Risk Factors Update Summary

• Future cost containment initiatives by private payors may limit revenue and profitability. This change highlights the potential impact on revenue and profitability.
• The write-off of intangible assets decreased from $233 million to $117 million. This change significantly impacts the financial condition and results of operations.
• CMS implemented permanent reductions in reimbursement totaling -3.5% and -2.6%, respectively.
• Quality reporting requirements for Medicare reimbursement increased from 2% to 4%. This change doubles the penalty for failing to meet quality reporting requirements.
• The value-based purchasing model began on January 1, 2023, affecting operations and cash flows. This change signifies the start of a model impacting financial aspects.
• The number of employees decreased from 20,000 to 19,000, affecting operations and cash flows. This change indicates a reduction in the workforce.
• CMS has the discretion to make temporary adjustments of $2 billion to offset overpayments.
• Medicare hospice payments reduced by 4% for failing to meet quality reporting requirements. This change directly impacts Medicare reimbursement levels for hospices.
• The Calendar Year 2024 Home Health Final Rule noted a potential up to 5% reduction in Medicare payments. This change highlights a possible reduction in payments.
• Total outstanding indebtedness decreased from approximately $436 million to $371 million.
• Short position of approximately 6 million shares represented 9% of outstanding common stock.