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

Tivity Health, Inc.

tvty · NASDAQ Healthcare
Claim this profile
Ticker tvty
Exchange NASDAQ
Sector Healthcare
Industry Medical - Care Facilities
Employees 501-1000
← All annual reports
FY2019 Annual Report · Tivity Health, Inc.
Sign in to download
Loading PDF…
UNITED STATES 
SECURITIES AND EXCHANGE COMMISSION 
Washington, D.C.  20549 
FORM 10-K 
☒   Annual Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934  
For the Fiscal Year Ended December 31, 2019 
or 
☐   Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934  
For the Transition Period from _____ to ______ 
Commission file number 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) 

(800) 869-5311 
(Registrant's telephone number, including area code) 

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

Trading Symbol(s) 
TVTY 

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  ☒ 

No  ☐ 

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

Yes  ☐ 

No  ☒ 

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  ☒ 

No  ☐ 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be 
submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or 
for such shorter period that the registrant was required to submit such files). 

Yes  ☒ 

No  ☐ 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated 
filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” 
“accelerated filer," “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange 
Act. 

Large accelerated filer  ☒  Accelerated filer  ☐ 

Non-accelerated filer  ☐ 

Smaller reporting company  ☐

Emerging growth company  ☐ 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended 
transition period for complying with any new or revised financial accounting standards provided pursuant to Section 
13(a) of the Exchange Act.  ☐ 
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). 

Yes  ☐ 

No  ☒ 

As of June 30, 2019, 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 $774.4 million based on the price at which the shares were last sold for such date on The Nasdaq 
Stock Market LLC. 

As of February 20, 2020, 48,433,780 shares of common stock were outstanding. 

DOCUMENTS INCORPORATED BY REFERENCE 

Portions of the registrant's Proxy Statement for the 2020 Annual Meeting of Stockholders are incorporated by 
reference into Part III of this Form 10-K. 

2 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Tivity Health, Inc. 
Form 10-K 

Business 
Risk Factors 
Unresolved Staff Comments 
Properties 
Legal Proceedings 
Mine Safety Disclosures 

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

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

Table of Contents 

Part I 

Part II 

Part III 

Part IV 

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

Item 5. 

Item 6. 
Item 7. 

Item 7A. 
Item 8. 
Item 9. 

Item 9A. 
Item 9B. 

Item 10. 
Item 11. 
Item 12. 

Item 13. 
Item 14. 

Item 15. 
Item 16. 

Exhibits, Financial Statement Schedules 
Form 10-K Summary 

Page 

4 
9 
21 
21 
22 
24 

25 
28 

30 
41 
42 

84 
84 
84 

85 
85 

85 
85 
86 

87 
92 

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. (the “Company”), a leading provider of fitness, nutrition, and social connection solutions, was 

founded and incorporated in Delaware in 1981.  On March 8, 2019, we completed our acquisition of Nutrisystem, 
Inc. (“Nutrisystem”), a provider of weight management products and services, including nutritionally balanced 
weight loss programs sold primarily through the Internet and telephone and multi-day kits and single items (a la 
carte) available at select retail locations.  The acquisition of Nutrisystem enables us to offer, at scale, an integrated 
portfolio of solutions to help people live longer and be healthier, including our SilverSneakers® senior fitness 
program, Nutrisystem®, South Beach Diet®, Prime® Fitness, WholeHealth Living®, and Wisely WellTM (launched in 
2020).     

Following the acquisition of Nutrisystem, we organize and manage our operations within two reportable 

segments, based on the types of products and services they offer: Healthcare and Nutrition.  The Healthcare 
segment is comprised of our legacy business and includes SilverSneakers, Prime Fitness and WholeHealth Living.  
The Nutrition segment is comprised of Nutrisystem’s legacy business and includes Nutrisystem and the South 
Beach Diet. 

As part of our Healthcare segment, SilverSneakers is offered to members of Medicare Advantage and 
Medicare Supplement plans.  We also offer Prime Fitness, a fitness facility access program, through commercial 
health plans, employers, and other sponsoring organizations.  Our national network of fitness centers delivers both 
SilverSneakers and Prime Fitness.  Our fitness networks encompass approximately 17,000 partner locations and 
more than 1,000 alternative locations that provide classes outside of traditional fitness centers. Through our 
WholeHealth Living program, which we sell primarily to health plans, we offer a continuum of services related to 
complementary, alternative, and physical medicine.  Our WholeHealth Living network includes relationships with 
approximately 80,000 complementary, alternative, and physical medicine practitioners to serve individuals through 
health plans and employers who seek health services such as chiropractic care, acupuncture, physical therapy, 
occupational therapy, massage therapy, and more. 

Our Nutrition segment includes Nutrisystem and the South Beach Diet. Typically, our Nutrition segment 
customers purchase monthly food packages containing a four-week meal plan consisting of breakfasts, lunches, 
dinners, snacks and flex meals, which they supplement, depending on the program they are following, with items 
such as fresh fruits, fresh vegetables, lean protein and dairy. Most Nutrition segment customers order on an auto-
delivery basis (“Auto-Delivery”), which means we send a four-week meal plan on an ongoing basis until notified of a 
customer’s cancellation. Auto-Delivery customers are offered savings off of our regular one-time rate with each 
order. Monthly notifications are also sent to remind customers to update order preferences. We offer pre-selected 
favorites or customers may personalize their meal plan by selecting their entire menu or by customizing plans to 
their specific tastes or dietary preference. In total, our plans feature approximately 250 food options including frozen 
and unfrozen ready-to-go entrees, snacks, and shakes, at different price points. Additionally, we offer 
unlimited counseling from our trained weight loss counselors, registered dietitians and certified diabetes educators 
at no cost. Counselors are available as needed, seven days a week throughout an extended day, with further 
support provided through our digital tools.  The Nutrition segment also offers its products through select retailers 
and QVC, a television shopping network. 

The Company is headquartered at 701 Cool Springs Boulevard, Franklin, Tennessee 37067. 

Customer and Partner Contracts 

Except for Prime Fitness, our Healthcare segment’s customer contracts generally have initial terms of 

approximately three years.  Some contracts allow the customer to terminate early and/or determine on an annual 
basis to which of their members they will offer our programs.  For Prime Fitness, our contracts with employers, 
commercial health plans, and other sponsoring organizations generally have initial terms of approximately three 
years, while individuals who purchase the Prime Fitness program through these organizations may cancel at any 

4 

 
 
 
 
time (on a monthly basis) after an initial period of one to three months. Direct to consumer customers in our 
Nutrition segment may cancel at any time.  Our fitness partner location contracts generally have initial terms 
ranging from one to three years and auto-renew for successive one-year renewal terms.  

Business Strategy 

Tivity Health’s integrated portfolio of fitness, nutrition and social engagement solutions supports overall health 
and wellness programs, which we believe are critical to our health plan and employer-based customers.  Following 
the acquisition of Nutrisystem, we believe the Company is well-positioned to address food insecurity, inactivity, 
weight management, chronic conditions, and social isolation, leading to a reduction of healthcare costs.  We 
believe the diversification of our portfolio and increased scale will benefit all of the Company’s stakeholders – 
including government and commercial health plans, fitness partners, members and consumers – as our offerings 
support healthier lifestyles and can lower medical costs. 

Our comprehensive “A-B-C-D” strategy has been strengthened with the acquisition of Nutrisystem.  Strategy 

(A), add new members, will leverage Nutrisystem’s media expertise and scale to increase awareness of the 
SilverSneakers program and drive more enrolled members.  We will also cross-promote our nutrition and fitness 
solutions while adding new distribution channels for Nutrisystem. Strategy (B), build more awareness, 
empowerment and engagement, will lean on Nutrisystem’s precision marketing competency to drive visits and 
present a host of nutrition offerings to SilverSneakers and Prime Fitness members.  Strategy (C), collaborate with 
health plan partners to introduce new products and services that leverage our brand trust, drove our acquisition of 
Nutrisystem and will position us to offer nutrition-based as well as combined offerings.  Strategy (D), deepen 
relationships with our fitness center partners and their instructors within our national network, is bolstered through 
the Nutrisystem acquisition by providing new potential revenue streams for fitness partner locations while offering 
yet another distribution channel for Nutrisystem through those partner locations.  Our focus on revenue synergies is 
to address chronic conditions and weight management and expand the channels of distribution for nutrition-based 
products. 

The Nutrition segment operates in a competitive direct-to-consumer market that is experiencing significant 
change. To respond to these changes, in addition to the total company A-B-C-D strategy discussed above, we are 
applying a two-pronged “O-E” strategy to: (O) optimize the core nutrition business, and (E) expand the business by 
(1) expanding reach beyond direct-to-consumer, including opportunities with our health plan partners and fitness 
partner locations and (2) leveraging our food science capabilities beyond weight loss so that we can address the 
broader opportunity of nutrition-based solutions and continue to differentiate ourselves in the market. 

Segment and Major Customer Information 

Following the acquisition of Nutrisystem in March 2019, we organize and manage our operations within two 

reportable segments, based on the types of products and services they offer: Healthcare and Nutrition.  The 
Healthcare segment consists of SilverSneakers senior fitness, Prime Fitness and WholeHealth Living.  The Nutrition 
segment provides weight management products and services and consists of Nutrisystem and South Beach Diet. 

During 2019, Humana, Inc. (“Humana”) comprised approximately 13% of our consolidated revenues. Our 
primary contract with Humana continues through December 31, 2022.  No other customer accounted for 10% or 
more of our consolidated revenues in 2019.  In addition, during 2019, three customers individually comprised more 
than 10%, and together comprised approximately 45%, of our Healthcare segment’s revenues for 2019.  See Note 
18 to the notes to consolidated financial statements included in this report relating to revenues from external 
customers and customer concentration. 

Competition 

The healthcare and weight loss industries are both 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 in the healthcare segment such as: 

  our proprietary class programming; 

 

the brand recognition of our programs such as SilverSneakers; 

5 

 
 
 
 
 

 

the depth and breadth of our fitness center network relationships, which encompass approximately 
17,000 partner locations; and 

the trusting connections with our members developed over more than 25 years that have generated 
nearly 800 million member visits to partner locations since 2001.   

However, we cannot assure you that we can compete effectively with other entities who provide similar 

services. 

The weight loss market is served by a diverse array of competitors providing pharmaceutical products and 

weight loss programs, digital tools and wearable trackers, as well as a wide variety of diet foods and meal 
replacement bars and shakes, appetite suppressants, nutritional supplements, and surgical procedures. Potential 
customers seeking to manage their weight can turn to traditional center-based competitors, online diet-oriented 
sites, self-directed dieting, and self-administered products such as prescription drugs, over-the-counter drugs and 
supplements, and meal replacement products, as well as medically supervised programs. 

We believe that our principal competitive factors in the weight loss market are:  

 

the availability, convenience, privacy, and effectiveness of the weight loss program; 

  brand recognition and trustworthiness; 

  digital and media spending; 

  new products and innovative offerings; 

  program pricing; and 

 

the ability to attract and retain customers through promotion and personal referral. 

Based on these factors, we believe that we can compete effectively in the weight loss industry. However, we 

have no control over how successful competitors will be in addressing these factors. By providing well-recognized 
food-based weight management programs using the direct to consumer channel, we believe that we have a 
competitive advantage in our market.   

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 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.  

The ACA contains provisions that affect our customers, including commercial health plans and Medicare 
Advantage programs. Since 2010, when the ACA was enacted, 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 

6 

history, or occupation to set premium rates, eliminates pre-existing condition exclusions, and bans annual benefit 
limits. In addition, the ACA established uniform minimum medical loss ratios (“MLRs”) for health plans, requiring a 
minimum percentage of health coverage premium revenue to be spent on healthcare medical costs and quality 
improvement expenses. The ACA also reduced premium payments to Medicare Advantage plans such that the 
managed care per capita payments paid by the U.S. Department of Health and Human Services (“HHS”) to 
Medicare Advantage plans are now, on average, approximately equal to those for traditional Medicare. 
There is substantial uncertainty regarding the ongoing effects of the ACA because the presidential administration 
and Congress have made significant changes to the ACA, its implementation and its interpretation. The President 
has signed an executive order that directs agencies to minimize “economic and regulatory burdens” of the ACA. 
Final rules issued in 2018 expand the availability of association health plans and allow the sale of short-term, 
limited-duration health plans, neither of which are required to cover all of the essential benefits mandated by the 
ACA.  Effective January 2019, Congress eliminated the financial penalty associated with the ACA’s individual 
mandate. In December 2018, a federal court in Texas ruled that the individual mandate was unconstitutional as a 
result of this change and determined that the rest of the ACA was, therefore, invalid. In December 2019, the Fifth 
Circuit Court of Appeals upheld this decision with respect to the individual mandate, but remanded for further 
consideration of how this affects the rest of the law. The law remains in effect pending appeal. It is difficult to predict 
whether, when or how the ACA will be further changed, what alternative provisions, if any, will be enacted, the 
timing of implementation of any alternative provisions, the impact of alternative provisions on providers and other 
healthcare industry participants, and the ultimate outcome and impact of court challenges. The healthcare industry 
remains subject to ongoing health reform initiatives. For example, beginning in 2020, the Creating High-quality 
Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2018 (“Chronic Care Act”) allows 
Medicare Advantage plans to cover supplemental benefits that are not primarily health-related, but that have the 
reasonable expectation of improving or maintaining health.  Additionally, some presidential candidates and 
members of Congress have proposed measures that would expand government-sponsored coverage, including 
single-payor proposals (often referred to as "Medicare for All"). Further, the outcome of the 2020 federal election 
and its potential impact on health reform efforts is unknown.  

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 substantial 
civil penalties for each violation. These penalties are updated annually based on changes to the consumer price 
index. 

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 requirements may 
also require us or our customers to notify affected individuals, regulatory agencies, and the media of the data 
breach. Under HIPAA, 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. 

In addition, there are numerous other laws and legislative and regulatory initiatives at the federal and state 
levels addressing the confidentiality and security of confidential personal information that may apply to us directly 
or us contractually. These laws vary and could impose additional penalties. For example, the potential effects of 
the CCPA (as defined under Item1A “Risk Factors”) are far-reaching and may require us to modify our data 
processing practices and policies and to incur substantial costs and expenses in an effort to comply. In addition, 

7 

the Federal Trade Commission uses its consumer protection authority to initiate enforcement actions in response 
to data breaches. If we fail to comply with these or other applicable laws and regulations, we could be subject to 
liabilities, including civil penalties, money damages, and criminal penalties.  

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 related 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 the 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 substantial mandatory civil penalties for each separate false 
claim. These penalties are updated annually based on changes to the consumer price index. 

Because of the international operations previously conducted as part of our total population health services 

(“TPHS”) business that we sold to Sharecare, Inc. 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 antibribery 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. 

In addition, our Nutrition segment is subject to laws and regulations relating to advertising, disclosures to 
customers, customer pricing and billing arrangements and other customer protection matters.  Federal and state 
regulation of advertising practices generally, and in the weight loss industry in particular, may increase in scope or 
severity in the future. Other aspects of our Nutrition segment’s operations, such as the manufacturing, labeling and 
distribution of food products, including dietary supplements, are subject to government regulation, including USDA 
and FDA requirements.  Because our Nutrition segment includes distributing products that are ingested, we face 
inherent risk of exposure to product liability claims and improper labeling claims.  A determination by a federal or 
state agency, or a court, that our practices do not meet such laws or regulations could result in legal liability, 
adverse publicity, and require us to modify our practices and incur substantial costs and expenses. 

Intellectual Property 

We own numerous trademarks and other proprietary rights that are important to our business. Depending upon 

the jurisdiction, trademarks are valid as long as they are used in the regular course of trade and/or their 
registrations are properly maintained. We believe the protection of our trademarks, copyrights, patents, domain 
names, trade dress, and trade secrets is important to our success. We protect our intellectual property rights by 
relying on a combination of watch services and trademark, copyright, patent, trade dress and trade secret laws, and 
through the domain name dispute resolution system. 

Employees 

As of February 21, 2020, we had approximately 1,000 employees. We believe we have good relationships with 

our employees. 

8 

Seasonality 

Typically, in the weight loss industry, revenue is greatest in the first calendar quarter and lowest in the fourth 

quarter. We believe that the Nutrition segment of our business experiences seasonality, driven primarily by the 
predisposition of dieters to initiate a diet at certain times of the year and the placement of our advertising, which is 
based on the price and availability of certain media at such times. 

Available Information 

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

website, our annual reports 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 SEC maintains an Internet site that 
contains periodic reports, proxy and information statements, and other information regarding issuers that file 
electronically with the SEC at www.sec.gov. 

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. 

Risks Relating to Our Business Generally 

Our business strategy relating to the development and introduction of new products and services exposes 
us to risks such as limited customer and/or market 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 and/or market 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. 

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 Part I, Item 2. 
"Management's Discussion and Analysis of Financial Condition and Results of Operations – Business Strategy" in 
this report 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. 

We may fail to realize the anticipated benefits and cost savings of the acquisition of Nutrisystem, which 
could adversely affect the value of our common stock. 

The ultimate success of the acquisition of Nutrisystem will depend, in part, on our ability to realize the anticipated 

9 

 
 
 
 
 
 
 
 
benefits and cost savings from combining the business of Nutrisystem with our legacy business. Our ability to 
realize these anticipated benefits and cost savings is subject to certain risks including: 

  our ability to combine successfully the business of Nutrisystem with our legacy business, including with 

respect to the integration of our systems and technology; 

  whether the combined businesses will perform as currently expected; 
 
 

the possibility that we paid more for Nutrisystem than the value we will derive from the acquisition; 
the reduction of our cash available for operations and other uses and the incurrence of indebtedness to 
finance the acquisition; and 
the assumption of known and unknown liabilities of Nutrisystem. 

 

If we are not able to successfully combine the business of Nutrisystem with our legacy business within the 
anticipated time frame, or at all, the anticipated cost savings and other benefits of the acquisition may not be 
realized fully or at all or may take longer to realize than expected, the combined businesses may not perform as 
expected, and the value of our common stock may be adversely affected. 

We cannot provide assurances that Nutrisystem’s business and our legacy business can be integrated 
successfully. It is possible that the integration process could result in the loss of key employees, the disruption of 
our ongoing businesses or in unexpected integration issues, higher than expected integration costs, and an overall 
integration process that takes longer than originally anticipated.  

In addition, at times, the attention of certain members of our management and resources may be focused on 
completion of the integration and diverted from day-to-day business operations, which may disrupt our ongoing 
business. 

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), technologies, solutions, or products into our business.  Implementing 
internally-developed solutions and products, 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, technologies, solutions, 
or products 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 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. 

In connection with the consummation of the acquisition of Nutrisystem, on March 8, 2019, we entered into a new 
Credit and Guaranty Agreement (the “Credit Agreement”) with a group of lenders, Credit Suisse AG, Cayman 
Islands Branch ("Credit Suisse"), as general administrative agent, term facility agent and collateral agent, and 
SunTrust Bank (“SunTrust”), as revolving facility agent and swing line lender.  As of December 31, 2019, 
outstanding debt under the Credit Agreement was $1,048 million. 

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

The Credit Agreement contains a financial covenant that requires us to maintain specified maximum ratios or levels 
of consolidated total net debt to EBITDA, calculated as provided in the Credit Agreement. Our failure to comply with 
such covenant could result in an event of default that, if not cured or waived, could have a material adverse effect 
on our financial condition, results of operations or debt service capability. The Credit Agreement also contains 
various other affirmative and negative covenants customary for financings of this type that, subject to certain 
exceptions, impose restrictions and limitations on us and certain of our subsidiaries with respect to, among other 
things, indebtedness; liens; negative pledges; restricted payments (including dividends, distributions, buybacks, 
redemptions, repurchases with respect to equity interests, and payments, redemptions, retirements, purchases, 
acquisitions, defeasance, exchange, conversion, cancellation or termination with respect to junior lien, subordinated 

10 

 
 
 
 
 
 
 
 
 
 
or unsecured debt); restrictions on subsidiary distributions; loans, advances, guarantees, acquisitions and other 
investments; mergers and other fundamental changes; sales and other dispositions of assets (including equity 
interests in subsidiaries); sale/leaseback transactions; transactions with affiliates; conduct of business; 
amendments and waivers of organizational documents and material junior debt agreements; and changes to fiscal 
year. 

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: 

 

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. 

Our variable rate indebtedness subjects us to interest rate risk, which could cause our debt service 
obligations to increase significantly, and changes in LIBOR reporting practices could lead to an increase in 
the cost of our indebtedness and adversely affect our results of operations. 

Borrowings under our Credit Agreement are at variable rates of interest and expose us to interest rate risk.  Interest 
rates are currently at historically low levels, but if interest rates increase, our debt service obligations with respect to 
our variable rate indebtedness would increase even if the amount borrowed remained the same, and our net 
income and cash flows would correspondingly decrease. 

To mitigate our exposure to future interest rate volatility with respect to our variable rate indebtedness, we have 
entered into interest rate swaps and may in the future enter into additional interest rate swaps, which involve the 
exchange of floating for fixed rate interest payments. Considering hedging gains and losses and cash settlement 
costs, we may not elect to maintain such interest rate swaps, and any swaps may not fully mitigate our interest rate 
risk. 

In addition, a transition away from LIBOR as a benchmark for establishing the applicable interest rate may 
adversely affect our variable rate debt and interest rate swaps.  The Financial Conduct Authority of the United 
Kingdom has announced that by the end of calendar year 2021 it will no longer require LIBOR submissions, 
resulting in the possible unavailability or lack of suitability of LIBOR as a benchmark rate. While our borrowing 
arrangements provide for alternative base rates as well as a method for selecting a benchmark replacement for 
LIBOR, the consequences of the possibility of LIBOR becoming unavailable or not suitable cannot be entirely 
predicted at this time. Use of an alternative base rate or a benchmark replacement for LIBOR as a basis for 
calculating interest with respect to our outstanding variable rate indebtedness or interest rate swap agreements 
could lead to an increase in the interest we pay and a corresponding increase in the cost of such indebtedness, and 
could affect our ability to refinance some or all of our existing indebtedness or otherwise have a material adverse 
impact on our business, financial condition and results of operations. 

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

We have recorded significant portions of the purchase price of certain acquisitions as goodwill and/or intangible 
assets. We review goodwill and intangible assets not subject to amortization for impairment on an annual basis 

11 

 
 
 
 
 
 
 
 
 
 
(during the fourth quarter) or more frequently whenever events or circumstances indicate that the carrying value 
may not be recoverable. In the fourth quarter of 2019, we recorded impairment losses of $240.0 million and $137.1 
million related to the Nutrisystem tradename and goodwill, respectively, and at December 31, 2019, we had 
approximately $654.6 million and $689.7 million of goodwill and intangible assets, respectively, remaining. If we 
determine that the carrying values of our goodwill and/or intangible assets should be further impaired, we may incur 
additional non-cash charges to earnings, which could have a material adverse effect on our results of operations for 
the period in which the additional impairment occurs. 

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

Our ability to deliver our products and services depends on effectively using information technology.  We rely upon 
our information technology and systems, employees, and third parties for operating and monitoring all major 
aspects of our business. These technologies and 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 technology or 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, common law theories or other 
laws, 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, storage and use of personal data about the participants in our 
programs, including individually identifiable health information, as well as employees and customers. Additionally, 
we rely upon third parties that are not directly under our control to store and use portions of that personal data as 
well.  The secure maintenance of this and other confidential information or other proprietary 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, technology failures, and advanced attacks against information systems 
create risk of cybersecurity incidents. We cannot provide assurance that we or our third-party vendors or other 
service providers will not be subject to cybersecurity incidents, which may result in unauthorized access by third 
parties, loss, misappropriation, disclosure or corruption of customer, employee, or our information; member 
personal health information; or other data subject to privacy laws. Such cybersecurity incidents or delays in 
responding to or remedying damage caused by such incidents may lead to a disruption in our systems or business, 
costs to modify, enhance, or remediate our cybersecurity measures, liability under privacy, security and consumer 
protection laws or litigation under these or other laws, including common law theories, and subject us to 
enforcement actions, fines, regulatory proceedings or litigation against us, damage to our business reputation, a 
reduction in participation and sales of our products and services, and legal obligations to notify customers or other 
affected individuals about an incident, which could cause us to incur substantial costs and negative publicity, any of 
which could have a material adverse effect on our financial condition and results of operations and harm our 
business reputation. 

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. 

Our business is subject to changing privacy and security laws, rules and regulations, including HIPAA, the 
Payment Card Industry Data Security Standards, the Telephone Consumer Protection Act and other state 
privacy regulations, which impact our operating costs and for which failure to adhere could negatively 
impact our business. 

Our business is subject to various privacy and data security laws, regulations, and codes of conduct that apply to 
our various business units (e.g., Payment Card Industry Data Security Standards and Telephone Consumer 
Protection Act (“TCPA”)). These laws and regulations may be inconsistent across jurisdictions and are subject to 
evolving and differing (sometimes conflicting) interpretations. While we are using internal and external resources to 

12 

 
 
 
 
 
 
 
monitor compliance with and to continue to modify our data processing practices and policies in order to comply 
with evolving privacy laws, relevant regulatory authorities could determine that our data handling practices fail to 
address all the requirements of certain new laws, which could subject us to penalties and/or litigation. Government 
regulators, privacy advocates and class action attorneys are increasingly scrutinizing how companies collect, 
process, use, store, share and transmit personal data. This increased scrutiny may result in new interpretations of 
existing laws as well as new laws, regulations, and industry standards concerning privacy, data protection, and 
information security proposed and enacted in various jurisdictions, thereby further impacting our business.  For 
example, the California Consumer Privacy Act of 2018 (“CCPA”), went into effect on January 1, 2020, and it applies 
broadly to information that identifies or is associated with any California household or individual, and compliance 
with the new law requires that we implement several operational changes, including processes to respond to 
individuals’ data access and deletion requests.  Failure to comply with the CCPA may result in attorney general 
enforcement action and damage to our reputation. The CCPA also provides for civil penalties for violations, as well 
as a private right of action for data breaches that may increase data breach litigation. We may also be exposed to 
litigation, regulatory fines, penalties or other sanctions if the personal, confidential or proprietary information of our 
customers is mishandled or misused by any of our suppliers, counterparties or other third parties, or if such third-
parties do not have appropriate controls in place to protect such personal, confidential or proprietary information.  
Additionally, the Federal Trade Commission (“FTC”) and many state attorneys general are interpreting federal and 
state consumer protection laws to impose standards for the collection, use, dissemination and security of data.  The 
obligations imposed by the CCPA and other similar laws that may be enacted at the federal and state level may 
require us to modify our business practices and policies and to incur substantial expenditures in order to comply. 

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 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 newly hired employees 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, which potentially involve large claims and significant defense costs 
(see Part II, Item 1. "Legal Proceedings" in this report). 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. The coverage limits of our insurance policies may not be adequate to cover all such 
claims and some claims may not be covered by insurance. Additionally, insurance coverage with respect to some 
claims against us or our directors and officers may not be available on terms that would be favorable to us, or the 
cost of such coverage could increase in the future.  Further, although we believe that we have conducted our 
operations in 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. 

Third parties may infringe on our brands, trademarks and other intellectual property rights, which may 

13 

 
 
 
 
 
 
 
have an adverse impact on our business. 

We currently rely on a combination of trademark and other intellectual property laws and confidentiality procedures 
to establish and protect our proprietary rights, including our brands. If we fail to successfully enforce our intellectual 
property rights, the value of our brands, services and products could be diminished and our business may suffer. 
Our precautions may not prevent misappropriation of our intellectual property. Any legal action that we may bring to 
protect our brands and other intellectual property could be unsuccessful and expensive and could divert 
management’s attention from other business concerns. In addition, legal standards relating to the validity, 
enforceability and scope of protection of intellectual property, especially in Internet-related businesses, are 
uncertain and evolving. We cannot assure you that these evolving legal standards will sufficiently protect our 
intellectual property rights in the future. 

We may be subject to intellectual property rights claims. 

Third parties may make claims against us alleging infringement of their intellectual property rights. Any intellectual 
property claims, regardless of merit, could be time-consuming and expensive to litigate or settle and could 
significantly divert management’s attention from other business concerns. In addition, if we were unable to 
successfully defend against such claims, we may have to pay damages, stop selling the service or product or stop 
using the software, technology or content found to be in violation of a third party’s rights, seek a license for the 
infringing service, product, software, technology or content or develop alternative non-infringing services, products, 
software, technology or content. If we cannot license on reasonable terms, develop alternatives or stop using the 
service, product, software, technology or content for any infringing aspects of our business, we may be forced to 
limit our service and product offerings. Any of these results could reduce our revenue and our ability to compete 
effectively, increase our costs or harm our business. 

Damage to our reputation could harm our business, including our competitive position and business 
prospects. 

Our ability to attract and retain customers, members and employees is impacted by our reputation. Harm to our 
reputation can arise from various sources, including employee misconduct, cyber security breaches, unethical 
behavior, litigation or regulatory outcomes, which could, among other consequences, increase the size and number 
of litigation claims and damages asserted or subject us to enforcement actions, fines and penalties and cause us to 
incur related costs and expenses. 

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, Inc. 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. 

Risks Relating to Our Healthcare Segment 

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

A significant percentage of our Healthcare segment 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. Increasing vertical integration efforts involving health plans and 
healthcare providers or entities that provide wellness services may increase these challenges. Our health plan 
customers that are part of larger healthcare enterprises may have greater bargaining power, which may lead to 

14 

 
 
 
 
 
 
 
 
 
 
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 offer (and in some 
cases are offering) services themselves that compete directly with our offerings, stop providing our offerings to 
certain or all of their members (as one of our customers, United Healthcare, has done), or offer fitness benefits in 
addition to SilverSneakers and Prime Fitness, which could adversely affect our business and results of operations. 

We currently derive a significant percentage of our Healthcare segment revenues from three customers. 

For the year ended December 31, 2019, three customers each comprised more than 10%, and together comprised 
approximately 45%, of our Healthcare segment’s revenues. Our primary contracts with two of these customers 
continue through December 31, 2022, and our primary contract with the third customer continues through 
December 31, 2021.  The loss or restructuring of a contract with any of these three customers or any other 
significant customers of our Healthcare segment could have a material adverse effect on our business and results 
of operations.  None of these three contracts allows the customer to terminate for convenience prior to the 
expiration of the contract. 

Our inability to renew and/or maintain contracts with our Healthcare segment customers and/or fitness 
partner locations under existing terms or restructure these contracts under favorable terms could 
adversely affect our business and results of operations. 

If our Healthcare segment customers and/or fitness partner locations choose not to renew their contracts with us 
(which does occur from time to time), our business and results of operations could be materially adversely 
affected.  Loss of a significant fitness partner or health plan customer or a reduction in a health plan customer's 
enrolled lives could have a material adverse effect on our business and results of operations.  In addition, a 
restructuring of a contract with a health plan customer and/or fitness partner on terms that aren’t favorable to us 
could adversely affect our business and results of operations. 

Reductions in Medicare Advantage health plan reimbursement rates or changes in plan designs may 
negatively impact our Healthcare segment business and results of operations. 

A significant portion of our Healthcare segment revenue is indirectly derived from the monthly premium payments 
paid by the U.S. Department of Health and Human Services to our health plan customers for services they provide 
to Medicare Advantage beneficiaries.  As a result, our results of operations are, in part, dependent on government 
funding levels for Medicare Advantage programs. An executive order issued in October 2019 seeks to encourage 
innovative Medicare Advantage benefit structures and plan designs, including through changes to supplemental 
benefits.  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 Healthcare segment 
health plan customers, and as a result, on our business and results of operations. 

Our results of operations could be adversely affected by severe or unexpected weather, health epidemics 
or outbreaks of disease. 

Adverse weather conditions or other extreme changes in the weather may cause people to refrain, or prevent 
people, from visiting fitness partner locations and using our Healthcare segment services.  Additionally, widespread 
health epidemics or outbreaks of disease, such as influenza or a virulent strain of coronavirus, may cause members 
to avoid public gathering places and negatively impact their use of our services.  As some of the fees that we 
charge our customers are based on member participation, a decrease in member participation could adversely 
affect our business and results of operations. 

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. 

15 

 
 
 
 
 
 
 
 
 
 
Our Healthcare segment customers are subject to considerable state and federal government regulation, and a 
substantial majority of our Healthcare segment 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. In addition, 
our contracts with Medicare Advantage plans require us to comply with a number of regulatory provisions and to 
permit these health plan customers to perform compliance audits of our processes and programs. 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 Healthcare segment 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 Healthcare 
segment operations, be subject to contractual penalties, including termination of our Healthcare segment 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. Among other effects, several of its provisions 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, and mandates minimum medical loss 
ratios for health plans. 

However, there is substantial uncertainty regarding the net effect and future of the ACA. The presidential 
administration and Congress have made significant changes to the ACA, its implementation and its interpretation.  
Effective January 2019, Congress eliminated the penalty associated with the ACA’s individual mandate.  As a 
result, a federal court in Texas ruled in December 2018 that the individual mandate was unconstitutional and 
determined that the rest of the ACA was, therefore, invalid.  In December 2019, the Fifth Circuit Court of Appeals 
upheld this decision with respect to the individual mandate, but remanded for further consideration of how this 
affects the rest of the law. The law remains in effect pending appeal.  It is possible that the reforms imposed by the 
ACA or uncertainty regarding significant changes or court challenges to the law will adversely affect the profitability 
of our Healthcare segment customers and cause our Healthcare segment 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 and the difficulty of predicting the impact of changes on other 
healthcare industry participants and the ultimate outcome of court challenges, we are unable to predict all of the 
ways in which the ACA could impact us. Furthermore, we could also be impacted by other legislative and regulatory 
healthcare reform initiatives.  For example, beginning in 2020, the Chronic Care Act allows Medicare Advantage 
plans to cover supplemental benefits that are not primarily health-related, but that have the reasonable expectation 
of improving or maintaining health. Additionally, some presidential candidates and members of Congress have 
proposed measures that would expand government-sponsored coverage, including single-payor proposals (often 
referred to as "Medicare for All"). Further, the outcome of the 2020 federal election and its potential impact on 
health reform efforts is unknown. 

Risks Relating to Our Nutrition Segment 

Our Nutrition segment's future growth and profitability will depend in large part upon the effectiveness and 
efficiency of our marketing expenditures and our ability to select effective markets and media in which to 
advertise. 

16 

 
 
 
 
 
 
 
Our Nutrition segment's future growth and profitability will depend in large part upon the effectiveness and efficiency 
of our marketing expenditures, including our ability to: 

 
 

create greater awareness of our Nutrition segment brands and programs; 
identify the most effective and efficient levels of spending in each market, media and specific media 
vehicle; 

  determine the appropriate creative messages and media mix for advertising, marketing and promotional 

expenditures; 

  effectively manage marketing costs (including creative and media) in order to maintain acceptable 

customer acquisition costs; 

  acquire cost-effective advertising; 
 
 

select the most effective markets, media and specific media vehicles in which to advertise; and 
convert Nutrition segment customer inquiries into actual orders. 

Our planned marketing expenditures for our Nutrition segment may not result in increased revenue or generate 
sufficient levels of brand name and program awareness. We may not be able to manage our Nutrition segment's 
marketing expenditures on a cost-effective basis whereby our Nutrition segment customer acquisition costs may 
exceed the contribution profit generated from each additional customer. 

Our Nutrition segment relies on third parties to provide it with adequate food supply, freight and fulfillment 
and Internet and networking services, the loss or disruption of any of which could cause our revenue, 
earnings or reputation to suffer. 

Food Manufacturers and Other Suppliers. Our Nutrition segment relies solely on third-party manufacturers to supply 
all of the food and other products we sell as well as packaging materials. If we are unable to obtain sufficient 
quantity, quality and variety of food, other products and packaging materials in a timely and low-cost manner from 
our manufacturers, we will be unable to fulfill our Nutrition segment customers’ orders in a timely manner, which 
may cause us to lose revenue and market share or incur higher costs, as well as damage the value of our brands. 

Freight and Fulfillment. Currently, all of our Nutrition segment customer order fulfillment is handled by one third-
party provider.  Also, almost all of our direct to consumer Nutrition segment customer orders are shipped by one 
third-party provider and almost all of our orders for Nutrition segment retail programs were shipped by another third-
party provider. Should these providers be unable to service our needs for even a short duration, our revenue and 
business could be adversely affected. Additionally, the cost and time associated with replacing these providers on 
short notice would add to our costs. Any replacement fulfillment provider would also require startup time, which 
could cause us to lose sales and market share. 

Internet and Networking. Our Nutrition segment business also depends on a number of third parties for Internet 
access and networking, and we have limited control over these third parties. Should our Nutrition segment's 
network connections go down, our ability to fulfill orders would be delayed. Further, if our Nutrition segment's 
websites or call center become unavailable for a noticeable period of time due to Internet or communication 
failures, our business could be adversely affected, including harm to our brands and loss of sales. 

Therefore, we are dependent on these third parties. The services we require from these parties may be disrupted 
by a number of factors, including the following: 

financial condition or results of operations; 
internal inefficiencies; 

 
labor disruptions; 
  delivery problems; 
 
 
  equipment failure; 
 
 
  natural or man-made disasters; and 
  with respect to our food suppliers, shortages of ingredients or United States Department of Agriculture 

severe weather;  
fire; 

("USDA") or United States Food and Drug Administration (“FDA”) compliance issues. 

17 

 
 
 
 
 
 
 
 
Further, if a regional or global health epidemic or pandemic occurs, depending upon its location, duration and 
severity, our business could be severely affected. A regional or global health epidemic or pandemic might also 
adversely affect our business by disrupting the operations of our call center, creating negative popular sentiment 
among consumers of delivered food, or by disrupting or delaying our third-party providers' ability to, among other 
things (i) supply the products that we sell as well as packaging materials, (ii) fulfill Nutrition segment customer 
orders and (iii) provide internet and networking services. 

We may be subject to claims that our Nutrition segment personnel are unqualified to provide proper weight 
loss advice. 

We offer counseling options from weight loss counselors, registered dietitians and certified diabetes educators with 
varying levels of training. We may be subject to claims from our Nutrition segment customers alleging that our 
personnel lack the qualifications necessary to provide proper advice regarding weight loss and related topics. We 
may also be subject to claims that our Nutrition segment personnel have provided inappropriate advice or have 
inappropriately referred or failed to refer customers to health care providers for matters other than weight loss. 
Such claims could result in lawsuits, damage to our reputation and divert management’s attention from our 
business, which would adversely affect our business. 

We may be subject to health-related claims from our customers. 

Our Nutrition segment's weight loss programs do not include medical treatment or medical advice, and we do not 
engage physicians or nurses to monitor the progress of our Nutrition segment customers. Many people who are 
overweight suffer from other physical conditions, and our target customers could be considered a high-risk 
population. A Nutrition segment customer who experiences health problems could allege or bring a lawsuit against 
us on the basis that those problems were caused or worsened by participating in our weight management programs 
or by consuming one or more of our individual products. For example, our Nutrition segment's predecessor 
businesses suffered substantial losses due to health-related claims and related publicity. If we become subject to 
any such claims, while we would defend ourselves against such claims, we may ultimately be unsuccessful in our 
defense. Also, defending ourselves against such claims, regardless of their merit and ultimate outcome, would 
likely be lengthy and costly, and adversely affect our results of operations. Further, our general liability insurance 
may not cover claims of these types. 

The weight management industry is highly competitive. If any of our competitors or a new entrant into the 
market with significant resources pursues a weight management program similar to ours, our Nutrition 
segment business could be significantly affected. 

Competition is intense in the weight management industry and we must remain competitive in the areas of program 
efficacy, price, taste, customer service and brand recognition. The competitors of our Nutrition segment include 
companies selling pharmaceutical products and weight loss programs, digital tools and wearable trackers, as well 
as a wide variety of diet foods and meal replacement bars and shakes, appetite suppressants and nutritional 
supplements. Some of our Nutrition segment's competitors are significantly larger than we are and have 
substantially greater resources. Our Nutrition segment business could be adversely affected if someone with 
significant resources decided to imitate our weight management programs. For example, if a major supplier of pre-
packaged foods decided to enter this market and made a substantial investment of resources in advertising and 
training diet counselors, our Nutrition segment business could be significantly affected. Any increased competition 
from new entrants into our Nutrition segment's industry or any increased success by existing competition could 
result in reductions in our Nutrition segment sales or prices, or both, which could have an adverse effect on our 
business and results of operations. 

We are dependent on certain third-party agreements for a percentage of revenue. 

Our Nutrition segment has agreements with certain third-party retailers. Under these agreements, these third 
parties control when and how often our Nutrition segment products are offered and we are not guaranteed any 
minimum level of sales. Our Nutrition segment's largest third-party retailer has indicated to us that they will be 
reducing orders for, and the promotion of, our Nutrition segment products in 2020. If any third party elects not to 
renew their agreement with us or further reduces orders for our Nutrition segment products or the promotion of our 
Nutrition segment products, our revenue will suffer.  

18 

 
 
 
 
 
 
 
 
 
 
In addition, our third-party retailers may decide to stop selling our Nutrition segment products upon written notice, 
which may result in an increased level of reclamation claims. In the event any retailer terminates its relationship 
with us and the level of reclamation claims exceeds the estimated amount reserved on our balance sheet at the 
time of sale to the retailer, we will have to record an expense for the excess claims, which could adversely impact 
our results of operations and financial condition. Additionally, in certain instances, we could be prohibited from 
selling our Nutrition segment products through competitors of these third parties for a specified time after the 
termination of the agreements. 

New weight loss products or services may put us at a competitive disadvantage. 

On an ongoing basis, many existing and potential providers of weight loss solutions, including many pharmaceutical 
firms with significantly greater financial and operating resources than we have, are developing new products and 
services. The creation of a weight loss solution, such as a drug therapy, that is perceived to be safe, effective and 
“easier” than a portion-controlled meal plan would put our Nutrition segment at a disadvantage in the marketplace 
and our results of operations could be negatively affected. 

We may be subject to litigation from our competitors. 

Our Nutrition segment's competitors may pursue litigation against us based on our advertising or other marketing 
practices regardless of its merit and chances of success, especially if we engage in comparative advertising, which 
includes advertising that directly or indirectly mentions a competitor or a competitor’s weight loss program in 
comparison to our Nutrition segment programs. While we would defend ourselves against any such claims, our 
defense may ultimately be unsuccessful. Also, defending against such claims, regardless of their merit and ultimate 
outcome, may be lengthy and costly, strain our resources and divert management’s attention from their core 
responsibilities, which would have a negative impact on our business.  

We have launched and expect to continue to launch new weight loss and nutrition programs and brands 
which may not be successful due to the failure of such programs or brands to achieve anticipated levels of 
market acceptance, which could adversely affect our Nutrition segment business, financial condition and 
results of operations. 

There are a number of risks inherent in any new program or brand introduction, which could prevent us from 
achieving revenue growth and increasing our Nutrition segment's overall market share in the commercial weight 
loss and nutrition markets. Any new program or brand may fail to achieve the anticipated level of market 
acceptance or appeal to customer tastes and preferences. In addition, introduction costs, including product testing 
and marketing, may be greater than anticipated. If the new program or brand is not successful or falls short of 
anticipated market acceptance, we may be adversely affected by continued expenses and the diversion of 
management time to this initiative. Any or all of such events could have adverse effects on our business, financial 
condition and results of operations. 

If we do not continue to receive referrals from existing Nutrition segment customers, our Nutrition 
segment's customer acquisition cost may increase. 

We rely on word-of-mouth advertising for a portion of our new Nutrition segment customers. If our brands suffer or 
the number of customers acquired through referrals drops due to other circumstances, our costs associated with 
acquiring new Nutrition segment customers and generating revenue will increase, which will, in turn, have an 
adverse effect on our profitability. 

We use third-party marketing vendors to promote our Nutrition segment products. If the spokespersons 
affiliated with the third-party marketing vendors suffer adverse publicity or elect to not renew, our revenue 
could be adversely affected. 

Our Nutrition segment's marketing strategy depends in part on celebrity spokespersons, as well as customer 
spokespersons, to promote our weight loss programs. Any of these spokespersons may become the subject of 
adverse news reports, negative publicity or otherwise be alienated from a segment of our Nutrition segment 
customer base, whether weight loss related or not. If so, such events may reduce the effectiveness of his or her 
endorsement and, in turn, adversely affect our revenue and results of operations. Additionally, if a spokesperson 
elects not to renew their agreement with us, our revenue may suffer. 

19 

 
 
 
 
 
 
 
 
 
 
 
Changes in customer preferences could negatively impact our operating results. 

Our Nutrition segment programs feature frozen and ready-to-go food selections, which we believe offer 
convenience and value to our customers. Our continued success depends, to a large degree, upon the continued 
popularity of our Nutrition segment programs versus various other weight loss, weight management and fitness 
regimens, such as low carbohydrate diets, appetite suppressants and diets featured in the published media. 
Changes in customer tastes and preferences away from our frozen or ready-to-go food and support and counseling 
services, and any failure to provide innovative responses to these changes, may have a materially adverse impact 
on our business, financial condition, operating results and cash flows. 
Our success is also dependent on our food innovation including maintaining a robust array of food items and 
improving the quality of existing items. If we do not continually expand our food items or provide customers with 
items that are desirable in taste and quality, our business could be adversely impacted. 

The seasonal nature of the business of our Nutrition segment could cause our operating results to 
fluctuate. 

The business of our Nutrition segment is seasonal, with revenue generally greatest (and advertising expenses 
generally highest) in the first calendar quarter, also known as diet season. Weak performance during diet season 
could negatively impact our Nutrition segment’s performance for the remainder of the year. This seasonality could 
cause the market price of our common stock to fluctuate as the results of an interim financial period may not be 
indicative of our full year results. Seasonality also impacts relative revenue and profitability of each quarter of the 
year, both on a quarter-to-quarter and year-over-year basis. 

The weight loss industry is subject to adverse publicity, which could harm our Nutrition segment business. 

The weight loss industry receives adverse publicity from time to time, and the occurrence of such publicity could 
harm us, even if the adverse publicity is not directly related to us. In the early 1990s, our Nutrition segment's 
predecessor businesses were subject to extremely damaging adverse publicity relating to a large number of 
lawsuits alleging that the Nutrisystem weight loss program in use at that time led to gall bladder disease. This 
publicity was a factor that contributed to the bankruptcy of our Nutrition segment's predecessor businesses in 1993. 
In addition, our Nutrition segment's predecessor businesses were severely impacted by significant litigation and 
damaging publicity related to their customers’ use of fen-phen as an appetite suppressant, which the FDA ordered 
withdrawn from the market in September 1997. The significant decline in business resulting from the fen-phen 
problems caused our Nutrition segment's predecessor businesses to close all of their company-owned weight loss 
centers. 

Congressional hearings about practices in the weight loss industry have also resulted in adverse publicity and a 
consequent decline in the revenue of weight loss businesses. Future research reports or publicity that is perceived 
as unfavorable or that question certain weight loss programs, products or methods could result in a decline in our 
revenue. Because of our dependence on customer perceptions, adverse publicity associated with illness or other 
undesirable effects resulting from the consumption of our Nutrition segment products or similar products by 
competitors, whether or not accurate, could also damage customer confidence in our Nutrition segment weight loss 
programs and result in a decline in revenue. Adverse publicity could arise even if the unfavorable effects associated 
with weight loss products or services resulted from the user’s failure to use such products or services appropriately. 

The industry in which our Nutrition segment operates is subject to governmental regulation that could 
increase in severity and hurt results of operations. 

The industry in which our Nutrition segment operates is subject to federal, state and other governmental regulation. 
Certain federal and state agencies, such as the FTC, regulate and enforce such laws relating to advertising, 
disclosures to customers, privacy, customer pricing and billing arrangements and other customer protection 
matters. A determination by a federal or state agency, or a court, that any of our practices do not meet existing or 
new laws or regulations could result in liability, adverse publicity and restrictions on our business operations. Some 
advertising practices in the weight loss industry, in particular, have led to investigations from time to time by the 
FTC and other governmental agencies and many companies in the weight loss industry, including our Nutrition 
segment's predecessor businesses, have entered into consent decrees with the FTC relating to weight loss claims 
and other advertising practices. In addition, the FTC’s Guides Concerning the Use of Endorsements and 
Testimonials in Advertising require us and other weight loss companies to use a statement as to what the typical 
weight loss a customer can expect to achieve on our Nutrition segment programs when using a customer’s weight 

20 

 
 
 
 
 
 
 
 
loss testimonial in advertising. Federal and state regulation of advertising practices generally, and in the weight loss 
industry in particular, may increase in scope or severity in the future, which could have a material adverse impact 
on our business. 

Other aspects of the industry in which our Nutrition segment operates are also subject to government regulation. 
For example, the manufacturing, labeling and distribution of food products, including dietary supplements, are 
subject to strict USDA and FDA requirements and food manufacturers are subject to rigorous inspection and other 
requirements of the USDA and FDA, and companies operating in foreign markets must comply with those 
countries’ requirements for proper labeling, controls on hygiene, food preparation and other matters. If federal, 
state, local or foreign regulation of the weight loss industry increases for any reason, then we may be required to 
incur significant expenses, as well as modify our operations to comply with new regulatory requirements, which 
could harm our operating results. Additionally, remedies available in any potential administrative or regulatory 
actions may include product recalls and requiring us to refund amounts paid by all affected customers or pay other 
damages, which could be substantial.  

Laws and regulations directly applicable to communications, operations or commerce over the Internet such as 
those governing intellectual property, privacy, libel and taxation, are becoming more prevalent and some remain 
unsettled. If we are required to comply with new laws or regulations or new interpretations of existing laws or 
regulations, or if we are unable to comply with these laws, regulations or interpretations, our business could be 
adversely affected. 
Future laws or regulations, including laws or regulations affecting our marketing and advertising practices, relations 
with customers, employees, service providers, or our services and products, may have an adverse impact on us. 

The sale of ingested products involves product liability and other risks. 

Like other distributors of products that are ingested, we face an inherent risk of exposure to product liability claims if 
the use of our Nutrition segment products results in illness or injury. The foods that we resell in the U.S. are subject 
to laws and regulations, including those administered by the USDA and FDA that establish manufacturing practices 
and quality standards for food products. Product liability claims could have a material adverse effect on our 
business as existing insurance coverage may not be adequate. Distributors of weight loss food products, including 
dietary supplements, as well as our Nutrition segment's predecessor businesses, have been named as defendants 
in product liability lawsuits from time to time. The successful assertion or settlement of an uninsured claim, a 
significant number of insured claims or a claim exceeding the limits of our insurance coverage would harm us by 
adding costs to the business and by diverting the attention of senior management from the operation of our 
business. We may also be subject to claims that our Nutrition segment products contain contaminants, are 
improperly labeled, include inadequate instructions as to use or inadequate warnings covering interactions with 
other substances. Product liability litigation, even if not meritorious, is very expensive and could also entail adverse 
publicity for us and adversely affect our results of operations. In addition, the products we distribute, or certain 
components of those products, may be subject to product recalls or other deficiencies. Any negative publicity 
associated with these actions would adversely affect our brands and may result in decreased product sales and, as 
a result, lower revenue and profits. 

Item 1B. Unresolved Staff Comments 

None. 

Item 2. Properties 

As of December 31, 2019, we operated the following facilities: 

21 

 
 
 
Description of Use 

Office space 
Office space 
Office space 
Total Healthcare 

Office space 

Food fulfillment (1) 
Food fulfillment (1) 

Food fulfillment (1) 

Food fulfillment (1) 

Food fulfillment (1) 
Food fulfillment (1) 
Total Nutrition 

Leased 
Square 
Footage    
      263,598     
92,109     
6,361     
      362,068     

      119,767     
92,057     

64,520     

96,157     

      240,000     
      196,093     
95,480     
      904,074     

Square Footage 
Subleased to Other 
Tenants 

Location 

   Segment
Franklin, Tennessee    Healthcare
Chandler, Arizona    Healthcare
Ashburn, Virginia    Healthcare

Fort Washington, 

Pennsylvania    Nutrition
Atlanta, Georgia    Nutrition

Bethlehem, 

Pennsylvania    Nutrition

Allentown, 

Pennsylvania    Nutrition

Chambersburg, 

Pennsylvania    Nutrition
Sparks, Nevada    Nutrition
Troy, Illinois    Nutrition

218,769 
16,213 
— 
234,982 

— 
— 

— 

— 

— 
— 
— 
— 

Total Consolidated 

     1,266,142     

234,982 

(1)  We have lease obligations to our outsourced fulfillment provider and are subject to minimum space 

commitments, which we may reduce over a specified period of time. We believe our outsourced fulfillment 
capacity is adequate to meet our needs for the foreseeable future. 

Item 3. Legal Proceedings 

Weiner Lawsuit, Consolidated Derivative Lawsuit and Witmer Lawsuit 

On November 6, 2017, United Healthcare issued a press release announcing expansion of its fitness benefits 
(“United Press Release”), and the market price of the Company's shares of common stock dropped on that same 
day. In connection with the United Press Release, four lawsuits were filed against the Company. As further 
described below, three of the four lawsuits have been dismissed.  We are currently not able to predict the probable 
outcome of the remaining matter or to reasonably estimate a range of potential loss, if any.  We intend to vigorously 
defend ourselves against the remaining complaint. 

On November 20, 2017, Eric Weiner, claiming to be a stockholder of the Company, filed a complaint on behalf 
of stockholders who purchased the Company’s common stock between February 24, 2017 and November 3, 2017 
(“Weiner Lawsuit”).  The Weiner Lawsuit was filed as a class action in the U.S. District Court for the Middle District 
of Tennessee, naming as defendants the Company, the Company's chief executive officer, chief financial officer 
and a former executive who served as both chief accounting officer and interim chief financial officer.  The 
complaint alleges that the defendants violated Sections 10(b) and 20(a) of the Exchange Act and Rule 10b-5 
promulgated under the Exchange Act in making false and misleading statements and omissions related to the 
United Press Release.  The complaint seeks monetary damages on behalf of the purported class.  On April 3, 
2018, the Court entered an order appointing the Oklahoma Firefighters Pension and Retirement System as lead 
plaintiff, designated counsel for the lead plaintiff, and established certain deadlines for the case.  On June 4, 2018, 
plaintiff filed a first amended complaint.   The Court denied the Company’s Motion to Dismiss on March 18, 2019 
and the Company’s Motion to Reconsider on May 22, 2019. On January 29, 2020, the Court granted lead plaintiff’s 
motion to certify the class. The case is currently set for trial on May 18, 2021. 

On January 26, 2018 and August 24, 2018, individuals claiming to be stockholders of the Company filed 
shareholder derivative actions, on behalf of the Company, in the U.S. District Court for the Middle District of 
Tennessee, naming the Company as a nominal defendant and certain current and former executives and directors 
as defendants.  On October 15, 2018, the two complaints were consolidated (the “Consolidated Derivative 
Lawsuit”).  On May 15, 2019, a consolidated amended complaint was filed. The consolidated amended complaint 
asserts claims for violation of Section 10(b), 14(a), and 29(b) of the Exchange Act, breach of fiduciary duty, waste 
of corporate assets, and unjust enrichment. Plaintiffs seek to recover damages on behalf of the Company, certain 

22 

  
 
     
     
   
  
     
     
 
   
     
     
     
     
   
  
     
     
 
   
   
 
 
 
 
corporate governance and internal procedural reforms, and other equitable relief. On June 14, 2019, the 
defendants filed a Motion to Dismiss all claims and the plaintiffs filed their opposition to the Motion to Dismiss on 
July 17, 2019. On October 22, 2019, the Consolidated Derivative Lawsuit was dismissed with prejudice. On 
November 20, 2019, plaintiffs filed a notice of appeal with the United States Circuit Court for the Sixth Circuit.  The 
appeal is still pending. 

On March 25, 2019, Colleen Witmer, claiming to be a stockholder of the Company, filed a purported 

shareholder derivative action, on behalf of the Company, in the Chancery Court for Davidson County, Tennessee, 
naming the Company as a nominal defendant and the Company's chief executive officer, chief financial officer, a 
former executive who served as both chief accounting officer and interim chief financial officer, chief legal and 
administrative officer, certain current directors, and two former directors of the Company, as defendants. The 
complaint asserted claims for breach of fiduciary duty and unjust enrichment, largely tracking allegations in the 
Consolidated Derivative Lawsuit.  The complaint further alleged that certain defendants engaged in insider 
trading.  The plaintiff sought monetary damages on behalf of the Company, restitution, certain corporate 
governance and internal procedural reforms, and other equitable relief. With the agreement of the parties, the 
Tennessee Supreme Court transferred the case to the Business Court Pilot Project. On June 4, 2019, the 
Company, as nominal defendant, filed a motion to dismiss or stay the case pending resolution of the Consolidated 
Derivative Lawsuit.  On October 24, 2019, the plaintiff dismissed the case without prejudice.  In December of 2019, 
the Company received a letter from plaintiff demanding under Del. Ct. Ch. R. 23.1 that the Board undertake an 
independent internal investigation of current and former management regarding alleged breaches of fiduciary duty 
in connection with the claims asserted in the previously dismissed Witmer case and further commence a civil action 
on behalf of the Company to recover damages against such persons. 

Pacific Packaging Lawsuit 

On May 31, 2019, Pacific Packaging Concepts, Inc. (“Pacific Packaging”) filed a complaint in the U.S. District 

Court for the Central District of California, Western Division, naming as defendants two subsidiaries of the 
Company; Nutrisystem, Inc. and Nutri/System IPHC, Inc. (“Pacific Packaging Lawsuit”). In its complaint, Pacific 
Packaging alleged that the defendants’ use of Pacific Packaging’s federally registered trademark, Fresh Start, in 
advertisements for its weight management program and shakes constitutes federal trademark infringement, 
counterfeit trademark infringement, false designation of origin, federal trademark dilution, unfair competition, false 
advertising, common law unfair competition, and common law trademark infringement. The complaint seeks 
injunctive relief and monetary damages in an unspecified amount.  On August 29, 2019, the defendants filed their 
Answer to Complaint.  Given the uncertainty of litigation and the preliminary stage of the case, we are currently not 
able to predict the probable outcome of the matter or to reasonably estimate a range of potential loss, if any.  We 
intend to vigorously defend ourselves against this complaint.   

Strougo Lawsuit 

On February 19, 2020, the Company issued a press release announcing its financial results for the fourth 
quarter and year ended December 31, 2019, which disclosed, among other things, that the Company incurred a 
non-cash impairment charge of $377.1 million.  The market price of the Company’s shares of common stock 
dropped on the following day. On February 25, 2020, Robert Strougo, claiming to be a stockholder of the Company, 
filed a complaint on behalf of stockholders who purchased the Company's common stock between March 8, 2019 
and February 19, 2020 (the "Strougo Lawsuit").  The Strougo Lawsuit was filed as a class action in the U.S. District 
Court for the Middle District of Tennessee, naming the Company, the Company's chief financial officer and former 
chief executive officer as defendants.  The complaint alleges that the defendants violated Sections 10(b) and 20(a) 
of the Exchange Act and Rule 10b-5 promulgated under the Exchange Act in making false and misleading 
statements and omissions related to the acquisition of Nutrisystem.  The complaint seeks monetary damages on 
behalf of the purported class.  Given the uncertainty of litigation and the preliminary stage of the case, we are 

23 

 
 
 
currently not able to predict the probable outcome of the matter or to reasonably estimate a range of potential loss, 
if any.  We intend to vigorously defend ourselves against this complaint. 

Other 

Additionally, from time to time, we are subject to contractual disputes, claims and legal proceedings that arise in 
the ordinary course of our business.  Some of the legal proceedings pending against us as of the date of this report 
are expected to be covered by insurance policies.  As these matters are subject to inherent uncertainties, our view 
of these matters may change in the future.  We expense legal costs as incurred.  

Item 4. Mine Safety Disclosures 

Not applicable. 

Information about our Executive Officers 

The following table sets forth certain information regarding our executive officers as of February 27, 2020.  

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

Officer 

  Age 

Position 

Robert J. Greczyn, 
Jr. 

68 

  Interim Chief Executive Officer of the Company since February 2020. Chief 

Executive Officer of Blue Cross Blue Shield of North Carolina from 2000 until 
2010. Principal Manager of Capital Food Group, LLC and RJG Restaurant 
Group LLC, privately held restaurant franchise operations, since 2010. Interim 
President and Chief Executive Officer of Liposcience, Inc. from August 2013 
until February 2014. 

Adam Holland 

41 

  Chief Financial Officer of the Company since June 2017.  Chief Financial Officer 

of Kirkland’s, Inc. (“Kirkland’s”) from February 2015 to June 2017, Chief 
Accounting Officer of Kirkland’s from August 2014 to February 2015 and Vice 
President of Finance of Kirkland’s from August 2008 to February 2015. 

Mary Flipse 

53 

  Chief Legal and Administrative Officer of the Company 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.   

Steve Janicak 

60 

  President, Healthcare Business Unit of the Company since January 2019.  Chief 
Growth Officer of the Company from September 2016 to January 2019.  Chief 
Sales and Marketing Officer at CareCentrix, Inc. from July 2014 to March 2016.  

Ryan Wagers 

42 

  Chief Accounting Officer of the Company since October 2018.  SVP, Chief 

Accounting Officer and Treasurer of Sitel Worldwide Corporation (“Sitel”) from 
November 2016 to October 2018.  SVP, Shared Services of Sitel, from February 
2016 until November 2016 and Chief Accounting Officer of Sitel from 2011 to 
February 2016. 

24 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
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 Global Select Market (“Nasdaq”) under the symbol "TVTY". 

Performance Graph 

The following graph compares the total stockholder return of $100 invested on December 31, 2014 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. 

COMPARISON OF 5 YEAR CUMULATIVE TOTAL RETURN*
Among Tivity Health, Inc., the NASDAQ Composite Index 
and the NASDAQ Health Care Index

$250

$200

$150

$100

$50

$0

12/14

12/15

12/16

12/17

12/18

12/19

Tivity Health, Inc.

NASDAQ Composite

NASDAQ Health Care

*$100 invested on 12/31/14 in stock or index, including reinvestment of dividends.
Fiscal year ending December 31.

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

Unregistered Sales of Equity Securities 

As described in Note 11 to the notes to consolidated financial statements included in this report, in 2013 we 
sold separate privately negotiated warrants (the “Warrants”) initially relating, in the aggregate, to approximately 7.7 
million shares of our common stock.  The Warrants were call options with an initial strike price of 
approximately $25.95 per share. 

25 

 
 
 
Beginning on October 1, 2018, the Warrants were subject to automatic exercise on a pro rata basis each 

trading day continuing for a period of 160 trading days (i.e., approximately 48,000 warrants were subject to 
automatic exercise on each trading day), which ended in May 2019.  Therefore, as of December 31, 2019, there 
are no remaining Warrants outstanding.  The Warrants were net share settled by our issuing a number of shares of 
our common stock per Warrant with a value 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. If such market price per share was less than the applicable strike price of the Warrants 
on any given exercise date, then the warrants subject to automatic exercise on such exercise date were not 
exercised but instead expired.  The Warrants met the definition of derivatives under the guidance in ASC Topic 815 
"Derivatives and Hedging" ("ASC Topic 815"); however, because these instruments were determined to be indexed 
to our own stock and met the criteria for equity classification under ASC Topic 815, the Warrants were accounted 
for as an adjustment to our additional paid-in-capital.  During the year ended December 31, 2019, we did not issue 
any shares of common stock related to the automatic exercise of the Warrants due to the market price per share of 
our common stock being less than the applicable strike price of the Warrants on each exercise date during such 
time period. 

Holders of Common Stock 

At February 24, 2020, there were approximately 19,900 holders of our common stock, including 303 

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 of Directors reviews our dividend policy from time to time and may declare dividends 
at its discretion; however, our Credit Agreement places restrictions on the payment of dividends.  For further 
discussion of the 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 herein by reference. 

26 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Purchases of Equity Securities by the Issuer and Affiliated Purchasers 

ISSUER PURCHASES OF EQUITY SECURITIES 

Total 
Number of 
Shares 
Purchased 
as Part of 
Publicly 
Announced 
Plans or 
Programs 
(2)

Total 
Number of 
Shares 
Purchased 
(1)

Average 
Price 
Paid per 
Share 

36,902 $ 15.90  
—  
22.47  
37,167 $ 15.94  

—  
265  

Approximate 
Dollar Value 
of Shares 
that May Yet 
Be 
Purchased 
Under the 
Plans or 
Programs (2)   
—  
—  
—  
—   

— $
—  
—  
—  

Period 
10/1/2019 - 10/31/2019 
11/1/2019 - 11/30/2019 
12/1/2019 - 12/31/2019 
Total 

(1)  Total shares purchased include shares attributable to the withholding of shares by Tivity Health to satisfy the 

payment of tax obligations related to the vesting of restricted shares. 

(2)  We had no publicly announced plans or open market repurchase programs for shares of our common stock 

during the three months ended December 31, 2019. 

Annual Report 

A copy of the Tivity Health, Inc. Annual Report on Form 10-K for 2019 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 Tommy Lewis, Corporate Chief Operating 
Officer, or Jill Meyer, Vice President – Corporate Communications, at the Company's corporate office. 

27 

 
 
 
 
 
 
 
 
Item 6. Selected Financial Data 

The following table represents selected consolidated 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 the notes to the 
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 revenue (exclusive of depreciation and 
   amortization included below) 
Marketing expenses 
Selling, general and administrative expenses 
Depreciation and amortization 
Impairment loss 
Restructuring and related charges 
Operating income (loss) 

2019

Year Ended December 31, 
2017 

2018

2016 

2015

  $ 1,131,157 

$ 606,299 

$ 556,942   

 $  500,998  $

452,092 

678,057 
158,006 
110,038 
50,775 
377,100 
7,024 
  $ (249,843)

418,333 
14,417 
35,077 
4,667 
— 
124 
$ 133,681 

390,261   
5,541   
34,164   
3,357   
—   
3,223   
$ 120,396   

    353,451 
3,669 
39,478 
4,085 
— 
4,933 
95,382  $

 $ 

313,667 
4,398 
35,541 
6,869 
— 
702 
90,915 

Interest expense 
Income (loss) before income taxes 

76,566 
  $ (326,409)

8,733 
$ 124,948 

15,613   
$ 104,783   

 $ 

17,318 
78,064  $

17,996 
72,919 

Income tax expense (benefit) 
Income (loss) from continuing operations 

Income (loss) from discontinued operations, net of 
   income tax 
Net income (loss) 

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

Basic income (loss) per share attributable to 
   Tivity Health: 

Continuing operations 
Discontinued operations 
Net income (loss) (2) 

Diluted income (loss) per share attributable to 
   Tivity Health: (3) 

Continuing operations 
Discontinued operations 
Net income (loss) (2) 

Weighted average common shares and equivalents: 

Basic 
Diluted (3) 

Selected Balance Sheet Data: 
Total assets (4) (5) (6) 
Long-term obligations (5) (7) 

(39,588)
  $ (286,821)

— 
  $ (286,821)

— 
  $ (286,821)

  $

  $

  $

  $

(6.17)
— 
(6.17)

(6.17)
— 
(6.17)

$

$

$

$

$

$

$

27,046  (1) 
$
97,902 

43,553   (1)   
 $ 
61,230   

21,973 
56,091  $

29,285 
43,634 

901 
98,803 

— 
98,803 

2.44 
0.02 
2.47 

2.27 
0.02 
2.29 

$

$

$

$

$

$

2,485   
63,715   

(184,706)
 $  (128,615) $

(74,952)
(31,318)

—   
63,715   

496 

 $  (129,111) $

(371)
(30,947)

1.56   
0.06   
1.62   

 $ 

 $ 

1.52  $
(5.01)
(3.49) $

1.22 
(2.08)
(0.86)

1.44   
0.06   
1.50   

 $ 

 $ 

1.47  $
(4.86)
(3.39) $

1.18 
(2.02)
(0.84)

46,509 
46,509 

40,078 
43,073 

39,357   
42,547   

36,999 
38,075 

35,832 
36,854 

    1,625,905 
    1,079,528 

482,079 
30,589 

636,163   
—   

    544,782 
    164,297 

712,924 
208,289  

(1)  The Tax Cuts and Jobs Act (the “Tax Act”), which was signed into law in December 2017, resulted in a 

reduction of the U.S. corporate income tax rate from 35% to 21% for tax years beginning after December 31, 2017.  
In 2017, we incurred a non-cash charge to income tax expense of $7.4 million related to the Tax Act.  This 
charge related to both the re-measurement of our deferred tax assets to the lower tax rate and the requirement 
to recalculate the impact of repatriation of our foreign earnings, which occurred earlier in the year, under 
provisions of the new law. In addition, in 2017 we adopted Accounting Standards Update ("ASU") No. 2016-09, 
"Compensation-Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment 
Accounting" ("ASU 2016-09"), which requires the excess tax benefits from share-based awards to be 

28 

 
  
     
   
 
 
 
 
   
   
 
 
 
   
 
 
 
   
 
 
   
 
   
 
 
   
 
   
 
 
   
 
   
 
 
   
 
   
 
 
   
 
  
   
 
 
 
 
   
   
 
 
 
   
 
 
   
 
  
   
 
 
 
 
   
   
 
 
 
   
 
 
  
   
 
 
 
 
   
   
 
 
 
   
 
 
   
 
  
   
 
 
 
 
   
   
 
 
 
   
 
 
   
 
  
   
 
 
 
 
   
   
 
 
 
   
 
 
 
 
   
   
 
 
 
   
 
 
   
 
  
   
 
 
 
 
   
   
 
 
 
   
 
 
 
 
   
   
 
 
 
   
 
 
   
 
  
   
 
 
 
 
   
   
 
 
 
   
 
 
 
 
   
   
 
 
 
   
 
 
   
 
   
 
 
   
 
  
   
 
 
 
 
   
   
 
 
 
   
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
recognized on a prospective basis in income tax expense, whereas they were previously recorded to 
stockholders’ equity. 

(2)  Figures may not add due to rounding. 

(3)  The impact of potentially dilutive securities for the year ended December 31, 2019 was not considered because 

the impact would be anti-dilutive. 

(4) 

Includes assets held for sale within discontinued operations at December 31, 2015.  In addition, reflects the 
impact of ASU No. 2015-17, "Income Taxes: Balance Sheet Classification of Deferred Taxes", related to 
balance sheet classification of all deferred tax liabilities and assets as noncurrent, which was adopted in 2016 
and applied prospectively. 

(5)  Reflects the impact of the adoption of 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. 

(6)  Balance at December 31, 2019 includes right-of-use assets of $43.2 million due to the adoption of ASU No. 

2016-02, “Leases” on January 1, 2019. 

(7)  Balance at December 31, 2019 includes long-term lease liabilities of $31.4 million due to the adoption of ASU 

No. 2016-02, “Leases” on January 1, 2019. Prior period amounts were not adjusted and continue to be reported 
in accordance with our historical accounting policies. 

29 

 
 
 
 
 
 
 
 
 
 
 
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. "Financial Statements and 
Supplementary Data" of this report. 

Overview 

Tivity Health, Inc., a leading provider of fitness, nutrition, and social connection solutions, was founded and 
incorporated in Delaware in 1981.  On March 8, 2019, we completed our acquisition of Nutrisystem, Inc., a provider 
of weight management products and services, including nutritionally balanced weight loss programs sold primarily 
through the Internet and telephone and multi-day kits and single items (a la carte) available at select retail 
locations.  The acquisition of Nutrisystem enables us to offer, at scale, an integrated portfolio of solutions to help 
people live longer and be healthier, including our SilverSneakers senior fitness program, Nutrisystem, South Beach 
Diet, Prime Fitness, WholeHealth Living, and Wisely Well (launched in 2020).     

Following the acquisition of Nutrisystem, we organize and manage our operations within two reportable 

segments, based on the types of products and services they offer: Healthcare and Nutrition.  The Healthcare 
segment is comprised of our legacy business and includes SilverSneakers, Prime Fitness and WholeHealth Living.  
The Nutrition segment is comprised of Nutrisystem’s legacy business and includes Nutrisystem and the South 
Beach Diet. 

As part of our Healthcare segment, SilverSneakers is offered to members of Medicare Advantage and 
Medicare Supplement plans.  We also offer Prime Fitness, a fitness facility access program, through commercial 
health plans, employers, and other sponsoring organizations.  Our national network of fitness centers delivers both 
SilverSneakers and Prime Fitness.  Our fitness networks encompass approximately 17,000 partner locations and 
more than 1,000 alternative locations that provide classes outside of traditional fitness centers. Through our 
WholeHealth Living program, which we sell primarily to health plans, we offer a continuum of services related to 
complementary, alternative, and physical medicine.  Our WholeHealth Living network includes relationships with 
approximately 80,000 complementary, alternative, and physical medicine practitioners to serve individuals through 
health plans and employers who seek health services such as chiropractic care, acupuncture, physical therapy, 
occupational therapy, massage therapy, and more. 

Our Nutrition segment includes Nutrisystem and the South Beach Diet. Typically, our Nutrition segment 
customers purchase monthly food packages containing a four-week meal plan consisting of breakfasts, lunches, 
dinners, snacks and flex meals, which they supplement, depending on the program they are following, with items 
such as fresh fruits, fresh vegetables, lean protein and dairy. Most Nutrition segment customers order on Auto-
Delivery, which means we send a four-week meal plan on an ongoing basis until notified of a customer’s 
cancellation. Auto-Delivery customers are offered savings off of our regular one-time rate with each order. Monthly 
notifications are also sent to remind customers to update order preferences. We offer pre-selected favorites or 
customers may personalize their meal plan by selecting their entire menu or by customizing plans to their specific 
tastes or dietary preference. In total, our plans feature approximately 250 food options including frozen and 
unfrozen ready-to-go entrees, snacks, and shakes, at different price points. Additionally, we offer 
unlimited counseling from our trained weight loss counselors, registered dietitians and certified diabetes educators 
at no cost. Counselors are available as needed, seven days a week throughout an extended day, with further 
support provided through our digital tools.  The Nutrition segment also offers its products through select retailers 
and QVC, a television shopping network. 

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 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, revenues, and results of operations.  Readers are cautioned that any such forward-
looking statements are not guarantees of future performance and involve significant risks and uncertainties, and 

30 

 
 
 
 
that actual results may vary from those in the forward-looking statements as a result of various factors, including, 
but not limited to: 

 

the market’s acceptance of our new products and services; 

  our ability to develop and implement effective strategies and to anticipate and respond to strategic 

changes, opportunities, and emerging trends in our industry and/or business, as well as to accurately 
forecast the related impact on our revenues and earnings; 

 

the risk that expected benefits, synergies and growth opportunities from the acquisition of Nutrisystem may 
not be achieved in a timely manner or at all, including that the acquisition may not be accretive within the 
expected timeframe or to the extent anticipated; 

  our ability to successfully integrate Nutrisystem’s business or any other new or acquired businesses, 

services, technologies, solutions, or products into our business and to accurately forecast the related costs; 

 

the risk that the significant indebtedness incurred in connection with the acquisition of Nutrisystem may limit 
our ability to adapt to changes in the economy or market conditions, expose us to interest rate risk for the 
variable rate indebtedness and require a substantial portion of cash flows from operations to be dedicated 
to the payment of indebtedness; 

  our ability to service our debt, make principal and interest payments as those payments become due, and 

remain in compliance with our debt covenants; 

 

counterparty risk associated with our interest rate swap agreements; 

  our ability to obtain adequate financing to provide the capital that may be necessary to support our current 

or future operations; 

 

 

 

 

 

 

the risks associated with changes in macroeconomic conditions, geopolitical turmoil, widespread health 
epidemics or outbreaks of disease and the continuing threat of domestic or international terrorism; 

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

the risks associated with potential failures of our information systems; 

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, loss, misappropriation, disclosure or corruption of 
customer, employee or our information, or other data subject to privacy laws and may lead to a disruption 
in our business, costs to modify, enhance, or remediate our cybersecurity measures, enforcement actions, 
fines or litigation against us, or damage to our business reputation; 

the impact of any new or proposed legislation, regulations and interpretations relating to Medicare, 
Medicare Advantage, Medicare Supplement, e-commerce, advertising, and privacy and security laws; 

the impact of a reduction in Medicare Advantage health plan reimbursement rates or changes in plan 
design; 

  our ability to attract, hire, or retain key personnel or other qualified employees and to control labor costs; 

 

the effectiveness of the reorganization of our business and our ability to realize the anticipated benefits; 

  our ability to effectively compete against other entities, whose financial, research, staff, and marketing 

resources may exceed our resources; 

 

the impact of legal proceedings involving us and/or our subsidiaries, products, or services, including any 
claims related to intellectual property rights; 

31 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  our ability to enforce our intellectual property rights; 

 

the risks associated with deriving a significant concentration of our revenues from a limited number of our 
Healthcare segment customers, many of whom are health plans; 

  our ability and/or the ability of our Healthcare segment 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; 

  our ability to sign, renew and/or maintain contracts with our Healthcare segment customers and/or our 

fitness partner locations under existing terms or to restructure these contracts on terms that would not have 
a material negative impact on our results of operations; 

 

 

 

 

 

 

 

 

 

the ability of our Healthcare segment health plan customers to maintain the number of covered lives 
enrolled in those health plans during the terms of our agreements; 

the impact of severe or adverse weather conditions and the potential emergence of a health pandemic or 
an infectious disease outbreak on member participation in our Healthcare segment programs; 

the impact of healthcare reform on our business; 

the effectiveness of our marketing and advertising programs; 

loss, or disruption in the business, of any of our food suppliers or our fulfillment provider, or disruptions in 
the shipping of our food products for our Nutrition segment; 

the impact of claims that our Nutrition segment personnel are unqualified to provide proper weight loss 
advice; 

the impact of health- or advertising-related claims by our Nutrition segment customers; 

competition from other weight management industry participants or the development of more effective or 
more favorably perceived weight management methods; 

loss of any of our Nutrition segment third-party retailer agreements and any obligations associated with 
such loss; 

  our ability to continue to develop innovative weight loss programs and enhance our existing programs, or 

the failure of our programs to continue to appeal to the market; 

 

the impact of claims from our Nutrition segment competitors regarding advertising or other marketing 
practices; 

  our ability to develop and commercially introduce new products and services; 

  our ability to receive referrals from existing Nutrition segment customers, a decline in which could adversely 

impact our customer acquisition costs; 

 

failure to attract spokespersons or negative publicity with respect to any of our spokespersons; 

  our ability to anticipate change and respond to emerging trends for customer preferences and the impact of 

the same on demand for our services and products; 

 

the seasonality of the business of our Nutrition segment, particularly with respect to diet season; 

  negative publicity with respect to the weight loss industry; 

32 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

the impact of increased governmental regulation on our Nutrition segment; 

  a significant portion of our Nutrition segment revenue depends on our ability to sustain subscriptions of our 

Nutrition segment’s programs, and cancellations could impact our future operating results; 

 

claims arising from the sale of ingested products; and 

  other risks detailed in this report and our other filings with the Securities and Exchange Commission. 

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 of the notes 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. 

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. The first two policies presented below were new critical accounting 
policies during the three months ended March 31, 2019, which were adopted due to the acquisition of Nutrisystem. 

Excess and Obsolete Inventory 

We continually assess the quantities of inventory on hand to identify excess or obsolete inventory and record a 
provision for any estimated loss. We estimate the reserve for excess and obsolete inventory based primarily on our 
forecasted demand and/or our ability to sell the products, introduction of new products, future production 
requirements and changes in our customers’ behavior. The reserve for excess and obsolete inventory was $1.8 
million and $0 at December 31, 2019 and 2018, respectively. 

Acquisition Accounting 

In connection with any acquisitions, we allocate the purchase price to the assets and liabilities we acquire, 

such as net tangible assets, deferred revenue, identifiable intangible assets such as trade names, customer lists, 
and customer relationships, and goodwill.  We apply significant judgments and estimates in determining the fair 
market value of the assets acquired and their useful lives.  For example, we estimated the fair value of existing 
definite-lived customer lists based on the multi-period excess earnings method under the income approach, which 
involved applying an attrition rate to the estimated net future cash flows from the customers that existed as of the 
acquisition date. We estimated the fair values of the tradenames using the relief-from-royalty method, which 
required significant assumptions such as the long-term growth rates of future revenues, the royalty rate for such 
revenue, the terminal growth rate of revenue, the tax rate, and a discount rate.  Different estimates and 
assumptions in valuing acquired assets could yield materially different results. 

Revenue Recognition 

Beginning in 2018, we account for revenue from contracts with customers in accordance with Accounting 
Standards Codification (“ASC”) Topic 606 “Revenue from Contracts with Customers” (“ASC Topic 606”).  The unit 
of account in ASC Topic 606 is a performance obligation, which is a promise in a contract to transfer to a customer 
either a distinct good or service (or bundle of goods or services) or a series of distinct goods or services provided 
over a period of time. ASC Topic 606 requires that a contract’s transaction price, which is the amount of 
consideration to which an entity expects to be entitled in exchange for transferring promised goods or services to a 
customer, is to be allocated to each performance obligation in the contract based on relative standalone selling 
prices and recognized as revenue when or as the performance obligation is satisfied. 

Healthcare Segment 

Our Healthcare segment earns revenue from our three programs, SilverSneakers senior fitness, Prime Fitness 

and WholeHealth Living.  We provide the SilverSneakers senior fitness program to members of Medicare 

33 

 
 
 
 
 
 
 
Advantage and Medicare Supplement plans through our contracts with those plans.  We offer Prime Fitness, a 
fitness facility access program, through contracts with employers, commercial health plans, and other sponsoring 
organizations that allow their members to individually purchase the program.  We sell our WholeHealth Living 
program primarily to health plans.  

The significant majority of our Healthcare segment’s customer contracts contain one performance obligation - 

to stand ready to provide access to our network of fitness locations and fitness programming - which is satisfied 
over time as services are rendered each month over the contract term.  There are generally no performance 
obligations that are unsatisfied at the end of a particular month.  There was no material revenue recognized during 
the year ended December 31, 2019 from performance obligations satisfied in a prior period.   

Our fees within our Healthcare segment are variable month to month and are generally billed per member per 

month (“PMPM”) or billed based on a combination of PMPM and member visits to a network location.  We bill 
PMPM fees by multiplying the contractually negotiated PMPM rate by the number of members eligible for or 
receiving our services during the month.  We bill for member visits approximately one month in arrears once actual 
member visits are known.  Payments from customers are typically due within 30 days of invoice date.  When 
material, we capitalize costs to obtain contracts with customers and amortize them over the expected recovery 
period.    

Our Healthcare segment’s customer contracts include variable consideration, which is allocated to each distinct 

month over the contract term based on eligible members and/or member visits each month.  The allocated 
consideration corresponds directly with the value to our customers of our services completed for the month.  Under 
the majority of our Healthcare segment’s contracts, we recognize revenue each month using the practical expedient 
available under ASC 606-10-55-18, which provides that revenue is recognized in the amount for which we have the 
right to invoice.   

Although we evaluate our financial performance and make resource allocation decisions based upon the results 
of our two reportable segments, we believe the following information depicts how our Healthcare segment revenues 
and cash flows are affected by economic factors.  For the year ended December 31, 2019, revenue from our 
SilverSneakers program, which is predominantly contracted with Medicare Advantage and Medicare Supplement 
plans, comprised approximately 78% of revenues in the Healthcare segment, while revenue from our Prime Fitness 
and WholeHealth Living programs comprised approximately 19% and 3%, respectively, of revenues in the 
Healthcare segment. 

Sales and usage-based taxes are excluded from revenues. 

Nutrition Segment 

Our Nutrition segment earns revenue from four sources: direct to consumer, retail, QVC and other.  Revenue is 

measured based on the consideration specified in a contract with a customer and excludes any sales incentives 
and amounts collected on behalf of third parties.  As explained in more detail below, revenue is recognized upon 
satisfaction of the performance obligation by transferring control over a product to a Nutrition segment customer.  
The estimated breakage of gift cards (estimated amount of unused gift cards) is recognized over the pattern of 
redemption of the gift cards, and direct-mail advertising costs are expensed as incurred.  We recognize an asset for 
the carrying amount of product to be returned and for costs to obtain a contract if the amortization is more than one 
year in duration.  We expense costs to obtain a contract as incurred if the amortization period is less than one year. 

We sell pre-packaged foods directly to weight loss program participants primarily through the Internet and 
telephone (referred to as the direct to consumer channel), through QVC (a television shopping network), and select 
retailers. Pre-packaged foods are comprised of both frozen and non-frozen (ready-to-go), shelf-stable products. 

Products sold through the direct to consumer channel, both frozen and non-frozen, may be sold separately (a la 

carte) or as part of a packaged monthly meal plan for which Nutrition segment customers pay at the point of sale. 
Products sold through QVC are payable by QVC upon our shipment of the product to the end consumer. For both 
the direct to consumer channel and QVC, we recognize revenue at a point in time, i.e., at the shipping point.  Direct 
to consumer customers may return unopened ready-to-go Nutrisystem products within 30 days after purchase in 
order to receive a refund or credit. Frozen Nutrisystem products are non-returnable and non-refundable unless the 
order is canceled within 14 days after delivery.  South Beach Diet products are not refundable.  

34 

 
 
 
 
 
 
 
 
 
  
Products sold to retailers include both frozen and non-frozen products and are payable by the retailer upon 
receipt.  We recognize revenue at a point in time, i.e., when the retailers take possession of the product. Certain 
retailers have the right to return unsold products. 

We account for the shipment of frozen and non-frozen, ready-to-go products as separate performance 

obligations. The consideration, including variable consideration for product returns, is allocated between frozen and 
non-frozen products based on their standalone selling prices. The amount of revenue recognized is adjusted for 
expected returns, which are estimated based on historical data.  

In addition to our pre-packaged foods, we sell prepaid gift cards through a wholesaler that are redeemable 
through the Internet or telephone. Prepaid gift cards represent grants of rights to goods to be provided in the future 
to gift card buyers. The wholesaler has the right to return all unsold prepaid gift cards. The wholesaler’s retail 
selling price of the gift cards is deferred in the balance sheet and recognized as revenue when we have satisfied 
our performance obligation, i.e., when a gift card holder redeems the gift card with us. We recognize breakage 
amounts (the estimated amount of unused gift cards) as revenue, in proportion to the actual gift card redemptions 
exercised by gift card holders in relation to the total expected redemptions of gift cards. We utilize historical 
experience in estimating the total expected breakage and period over which the gift cards will be redeemed. 

Sales and other taxes assessed by a governmental authority that are both imposed on and concurrent with a 

specific revenue-producing transaction and collected by the Company from a Nutrition segment customer are 
excluded from revenue and presented on a net basis.  After control over a product has transferred to a Nutrition 
segment customer, shipping and handling costs associated with outbound freight are accounted for as a fulfillment 
cost and are included in revenue and cost of revenue in the accompanying consolidated statements of operations. 

We review the reserves for our Nutrition segment customer returns at each reporting period and adjust them to 

reflect data available at that time. To estimate reserves for returns, we consider actual return rates in preceding 
periods and changes in product offerings or marketing methods that might impact returns going forward. To the 
extent the estimate of returns changes, we will adjust the reserve, which will impact the amount of revenue 
recognized in the period of the adjustment.  The provision for estimated returns for the year ended December 31, 
2019 was $13.5 million. The reserve for estimated returns incurred but not received and processed was $0.8 million 
at December 31, 2019 and has been included in accrued liabilities in the accompanying consolidated balance 
sheet. 

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 acquisition of 
Nutrisystem in March 2019, we have two reporting units: Healthcare and Nutrition. Prior to such acquisition, we had 
one reporting unit. 

As part of the annual impairment test, 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 elect not to perform 
a qualitative assessment or we determine that it is more likely than not that the fair value of a reporting unit is less 
than its carrying value, we perform a quantitative review as described below. 

During a quantitative review of goodwill, we estimate the fair value of each reporting unit based on a discounted 

cash flow model or a combination of a discounted cash flow model and market-based approaches, and we 
reconcile the aggregate fair value of our reporting units to our consolidated market capitalization.  If the fair value of 
the reporting unit exceeds its carrying amount, no impairment is indicated. If the fair value of the reporting unit is 
less than its carrying amount, impairment of goodwill is measured as the excess of the carrying amount over fair 
value.  Estimating fair value requires significant judgments, including management's estimate of future cash flows of 
each reporting unit (which is dependent on internal forecasts of projected income), estimation of the long-term 
growth rates of future revenues for our reporting units, the terminal growth rate of revenue, the tax rate, and 
determination of our weighted average cost of capital, as well as relevant comparable company revenue and 
earnings multiples and market participant acquisition premium for the market-based approaches.  Changes in these 
estimates and assumptions could materially affect the estimate of fair value and potential goodwill impairment for 
each reporting unit. 

35 

 
 
 
 
 
 
 
 
Except for two tradenames that have an indefinite life and are 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 review indefinite-lived intangible assets for impairment on an annual basis (during the fourth quarter of our 

fiscal year) or more frequently whenever events or circumstances indicate that the carrying value may not be 
recoverable. We estimate the fair value of our indefinite-lived tradenames using the relief-from-royalty method, 
which requires us to estimate significant assumptions such as the long-term growth rates of future revenues 
associated with the tradename, the royalty rate for such revenue, the terminal growth rate of revenue, the tax rate, 
and a discount rate.  Changes in these estimates and assumptions could materially affect the estimates of fair 
values for the tradenames.  

Executive Overview of Results 

The key financial results for the year ended December 31, 2019 are: 

  Revenues of $1,131.2 million for the year ended December 31, 2019, including $498.1 million attributable 

to the acquisition of Nutrisystem on March 8, 2019, compared to $606.3 million for the year ended 
December 31, 2018; and 

  Pre-tax income (loss) from continuing operations of $(326.4) million for the year ended December 31, 2019 

compared to $124.9 million for the year ended December 31, 2018.  Pre-tax loss for 2019 includes: 

o  $377.1 million of impairment loss, all of which was attributable to the Nutrition segment, 

compared to $0 for 2018; 

o  $158.0 million of marketing expenses, including $140.3 million attributable to the Nutrition 

segment, compared to $14.4 million for 2018; 

o  $76.6 million of interest expense, compared to $8.7 million for 2018; 

o  $37.1 million of acquisition, integration, and project costs compared to $3.7 million for 2018; 

o  $32.4 million of amortization expense compared to $0 for 2018; and 

o  $7.0 million of restructuring and related charges compared to $0.1 million for 2018. 

36 

Results of Operations 

The following table sets forth the components of the consolidated statements of operations for the years ended 

December 31, 2019, 2018, and 2017 expressed as a percentage of revenues from continuing operations.   

Year Ended December 31, 
2018 

2017 

2019 

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

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

Income (loss) from continuing operations (1) 
Income from discontinued operations, net of income tax 
Net income (loss) (1) 

(1)  Figures may not add due to rounding. 

100.0%  

100.0 %   

100.0%

59.9%  
14.0%  
9.7%  
4.5%  
33.3%  
0.6%  
(22.1)%  

6.8%  
(28.9)%  
(3.5)%  

(25.4)%  
0.0%  
(25.4)%  

69.0 %   
2.4 %   
5.8 %   
0.8 %   
—   
0.0 %   
22.0 %   

1.4 %   
20.6 %   
4.5 %   

16.1 %   
0.1 %   
16.3 %   

70.1%
1.0%
6.1%
0.6%
—  
0.6%
21.6%

2.8%
18.8%
7.8%

11.0%
0.4%
11.4%

Following is a discussion of the Company’s results of operations and financial condition for 2019 compared to 
2018.  For a discussion of such information for 2018 compared to 2017, refer to Item 7 of Part II of the Company’s 
Annual Report on Form 10-K for the year ended December 31, 2018, filed with the SEC on February 26, 2019, 
which is available free of charge on the SEC's website at www.sec.gov and on the investor relations section of the 
Company's website at www.tivityhealth.com. 

Revenues 

Revenues for 2019 increased to $1,131.2 million compared to $606.3 million for 2018, primarily due to $498.1 

million of revenues attributable to the acquisition of Nutrisystem.  Excluding the acquisition, revenues in the 
Healthcare segment increased by $26.8 million from 2018, primarily as a result of (i) an increase in Prime Fitness 
revenue of $19.6 million driven by an increase in average subscribers for 2019 compared to 2018 and (ii) a net 
increase in SilverSneakers revenue of $5.2 million, primarily due to an increase in revenue-generating visits 
somewhat offset by a decrease in the number of eligible lives. 

For fiscal year 2020, revenues from Retail and QVC are expected to decline year over year due primarily to a 
reduction in orders for, and the promotion of, our products by these third parties.  In addition, revenues from South 
Beach Diet (which is included in direct to consumer revenue) are expected to decline in 2020 based on lower 
demand.    

Cost of Revenue 

Cost of revenue (excluding depreciation and amortization) as a percentage of revenues decreased from 2018 
(69.0%) to 2019 (59.9%), primarily due to the acquisition of Nutrisystem in the first quarter of 2019.  The Nutrition 
segment carries a lower cost of revenue as a percentage of revenues than the Healthcare segment.   

Cost of revenue (excluding depreciation and amortization) as a percentage of revenues for the Healthcare 
segment increased from 2018 (69.0%) to 2019 (70.4%), primarily due to (i) an increase in cost per visit due to 
certain contract renegotiations, as well as a higher number of average visits per member per month in 2019 
compared to 2018 and (ii) acquisition and integration costs in 2019 related to the acquisition of Nutrisystem. 

37 

 
  
 
  
  
 
  
 
  
 
  
 
 
 
 
 
 
 
 
 
  
 
  
 
   
 
  
 
 
 
  
 
  
 
   
 
  
 
 
 
 
 
For fiscal year 2020, we expect a further increase in cost per visit in the Healthcare segment due to a 

combination of higher contractual rates and expansion into higher cost markets.   

Marketing Expenses 

Marketing expenses as a percentage of revenues increased from 2018 (2.4%) to 2019 (14.0%) primarily due to 
the impact from the acquisition of Nutrisystem in 2019 and the significance of media and marketing expense to the 
Nutrition segment’s sales strategy.  For the Healthcare segment, marketing expenses as a percentage of revenues 
did not change materially from 2018 (2.4%) to 2019 (2.8%). 

Selling, General and Administrative Expenses 

Selling, general and administrative expenses as a percentage of revenues increased from 2018 (5.8%) to 2019 

(9.7%) primarily due to acquisition, integration, and project costs of $31.9 million during 2019, primarily related to 
the acquisition of Nutrisystem.     

Depreciation and Amortization 

Depreciation and amortization expense increased $46.1 million from 2018 to 2019, primarily due to 

amortization expense on new intangible assets recorded in connection with the acquisition of Nutrisystem as well 
as increased depreciation expense attributable to the acquisition of Nutrisystem’s property and equipment.  In the 
fourth quarter of 2019, we recorded a purchase accounting measurement period adjustment to finalize estimates 
related to the customer list intangible asset recorded in connection with the acquisition of Nutrisystem.  The 
finalization of the estimate resulted in incremental amortization expense during the fourth quarter of 2019 of $17.4 
million. 

Impairment Loss 

During the fourth quarter of 2019, we recorded an impairment loss of $377.1 million, including $240.0 million 

related to the Nutrisystem tradename and $137.1 million related to goodwill allocated to the Nutrition segment.  
These impairment losses resulted from a change in our long-term forecast for the Nutrition segment. See Note 13 
to the notes to consolidated financial statements included in this report. 

Restructuring and Related Charges 

During the first quarter of 2019, we began a reorganization primarily related to integrating the Healthcare and 
Nutrition segments and streamlining our corporate and operations support (the "2019 Restructuring Plan"). To date 
and for the year ended December 31, 2019, we have incurred restructuring charges of $7.0 million related to the 
2019 Restructuring Plan, of which $1.9 million related to the Healthcare segment and $5.1 million related to the 
Nutrition segment.  These expenses consist entirely of severance and other employee-related costs.  The 2019 
Restructuring Plan is expected to result in total annualized savings in 2020 of approximately $17.5 million, with $5.9 
million relating to the Healthcare segment and $11.6 million relating to the Nutrition segment. 

Interest Expense 

Interest expense increased $67.8 million from 2018 to 2019, primarily due to our entering into the Credit 

Agreement on March 8, 2019, including term loans with an initial borrowing of $1,180 million, in connection with the 
acquisition of Nutrisystem.      

Income Tax Expense 

See Note 9 of the notes to consolidated financial statements in this report for a discussion of income tax 

expense for fiscal 2019 compared to fiscal 2018.  Our effective tax rate for the fourth quarter of 2019 was a benefit 
of 15.2%, which was less than our statutory tax benefit rate and represents a decrease compared to the first three 
quarters of 2019.  This decrease is primarily due to the nondeductible goodwill impairment loss of $137.1 million 
recorded in the fourth quarter.   

38 

 
 
 
 
 
Liquidity and Capital Resources 

Overview 

As of December 31, 2019, we had a working capital deficit of $15.4 million.  Based upon the pro forma 

calculations of compliance with the applicable covenants under our Credit Agreement, as of December 31, 2019, 
we anticipate the ability to borrow under the Revolving Credit Facility (as defined below) up to a maximum of 
$104.6 million for the next 12 months. We believe our cash on hand, cash flows from operations and anticipated 
available credit under the Credit Agreement will be sufficient to fund our operations, debt payments and capital 
expenditures for the next 12 months.  We cannot assure you that we will be able to secure additional financing if 
needed and, if such funds are available, whether the terms or conditions will be favorable to us. 

Credit Facility 

In connection with the consummation of the acquisition of Nutrisystem, on March 8, 2019, we entered into the 

Credit Agreement. The Credit Agreement replaced our prior Revolving Credit and Term Loan Agreement, dated 
April 21, 2017 (the “Prior Credit Agreement”), with a group of lenders and SunTrust, as administrative agent. The 
Credit Agreement provides us with (i) a $350.0 million term loan A facility (“Term Loan A”), (ii) an $830.0 million 
term loan B facility (“Term Loan B” and, together with Term Loan A, the “Term Loans”), (iii) a $125.0 million 
revolving credit facility that includes a $35.0 million sublimit for swingline loans and a $50.0 million sublimit for 
letters of credit (the “Revolving Credit Facility”; Term Loan A, Term Loan B and the Revolving Credit Facility are 
sometimes herein referred to collectively as the “Credit Facilities”), and (iv) uncommitted incremental accordion 
facilities in an aggregate amount at any date equal to the greater of $125.0 million or 50% of our consolidated 
EBITDA for the then-preceding four fiscal quarters, plus additional amounts based on, among other things, 
satisfaction of certain financial ratio requirements. 

We used the proceeds of the Term Loans, borrowings under the Revolving Credit Facility and cash on hand 
to pay the consideration for the acquisition of Nutrisystem, to repay all of the outstanding indebtedness under the 
Prior Credit Agreement and all outstanding indebtedness of Nutrisystem under its credit agreement, and to pay 
transaction costs and expenses. Proceeds of the Revolving Credit Facility also may be used for general corporate 
purposes of the Company and its subsidiaries. 

We are required to repay Term Loan A loans in consecutive quarterly installments, each in the amount of 

2.50% of the aggregate initial amount of such loans, payable on June 30, 2019 and on the last day of each 
succeeding quarter thereafter until maturity on March 8, 2024, at which time the entire outstanding principal 
balance of such loans is due and payable in full. We are required to repay Term Loan B loans in consecutive 
quarterly installments, each in the amount of 0.75% of the aggregate initial amount of such loans, payable on 
June 30, 2019 and on the last day of each succeeding quarter thereafter until maturity on March 8, 2026, at which 
time the entire outstanding principal balance of such loans is due and payable in full.  We are permitted to make 
voluntary prepayments of borrowings under the Term Loans at any time without penalty.  From March 8, 2019 
through December 31, 2019, we made payments of $105.0 million on the Term Loans, which included prepayments 
of all amounts due through December 31, 2020.  We are required to repay in full any outstanding swingline loans 
and revolving loans under the Revolving Credit Facility on March 8, 2024.  In addition, the Credit Agreement 
contains provisions that, beginning with fiscal 2019, may require annual excess cash flow (as defined in the Credit 
Agreement and generally designed to equal cash generated by our business in excess of cash used in the 
business) to be applied towards the Term Loans.  We are required to make prepayments on the Term Loans equal 
to our excess cash flow for a given fiscal year multiplied by the following excess cash flow percentages based on 
our net leverage ratio (as defined in the Credit Agreement) on the last day of such fiscal year: (a) 75% if the net 
leverage ratio is greater than 3.75:1, (b) 50% if the net leverage ratio is equal to or less than 3.75:1 but greater than 
3.25:1 (c) 25% if the net leverage ratio is equal to or less than 3.25:1 but greater than 2.75:1, and (d) 0% if the net 
leverage ratio is equal to or less than 2.75:1.  Any such potential mandatory prepayments are reduced by voluntary 
prepayments.   

As of December 31, 2019, availability under the revolving credit facility totaled $104.6 million as calculated 

under the most restrictive covenant.  

The Credit Agreement contains a financial covenant that requires us to maintain maximum ratios or levels of 

consolidated total net debt to consolidated adjusted EBITDA, calculated as provided in the Credit Agreement, of 
5.75:1.00 for all test dates occurring on or after December 31, 2019 but prior to December 31, 2020, 5.25:1.00 for 

39 

 
 
  
all test dates occurring on or after December 31, 2020 but prior to December 31, 2021, and 4.75:1.00 for all test 
dates occurring on or after December 31, 2021. We were in compliance with all of the financial covenant 
requirements of the Credit Agreement as of December 31, 2019.  

For a detailed description of the Credit Agreement, refer to Note 11 of the notes to consolidated financial 

statements in this report. 

Cash Flows Provided by Operating Activities 

Operating activities during the year ended December 31, 2019 provided cash of $82.3 million compared to 
$108.7 million during the year ended December 31, 2018. The decrease in operating cash flow is primarily due to 
payments related to interest and acquisition and integration costs, offset by net cash flows provided by the Nutrition 
segment. 

Cash Flows Used in Investing Activities 

Investing activities during the year ended December 31, 2019 used $1,087.5 million in cash, compared to $7.6 

million during the year ended December 31, 2018.  This change is primarily due to the acquisition of Nutrisystem. 

Cash Flows Provided By/Used in Financing Activities 

Financing activities during the year ended December 31, 2019 provided $1,005.8 million in cash, compared to 

cash used of $127.6 million during the year ended December 31, 2018.  This change is primarily due to net 
borrowings under the Credit Agreement, slightly offset by payment of deferred loan costs. 

General 

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 favorable to us. 

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

Contractual Obligations 

The following schedule summarizes our contractual cash obligations as of December 31, 2019: 

(in thousands) 
Debt and related interest (1) 
Operating lease obligations (2) 
Finance lease obligations (3) 
Severance and related obligations 
Other contractual cash obligations (4) 
Total Contractual Cash Obligations 

   $

Payments due by year ended December 31, 

2020 

    2021-2022     2023-2024      

2025 and 
After 

Total 

76,566     
9,402     
708     
2,072     
4,323     

405,853        742,283      1,489,219 
29,319 
1,837 
3,061 
7,362 
93,071    $ 284,421    $ 410,994     $  742,312    $ 1,530,798  

264,517     
16,038     
1,129     
989     
1,748     

3,850       
—       
—       
1,291       

29     
—     
—     
—     

(1)  Consists of scheduled principal payments and estimated interest payments on outstanding borrowings under 

the Credit Agreement. Total estimated interest payments included in the table above are $76.6 million for 2020, 
$144.9 million for 2021 and 2022 combined, $117.5 million for 2023 and 2024 combined, and $55.5 million 
thereafter. 

(2)  Excludes cash receipts from sublease contracts of $5.8 million in 2020, $11.4 million for 2021 and 2022 

combined, $1.0 million for 2023 and 2024 combined, and $0 thereafter. 

(3)  Consists of scheduled payments on finance lease obligations, including estimated interest of $84,000 in 2020 

and $49,000 for 2021 and 2022 combined.   

40 

 
 
 
  
 
 
 
   
 
    
    
    
    
    
 
(4)  Other contractual cash obligations include agreements with our internet and networking providers, payments 

related to marketing commitments, and a commission due to a customer.  

Off-Balance Sheet Arrangements 

We do not have any off-balance sheet arrangements as of December 31, 2019. 

Recent Relevant Accounting Standards 

See Note 2 of the notes to consolidated financial statements included in this report for discussion of recent 

relevant accounting standards. 

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 Credit Agreement.                     

Borrowings under the Credit Agreement 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 LIBOR (or, with the approval of all lenders holding the 
particular class of loans, 12-month LIBOR), which may not be less than zero, or (2) the greatest of (a) the prime 
lending rate of the agent bank for the particular facility, (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 for Term Loan A 
loans is 4.25%, the LIBOR margin for Term Loan B loans is 5.25%, and the LIBOR margin for revolving loans 
varies between 3.75% and 4.25%, depending on our total net leverage ratio. The Base Rate margin for Term Loan 
A loans is 3.25%, the Base Rate margin for Term Loan B loans is 4.25%, and the Base Rate margin for revolving 
loans varies between 2.75% and 3.25%, depending on our total net leverage ratio.  Effective May 31, 2019, we 
maintain amortizing interest rate swap agreements with current notional amounts totaling $800.0 million, through 
which we receive a variable rate of interest based on LIBOR, and we pay a fixed rate of interest equal to 
approximately 2.2% plus a spread.   

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 $4.0 million and $0.3 million for the years ended December 31, 2019 and 2018, 
respectively. 

41 

 
Item 8. Financial Statements and Supplementary Data 

Report of Independent Registered Public Accounting Firm 

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

Opinions on the Financial Statements and Internal Control over Financial Reporting 

We have audited the accompanying consolidated balance sheets of Tivity Health, Inc. and its subsidiaries (the 
“Company”) as of December 31, 2019 and 2018, and the related consolidated statements of operations, 
comprehensive income (loss), changes in stockholders’ equity, and cash flows for each of the three years in the 
period ended December 31, 2019, including the related notes (collectively referred to as the “consolidated financial 
statements”). We also have audited the Company's internal control over financial reporting as of December 31, 
2019, based on criteria established in Internal Control - Integrated Framework (2013) issued by the Committee of 
Sponsoring Organizations of the Treadway Commission (COSO).   

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the 
financial position of the Company as of December 31, 2019 and 2018, and the results of its operations and its cash 
flows for each of the three years in the period ended December 31, 2019 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, 2019, based on criteria established in 
Internal Control - Integrated Framework (2013) issued by the COSO. 

Changes in Accounting Principles 

As discussed in Note 1 to the consolidated financial statements, the Company changed the manner in which it 
accounts for leases in 2019 and the manner in which it accounts for employee share-based payments in 2017. 

Basis for Opinions 

The Company's management is responsible for these consolidated 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 the Company’s consolidated financial statements and on the 
Company's internal control over financial reporting based on our audits. We are a public accounting firm registered 
with the Public Company Accounting Oversight Board (United States) (PCAOB) and are required to be independent 
with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and 
regulations of the Securities and Exchange Commission and the PCAOB. 

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and 
perform the audits to obtain reasonable assurance about whether the consolidated financial statements are free of 
material misstatement, whether due to error or fraud, and whether effective internal control over financial 
reporting was maintained in all material respects.   

Our audits of the consolidated financial statements included performing procedures to assess the risks of material 
misstatement of the consolidated financial statements, whether due to error or fraud, and performing procedures 
that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts 
and disclosures in the consolidated financial statements. Our audits also included evaluating the accounting 
principles used and significant estimates made by management, as well as evaluating the overall presentation of the 
consolidated financial statements. 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. 

As described in Management’s Annual Report on Internal Control over Financial Reporting, management has 
excluded Nutrisystem, Inc. from its assessment of internal control over financial reporting as of December 31, 2019 
because it was acquired by the Company in a purchase business combination during 2019. We have also excluded 
Nutrisystem, Inc. from our audit of internal control over financial reporting. Nutrisystem, Inc. is a wholly-owned 

42 

 
 
 
 
 
 
 
 
 
 
 
 
subsidiary whose total assets and total revenues excluded from management’s assessment and our audit of internal 
control over financial reporting represent 7% and 44%, respectively, of the related consolidated financial statement 
amounts as of and for the year ended December 31, 2019. 

Definition and Limitations of Internal Control over Financial Reporting 

A company’s internal control over financial reporting is a process designed to provide reasonable assurance 
regarding the reliability of financial reporting and the preparation of financial statements for external purposes in 
accordance with generally accepted accounting principles. A company’s internal control over financial reporting 
includes those policies and procedures that (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. 

Critical Audit Matters 

The critical audit matters communicated below are matters arising from the current period audit of the 
consolidated financial statements that were communicated or required to be communicated to the audit committee 
and that (i) relate to accounts or disclosures that are material to the consolidated financial statements and (ii) 
involved our especially challenging, subjective, or complex judgments. The communication of critical audit matters 
does not alter in any way our opinion on the consolidated financial statements, taken as a whole, and we are not, by 
communicating the critical audit matters below, providing separate opinions on the critical audit matters or on the 
accounts or disclosures to which they relate. 

Acquisition of Nutrisystem, Inc. – Valuation of Indefinite-Lived Tradename and Definite-Lived Customer List  

As described in Notes 2 and 6 to the consolidated financial statements, the Company completed the acquisition of 
Nutrisystem, Inc. for consideration transferred of $1.3 billion in 2019, which resulted in the Nutrisystem indefinite-
lived tradename and a definite-lived customer list intangible asset being recorded in the amount of $800.0 million 
and $110.0 million, respectively. As disclosed by management, fair value of the Nutrisystem indefinite-lived 
tradename was estimated using the relief-from-royalty method which involved the use of significant assumptions 
with respect to the long-term growth rates of future revenues, the terminal growth rate of revenue, the royalty rate 
for such revenue, the tax rate and the discount rate. Fair value of the definite-lived customer list was estimated 
using the multi-period excess earnings method under the income approach which involved the use of significant 
assumptions with respect to applying an attrition rate to the estimated net future cash flows from the customers 
that existed as of the acquisition date.    

The principal considerations for our determination that performing procedures relating to the valuation of the 
Nutrisystem indefinite-lived tradename and definite-lived customer list acquired in the Nutrisystem, Inc. 
acquisition is a critical audit matter are (i) there was a high degree of auditor judgment and subjectivity in applying 
procedures and evaluating audit evidence relating to the fair value of the Nutrisystem indefinite-lived tradename 
and definite-lived customer list intangible assets due to the significant amount of judgment by management when 
developing the estimates, (ii) significant audit effort was necessary in evaluating the significant assumptions 
relating to the estimates, such as the long-term growth rates of future revenues, the royalty rate for such revenue 
and the discount rate for the Nutrisystem indefinite-lived tradename and the attrition rate applied to the estimated 
net future cash flows from the customers that existed as of the acquisition date for the definite-lived customer list, 
and (iii) the audit effort involved the use of professionals with specialized skill and knowledge to assist in 
performing these procedures and evaluating the audit evidence.  

Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming 
our overall opinion on the consolidated financial statements. These procedures included testing the effectiveness of 
controls relating to acquisition accounting, including controls over management’s valuation of the Nutrisystem 

43 

 
 
 
 
 
 
 
 
 
indefinite-lived tradename and definite-lived customer list and controls over the development of the assumptions 
related to the valuation of these intangible assets, including the long-term growth rates of future revenues, the 
royalty rate for such revenue and the discount rate for the Nutrisystem indefinite-lived tradename and the attrition 
rate applied to the estimated net future cash flows from customers that existed as of the acquisition date for the 
definite-lived customer list. These procedures also included, among others, (i) reading the purchase agreement, (ii) 
testing management’s process for developing the fair value estimates for the Nutrisystem indefinite-lived 
tradename and definite-lived customer list intangible assets, (iii) evaluating the appropriateness of the valuation 
models, (iv) testing the completeness, accuracy, and relevance of underlying data used in estimating the fair values, 
and (v) evaluating the appropriateness of the significant assumptions used by management, including the long-term 
growth rates of future revenues, the royalty rate for such revenue and the discount rate for the Nutrisystem 
indefinite-lived tradename and the attrition rate for the definite-lived customer list.  Evaluating management’s 
assumptions related to the long-term growth rates of future revenues and the attrition rate involved considering (i) 
the current and past financial performance, (ii) the consistency with external market and industry data, and (iii) 
whether these assumptions were consistent with evidence obtained in other areas of the audit. Professionals with 
specialized skill and knowledge were used to assist in the evaluation of the Company’s valuation models and certain 
significant assumptions, including the long-term growth rates of future revenues, the royalty rate for such revenue 
and the discount rate for the Nutrisystem indefinite-lived tradename and the attrition rate for the definite-lived 
customer list.  

Goodwill and Indefinite-Lived Intangible Asset Impairment Assessment – Nutrition Reporting Unit and 
Nutrisystem Indefinite-Lived Tradename 

As described in Notes 1 and 6 to the consolidated financial statements, the Company’s consolidated goodwill 
balance was $654.6 million as of December 31, 2019, and the goodwill associated with the Nutrition reporting unit 
was $320.0 million. Also as described in Notes 1 and 6 to the consolidated financial statements, the Nutrisystem 
indefinite-lived tradename balance was $560.0 million as of December 31, 2019. Management reviews goodwill and 
indefinite-lived intangible assets for impairment during the fourth quarter of each year or more frequently 
whenever events or circumstances indicate that the carrying value of goodwill and indefinite-lived intangible assets 
may not be recoverable. In the fourth quarter of 2019, management recorded impairment losses of $137.1 million 
related to the Nutrition reporting unit and $240.0 million related to the Nutrisystem indefinite-lived tradename. 
Fair value of the Nutrition reporting unit was estimated by management using a discounted cash flow model and 
market-based approaches. Estimating fair value for the Nutrition reporting unit required significant assumptions 
related to management’s estimated cash flows which is dependent upon internal forecasts of projected income, 
estimation of the long-term growth rates of future revenues, the terminal growth rate of revenue, the tax rate, and 
determination of the weighted average cost of capital, as well as relevant comparable company revenue and 
earnings multiples and market participant acquisition premiums for the market-based approaches used in the 
valuation of goodwill. Fair value of the Nutrisystem indefinite-lived tradename was estimated by management using 
the relief-from royalty method under the income approach. Estimating the fair value of the Nutrisystem indefinite-
lived tradename required significant assumptions related to the long-term growth rates of future revenues, the 
terminal growth rate of revenue, the royalty rate for such revenue, the tax rate, and the discount rate. 

The principal considerations for our determination that performing procedures relating to the goodwill and 
indefinite-lived intangible asset impairment assessments of the Nutrition reporting unit and the Nutrisystem 
indefinite-lived tradename is a critical audit matter are (i) there was significant judgment applied by management 
when developing the fair value estimates, (ii) significant auditor judgment, subjectivity, and effort in performing 
procedures and evaluating audit evidence related to management’s significant assumptions, including internal 
forecasts of projected income, the long-term growth rates of future revenues and the weighted average cost of 
capital, as well as relevant comparable company revenue and earnings multiples and market participant acquisition 
premiums for the valuation of the goodwill and the long-term growth rates of future revenues, the royalty rate for 
such revenue and the discount rate for the valuation of the Nutrisystem indefinite-lived tradename, and (iii) the 
audit effort involved the use of professionals with specialized skill and knowledge to assist in performing these 
procedures and evaluating the audit evidence. 

Addressing the matter involved performing procedures and evaluating audit evidence in connection with 
forming our overall opinion on the consolidated financial statements. These procedures included testing the 
effectiveness of controls relating to management’s goodwill and indefinite-lived intangible asset impairment 
assessments, including controls over the development of the assumptions related to the valuation of goodwill and 
indefinite-lived intangible assets, including internal forecasts of projected income, the long-term growth rates of 
future revenues and the weighted average cost of capital, as well as relevant comparable company revenue and 
earnings multiples and market participant acquisition premiums for goodwill and the long-term growth rates of 

44 

 
      
 
 
future revenues, the royalty rate for such revenue and the discount rate for the Nutrisystem indefinite-lived 
tradename. These procedures also included, among others, (i) testing management’s process for developing the fair 
value estimate of the Nutrition reporting unit and Nutrisystem indefinite-lived tradename, (ii) evaluating the 
appropriateness of the valuation models, (iii) testing the completeness, accuracy, and relevance of underlying data 
used in estimating the fair values, and (iv) evaluating the significant assumptions used by management, including 
the internal forecasts of projected income, the long-term growth rates of future revenues, and the weighted average 
cost of capital, as well as relevant comparable company revenue and earnings multiples and market participant 
acquisition premiums for the valuation of the goodwill and the long-term growth rates of future revenues, the 
royalty rate for such revenue and the discount rate for the valuation of the Nutrisystem indefinite-lived tradename. 
Evaluating management’s assumptions related to the internal forecasts of projected income and the long-term 
growth rates of future revenues, as well as relevant comparable company revenue and earnings multiples and 
market participant acquisition premiums for the valuation of the goodwill and the long-term growth rates of future 
revenues for the valuation of the Nutrisystem indefinite-lived tradename involved evaluating whether the 
assumptions used by management were reasonable considering (i) the current and past financial performance, (ii) 
the consistency with external market and industry data, and (iii) whether these assumptions were consistent with 
evidence obtained in other areas of the audit. Professionals with specialized skill and knowledge were used to assist 
in the evaluation of the Company’s valuation models and certain significant assumptions, including the internal 
forecasts of projected income, the long-term growth rates of future revenues and the weighted average cost of 
capital, as well as relevant comparable company revenue and earnings multiples and market participant acquisition 
premiums for the valuation of the goodwill and the long-term growth rates of future revenues, the royalty rate for 
such revenue and the discount rate for the valuation of the Nutrisystem indefinite-lived tradename. 

/s/ PricewaterhouseCoopers LLP 
Nashville, Tennessee  
February 27, 2020 

We have served as the Company’s auditor since 2014.   

45 

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

Current assets: 

Cash and cash equivalents 
Accounts receivable, net 
Inventories 
Prepaid expenses 
Income taxes receivable 
Other current assets 
Total current assets 

Property and equipment, net of accumulated depreciation of 
   $42,510 and $30,711 respectively 
Right-of-use assets, operating leases 
Right-of-use assets, finance leases 
Intangible assets, net 
Goodwill, net 
Other assets 

Total assets 

Current liabilities: 

Accounts payable 
Accrued salaries and benefits 
Accrued liabilities 
Deferred revenue 
Current portion of debt 
Current portion of operating lease liabilities 
Current portion of finance lease liabilities 
Current portion of other long-term liabilities 

Total current liabilities 

Long-term debt 
Long-term operating lease liabilities 
Long-term finance lease liabilities 
Long-term deferred tax liability 
Other long-term liabilities 

Commitments and contingent liabilities 

   $

   $

   $

December 31, 
2019 

December 31,
2018 

2,486      $ 
97,596        
36,407        
18,255        
—        
6,993        
161,737        

52,909        
41,518        
1,680        
689,686        
654,635        
23,740        
1,625,905      $ 

46,480      $ 
13,071        
56,068        
12,037        
—        
13,131        
624        
4,947        
146,358        

1,048,127        
30,321        
1,080        
160,846        
12,263        

1,933 
67,139 
274 
3,381 
720 
4,658 
78,105 

16,341 
— 
— 
29,049 
334,680 
23,904 
482,079 

29,103 
6,512 
42,563 
582 
57 
— 
— 
2,255 
81,072 

30,589 
— 

319 
1,098 

Stockholders' equity: 
Preferred stock $.001 par value, 5,000,000 shares authorized, none 
   outstanding 
Common stock $.001 par value, 120,000,000 shares authorized, 48,156,786 
   and 41,049,418 shares outstanding, respectively 
Additional paid-in capital 
Retained earnings (accumulated deficit) 
Treasury stock, at cost, 2,254,953 shares in treasury 
Accumulated other comprehensive loss 

Total stockholders' equity 

Total liabilities and stockholders' equity 

   $

—        

— 

48        
504,419        
(237,284 )      
(28,182 )      
(12,091 )      
226,910        
1,625,905      $ 

41 
347,487 
49,655 
(28,182)
— 
369,001 
482,079 

See accompanying notes to the consolidated financial statements. 

46 

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

Revenues: 
Services 
Products 

Total revenues 

Cost of revenue: 

Services (exclusive of depreciation of 
   $5,920, $4,109, and $2,802, respectively, included below) 
Products (exclusive of depreciation and amortization of 
   $37,988 included below) 
Total cost of revenue 

Marketing expenses 
Selling, general and administrative expenses 
Depreciation and amortization 
Impairment loss 
Restructuring and related charges 

Operating income (loss) 

Interest expense 

Income (loss) before income taxes 

Income tax expense (benefit) 

Income (loss) from continuing operations 

Income from discontinued operations, net of income tax 
Net income (loss) 

Earnings (loss) per share - basic: 

Continuing operations 
Discontinued operations 
Net income (loss) (1) 

Earnings per share – diluted: (2) 
Continuing operations 
Discontinued operations 
Net income (loss) 

Year Ended December 31,
2018 

2017

2019

  $

633,066    $
498,091     
1,131,157     

606,299      $
—       
606,299       

556,942 
— 
556,942 

445,817     

418,333       

390,261 

232,240     
678,057     

—       
418,333       

158,006     
110,038     
50,775     
377,100     
7,024     
(249,843)    

14,417       
35,077       
4,667       
—       
124       
133,681       

76,566     
(326,409)    

8,733       
124,948       

(39,588)    
(286,821)   $

27,046       
97,902      $

—     
(286,821)   $

901       
98,803      $

(6.17)   $
—    $
(6.17)   $

(6.17)   $
—    $
(6.17)   $

2.44      $
0.02      $
2.47      $

2.27      $
0.02      $
2.29      $

— 
390,261 

5,541 
34,164 
3,357 
— 
3,223 
120,396 

15,613 
104,783 

43,553 
61,230 

2,485 
63,715 

1.56 
0.06 
1.62 

1.44 
0.06 
1.50 

  $

  $

  $
  $
  $

  $
  $
  $

Comprehensive income (loss) 

  $

(298,912)   $

98,803      $

68,217 

Weighted average common shares and equivalents: 

Basic 
Diluted (2) 

46,509     
46,509     

40,078       
43,073       

39,357 
42,547 

(1)  Figures may not add due to rounding. 
(2)  The impact of potentially dilutive securities for the year ended December 31, 2019 was not considered 

because the impact would be anti-dilutive. 

See accompanying notes to the consolidated financial statements. 

47 

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

Net income (loss) 
Net change in fair value of interest rate swaps, net of tax benefit 
of $4,147 
Foreign currency translation adjustment, net of tax 
Release of cumulative translation adjustment to loss from 
   discontinued operations due to substantial liquidation of 
   foreign entity 
Total other comprehensive income (loss), net of tax 
Comprehensive income (loss) 

2019 
(286,821)   $

  $

Year Ended December 31, 
2018 

2017 

98,803     $

63,715 

(12,091)    
—     

—      
—      

— 
1,458 

—     
(12,091)   $
(298,912)   $

  $
  $

—      
—     $
98,803     $

3,044 
4,502 
68,217  

See accompanying notes to the consolidated financial statements. 

48 

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

Preferred 
Stock 

Common
Stock

Additional
Paid-in 
Capital
39 $ 341,270 $
—    
—  

Retained
Earnings 
(Accumulated 
Deficit)

Accumulated 
Other 
Comprehensive
Income (Loss)  

Treasury 
Stock     

Total 

(119,327) $ (28,182 )  $ 
—      

63,715   

(4,502) $ 189,298
68,217 
4,502   

Balance, December 31, 2016 
Comprehensive income 
Cumulative effect of a change in 
   accounting principle – adoption 
   of ASU 2016-09 
Exercise of stock options 
Tax withholding for share-based 
   compensation 
Share-based employee 
   compensation expense 
Balance, December 31, 2017 
Comprehensive income 
Exercise of stock options and 
   Warrants 
Tax withholding for share-based 
   compensation 
Share-based employee 
   compensation expense 
Balance, December 31, 2018 
Comprehensive income 
Issuance of Common Stock in 
connection with Merger 
Share-based compensation 
Replacement Awards related to 
Merger and attributable to pre-
combination services 
Exercise of stock options 
Tax withholding for share-based 
   compensation 
Share-based employee 
   compensation expense 
Other 
Balance, December 31, 2019 

 $ 

 $ 

 $ 

 $ 

—   $
—     

—     
—     

—     

—     
—   $
—     

—     

—     

—     
—   $
—     

—     

—     
—     

—     

—     
—     
—   $

—  
1  

74    
5,722    

6,464   
—   

—      
—      

—   
—   

6,538 
5,723 

—  

(4,481)   

—   

—      

—   

(4,481)

—  
6,658    
40 $ 349,243 $
—    
—  

—   

—      
(49,148) $ (28,182 )  $ 
—      
98,803   

1  

1,909    

—  

(9,762)   

6,097    
—  
41 $ 347,487 $
—    
—  

—   

—   

—      

—      

—   

—      
49,655 $ (28,182 )  $ 
—      

(286,821)  

—   
6,658 
— $ 271,953
98,803 
—   

—   

1,910 

—   

(9,762)

6,097 
—   
— $ 369,001
(12,091)   (298,912)

6   132,832    

—   

—      

—    132,838 

—  
1  

9,107    
988    

—  

(4,733)   

—   
—   

—   

—      
—      

—      

—   
—   

9,107 
989 

—   

(4,733)

—  
18,832    
(94)   
—  
48 $ 504,419 $

—   
(118)  

—      
—      
(237,284) $ (28,182 )  $ 

—   
—   

18,832 
(212)
(12,091) $ 226,910  

See accompanying notes to the consolidated financial statements. 

49 

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

Cash flows from operating activities: 

Income (loss) from continuing operations 
Income from discontinued operations 
Adjustments to reconcile net income (loss) to net cash 
   provided by operating activities: 
Depreciation and amortization 
Amortization and write-off of deferred loan costs 
Amortization of debt discount 
Share-based employee compensation expense 
Impairment of goodwill and intangible assets 
Gain on sale of MeYou Health 
(Gain) loss on sale of TPHS business 
Loss on release of cumulative translation adjustment 
Deferred income taxes 
Increase in accounts receivable, net 
Decrease in inventory 
(Increase) decrease in other current assets 
Decrease in accounts payable 
Increase (decrease) in accrued salaries and benefits 
Decrease in other current liabilities 
Decrease in deferred revenue 
Other 

Net cash flows provided by operating activities 

Cash flows from investing activities: 

Acquisition of property and equipment 
Proceeds from sale of MeYou Health 
Business acquisitions, net of cash acquired 
Net cash flows used in investing activities 

Cash flows from financing activities: 

Proceeds from issuance of long-term debt 
Payments of long-term debt 
Proceeds from settlement of cash convertible notes hedges 
Payments related to settlement of cash conversion derivative 
Payments related to tax withholding for share-based compensation 
Exercise of stock options 
Deferred loan costs 
Principal payments related to finance leases 
Change in cash overdraft and other 

Net cash flows provided by (used in) financing activities 

Effect of exchange rate changes on cash 

Net increase (decrease) in cash and cash equivalents 

Cash and cash equivalents, beginning of period 
Cash and cash equivalents, end of period 

Supplemental disclosure of cash flow information: 

Cash paid for interest 
Cash paid for income taxes, net of refunds 

2019 

Year Ended December 31, 
2018 

2017 

   $

(286,821)    $
—      

97,902      $
901       

61,230 
2,485 

50,775      
4,487      
3,711      
18,832      
377,100      
—      
—      
—      
(52,076)     
(8,283)     
2,087      
(426)     
(10,052)     
3,608      
(21,495)     
(1,198)     
2,056      
82,305     $

4,667       
1,152       
4,140       
6,097       
—       
(1,416 )     
112       
—       
25,485       
(12,311 )     
—       
1,610       
(95 )     
(10,314 )     
(11,802 )     
—       
2,611       
108,739      $

(24,713)    $
—      
(1,062,818)     
(1,087,531)    $

(9,053 )    $
1,416       
—       
(7,637 )    $

1,611,970     $
(574,329)     
—      
—      
(4,733)     
989      
(30,189)     
(274)     
2,357      
1,005,791     $

253,425      $
(373,536 )     
141,246       
(141,246 )     
(9,762 )     
1,910       
—       
—       
410       
(127,553 )    $

(12)    $
553     $

(56 )    $
(26,507 )    $

1,933      
2,486     $

28,440       
1,933      $

3,357 
2,887 
8,001 
6,658 
— 
— 
(4,733)
3,044 
40,935 
(3,939)
— 
820 
(407)
(6,061)
(6,436)
— 
(2,565)
105,276 

(5,910)
— 
— 
(5,910)

373,450 
(449,084)
— 
— 
(4,481)
5,722 
(2,452)
— 
2,533 
(74,312)

1,784 
26,838 

1,602 
28,440 

67,717     $
8,370     $

4,099      $
3,339      $

4,727 
—   

   $

   $

   $

   $

   $

   $
   $

   $

   $
   $

See accompanying notes to the consolidated financial statements. 

50 

 
  
 
  
    
    
 
    
      
       
 
    
    
      
       
 
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
  
    
      
       
 
    
      
       
 
    
    
  
    
      
       
 
    
      
       
 
    
    
    
    
    
    
    
    
  
    
      
       
 
  
    
      
       
 
    
  
    
      
       
 
    
      
       
 
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 
Years Ended December 31, 2019, 2018, and 2017 

1.  Summary of Significant Accounting Policies 

Tivity Health, Inc. (the “Company”), a leading provider of fitness, nutrition, and social connection solutions, was 

founded and incorporated in Delaware in 1981.  On March 8, 2019, we completed our acquisition of Nutrisystem, 
Inc. (“Nutrisystem”), a provider of weight management products and services, including nutritionally balanced 
weight loss programs sold primarily through the Internet and telephone and multi-day kits and single items (a la 
carte) available at select retail locations.  The acquisition of Nutrisystem enables us to offer, at scale, an integrated 
portfolio of fitness, nutrition and social engagement solutions to support a healthy lifestyle and to address weight 
management and chronic conditions. Our consolidated statements of operations include results of Nutrisystem from 
March 8, 2019 forward. 

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., 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. 

 Our financial statements and accompanying notes are prepared in accordance with generally accepted 

accounting principles in the United States (“U.S. GAAP”).  In our opinion, the accompanying consolidated financial 
statements of Tivity Health, Inc. and its wholly-owned subsidiaries (collectively, “Tivity Health,” the “Company,” or 
such terms as “we,” “us,” or “our”) reflect all adjustments, consisting only of normal recurring adjustments, 
necessary for a fair statement.  We have reclassified certain items in prior periods to conform to current 
classifications.   

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 or products sold, net of allowances for doubtful 
accounts (reflected as selling, general and administrative expenses). Allowances for doubtful accounts were 
$0.2 million and $0 at December 31, 2019 and 2018, respectively.  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 on a specific identification basis.  Unbilled 
receivables were $29.1 million and $23.2 million at December 31, 2019 and 2018, respectively, and primarily 
represent fees recognized for monthly member utilization of fitness facilities under our SilverSneakers fitness 
solution, billed one month in arrears. 

d. 

Inventories - Inventories consist principally of packaged food held in external fulfillment locations. We value 
inventories at the lower of cost or net realizable value, with cost determined using the first-in, first-out method. 
We continually assess quantities of inventory on hand to identify excess or obsolete inventory and record a 
provision for any estimated loss. We estimate the reserve for excess and obsolete inventory primarily on 
forecasted demand and/or our ability to sell the products, our ability to introduce new products, future 
production requirements, and changes in consumer behavior. The reserve for excess and obsolete inventory 
was $1.8 million and $0 at December 31, 2019 and 2018, respectively. 

e.  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 office equipment, 
and three to five years for 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, including depreciation of assets recorded under finance leases, for the years ended December 31, 
2019, 2018, and 2017 was $18.4 million, $4.7 million, and $3.4 million, respectively. 

51 

f.  Other Assets - Other assets consist primarily of shares of common stock of Sharecare, Inc. which have a 

carrying value of $10.8 million and are accounted for as a cost method investment, and customer incentives.  
We have elected the measurement alternative to measure cost method investments that do not have a readily 
determinable fair value at cost less impairment, adjusted by observable price changes, with any fair value 
changes recognized in earnings. 

g.  Leases – On January 1, 2019, we adopted Accounting Standards Update (“ASU”) No. 2016-02 (as discussed 
under “Recent Relevant Accounting Standards” in Note 3) using the modified retrospective approach. We 
recognize right-of-use assets and lease liabilities for leases with contractual terms longer than twelve months, 
and we categorize such leases as either operating or finance. Finance leases are generally those leases that 
allow us to substantially utilize or pay for the entire asset over its estimated life.  All other leases are 
categorized as operating leases. Our leases generally have remaining lease terms of one to six years, some of 
which include options to extend the lease for additional periods. Such extension options were not considered in 
the value of the asset or liability since it is not probable that we will exercise the options to extend. If applicable, 
allocations among lease and non-lease components would be achieved using relative fair values. 

Lease liabilities are recognized at the present value of the fixed lease payments, reduced by landlord incentives 
using a discount rate based on similarly secured borrowings available to us. Lease assets are recognized 
based on the initial present value of the fixed lease payments, reduced by landlord incentives, plus any direct 
costs from executing the leases. Leasehold improvements are capitalized at cost and amortized over the lesser 
of their expected useful life or the lease term. 

Costs associated with right-of-use assets are recognized on a straight-line basis within operating expenses 
over the term of the lease. Finance lease assets are amortized within operating expenses on a straight-line 
basis over the shorter of the estimated useful lives of the assets or the lease term. The interest component of a 
finance lease is included in interest expense and recognized using the effective interest method over the lease 
term. See Note 10 for further information on leases. 

h.  Intangible Assets - Intangible assets subject to amortization related to our Healthcare segment 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 related to 
our Healthcare segment and subject to amortization were fully amortized at December 31, 2019 and 2018. In 
connection with our acquisition of Nutrisystem on March 8, 2019, we recorded the following intangible assets 
subject to amortization: trade name of the South Beach Diet brand, customer list, retail customer relationship, 
and noncompetition agreements. See Note 6 for further information on intangible assets.  

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. 

Intangible assets not subject to amortization allocated to our Healthcare segment at December 31, 2019 and 
2018 consist of a trade name of $29.0 million. In connection with our acquisition of Nutrisystem in March 2019, 
we recorded intangible assets not subject to amortization of $800.0 million for the Nutrisystem tradename. In 
the fourth quarter of 2019, we recorded an impairment loss of $240.0 million on the Nutrisystem tradename. 

We review indefinite-lived intangible assets for impairment on an annual basis (during the fourth quarter of our 
fiscal year) or more frequently whenever events or circumstances indicate that the carrying value may not be 
recoverable. We estimate the fair value of our indefinite-lived tradenames using the relief-from-royalty method, 
which requires us to estimate significant assumptions such as the long-term growth rates of future revenues 
associated with the tradename, the royalty rate for such revenue, the terminal growth rate of revenue, the tax 
rate, and a discount rate. Changes in these estimates and assumptions could materially affect the estimates of 
fair values for the tradenames. See Note 6 for further information on intangible assets. 

i.  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. In connection with our acquisition of 
Nutrisystem, we recorded $457.1 million of goodwill.  In the fourth quarter of 2019, we recorded a goodwill 
impairment loss of $137.1 million. 

52 

 
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 
acquisition of Nutrisystem in March 2019, we have two reporting units: Healthcare and Nutrition. Prior to such 
acquisition, we had one reporting unit. 

As part of the impairment evaluation, 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 elect not to 
perform a qualitative assessment or we determine that it is more likely than not that the fair value of a reporting 
unit is less than its carrying value, we perform a quantitative review as described below. 

During a quantitative review of goodwill, we estimate the fair value of each reporting unit based on a discounted 
cash flow model or a combination of a discounted cash flow model and market-based approaches, and we 
reconcile the aggregate fair value of our reporting units to our consolidated market capitalization.  If the fair 
value of the reporting unit exceeds its carrying amount, no impairment is indicated. If the fair value of the 
reporting unit is less than its carrying amount, impairment of goodwill is measured as the excess of the carrying 
amount over fair value.  Estimating fair value requires significant judgments, including management's estimate 
of future cash flows of each reporting unit (which is dependent on internal forecasts of projected income), 
estimation of the long-term growth rates of future revenues for our reporting units, the terminal growth rate of 
revenue, the tax rate, and determination of our weighted average cost of capital, as well as relevant 
comparable company revenue and earnings multiples and market participant acquisition premium for the 
market-based approaches.  Changes in these estimates and assumptions could materially affect the estimate 
of fair value and potential goodwill impairment for each reporting unit. See Note 6 for further information on 
goodwill. 

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

attributable to disbursements not yet cleared by the bank. 

k.  Accrued Liabilities – Accrued liabilities primarily include amounts owed for estimated member visits to fitness 
network locations (which actual visit data is typically received approximately one month in arrears) and 
amounts owed for advertising expenses that have been incurred.  Estimated amounts accrued for member 
visits at December 31, 2019 and 2018 were $28.8 million and $26.1 million, respectively. Accrued advertising 
expenses at December 31, 2019 and 2018 were $11.3 million and $0 million, respectively.    

l. 

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. 

m.  Revenue Recognition - On January 1, 2018, we adopted ASU No. 2014-09 (as discussed under “Recent 
Relevant Accounting Standards” in Note 3) using the modified retrospective transition method applied to 
contracts that were not completed as of January 1, 2018.  See Note 3 for a further discussion of revenue 
recognition. 

n.  Supplier Rebates – Some of the Nutrition segment’s suppliers provide for rebates based on purchasing levels. 
We account for these rebates on an accrual basis as purchases are made at a rebate percentage determined 
based upon the estimated total purchases from the supplier. The estimated rebate is recorded as a receivable 
from the supplier with a corresponding reduction in the carrying value of purchased inventory and is reflected in 
the consolidated statements of operations when the associated inventory is sold. For the year ended December 
31, 2019, we reduced cost of revenue for these rebates by $0.8 million. A receivable of $0.2 million was 
recorded at December 31, 2019. 

53 

 
     
o.  Marketing Expense – Marketing expense includes media, advertising production, marketing, and promotional 

expenses and payroll-related expenses, including share-based payment arrangements, for personnel engaged 
in these activities. Media expense was $128.7 million, $1.0 million, and $0 million in 2019, 2018, and 2017, 
respectively. Internet advertising expense is recorded based on either the rate of delivery of a guaranteed 
number of impressions over the advertising contract term or on a cost per customer acquired, depending upon 
the terms. All other advertising costs are charged to expense as incurred or, in the case of production costs, the 
first time the advertising takes place. At December 31, 2019 and 2018, $5.0 million and $0 million, respectively, 
of costs have been prepaid for future advertisements and promotions. 

p.  Earnings (Loss) Per Share – Beginning in 2019, we use the two-class method to calculate earnings per share 
(“EPS”) as the unvested restricted stock awards outstanding under our equity incentive plan are participating 
shares with nonforfeitable rights to dividends. Under the two-class method, we compute earnings per share of 
common stock by dividing the sum of distributed earnings to common stockholders (currently not applicable as 
we do not pay dividends) and undistributed earnings allocated to common stockholders by the weighted 
average number of outstanding shares of common stock for the period.  In applying the two-class method, we 
allocate undistributed earnings to both shares of common stock and participating securities based on the 
number of weighted average shares outstanding during the period. Any undistributed losses are not allocated 
to unvested restricted stock as the restricted stockholders are not obligated to share in the losses. See Note 16 
for a reconciliation of basic and diluted earnings (loss) per share. 

q.  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.  
We adopted ASU No. 2016-09, "Compensation-Stock Compensation (Topic 718): Improvements to Employee Share-
Based Payment Accounting" on January 1, 2017.  Any excess tax benefits that were not previously recognized 
because the related tax deduction had not reduced current taxes payable were 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.  See Note 8 for further 
information on share-based compensation. 

r.  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. 

Business Combinations 

On December 9, 2018, we entered into an Agreement and Plan of Merger (the “Merger Agreement”) with 

Nutrisystem, a provider of weight management products and services, and Sweet Acquisition, Inc., a wholly-owned 
subsidiary of Tivity Health (“Merger Sub”). The Merger Agreement provided that Merger Sub would merge with and 
into Nutrisystem, with Nutrisystem surviving as a wholly-owned subsidiary of Tivity Health (the “Merger”).  The 
Merger was completed on March 8, 2019 (“Closing”).  At Closing, except for certain excluded shares, each share of 
Nutrisystem common stock outstanding immediately prior to Closing was converted into the right to receive $38.75 
in cash, without interest, and 0.2141 of a share of Tivity Health common stock (“Exchange Ratio”) (with cash 
payable in lieu of any fractional shares).  Nutrisystem shares excluded from the conversion were those shares held 
by Nutrisystem as treasury stock and shares with respect to which appraisal rights have been properly exercised in 
accordance with the General Corporation Law of the State of Delaware. 

We believe that the acquisition of Nutrisystem will enable us to offer, at scale, an integrated portfolio of 

fitness, nutrition and social engagement solutions to support a healthy lifestyle and to address weight management 
and chronic conditions.  The fair value of consideration transferred at Closing was $1.3 billion (“Merger 
Consideration”), which includes cash consideration, the fair value of the stock consideration, and the fair value of 
the consideration for Nutrisystem equity awards assumed by Tivity Health that related to pre-combination services 
(see Note 8). The following table summarizes the components of the Merger Consideration: 

54 

 
 
 
 (In thousands) 
Cash paid for outstanding Nutrisystem shares (1)
Value of Tivity Health Common Stock issued in the 
Merger (2) 
Value of Nutrisystem stock options (3)
Value of Tivity Health Replacement Awards attributable 
to pre-combination service (4)
Total Merger Consideration 

  $

1,138,143   

132,838   
6,020   

9,107   
1,286,108   

  $

(1)  Represents the total cash paid to former Nutrisystem stockholders as cash consideration.  This amount is 
based on the 29,370,594 shares of Nutrisystem common stock issued and outstanding as of Closing and 
cash consideration of $38.75 per share, plus cash payable in lieu of fractional shares. 

(2)  Represents the fair value of 6.3 million shares of Tivity Health common stock issued for outstanding 

Nutrisystem shares as stock consideration.  This amount is based on (a) 29,370,594 Nutrisystem common 
shares issued and outstanding as of Closing, times (b) the Exchange Ratio of 0.2141, times (c) $21.12, 
which is equal to the volume-weighted averages of the trading price per share of our common stock for the 
five consecutive trading days up to and including March 6, 2019.   

(3)  Represents the fair value of the cash consideration paid for the net settlement of approximately 204,000 
Nutrisystem stock options vested and outstanding as of the closing date.  In accordance with the Merger 
Agreement, each vested and outstanding Nutrisystem stock option was cancelled, and the holder received 
a cash payment per option equal to approximately $43.27 minus the applicable exercise price of the stock 
option. 

(4)  Unvested restricted stock awards and performance stock units held by Nutrisystem employees were 

assumed by Tivity Health and converted into time-vesting restricted stock awards and time-vesting 
restricted stock units, respectively (“Replacement Awards”).  The value in the table represents the portion 
of the fair value of the Replacement Awards that relates to pre-combination services.    

We performed a valuation analysis of the fair market value of Nutrisystem’s assets and liabilities as of Closing. 

The following table sets forth an allocation of the Merger Consideration to the identifiable tangible and intangible 
assets acquired and liabilities assumed, with the excess recorded to goodwill.  During the three months ended June 
30, 2019, we adjusted the preliminary purchase price allocation based on additional information obtained regarding 
facts and circumstances which existed as of the acquisition date. These adjustments resulted in a decrease of $15 
million to the estimated fair value of intangible assets, an increase of $11.4 million to goodwill, and a decrease of 
$3.6 million to deferred tax liabilities.    

 (In thousands) 
Cash, cash equivalents, and short-term investments 
Accounts receivable 
Inventory 
Prepaid expenses and other current assets 
Property and equipment 
Right-of-use assets 
Intangible assets 
Other assets/liabilities 
Accounts payable 
Accrued salaries and benefits and other liabilities 
Deferred revenue 
Lease liabilities 
Deferred tax liabilities, net 
Total identifiable assets and liabilities acquired 
Goodwill (1) 
Total Merger Consideration 

   $

   $

   $

81,217   
22,639   
38,494   
12,345   
31,233   
22,145   
933,000   
7,161   
(25,152 ) 
(41,796 ) 
(13,339 ) 
(22,145 ) 
(216,750 ) 
829,052   
457,056   
1,286,108   

(1)  Goodwill represents the excess of Merger Consideration over the preliminary fair value of the underlying 

assets acquired and liabilities assumed.  Goodwill is attributable to the assembled workforce of 
experienced personnel at Nutrisystem and synergies expected to be achieved from the combined 
operations of Tivity Health and Nutrisystem. 

55 

 
   
  
  
   
   
   
 
 
 
  
 
  
  
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
 
 
We consolidated Nutrisystem’s operating results into our financial statements beginning on March 8, 2019.  
Refer to Note 18 for revenue and profit recognized from the Nutrition segment during the year ended December 31, 
2019.  In the fourth quarter of 2019, we recorded impairment losses of $240.0 million and $137.1 million related to 
the Nutrisystem tradename and goodwill, respectively (see Notes 6 and 13). Also in the fourth quarter of 2019, we 
recorded a purchase accounting measurement period adjustment to finalize estimates related to the customer list 
intangible asset recorded in connection with the acquisition of Nutrisystem. 

The following financial information presents the pro forma combined company results as if the acquisition of 

Nutrisystem had occurred on January 1, 2018:   

 (In thousands) 

Year Ended December 31, 

2019 

2018 

Revenue 
Net income 

   $
   $

1,264,605     $
(294,291)   $

1,297,338  
47,086   

The above pro forma results are based on assumptions and estimates, which we believe to be reasonable.  
They are not the operating results that would have been realized had the acquisition actually closed on January 1, 
2018 and are not necessarily indicative of our ongoing combined operating results.  The pro forma results include 
adjustments related to purchase accounting, acquisition and integration costs, financing, and amortization of 
intangible assets.  Material non-recurring pro forma adjustments reflected in the pro forma results for the year 
ended December 31, 2019 include: (1) the operating results of Nutrisystem from January 1, 2019 to March 7, 2019, 
(2) acquisition, integration, and restructuring cost decrease of $33.4 million, and (3) income tax expense decrease of 
$2.7 million (see Note 9). For the year ended December 31, 2018, material non-recurring pro forma adjustments 
reflected in the pro forma results include: (1) cost of revenue increase of $2.8 million due to the purchase accounting 
mark-up of inventory, (2) acquisition, integration, and restructuring cost increase of $33.4 million, and (3) income tax 
increase of $2.7 million (see Note 9).  

3.  Recent Relevant Accounting Standards 

In August 2017, the Financial Accounting Standards Board (“FASB”) issued ASU No. 2017-12, “Derivatives and 

Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities” (“ASU 2017-12”), which 
amends the hedge accounting recognition and presentation requirements. ASU 2017-12 eliminates the concept of 
recognizing periodic hedge ineffectiveness for cash flow and net investment hedges and allows the entity to apply 
the shortcut method to partial-term fair value hedges of interest rate risk. We adopted ASU 2017-12 in May 2019 
upon entering into interest rate swap agreements, as described in Note 14. The adoption of this standard did not 
have an impact on our financial position, results of operations, or cash flows. 

In October 2018, the FASB issued ASU 2018-16, "Derivatives and Hedging (Topic 815): Inclusion of the 
Secured Overnight Financing Rate (SOFR) Overnight Index Swap (OIS) Rate as a Benchmark Interest Rate for 
Hedge Accounting Purposes" (“ASU 2018-16”), which adds the OIS rate based on SOFR as a U.S. benchmark 
interest rate to facilitate the LIBOR to SOFR transition and provide lead time for entities to prepare for changes to 
interest rate risk hedging strategies. ASU 2018-16 is effective for fiscal years beginning after December 15, 2018, 
and interim periods within those years, with early adoption permitted. As of December 31, 2019, the benchmark 
interest rate in our existing interest rate swap agreements is LIBOR. The adoption of this standard did not have an 
impact on our financial position, results of operations, or cash flows. 

On January 1, 2019, we adopted ASU No. 2016-02, “Leases” (“ASC 842”), which requires that lessees 
recognize assets and liabilities for leases with lease terms greater than 12 months in the statement of financial 
position.  We elected to recognize the cumulative effect of initially applying the standard as an adjustment to 
beginning retained earnings as of January 1, 2019.  The significant majority of our leases are classified as 
operating leases.  As of January 1, 2019, we recognized a right-of-use asset of $27.0 million and lease liabilities of 
$29.7 million. In addition, we elected the following practical expedients available under ASC 842: (1) the package of 
practical expedients whereby we are not required to reassess upon adoption of ASC 842 (a) whether a contract is 
or contains a lease, (b) lease classification, and (c) initial direct costs; and (2) the short-term lease measurement 
and recognition exemption. ASC 842 also requires significant new disclosures about leasing activity.  

56 

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

which simplifies the subsequent measurement of goodwill by eliminating step two from the goodwill impairment test.  
ASU 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 adopted ASU 2017-04 on October 1, 2019.  The adoption of 
this standard did not have a material impact on our consolidated financial statements and related disclosures. 

In August 2018, the FASB issued ASU No. 2018-13, “Fair Value Measurement (Topic 820): Disclosure 
Framework – Changes to the Disclosure Requirements for Fair Value Measurement” (“ASU 2018-13”), which 
changes the fair value measurement disclosure requirements of ASC 820.  ASU 2018-13 is effective for fiscal years 
beginning on or after December 15, 2019, including interim periods therein, and is generally required to be applied 
retrospectively, except for certain components that are to be applied prospectively.  Early adoption is permitted for 
any eliminated or modified disclosures. We do not anticipate that adopting this standard will have a material impact 
on our disclosures. 

In August 2018, the FASB issued ASU No. 2018-15, “Customer’s Accounting for Implementation Costs 
Incurred in a Cloud Computing Arrangement That Is a Service Contract,” which requires implementation costs 
incurred by customers in cloud computing arrangements to be deferred and recognized over the term of the 
arrangement, if those costs would be capitalized by the customer in a software licensing arrangement. This 
standard is effective for annual periods beginning after December 15, 2019, and interim periods within those fiscal 
years. We do not anticipate that adopting this standard will have a material impact on our consolidated financial 
statements and related disclosures. 

In June 2016, the FASB issued ASU No. 2016-13, “Financial Instruments – Credit Losses (Topic 326): 

Measurement of Credit Losses on Financial Instruments” (“ASU 2016-13”), which requires companies to measure 
credit losses for financial assets held at the reporting date utilizing a methodology that reflects current expected 
credit losses over the lifetime of such assets.  ASU 2016-13 is effective for the Company on January 1, 2020 and is 
generally required to be applied using the modified retrospective approach, with limited exceptions for specific 
instruments.  We do not anticipate that adopting this standard will have an impact on our consolidated financial 
statements and related disclosures.  

4.  Revenue Recognition 

Beginning in 2018, we account for revenue from contracts with customers in accordance with ASC Topic 
606.  The unit of account in ASC Topic 606 is a performance obligation, which is a promise in a contract to transfer 
to a customer either a distinct good or service (or bundle of goods or services) or a series of distinct goods or 
services provided over a period of time. ASC Topic 606 requires that a contract's transaction price, which is the 
amount of consideration to which an entity expects to be entitled in exchange for transferring promised goods or 
services to a customer, is to be allocated to each performance obligation in the contract based on relative 
standalone selling prices and recognized as revenue when or as the performance obligation is satisfied. 

Healthcare Segment 

Our Healthcare segment earns revenue from three programs, SilverSneakers senior fitness, Prime Fitness and 
WholeHealth LivingTM.  We provide the SilverSneakers senior fitness program to members of Medicare Advantage 
and Medicare Supplement plans through our contracts with such plans.  We offer Prime Fitness, a fitness facility 
access program, through contracts with employers, commercial health plans, and other sponsoring organizations 
that allow their members to individually purchase the program.  We sell our WholeHealth Living program primarily 
to health plans. 

Except for Prime Fitness, our Healthcare segment’s customer contracts generally have initial terms of 

approximately three years.  Some contracts allow the customer to terminate early and/or determine on an annual 
basis to which of their members they will offer our programs.  For Prime Fitness, our contracts with employers, 
commercial health plans, and other sponsoring organizations generally have initial terms of approximately three 
years, while individuals who purchase the Prime Fitness program through these organizations may cancel at any 
time (on a monthly basis) after an initial period of one to three months.  The significant majority of our Healthcare 
segment’s customer contracts contain one performance obligation - to stand ready to provide access to our network 
of fitness locations and fitness programming - which is satisfied over time as services are rendered each month 
over the contract term.  There are generally no performance obligations that are unsatisfied at the end of a 

57 

 
 
 
 
particular month.  There was no material revenue recognized during the year ended December 31, 2019 from 
performance obligations satisfied in a prior period. 

Our fees within the Healthcare segment are variable month to month and are generally billed per member per 

month (“PMPM”) or billed based on a combination of PMPM and member visits to a network location.  We bill 
PMPM fees by multiplying the contractually negotiated PMPM rate by the number of members eligible for or 
receiving our services during the month.  We bill for member visits approximately one month in arrears once actual 
member visits are known.  Payments from customers are typically due within 30 days of invoice date.  When 
material, we capitalize costs to obtain contracts with customers and amortize them over the expected recovery 
period. At December 31, 2019 and 2018, $0.5 million and $0 million, respectively, of such costs were capitalized. 
During the year ended December 31, 2019, the amortization of such capitalized costs was immaterial. No such 
capitalized costs were amortized during the years ended December 31, 2018 and 2017. 

Our Healthcare segment’s customer contracts include variable consideration, which is allocated to each distinct 

month over the contract term based on eligible members and/or member visits each month.  The allocated 
consideration corresponds directly with the value to our customers of our services completed for the month.  Under 
the majority of our Healthcare segment’s contracts, we recognize revenue each month using the practical expedient 
available under ASC 606-10-55-18, which provides that revenue is recognized in the amount for which we have the 
right to invoice.  

Although we evaluate our financial performance and make resource allocation decisions based upon the results 
of our two reportable segments, we believe the following information depicts how our Healthcare segment revenues 
and cash flows are affected by economic factors.   

The following table sets forth Healthcare revenue disaggregated by program.  Revenue from our 

SilverSneakers program is predominantly contracted with Medicare Advantage and Medicare Supplement plans. 

 (In thousands) 

SilverSneakers 
Prime Fitness 
WholeHealth Living 
Other 

Year Ended December 31, 

2019 

2018 

   $

   $

492,778    $
120,949   
18,511   
828   
633,066    $

487,559   
101,391   
16,835   
514   
606,299   

Sales and usage-based taxes are excluded from revenues. 

Nutrition Segment 

Our Nutrition segment earns revenue from four sources: direct to consumer, retail, QVC and other.  Revenue is 

measured based on the consideration specified in a contract with a customer and excludes any sales incentives 
and amounts collected on behalf of third parties.  As explained in more detail below, revenue is recognized upon 
satisfaction of the performance obligation by transferring control over a product to a Nutrition segment customer.  
The estimated breakage of gift cards (estimated amount of unused gift cards) is recognized over the pattern of 
redemption of the gift cards, and direct-mail advertising costs are expensed as incurred.  We recognize an asset for 
the carrying amount of product to be returned and for costs to obtain a contract if the amortization is more than one 
year in duration.  We expense costs to obtain a contract as incurred if the amortization period is less than one year. 

We sell pre-packaged foods directly to weight loss program participants primarily through the Internet and 
telephone (referred to as the direct to consumer channel), through QVC (a television shopping network), and select 
retailers. Pre-packaged foods include both frozen and non-frozen (ready-to-go), shelf-stable products. 

Products sold through the direct to consumer channel, both frozen and non-frozen, may be sold separately (a la 

carte) or as part of a packaged monthly meal plan for which Nutrition segment customers pay at the point of sale. 
Products sold through QVC are payable by QVC upon our shipment of the product to the end consumer. For both 
the direct to consumer channel and QVC, we recognize revenue at a point in time, i.e., at the shipping point.  Direct 
to consumer customers may return unopened ready-to-go Nutrisystem products within 30 days after purchase in 
order to receive a refund or credit. Frozen Nutrisystem products are refundable only if the order is canceled within 
14 days after delivery.  South Beach Diet products are not refundable.    

58 

 
 
 
 
  
 
  
  
 
 
 
  
  
 
 
  
 
 
  
 
 
  
      
 
 
 
 
Products sold to retailers include both frozen and non-frozen products and are payable by the retailer upon 
receipt. We recognize revenue at a point in time, i.e., when the retailers take possession of the product. Certain 
retailers have the right to return unsold products. 

We account for the shipment of frozen and non-frozen, ready-to-go products as separate performance 

obligations. The consideration, including variable consideration for product returns, is allocated between frozen and 
non-frozen products based on their standalone selling prices. The amount of revenue recognized is adjusted for 
expected returns, which are estimated based on historical data.  

In addition to our pre-packaged foods, we sell prepaid gift cards through a wholesaler that are redeemable 
through the Internet or telephone. Prepaid gift cards represent grants of rights to goods to be provided in the future 
to gift card buyers. The wholesaler has the right to return all unsold prepaid gift cards. The wholesaler’s retail 
selling price of the gift cards is deferred in the balance sheet and recognized as revenue when we have satisfied 
our performance obligation, i.e., when a gift card holder redeems the gift card with us. We recognize breakage 
amounts (the estimated amount of unused gift cards) as revenue, in proportion to the actual gift card redemptions 
exercised by gift card holders in relation to the total expected redemptions of gift cards. We utilize historical 
experience in estimating the total expected breakage and period over which the gift cards will be redeemed. 

Sales and other taxes assessed by a governmental authority that are both imposed on and concurrent with a 

specific revenue-producing transaction and collected by the Company from a Nutrition segment customer are 
excluded from revenue and presented on a net basis.  After control over a product has transferred to a Nutrition 
segment customer, shipping and handling costs associated with outbound freight are accounted for as a fulfillment 
cost and are included in revenue and cost of revenue in the accompanying consolidated statements of operations. 
Revenue from shipping and handling charges for the year ended December 31, 2019 was $17.5 million. 

The following table sets forth Nutrition segment revenue, from March 8, 2019 forward, disaggregated by the 

source of revenue: 

(In thousands) 

Direct to consumer 
Retail 
QVC 
Other 

$

$

Year Ended December 31, 
2019 

463,496   
26,128   
7,916   
551   
498,091   

The following table provides information about receivables, contract assets and contract liabilities from 

contracts with customers: 

(In thousands) 

Contract assets 
Contract liabilities 

December 31, 
2019 

   $
   $

95   
10,911   

The contract assets primarily relate to unbilled accounts receivable and are included as other current assets in 
the accompanying consolidated balance sheet. The contract liabilities (deferred revenue) primarily relate to sale of 
prepaid gift cards and unshipped foods, which are deferred until such time as the Company has satisfied its 
performance obligations. 

Significant changes in the contract liabilities (deferred revenue) balance during the period are as follows: 

59 

 
 
 
 
 
 
  
  
  
  
  
  
  
 
  
 
  
 
  
  
 
  
  
  
    
  
  
 
 
 
(In thousands) 
Revenue recognized that was included in the contract 
liability (deferred revenue) balance on March 8, 2019 
Increases due to cash received for prepaid gift cards sold 
or unshipped food, excluding amounts recognized as 
revenue 

$

$

For the Year 
Ended 
December 31, 
2019 

(7,156 ) 

4,730   

The following table includes estimated revenue from the prepaid gift cards expected to be recognized in the 

future related to performance obligations that are unsatisfied (or partially satisfied) at the end of the reporting 
period: 

 (In thousands) 
2020 
2021 
2022 
2023 
2024 
2025 

  $ 

  $ 

4,497   
1,834   
664   
296   
192   
178   
7,661   

We apply the practical expedient in subtopic ASC 606-10-50-14 and do not disclose information about 

remaining performance obligations that have original expected durations of one year or less. 

We review the reserves for our Nutrition segment customer returns at each reporting period and adjust them to 

reflect data available at that time. To estimate reserves for returns, we consider actual return rates in preceding 
periods and changes in product offerings or marketing methods that might impact returns going forward. To the 
extent the estimate of returns changes, we will adjust the reserve, which will impact the amount of revenue 
recognized in the period of the adjustment. The provision for estimated returns for the year ended December 31, 
2019 was $13.5 million. The reserve for estimated returns incurred but not received and processed was $0.8 million 
at December 31, 2019 and has been included in accrued liabilities in the accompanying consolidated balance 
sheet.   

5.  Property and Equipment 

Property and equipment at December 31, 2019 and 2018 consisted of the following: 

 (In thousands) 
Leasehold improvements 
Computer equipment and related software 
Furniture and office equipment 
Equipment 
Capital projects in process 

Total property and equipment at cost 

Less: accumulated depreciation 

Total property and equipment, net 

December 31, 
2019 

December 31, 
2018 

  $

  $

  $

12,085    $
53,252     
6,676     
8,618     
14,788     
95,419    $
(42,510)   
52,909    $

10,404   
22,200   
8,053   
—   
6,395   
47,052   
(30,711 ) 
16,341   

60 

  
  
  
  
  
  
  
 
 
    
  
  
    
    
    
    
    
  
 
 
 
 
 
 
 
   
  
   
   
   
   
   
 
 
6. 

Intangible Assets and Goodwill 

   We amortize intangible assets subject to amortization on a straight-line or accelerated basis based on the 
period for which the economic benefits of the asset are expected to be realized. In connection with our acquisition 
of Nutrisystem on March 8, 2019, we recorded the following amounts of intangible assets and goodwill. All of the 
goodwill was recorded to the Nutrition segment, and none of the goodwill is deductible for tax purposes.  

 (In thousands) 

Fair Value 

Estimated Useful 
Life (in years) 

Intangible assets subject to 
amortization: 
Tradename - South Beach Diet 
Customer list 
Retail customer relationship 
Noncompetition agreements 

Subtotal 

Intangible assets not subject to 
amortization: 
Tradename - Nutrisystem 
Total intangible assets 

   $

   $

Goodwill 

9,000   
110,000   
8,000   
6,000   
133,000   

800,000   
933,000   

457,056   

15   
7   
10   
5   

n/a   

n/a   

In the fourth quarter of 2019, we recorded impairment losses of $240.0 million and $137.1 million related to the 

Nutrisystem tradename and goodwill, respectively (see Note 13). 

A reconciliation of our goodwill balance is as follows: 

 (In thousands) 

Beginning balance, gross 
Accumulated impairment 
Beginning balance, net 
Acquisition of Nutrisystem 
Measurement period 
adjustment (1) 
Goodwill impairment (2) 
Ending balance, gross 
Accumulated impairment 
Ending balance, net 

Healthcare 
December 31,

2019 
  $  517,040    $
(182,360)   
  $  334,680    $
—     

2018 
517,040    $
(182,360)   
334,680    $
—     

Nutrition 
December 
31,
2019 

Consolidated 
December 31,

2019 

      2018 

—    $  517,040     $  517,040 
—      (182,360 )      (182,360)
—    $  334,680     $  334,680 
— 

445,671      445,671       

—     
—     
  $  517,040    $
(182,360)   
  $  334,680    $

—     
—     
517,040    $
(182,360)   
334,680    $

11,384     

— 
11,384       
(137,100)    (137,100 )     
— 
457,055    $  974,095     $  517,040 
(137,100)    (319,460 )      (182,360)
319,955    $  654,635     $  334,680  

(1)  See Note 2 for explanation. 
(2)  See Note 13 for explanation. 

61 

 
   
 
 
 
  
  
   
  
 
   
  
  
   
  
 
   
  
  
  
 
 
  
 
 
  
 
 
  
 
 
 
   
  
  
 
   
 
   
  
 
   
 
   
  
 
 
   
  
  
 
   
 
   
  
 
   
 
     
  
   
   
 
  
  
   
   
   
 
    
    
    
    
    
 
   
 
Intangible assets subject to amortization at December 31, 2019 consisted of the following: 

 (In thousands) 
Acquired technology 
  $
Distributor and provider networks    
Tradename 
Customer list 
Retail customer relationship 
Noncompetition agreements 
Total 

  $

Gross 
Carrying 
Amount 

Accumulated
Amortization    

1,483   $
8,709    
9,000    
110,000    
8,000    
6,000    
143,192   $

(1,483)   
(8,709)   
(489)   
(30,245)   
(652)   
(977)   
(42,555)  $ 

Net 

—  
—  
8,511  
79,755  
7,348  
5,023  
100,637   

Intangible assets subject to amortization at December 31, 2018 consisted of the following: 

 (In thousands) 
Acquired technology 
  $
Distributor and provider networks    
  $
Total 

Gross 
Carrying 
Amount 

Accumulated
Amortization    

Net 

1,483   $
8,709    
10,192   $

(1,483)   
(8,709)   
(10,192)  $ 

—  
—  
—   

Total amortization expense for the years ended December 31, 2019, 2018, and 2017 was $32.4 million, $0, and 

$0, respectively. Expected future amortization expense of intangible assets for each of the next five years and 
thereafter is as follows: 

 (In thousands) 
Year ending December 31, 
2020 
2021 
2022 
2023 
2024 
Thereafter 
Total 

$

$

30,351   
22,864   
16,924   
11,559   
6,969   
11,970   
100,637   

At December 31, 2019 and 2018, intangible assets not subject to amortization consist of tradenames of $589.0 

million and $29.0 million, respectively. 

7.  Marketing Expenses 

Marketing expense includes media, advertising production, marketing and promotional expenses and payroll-
related expenses, including share-based payment arrangements, for personnel engaged in these activities.  Media 
expense was $128.7 million, $1.0 million, and $0 in 2019, 2018, and 2017, respectively.  Internet advertising 
expense is recorded based on either the rate of delivery of a guaranteed number of impressions over the 
advertising contract term or on the cost per customer acquired, depending upon the terms.  All other advertising 
costs are charged to expense as incurred or, in the case of production costs, the first time the advertising takes 
place. At December 31, 2019 and 2018, $5.0 million and $0, respectively, of costs have been prepaid for future 
advertisements and promotions. 

Prior to the acquisition of Nutrisystem, Tivity Health historically classified marketing expenses within cost of 
revenue and selling, general, and administrative expenses, while Nutrisystem presented marketing expenses in a 
separate line item.  Because marketing expense is material to the combined company and for purposes of 
comparability, we have reclassified historical Tivity Health marketing expenses to a separate line for the years 
ended December 31, 2019, 2018, and 2017. 

62 

 
 
 
 
   
   
   
   
 
 
 
 
 
  
    
  
  
    
  
  
  
 
  
 
  
 
  
 
  
 
  
 
 
 
  
8.  Share-Based Compensation 

We currently have four types of share-based awards outstanding to our employees and directors: stock options, 

restricted stock units, performance-based stock units, and restricted stock awards.  All market stock units that were 
outstanding at the beginning of 2019 were forfeited and are no longer outstanding as of December 31, 2019.  We 
believe that our share-based awards align the interests of our employees and directors with those of our 
stockholders.  

We grant options under our stock incentive plan at fair value on the date of grant. The options generally vest 
over three or four years based on service conditions and expire ten years from the date of grant. Restricted stock 
units generally vest over three or four years. Performance-based stock units have a multi-year performance period 
and vest approximately three years from the grant date. 

In March 2019, we granted the following Replacement Awards: (i) approximately 258,000 time-vesting 
restricted stock awards at a fair value of $19.42 per share and (ii) approximately 919,000 time-vesting restricted 
stock units at a fair value of $19.42 per share.  Approximately $9.1 million of the fair value of the Replacement 
Awards was attributable to pre-combination service and was included in the purchase price of Nutrisystem (see 
Note 2).  During the year ended December 31, 2019, $9.9 million of post-combination expense related to the 
Replacement Awards was recognized. Additionally, as of December 31, 2019, $1.7 million of post-combination 
expense related to the Replacement Awards is expected to be recognized over the remaining post-combination 
requisite service period (a weighted average period of 1.06 years). 

We recognize share-based compensation expense for options, restricted stock units, performance-based stock 
units, and restricted stock awards on a straight-line basis over the vesting period. We account for forfeitures as they 
occur. We recognize share-based compensation expense for 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 equity award agreement or stock 
incentive plan). At December 31, 2019, we had reserved approximately 2.7 million shares for future equity grants 
under our stock incentive plans.   

Following are certain amounts recognized in the consolidated statements of operations for share-based 
compensation arrangements for the years ended December 31, 2019, 2018, and 2017. We did not capitalize any 
share-based compensation costs during these periods. 

(In millions) 
Share-based compensation included in cost of services 
Share-based compensation included in selling, general and 
   administrative expenses 
Share-based compensation included in restructuring and related 
   charges 
Total share-based compensation 
Total income tax benefit recognized 

Year Ended 
  December 31, December 31,    December 31,
2018 

2017 

2019 

  $

2.4   $

14.9    

1.5    
18.8   $
4.6    

  $

2.3    $

3.8     

—     
6.1    $
1.6     

2.2

4.4

0.1
6.7
2.6  

As of December 31, 2019, there was $9.6 million of total unrecognized compensation cost related to nonvested 
share-based compensation arrangements granted under the stock incentive plans, including $1.7 million related to 
the Replacement Awards. That total cost is expected to be recognized over a weighted average period of 1.4 years. 

Stock Options 

We use a lattice-based binomial option valuation model ("lattice binomial model") to estimate the fair values of 

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

63 

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

assumptions we used to develop the fair value estimates for the year ended December 31, 2018.  There were no 
stock options granted during fiscal 2019 or 2017. 

Year Ended 
December 31,
2018 

Weighted average grant-date fair value
   of options per share 

$

20.21  

Assumptions: 

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

56.2% 
—  
6.7  
2.8% 

A summary of options as of December 31, 2019 and the activity during the year then ended is presented below: 

Options 
Outstanding at January 1, 2019 
Exercised 
Forfeited 
Outstanding at December 31, 2019 
Exercisable at December 31, 2019 

Shares 
(In thousands) 

Weighted
Average
Exercise
Price 
Per Share   
17.83     
12.73     
37.89     
17.85     
15.22     

431  $
(89)  
(23)  
319  $
282  $

Weighted 
Average 
Remaining 
Contractual 
Term 

Aggregate 
Intrinsic Value
(In thousands)

3.7   $
3.1   $

1,795,728
1,795,728  

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, 2019, 2018, and 
2017 was $0.6 million, $3.9 million, and $10.5 million, respectively. 

Cash received from option exercises under all share-based payment arrangements during 2019 was $1.0 
million. The actual tax benefit realized during 2019 for the tax deductions from option exercise totaled $0.1 million.   
We issue new shares of common stock upon exercise of stock options or vesting of restricted stock units, restricted 
stock awards, performance-based stock units, and market stock units. 

Nonvested Shares 

The fair value of 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 units granted during the 
years ended December 31, 2019, 2018, and 2017 was $19.68, $38.12, and $32.06, 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. No market stock units were granted during 2019, 2018 or 2017.   

The four tables below set forth a summary of our nonvested shares as of December 31, 2019 as well as activity 

during the year then ended. The total grant-date fair value of shares vested during the years ended December 31, 
2019, 2018, and 2017 was $23.5 million, $7.6 million, and $5.7 million, respectively. 

64 

 
  
  
  
 
  
 
  
 
 
 
 
 
  
 
    
 
    
 
    
 
 
 
The following table shows a summary of our restricted stock awards as of December 31, 2019, as well as activity 

during the year then ended: 

Restricted Stock Awards 

Shares 
(In thousands)    

Weighted- 
Average 
Grant Date 
Fair Value 

Nonvested at January 1, 2019 
Replacement Awards 
Vested 
Forfeited 
Nonvested at December 31, 
2019 

—     $

258    
(130)  
(1)  

127     $

—  
19.42  
19.42  
19.42  

19.42   

The following table shows a summary of our restricted stock units as of December 31, 2019 as well as activity 

during the year then ended: 

  Restricted Stock Units 

Nonvested at January 1, 2019 
Granted 
Replacement Awards 
Vested 
Forfeited 
Nonvested at December 31, 2019 

Shares 
(In thousands)     

Weighted-
Average 
Grant Date
Fair Value
24.07
19.68
19.42
19.78
21.17
21.16  

271     $ 
419       
919       
(1,038 )     
(178 )     
393     $ 

The following table shows a summary of our performance-based stock units as of December 31, 2019, as 

well as activity during the year then ended: 

Nonvested at January 1, 2019 
Granted 
Shares adjustment for performance (1)
Vested 
Forfeited 
Nonvested at December 31, 2019 

Shares 
(In thousands)   

Performance Stock Units 
Weighted- 
Average 
Grant Date 
Fair Value   
—  
20.20  
20.34  
19.42  
20.06  
20.29   

—    $ 
814      
(121)    
(25)    
(261)    
407    $ 

(1) Represents the number of shares at target for certain performance-based stock units that are no longer eligible to 
be earned based on fiscal 2019 performance. These awards are included in the number of shares granted above. 

65 

 
  
  
 
  
  
 
  
 
  
 
 
  
 
 
  
 
 
  
 
 
 
  
  
 
  
  
  
  
  
  
 
 
 
  
 
  
 
 
 
 
 
 
 
 
The following table shows a summary of our market stock units as of December 31, 2019 as well as activity 

during the year then ended: 

Market Stock Units 

Nonvested at January 1, 2019 
Granted 
Vested 
Forfeited 
Nonvested at December 31, 2019 

9. 

Income Taxes 

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

Shares 
(In thousands)    

Weighted-
Average 
Grant Date
Fair Value
18.25
—
—
18.25
—  

45     $ 
—       
—       
(45 )     
—     $ 

(In thousands) 
Current taxes: 

Federal 
State 

Deferred taxes: 

Federal 
State 

Total 

Year Ended December 31, 
2018 

2017 

2019 

  $

  $

9,832    $
2,656     

(46,972)   
(5,104)   
(39,588)  $

29      $ 
1,857        

20,136        
5,024        
27,046      $ 

771 
373 

37,565 
4,844 
43,553  

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, 2019 and 2018: 

 (In thousands) 
Deferred tax asset: 

Accruals and reserves 
Deferred compensation 
Share-based payments 
Lease liability 
Section 163(j) interest limitation 
Interest rate swap 
Net operating loss carryforwards 
Capital loss carryforwards 
Tax credits 

Valuation allowance 

Deferred tax liability: 

Property and equipment 
Intangible assets 
Right-of-use assets 
Prepaid expenses 

Net long-term deferred tax liability 

66 

December 31, 
2019 

December 31,
2018

  $

  $

  $

  $

1,913     $ 
787       
5,035       
9,262       
5,647       
4,147       
9,301       
7,844       
—       
43,936       
(14,435 )     
29,501     $ 

(8,161 )   $ 
(170,894 )     
(10,779 )     
(513 )     
(190,347 )     
(160,846 )   $ 

769 
496 
2,111 
— 
— 
— 
9,430 
7,620 
6,437 
26,863 
(10,457)
16,406 

(2,600)
(14,125)
— 
— 
(16,725)
(319)

 
  
  
  
  
  
  
  
 
 
  
 
 
 
   
     
 
   
     
        
 
   
   
     
        
 
   
   
 
 
 
    
 
   
       
 
   
   
   
   
   
   
   
   
  
   
   
  
   
       
 
   
   
   
  
   
 
 In 2019, upon closing of the Nutrisystem Merger, we evaluated the realizability of beginning-of-the-year 

deferred tax assets and increased the valuation allowance on deferred tax assets related to state net operating loss 
carryforwards by $1.8 million. We also recorded a $0.9 million reduction in deferred tax assets related to state 
income tax credits.  These two adjustments increased our income tax expense for 2019 by approximately 
$2.7 million.    

At December 31, 2019, we provided valuation allowances for $2.4 million of deferred tax assets associated with 

our international net operating loss carryforwards, $4.2 million of deferred tax assets associated with our state net 
operating loss carryforwards, and $7.8 million for deferred tax assets related to capital loss carryforwards. We 
recorded a total increase in our valuation allowance of $4.0 million for the year ended December 31, 2019.  Of the 
total increase in valuation allowance for 2019, $0.8 million related to valuation allowances on deferred tax assets 
acquired from Nutrisystem.  The remaining increase in valuation allowance of $3.2 million, which is reflected in 
income tax expense, is primarily related to state net operating loss carryforwards we do not expect to utilize prior to 
expiration. Our valuation allowance at December 31, 2019 totaled $14.4 million. 

At December 31, 2019, we had international net operating loss carryforwards totaling approximately $8.1 
million, $8.0 million of which have an indefinite carryforward period, approximately $119.0 million of state net 
operating loss carryforwards expiring between 2021 and 2038, and approximately $30.7 million of capital loss 
carryforwards expiring between 2021 and 2023.     

We recorded a tax effect of $4.1 million in 2019 related to our interest rate swap agreements to stockholder’s 

equity as a component of accumulated other comprehensive income (loss).              

We accounted for the effects of the Tax Cuts and Jobs Act of 2017 (the “Tax Act”) as of December 31, 2017.  
We recorded $5.0 million of tax expense to revalue our deferred tax assets and liabilities at the new 21% federal 
rate.  In 2017, our undistributed foreign earnings were subject to the mandatory deemed repatriation (“toll charge”) 
provision included in the Tax Act, and we repatriated these earnings during 2017.  Due to the mandatory deemed 
repatriation, we recorded $2.5 million of tax expense in continuing operations as of the date of enactment.  We had 
no undistributed earnings at December 31, 2019 or 2018 as our foreign operations are no longer active.   

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

effective rate is as follows: 

Year Ended December 31, 
2018 

2017 

(In thousands) 
Statutory federal income tax (benefit) 
State income taxes, less federal income tax benefit 
Permanent items 
Goodwill impairment 
Change in valuation allowance 
Share-based compensation 
Tax Act adjustments 
Change in uncertain tax position liability 
Prior year tax adjustments 
Net impact of foreign operations 
State income tax credits 
Income tax expense (benefit) 

  $

  $

Uncertain Tax Positions 

2019 
(68,546)  $
(5,103)   
1,653     
28,771     
2,968     
304     
—     
55     
(494)   
(9)   
813     
(39,588)  $

26,239     $ 
6,261       
1,496       
—       
(1,005 )     
(6,378 )     
—       
(644 )     
(590 )     
990       
677       
27,046     $ 

36,674 
5,119 
1,750 
— 
— 
(6,441)
7,442 
— 
(544)
— 
(447)
43,553  

During 2019, we recorded a $1.1 million increase to unrecognized tax benefits primarily related to the 
unrecognized tax benefits acquired from Nutrisystem.  As of December 31, 2019, 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.      

67 

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

 (In thousands) 
Unrecognized tax benefits at December 31, 2017 
Decreases based upon settlements with tax authorities 
Unrecognized tax benefits at December 31, 2018 
Increases related to Nutrisystem Merger 
Increases related to current year tax positions 
Increases related to prior year tax positions 
Decreases due to lapse of statute of limitations 
Unrecognized tax benefits at December 31, 2019 

  $ 

  $ 

  $ 

644 
(644)
— 
1,006 
8 
66 
(19)
1,061  

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

years remaining subject to examination in the U.S. Federal jurisdiction include 2016 to present. 

10.  Leases 

  On January 1, 2019, we adopted ASC 842 using the modified retrospective approach. Therefore, the 
comparative information for periods ended prior to January 1, 2019 was not restated. Leases with an initial term of 
12 months or less are considered short-term and are not recorded on the balance sheet. We recognize lease 
expense for these short-term leases on a straight-line basis over the lease term. With the exception of two finance 
leases related to a network server and office equipment, all of our leases are classified as operating leases.  We 
maintain lease agreements principally for our office spaces and certain equipment. In addition, certain of our 
contracts, such as those with our fulfillment vendor related to our warehouse space or contracts with certain 
equipment vendors, contain embedded leases.  We maintain three sublease agreements with respect to two of our 
office locations, each of which continues through the initial term of our master lease agreement.  Such sublease 
income and payments, while they reduce our rent expense, are not considered in the value of the right-of-use asset 
or lease liability.  In the aggregate, our leases generally have remaining lease terms of one to six years, some of 
which include options to extend the lease for additional periods.  Such extension options were not considered in the 
value of the right-of-use asset or lease liability because it is not probable that we will exercise the options to extend.  
If applicable, allocations among lease and non-lease components would be achieved using relative standalone 
selling prices. 

Upon adoption of ASC 842, we determined our estimated discount rate for existing leases as of January 1, 
2019 based on the incremental borrowing rate that most closely aligned with the remaining lease term and payment 
schedule, as provided by our financial institution. The discount rates for leases entered into after January 1, 2019 
were determined based on similarly secured borrowings available to us as of lease inception. The discount rate for 
leases in the Nutrition segment was estimated as of the Closing date of the Merger.   

The following table shows the right-of-use assets and lease liabilities recorded on the balance sheet: 

(In thousands) 
Right-of-use assets: 

Operating 
Finance 

Total leased assets 

Lease liabilities: 
Current 
  Operating 
  Finance 
Non-current 
  Operating 
  Finance 
Total lease liabilities 

68 

December 31, 
2019 

  $

  $

  $

  $

  $

41,518   
1,680   
43,198   

13,131   
624   

30,321   
1,080   
45,156   

 
    
  
 
    
    
    
    
    
 
 
 
  
 
  
   
  
  
   
   
   
  
   
   
   
   
   
   
   
      
  
   
The following table shows the components of lease expense: 

(In thousands) 
Finance lease cost: 

Amortization of leased assets 
Interest of lease liabilities 

Operating lease cost 
Short-term lease cost 

Total lease cost before subleases 

Sublease income 

Total lease cost, net 

Year Ended 
December 
31, 
2019 

  $

  $

  $

298   
51   
14,217   
428   
14,994   
(5,479 ) 
9,515   

The following provides information related to the lease term and discount rate as of December 31, 2019: 

Weighted Average Remaining Lease Term (years) 
Operating leases 
Finance leases 

Weighted Average Discount Rate 
Operating leases 
Finance leases 

3.3   
2.6   

5.5 % 
5.8 % 

As of December 31, 2019, maturities of lease liabilities for each of the next five years and thereafter were as 

follows: 

Operating Leases 

  Financing   

(In thousands) 

2020 
2021 
2022 
2023 
2024 
2025 and thereafter 
Total lease payments 
Less: interest 
Present value of lease liabilities 

Lease 
Payments  
$

Sublease 
Receipts   Net 

15,169  $
14,731   
12,738   
3,372   
1,435   
29   

(5,767)$ 9,402   $ 
(5,699)  9,032     
(5,732)  7,006     
(957)  2,415     
—    1,435     
29     
—   
47,474  $ (18,155)$29,319     
(4,022)    
43,452      

  $ 

   Leases    
708   
708   
421   
—   
—   
—   
1,837   
(133 ) 
1,704   

$

69 

 
  
 
  
 
  
   
   
   
   
   
   
 
 
   
 
 
  
 
   
 
   
 
 
 
  
 
 
 
 
 
 
 
      
    
      
Supplemental cash flow information related to leases was as follows: 

(In thousands) 
Cash paid for amounts included in the measurement of lease 
liabilities 

Year Ended 
December 
31, 
2019 

Operating cash flow attributable to operating leases 
Operating cash flow attributable to finance leases 
Financing cash flow attributable to finance leases 

  $

(9,978 ) 
(51 ) 
(274 ) 

Supplemental noncash information: 

Right-of-use assets obtained in exchange for operating lease 
liabilities (1) 
Right-of-use assets obtained in exchange for finance lease 
liabilities (2) 

53,683   

1,978   

(1)  No new operating leases were entered into during the year ended December 31, 2019.  Amount shown is 

due to the adoption of ASC 842 and one lease modification that resulted in a noncash remeasurement of the 
related right-of-use asset and operating lease liability. Amount shown reflects balance as of January 1, 2019 
for the Healthcare segment (adjusted for lease modification) and as of March 8, 2019 for the Nutrition 
segment (i.e., the date of our acquisition of Nutrisystem). 

(2)  Amount shown is due to the adoption of ASC 842 and one new finance lease for $1.8 million entered into 

during the year ended December 31, 2019. In addition to such lease, amount shown reflects balance as of 
January 1, 2019 for the Healthcare segment. The Nutrition segment does not maintain any finance leases. 

As of December 31, 2018, future minimum lease payments, net of total cash receipts from subleases of 
$23.7 million, under all non-cancelable operating leases for each of the next five years and thereafter were as 
follows.  As of December 31, 2018, future minimum lease payments under capital leases were not material. 

(In thousands) 
Year ending December 31, 
2019 
2020 
2021 
2022 
2023 
2024 and thereafter 
Total minimum lease payments 

  Operating    
Leases 

  $

  $

4,022   
2,040   
910   
827   
136   
—   
7,935   

70 

 
  
 
  
 
  
   
   
   
   
  
   
   
   
   
   
   
 
 
 
 
  
   
   
   
   
   
 
11.  Debt 

The Company's debt, net of unamortized deferred loan costs and original issue discount, consisted of the 

following at December 31, 2019 and 2018: 

 (In thousands) 
Term Loan A 
Term Loan B 
Delayed draw term loan 
Revolving credit facility 
Capital lease obligations and other (1) 

Less: deferred loan costs and original issue discount ("OID") 
Total debt 
Less: current portion 
Long-term debt 

December 31, 
2019 

December 31,
2018 

  $

  $

 $ 

288,750   
786,250   
—   
19,850   
—   
1,094,850   

(46,723 )     

1,048,127   
—   
1,048,127   

 $ 

— 
— 
25,000 
5,450 
196 
30,646 
— 
30,646 
(57)
30,589  

(1)  Prior to the adoption of ASC 842 on January 1, 2019, our capital leases were recorded as part of debt.  

Beginning on January 1, 2019, they are classified as financing leases under ASC 842 and are recorded as 
part of lease liabilities.   

Credit Facility 

In connection with the consummation of the Merger, on March 8, 2019, we entered into a new Credit and 
Guaranty Agreement (the “Credit Agreement”) with a group of lenders, Credit Suisse AG, Cayman Islands Branch, 
(“Credit Suisse”), as general administrative agent, term facility agent and collateral agent, and SunTrust Bank, 
(“SunTrust”), as revolving facility agent and swing line lender. The Credit Agreement replaced our prior Revolving 
Credit and Term Loan Agreement, dated April 21, 2017 (the “Prior Credit Agreement”), with a group of lenders and 
SunTrust, as administrative agent. The Credit Agreement provides us with (i) a $350.0 million term loan A facility 
(“Term Loan A”), (ii) an $830.0 million term loan B facility (“Term Loan B” and, together with Term Loan A, the 
“Term Loans”), (iii) a $125.0 million revolving credit facility that includes a $35.0 million sublimit for swingline loans 
and a $50.0 million sublimit for letters of credit (the “Revolving Credit Facility”; Term Loan A, Term Loan B and the 
Revolving Credit Facility are sometimes herein referred to collectively as the “Credit Facilities”), and 
(iv) uncommitted incremental accordion facilities in an aggregate amount at any date equal to the greater of 
$125.0 million or 50% of our consolidated EBITDA for the then-preceding four fiscal quarters, plus additional 
amounts based on, among other things, satisfaction of certain financial ratio requirements. 

We used the proceeds of the Term Loans, borrowings under the Revolving Credit Facility and cash on hand 

to pay the Merger Consideration, to repay all of the outstanding indebtedness under the Prior Credit Agreement 
and all outstanding indebtedness of Nutrisystem under its credit agreement, and to pay transaction costs and 
expenses. Proceeds of the Revolving Credit Facility also may be used for general corporate purposes of the 
Company and its subsidiaries. 

We are required to repay Term Loan A loans in consecutive quarterly installments, each in the amount of 

2.50% of the aggregate initial amount of such loans, payable on June 30, 2019 and on the last day of each 
succeeding quarter thereafter until maturity on March 8, 2024, at which time the entire outstanding principal 
balance of such loans is due and payable in full. We are required to repay Term Loan B loans in consecutive 
quarterly installments, each in the amount of 0.75% of the aggregate initial amount of such loans, payable on 
June 30, 2019 and on the last day of each succeeding quarter thereafter until maturity on March 8, 2026, at which 
time the entire outstanding principal balance of such loans is due and payable in full.  We are permitted to make 
voluntary prepayments of borrowings under the Term Loans at any time without penalty.  From March 8, 2019 
through December 31, 2019, we made payments of $105.0 million on the Term Loans, which included prepayments 
of all amounts due through December 31, 2020.  We are required to repay in full any outstanding swingline loans 
and revolving loans under the Revolving Credit Facility on March 8, 2024.  In addition, the Credit Agreement 
contains provisions that, beginning with fiscal 2019, may require annual excess cash flow (as defined in the Credit 
Agreement and generally designed to equal cash generated by our business in excess of cash used in the 

71 

 
 
     
 
   
   
   
   
   
   
   
   
  
   
   
   
   
   
   
   
 
 
 
business) to be applied towards the Term Loans.  We are required to make prepayments on the Term Loans equal 
to our excess cash flow for a given fiscal year multiplied by the following excess cash flow percentages based on 
our net leverage ratio (as defined in the Credit Agreement) on the last day of such fiscal year: (a) 75% if the net 
leverage ratio is greater than 3.75:1, (b) 50% if the net leverage ratio is equal to or less than 3.75:1 but greater than 
3.25:1 (c) 25% if the net leverage ratio is equal to or less than 3.25:1 but greater than 2.75:1, and (d) 0% if the net 
leverage ratio is equal to or less than 2.75:1.  Any such potential mandatory prepayments are reduced by voluntary 
prepayments. 

Borrowings under the Credit Agreement 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 LIBOR (or, with the approval of all lenders holding 
the particular class of loans, 12-month LIBOR), which may not be less than zero, or (2) the greatest of (a) the prime 
lending rate of the agent bank for the particular facility, (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 for Term Loan A loans is 
4.25%, the LIBOR margin for Term Loan B loans is 5.25% and the LIBOR margin for revolving loans varies 
between 3.75% and 4.25%, depending on our total net leverage ratio. The Base Rate margin for Term Loan A 
loans is 3.25%, the Base Rate margin for Term Loan B loans is 4.25% and the Base Rate margin for revolving 
loans varies between 2.75% and 3.25%, depending on our total net leverage ratio. In May 2019, we entered into 
eight amortizing interest rate swap agreements, each of which matures in May 2024.  Under these agreements, we 
receive a variable rate of interest based on LIBOR, and we pay a fixed rate of interest equal to approximately 
2.2% plus a spread, as described in the preceding sentences.  As of December 31, 2019, these interest rate swap 
agreements had current notional amounts totaling $800.0 million. For the year ended December 31, 2019, our 
effective interest rates for Term Loan A and Term Loan B were 5.45% and 6.26%, respectively. 

The Credit Agreement also provides for annual commitment fees ranging between 0.250% and 0.500% of the 

unused commitments under the Revolving Credit Facility, depending on our total net leverage ratio, and annual 
letter of credit fees on the daily outstanding availability under outstanding letters of credit at the applicable LIBOR 
margin for the Revolving Credit Facility, depending on our total net leverage ratio. During the year ended December 
31, 2019, we incurred total such commitment fees of $0.5 million.  

Extensions of credit under the Credit Agreement are secured by guarantees from substantially all of the 
Company’s active material domestic subsidiaries and by security interests in substantially all of the Company’s and 
such subsidiaries’ assets.   

The Credit Agreement contains a financial covenant that requires us to maintain maximum ratios or levels of 
consolidated total net debt to consolidated adjusted EBITDA, calculated as provided in the Credit Agreement. Our 
failure to comply with such covenant could result in an event of default that, if not cured or waived, could have a 
material adverse effect on our financial condition, results of operations or debt service capability. The Credit 
Agreement also contains various other affirmative and negative covenants customary for financings of this type 
that, subject to certain exceptions, impose restrictions and limitations on us and certain of our subsidiaries with 
respect to, among other things, indebtedness; liens; negative pledges; restricted payments (including dividends, 
distributions, buybacks, redemptions, repurchases with respect to equity interests, and payments, redemptions, 
retirements, purchases, acquisitions, defeasance, exchange, conversion, cancellation or termination with respect to 
junior lien, subordinated or unsecured debt); restrictions on subsidiary distributions; loans, advances, guarantees, 
acquisitions and other investments; mergers and other fundamental changes; sales and other dispositions of assets 
(including equity interests in subsidiaries); sale/leaseback transactions; transactions with affiliates; conduct of 
business; amendments and waivers of organizational documents and material junior debt agreements; and 
changes to fiscal year. 

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

advances under the Credit Agreement for each of the next five years and thereafter: 

72 

 
 (In thousands) 
Year ending December 31, 
2020 
2021 
2022 
2023 
2024 
2025 and thereafter 
Total 

Warrants 

  $

  $

—   
59,725   
59,900   
59,900   
228,500   
686,825   
1,094,850   

In July 2013, we sold separate privately negotiated warrants (the “Warrants”) initially relating, in the aggregate, 
to approximately 7.7 million shares of our common stock. The Warrants are call options with an initial strike price of 
approximately $25.95 per share.  Beginning on October 1, 2018, the Warrants were subject to automatic exercise 
on a pro rata basis each trading day continuing for a period of 160 trading days (i.e., approximately 48,000 warrants 
were subject to automatic exercise on each trading day), which ended in May 2019.  Therefore, as of December 31, 
2019, there are no remaining Warrants outstanding.  The Warrants were net share settled by our issuing a number 
of shares of our common stock per Warrant with a value 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. If such market price per share was less than the applicable strike price of 
the Warrants on any given exercise date, then the warrants subject to automatic exercise on such exercise date 
were not exercised but instead expired.  The Warrants met the definition of derivatives under the guidance in ASC 
Topic 815 “Derivatives and Hedging” (“ASC Topic 815”); however, because these instruments were determined to 
be indexed to our own stock and met the criteria for equity classification under ASC Topic 815, the Warrants were 
accounted for as an adjustment to our additional paid-in-capital.  During the year ended December 31, 2019, we did 
not issue any shares of common stock related to the automatic exercise of the Warrants due to the market price per 
share of our common stock being less than the applicable strike price of the Warrants on each exercise date during 
such time period. 

When the market value per share of our common stock exceeded the strike price of the Warrants, the Warrants 

had a dilutive effect on net income per share, and the "treasury stock" method was used in calculating the dilutive 
effect on earnings per share.  See Note 16 for additional information on such dilutive effect. 

12.  Commitments and Contingencies 

Weiner Lawsuit, Consolidated Derivative Lawsuit and Witmer Lawsuit 

On November 6, 2017, United Healthcare issued a press release announcing expansion of its fitness benefits 
(“United Press Release”), and the market price of the Company's shares of common stock dropped on that same 
day. In connection with the United Press Release, four lawsuits were filed against the Company. As further 
described below, three of the four lawsuits have been dismissed.  We are currently not able to predict the probable 
outcome of the remaining matter or to reasonably estimate a range of potential loss, if any.  We intend to vigorously 
defend ourselves against the remaining complaint. 

On November 20, 2017, Eric Weiner, claiming to be a stockholder of the Company, filed a complaint on behalf 
of stockholders who purchased the Company’s common stock between February 24, 2017 and November 3, 2017 
(“Weiner Lawsuit”).  The Weiner Lawsuit was filed as a class action in the U.S. District Court for the Middle District 
of Tennessee, naming as defendants the Company, the Company's chief executive officer, chief financial officer 
and a former executive who served as both chief accounting officer and interim chief financial officer.  The 
complaint alleges that the defendants violated Sections 10(b) and 20(a) of the Exchange Act and Rule 10b-5 
promulgated under the Exchange Act in making false and misleading statements and omissions related to the 
United Press Release.  The complaint seeks monetary damages on behalf of the purported class.  On April 3, 
2018, the Court entered an order appointing the Oklahoma Firefighters Pension and Retirement System as lead 
plaintiff, designated counsel for the lead plaintiff, and established certain deadlines for the case.  On June 4, 2018, 
plaintiff filed a first amended complaint.   The Court denied the Company’s Motion to Dismiss on March 18, 2019 
and the Company’s Motion to Reconsider on May 22, 2019. On January 29, 2020, the Court granted lead plaintiff’s 
motion to certify the class. The case is currently set for trial on May 18, 2021. 

73 

      
  
      
  
   
   
   
   
   
 
 
 
 
 
On January 26, 2018 and August 24, 2018, individuals claiming to be stockholders of the Company filed 
shareholder derivative actions, on behalf of the Company, in the U.S. District Court for the Middle District of 
Tennessee, naming the Company as a nominal defendant and certain current and former executives and directors 
as defendants.  On October 15, 2018, the two complaints were consolidated (the “Consolidated Derivative 
Lawsuit”).  On May 15, 2019, a consolidated amended complaint was filed. The consolidated amended complaint 
asserts claims for violation of Section 10(b), 14(a), and 29(b) of the Exchange Act, breach of fiduciary duty, waste 
of corporate assets, and unjust enrichment. Plaintiffs seek to recover damages on behalf of the Company, certain 
corporate governance and internal procedural reforms, and other equitable relief. On June 14, 2019, the 
defendants filed a Motion to Dismiss all claims and the plaintiffs filed their opposition to the Motion to Dismiss on 
July 17, 2019. On October 22, 2019, the Consolidated Derivative Lawsuit was dismissed with prejudice. On 
November 20, 2019, plaintiffs filed a notice of appeal with the United States Circuit Court for the Sixth Circuit.  The 
appeal is still pending. 

On March 25, 2019, Colleen Witmer, claiming to be a stockholder of the Company, filed a purported 

shareholder derivative action, on behalf of the Company, in the Chancery Court for Davidson County, Tennessee, 
naming the Company as a nominal defendant and the Company's chief executive officer, chief financial officer, a 
former executive who served as both chief accounting officer and interim chief financial officer, chief legal and 
administrative officer, certain current directors, and two former directors of the Company, as defendants. The 
complaint asserted claims for breach of fiduciary duty and unjust enrichment, largely tracking allegations in the 
Consolidated Derivative Lawsuit.  The complaint further alleged that certain defendants engaged in insider 
trading.  The plaintiff sought monetary damages on behalf of the Company, restitution, certain corporate 
governance and internal procedural reforms, and other equitable relief. With the agreement of the parties, the 
Tennessee Supreme Court transferred the case to the Business Court Pilot Project. On June 4, 2019, the 
Company, as nominal defendant, filed a motion to dismiss or stay the case pending resolution of the Consolidated 
Derivative Lawsuit.  On October 24, 2019, the plaintiff dismissed the case without prejudice.  In December of 2019, 
the Company received a letter from plaintiff demanding under Del. Ct. Ch. R. 23.1 that the Board undertake an 
independent internal investigation of current and former management regarding alleged breaches of fiduciary duty 
in connection with the claims asserted in the previously dismissed Witmer case and further commence a civil action 
on behalf of the Company to recover damages against such persons. 

Pacific Packaging Lawsuit 

On May 31, 2019, Pacific Packaging Concepts, Inc. (“Pacific Packaging”) filed a complaint in the U.S. District 

Court for the Central District of California, Western Division, naming as defendants two subsidiaries of the 
Company; Nutrisystem, Inc. and Nutri/System IPHC, Inc. (“Pacific Packaging Lawsuit”). In its complaint, Pacific 
Packaging alleged that the defendants’ use of Pacific Packaging’s federally registered trademark, Fresh Start, in 
advertisements for its weight management program and shakes constitutes federal trademark infringement, 
counterfeit trademark infringement, false designation of origin, federal trademark dilution, unfair competition, false 
advertising, common law unfair competition, and common law trademark infringement. The complaint seeks 
injunctive relief and monetary damages in an unspecified amount.  On August 29, 2019, the defendants filed their 
Answer to Complaint.  Given the uncertainty of litigation and the preliminary stage of the case, we are currently not 
able to predict the probable outcome of the matter or to reasonably estimate a range of potential loss, if any.  We 
intend to vigorously defend ourselves against this complaint.   

Strougo Lawsuit 

On February 19, 2020, the Company issued a press release announcing its financial results for the fourth 
quarter and year ended December 31, 2019, which disclosed, among other things, that the Company incurred a 
non-cash impairment charge of $377.1 million.  The market price of the Company’s shares of common stock 
dropped on the following day. On February 25, 2020, Robert Strougo, claiming to be a stockholder of the Company, 
filed a complaint on behalf of stockholders who purchased the Company's common stock between March 8, 2019 
and February 19, 2020 (the "Strougo Lawsuit").  The Strougo Lawsuit was filed as a class action in the U.S. District 
Court for the Middle District of Tennessee, naming the Company, the Company's chief financial officer and former 
chief executive officer as defendants.  The complaint alleges that the defendants violated Sections 10(b) and 20(a) 
of the Exchange Act and Rule 10b-5 promulgated under the Exchange Act in making false and misleading 
statements and omissions related to the acquisition of Nutrisystem.  The complaint seeks monetary damages on 
behalf of the purported class.  Given the uncertainty of litigation and the preliminary stage of the case, we are 

74 

 
 
 
currently not able to predict the probable outcome of the matter or to reasonably estimate a range of potential loss, 
if any.  We intend to vigorously defend ourselves against this complaint. 

Other 

Additionally, from time to time, we are subject to contractual disputes, claims and legal proceedings that arise in 
the ordinary course of our business.  Some of the legal proceedings pending against us as of the date of this report 
are expected to be covered by insurance policies.  As these matters are subject to inherent uncertainties, our view 
of these matters may change in the future.  We expense legal costs as incurred. 

13.  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 

We measure certain assets at fair value on a nonrecurring basis in the fourth quarter of each 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. 

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.  During the fourth quarter of 2019, we 
reviewed goodwill for impairment at the reporting unit level (operating segment or one level below an operating 
segment). We have two reporting units: Healthcare and Nutrition.   

We estimated the fair value of each reporting unit using a combination of a discounted cash flow model and a 

market-based approach, and we reconciled 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 of each reporting unit (which is dependent on internal forecasts of projected income), estimation 
of the long-term growth rates of future revenues for our reporting units, the terminal growth rate of revenue, the tax 
rate, and determination of our weighted average cost of capital, as well as relevant comparable company revenue 
and earnings multiples and market participant acquisition premium for the market-based approaches. Changes in 
these estimates and assumptions could materially affect the estimate of fair value and goodwill impairment for each 
reporting unit. 

75 

 
During the fourth quarter of 2019, the Nutrition reporting unit fell short of its expected operating results, 

primarily due to lower revenue and margins in the direct to consumer business attributed to fewer customer starts 
and heavier promotional pricing than expected.  As compared to our internal multi-year operating forecast, these 
trends continued into January and February 2020, the start of diet season. In the weight loss industry, revenue is 
typically greatest in the first calendar quarter, and a shortfall in expected results in the first quarter can often result 
in lower performance for the remainder of the year.  In addition, we determined in January 2020 that our forecasted 
revenues from QVC were expected to decline in 2020 primarily due to a reduction in orders for, and the promotion 
of, our products.  As a result of all of the above factors, we reduced our multi-year operating forecast for the 
Nutrition reporting unit and established lower expectations of future operating results.  We performed a quantitative 
impairment analysis as described above and determined the carrying value of goodwill for the Nutrition reporting 
unit was impaired.  As a result, we recorded a $137.1 million goodwill impairment loss related to goodwill assigned 
to the Nutrition reporting unit.  None of the impaired goodwill is deductible for tax purposes, and there is no cash tax 
benefit related to the impairment.  For the Healthcare reporting unit, because the fair value of the reporting unit 
exceeded its carrying amount, we determined that the carrying value of goodwill was not impaired. 

Also during the fourth quarter of 2019, we estimated the fair value of indefinite-lived intangible assets, which 
consisted of two tradenames (the Nutrisystem tradename and the SilverSneakers tradename), using the relief-from-
royalty method, which required significant assumptions such as the long-term growth rate of future revenues, the 
royalty rate for such revenue, and a discount rate. Changes in these estimates and assumptions could materially 
affect the estimate of fair value for the tradenames.  

Based on the revised long-range revenue forecast for the Nutrition reporting unit, we determined the carrying 

value of the Nutrisystem tradename in our Nutrition segment was impaired. As a result, we recorded a $240.0 
million impairment loss related to the Nutrisystem tradename. None of this impairment loss is deductible for tax 
purposes, and there is no cash tax benefit related to the impairment.  However, based on our impairment 
assessment of the SilverSneakers tradename, we determined that the carrying value of the tradename was not 
impaired as of the measurement date.  

Assets and Liabilities Measured at Fair Value on a Recurring Basis 

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

31, 2019.  There were no assets and liabilities measured at fair value on a recurring basis at December 31, 2018. 

 (In thousands) 
December 31, 2019 

Liabilities: 

Level 2 

Interest rate swap agreements 

  $

16,238     

The fair values of interest rate swap agreements are primarily determined based on the present value of future 

cash flows using third-party pricing services with observable inputs, including interest rates, yield curves and 
applicable credit spreads. 

Fair Value of Other Financial Instruments 

The estimated fair value of each class of financial instruments at December 31, 2019 was as follows: 

Cash and cash equivalents – The carrying amount of $2.5 million approximates fair value because of the short 

maturity of those instruments (less than three months). 

Debt – The estimated fair value of outstanding borrowings under the Credit Agreement, which includes a 
revolving credit facility and a term loan facility (see Note 9), are determined based on the fair value hierarchy as 
discussed above.  

The Term Loans are actively traded and therefore are classified as Level 1 valuations. The estimated fair 

value is based on the last quoted price of the Term Loans through December 31, 2019.  The Revolving Credit 
Facility is not actively traded and therefore is classified as a Level 2 valuation based on the market for similar instruments.  
The estimated net fair value and net carrying amount of outstanding borrowings under the Term Loans at 
December 31, 2019 were $1,030 million and $1,028 million, respectively.  The estimated fair value and carrying 

76 

 
    
 
    
  
   
     
   
     
 
amount of outstanding borrowings under the Revolving Credit Facility at December 31, 2019 were $19.4 million and 
$19.9 million, respectively.  

14.  Derivative Instruments and Hedging Activities 

We use derivative instruments to manage differences in the amount, timing, and duration of our known or 
expected cash payments related to our outstanding debt (i.e., interest rate risk).  These derivatives are designated 
and qualify as a hedge of the exposure to variability in expected future cash flows and are therefore considered cash 
flow hedges.  We account for derivatives in accordance with FASB ASC Topic 815, which establishes accounting 
and reporting standards requiring that derivative instruments be recorded on the balance sheet at fair value as either 
an asset or liability.  The accounting for changes in the fair value of derivatives depends on the intended use of the 
derivative, whether we have elected to designate a derivative in a hedging relationship and apply hedge accounting, 
and whether the hedging relationship has satisfied the criteria necessary to apply hedge accounting.  We classify 
cash flows from settlement of our cash flow hedges in the same category as the cash flows from the related hedged 
items, generally within the operating activities in the consolidated statements of cash flows.  We do not use 
derivatives for trading or speculative purposes and currently do not have any derivatives that are not designated as 
hedges. 

Cash Flow Hedges of Interest Rate Risk  

Our objectives in using interest rate derivatives are to add stability to interest expense and to manage our 

exposure to interest rate movements. To accomplish these objectives, we primarily use interest rate swaps as part of 
our interest rate risk management strategy.  The counterparties to the interest rate swap agreements expose us to 
credit risk in the event of nonperformance by such counterparties. However, at December 31, 2019, we do not 
anticipate nonperformance by these counterparties.  Our interest rate swap agreements with each of the 
counterparties contain a provision whereby if we either default or are capable of being declared in default on any of 
our indebtedness, whether or not such default results in repayment of the indebtedness being accelerated by the 
lender, then we could also be declared in default on our derivative obligations. 

Interest rate swaps designated as cash flow hedges involve the receipt of variable amounts from a counterparty 
in exchange for our making fixed-rate payments over the life of the agreements without exchange of the underlying 
notional amount.  In May 2019, we entered into eight amortizing interest rate swap agreements, each of which 
matures in May 2024.  Under these agreements, we receive a variable rate of interest based on LIBOR, and we pay 
a fixed rate of interest equal to approximately 2.2% plus a spread (see Note 11).  As of December 31, 2019, these 
interest rate swap agreements had current notional amounts totaling $800.0 million.   

We record derivatives that are designated and qualify as cash flow hedges at estimated fair value in the 

consolidated balance sheet, with the related gains and losses recorded in accumulated other comprehensive income 
or loss ("accumulated OCI") and subsequently reclassified into interest expense in the same period(s) during which 
the hedged transaction affects earnings.  Amounts reported in accumulated OCI related to derivatives will be 
reclassified to interest expense as we make interest payments on our variable-rate debt.  As of December 31, 2019, 
we expect to reclassify $5.0 million from accumulated OCI as an increase to interest expense within the next 12 
months due to the scheduled payment of interest associated with our debt. 

The estimated gross fair values of derivative instruments and their classification on the consolidated balance 

sheet at December 31, 2019 and 2018 were as follows: 

 (In thousands) 
Liabilities: 
Derivatives designated as hedging 
   instruments: 

Current portion of long-term liabilities 
Other long-term liabilities 

December 31,
2019

December 31, 
2018 

$

$

4,947   $
11,291    
16,238   $

—  
—  
—   

The following table presents the effect of cash flow hedge accounting on accumulated OCI as of December 31, 

2019 and 2018: 

77 

 
 
 
 
   
  
 
   
  
 
  
 
 
 (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, 
2019 

December 31, 
2018 

 $

 $

16,930    

(692)  

—  

—   

15.  Restructuring and Related Charges 

During the first quarter of 2019, we began a reorganization primarily related to integrating the Healthcare and 
Nutrition segments and streamlining our corporate and operations support (the "2019 Restructuring Plan"). As of 
and for the year ended December 31, 2019, we have incurred cumulative restructuring charges of $7.0 million 
related to the 2019 Restructuring Plan, of which $1.9 million related to the Healthcare segment and $5.1 million 
related to the Nutrition segment.  These expenses consist entirely of severance and other employee-related 
costs.  The 2019 Restructuring Plan is expected to result in total annualized savings in 2020 of approximately $17.5 
million, with $5.9 million relating to the Healthcare segment and $11.6 million relating to the Nutrition segment. 

The following table shows the activity in accrued restructuring and related charges for the year ended 

December 31, 2019 related to the 2019 Restructuring Plan: 

 (In thousands) 
Accrued restructuring and related charges liability as of 
January 1, 2019 
Restructuring charges 
Payments 
Accrued restructuring and related charges liability as of 
December 31, 2019 

Severance and Other 
Employee-Related 
Costs 

$

$

—   
5,476   
(2,453 ) 

3,023   

16.  Earnings (Loss) Per Share 

Beginning in March 2019, we use the two-class method to calculate earnings per share as the unvested 
restricted stock awards outstanding under our equity incentive plan are participating shares with nonforfeitable 
rights to dividends. Under the two-class method, we compute earnings per share of common stock by dividing the 
sum of distributed earnings to common stockholders (currently not applicable as we do not pay dividends) and 
undistributed earnings allocated to common stockholders by the weighted average number of outstanding shares of 
common stock for the period.  In applying the two-class method, we allocate undistributed earnings to both shares 
of common stock and participating securities based on the number of weighted average shares outstanding during 
the period. Any undistributed losses are not allocated to unvested restricted stock as the restricted stockholders are 

78 

 
 
 
   
 
 
 
 
 
 
  
 
 
 
not obligated to share in the losses.  The following is a reconciliation of the numerator and denominator of basic and 
diluted earnings (loss) per share for the years ended December 31, 2019, 2018, and 2017: 

 (In thousands except per share data) 
Numerator: 
Income (loss) from continuing operations attributable to Tivity 
Health, 
   Inc. - numerator for earnings (loss) per share 
Net income from discontinued operations attributable to 
   Tivity Health, Inc. - numerator for earnings (loss) per share 
Net income (loss) attributable to Tivity Health, Inc. - numerator for
   earnings (loss) per share 

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 
Warrants related to Cash Convertible Notes 
Market stock units 
Shares used for diluted income (loss) per share (1)

Year Ended December 31, 
2018 

2017 

2019 

  $

(286,821)   $

97,902     $

61,230 

—     

901      

2,485 

  $

(286,821)   $

98,803     $

63,715 

46,509     

40,078      

39,357 

—     
—     
—     
—     
46,509     

264      
299      
2,013      
419      
43,073      

436 
549 
1,709 
496 
42,547 

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

(6.17)   $
—    $
(6.17)   $

2.44     $
0.02     $
2.47     $

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

  $
  $
  $

(6.17)   $
—    $
(6.17)   $

2.27     $
0.02     $
2.29     $

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 
Restricted stock awards 
Performance-based stock units 

159     
681     
102     
15     

56      
36      
—      
—      

1.56 
0.06 
1.62 

1.44 
0.06 
1.50 

4 
12 
— 
—  

(1)  The impact of potentially dilutive securities for the year ended December 31, 2019 was not considered 

because the impact would be anti-dilutive. 

(2)  Figures may not add due to rounding. 

Market stock units and performance-based stock units outstanding are considered contingently issuable 
shares, and certain of these market stock units were excluded from the calculations of diluted earnings per share 
for all periods presented because the performance criteria had not been met as of the end of the reporting periods. 

79 

 
 
 
 
   
   
 
   
  
   
     
      
 
   
     
      
 
   
   
     
      
 
   
   
   
   
   
  
   
     
      
 
     
      
 
  
   
     
      
 
   
     
      
 
  
   
     
      
 
   
     
      
 
   
   
   
   
 
 
  
17.  Accumulated OCI 

The following tables summarize the changes in accumulated OCI, net of tax, for the year ended December 31, 

2019. There were no changes in accumulated OCI for the year ended December 31, 2018.   

(In thousands) 
Accumulated OCI, net of tax, as of January 1, 2019 
Other comprehensive income (loss) before reclassifications, 
net of tax of $4,324 
Amounts reclassified from accumulated OCI, net of tax of $177    
  $
Accumulated OCI, net of tax, as of December 31, 2019 

  $

Net 
Change in 
Fair Value 
of Interest 
Rate Swaps     
—     

(12,606 )   
515     
(12,091 )   

The following table presents details about reclassifications out of accumulated OCI for the year ended 

December 31, 2019: 

(In thousands) 
Interest rate swaps 

Year Ended 
December 31, 2019    

Statement of 
Operations 
Classification

  $

  $

692    
(177 )  

Interest expense 
Income tax 

515    

Net of tax 

80 

 
 
   
 
 
  
   
  
 
 
      
18.  Segment Disclosures and Concentrations of Risk 

Background and Basis of Organization 

Following the acquisition of Nutrisystem in March 2019, we organize and manage our operations within two 

reportable segments, based on the types of products and services they offer: Healthcare and Nutrition.  The 
Healthcare segment derives its revenues from SilverSneakers senior fitness, Prime Fitness and WholeHealth 
Living.  The Nutrition segment provides weight management products and services and derives its revenues from 
Nutrisystem and South Beach Diet products. Prior to the acquisition of Nutrisystem, we had one reportable 
segment. 

Segment Revenues, Profit or Loss, and Assets 

Our chief operating decision maker evaluates performance and allocates resources based on each segment’s 
EBITDA excluding acquisition and integration costs and restructuring and related charges.  The accounting policies 
of the reportable segments are the same as those described in the summary of significant accounting policies.  
There are no intersegment revenues or costs.  Transactions between the segments consist of payments made by 
one segment on behalf of the other segment, which are recorded as current assets and eliminated in consolidation.  
The following table presents information about reported segment revenues, profit or loss, and assets, as well as a 
reconciliation of each such amount to consolidated totals: 

 (In thousands) 

Year Ended December 31, 2019      

Healthcare Nutrition

Total 
Segments     

Revenues 

$ 633,066 $ 498,091 $ 1,131,157   (1) 

Consolidated income (loss) before 
income taxes 

Acquisition and integration costs 
Impairment loss 
Restructuring and related charges 
Interest expense 
Depreciation and amortization 
Adjusted EBITDA 

$ (326,409 )   

37,068     
377,100     
7,024     
76,566     
50,775     
79,563 $ 222,124     

$ 142,561 $

Total assets as of December 31, 
2019 

$ 526,013 $1,099,892 $ 1,625,905   (1) 

Share-based employee 
compensation expense 
Expenditures for long-lived assets 

$

5,602 $
14,545  

13,230  
10,168  

18,832   (1) 
24,713   (1) 

(1)  The figure for total segments equals the consolidated figure for each such item. 

Geographic Information 

Approximately 99.8% of our consolidated revenue from external customers was generated in the United States 

for the year ended December 31, 2019, and 100% of such revenue was generated in the United States for the 
years ended December 31, 2018 and 2017. 

Major Customers 

During 2019, we had one customer in our Healthcare segment that comprised approximately 13% of our 
consolidated revenues for 2019. No other customer accounted for 10% or more of our consolidated revenues in 

81 

 
 
 
 
    
    
    
    
  
  
  
 
  
 
  
    
    
  
 
 
 
     
 
 
  
 
 
 
     
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
     
  
    
 
 
 
2019. In addition, at December 31, 2019, we had two customers that each accounted for 10% or more of our 
consolidated accounts receivable, net and individually comprised approximately 16% and 31% of our consolidated 
accounts receivable, net at December 31, 2019. 

During 2018, we had three customers that each accounted for 10% or more of our consolidated revenues and 
individually comprised approximately 20.0%, 14.6%, and 10.0%, respectively, of our revenues for 2018.  No other 
customer accounted for 10% or more of our consolidated revenues in 2018. In addition, at December 31, 2018, we 
had two customers that each accounted for 10% or more or our consolidated accounts receivable, net and 
individually comprised approximately 26% and 13% of our consolidated accounts receivable, net at December 31, 
2018.  

Dependence on Suppliers 

In 2019, approximately 12% of inventory purchases in the Nutrition segment were from a single supplier. In the 

Nutrition segment, we outsource 100% of our fulfillment operations to a third-party provider. Additionally, 
approximately 97.5% of our direct to consumer orders are shipped by one third-party provider and approximately 
91.2% of our orders for the retail programs are shipped by another third-party provider. 

82 

 
   
 
 
 
19.  Quarterly Financial Information (unaudited) 

 (In thousands, except per share data) 

Year Ended December 31, 2019 
Revenues 
Gross margin 
Income (loss) before income taxes 
Net income (loss) 

Earnings (loss) per share (2) 

Basic 
Diluted 

 (In thousands, except per share data) 

Year Ended December 31, 2018 
Revenues 
Gross margin 
Income before income taxes 
Income from continuing operations 
Income from discontinued operations, 
   net of income tax 
Net income 

Earnings per share – basic: 
Continuing operations (2) 
Discontinued operations (2) 
Net income (2) (3) 

Earnings per share – diluted: 
Continuing operations (2) 
Discontinued operations (2) 
Net income (2) (3) 

First 

    Second 

Third 

    Fourth (1)

  $ 214,094    $ 340,377     $  303,897    $ 272,789 
81,802 
(380,837)
(323,092)

138,255        117,387     
18,593     
13,920     

71,748     
9,582     
4,214     

26,252       
18,137       

  $
  $

0.10    $
0.10    $

0.38     $ 
0.37     $ 

0.29    $
0.29    $

(6.69)
(6.69)

First 

    Second 

Third 

    Fourth (4)

  $ 149,930    $ 151,865     $  151,467    $ 153,037 
47,126 
31,717 
28,526 

46,454       
30,352       
22,683       

46,718     
34,386     
25,357     

43,559     
28,493     
21,336     

—     
21,336     

901       
23,584       

—     
25,357     

— 
28,526 

  $
  $
  $

  $
  $
  $

0.54    $
—    $
0.54    $

0.57     $ 
0.02     $ 
0.59     $ 

0.63    $
—    $
0.63    $

0.49    $
—    $
0.49    $

0.52     $ 
0.02     $ 
0.54     $ 

0.59    $
—    $
0.59    $

0.70 
— 
0.70 

0.67 
— 
0.67  

(1) 

 During the fourth quarter of 2019, we recorded an impairment loss of $377.1 million related to the 
Nutrisystem tradename and the goodwill allocated to the Nutrition segment.  In addition, we incurred 
acquisition, integration, and project costs totaling $5.8 million, which were primarily recorded to selling, 
general, and administrative expenses (see Note 18 for full year amounts).  Also in the fourth quarter of 
2019, we recorded a purchase accounting measurement period adjustment to finalize estimates related to 
the customer list intangible asset recorded in connection with the acquisition of Nutrisystem.  The 
finalization of the estimate resulted in incremental amortization expense during the fourth quarter of 2019 of 
$17.4 million. Our effective tax rate for the fourth quarter of 2019 was a benefit of 15.2%, which was less 
than our statutory tax benefit rate and represents a decrease compared to the first three quarters of 
2019.  This decrease is primarily due to the nondeductible goodwill impairment loss of $137.1 million 
recorded in the fourth quarter. Finally, the impact of potentially dilutive securities for the three months 
ended December 31, 2019 was not considered because the impact would be anti-dilutive.  

(2)  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.   

(3)  Figures may not add due to rounding. 

(4)  During the fourth quarter of 2018, we incurred $3.3 million of project costs in connection with potential and 
pending acquisitions, which were recorded to selling, general, and administrative expenses.  In addition, 
our effective tax rate for the fourth quarter of 2018 of 10.1% was lower than our statutory rate primarily due 
to positive tax benefits of $4.6 million related to the vesting of stock-based compensation awards during the 
quarter.   

83 

 
   
  
     
  
        
     
  
 
  
   
  
        
      
  
     
  
 
 
    
 
   
   
   
  
   
     
       
     
 
   
        
        
     
 
 
   
  
     
  
      
  
     
  
 
  
   
  
     
  
      
  
     
  
 
 
    
 
   
   
   
   
   
  
   
     
       
     
 
   
     
       
     
 
  
   
     
       
     
 
   
     
       
     
 
 
 
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 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, 2019. Based on that evaluation, the principal executive 
officer and principal financial officer have concluded that the Company's disclosure controls and procedures are 
effective as of December 31, 2019.  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, 2019 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, 2019. 

As permitted by SEC guidance, the scope of management’s assessment of the effectiveness of our internal 

control over financial reporting as of December 31, 2019 excluded Nutrisystem, Inc., which we acquired in a 
business combination during 2019. This acquired business comprised 44% of our consolidated net revenues for 
fiscal 2019 and 7% of our consolidated total assets at December 31, 2019. 

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

consolidated financial statements for the year ended December 31, 2019, has audited the effectiveness of the 
Company's internal control over financial reporting, as stated in their report which appears herein. 

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, 2019 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. 

84 

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 "Delinquent Section 16(a) 
Reports" in our Proxy Statement for the 2020 Annual Meeting of Stockholders to be held on May 21, 2020 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 "Information about our Executive Officers." 

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 2020 Annual Meeting of Stockholders to be held on May 21, 2020 
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 2020 Annual Meeting of Stockholders to be held on May 
21, 2020 and is incorporated herein by reference. 

Equity Compensation Plan Information 

The following table summarizes, as of December 31, 2019, 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 

1,246 $

17.85   

—  
1,246 $

—   
17.85   

2,721

—
2,721  

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

(1)  Represents 319,000 stock options, 127,000 restricted stock awards, 393,000 restricted stock units, and 

407,000 performance-based stock units outstanding under the Company’s Amended and Restated 2014 Stock 
Incentive Plan. 

(2)  The weighted average exercise price does not take into account the shares issuable upon vesting of 

outstanding unvested restricted stock awards, restricted stock units and performance-based stock units, which 
have no exercise price. The weighted average remaining contractual term of the outstanding stock options is 
3.7 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 2020 Annual Meeting of Stockholders to be held on May 21, 2020 and is incorporated herein by 
reference. 

85 

 
 
   
   
   
 
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 2020 Annual Meeting of Stockholders to be held on May 21, 
2020 and is incorporated herein by reference. 

86 

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. 

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

  2.1 

  2.2 

  3.1 

  3.2 

  3.3 

Membership Interest 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] 

Agreement and Plan of Merger, dated as of December 9, 2018, by and among the Company, 
Nutrisystem, Inc. and Sweet Acquisition, Inc. [incorporated by reference to Exhibit 2.1 to the Company’s 
Current Report on Form 8-K dated December 10, 2018, 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] 

  3.4 

 Second Amended and Restated Bylaws of the Company 

  3.5 

Amendment No. 1 to Second Amended and Restated Bylaws [incorporated by reference to Exhibit 3.1 to 
the Company’s Current Report on Form 8-K dated February 25, 2020, File No. 000-19364] 

  4.1 

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

  4.2 

 Description of Securities 

10.1 

10.2 

10.3 

10.4 

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] 

Credit and Guaranty Agreement, dated March  8, 2019, by and among Tivity Health, certain subsidiaries 
of Tivity Health, the lenders party thereto, Credit Suisse AG, Cayman Islands Branch and SunTrust Bank 
[incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K dated March 8, 
2019, File No. 000-19364] 

Cooperation Agreement among the Company, Altaris Capital, L.P., Altaris Partners, LLC, George Aitken-
Davies and Daniel Tully, dated August 7, 2019 [incorporated by reference to Exhibit 10.1 to the 
Company's Current Report on Form 8-K dated August 7, 2019, File No. 000-19364] 

Amendment to Cooperation Agreement among the Company, Altaris Capital, L.P., Altaris Partners, LLC, 
George Aitken-Davies and Daniel Tully, dated August 7, 2019 [incorporated by reference to Exhibit 10.1 
to the Company's Current Report on Form 8-K dated February 19, 2020, File No. 000-19364] 

87 

 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
  
 
 
  
 
  
 
  
 
 
  
 
 
  
 
 
  
 
 
  
10.5 

Exhibit 10.5 – Cooperation Agreement by and between the Company and HG Vora Capital Management, 
LLC, dated February 25, 2020 [incorporated by reference to Exhibit 10.1 to the Company’s Current 
Report on Form 8-K dated February 25, 2020, File No. 000-19364] 

Management Contracts and Compensatory Plans 

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 

10.19 

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] 

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] 

Form of Non-Qualified Stock Option Agreement under the Company's 2007 Stock Incentive Plan 
[incorporated by reference to Exhibit 10.24 to Form 10-K of the Company's fiscal year ended August 31, 
2007, 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 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 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 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 [incorporated by reference to Exhibit 10.46 
to Form 10-K of the Company's fiscal year ended December 31, 2016, 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 10.2 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] 

88 

 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
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 

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

Form of Restricted Stock Unit Award Agreement under the Company’s Amended and Restated 2014 
Stock Incentive Plan (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] 

Employment Agreement, dated May 22, 2017, between Tivity Health, Inc. and Adam C. Holland 
[incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K dated May 25, 
2017, 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 10.1 to Form 10-Q of the Company’s 
fiscal quarter ended March 31, 2018, 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 10.1 to Form 10-Q of the 
Company’s fiscal quarter ended June 30, 2018, File No. 000-19364] 

Offer of Employment Letter between the Company and Ryan Wagers dated as of September 14, 2018 
[incorporated by reference to Exhibit 10.2 to Form 10-Q of the Company’s fiscal quarter ended 
September 30, 2018, File No. 000-19364] 

Amended and Restated Employment Agreement, dated March 18, 2019, between Tivity Health, Inc. and 
Donato Tramuto [incorporated herein by reference to Exhibit 10.1 to Tivity Health’s Current Report on 
Form 8-K, filed March 18, 2019, File No. 000-19364] 

Offer of Employment Letter, dated August 25, 2016, by and between Tivity Health and Steve Janicak 
[incorporated herein by reference to Exhibit 10.10 to Form 10-Q of the Company's fiscal quarter ended 
March 31, 2019, File No. 000-19364] 

Change of Control Agreement, dated September 13, 2016, by and between the Company and Steve 
Janicak [incorporated herein by reference to Exhibit 10.1 to Form 10-Q of the Company's fiscal quarter 
ended September 30, 2019, File No. 000-19364] 

Employment Agreement, dated March 8, 2019, by and between Tivity Health and Keira Krausz 
[incorporated herein by reference to Exhibit 10.11 to Form 10-Q of the Company's fiscal quarter ended 
March 31, 2019, File No. 000-19364] 

89 

 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
10.34 

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 

Form of Nondisclosure and Noncompete Agreement for Ms. Krausz (included in Exhibit 10.33) 
[incorporated herein by reference to Exhibit 10.12 to Form 10-Q of the Company's fiscal quarter ended 
March 31, 2019, File No. 000-19364] 

Form of Amended and Restated 2014 Stock Incentive Plan Restricted Stock Unit Award Agreement for 
Ms. Krausz (included in Exhibit 10.33) [incorporated herein by reference to Exhibit 10.13 to Form 10-Q of 
the Company's fiscal quarter ended March 31, 2019, File No. 000-19364] 

Form of Nutrisystem Stock Incentive Plan Restricted Stock Award Agreement for Ms. Krausz (included in 
Exhibit 10.33) [incorporated herein by reference to Exhibit 10.14 to Form 10-Q of the Company's fiscal 
quarter ended March 31, 2019, File No. 000-19364] 

Form of Nutrisystem Stock Incentive Plan 2016 Restricted Stock Unit Award Agreement for Ms. Krausz 
(included in Exhibit 10.33) [incorporated herein by reference to Exhibit 10.15 to Form 10-Q of the 
Company's fiscal quarter ended March 31, 2019, File No. 000-19364] 

Form of Nutrisystem Stock Incentive Plan 2017 Restricted Stock Unit Award Agreement for Ms. Krausz 
(included in Exhibit 10.33) [incorporated herein by reference to Exhibit 10.16 to Form 10-Q of the 
Company's fiscal quarter ended March 31, 2019, File No. 000-19364] 

Form of Nutrisystem Stock Incentive Plan 2018 Restricted Stock Unit Award Agreement for Ms. Krausz 
(included in Exhibit 10.33) [incorporated herein by reference to Exhibit 10.17 to Form 10-Q of the 
Company's fiscal quarter ended March 31, 2019, File No. 000-19364] 

Nutrisystem Stock Incentive Plan [incorporated herein by reference to Exhibit 99.1 to Tivity Health’s 
Registration Statement on Form S-8, filed March 8, 2019, File No. 333-230173] 

Form of 2019 Performance Stock Unit Award Agreement under the Company’s Nutrisystem Stock 
Incentive Plan [incorporated herein by reference to Exhibit 10.2 to Form 10-Q of the Company's fiscal 
quarter ended June 30, 2019, File No. 000-19364] 

Form of 2019 Restricted Stock Unit Award Agreement under the Company’s Nutrisystem Stock Incentive 
Plan [incorporated herein by reference to Exhibit 10.3 to Form 10-Q of the Company's fiscal quarter 
ended June 30, 2019, File No. 000-19364] 

Tivity Health, Inc. Second Amended and Restated 2014 Stock Incentive Plan [incorporated by reference 
to Appendix A to the Company's Proxy Statement on Schedule 14A filed April 12, 2019, File No. 000-
19364] 

Form of 2019 Restricted Stock Unit Award Agreement under the Company’s Amended and Restated 
2014 Stock Incentive Plan [incorporated herein by reference to Exhibit 10.4 to Form 10-Q of the 
Company's fiscal quarter ended June 30, 2019, File No. 000-19364] 

Form of 2019 Performance Stock Unit Award Agreement under the Company’s Amended and Restated 
2014 Stock Incentive Plan [incorporated herein by reference to Exhibit 10.5 to Form 10-Q of the 
Company's fiscal quarter ended June 30, 2019, File No. 000-19364] 

Form of 2019 Integration Bonus Performance Stock Unit Award Agreement under the Company’s 
Amended and Restated 2014 Stock Incentive Plan [incorporated herein by reference to Exhibit 10.6 to 
Form 10-Q of the Company's fiscal quarter ended June 30, 2019, File No. 000-19364] 

Employment Agreement, dated March 8, 2019, by and between Tivity Health and Dawn Zier [incorporated 
herein by reference to Exhibit 10.2 to Tivity Health’s Current Report on Form 8-K, filed March 8, 2019, 
File No. 000-19364] 

10.48 

Form of Nondisclosure and Noncompete Agreement for Ms. Zier [incorporated herein by reference to 
Exhibit 10.2 to Tivity Health’s Current Report on Form 8-K, filed March 8, 2019, File No. 000-19364] 

90 

 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
10.49 

10.50 

10.51 

10.52 

10.53 

10.54 

21 

23 

31.1 

31.2 

32 

101 

Form of Amended and Restated 2014 Stock Incentive Plan Restricted Stock Unit Award Agreement for 
Ms. Zier [incorporated herein by reference to Exhibit 10.2 to Tivity Health’s Current Report on Form 8-K, 
filed March 8, 2019, File No. 000-19364] 

Form of Amended and Restated 2014 Stock Incentive Plan Performance Stock Unit Award Agreement for 
Ms. Zier [incorporated herein by reference to Exhibit 10.2 to Tivity Health’s Current Report on Form 8-K, 
filed March 8, 2019, File No. 000-19364] 

Form of Nutrisystem Stock Incentive Plan Restricted Stock Award Agreement for Ms. Zier [incorporated 
herein by reference to Exhibit 10.2 to Tivity Health’s Current Report on Form 8-K, filed March 8, 2019, 
File No. 000-19364] 

Form of Nutrisystem Stock Incentive Plan 2016 Restricted Stock Unit Award Agreement for Ms. Zier 
[incorporated herein by reference to Exhibit 10.2 to Tivity Health’s Current Report on Form 8-K, filed 
March 8, 2019, File No. 000-19364] 

Form of Nutrisystem Stock Incentive Plan 2017 Restricted Stock Unit Award Agreement for Ms. Zier 
[incorporated herein by reference to Exhibit 10.2 to Tivity Health’s Current Report on Form 8-K, filed 
March 8, 2019, File No. 000-19364] 

Form of Nutrisystem Stock Incentive Plan 2018 Restricted Stock Unit Award Agreement for Ms. Zier 
[incorporated herein by reference to Exhibit 10.2 to Tivity Health’s Current Report on Form 8-K, filed 
March 8, 2019, File No. 000-19364] 

 Subsidiary List 

 Consent of PricewaterhouseCoopers LLP 

Certification pursuant to section 302 of the Sarbanes-Oxley Act of 2002 made by Robert J. Greczyn, Jr., 
Interim Chief Executive Officer 

Certification pursuant to section 302 of the Sarbanes-Oxley Act of 2002 made by Adam Holland, 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 Robert J. Greczyn, Jr., Interim Chief Executive Officer, and Adam Holland, 
Chief Financial Officer 

The following financial statements from the Company’s Annual Report on Form 10-K for the year ended 
December 31, 2019, formatted in Inline XBRL: (i) Consolidated Balance Sheets; (ii) Consolidated 
Statements of Operations; (iii) Consolidated Statements of Comprehensive Income; (iv) Consolidated 
Statement of Changes in Stockholders’ Equity; (v) Consolidated Statements of Cash Flows; and (vi) 
Notes to Consolidated Financial Statements. 

104 

The cover page from the Company’s Annual Report on Form 10-K for the year ended December 31, 
2019, formatted in Inline XBRL (included in Exhibit 101 hereto). 

(b)  Exhibits 

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

(c)  Not applicable 

91 

 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
  
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
Item 16. Form 10-K Summary 

None. 

92 

 
 
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 

February 27, 2020 

TIVITY HEALTH, INC. 

By: /s/ Robert J. Greczyn, Jr. 
Robert J. Greczyn, Jr. 
Interim 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 

Interim Chief Executive Officer and Director (Principal 
Executive Officer) 

February 27, 2020 

  Chief Financial Officer (Principal Financial Officer) 

February 27, 2020 

Controller and Chief Accounting Officer (Principal 
Accounting Officer) 

February 27, 2020 

  Chairman of the Board and Director 

February 27, 2020 

/s/ Robert J. Greczyn, Jr. 
Robert J. Greczyn, Jr. 

/s/ Adam C. Holland 
Adam C. Holland 

/s/ Ryan Wagers 
Ryan Wagers 

/s/ Kevin G. Wills 
Kevin G. Wills 

/s/ Sara J. Finley 
Sara J. Finley 

  Director 

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

  Director 

/s/ Beth M. Jacob 
Beth M. Jacob 

/s/ Bradley S. Karro 
Bradley S. Karro 

/s/ Paul H. Keckley 
Paul H. Keckley, Ph.D. 

/s/ Benjamin A. Kirshner. 
Benjamin A. Kirshner 

/s/ Lee A. Shapiro 
Lee A. Shapiro 

/s/ Daniel G. Tully 
Daniel G. Tully 

  Director 

  Director 

  Director 

  Director 

  Director 

  Director 

93 

February 27, 2020 

February 27, 2020 

February 27, 2020 

February 27, 2020 

February 27, 2020 

February 27, 2020 

February 27, 2020 

February 27, 2020