liability and carried at fair value. The 
fair value of the Cash Conversion Derivative at the time of issuance of the Cash Convertible Notes was $36.8 
million, which was recorded as a debt discount for purposes of accounting for the debt component of the Cash 
Convertible Notes. The debt discount is being amortized over the term of the Cash Convertible Notes using the 
effective interest method. For the year ended December 31, 2016, we recorded $7.6 million of interest expense 
related to the amortization of the debt discount based upon an effective interest rate of 5.7%. The net carrying 
amount of the Cash Convertible Notes at December 31, 2016 and December 31, 2015 was $137.9 million and 
$130.3 million, respectively, net of the unamortized discount of $12.1 million and $19.7 million, respectively. 

In connection with the issuance of the Cash Convertible Notes, we entered into privately negotiated 
convertible note hedge transactions (the "Cash Convertible Notes Hedges"), which are cash-settled and are 
intended to reduce our exposure to potential cash payments that we would be required to make if holders elect to 
convert the Cash Convertible Notes at a time when our stock price exceeds the conversion price. The initial cost of 
the Cash Convertible Notes Hedges was $36.8 million. The Cash Convertible Notes Hedges are recorded in other 
assets as a derivative asset under ASC Topic 815 and are carried at fair value.  See Note 10 for additional 
information regarding the Cash Convertible Notes Hedges and the Cash Conversion Derivative and their fair values 
as of December 31, 2016. 

In July 2013, we also sold separate privately negotiated warrants (the "Warrants") initially relating, in the 
aggregate, to a notional number of shares of our common stock underlying the Cash Convertible Notes Hedges. 
The Warrants have an initial strike price of approximately $25.95 per share, which effectively increases the 
conversion price of the Cash Convertible Notes to a 60% premium to our stock price on July 1, 2013. The Warrants 
will be net share settled by issuing a number of shares of our common stock per Warrant corresponding to the 
excess of the market price per share of our common stock (as measured on each warrant exercise date under the 
terms of the Warrants) over the applicable strike price of the Warrants. The Warrants meet the definition of 
derivatives under the guidance in ASC Topic 815; however, because these instruments have been determined to 
be indexed to our own stock and meet the criteria for equity classification under ASC Topic 815, the Warrants have 
been accounted for as an adjustment to our additional paid-in-capital. 

If the market value per share of our common stock exceeds the strike price of the Warrants, the Warrants 
will have a dilutive effect on net income per share, and the "treasury stock" method will be used in calculating the 
dilutive effect on earnings per share. 

CareFirst Convertible Note 

On October 1, 2013, we entered into an Investment Agreement (the "Investment Agreement") with 

CareFirst Holdings, LLC ("CareFirst"), which was in addition to certain commercial agreements between us and 
CareFirst relating to, among other things, disease management and care coordination services (the "Commercial 
Agreements"). Pursuant to the Investment Agreement, we issued to CareFirst a convertible subordinated 
promissory note in the aggregate original principal amount of $20 million (the "CareFirst Convertible Note") for a 
purchase price of $20 million. The CareFirst Convertible Note bore interest at a rate of 4.75% per year, payable 
quarterly in arrears on March 31, June 30, September 30, and December 31 of each calendar year, beginning on 
December 31, 2013. The CareFirst Convertible Note could be prepaid only under limited circumstances and upon 
the terms and conditions specified therein. If the CareFirst Convertible Note had not been fully converted or 
redeemed in accordance with its terms, it would have matured on October 1, 2019.  The CareFirst Convertible Note 
was subordinate in right of payment to the prior payment in full of (a) all of our indebtedness under the Fifth 

51 

 
  
 
  
 
 
 
 
Amended Credit Agreement (as defined below) and (b) any other of our senior debt, which currently includes only 
the Cash Convertible Notes. 

The CareFirst Convertible Note was convertible into shares of our common stock at the conversion rate 

determined by dividing (a) the sum of the portion of the principal to be converted and accrued and unpaid interest 
with respect to such principal by (b) the conversion price equal to $22.41 per share of our common stock.  The 
conversion price was subject to adjustment for stock splits, stock dividends, recapitalizations, reorganizations, 
reclassifications and similar events. In October 2016, CareFirst elected to convert the full amount of the CareFirst 
Convertible Note into 892,458 shares of our common stock with a conversion price equal to $22.41 per share. 

CareFirst had an opportunity to earn warrants to purchase shares of our common stock ("CareFirst 

Warrants") based on achievement of certain quarterly thresholds (the "Revenue Thresholds") for revenue 
derived from both the Commercial Agreements and from new business to us from third parties as a result of an 
introduction or referral to us by CareFirst (collectively, the "Quarterly Revenue").  If the Quarterly Revenue was 
greater than or equal to the applicable Revenue Threshold for any quarter ending on or prior to September 30, 
2017, then we would issue to CareFirst a certain number of warrants exercisable for the number of shares of 
our common stock ("CareFirst Warrant Shares") determined in accordance with the terms of the Investment 
Agreement unless (i) CareFirst elected to receive a cash payment in accordance with the terms of the 
Investment Agreement or (ii) there was a change of control. The aggregate number of CareFirst Warrant 
Shares in any single 12-month period beginning on October 1, 2013 could not exceed 400,000, and the 
aggregate number of CareFirst Warrant Shares issuable pursuant to the Investment Agreement could not 
exceed 1,600,000. 

Also on October 1, 2013, in connection with the execution of the Investment Agreement, we entered into a 
Registration Rights Agreement (the "Registration Rights Agreement") with CareFirst, pursuant to which we agreed 
to use commercially reasonable efforts to cause any registration statement covering an underwritten offering of our 
common stock for our own account or for the account of any holder of our common stock (other than a registration 
statement on Form S-4 or Form S-8 or any successor thereto) to include those registrable common shares that any 
holder of such registrable common shares has requested to be registered.  

Effective July 31, 2016, in connection with the consummation of the sale of the TPHS business (as 
discussed in Note 3), the Investment Agreement was terminated, and all of the Commercial Agreements between 
the Company and CareFirst relating to the TPHS business were transferred to an entity that, effective at the 
Closing, became a wholly-owned subsidiary of Sharecare, the buyer of the TPHS business.  As a result, CareFirst 
no longer has the opportunity to earn the CareFirst Warrants in respect of the periods following the Closing. The 
Convertible Note, the Registration Rights Agreement and the CareFirst Warrants previously issued to CareFirst 
were not affected by the termination of the Investment Agreement. As of July 31, 2016, we had issued 
630,586 CareFirst Warrants at a weighted average exercise price of $15.61, 39,903 of which were issued in 
2016. In September 2016, CareFirst exercised its right to convert 590,683 CareFirst Warrants for a total of 218,162 
shares of our common stock in accordance with the terms of the Investment Agreement. In December 2016, 
CareFirst exercised its right to convert the remaining 39,903 CareFirst Warrants for a total of 18,104 shares of our 
common stock in accordance with the terms of the Investment Agreement.   

The following table summarizes the minimum annual principal payments and repayments of the 

revolving advances under the Fifth Amended Credit Agreement and the Cash Convertible Notes for each of 
the next five years and thereafter: 

(In thousands) 
Year ending December 31, 
2017 
2018 
2019 
2020 
2021 
2022 and thereafter 
Total 

52 

  $ 

  $ 

44,831  
178,669  
—  
—  
—  
—  
223,500 

 
  
  
 
 
 
 
   
  
   
  
    
    
    
    
    
 
   
 
 
8.  Commitments and Contingencies 

Summary 

We are subject to 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, some of which are expected to 
be covered by insurance policies, will have a material adverse effect on our financial statements.  As these 
matters are subject to inherent uncertainties, our view of these matters may change in the future. 

Contractual Commitments 

In October 2012, we entered into a joint venture agreement with Gallup (the "Gallup Joint Venture") that 

required us to make payments over a five year period beginning January 2013. Pursuant to Sharecare's acquisition 
of the TPHS business, our ownership interest in the Gallup Joint Venture was transferred to Sharecare. We agreed 
with Sharecare to be responsible for two-thirds of the remaining payment obligations in respect of the purchase 
price to be paid in connection with Sharecare's acquisition of additional membership interest in the joint venture. 
This obligation is currently expected to result in aggregate payments by us of approximately $4.2 million, payable in 
five equal quarterly installments that began in the fourth quarter of the 2016 calendar year and end in the fourth 
quarter of 2017. As of December 31, 2016, this obligation totaled $3.3 million and was included in accrued 
liabilities. The financial impact of the strategic relationship with Gallup and the Gallup Joint Venture are reflected in 
discontinued operations for all periods presented as each of these are a part of the TPHS business that we sold. 

In May 2011, we entered into a ten-year applications and technology services outsourcing agreement with 

HP that contained minimum fee requirements. As a result of the sale of the TPHS business, the minimum fee 
requirements under our technology services outsourcing agreement with HP were eliminated.  

9.  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 Non-Recurring Basis 

Based on our estimate of fair value prior to the disposition of the TPHS business, we determined in 2015 

that the present value of our remaining contractual cash obligations in the Gallup Joint Venture exceeded the 
estimated fair value, resulting in the recognition of a liability associated with the forward option to acquire additional 
membership interest (the "Gallup Derivative"). Prior to July 31, 2016 and the sale of the TPHS business, the Gallup 

53 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Derivative was recorded as a derivative liability in accordance with FASB ASC Topic 815 and was carried at fair 
value.  Upon the sale of the TPHS business, we remain obligated to Sharecare for two-thirds of the remaining 
payment obligations in respect of the purchase price to be paid in connection with Sharecare’s acquisition of 
additional membership interest in the Gallup Joint Venture as discussed in Note 8 above.  These payment 
obligations are recorded as a liability at December 31, 2016 but not as a derivative; since the Gallup Joint Venture 
was transferred to Sharecare, the Gallup Derivative was written off to discontinued operations. 

Further, we measure certain assets at fair value on a nonrecurring basis in the fourth quarter of the year, 

including the following: 

• 

reporting units measured at fair value as part of a goodwill impairment test; and 

• 

indefinite-lived intangible assets measured at fair value for impairment assessment. 

Each of these assets above is classified as Level 3 within the fair value hierarchy. 

During the fourth quarter of 2016, we reviewed goodwill for impairment at the reporting unit level 
(operating segment or one level below an operating segment). Following the sale of the TPHS business effective 
July 31, 2016, a single reporting unit remains.  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.  We elected to perform a qualitative assessment to determine whether it was more likely than not that the 
fair value of the reporting unit was less than its carrying value.  Based on our qualitative assessment, we 
determined that the carrying value of goodwill was not impaired. 

Also during the fourth quarter of 2016, we estimated the fair value of our indefinite-lived intangible asset, a 
tradename, using a present value technique, which required management's estimate of future revenues attributable 
to this tradename, estimation of the long-term growth rate and royalty rate for this revenue, 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 tradename. We determined that the carrying value of the tradename was not impaired based 
upon the impairment review. 

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, 2016 and December 31, 2015: 

(In thousands) 
December 31, 2016 
Assets: 
   Cash Convertible Notes Hedges 
Liabilities: 
  Cash Conversion Derivative 

   Level 3 

Gross Fair 
Value 

     Netting (1)      

Net Fair 
Value 

48,361       

48,361       

—      

48,361   

48,361       

48,361       

—      

48,361   

(In thousands) 
December 31, 2015 
Assets: 
   Foreign currency exchange contracts    $ 
   Cash Convertible Notes Hedges 
Liabilities: 
   Foreign currency exchange contracts    $ 
   Interest rate swap agreements 
   Cash Conversion Derivative 
   Gallup Derivative 

   Level 2 

     Level 3 

Gross Fair 
Value 

     Netting (1)      

Net Fair 
Value 

284     $ 
—       

48     $ 
397       
—       
—      

—     $ 
12,632       

284     $ 
12,632       

—     $ 
—       
12,632       
6,339      

48     $ 
397       
12,632       
6,339      

(26)   $ 
—      

(26 )   $ 
—       
—       
—     

258   
12,632   

22   
397   
12,632   
6,339  

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(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 were valued using broker quotations of 

similar assets or liabilities in active markets.  The fair values of interest rate swap agreements were 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 fair values of the 
Cash Convertible Notes Hedges and the Cash Conversion Derivative are measured using Level 3 inputs because 
these instruments are not actively traded. The Cash Convertible Notes Hedges and the Cash Conversion 
Derivative are valued using an option pricing model that uses observable and unobservable market data for 
inputs, such as expected time to maturity of the derivative instruments, the risk-free interest rate, the expected 
volatility of our common stock and other factors. The Cash Convertible Notes Hedges and the Cash Conversion 
Derivative were designed such that changes in their fair values would offset one another, with minimal impact to 
the consolidated statements of comprehensive income (loss). Therefore, the sensitivity of changes in the 
unobservable inputs to the option pricing model for such instruments is mitigated. 

The following table presents our financial instruments measured at fair value on a recurring basis using 

unobservable inputs (Level 3): 

(In thousands) 
Cash Convertible Notes Hedges 
Cash Conversion Derivative 
Gallup Derivative 

Balance at 
December 31, 
2015 

Purchases 
of Level 3 
Instruments     

Settlements 
of Level 3 
Instruments    

Gains (Losses) 
Included in 
Earnings 

Balance at 
December 31, 
2016 

  $ 

  $ 

12,632      $ 
(12,632 )      
(6,339 )    $ 

—    $ 
—      
—    $ 

—    $ 
—      
6,339    $ 

35,729   $ 
(35,729)      
—    $ 

48,361  
(48,361) 
—  

The gains and losses included in earnings noted above represent the change in the fair value of these 

financial instruments and are recorded each period in the consolidated statements of comprehensive income 
(loss). The gains and losses on the Cash Convertible Notes Hedges and Cash Conversion Derivative are 
recorded as selling, general and administrative expenses. 

Fair Value of Other Financial Instruments 

In addition to the interest rate swap agreements, the Cash Convertible Notes Hedges and the Cash 

Conversion Derivative, the estimated fair values of which are disclosed above, the estimated fair value of each 
class of financial instruments at December 31, 2016 was as follows: 

Cash and cash equivalents – The carrying amount of $1.6 million approximates fair value because of 

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

Long-term  debt  –  The  estimated  fair  value  of  outstanding  borrowings  under  the  Fifth  Amended  Credit 

Agreement,  which includes a revolving credit facility and a term loan facility (see Note 7), and the Cash 
Convertible Notes are determined based on the fair value hierarchy as discussed above.  The revolving credit 
facility and the term loan facility are not actively traded and therefore are classified as Level 2 valuations based 
on the market for similar instruments. The estimated fair value 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 Fifth 
Amended Credit Agreement at December 31, 2016 are $73.5 million and $73.5 million, respectively. 

The Cash Convertible Notes are actively traded and therefore are classified as Level 1 valuations. The 
estimated fair value at December 31, 2016 was $187.7 million, which is based on the most recent trading price 
of the Cash Convertible Notes as of December 31, 2016, and the par value was $150.0 million. The carrying 
amount of the Cash Convertible Notes at December 31, 2016 was $137.9 million, which is net of the debt 
discount discussed in Note 7. 

10.  Derivative Instruments and Hedging Activities 

We use derivative instruments to manage risks related to interest (through December 30, 2016), the Cash 

55 

 
 
 
 
  
     
    
  
    
 
  
     
   
    
    
 
 
 
 
 
 
 
 
Convertible Notes, and, prior to the sale of the TPHS business, foreign currencies and the fair value of the Gallup 
Derivative. We account for derivatives in accordance with ASC Topic 815, which establishes accounting and 
reporting standards requiring that certain derivative instruments be recorded on the balance sheet as either an 
asset or liability measured at fair value. Additionally, changes in the derivative's fair value will be recognized 
currently in earnings unless specific hedge accounting criteria are met. As permitted under our master netting 
arrangements, the fair value amounts of our prior interest rate swaps and foreign currency options and/or forward 
contracts are presented on a net basis by counterparty in the consolidated balance sheets. 

Derivative Instruments Designated as Hedging Instruments 

Cash Flow Hedges 

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

value in the consolidated balance sheets, with the effective portion of the gains and losses being reported in 
accumulated other comprehensive income or loss ("accumulated OCI").  Cash flow hedges for all periods 
presented consist solely of interest rate swap agreements, which effectively modified our exposure to interest rate 
risk by converting a portion of our floating rate debt to fixed rate obligations, thus reducing the impact of interest 
rate changes on future interest expense. Under these agreements, we received a variable rate of interest based 
on LIBOR (as defined in Note 7), and we paid a fixed rate of interest with an interest rate of 1.480% plus a spread 
(see Note 7).  We maintained an interest rate swap agreement that had a termination date of December 30, 2016, 
and as of December 31, 2016, we maintained no other interest rate swap agreements. Gains and losses on 
interest rate swap agreements were reclassified to interest expense in the same period during which the hedged 
transaction affected earnings or the period in which all or a portion of the hedge became ineffective.   

The following table shows the effect of our cash flow hedges on the consolidated balance sheets 

during the years ended December 31, 2016 and 2015: 

(In thousands) 

Derivatives in Cash Flow Hedging Relationships 
Loss related to effective portion of derivatives recognized in accumulated OCI, 

gross of tax effect 

Loss related to effective portion of derivatives reclassified from accumulated 

OCI to interest expense, gross of tax effect 

For the Year Ended 

December 31, 
2016 

December 31, 
2015 

110  

(507)  

253   

(354 )  

Gains and losses representing either hedge ineffectiveness or hedge components excluded from the 

assessment of effectiveness are recognized in current earnings.  During the years ended December 31, 2016 and 
2015, there were no gains or losses on cash flow hedges recognized in our consolidated statements of 
comprehensive income (loss) resulting from hedge ineffectiveness. 

Derivative Instruments Not Designated as Hedging Instruments 

Our Cash Conversion Derivative, Cash Convertible Notes Hedges and, prior to July 31, 2016, Gallup 

Derivative and foreign currency options and/or forward contracts, do not qualify for hedge accounting treatment 
under U.S. GAAP and are measured at fair value, with gains and losses recognized immediately in the 
consolidated statements of comprehensive income (loss). Other than the Gallup Derivative described in Note 9, 
these derivative instruments not designated as hedging instruments did not have a material impact on our 
consolidated statements of comprehensive income (loss) for the years ended December 31, 2016 and 2015. 

The Cash Conversion Derivative is accounted for as a derivative liability and carried at fair value. In order 

to offset the risk associated with the Cash Conversion Derivative, we entered into Cash Convertible Notes 
Hedges which are cash-settled and are intended to reduce our exposure to potential cash payments that we 
would be required to make if holders elect to convert the Cash Convertible Notes at a time when our stock price 
exceeds the conversion price. The Cash Convertible Notes Hedges are accounted for as a derivative asset and 
carried at fair value. 

Prior to July 31, 2016 and the sale of the TPHS business, the Gallup Derivative was accounted for as a 

derivative liability and carried at fair value. 

56 

 
 
 
 
 
 
 
     
  
     
  
  
     
     
 
 
 
 
 
 
 
The gains and losses resulting from a change in fair values of the Cash Conversion Derivative and the 
Cash Convertible Notes Hedges are reported in the consolidated statements of comprehensive income (loss). 
The settlement on the Gallup Derivative has been recorded as a part of discontinued operations. 

(In thousands) 
Cash Convertible Notes Hedges: 
Net unrealized (loss) gain  
Cash Conversion Derivative: 
Net unrealized gain (loss)  
Gallup Derivative: 
Net gain (loss) 

Year Ended December 31, 

 2016 

2015 

Statements of Comprehensive  
Income (Loss) Classification 

  $ 

  $ 

35,729     $ 

(35,393 )   Selling, general and administrative expense 

(35,729 )    $ 

35,393    Selling, general and administrative expense 

4,823     

(7,325 ) 

Loss from discontinued operations 

Prior to the sale of the TPHS business, we also entered 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 required current period mark-to-market accounting, with any change in fair 
value being recorded each period in the consolidated statements of comprehensive income (loss) in selling, 
general and administrative expenses. We do not execute transactions or hold derivative financial instruments for 
trading or other purposes. 

Financial Instruments 

The estimated gross fair values of derivative instruments at December 31, 2016 and December 31, 

2015, excluding the impact of netting derivative assets and liabilities when a legally enforceable master netting 
agreement exists, were as follows: 

December 31, 
2016  
Cash 
Convertible 
Notes Hedges 
and Cash 
Conversion 
Derivative 

December 31, 2015 

     Foreign 
    Currency 
    exchange 
    contracts   

Interest rate 
swap 
agreements 

Cash 
Convertible 
Notes Hedges 
and Cash 
Conversion 
Derivative 

Gallup 
Derivative 

    $ 

    $ 

    $ 

    $ 

—     $ 

48,361    
48,361     $ 

284     $ 
—       
284     $ 

—     $ 
—       
—     $ 

—     $ 
12,632       
12,632     $ 

— 
—    
— 

—     $ 

48,361    

—    
48,361     $ 

48     $ 
—       

—       
48     $ 

—     $ 
—       

—     $ 
12,632       

3,323 
3,016 

397       
397     $ 

—       
12,632     $ 

— 
6,339 

(In thousands) 
Assets: 
Derivatives not designated as 
hedging instruments: 

Other current assets 
Other assets 
Total assets 

Liabilities: 
Derivatives not designated as 
hedging instruments: 
Accrued liabilities 
Other long-term liabilities 
Derivatives designated as hedging 
instruments: 

Accrued liabilities 
Total liabilities 

See also Note 9 for more information on fair value measurements. 

11.  Other Long-Term Liabilities 

Other long-term liabilities consist primarily of the Cash Conversion Derivative (see Notes 9 and 10), 

accrued severance and restructuring liabilities, deferred rent (see Note 12), and a deferred compensation 
plan. 

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We have a non-qualified deferred compensation plan under which certain employees may defer a 
portion of their salaries and receive a Company matching contribution plus a discretionary contribution based on 
the Company's performance against targets.  Company contributions vest equally over four years.  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 beginning of the plan year. 

As of December 31, 2016 and 2015, other long-term liabilities included vested amounts under the non-
qualified deferred compensation plan of $1.6 million and $4.4 million, respectively, net of the current portions of 
$5.9 million and $4.1 million, respectively.  For the next five years ending December 31, 2021 we must make 
estimated plan payments of $5.9 million, $0.1 million, $37,000, $0.2 million, and $10,000, respectively. 

12.  Leases 

We maintain operating lease agreements principally for our office spaces.  We lease approximately 

264,000 square feet of office space for our corporate headquarters in Franklin, Tennessee, approximately 
221,000 square feet of which is subleased.  This lease commenced in March 2008 and expires in February 2023.  
We also lease approximately 92,000 square feet of office space in Chandler, Arizona, and approximately 13,000 
square feet of office space in Sterling, Virginia.  The Chandler, Arizona lease began in April 2009 and expires in 
April 2020.        

Our corporate office lease agreement in Tennessee 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 $4.3 million to $6.6 million per year over the term of the lease.  The landlord provided a tenant 
improvement allowance equal to approximately $10.7 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, 2016, 2015, and 2014, rent expense under lease agreements was approximately $4.2 
million, $3.7 million, and $2.0 million, respectively.  Our capital lease obligations 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 cash receipts from 
subleases of $33.9 million, under all capital leases and non-cancelable operating leases for each of the next 
five years and thereafter: 

(In thousands) 
Year ending December 31, 
2017 
2018 
2019 
2020 
2021 
2022 and thereafter 
Total minimum lease payments 
Less amount representing interest 
Present value of minimum lease payments 
Less current portion 

13.  Share-Based Compensation 

Capital 
Leases 

     Operating 

Leases 

5,699  
5,336  
5,427  
2,999  
859  
963  
21,283  

95     $ 
56       
—       
—       
—       
—       
151     $ 
— 
151       
95 
56       

  $ 

  $ 

  $ 

We have several stockholder-approved stock incentive plans for our employees and directors.  During 
the year ended December 31, 2016, we had four types of share-based awards outstanding under these plans: 
stock options, restricted stock units, restricted stock and market stock units. We believe that our share-based 
awards align the interests of our employees and directors with those of our stockholders. 

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

over four years based on service conditions and expire ten years from the date of grant.  Restricted stock units 
and restricted stock awards generally vest over three or four years. Market stock units granted during the years 
ended December 31, 2016 and December 31, 2015 have a multi-year performance period ending in 2019 and 
2018, respectively, and will vest at the end of the applicable three-year performance period based on total 
shareholder return.  

We recognize share-based compensation expense for options, restricted stock units, and restricted 

stock awards on a straight-line basis over the vesting period. We recognize share-based compensation expense 
for the market stock units if the requisite service period is rendered, even if the market condition is never 
satisfied. All awards generally provide for accelerated vesting upon a change in control or normal or early 
retirement (as defined in the applicable stock incentive plan).  At December 31, 2016, we had reserved 
approximately 1.1 million shares for future equity grants under our stock incentive plan. 

Following are certain amounts recognized in the consolidated statements of operations for share-based 

compensation arrangements for the years ended December 31, 2016, 2015 and 2014.  We did not capitalize any 
share-based compensation costs during these periods. 

(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 

Share-based compensation included in discontinued 

operations(1) 

Total income tax benefit recognized 

Year Ended 
  December 31,     December 31,    December 31,   
2015 (2) 

2016 

2014 

  $ 

17.5     $ 
1.2       

5.9       

 0.3       

 10.1       
2.9       

10.5     $ 
0.9       

6.0       

0.2      

3.4       
2.8      

8.3   
1.0   

3.9   

—   

3.4  
2.0   

(1) 

(2) 

Includes the acceleration of vesting of all unvested stock options, market stock units and restricted stock units 
held by two former senior executives as of the Closing who had accepted employment with Sharecare.  

Includes the acceleration of vesting in May 2015 of all unexercisable stock options and unvested time-based 
restricted stock units held by our former president and chief executive officer at the time of the termination of 
his employment. 

As of December 31, 2016, there was $11.1 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 1.7 years. 

In connection with the sale of the TPHS business, we modified approximately 92,000 options, 396,000 

restricted stock units, and 75,000 market stock units by accelerating the vesting dates to July 31, 2016 (the date 
on which the sale of the TPHS business was consummated) for approximately 100 employees of the TPHS 
business.  This resulted in share-based compensation expense of $7.4 million, all of which is included in 
discontinued operations. 

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. No stock options were granted during the years ended December 31, 2016 or 2015. 

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

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average assumptions we used to develop the fair value estimates under each of the option valuation models for 
the year ended December 31, 2014: 

Weighted average grant-date fair value of options per share 

$

9.05 

Year Ended  
December 31, 2014   

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

54.6 % 
—  
4.7  
2.4% 

A summary of option activity as of December 31, 2016 and the changes during the year then ended is 

presented below: 

Options 
Outstanding at January 1, 2016 
Granted 
Exercised 
Forfeited 
Expired 
Outstanding at December 31, 2016 
Exercisable at December 31, 2016 

Shares  
(In thousands)     

Weighted 
Average 
Exercise 
Price 
Per Share     
13.34      
—      
11.77     
13.65      
21.27      
14.02       
13.95       

2,121     $ 
—       
(955 )     
(40 )     
(102 )     
1,024     $ 
899     $ 

Weighted 
Average 
Remaining 
Contractual
Term 

Aggregate 
Intrinsic Value 
(In thousands)   

4.7    $ 
4.4    $ 

9,972  
8,930  

The total intrinsic value, which represents the difference between the market price of the underlying 

common stock and the option's exercise price, of options exercised during the years ended December 31, 2016, 
2015 and 2014 was $10.2 million, $5.3 million, and $1.1 million, respectively. 

Cash received from option exercises under all share-based payment arrangements during 2016 was $10.0 
million. No actual tax benefit was realized during 2016 for the tax deductions from option exercises. We issue new 
shares of common stock upon exercise of stock options or vesting of restricted stock units and market stock units. 

Nonvested Shares 

The fair value of restricted stock and restricted stock units 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 restricted 
stock and restricted stock units granted during the years ended December 31, 2016, 2015 and 2014 was $12.37, 
$11.97, and $16.72, respectively. The fair value of market stock units is determined based on the closing bid 
price of the Company's common stock on the grant date, except that the Monte Carlo simulation valuation model 
is used to determine the fair value of market stock units with a market condition. The weighted average grant-
date fair value of all market stock units granted during the years ended December 31, 2016 and 2015 was $10.67 
and $6.53, respectively. No market stock units were granted during 2014.  The weighted average grant-date fair 
value of performance-based stock units granted during the year ended December 31, 2014 was $14.77.  No 
performance-based stock units were granted during 2015 or 2016, and there are no performance-based stock 
units outstanding as of December 31, 2016. 

The two tables below set forth a summary of our nonvested shares as of December 31, 2016 as well as 

activity during the year then ended.  The total grant-date fair value of shares vested during the years ended 
December 31, 2016, 2015 and 2014 was $13.9 million, $5.2 million, and $2.5 million, respectively. 

The following table shows a summary of our restricted stock and restricted stock units as of December 

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31, 2016, as well as activity during the year then ended: 

Nonvested at January 1, 2016 
Granted 
Vested 
Forfeited 
Nonvested at December 31, 2016 

Restricted Stock and 
Restricted Stock Units 

Shares 

(In thousands)      

Weighted- 
Average 
Grant Date 
Fair Value 

1,618     $ 
967       
(1,036 )    
(610 )    
939     $ 

12.35  
12.37  
11.89  
11.95  
13.11  

The following table shows a summary of our market stock units as of December 31, 2016, as well as 

activity during the year then ended: 

Nonvested at January 1, 2016 
Granted 
Vested 
Forfeited 
Nonvested at December 31, 2016 

14.  Share Repurchases 

Market Stock Units 

Shares 

(In thousands)      

Weighted- 
Average 
Grant Date 
Fair Value 

474      $ 
328        
(221 )      
(175 )      
406      $ 

6.53 
10.67 
7.30 
8.15 
8.75 

In accordance with the terms of a Separation and Release Agreement entered into with our former 

President and Chief Executive Officer, Ben R. Leedle, Jr., whose employment was terminated on May 15, 2015 
(the "Separation Date"), Mr. Leedle elected to net exercise (net of the applicable exercise price and tax 
withholding) on the Separation Date certain performance awards granted to Mr. Leedle in the form of options to 
purchase 434,436 shares of common stock of the Company at an exercise price of $9.96 per share. The 
Company repurchased from Mr. Leedle 106,408 shares of common stock resulting from this net exercise at 
$17.23 per share, which was the per share purchase price equal to the closing price of the common stock on 
the Separation Date as reported on The NASDAQ Global Select Market. 

15.  Earnings (Loss) Per Share 

The following is a reconciliation of the numerator and denominator of basic and diluted earnings (loss) per 

share for the years ended December 31, 2016, 2015, and 2014: 

(In thousands except per share data) 
Numerator: 
Net income from continuing operations attributable to Tivity Health, 

Year Ended December 31, 

2016 

2015 

2014 

Inc. - numerator for earnings per share 

  $ 

56,091   $ 

43,634   $ 

42,836 

Net loss from discontinued operations attributable to Tivity Health, 

Inc. - numerator for loss per share 

Net loss attributable to Tivity Health, Inc. - numerator for loss per 

(185,202

)    

(74,581)    

(48,397 ) 

share 

  $ 

(129,111

)    

(30,947

)    

) 
(5,561 

Denominator: 
Shares used for basic income (loss) per share 
Effect of dilutive stock options and restricted stock units 

outstanding: 

Non-qualified stock options 
Restricted stock units 
Performance stock units 

61 

36,999      

35,832      

35,302   

344      
538      
—      

568      
364      
25     

706   
313   
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Market stock units 
CareFirst Warrants 
Shares used for diluted income (loss) per share 

194     
—      
38,075      

10     
55      
36,854      

—  
4   
36,346   

Earnings (loss) per share attributable to Tivity Health, Inc. - basic:      
  $ 
Continuing operations 
  $ 
Discontinued operations 
  $ 
Net loss 

1.52
  $ 
(5.01)   $ 
(3.49)   $ 

1.22
  $ 
(2.08)   $ 
(0.86)   $ 

1.21   
(1.37 )  
(0.16 )  

Earnings (loss) per share attributable to Tivity Health, Inc. - diluted:     
  $ 
Continuing operations 
  $ 
Discontinued operations 
  $ 
Net loss 

1.47    $ 
(4.86)   $ 
(3.39)   $ 

1.18    $ 
(2.02)   $ 
(0.84)   $ 

1.18  
(1.33 ) 
(0.15 )  

Dilutive securities outstanding not included in the computation of 
earnings (loss) per share because their effect is anti-dilutive: 

Non-qualified stock options 
Restricted stock units 
Performance stock units 
Market stock units 
Warrants related to Cash Convertible Notes 
CareFirst Convertible Note 
CareFirst Warrants 

16.  Accumulated OCI 

708      
333      
—     
6      
7,707      
—      
—      

903      
220      
—     
2      
7,707      
892      
263      

1,357   
97   
1  
—   
7,707   
892   
83   

The following tables summarize the changes in accumulated OCI, net of tax, for the years ended 

December 31, 2016 and 2015: 

 (In thousands) 
  $ 
Accumulated OCI, net of tax, as of January 1, 2016 
Other comprehensive income (loss) before reclassifications, net of tax      
Amounts reclassified from accumulated OCI, net of tax 
Net increase (decrease) in other comprehensive income (loss), net of 
tax 
Accumulated OCI, net of tax, as of December 31, 2016 

  $ 

Net 
Change in 
Fair Value 
of Interest 
Rate 
Swaps 

Foreign 
Currency 
Translation 
Adjustments      Total 
(4,000)    $ 
(502)     
—      

(4,239 ) 
(569 ) 
306   

(239 )   $ 
(67 )     
306       

239       
—   $ 

(502

)     
(4,502)   $ 

(263 
) 
(4,502) 

 (In thousands) 
  $ 
Accumulated OCI, net of tax, as of January 1, 2015 
Other comprehensive income (loss) before reclassifications, net of tax      
Amounts reclassified from accumulated OCI, net of tax 
Net increase (decrease) in other comprehensive income (loss), net of 
tax 
Accumulated OCI, net of tax, as of December 31, 2015 

  $ 

Net 
Change in 
Fair Value 
of Interest 
Rate 
Swaps 

Foreign 
Currency 
Translation 
Adjustments     

Total 

(342 )  $ 
(111 )    
214       

103       
(239 )  $ 

(1,706 )  $ 
(2,294 )    
—      

(2,048 ) 
(2,405 ) 
214   

(2,294 )    
(4,000 )  $ 

(2,191 ) 
(4,239 ) 

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The  following  table  provides  details  about  reclassifications  out  of  accumulated  OCI  for  the  years  

ended December 31, 2016 and 2015: 

 (In thousands) 
Interest rate swaps 

Twelve Months Ended 
December 31, 

2016 

2015 

  $ 

  $ 

507     $ 
(201 )     
306     $ 

354   
(140 ) 
214   

   Statement of Comprehensive Income 

(Loss) Classification 
Interest expense 
Income tax benefit 
Net of tax 

See Note 10 for further discussion of our interest rate swaps. 

17.  Restructuring and Related Charges 

In the third quarter of 2015, we began developing our reorganization and cost rationalization plan (the 

"2015 Restructuring Plan") that the Company committed to in October 2015, which was intended to improve 
efficiency and deliver greater value to our customers and stakeholders. Completion of the 2015 Restructuring 
Plan occurred with the completion of the sale of the TPHS business. We incurred a total of approximately $24 
million in restructuring charges related to the 2015 Restructuring Plan, substantially all of which resulted in cash 
expenditures. 

The following table shows the costs incurred for the years ended December 31, 2016 and 2015 directly 

related to our 2015 Restructuring Plan and other restructuring costs: 

(In thousands) 
Restructuring charges 
Payments 
Non-cash charges (2) 
Accrued restructuring and related charges 
liability as of December 31, 2015 
Restructuring charges 
Cash payments 
Non-cash charges (2) 
Adjustments (3) 
Accrued restructuring and related charges 
liability as of December 31, 2016 

Severance 
and Other 
Employee-
Related Costs     
8,836     $ 
  $ 
(825 )     
(918 )     

Consulting 
and Other 
Costs (1) 

Asset 

5,074    $
(2,174 )  
—     

Retirements      
1,187     $
—       
(1,187 )    

  $ 

7,093     $ 
4,599    
(7,414 )   
67    
(103 )   

2,900    $
4,130   
(6,967 ) 
—   
—   

 $ 

4,242   $ 

63  $ 

—     $
—    
—    
—    
—    

—   $

Total 

15,097   
(2,999 ) 
(2,105 ) 

9,993   
8,729   
(14,381 ) 
67   
(103 ) 

4,305   

(1) Consulting and other costs primarily consist of third-party consulting charges incurred in connection with the 
2015 Restructuring Plan. Consulting and other costs also include approximately $0.2 million and $0.4 million of 
lease termination costs in 2016 and 2015, respectively. 

(2) Non-cash charges consist primarily of share-based compensation costs as well as asset retirements.   

(3) Adjustments resulted primarily from actual employee tax and benefit amounts differing from previous estimates.   

In the third quarter of 2016, we began the reorganization of our corporate support infrastructure (the "2016 

Restructuring Plan"), which is intended to deliver greater value to our customers and stakeholders. We expect to 
incur a total of approximately $6.0 million in restructuring charges related to the 2016 Restructuring Plan, $4.9 
million of which was incurred by the end of the fourth quarter of 2016, with the remainder expected to be incurred in 
the first quarter of 2017 and to consist of severance and other employee-related costs.   

The following table shows the costs incurred for the year ended December 31, 2016 directly related to our 

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2016 Restructuring Plan and other restructuring costs: 

(In thousands) 
Restructuring charges 
Payments 
Non-cash charges (2) 
Accrued restructuring and related charges 
liability as of December 31, 2016 

Severance 
and Other 
Employee-
Related Costs     
4,697     $ 
  $ 
(559 )     
(287 )   

Consulting 
and Other 
Costs (1) 

236       $ 
(188 )       
—     

Total 

4,933   
(747 ) 
(287 ) 

  $ 

3,851     $ 

48       $ 

3,899   

(1) Consulting and other costs consist of third-party consulting charges incurred in connection with the 2016 
Restructuring Plan.  

(2) Non-cash charges consist of share-based compensation costs.   

18.  Employee Benefits 

We have a 401(k) Retirement Savings Plan (the "401(k) Plan") available to substantially all of our 
employees.  Employees can contribute up to a certain percentage of their base compensation as defined in the 
401(k) Plan.  The Company matching contributions are subject to vesting requirements.  Company contributions 
under the 401(k) Plan totaled $2.2 million, $3.3 million and $3.3 million for the years ended December 31, 2016, 
2015 and 2014, respectively. 

19.  Segment Disclosures and Concentrations of Risk 

Excluding the TPHS business, during 2016, we had one operating and reportable segment, Network 

Solutions. Therefore, all required segment information can be found in the Consolidated Financial Statements. 
Long-lived assets and revenue from external customers attributable to our operations in the United States 
accounted for 100% of our consolidated long-lived assets and revenues as of and for the years ended December 
31, 2016 and December 31, 2015. 

During 2016, we had two customers that each accounted for 10% or more of our revenues from 
continuing operations and individually comprised approximately 20.4% and 15.2% of our revenues for 2016. No 
other customer accounted for 10% or more of our revenues in 2016. In addition, at December 31, 2016, one 
customer accounted for approximately 28% of our accounts receivable, net.  

During 2015, we had three customers that each accounted for 10% or more of our revenues and 
individually comprised approximately 23%, 13%, and 10% of our revenues from continuing operations for 2015. 
No other customer accounted for 10% or more of our revenues from continuing operations in 2015.  

20.  Quarterly Financial Information (unaudited) 

(In thousands, except per share data) 

Year Ended December 31, 2016 

First 

     Second 

Third 

     Fourth (3)    

Revenues 
Gross margin 
Income before income taxes 
Net income from continuing operations 

attributable to Tivity Health, Inc. 

Net income (loss) from discontinued operations 

   $ 
   $ 
   $ 

  $ 

126,012     $ 
33,105     $ 
19,208    $ 

19,208    $ 

125,003     $ 
34,590     $ 
19,962     $ 

125,049    $  124,933   
38,304   
20,972   

34,562    $ 
17,925    $ 

19,962     $ 

4,799    $ 

12,125   

attributable to Tivity Health, Inc. 

 $ 
Net income (loss) attributable to Tivity Health, Inc.   $ 

(33,417 )   $ 
(14,209 )   $ 

(195,558 )   $ 
(175,596 )   $ 

48,995    $ 
53,794    $ 

(5,225 )  
6,900   

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Earnings (loss) per share attributable to Tivity 

Health, Inc. – basic: 
Continuing operations (1) 
Discontinued operations (1) 
Net income (loss) (1) (2) 

Earnings (loss) per share attributable to Tivity 

Health, Inc. – diluted: 
Continuing operations (1) 
Discontinued operations (1) 
Net income (loss) (1) (2) 

(In thousands, except per share data) 

Year Ended December 31, 2015 

Revenues 
Gross margin 
Income before income taxes 
Net income from continuing operations 

attributable to Tivity Health, Inc. 

   $ 
   $ 
   $ 

   $ 
   $ 
   $ 

   $ 
   $ 
   $ 

  $ 

Net loss from discontinued operations attributable 

0.53    $ 
(0.93 )   $ 
(0.39 )   $ 

0.55     $ 
(5.41 )   $ 
(4.85 )   $ 

0.13    $ 
1.32    $ 
1.45    $ 

0.31   
(0.14 )  
0.18   

0.52    $ 
(0.91 )   $ 
(0.39 )   $ 

0.54     $ 
(5.25 )   $ 
(4.72 )   $ 

0.12    $ 
1.28    $ 
1.40    $ 

0.30  
(0.13 ) 
0.17   

First 

     Second 

Third 

     Fourth 

111,649     $ 
30,146     $ 
17,775    $ 

113,425     $ 
34,711     $ 
17,698     $ 

113,536    $  113,482   
30,748   
16,063   

33,078    $ 
21,383    $ 

10,680    $ 

10,756     $ 

12,960    $ 

9,238  

to Tivity Health, Inc. 

 $ 
Net income (loss) attributable to Tivity Health, Inc.   $ 

(13,593 )   $ 
(2,913 )   $ 

(10,336 )   $ 
420     $ 

(21,986)   $ 
(9,026)   $ 

(28,666 )  
(19,428 )  

Earnings (loss) per share attributable to Tivity 
Health, Inc. – basic: 
Continuing operations (1) 
Discontinued operations (1) 
Net income (loss) (1) (2) 

Earnings (loss) per share attributable to Tivity 

Health, Inc. – diluted: 
Continuing operations (1) 
Discontinued operations (1) 
Net income (loss) (1) (2) 

   $ 
   $ 
  $ 

   $ 
   $ 
  $ 

0.30    $ 
(0.38 )   $ 
(0.08 )   $ 

0.30     $ 
(0.29 )   $ 
0.01     $ 

0.36    $ 
(0.61)   $ 
(0.25)   $ 

0.26   
(0.79 )  
(0.54 ) 

0.29    $ 
(0.37 )   $ 
(0.08 )   $ 

0.29     $ 
(0.28 )   $ 
0.01     $ 

0.35    $ 
(0.60)   $ 
(0.25)   $ 

0.25  
(0.78 ) 
(0.53 ) 

(1) We calculated earnings per share for each of the quarters based on the weighted average number of shares 
and dilutive securities outstanding for each period.  Accordingly, the sum of the quarters may not necessarily be 
equal to the full year income per share.   

(2) Figures may not add due to rounding. 

(3) Net income from continuing operations for the fourth quarter of 2016 includes the impact of a $2.2 million out of 
period adjustment to decrease depreciation expense included in continuing operations (with a corresponding 
increase to depreciation expense included in discontinued operations) related to the correction of our previous 
allocation of 2016 depreciation expense between continuing and discontinued operations based on having 
completed our asset separation analysis.  The previous interim periods in 2016 were not materially misstated, nor 
is the correction material to the interim results for the fourth quarter of 2016.  

Item 9.  Changes in and Disagreements with Accountants on Accounting and Financial Disclosure 

Not applicable. 

Item 9A.  Controls and Procedures 

Evaluation of Disclosure Controls and Procedures 

The Company's principal executive officer and principal financial officer have reviewed and evaluated 

65 

 
 
  
    
     
    
  
   
    
     
    
  
 
  
    
     
    
  
   
    
     
    
  
    
     
     
     
  
  
    
     
     
     
  
   
    
  
  
     
 
      
 
    
 
    
 
  
 
 
  
     
        
        
       
    
 
  
    
     
    
  
 
   
    
     
    
  
 
  
    
     
    
  
 
 
 
 
 
 
 
 
 
the effectiveness of the Company's disclosure controls and procedures (as defined in Rule 13a-15(e) and 15d-
15(e) promulgated under the Exchange Act) as of December 31, 2016.  Based on that evaluation, the principal 
executive officer and principal financial officer have concluded that the Company's disclosure controls and 
procedures are effective.  They are designed to ensure that information required to be disclosed by the 
Company in the reports that it files or submits under the Exchange Act is recorded, processed, summarized, and 
reported within the time periods specified in the SEC's rules and forms and to ensure that information required 
to be disclosed by the Company in the reports that it files or submits under the Exchange Act is accumulated 
and communicated to the Company's management, including the principal executive officer and principal 
financial officer, to allow timely decisions regarding required disclosure. 

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 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, 2016 based on criteria established in Internal Control — Integrated 
Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission (the 
"COSO framework"), and believes that the COSO framework is a suitable framework for such an evaluation.  
Based on this assessment, management has concluded that the Company's internal control over financial 
reporting was effective as of December 31, 2016. 

PricewaterhouseCoopers, the independent registered public accounting firm that audited the Company's 

Consolidated Financial Statements for the year ended December 31, 2016, has issued an attestation report on 
the Company's internal control over financial reporting, which is included in this Report. 

Changes in Internal Control Over Financial Reporting 

There have been no changes in the Company's internal controls over financial reporting during the 

quarter ended December 31, 2016 that have materially affected, or are reasonably likely to materially affect, the 
Company's internal control over financial reporting. 

Item 9B.  Other Information 

Not applicable. 

66 

 
 
 
 
 
 
 
 
 
 
 
 
 
Item 10.   Directors, Executive Officers and Corporate Governance 

PART III 

Information concerning our directors, director nomination procedures, audit committee, audit committee 
financial experts, code of ethics, and compliance with Section 16(a) of the Exchange Act will be included under 
the headings "Election of Directors," "Code of Conduct," "Corporate Governance," and "Section 16(a) Beneficial 
Reporting Compliance" in our Proxy Statement for the 2017 Annual Meeting of Stockholders to be held on May 
25, 2017 and is incorporated herein by reference. 

Pursuant to General Instruction G(3) of Form 10-K, information concerning our executive officers is 

included in Part I of this Report, under the caption "Executive Officers of the Registrant." 

Item 11.  Executive Compensation 

Information required by this item will be included under the headings "Executive Compensation" and 
"Director Compensation" in our Proxy Statement for the 2017 Annual Meeting of Stockholders to be held on 
May 25, 2017 and is incorporated herein by reference. 

Item 12.  Security Ownership of Certain Beneficial Owners and Management and Related Stockholder 
Matters 

Information  required  by  this  item  will  be  included  under  the  headings  "Security  Ownership  of  Certain 
Beneficial Owners and Management" in our Proxy Statement for the 2017 Annual Meeting of Stockholders to be 
held on May 25, 2017 and is incorporated herein by reference. 

Equity Compensation Plan Information 

The following table summarizes, as of December 31, 2016, certain information concerning the 
Company's equity compensation plans under which equity securities of the Company are currently authorized 
for issuance. 

Number of Shares 
to be Issued Upon 
Exercise of 
Outstanding 
Options, Warrants 
and Rights, 
in thousands(1) 

Weighted-Average 
Exercise Price of 
Outstanding Options, 
Warrants and 
Rights(2) 

Number of Shares 
Remaining Available for 
Future Issuance Under 
Equity Compensation 
Plans 
(Excluding Shares 
Reflected 
in First Column), 
in thousands 

2,369 

            $14.02  

— 
2,369   

—  
$14.02  

1,070 

— 
1,070 

Plan Category 
Equity compensation plans approved by 
stockholders 
Equity compensation plans not 
approved by stockholders 
Total 

(1) 

(2) 

Represents 1,024,000 stock options, 939,000 restricted stock units and shares of restricted stock, and 
406,000 market stock units. 

The weighted average exercise price does not take into account the shares issuable upon vesting of 
outstanding unvested restricted stock units and market stock units, which have no exercise price. 
The weighted average remaining contractual term of the outstanding stock options is 4.7 years. 

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

Information required by this item will be included under the heading "Corporate Governance" in our Proxy 
Statement for the 2017 Annual Meeting of Stockholders to be held on May 25, 2017 and is incorporated herein by 
reference. 

67 

 
 
 
 
 
 
 
 
 
 
  
  
  
  
 
 
 
 
 
 
Item 14.   Principal Accounting Fees and Services 

Information required by this item will be included under the heading "Ratification of Independent 

Registered Public Accounting Firm" in our Proxy Statement for the 2017 Annual Meeting of Stockholders to 
be held on May 25, 2017 and is incorporated herein by reference. 

68 

 
 
 
 
Item 15.   Exhibits, Financial Statement Schedules 

(a) 

The following documents are filed as part of this Report: 

PART IV 

1. 

The financial statements filed as part of this Report are included in Part II, Item 8 of this Report. 

We have omitted all Financial Statement Schedules because they are not required under the instructions 

2. 
to the applicable accounting regulations of the SEC or the information to be set forth therein is included in the 
financial statements or in the notes thereto. 

3. 

2.1 

3.1 

3.2 

3.3 

3.4 

4.1 

4.2 

4.3 

10.1 

10.2 

10.3 

10.4 

Exhibits 

Membership Purchase Agreement dated July 27, 2016 by and among Sharecare, Inc., Healthways 
SC, LLC and Healthways, Inc. [incorporated by reference to Exhibit 2.1 to the Company's Current 
Report on Form 8-K dated August 2, 2016, File No. 000-19364] 

Restated Certificate of Incorporation, as amended [incorporated by reference to Exhibit 3.1 to 
Form 10-Q of the Company's fiscal quarter ended February 29, 2008, File No. 000-19364] 

Certificate of Amendment to Restated Certificate of Incorporation, as amended, dated as of 
October 10, 2013 [incorporated by reference to Exhibit 3.2 to Form 10-Q of the Company's fiscal 
quarter ended September 30, 2013, File No. 000-19364] 

Certificate of Amendment to Restated Certificate of Incorporation, as amended, dated as of 
January 4, 2017 [incorporated by reference to Exhibit 3.1 to the Company's Current Report on 
Form 8-K dated January 10, 2017, File No. 000-19364] 

Second Amended and Restated Bylaws of Tivity Health, Inc. [incorporated by reference to Exhibit 
3.2 to the Company's Current Report on Form 8-K dated January 10, 2017, File No. 000-19364] 

Article IV of the Company's Restated Certificate of Incorporation (included in Exhibit 3.1) 

Indenture dated as of July 8, 2013 between the Company and U.S. Bank National Association 
[incorporated by reference to Exhibit 4.1 to the Company's Current Report on Form 8-K dated 
July 8, 2013, File No. 000-19364] 

Form of 1.50% Cash Convertible Senior Note due 2018 (included in Exhibit 4.2) 

Office Lease dated as of May 4, 2006 between the Company and Highwoods/Tennessee Holdings, 
L.P. [incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K dated 
May 5, 2006, File No. 000-19364] 

Fifth Amended and Restated Revolving Credit and Term Loan Agreement dated June 8, 2012 
between the Company and SunTrust Bank as Administrative Agent, JPMorgan Chase Bank, N.A.as 
Documentation Agent, and U.S. Bank National Association and Fifth Third Bank as Co-Syndication 
Agents [incorporated by reference to Exhibit 10.1 to Company's Current Report on Form 8-K dated 
June 11, 2012, File No. 000-19364] 

First Amendment to Fifth Amended and Restated Revolving Credit and Term Loan Agreement 
dated February 5, 2013 between the Company and SunTrust Bank as Administrative Agent 
[incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K dated 
February 7, 2013, File No. 000-19364] 

Second Amendment to Fifth Amended and Restated Revolving Credit and Term Loan Agreement 
dated March 15, 2013 between the Company and SunTrust Bank as Administrative Agent 
[incorporated by reference to Exhibit 10.2 to Form 10-Q of the Company's fiscal quarter ended 
March 31, 2013, File No. 000-19364] 

69 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10.5 

10.6 

10.7 

10.8 

10.9 

10.10 

10.11 

10.12 

10.13 

10.14 

10.15 

10.16 

10.17 

10.18 

Third Amendment to Fifth Amended and Restated Revolving Credit and Term Loan Agreement and 
First Amendment to Second Amended and Restated Subsidiary Guarantee Agreement [incorporated 
by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K dated July 1, 2013, File 
No. 000-19364] 

Fourth Amendment to Fifth Amended and Restated Revolving Credit and Term Loan Agreement 
dated April 14, 2014 between the Company and SunTrust Bank as Administrative Agent 
[incorporated by reference to Exhibit 10.1 to   Form 10-Q of the Company's fiscal quarter ended 
June 30, 2014, File No. 000-19364] 

Fifth Amendment to Fifth Amended and Restated Revolving Credit and Term Loan Agreement 
dated December 29, 2014 between the Company and SunTrust Bank as Administrative Agent 
[incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K dated 
December 30, 2014, File No. 000-19364] 

Sixth Amendment to Fifth Amended and Restated Revolving Credit and Term Loan Agreement 
[incorporated by reference to Exhibit 10.1 to Form 10-Q of the Company's fiscal quarter ended 
June 30, 2015, File No. 000-19364] 

Seventh Amendment to Fifth Amended and Restated Revolving Credit and Term Loan Agreement 
[incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K dated 
October 29, 2015, File No. 000-19364] 

Eighth Amendment to Fifth Amended and Restated Revolving Credit and Term Loan Agreement 
[incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K dated 
August 4, 2016, File No. 000-19364] 

Call Option Transaction Confirmation dated as of July 1, 2013 between the Company and 
JPMorgan Chase Bank, National Association, London Branch [incorporated by reference to Exhibit 
10.1 to the Company's Current Report on Form 8-K dated July 8, 2013, File No. 000-19364] 

Amendment to Call Option Transaction Confirmation dated as of July 11, 2013 between the 
Company and JPMorgan Chase Bank, National Association, London Branch [incorporated by 
reference to Exhibit 10.1 to the Company's Current Report on Form 8-K dated July 16, 2013, File 
No. 000-19364] 

Call Option Transaction Confirmation dated as of July 1, 2013 between the Company and 
Morgan Stanley & Co. International plc [incorporated by reference to Exhibit 10.2 to the 
Company's Current Report on Form 8-K dated July 8, 2013, File No. 000-19364] 

Amendment  to  Call  Option  Transaction  Confirmation  dated  as  of  July  11,  2013  between  the 
Company and Morgan Stanley & Co. Internal plc [incorporated by reference to Exhibit 10.2 to the 
Company's Current Report on Form 8-K dated July 16, 2013, File No. 000-19364] 

Base Warrants Confirmation dated as of July 1, 2013 between the Company and JPMorgan Chase 
Bank, National Association, London Branch [incorporated by reference to Exhibit 10.3 to the 
Company's Current Report on Form 8-K dated July 8, 2013, File No. 000-19364] 

Additional Warrants Confirmation dated as of July 11, 2013 between the Company and JPMorgan 
Chase Bank, National Association, London Branch [incorporated by reference to Exhibit 10.3 to the 
Company's Current Report on Form 8-K dated July 16, 2013, File No. 000-19364] 

Base Warrants Confirmation dated as of July 1, 2013 between the Company and Morgan Stanley & 
Co. International plc [incorporated by reference to Exhibit 10.4 to the Company's Current Report on 
Form 8-K dated July 8, 2013, File No. 000-19364] 

Additional Warrants Confirmation dated as of July 11, 2013 between the Company and Morgan 
Stanley & Co. International plc [incorporated by reference to Exhibit 10.4 to the Company's 
Current Report on Form 8-K dated July 16, 2013, File No. 000-19364] 

70 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Management Contracts and Compensatory Plans 

10.19 

10.20 

10.21 

10.22 

10.23 

10.24 

10.25 

10.26 

10.27 

10.28 

10.29 

10.30 

10.31 

10.32 

10.33 

Employment Agreement, dated October 27, 2015, between Healthways, Inc. and Sidney Stolz 

Amended and Restated Corporate and Subsidiary Capital Accumulation Plan [incorporated by 
reference to Exhibit 10.25 to Form 10-K of the Company's fiscal year ended December 31, 2015, File 
No. 000-19364] 

Amended and Restated Employment Agreement dated December 21, 2012 between the Company 
and Ben R. Leedle, Jr. [incorporated by reference to Exhibit 10.5 to Form 10-K of the Company's 
fiscal year ended December 31, 2012, File No. 000-19364] 

Separation and Release Agreement, dated May 15, 2015, between Healthways, Inc. and Ben R. 
Leedle, Jr. [incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 
8-K dated May 18, 2015, File No. 000-19364] 

Employment Agreement dated January 1, 2012 between the Company and Peter Choueiri 
[incorporated by reference to Exhibit 10.1 to Form 10-Q of the Company's fiscal quarter ended March 
31, 2012, File No. 000-19364] 

Amendment to Employment Agreement dated September 2, 2014 between the Company and Peter 
Choueiri [incorporated by reference to Exhibit 10.3 to Form 10-Q of the Company's fiscal quarter 
ended September 30, 2014, File No. 000-19364] 

Employment Agreement dated July 29, 2012 between the Company and Glenn Hargreaves 
[incorporated by reference to Exhibit 10.1 to Form 10-Q of the Company's fiscal quarter ended June 
30, 2012, File No. 000-19364] 

Employment Agreement dated July 29, 2012 between the Company and Mary Flipse 
[incorporated by reference to Exhibit 10.2 to Form 10-Q of the Company's fiscal quarter ended 
June 30, 2012, File No. 000-19364] 

Employment Agreement dated August 8, 2016 between the Company and Robert E. Dries 
[incorporated by reference to Exhibit 10.1 to Form 10-Q of the Company's fiscal quarter ended 
September 30, 2016, File No. 000-19364] 

Separation Agreement and General Release dated October 31, 2016 between the Company and 
Robert E. Dries [incorporated by reference to Exhibit 10.2 to Form 10-Q of the Company's fiscal 
quarter ended September 30, 2016, File No. 000-19364] 

Separation and General Release Agreement dated July 27, 2016 between the Company and 
Alfred Lumsdaine [incorporated by reference to Exhibit 10.3 to Form 10-Q of the Company's fiscal 
quarter ended September 30, 2016, File No. 000-19364] 

Amendment to Separation and General Release Agreement dated October 10, 2016 between 
the Company and Alfred Lumsdaine [incorporated by reference to Exhibit 10.4 to Form 10-Q of 
the Company's fiscal quarter ended September 30, 2016, File No. 000-19364] 

Amendment to Separation and General Release Agreement dated October 16, 2016 between 
the Company and Alfred Lumsdaine [incorporated by reference to Exhibit 10.5 to Form 10-Q of 
the Company's fiscal quarter ended September 30, 2016, File No. 000-19364] 

2014 Stock Incentive Plan [incorporated by reference to Exhibit 99.1 to the Company's 
Registration Statement on Form S-8 dated June 25, 2014, Registration  No. 333-197025] 

2007 Stock Incentive Plan, as amended [incorporated by reference to Exhibit 10.16 to Form 10-K of 
the Company's fiscal year ended December 31, 2012, File No. 000-19364] 

10.34 

Form of Non-Qualified Stock Option Agreement under the Company's 2007 Stock Incentive Plan 

71 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10.35 

10.36 

10.37 

10.38 

10.39 

10.40 

10.41 

10.42 

10.43 

10.44 

10.45 

10.46 

10.47 

10.48 

[incorporated by reference to Exhibit 10.24 to Form 10-K of the Company's fiscal year ended 
August 31, 2007, File No. 000-19364] 

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, File No. 000-19364] 

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, File No. 000-19364] 

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, File No. 000-19364] 

Form of Non-Qualified Stock Option Agreement 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 
March 31, 2012, File No. 000-19364] 

Form of Restricted Stock Unit Award Agreement 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 
March 31, 2012, File No. 000-19364] 

Form of Non-Qualified Stock Option Agreement under the Company's 2007 Stock Incentive Plan 
[incorporated by reference to Exhibit 10.28 to Form 10-K of the Company's fiscal year ended 
December 31, 2012, File No. 000-19364] 

Form of Restricted Stock Unit Award Agreement under the Company's 2007 Stock Incentive Plan 
[incorporated by reference to Exhibit 10.29 to Form 10-K of the Company's fiscal year ended 
December 31, 2012, File No. 000-19364] 

Form of Non-Qualified Stock Option Award Agreement (for Executive Officers) under the 
Company's 2014 Stock Incentive Plan [incorporated by reference to Exhibit 10.4 to Form 10-Q of 
the Company's fiscal quarter ended June 30, 2014, File No. 000-19364] 

Form of Restricted Stock Unit Award Agreement (for Executive Officers) under the Company's 
2014 Stock Incentive Plan [incorporated by reference to Exhibit 10.5 to Form 10-Q of the 
Company's fiscal quarter ended June 30, 2014, File No. 000-19364] 

Form of Non-Qualified Stock Option Award Agreement (for Directors) under the Company's 2014 
Stock Incentive Plan [incorporated by reference to Exhibit 10.8 to Form 10-Q of the Company's 
fiscal quarter ended June 30, 2014, File No. 000-19364] 

Form of Restricted Stock Unit Award Agreement (for Directors) under the Company's 2014 Stock 
Incentive Plan [incorporated by reference to Exhibit 10.9 to Form 10-Q of the Company's fiscal 
quarter ended June 30, 2014, File No. 000-19364] 

Form of Restricted Stock Unit Award Agreement (for Executive Officers) for November 1, 2016 
under the Company's Amended and Restated 2014 Stock Incentive Plan 

Form of Restricted Stock Unit Award Agreement (for Directors) under the Company's Amended and 
Restated 2014 Stock Incentive Plan [incorporated by reference to Exhibit 10.2 to Form 10-Q of the 
Company's fiscal quarter ended June 30, 2015, File No. 000-19364] 

Form of Restricted Stock Unit Award Agreement (for Directors) under the Company's Amended and 
Restated 2014 Stock Incentive Plan [incorporated by reference to Exhibit 10.3 to Form 10-Q of the 
Company's fiscal quarter ended June 30, 2016, File No. 000-19364] 

10.49 

Form of Restricted Stock Unit Award Agreement (for Executive Officers) 1-Year Cliff Vesting 

72 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10.50 

10.51 

10.52 

10.53 

10.54 

10.55 

10.56 

10.57 

10.58 

10.59 

10.60 

21 

23.1 

31.1 

31.2 

32 

under the Company's Amended and Restated 2014 Stock Incentive Plan [incorporated by 
reference to Exhibit 10.3 to Form 10-Q of the Company's fiscal quarter ended June 30, 2015, File 
No. 000-19364] 

Tivity Health, Inc. Amended and Restated 2014 Stock Incentive Plan [incorporated by reference to 
Exhibit 99.1 to the Company's Registration Statement on Form S-8 dated May 19, 2015, 
Registration  No. 333-204313] 

Form of Restricted Stock Unit Award Agreement (for Executive Officers) for July 1, 2015 under 
the Company's Amended and Restated 2014 Stock Incentive Plan [incorporated by reference to 
Exhibit 10.1 to Form 10-Q of the Company's fiscal quarter ended September 30, 2015, File No. 
000-19364] 

Employment Agreement, dated August 3, 2015, between Healthways, Inc. and Donato Tramuto 
[incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K dated 
August 7, 2015, File No. 000-19364] 

Form of Restricted Stock Unit Award Agreement for Mr. Tramuto [incorporated by reference to 
Exhibit 10.1 to the Company's Current Report on Form 8-K dated August 7, 2015, File No. 000-
19364] 

Form of Market Stock Unit Award Agreement for Mr. Tramuto [incorporated by reference to 
Exhibit 10.1 to the Company's Current Report on Form 8-K dated August 7, 2015, File No. 
000-19364] 

Form of Market Stock Unit Award Agreement for September 24, 2015 [incorporated by reference 
to Exhibit 10.1 to the Company's Current Report on Form 8-K dated September 28, 2015, File 
No. 000-19364] 

Revised Form of Market Stock Unit Award Agreement for September 24, 2015 [incorporated by 
reference to Exhibit 10.70 to Form 10-K of the Company's fiscal year ended December 31, 2015, File 
No. 000-19364] 

Form of Market Stock Unit Award Agreement for March 31, 2016 [incorporated by reference to 
Exhibit 10.1 to Form 10-Q of the Company's fiscal quarter ended March 31, 2016, File No. 000-
19364] 

Form of Restricted Stock Unit Award Agreement (for Executive Officers and Other Senior Officers) 
for September 24, 2015 [incorporated by reference to Exhibit 10.2 to the Company's Current Report 
on Form 8-K dated September 28, 2015, File No. 000-19364] 

Revised Form of Restricted Stock Unit Award Agreement (for Executive Officers and Other 
Senior Officers) for September 24, 2015 [incorporated by reference to Exhibit 10.73 to 
Form 10-K of the Company's fiscal year ended December 31, 2015, File No. 000-19364] 

Form of Director Indemnification Agreement [incorporated by reference to Exhibit 10.1 to the 
Company's Current Report on Form 8-K dated June 2, 2016, File No. 000-19364] 

Subsidiary List 

Consent of PricewaterhouseCoopers LLP 

Certification pursuant to section 302 of the Sarbanes-Oxley Act of 2002 made by Donato Tramuto, 
Chief Executive Officer 

Certification pursuant to section 302 of the Sarbanes-Oxley Act of 2002 made by Glenn Hargreaves, 
Interim 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 Donato Tramuto, Chief Executive Officer, and Glenn 

73 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Hargreaves, Interim Chief Financial Officer 

(b)  Exhibits 

Refer to Item 15(a)(3) above. 

(c)  Not applicable 

74 

 
 
 
 
 
 
 
Item 16.  Form 10-K Summary 

None. 

Pursuant to the requirements of section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has 
duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized. 

SIGNATURES 

March 6, 2017 

TIVITY HEALTH, INC. 

By: 

/s/ Donato Tramuto 
Donato Tramuto 
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 

  Date 

/s/ Donato Tramuto 
Donato Tramuto 

Officer) 

March 6, 2017 

  Chief Executive Officer and Director (Principal Executive 

/s/ Glenn Hargreaves 
Glenn Hargreaves 

/s/ Kevin G. Wills 
Kevin G. Wills 

Interim Chief Financial Officer and Chief Accounting 
Officer (Principal Financial and Accounting Officer) 

March 6, 2017 

  Chairman of the Board and Director 

  March 6, 2017 

/s/ Mary Jane England, M.D. 
Mary Jane England, M.D. 

  Director 

/s/ Archelle Georgiou, M.D. 
Archelle Georgiou, M.D. 

  Director 

/s/ Robert Greczyn 
Robert Greczyn 

/s/ Peter Hudson, M.D. 
Peter Hudson, M.D. 

/s/ Bradley S. Karro 
Bradley S. Karro 

/s/ Paul H. Keckley 
Paul H. Keckley 

/s/ Conan J. Laughlin 
Conan J. Laughlin 

/s/ Lee A. Shapiro 
Lee A. Shapiro 

  Director 

  Director 

  Director 

  Director 

  Director 

  Director 

75 

  March 6, 2017 

  March 6, 2017 

  March 6, 2017 

  March 6, 2017 

  March 6, 2017 

  March 6, 2017 

  March 6, 2017 

  March 6, 2017