UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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FORM 10-K
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ý
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 20172019
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 1-15103
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INVACARE CORPORATION
(Exact name of Registrant as specified in its charter)
Ohio95-2680965
(State or other Jurisdiction of
Incorporation or Organization)
(I.R.S. Employer
Identification Number)
One Invacare Way, Elyria, Ohio44035
(Address of principal executive offices) (Zip Code)
Registrant’sRegistrant's telephone number, including area code: (440) (440329-6000
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Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading SymbolName of exchange on which registered
Common Shares, without par valueIVCNew York Stock Exchange
Securities registered pursuant to Section 12(g) of the Act: None
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Indicate by check mark if the registrant is a well-known seasoned issuer, as defined by Rule 405 of the Securities Act.    Yes  ¨Noý
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.    Yes  ¨Noý
Indicate by check mark whether the Registrant (1) has filed all reports 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 the filing requirements for the past 90 days.    Yesý    No  ¨
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such short period that the registrant was required to submit and post such files).    Yesý    No  ¨
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (Section229.405) is not contained herein, and will not be contained, to the best of the Registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K.  ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definitions of “large accelerated filer”, “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.
Large Accelerated filer ¨
Accelerated filerýEmerging growth company
Non-accelerated filerSmaller reporting company 
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 by Rule 12b-2 of the Act).    Yes  ¨    No  ý
As of June 30, 2017,2019, the aggregate market value of the 31,816,53032,441,229 Common Shares of the Registrant held by non-affiliates was $419,978,196$168,369,979 and the aggregate market value of the 18,3576,357 Class B Common Shares of the Registrant held by non-affiliates was $242,312.$32,993. While the Class B Common Shares are not listed for public trading on any exchange or market system, shares of that class are convertible into Common Shares at any time on a share-for-share basis. The market values indicated were calculated based upon the last sale price of the Common Shares as reported by The New York Stock Exchange on June 30, 2017,2019, which was $13.20.$5.19. For purposes of this information, the 1,031,9501,280,339 Common Shares and 0 Class B Common Shares which were held by Executive Officers and Directors of the Registrant were deemed to be the Common Shares and Class B Common Shares held by affiliates.
As of March 6, 2018,4, 2020, there were 32,874,80433,912,246 Common Shares and 6,357 Class B Common Shares outstanding.
Documents Incorporated By Reference
Portions of the Registrant’sRegistrant's definitive Proxy Statement to be filed in connection with its 20182020 Annual Meeting of Shareholders are incorporated by reference into Part III (Items 10, 11, 12, 13 and 14) of this report.
Except as otherwise stated, the information contained in this Annual Report on Form 10-K is as of December 31, 20172019.
     






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INVACARE CORPORATION
20172019 ANNUAL REPORT ON FORM 10-K CONTENTS
  
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Item 1. Business
   
Table of Contents


Item 1.        Business.


GENERAL


Invacare Corporation (“Invacare,” the “company,” including its subsidiaries, unless otherwise noted) is a leading manufacturer and distributor in its markets for medical productsequipment used in non-acute care settings. At its core, the company designs, manufactures and distributes medical productsdevices that help people to move, breathe, rest and perform essential hygiene. The company provides clinically complex medical productdevice solutions for congenital (e.g., cerebral palsy, muscular dystrophy, spina bifida), acquired (e.g., stroke, spinal cord injury, traumatic brain injury, post-acute recovery, pressure ulcers) and degenerative (e.g., ALS, multiple sclerosis, chronic obstructive pulmonary disease (COPD), elderly,age related, bariatric) ailments.conditions. The company's products are an important partscomponent of care for people withfacing a wide range of medical challenges, from those who are active and heading to work or school each day and may need additional mobility or respiratory support, to those who are cared for in residential care settings, at home and in rehabilitation centers. The company sells its products principally to home medical equipment providers withthrough retail and e-commerce channels, residential care operators, distributorsdealers and government health services in North America, Europe and Asia/Asia Pacific. Invacare’sInvacare's products are sold through its worldwide distribution network by its sales force, independent manufacturers’manufacturers' representatives, and distributors.


Invacare is committed to providing medical products that deliver the best clinical value, whichvalue; promote recovery, independence and active lifestyleslifestyles; and support long-term conditions and palliative care. Yes, You Can.® continues to be theThe company's global tagline as it- Yes, You Can.® is indicative of the "can do" attitude of many of the people who use the company's products and their care providers. In everything it does, the company strives to leave its stakeholders with its brand promise - Making Life's Experiences Possible®.


The company is a corporation organized under the laws of the State of Ohio in 1971. When the company was first established as a stand-alone enterprise in December 1979, it had $19.5 million in net sales and a limited product line of basic wheelchairs and patient aids. OverSince then, the course of time, the company has made approximately fifty acquisitions and, after some recent divestitures to harmonize its portfolio, Invacare's net sales in 20172019 were approximately $1.0$0.9 billion. Based upon the company’scompany's distribution channels, breadth of product line and net sales, Invacare is a leading company in many of the following medical product categories: custom power wheelchairs; custom manual wheelchairs; electromotive technology to augment wheelchairs and recreational products; recreational adaptive sports products; non-acute bed systems; patient transfer and bathing equipment; and supplementary respiratory therapy devices.


 
THE NON-ACUTE DURABLE MEDICAL EQUIPMENT INDUSTRY


The non-acute durable medical equipment market includes a broad range of equipment and services that enable the care and lifestyle needs of individuals with a broad range of conditions. With expected long-term pressure on controllingto control healthcare spending per capita, the company believes the market for equipment and services that support higher acuity care in lower acuity settings will continue to grow. Healthcare payors and providers continue to seek to optimize therapies forwhich result in improved outcomes, and reduced cost protocols, which result inand ultimately, earlier discharge, including recovery and treatment atin non-acute settings. Care in these settings may reduce exposure to concomitant issues and be preferred by patients.


WithAs healthcare costs continuingcontinue to increase, the interests of patients and healthcare providers are converging to focus on the most cost-effective delivery of the best care. As healthcare payors become more judicious in their spending, on healthcare, companies that provide better care or demonstrate better clinical outcomes will have an advantage. With its diverse product portfolio, clinical solutions, global scale and focus on the non-acute care setting, the company believes it is well positioned to serve this growing market.


Macro trends are occurring toimpacting the globalworld's aging population. While institutional care will likely remain an important part of healthcare systems in the wealthiest economies, the company believes care settings other than traditional hospitals will increasingly provide higher acuity care. With a broad product offering, diversified channels of trade, and infrastructure capable of serving many of the largest healthcare economies, the company believes it is well positioned to benefit from these global demographic trends and changes to the provision of healthcare.


North America Market


The population of the United States’ populationStates is growing and aging. As a result, there is a greater prevalence of disability among major populationsU.S. population groups and a greateran increasing need for assistance and care. The U.S. Census Bureau has projected the U.S. population will continue to grow towards to an estimated 400 million by 2050. Along the way, the bolus of Baby Boomers willis expected to continue to raise the average age of the U.S. population. By 2030, the government estimates the percentthat more than 20% of the U.S. population will consist of individuals over the age of 65, will rise to be more than 20% of all residents, a 50% increase compared to 13% of the population in 2010.




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In the United States, healthcare provision is supported by reimbursement from the federal Centers for Medicare and
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Medicaid Services (“CMS”), the Department of Veterans Administration,Affairs, state agencies, private payors and healthcare recipients themselves. In total, CMS estimates U.S. national healthcare expenditures towill grow by more than 5% annually between 2017 and 2026. At this rate, healthcare spending would exceed GDP growth by 1%, which will sustain pressure to deploy care in ways that deliver the best outcomes for lower cost.


The Canadian health care system is a publicly funded model that provides coverage to all citizens. The provincesProvinces and territories administerare primarily responsible for the administration and deliver mostdelivery of Canada's health care services, and all health insurance plans are expected to meet the national principles ofguidelines established by the Canada Health Act. The objective of thisthe Canada Health Act is to provide consumer-centered support and funding to residents who havewith long-term physical disabilities and to giveprovide access to personalized assistive devices appropriate forthat meet the individual’s basic needs.needs of each patient. Each provincial and territorial health insurance plan differs in terms of thewith respect to reimbursement policies and product specifications. This allowsspecification standards, allowing healthcare services to be adjusted tobased on regional needs. Invacare sells across Canada, taking into consideration the regional differences in each region.among the various provinces and territories.


Europe, Middle East and Africa Markets


While the healthcare equipment market in each country in Europe has distinct characteristics, many of the factors driving demand and affecting reimbursement are consistent with those in North America: population aging; more patients with chronic illnesses; an increasing preference to increasingly deliver healthcare outside hospitals; and a focus on the use of technology to increase productivity and reduce ancillary costs. Each European country has variations in product specifications and service requirements, regulations, distribution needs and reimbursement policies. These differences, as well as differences in the competitive landscape, require the company to tailor its approach to eachbased on the local market.market into which the products are being sold. The company's core strategy is to address these distinct markets with global product platforms that are localized with country-specific adjustments as necessary. This is especially the case for power wheelchairs, manual wheelchairs, and respiratory products. Customers in all European markets typically make product selections based upon quality, features, alignment with local reimbursement requirements, ability to reduce total cost of care, and customer service.

The company serves various markets in the Middle East and Africa. It approaches these markets with the global portfolio of products developed and manufactured elsewhere. Sales in these territoriesmarkets are made somewhat opportunistically to balance the changes in level of demand and specific products required.product requirements. Often, sales are to fulfillin the Middle East and Africa represent episodic tenders and do not often represent consistent sustained trade. Sales reported in the European segment result
 
consistent sustained trade. Most of the company's sales in these markets result from business conducted principally in Western European markets.Europe.


Asia/Asia Pacific Market


The company's Asia/Asia Pacific segment is comprised of revenuesmarket comprises revenue from products sold intoin Australia, New Zealand, China, Japan, Korea, India and Southeast Asia. Invacare's Asia/Asia Pacific businesses sell through six distribution channels. Mobility and seating products are sold viadirectly in New Zealand and through a dealer network of dealers in all other countries, with almost all sales funded directly government-funded.by governmental payors. Homecare products are sold via a dealer network that sells products to the consumer market. Long-term care products are sold via a dealer network and directly to care facilities. The company operates a rental business in New Zealand supporting the three largest providers inon New Zealand’sZealand's North Island. Sales to other parts of Asia are sold via distributors and agents based in China, Japan, Korea, India and Southeast Asia.


Reimbursement


In most markets, the company does not make significant sales directly to end-users. In some cases, the company sells directly to a government payor, for example, inmarkets, such as the United States, the United Kingdom and certain Scandinavian countries.countries, the company sells directly to a government payor. In other cases,markets, the company’scompany's customers purchase products to have available for sale to or use by or re-sale to end-users. These customers then work with end-users to determine what equipment may be needed to address the end-user’send-user's particular medical needs. Products are then provided to the end-user, and the company’scompany's customer may seek reimbursement on behalf of the consumer or sell the products, as appropriate. Product mix, pricing and payment terms vary by market. The company believes its market position and technical expertise will allow it to respond to ongoing changes in demand and reimbursement.


PRODUCT CATEGORIES


The company designs, manufactures, markets and distributes products in three key product categories:


Mobility and Seating
Power Wheelchairs. Invacare designs, manufactures and distributes This product category includes complex power wheelchairs for individuals who require powered mobility. The range includescompany's power wheelchair product offerings include products that can be highly customized to meet an individual end-user's needs, as well as products that are inherently versatile and designed to meet a broad range of requirements. Center-wheel drive power wheelchair lines are marketed underinclude the Invacare® TDX® (Total Driving eXperience) brand name as well asproduct line and the ROVI® X3 and A3 power base offered through the Motion Concepts subsidiary. The TDXproduct line, of power wheelchairs offers a combination of power, stability and maneuverability,
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offered through the company's Motion Concepts subsidiary. The TDX line of power wheelchairs offers a combination of power, stability and maneuverability, including the Invacare® SureStep® suspension with Stability Lock and available G-Trac Technology. Seating systems offer elevate, power tilt and recline features. The ROVI A3 also offers the Multi-Positioning-Standing-MAXX System (MPS), an innovative, highly adjustable system that provides consumers the medical benefits of adjusting to a standing position throughout the day, adding additional independence, function and accessibility.
The company also offers rear-wheel drive power wheelchair technology through the Invacare® Storm Series®. as well as other legacy products like Kite or Bora. The company has severalwill launch Aviva Power Wheelchairs, a new generation of power products in 2020. Aviva products will replace some of the legacy items and provide new market share opportunities. Several of the company's subsidiaries that specialize in the development and implementation of complementary technology designed to enhance the utility of wheelchairs forto meet unique and complex physiological needs. For example, the company's Adaptive Switch Labs (ASL) subsidiary has developed alternative electronic control systems and human/machine input devices that enable wheelchair and environmental control via alternative interfaces to joysticks, such as sip/puff, eye-gaze, or head position inputs. The Motion Concepts subsidiary designs and produces custom powered seating and power positioning systems. Alber GmbH sells innovative power add-on devices that enable manual wheelchair users to have optional electric power to augment manual propulsion and enable caretakers to more easily maneuver manual wheelchairs. In addition, Dynamic Controls (DCL) makesmanufactures sophisticated electronic control systems for power wheelchairs that enable users to operate the device and permit wireless programming, remote diagnostics, and touchscreen controls. The company continues to be a leader in this market with unique intellectual property in wheelchair suspension, alternative controls, and electronics.electronic components.
Custom Manual WheelchairsInvacare designs, manufactures and markets a range of custom manual wheelchairs and recreationalThis product category includes products for independent everyday use, outdoor recreation, and casual and competitive sports, such as basketball, racing and tennis. These products are marketed under the Invacare® and Invacare® Top End®brand names. The company also hasmarkets a premiere line of lightweight, aesthetically stylishaesthetically-stylish custom manual wheelchairs under the Küschall® brand. brand name. These custom manual wheelchairs providefeature precision components and outstanding driving performance. The company provides a wide range of mobility solutions for everyday activities. The company’scompany's competitive advantages include a wide range of features and functionality and the ability to build purposeful custom wheelchairs, as well as wheelchairs that collapse to fit into very small spaces for ease of transportability.
wheelchairs, along with components which feature cross compatibility across the portfolio and wheelchairs that collapse to fit into very small spaces for ease of transportability.
Seating and Positioning Products. At the core of care for seated end-users is the need for proper seating and positioning. Invacare designs, manufactures and markets some of the industry’sindustry's best custom seating and positioning systems, custom molded and modular seat cushions, back supports and accessories to enable care givers to optimize the posture of their clientspatients in mobility products. The Invacare® Seating and Positioning series provides seating solutions for less complex end-user needs. The Invacare® Matrx® Series offers versatile modular seating components with unique proprietary designs and materials thatdesigned to optimize pressure management and to help ensure long-term proper posture. The company's PinDot® series provides custom molded seat modules that can accommodate the most unique anatomic needs, and that can be adapted to fit with a wide range of mobility products. The company's ability to rapidly produce highly-customized products is highly specialized in the market, and is valued by therapists who need timely solutions for their patient's most complex clinical needs.

help ensure long-term proper posture. The company's PinDot® series provides custom molded seat modules that can accommodate the most unique anatomic needs and can be adapted to fit with a wide range of mobility products. This high-level of customization and ability to rapidly produce custom products is highly specialized in the market, and is valued by therapists who need timely solutions for their clients’ most complex clinical needs.

Lifestyle Products
Pressure Relieving Sleep SurfacesInvacare manufactures and distributesThis product category includes a complete line of therapeutic pressure relieving overlays and mattress systems. The Invacare® Softform and microAIR® brand names feature a broad range of pressure relieving foam mattresses orand powered mattresses with alternating pressure, low-air-loss, or rotational mattresses,design features, which redistribute weight and assist with moisture management. These mattresses are designed to provide comfort, support and relief to those patients who are immobile or have limited mobility; who may have fragile skin or be susceptible to skin breakdown; and who spend long periods in bed.
Safe Resident Handling. Invacare manufactures and distributes products needed to assist in transferring individuals from surface to surface (e.g., bed to chair). Designed for use in the home or in institutional settings, these products include ceiling and floor lifts, sit-to-stand devices and a comprehensive line of slings.
Safe Resident Handling. This product category includes products needed to assist caregivers in transferring individuals from surface to surface (e.g., bed to chair). Designed for use in the home or in institutional settings, these products include ceiling and floor lifts, sit-to-stand devices and a comprehensive line of slings.
Beds. This product category includes wide variety of Invacare® branded semi-electric and fully-electric bed systems designed for both residential and institutional care for a range of patient sizes. The company's offering includes bed accessories, such as bedside rails, overbed tables and trapeze bars. The company's bed systems introduced the split-spring bed design, which is easier
Beds. Invacare manufactures and distributes a wide variety of Invacare branded manual, semi-electric and fully-electric beds for both residential care and home use for a range of patient sizes. The company's offering includes bed accessories, such as bedside rails, overbed tables and trapeze bars. The company’s bed systems introduced the split-spring bed design, which is easier
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for home medical equipment providers to deliver, assemble and clean. Invacare’s bedsclean than other bed designs. Invacare's bed systems also feature patented universal bed-ends, where the headboard and footboard may be used interchangeably. This enables customers to more efficiently deploy their inventory.
Manual WheelchairsInvacare designs, manufac-tures and distributesThis product category includes a complete line of manual wheelchairs. The company's manual wheelchairs are sold for use in the home and in institutional care settings. Consumers include people who are chronically or temporarily disabled andtemporarily-disabled, require basic mobility with little or no frame modification, and may propel themselves or be moved by a caregiver. The company’scompany's manual wheelchairs are marketed under the Invacare® brand name. Examples include the 9000 and Tracer® wheelchair product lines.
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Personal Care. This product category includes a full line of personal care products, including ambulatory aids such as rollators, walkers, and wheeled walkers. The company also distributes bathing safety aids, such as tub transfer benches and shower chairs, as well as patient care products, such as commodes and other toileting aids. In markets where payors value durable long-lasting devices, especially those markets outside of the U.S., personal care products continue to be an important part of the company's lifestyles product business. In certain other markets, and in the U.S. in particular, this product area is focused on residential care.
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Personal Care. Invacare distributes a full line of personal care products, including ambulatory aids such as rollators, walkers, and wheeled walkers. Also available are bathing safety aids, such as tub transfer benches and shower chairs, as well as patient care products, such as commodes and other toileting aids. In some markets where payors value durable long-lasting devices, especially outside of the U.S., personal care products continue to be an important part of the Lifestyles business. In certain markets, and in the U.S. in particular, this product area is being focused on residential care.


Respiratory Therapy Products


The company designs and manufactures products that concentrate oxygen for consumers who need supplemental oxygen for breathing. Invacare® oxygen products are designed to meet a wide variety of patient needs, including stationary systems for use while at home and portable systems for mobile use. Historically, oxygen therapy was provided throughrequired the delivery of large tanks of liquid oxygen or the routine delivery of tanks of compressed oxygen to patients. Industry trends continue to displace modes of oxygen therapy that involve delivery, which is costlier to provide and less convenient for patients who need to coordinate the exchange of oxygen containers. Published industry data suggests a large portion of the costs associated with home oxygen therapy are directly associated with delivery-related activities required to meet the ambulatory oxygen therapy needs of patients. Invacare’sInvacare's newer modalities of oxygen supply replace these costlier and constraining delivery-based forms of care.
Stationary Oxygen Concentrators. Invacare oxygen concentrators are manufactured under the Platinum® and Perfecto2 brand names and are available in five-, nine-, and ten-liter models. All Invacare stationary oxygen concentrators are designed to provide patients with durable equipment that reliably concentrate oxygen at home or in a healthcare setting. Stationary oxygen concentrators are typically used by people needing nocturnal oxygen, or those who have advanced-stage lung diseases and whose lifestyles keep them largely at home.concentrates
oxygen at home or in a healthcare setting. Stationary oxygen concentrators are typically used by people needing home or nocturnal oxygen, or by patients who have advanced-stage lung diseases and whose lifestyles keep them largely at home.
Portable Oxygen Concentrators. The fastest growing modalityOne of providingtwo primary modalities for non-delivery supplementary ambulatory oxygen is the battery-powered portable category. Invacare’s recently launchedInvacare's Platinum® Mobile Oxygen Concentrator has among the most competitive features in the four- and five-liter equivalent category, including the addition in 2017 of the industry's first wireless informatics platform in the five-pound categorycategory. The informatics platform includes a user centric app which now allows remote flow control of the portable concentrator from up to support the needs of providers25ft and end-users.a provider facing portal for remote fleet monitoring to help reduce unplanned dispatches and total operating costs.
Oxygen Refilling Devices. The Invacare® HomeFill® Oxygen System is an alternative source of ambulatory oxygen that allows patients to fill their own convenient small portable oxygen cylinders from a stationary oxygen concentrator at home. This enables users to access high-flow stationary oxygen while at home and provides an easy-to-use form of mobile oxygen while away. As a result, medical equipment providers can significantly reduce time-consuming and costly service calls associated with cylinder and/or liquid oxygen deliveries, limit recurring high maintenance expenses and total cost of ownership while at the same time enhancing the lifestyle of the patient.

Other Products and Services

small portable oxygen cylinders from a stationary oxygen concentrator at home. This enables usersOther products and services includes various services, including repair services, equipment rentals and external contracting. In certain regions of Europe and Asia Pacific, refurbishing of products is increasing as governments look for ways to have high flow stationary oxygenlower costs while at home and an easy form of mobile oxygen while away. As a result, medical equipment providers can significantly reduce time-consuming and costly service calls associated with cylinder and/or liquid oxygen deliveries while at the same time enhancing the lifestyle of the patient.

still providing needed equipment.
GEOGRAPHIC SEGMENTS

Europe

The company’scompany's Europe segment operates as an integrated unit across the European, Middle Eastern and African markets with sales and operations throughout Europe. The Europe segment is coordinated with other global business units for new product development, supply chain resources and additional corporate resources. This segment primarily includes:includes mobility and seating; lifestyle; and respiratory therapy product lines. The company manufactures power wheelchair products, wheelchair power add-ons and hygiene products in different facilities in Germany. During 2017,2019, the production of manual wheelchair products werethat had been manufactured at three different facilities in Switzerland, Sweden and France with recently announced plans to consolidate these operationswere
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consolidated into one facility in France. The company manufactures beds in Portugal and Sweden for various markets. Invacare manufactures therapeutic support surfaces andas well as seating and positioning products in the U.K. Respiratory products, such as oxygen concentrators and Invacare® HomeFill® systems, are imported from company facilities in the U.S. In total, the Europe segment comprised 55.4%57.4%, 51.1%57.4% and 46.9%55.4% of the net sales from continuing operations in 2019, 2018 and 2017, 2016 and 2015, respectively.


North America


The company's North America includes the following segments combined forsegment comprises sales and operations throughout the United States and Canada:
North America/Home Medical Equipment (NA/HME) - Canada. This segment primarily includes:includes mobility and seating, lifestyle and respiratory therapy product lines. Products are sold through rehabilitation providers, home healthcare providers, and government provider agencies, such as the Veterans Administration. This segment previously included Garden City Medical Inc. ("GCM"), which was sold on September 30, 2016. The NA/HMENorth America segment represented 33.2%37.5%, 38.5%37.5% and 41.6%39.3% of the net sales from continuing operations in 2017, 20162019, 2018 and 2015, respectively.
Institutional Products Group (IPG)- This segment sells healthcare furnishings including long-term care beds, case goods, safe patient handling equipment, and other equipment and accessories for long-term care customers. This segment also provides interior design
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services for nursing homes and assisted living facilities undertaking renovation projects and new construction. The IPG segment comprised 6.2%, 6.1% and 7.6% of net sales from continuing operations in 2017, 2016 and 2015, respectively.


Asia/PacificAll Other (Asia Pacific)


The company’s Asia/Pacificcompany's All Other (Asia Pacific) segment combines two businesses - a sales and services businessoperations, supporting customers principally in Australia and New Zealand and, to a lesser extent, other pan-Asian markets. The Asia/PacificAll Other segment also includes Dynamic Controls Limited (DCL), a subsidiary of the company's businesscompany that designs and manufactures control systems for InvacareInvacare-branded respiratory and powered mobility products, and supplies components for other third-party devices. The Asia/PacificAll Other segment represented 5.2%5.1%, 4.3%5.1% and 3.9%5.3% of the net sales from consolidated continuing operations in 2017, 20162019, 2018 and 2015,2017, respectively.

Divested Operations

On September 30, 2016, the company divested GCM which sourced and distributed primarily lifestyle products under the brand ProBasicsby PMI. GCM was part of the NA/HME segment of the company.

Invacare divested the rentals businesses on July 2, 2015, which were included in the IPG segment. Prior to the disposition of these rentals businesses, IPG had rented long-term care medical equipment and accessory products through these rentals businesses.

The company determined that the sale of GCM and the rentals businesses did not meet the criteria for classification as discontinued operations and therefore results from these businesses remain in their respective segments unless otherwise noted.


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


For financial information regarding reportable segments, including revenues from external customers, products, segment profitability, assets and other information by segments, see Business Segments in the Notes to the Consolidated Financial Statements of this Annual Report on Form 10-K.


WARRANTY


Generally, the company’scompany's products are covered by warranties against defects in material and workmanship for product-specific warranty periods starting from the date of sale to the customer for various periods depending on the product.customer. Certain components, principally wheelchair and bed frames, carry a lifetime warranty.



 
COMPETITION


The durable medical equipment markets are highly competitive, and Invacare products face significant competition from other well-established manufacturers and distributors.distributors in the industry. Each country into which the company sells and markets its products has a set of unique conditions that impact competition, including healthcare coverage, forms and levels of reimbursement, presence of payor and provider structures and various competitors. Many factors may play a role in the selection of products and success of the company including specific features, aesthetics, quality, availability, service levels and price. Various competitors, from time to time, have instituted price-cutting programs in an effort to gain market share, and they may do so again in the future. In addition, as reimbursement pressures may continue to persist in major markets, likesuch as the U.S. These pressures have and may again significantly alter market dynamics. Increasingly, customers have access to manufacturers in low cost locations and are able to source certain products directly in lieu of purchasing from Invacare or its traditional competitors, principallyparticularly for less complex products where price is the primeprimary selection criterion.


The company believes that successfully increasing its market share is dependent on providingits ability to provide value to the customerits customers based on clinical benefits, quality, performance, and durability of the company’scompany's products and services. In addition, the company's cost reduction achievements are expected to improve the market competitiveness of its products. Customers also value the technical and clinical expertise of the company’scompany's sales force, the effectiveness of the company's distribution system, the strength of its dealer and distributor network, the availability of prompt and reliable service for its products, and the ease of doing business with the company. The company's focus on quality is paramount. By embracing quality in all aspects of the company’scompany's activities, the company believes that its products will be better aligned towith customer needs more quicklyand, brought to market and ultimately will resultmore quickly, resulting in a better customer experience and economic return. The company expects its focus on quality excellence to be a competitive advantage.


SALES, MARKETING AND DISTRIBUTION


Europe

The company's European operations primarily conduct manufacturing, marketing and distribution functions in Western Europe and coordinate export sales activities through local distributors for markets in the Middle East and Africa. The company utilizes an employee-sales force and independent distributors. In markets where the company has its own sales force, product sales are made to medical equipment dealers and directly to government agencies. Marketing functions are staffed by central and regional teams to optimize coverage and content. The company operates
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distribution centers in various locations to optimize cost and delivery performance.
Company representatives attend more than 50 trade shows across all European and Middle eastern geographies. The company builds brand awareness through a strong presence in social media (LinkedIn, Facebook, Twitter) and has a dedicated blog that has achieved almost one million readers. In some European key countries, the company sponsors key events and several individual wheelchair athletes and teams.

North America


In the United States, Invacare products are marketed primarily to clinical specialists in rehabilitation centers, long-term care facilities, government agencies and residential care settings. The company markets to these medical professionals, who refer their patients to HME providers to obtain specific types of the company’scompany's medical equipment. The company sells its products to these providers.


In 2017,2019, the NA/HMENorth America salesforce was primarily organized into twothree groups of specialized sales professionals focused on complex rehabilitation, post-acute care and post-acute care.respiratory products. Each team is focused on clinically complex products and solutions to support customer needs.

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The IPG post-acute sales organization consists of company sales representatives and independent representative agencies supported by a marketing group that generates awareness and demand at skilled nursing facilities for Invacare products and services. IPG also provides interior design services and products for nursing homes and assisted living facilities undertaking renovation projects and new construction.


The company contributes extensively to editorial coverage in trade publications concerning the products the company manufactures. Company representatives attend numerous trade shows and conferences on a national and regional basis in which Invacare products are displayed to providers, health care professionals, managed care professionals and consumers. The company also drives brand awareness of its brand through its website, as well as with online communities of people who may use its products.


The company raises consumer awareness of its products through a strong presence in social and digital media as well as its sponsorship of a variety of wheelchair sporting events and its support of various philanthropic causes benefiting the consumers of the company’scompany's products. In 2017, the company sponsored Miss Wheelchair USA, a program promoting self-confidence, community service and celebrating the achievements of women with disabilities. SponsorshipThe company's sponsorship of several individual wheelchair athletes and teams continued in 2017,2019, including top-ranked male and female racers and handcyclists and wheelchair basketball teams. In addition, the company continued to support disabled veterans with its 3738th year of continuous sponsorship of the National Veterans Wheelchair Games, the largest annual wheelchair sporting event in the world. The company also sponsored Invictus Games, a global sporting event, to inspire recovery in veterans from all over the world. These sporting events bring a competitive and recreational sports experience to military veterans who, due to spinal cord injury, neurological conditions or amputation, use various assistive technology devices for their mobility needs due to spinal cord injury, neurological conditions or amputation.needs.
The company's products are distributed through a network of facilities and directly from some manufacturing sites to optimize cost, inventory and delivery performance.
EuropeAll Other (Asia Pacific)
The company’s European operations primarily conduct manufacturing, marketing and distribution functions in Western Europe and coordinate export sales activities through local distributors for markets in the Middle East and Africa. The company uses an employee sales force and independent distributors. In markets where the company has its own sales force, product sales are made to medical equipment dealers and directly to government agencies. Marketing functions are staffed by central and regional teams to optimize coverage and content. The company operates distribution centers in various locations to optimize cost and delivery performance.
Asia/Pacific


The company's Asia/PacificAll Other (Asia Pacific) segment comprises revenue from twofour businesses. Invacare Asia/PacificAll Other (Asia Pacific) sells and rents durable medical equipment, principally in Southeast Asia, North Asia, China, Australia and New Zealand. It uses an employee sales force and service representative to support this revenue. The other business, DCL, uses a global employee sales force to sell electronic controls systems and components to related parties in Invacare and to independent customers. Products are distributed throughout Asia from a regional distribution center in Thailand, with complex rehabilitation product sourced from global sources via a network of distribution nodes designed to optimize cost, inventory and delivery performance.


MarketingSales and marketing efforts in direct markets in Asia/PacificAll Other (Asia Pacific) are managed regionally.within the region and leveraged from other regions of the company. Sponsorship efforts are focused at the grass roots level and around programs designed to introduce people with disabilities to sports as a pathway to inclusion. In 2017,2019, Invacare Australia sponsored the Summer Down Under Series, which culminated in the Oz Day 10K classic wheelchair race on Australia Day. In 2017,2019, Invacare New Zealand sponsored the Halberg Junior Disability Games and worked with local organizations to improve access for people with disabilities. Invacare supports a number of sporting organizations in the region, including Invictus New Zealand.primarily focused on those that introduce people to sports. In 2018, Invacare (Thailand) Ltd. was established, with a focus on expansion of the company's southeast Asia network.


PRODUCT LIABILITY COSTS


The company is self-insured in North America for product liability exposures through its captive insurance company, Invatection Insurance Company, which currently has a policy year that runs from September 1 to August 31 and insures annual policy losses up to $10,000,000 per occurrence and $13,000,000 in the aggregate. The company also has additional layers of external insurance coverage, related to all lines of insurance, coverage, insuring up to $75,000,000 in aggregate losses per policy year arising from individual claims anywhere in the world that exceed the captive insurance company policy limits or the limits of the company’scompany's per-country foreign liability limits, as applicable. There can be no assurance that Invacare’sInvacare's current insurance levels will continue to be adequate or available at affordable rates.



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Product liability reserves are recorded for individual claims based upon historical experience, industry expertise and other indicators. Additional reserves, in excess of the specific individual case reserves, are provided for incurred unreported claims based upon actuarial valuations at the time such valuations are conducted. Historical claims experience and other assumptions are taken into consideration by the company in estimating the ultimate reserves. For example, the actuarial analysis assumes that historical loss experience is an indicator of future experience, that the distribution of exposures by geographic area and nature of operations for ongoing operations is expected to be very similar to historical operations with no dramatic changes and that the government
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indices used to trend losses and exposures are appropriate. Estimates madeEstimated amounts used in the calculation of reserves are adjusted on a regular basis and can be impacted by actual loss awards and claim settlements. While actuarial analysis is used to help determine adequate reserves, the company is responsible for determining and recording adequate reserves in accordance with accepted loss reserving standards and practices.practices and applicable accounting principles.


PRODUCT DEVELOPMENT AND ENGINEERING
The company’scompany's strategy includes developing a cadence of meaningful new products in key markets and product areas. As the resultsresult of work among the company’scompany's development groups in N.North America, Europe and Asia, Invacare launched a series of new innovations in 2017,2019, including the following:

The Invacare® TDX® SP2 Power Wheelchair with LiNX® Technology and Ultra Low Maxx Seating. The TDX SP2 power wheelchair builds on several of Invacare’s core patented technologies, including SureStep® suspension, Stability Lock and G-Trac tracking technology, which ensure smooth driving and maneuverability. LiNX is revolutionary technology that allows high-end complex rehabilitation needs to be met with exceptional functionality and ease of use. The LiNX electronics system includes a touch screen display, wireless programming and remote monitoring for better clinical evaluations, easy, intuitive programming and great connected functionality for providers.

The company expanded its healthcare informatics offering via the launch of the enhanced Invacare® Platinum® Mobile Oxygen Concentrator with Connectivity. This product brings new technology to respiratory end-users and home medical equipment providers that helps build patient confidence, offers a lightweight portable oxygen solution, and allows the end-user and provider to share product data easily for improved usability.

The new Motion Concepts 407 seating system utilizes a simple design to optimize the stability of the base of the wheelchair, while providing up to 40º of tilt. This allows the end user to achieve a unique position where the head is below the feet, and the feet are above the heart, to assist with respiratory and circulatory conditions.
Invacare EuropeThe Motion Concepts UpFront thoughtfully combines a fully functioning power positioning system with 5.5” of forward shift, allowing the end user to access previously difficult to reach surfaces and objects.
The Motion Concepts HD Series is a seating system which meets the individual needs of today’s larger end users. The HD Series is designed to allow for exceptional driving performance, elegant design and maximum comfort and can accommodate higher weight capacities.
In the category of custom manual wheelchairs, the company introduced the new Kuschall 2.0 line of manual wheelchairs. This new line utilizes a new technology (hydroforming) to increase the stiffness of the chair, while at the same time reducing the weight. The result of these features adds to the driving performance of the wheelchair. The new design can be
highly personalized with a new intelligent color concept.
In the category of power add-on drives, the company's Alber division launched the new OrionSMOOV one O10. This small, light and Comet Scooters. Built from high-quality robust materials,portable add-on is easy to use and has a separate, wireless and ergonomic control unit and an app for further adjustments and functions.
In the Lifestyles product line, the company launched new products such as the Etude and NordBed. This new range of beds offers enhanced ergonomics (due to the new scooters offer maximum durability, strengthpatented Ergo Move Technology), effective risk management and reliability. Featuring ten new interchangeable shroud colorssingle-handed care with features like “Up & Out”, “low lowest height” and “RememberMe”. It has modern aesthetics and can be easily detachable in pieces below 20kg without any tools.
In the Respiratory product line, the company launched another first with the addition of remote flow control to the existing portable oxygen concentrator app. The app enables an extensive rangeeven more active and autonomous lifestyle for patients on oxygen. Using the app, a patient can change between prescribed rest and activity settings while the concentrator is worn on their back or from a distance of accessories, these scooters are adaptable25 feet when the concentrator is used with a longer cannula. This reduces activity interruption or the need to individual needs.return to the concentrator to change between settings.


The küschall K-Series attract, küschall Champion, and küschall Advance active manual wheelchairs were launched in the United States in February 2017. Featuring a minimalist aesthetic philosophy, küschall products are designed to be lighter and sleeker with fewer parts so that people see the individual in the chair, not the chair itself.


MANUFACTURING AND SUPPLIERS


The company’scompany's objective is to efficiently deploy resources in its supply network to achieve the best quality, service performance and lowest total cost. The company targetsseeks to achieve this result withthrough a combination of inputs from Invacare facilities, contract manufacturers and key suppliers.


The company continues to emphasize quality excellence and efficiency across its manufacturing and distribution operations. The company is expanding its culture of deploying current Good Manufacturing Practices (“cGMP”) and Lean Manufacturing principles to eliminate waste throughout the network and will continue to pursue improvements.improvements in its manufacturing processes. At its core, the company’scompany's operations produce and distribute both custom-configured products for use in specialized clinical situations and standard products.


The company procures raw materials, components and finished goods from a global network of internal and external sources. The company utilizes regional sourcing offices to identify, develop and manage its external supply base. Where appropriate, Invacare utilizes suppliers across multiple regions to ensure flexibility, continuity and responsiveness. The company’scompany's network of engineering design centers,
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product management groups and sources of supply are used to optimize cost and satisfy customer demand.
North America
The company operates several vertically integrated factories in North America, each with specific capabilities: custom powered wheelchairs and seating products (Elyria, OH); manual and passive manual wheelchairs and patient aids (Reynosa, MX); beds, institutional case goods and respiratory therapy products (Sanford, FL); manual recreational and wheelchair products (Pinellas Park, FL), passive manual and pediatric wheelchairs (Simi Valley, CA); and seating and positioning systems (Toronto, ONT). Products made in North American operations are sold in North America and are shipped as finished goods and as subcomponents to internal and external customers globally. The company is rationalizing its North American distribution network to optimize delivery performance, inventory and cost.
Europe
The company has eightcompany's manufacturing and assembly facilities in Europe, each of which is equipped with individual capabilities to manufacture patient aids, wheelchairs, powered mobility accessories, bath safety products, beds, therapeutic support surfaces, and patient transport products. The Europe segment uses these internal sources and some external sources of finished goods and components to create the portfolio of products it distributes. Products distributed in Europe are used by internal and external customers worldwide.
North America
excellence, i.e., factories, in North America, each with specific capabilities: custom powered wheelchairs, seating products and respiratory therapy products (Elyria, OH); manual and passive manual wheelchairs and patient aids (Reynosa, MX); beds, institutional case goods and respiratory therapy products (Sanford, FL); manual recreational and sport wheelchair products (Pinellas Park, FL), passive manual and pediatric wheelchairs (Simi Valley, CA); and seating and positioning systems (Toronto, ONT). Products designed and made in North American operations are sold in North America and are shipped as finished goods and as subcomponents to internal and external customers globally. The company continually reviews its’ operations network capacity, workforce skills and technologies along with its’ distribution network to optimize design, manufacture, sourcing and delivery performance, inventory and cost.


Asia/Asia Pacific


Invacare Asia/Asia Pacific manufactures control systems and components used primarily in mobility and respiratory devices that serve global markets through the company’s wholly-ownedcompany's factory in Suzhou, Jiangsu Province, China. The company operates distribution nodes in several countries to supply customer needs while optimizing cost, inventory and service levels.


TRANSFORMATION UPDATE

In 2019, while the company faced additional headwinds in North America, such as tariffs and changes in reimbursement related to national competitive bidding, these headwinds were partially offset by the company's actions already in process to drive growth and improve operations. The enhanced transformation and growth plan balances innovative organic growth, product portfolio changes across all regions, and cost improvements in supply chain and administrative functions.
Key elements of the enhanced transformation and growth plan:

Continue to drive all business segments and product lines based on their potential to achieve a leading market position and support profitability goals;
In Europe, leverage centralized innovation and supply chain capabilities while reducing the cost and complexity of a legacy infrastructure;
In North America, adjust the portfolio to consistently grow profitability amid cost increases by adding new products, reducing costs and continuing to improve customers' experience;
In Asia Pacific, remain focused on sustainable growth and expansion in the southeast Asia region; and
Globally, take actions to reduce working capital and improve free cash flow.

In 2019, the company realized significant improvement in the key financial metrics. The North America segment, which was impacted by the consent decree, tariffs, changes in reimbursement and national competitive bidding, reduced operating losses significantly.

The company believes that continued generation of earnings driven by operational performance, cash balances on hand, and expected free cash flow will support the company's on-going transformation plans and enable it to address future debt maturities.

GOVERNMENT REGULATION


The company is governed by regulations that affect the manufacture, distribution, marketing and sale of its products and regulate healthcare reimbursement that may affect its customers and the company directly. These policies differ among and within every country in which the company operates. Changes in regulations, guidelines, procedural precedents, enforcement and healthcare policy take place frequently and can impact the size, growth potential and profitability of products sold in each market.


In many markets, healthcare costs have been consistently increasing in excess of the rate of inflation and as a percentage of GDP. Efforts to control payor's budgets have impacted reimbursement levels for healthcare programs. Private insurance companies often mimic changes in government programs. Reimbursement guidelines in the home healthcare industry have a substantial impact on the nature and type of equipment consumers can obtain and thus, affect the product mix, pricing and payment patterns of the company’scompany's customers who are typically the medical equipment providers to end-users.


The company has continued its efforts to influence public policies that impact home-based and long-term non-acute healthcare. The company has been actively educating
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federal and state legislators about the needs of the patient communities it serves and has worked with policy authors to ensure the industry’sindustry's healthcare consumer needs are represented. The company believes its efforts have given the company a competitive advantage. Customers and end-users recognize the company’scompany's advocacy efforts, and the company has the benefit of remaining apprised of emerging policy direction.

FDA

The United States Food and Drug Administration (“FDA”) regulates the manufacture, distribution and marketing of medical devices. Under such regulation, medical devices are classified as Class I, Class II or Class III devices, depending on the level of risk posed to patients, with Class III designating the highest-risk devices. The company’scompany's principal products are designated as Class I or Class II. In general, Class I devices must comply with general controls, including, but not limited to, requirements related to
establishment registration and device listing, labeling, medical device reporting, and the Quality System Regulation (QSR). In addition to general controls, certain Class II devices must comply with design controls, premarket notification, and applicable special controls. Domestic and foreign manufacturers of medical devices sold in the U.S. are subject to being inspectedroutine inspections by FDA. In addition, some foreign governments have adopted regulations relating to the design, manufacture and marketing of health care products.products, and imposing similar controls as the FDA regulations.

Other Medical Device Regulators

Outside the U.S., it is customary for foreign governments to have a ministry of health or similar body that regulates and enforces regulations relating to the design, manufacture, distribution and marketing of medical devices. In some cases, there are common standards for design and testing. In some cases, there are country-specific requirements. These regulations are not always harmonized with those from other jurisdictions and in some cases, the consequence in costs, time to enter a market or support a product may be significant.

The company is currently conducting a program to bring its products designed, manufactured and sold into the European Union market, into conformance with the EU MDR (Medical Device Regulations). The company is on plan to bring all class I devices into compliance with the MDR by May 26, 2020. Class II devices will be completed on or before the complete this work for class I devices prior to the required May 27, 2024 date.




2012 Consent Decree, Taylor Street and Corporate Facilities

In December 2012, the company became subject to a consent decree of injunction filed by FDA with respect to the company's Corporate facilityHeadquarters and its Taylor Street manufacturing facilityfacility's operations in Elyria, Ohio, which was an exhibit to the company's Form 8-K filed on December 20, 2012.Ohio. The consent decree initially limited the company's (i) manufacture and distribution of power and manual wheelchairs, wheelchair components and wheelchair sub-assemblies at or from its Taylor Street manufacturing facility, except in verified cases of medical necessity, (ii) design activities related to wheelchairs and power beds that take place at the impacted Elyria facilities and (iii) replacement, service and repair of products already in use from the Taylor Street manufacturing facility. Under the terms of the consent decree, in order to resume full operations, the company had to successfully complete independent, third-party expert certification audits at the impacted Elyria facilities, comprised of three distinct certification reports separately submitted to, and accepted by, FDA; submit its own report to the FDA; and successfully complete a reinspection by FDA of the company’scompany's Corporate and Taylor Street facilities.


On July 24, 2017, following its June 2017 reinspection of the Corporate and Taylor Street facilities, FDA notified the company that it was in substantial compliance with the QSRFederal Food, Drug and atCosmetic Act (FDA Act), FDA regulations and the terms of the consent decree and that time, the company was permitted to resume full operations at those facilities including the resumption of unrestricted sales of products made in those facilities.


The consent decree will continue in effect for a minimum ofat least five years from July 24, 2017, during which time the company’scompany's Corporate and Taylor Street facilities must
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complete to two semi-annual audits in the first year following the lifting of the injunction and then and annual audit in the each of the next four annual auditsyears performed by a company-retained expertby the firm. The expert audit firm will determine whether the facilities remain in continuous compliance with the Federal Food, Drug and CosmeticFDA Act, (FDA Act), regulations and the terms of the consent decree.decree and issue post audit reports contemporaneously to FDA and Invacare. The FDA has the authority to inspect these facilities and any other FDA registered facility, at any time. As of

In 2018, the date ofcompany completed the filing of this Form 10-K,two semi-annual independent expert audits and, in 2019, the company completed the first annual independent expert audit of the Corporate and Taylor Street facilities, has been completedas required under the consent decree, and in each case the facilities were found to remain in compliance with the FDA Act, the FDA regulations and the resultconsent decree. The audit reports have been submitted to FDA.



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Under the consent decree, FDA has the authority to order the company to take a wide variety of actions if FDA finds that the company is not in compliance with the consent decree, FDA Act or FDA regulations, including requiring the company to cease all operations relating to Taylor Street products. FDA also can order the company to undertake a partial cessation of operations or a recall, issue a safety alert, public health advisory, or press release, or to take any other corrective action FDA deems necessary with respect to Taylor Street products.


FDA also has authority under the consent decree to assess liquidated damages of $15,000 per violation per day for any violations of the consent decree, FDA regulations or the FDA Act. FDA also may assess liquidated damages for shipments of adulterated or misbranded devices in the amount of twice the sale price of any such adulterated or misbranded device. The liquidated damages, if assessed, are capped atlimited to a total of $7,000,000 for each calendar year. The authority to assess liquidated damages areis in addition to any other remedies otherwise available to FDA, including civil money penalties.


For additional information regarding the consent decree, please see the following sections of this Annual Report on Form 10-K: Item 1. Business - Government Regulation; Item 1A. Risk Factors; and Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations - Outlook and - Liquidity and Capital Resources.

Other FDA Matters

As required, the company’scompany's facilities which produce products for sale in the U.S. are registered with FDA. Those facilities are subject to inspections by FDA at any time. Recent inspections of company facilities by or on behalf of FDA are summarized in the following paragraphs.


In June 2017,On February 25, 2019 through March 8, 2019, FDA inspectedconducted a routine inspection under the company's CorporateConsent Decree of Invacare Headquarters and Taylor Street facilities in connection withOperations. At the consent decree, as described above, and issued an inspectional observation on Form 483. The company submitted its response to the agency in a timely manner. On July 24, 2017, the FDA notified the company that it was in substantial compliance with the QSR and that it was permitted to resume full operations at those facilities.
In September 2017, Alber GmbH, a wholly owned subsidiaryclose of the company, received a warning letter from the FDA. The warning letter required completion of corrective actions to addressinspection, no FDA Form 483 observations issued following anwere issued. In December, the FDA provided written comments and recommendations related to questions which arose during the inspection, of Alber’s facility in Albstadt, Germany in May 2017. As a consequence of the warning letter, all Alber devices could not be imported into the United States until all findings were corrected to FDA’s satisfaction. On January 3, 2018, FDA notifiedand the company that Alber’s responseshas responded to the warning letter were adequate,FDA’s questions and that FDA had, as of that date, removed the import suspension. FDA is expected to conduct a follow-up inspection of Alber’s facility in Q2 2018 and the warning letter cannot be fully resolved until successful completion of the inspection. The company cannot predict the outcome of this inspection.comments.


In October 2017,May 2019, the FDA inspected the Corporatecompany’s Porta Westfalica, Germany facility, and Taylor Street facilities to investigate an anonymous complaint concerning one of the company’s Verification of Medical Necessity documents under the consent decree. There were no Form 483 observations issued by FDAwere noted at the conclusion of the inspection.

In November 2017,January 2020, the FDA inspected the company’sMotion Concepts facility in Pinellas Park, FloridaVaughn, Ontario, and issued its observations on Form 483, one of which was annotated as corrected and verified at the conclusion of the inspection.inspection, the FDA issued its Form 483 with three observations. The company has submitted its responsetimely responded to the agency in a timely manner.

483 observations. In November 2017,January 2020, the FDA inspectedconducted a directed inspection at the company’s facility in Sanford, FloridaElyria, OH facilities, and issued its observations on Form 483, andat the company submitted its response toconclusion of the agency in a timely manner. The Sanford facility is the subject of a warning letter frominspection, the FDA issued in December 2010 relatedits Form 483 with three
observations.  The company has timely responded to quality systems processes and procedures and the company continues to work on addressing the FDA’s citations.483 observations.

In November 2017, the FDA inspected the company’s facility in Porta Westfalica, Germany, and there were no inspectional observations issued at the end of the inspection.

In December 2017, the California Department of Public Health, on behalf of FDA, inspected the company’s facility in Simi Valley, California and there were no inspectional observations issued at the end of the inspection.


The company will continue working to resolve outstanding matters with FDA including issues raised in inspectional observations. It is expectedexpects that substantially all of its facilities will continue to be inspected by FDA or other agencies.regulatory agencies from time to time. The frequency, duration, scope, findings and consequences of these inspections cannot be predicted.

From time to time, the company may undertake voluntary recalls or field corrective actions of the company’scompany's products to correct potential product safety issues that may arise. These

actions are necessary to ensure the company's products adhere to high standards of quality, safety and effectiveness. The company continues

In December 2019 the company’s operations in Sanford, Fla and Elyria, OH underwent a successful MDAP (Medical Device Single Audit Program) audit. No findings were issued as a result of this audit.

Other Quality Accomplishments

In 2018, the company's main facilities in Europe, Asia and North America were certified as meeting ISO 13485-2016 requirements, a stringent international standard for quality management systems, demonstrating its continued commitment to operate these programs to ensure compliance with applicable regulations and keeps abreast of proposed regulations and various technical standards, particularly those which could have a material adverse effect on the company.quality excellence.

National Competitive Bidding

In the United States, CMS is a significant payor and governs healthcare reimbursement for Medicare and Medicaid services. On January 1, 2011, CMS began its National Competitive Bidding ("NCB") program in nine metropolitan statistical areas (MSA) across the country ("Round 1") to reduce healthcare spending.spending, pursuant to a 2003 federal law. On July 1, 2013, CMS expanded the program to an additional 91 metropolitan statistical areasMSAs ("Round 2"). These bid programs have resulted in new, lower Medicare payment rates in these 100 areas. In January 2016, CMS began the deployment of NCB rates to the remainder of the Medicare population that had not yet been impacted by the program. These were primarily less densely populated, rural areas. In 2016, CMS divided the United States into eight regions and applied the average reimbursement reduction per NCB product category in each region from Round 1 and Round 2 to the rural providers in those eight regions.

In November 2018, CMS announced that it was suspending the NCB program for approximately two years, from January 1, 2019 through approximately December 31, 2020, and in the interim will implement changes to the NCB program. On March 7, 2019, the CMS announced plans to consolidate the competitive bidding areas (CBAs) included in the Round 2 Recompete and Round 1 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program into a single
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round of competition named Round 2021. Round 2021 contracts are scheduled to become effective on January 1, 2021, and extend through December 31, 2023. Payment rates will be based off the clearing price rather than the median of the initial contractors' rates. CMS will use “lead item pricing”, meaning that bidders will submit a bid for the item in the product category with the highest total national Medicare allowed charges during the previous year. Prices for all other items in that category will be based off that lead item discount. During the approximate two-year period in which the bid program is suspended, Medicare payment rates are generally expected to remain substantially similar to 2019 rates. In former bid areas during this two-year window, any Medicare supplier will be able to provide bid items to beneficiaries. CMS' November 2018 rule also modified payment rates for oxygen, based on Medicare's “budget neutrality” mandate. For the oxygen devices the company sells, however, the total Medicare payment rate will remain substantially similar to 2018 payment rates.

The company’scompany's exposure to effects of NCB rate reductions and any similar reductions from private payors or state agencies can increase the company's credit risk associated with customers whose revenue, based on reimbursement, may be significantly reduced. As reimbursement rates are reduced, the company’scompany's customers may experience pressure on profitability and liquidity. The company therefore remains focused on being judicious in its extension of credit to its customers and is vigilant about collections efforts.


In addition, the consequence of reduced reimbursement has and may continue to compel customers to consider alternative sources of supply, which may be available at lower purchase prices, thereby reducing sales of the company or the price at which customers will transact for certain products.


Although reductions in CMS payments are disruptive to the homecare industry, the company believes it can grow and thrive in this environment. The company intendsexpects to continue pursuing productivity initiatives intended to lower the costs to serve customers, thereby enabling the companyin an effort to profitably meet lower customer price targets. The company also produces certain solutions, which can provide lower total cost of business for its customers. As an example, the company’scompany's respiratory therapy products can help offset reimbursement reductions by eliminating the need for routine home exchange services of pre-filled oxygen cylinders with end-users. Delivery costs can be a substantial element of cost for its customers. The company's HomeFill oxygen system, Platinum Mobile oxygen concentrator, as well as the company’scompany's oxygen concentrators, can provide effective
convenient therapy for consumers and cost-effective equipment solutions for providers by eliminating customer's costs associated with home cylinder exchange. Similarly, the informatics capabilities the company launched for power wheelchairs and respiratory devices in 2017 enable
customers to more cost effectively provide service and support their end-user customers. The company intends to continue developing solutions that help providers improve profitability and reduce the overall cost of care for payors.


BACKLOG


The company generally manufactures its products to meet near-term demands by shipping from stock or by building to order based on the specialized nature of certain products. Therefore, the company does not have substantial backlog of orders of any particular product nor does it believe that backlog is a significant factor for its business.


EMPLOYEES


As of December 31, 2017,2019, the company had approximately 4,2003,900 employees.


FOREIGN OPERATIONS AND EXPORT SALES


The company also markets its products for export to other foreign countries. In 2017,2019, the company's products were sold in over 100 countries. For information relating to net sales, operating income and identifiable assets of the company’scompany's foreign operations, see Business Segments in the Notes to the Consolidated Financial Statements.


AVAILABLE INFORMATION


The company files Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, and any amendments thereto, as well as proxy statements and other documents with the Securities and Exchange Commission (SEC). The public may read and copy any material that the company files with the SEC at the SEC’s Public Reference Room located at 100 F Street, NE, Washington D.C. 20549. The public may obtain information on the operation of the Public Reference Room by calling the SEC at 1-800-SEC-0330. The SEC also maintains a website, www.sec.govhttp://www.sec.gov, which contains all reports, proxy and information statements and other information filed by the company with the SEC.


Additionally, Invacare’sInvacare's filings with the SEC are available on or through the company’scompany's website, www.invacare.com, as soon as reasonably practicable after they are filed electronically with, or furnished to, the SEC. Copies of the company’scompany's filings also can be requested, free of charge, by writing to: Shareholder Relations Department, Invacare Corporation, One Invacare Way, Elyria, OH 44035. The contents of the company's website are not part of this Annual Report on Form 10-K.

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FORWARD-LOOKING INFORMATION


This Form 10-K contains forward-looking statements within the meaning of the “Safe Harbor” provisions of the Private Securities Litigation Reform Act of 1995. Terms such as “will,” “should,” “could,” “plan,” “intend,” “expect,” “continue,” “believe” and “anticipate,” as well as similar comments, denote forward-looking statements that are subject to inherent uncertainties that are difficult to predict. Actual results and events may differ significantly from those expressed or anticipated as a result of risks and uncertainties, which include, but are not limited to, the following: adverse effects of the company’scompany's consent decree of injunction with the U.S. Food and Drug Administration (FDA), including but not limited to, compliance costs, inability to bid on or win certain contracts, inability to rebuild negatively impacted customer relationships, unabsorbed capacity utilization, including fixed costs and overhead; any circumstances or developments that might adversely impact the third-party expert auditor’sauditor's required audits of the company’scompany's quality systems at the facilities impacted by the consent decree, including any possible failure to comply with the consent decree or FDA regulations; regulatory proceedings or the company's failure to comply with regulatory requirements or receive regulatory clearance or approval for the company's products or operations in the United States or abroad; adverse effects of regulatory or governmental inspections of company facilities at any time and governmental warning letters or enforcement actions; including the investigation of pricing practices at one of the company's former rentals businesses; circumstances or developments that may make the company unable to implement or realize the anticipated benefits, or that may increase the costs, of its current business initiatives;initiatives, in particular the key elements of its enhanced transformation and growth plan such as its new product introductions, additional investments in sales force and demonstration equipment, plant consolidations, supply chain actions and global information technology outsourcing and ERP implementation activities; possible adverse effects on the company's liquidity that may result from delays in the implementation or realization of benefits of its current business initiatives, or from any requirement to settle repurchase rights or conversions of its outstanding convertible notes in cash; product liability or warranty claims; product recalls, including more extensive warranty or recall experience than expected; possible adverse effects of being leveraged, including interest rate or event of default risks; exchange rate fluctuations, particularly in light of the relative importance of the company's foreign operations to its overall financial performance and including the existing and potential impacts from the Brexit referendum; potential impacts of the United States administration’sadministration's policies, and any legislation or regulations that may result from those policies, and of new United States tax laws, rules, regulations or policies; legal actions, including adverse judgments or settlements of litigation or claims in excess of available insurance limits; adverse changes in government and other third-party payor reimbursement levels and practices both in
the U.S. and in other countries (such as, for example, more extensive pre-payment reviews and post-payment audits by payors, or the continuing impact of the U.S. Medicare National Competitive U.S. Bidding program); ineffective cost reduction and restructuring efforts or inability to realize anticipated cost savings or achieve desired efficiencies from such efforts; delays, disruptions or excessive costs incurred
in facility closures or consolidations; tax rate fluctuations; additional tax expense or additional tax exposures, which could affect the company's future profitability and cash flow; inability to design, manufacture, distribute and achieve market acceptance of new products with greater functionality or new product platforms that deliver the anticipated benefits;benefits at competitive prices; consolidation of health care providers; increasing pricing pressures in the markets for the company's products; lower cost imports; uncollectible accounts receivable; difficulties in implementing/upgrading Enterprise Resource Planning systems; risk of cybersecurity attack, data breach or data loss and/or delays in or inability to recover or restore data and IT systems; risks inherent in managing and operating businesses in many different foreign jurisdictions; decreased availability or increased costs of materials which could increase the company's costs of producing or acquiring the company's products, including the adverse impacts of new tariffs and possible increases in commodity costs or freight costs;costs or global health emergencies such as the "coronavirus"; heightened vulnerability to a hostile takeover attempt or other shareholder activism; provisions of Ohio law or in the company's debt agreements, charter documents or other agreements that may prevent or delay a change in control, as well as the risks described from time to time in the company's reports as filed with the Securities and Exchange Commission. Except to the extent required by law, the company does not undertake and specifically declines any obligation to review or update any forward-looking statements or to publicly announce the results of any revisions to any of such statements to reflect future events or developments or otherwise.
Part I
Item 1A. Risk Factors
   
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Item 1A.    Risk Factors.


The company’scompany's business, operations and financial condition are subject to various risks and uncertainties. One should carefully consider the risks and uncertainties described below, together with all the other information in this Annual Report on Form 10-K and in the company’scompany's other filings with the SEC, before making any investment decision with respect to the company’scompany's securities. The risks and uncertainties described below may not be the only ones the company faces. Additional risks and uncertainties not presently known by the company or that the company currently deems immaterial may also affect the company’scompany's business. If any of these known or unknown risks or uncertainties occur, develop or worsen, the company’scompany's business, financial condition, results of operations and future growth prospects could change substantially.


If the company's business transformation efforts are ineffective, the company's strategic goals, business plans, financial performance or liquidity could be negatively impacted.

The company is implementing a multi-year turnaround strategy intended to substantially transform its business and re-orient its resources to a more clinically complex mix of products and solutions. To date, this strategy has included actions to re-orient the company's North American commercial team, restart the company's innovation pipeline, shift its product mix, develop and expand its talent, and strengthen its balance sheet. As part of these actions, the company has reshaped its sales force in North America, invested in product development, discontinued a significant amount of non-core products, and issued convertible debt to fund the transformation. The company also has taken steps to realign infrastructure and processes that are intended to drive efficiency and reduce costs. Recent additional business headwinds in North America, such as tariff related increases in product and component cost, have highlighted the importance of the company's transformation efforts.

The company may not be successful in achieving the full long-term growth and profitability, operating efficiencies and cost reductions, or other benefits expected from these transformation efforts. The company also may experience business disruptions associated with these activities. Further, the benefits of the strategy, if realized, may be realized later than expected, the costs of implementing the strategy may be greater than anticipated, and the company may lack adequate cash or capital or may not be able to attract and retain the necessary talent, to complete the transformation. If these measures are not successful, the company may undertake additional transformation efforts, which could result in future expenses. If the company's business transformation efforts prove ineffective, the company's ability to achieve its strategic goals and business plans, and the company's financial performance, may be materially adversely affected.
If the company's transformation efforts are ineffective, the company may not be able to pay its indebtedness when due or refinance its debt, which could have a material, adverse effect upon the company.

If the company's business transformation efforts prove ineffective and it continues to experience negative cash flows and losses, the company may require additional financing. Under these circumstances, such financing may be difficult or expensive to obtain, and the company can make no assurances that it would be available on terms acceptable to the company, if at all.

Increased cyber security threats and more sophisticated and targeted computer crime could pose a risk to the company's systems, networks, products and services, and a risk to the company's compliance with data privacy laws.
Increased global IT security threats and more sophisticated and targeted computer crime pose a risk to the security of the company's systems and networks as well as the confidentiality, protection, availability and integrity of the company's data and any personal data on such networks or systems, including regulatory risks under the EU General Data Protection Regulation (GDPR), the California Consumer Privacy Act (CCPA) and the U.S. Health Insurance Portability and Accountability Act (HIPAA), among other risks. In addition, data security breaches can also occur as a result of a failure by the company or its employees to follow policies, procedures or training, or by acts, omissions or breaches by persons with whom the company has commercial relationships that result in the unauthorized release of personal or confidential information.
Through its sales channels, the company may collect and store personal or confidential information that customers provide to purchase products or services, enroll in promotional programs and register on the company's website, among other reasons. The company may also acquire and retain information about customers, product end users, suppliers and employees in the normal course of business. The company also creates and maintains proprietary information that is critical to its business, such as its product designs and manufacturing processes. In addition to the company’s own databases, it uses third-party service providers to store, process and transmit confidential or personal information on its behalf. Although the company contractually requires these service providers to implement and use reasonable security measures and to comply with laws relating to privacy and data protection, the company cannot control third parties and cannot guarantee that a data security breach will not occur in the future either at their location or within their systems.
Despite the company's efforts to secure its systems and networks, and any personal or sensitive information stored thereon, the company could experience a significant data
Part I
Item 1A. Risk Factors

security breach. Computer hackers may attempt to penetrate the company's or its vendors' information systems and, if successful, misappropriate confidential customer, supplier, employee or other business or personal information, including company intellectual property. Third parties could also gain control of company systems and use them for criminal purposes. Depending on their nature and scope, such threats could result in the loss of existing customers, difficulty in attracting new customers, exposure to claims from customers, governmental or data privacy or data protection authorities, financial institutions, payment card associations, employees and other persons, imposition of regulatory sanctions or penalties, incurring of additional expenses or lost revenues, or other adverse consequences, any of which could have a material adverse effect on the company's business and results of operations.
Any major disruption or failure of the company’s information technology systems, or its failure to successfully implement new technology effectively, could adversely affect the company’s business and operations.

The company relies on various information technology systems to manage its operations. The company recently outsourced substantially all of its information technology services to Birlasoft Solutions, Inc. Over the next several years, the company expects Birlasoft to implement modifications and upgrades to the company's systems, including making changes to legacy systems, replacing legacy systems with successor systems with new functionality and acquiring new systems with new functionality. For example, over the next several years, the company plans to implement with the assistance of Birlasoft a new enterprise resource planning ("ERP") system across the company. These activities subject the company to inherent risks associated with replacing and upgrading these systems, including impairment of its ability to fulfill customer orders, potential disruption of its internal control structure, additional administration and operating expenses, reliance on Birlasoft providing sufficiently skilled personnel to implement and operate the new systems, demands on management time, and other risks and costs of delays or difficulties in transitioning to new or upgraded systems or of integrating new or upgraded systems into the company’s current systems. The company’s system implementations may not result in productivity improvements at a level that outweighs the risks and burdens of implementation, or at all. In addition, the difficulties with implementing new or upgraded technology systems may cause disruptions in its business operations and have an adverse effect on its business and operations, if not anticipated and appropriately mitigated.





As the company outsources functions, it becomes more dependent on the entities performing those functions. Disruptions or delays at the company’s third-party service providers could adversely impact its operations.

As part of its transformation strategy, the company has sought opportunities to provide essential business services in a more cost-effective manner. In some cases, this results in the outsourcing of functions or parts of functions that can be performed more effectively by external service providers. For example, the company recently outsourced a significant portion of its information technology functions to Birlasoft Solutions Inc. While the company believes it conducts appropriate diligence before entering into agreements with any outsourcing entity, the failure of one or more of such entities to meet the company’s performance standards and expectations, including with respect to service levels, data security, compliance with data protection and privacy laws, providing services on a timely basis or providing services at the prices the company expects, may have an adverse effect on the company’s results of operations or financial condition. In addition, the company could face increased costs or disruption associated with finding replacement vendors or hiring new employees in order to return these services in-house. The company may outsource other functions in the future, which would increase its reliance on third parties.

IT Governance, Project Management and Contract Management competencies are critical to the company’s success in driving its significant cost improvement and transformation projects to achieve consistent and sustainable profitable growth.

The company is implementing it multi-year transformation strategy which involves projects focused on streamlining the company’s supply chain and operations infrastructure, upgrading and modernizing its information technology capabilities and implementation of new ERP systems in conjunction with its third-party outsourcing service provider. In addition, the company has outsourced certain key functions to third-party service providers and may continue to do so in the future. The success of these activities is dependent on the company’s ability to maintain an adequate IT governance management structure and adequate capabilities in project management and contract management functions. Despite its efforts to build and maintain these capabilities, the company could have inadequate skills, personnel, management skills, or processes necessary to successfully implement the programs and projects necessary to successfully transform the business and achieve the intended operating efficiencies and cost reductions from such programs and projects.



Part I
Item 1A. Risk Factors


The company is dependent upon its processes and procedures to ensure essential operational functions can continue during events that disrupt normal operations.

A major natural or manmade disaster such as terrorist attack, fire, hurricane, tornado, earthquake, or flood could cause damage to the company or key supplier facilities, limiting the company's ability to sustain operations. The damage could result in an inability to meet customer demands resulting in the loss of associated sales and profits, and in property losses in excess of insurance coverage. While the company has put in place procedures to ensure essential functions continue in the event of a crisis, there is no guarantee that its procedures will be adequate or sufficient to handle a given unforeseen event.

The inability to attract and retain, or loss of the services of, the company's key management and personnel could adversely affect its ability to operate the company's business.

The company's future success will depend, in part, upon the continued service of key managerial, engineering, marketing, sales and technical and operational personnel. In addition, the company's future success will depend on its ability to continue to attract and retain other highly qualified personnel, including personnel experienced in sales, marketing and manufacturing of medical equipment and in quality systems and regulatory affairs. If the company is not successful in retaining its current personnel or in hiring or retaining qualified personnel in the future, the company's business may be adversely affected. The company's future success depends, to a significant extent, on the abilities and efforts of its executive officers and other members of its management team, such as the company's Chairman, President and Chief Executive Officer and its Senior Vice President and Chief Financial Officer, as well as other members of its management team. The company had significant turnover in personnel in recent years and cannot be certain it can adequately recruit, hire and retain replacement personnel or that its executive officers and other key employees will continue in their respective capacities for any period of time, and these employees may be difficult to replace. If the company loses the services of any of its management team, the company's business may be adversely affected.

The company is subject to certain risks inherent in managing and operating businesses in many different foreign jurisdictions.

The company has significant international operations, including operations in Australia, Canada, New Zealand, Mexico, Asia (primarily China) and Europe. There are risks inherent in operating and selling products internationally, including:

different regulatory environments and reimbursement systems;
difficulties in enforcing agreements and collecting receivables through certain foreign legal systems;
foreign customers who may have longer payment cycles than customers in the United States;
fluctuations in foreign currency exchange rates;
tax rates in certain foreign countries that may exceed those in the United States and foreign earnings that may be subject to withholding requirements;
the imposition of tariffs, exchange controls or other trade restrictions including transfer pricing restrictions when products produced in one country are sold to an affiliated entity in another country;
potential adverse changes in trade agreements between the United States and foreign countries, including the North America Free Trade Agreement (NAFTA) among the United States, Canada and Mexico;
potential adverse changes in economic and political conditions in countries where the company operates or where end-users of the company's products reside, or in their diplomatic relations with the United States;
government control of capital transactions, including the borrowing of funds for operations or the expatriation of cash;
potential adverse tax consequences, including those that may result from new United States tax laws, rules, regulations or policies;
security concerns and potential business interruption risks associated with political and/or social unrest, or public health crisis, in foreign countries where the company's facilities or assets are located;
difficulties associated with managing a large organization spread throughout various countries;
difficulties in enforcing intellectual property rights and weaker intellectual property rights protection in some countries;
required compliance with a variety of foreign laws and regulations; and
differing consumer product preferences.
The factors described above also could disrupt the company's product manufacturing and assembling operations or its key suppliers located outside of the United States or increase the cost to the company of conducting those operations or using those suppliers. For example, the company relies on its manufacturing and sourcing operations in Mexico and China to produce its products, and the strain of coronavirus that surfaced in Wuhan, China has resulted in interruptions in production in China. Disruptions in, or
Part I
Item 1A. Risk Factors

increased costs related to, the company's foreign operations, particularly those in Mexico or China, may impact the company's revenues and profitability.
If the company's products are not included within an adequate number of customer formularies, or if pricing policies otherwise favor other products, the company's market share and gross margin could be negatively affected.

Many of the medical equipment and home health care providers to whom the company sells its products negotiate the price of products and develop formularies which establish pricing and reimbursement levels. Many of these providers also compensate their sales personnel based on the formulary position of the products they sell. Exclusion of a product from a formulary, unfavorable positioning of a product within a formulary, or lower compensation levels for customer sales personnel associated with the products can lead to such product's sharply reduced usage in the provider's patient population. If the company's products are not included, or favorably positioned, within an adequate number of formularies, or if the pricing policies or sales compensation programs of providers otherwise favor other products, the company's sales revenues, market share and gross margin could be negatively affected, which could have a material adverse effect on the company's results of operations and financial condition.

The industry in which the company operates is highly competitive and some of the company's competitors may have greater financial resources, a more effective market strategy or better strategic execution.

The home medical equipment market is highly competitive and the company's products face significant competition from other well-established manufacturers or potential new market entrants. Reduced government reimbursement levels and changes in reimbursement policies, such as the National Competitive Bidding program implemented in the U.S. by CMS, may drive competitors, particularly those that have greater financial resources than the company's, to offer drastically reduced pricing terms in an effort to take market share from the company or secure government acceptance of their products and pricing. New or disruptive products which compete with the company's products may be introduced in the market or may find higher level or customer acceptance than the company's products. Any increase in competition may cause the company to lose market share or compel the company to reduce prices to remain competitive, which could have a material adverse effect on the company's results of operations. The company's failure to recognize changing market demands or a failure to develop or execute a strategy to meet such changes could also result in a material adverse effect on the company's results of operations.

The consolidation of health care customers and the company's competitors could result in a loss of customers or in additional competitive pricing pressures.

Numerous initiatives and reforms instituted by legislators, regulators and third-party payors to reduce home medical equipment costs have caused pricing pressures which have resulted in a consolidation trend in the home medical equipment industry as well as among the company's customers, including home health care providers. In the past, some of the company's competitors, which may include distributors, have been lowering the purchase prices of their products in an effort to attract customers. This in turn has resulted in greater pricing pressures, including pressure to offer customers more competitive pricing terms, exclusion of products from or unfavorable position on provider formularies and the exclusion of certain suppliers from important market segments as group purchasing organizations, independent delivery networks and large single accounts continue to consolidate purchasing decisions for some of the company's customers. Further consolidation could result in a loss of customers, increased collectability risks, or increased competitive pricing pressures. In addition, as reimbursement pressures persist in the U.S. market, some customers directly source their own lifestyle products to secure a low-cost advantage.

The company's business strategy relies on certain assumptions concerning demographic trends that impact the market for its products. If these assumptions prove to be incorrect, demand for the company's products may be lower than expected.

The company's ability to achieve its business objectives is subject to a variety of factors, including the relative increase in the aging of the general population. The company believes that these trends will increase the need for its products. The projected demand for the company's products could materially differ from actual demand if the company's assumptions regarding these trends and acceptance of its products by health care professionals and patients prove to be incorrect or do not materialize. If the company's assumptions regarding these factors prove to be incorrect, the company may not be able to successfully implement the company's business strategy, which could adversely affect the company's results of operations. In addition, the perceived benefits of these trends may be offset by competitive or business factors, such as the introduction of new products by the company's competitors or the emergence of other countervailing trends, including lower reimbursement and pricing.





Part I
Item 1A. Risk Factors


The adoption of healthcare reform and other legislative developments in the U.S. may adversely affect the company's business, results of operations and/or financial condition.

The U.S. Affordable Care Act enacted in 2010 includes provisions intended to expand access to health insurance coverage, improve the quality and reduce the costs of healthcare over time. Further U.S. healthcare reform may be implemented in the future.

The Affordable Care Act and any potential future healthcare reform legislation along with the programs implemented by such laws may reduce reimbursements for the company's products, may impact the demand for the company's products and may impact the prices at which the company sells its products. In addition, various healthcare programs and regulations may be ultimately implemented at the federal or state level. Such changes could have a material adverse effect on the company's business, results of operations and/or financial condition.

Changes in government and other third-party payor reimbursement levels and practices have negatively impacted and could continue to negatively impact the company's revenues and profitability.

The company's products are sold primarily through a network of medical equipment and home health care providers, extended care facilities and other providers such as various government-provider agencies throughout the world. Many of these providers (the company's customers) are reimbursed for the products and services provided to their customers and patients by third-party payors, such as government programs, including Medicare and Medicaid, private insurance plans and managed care programs. Most of these programs set maximum reimbursement levels for some of the products sold by the company in the United States and abroad. If third-party payors deny coverage, make the reimbursement process or documentation requirements more uncertain or reduce their levels of reimbursement, or if the company is unable to reduce its costs of production to keep pace with decreases in reimbursement levels, the company may be unable to sell the affected product(s) through its distribution channels on a profitable basis.

Reduced government reimbursement levels and changes in reimbursement policies have in the past added, and could continue to add, significant pressure to the company's revenues and profitability. For example, the National Competitive Bidding, or “NCB”, program introduced by CMS beginning in January 2011 has had the effect of substantially reducing reimbursement and payment rates for medical equipment and supplies by Medicare. The reduced reimbursement and payment rates have, in some cases, prompted customers to consider lower-priced alternatives to the company's products and compelled the
company to reduce prices on certain products, which has negatively impacted the company's revenues and profitability. In November 2018, CMS announced a suspension of NCB for approximately two years while changes to the program structure are implemented. The changes are expected to result in significant modifications to reimbursement and payment rates. The potential impact of these modifications is uncertain and may further negatively impact the company's revenues and profitability. See “Item 1. Business -Government Regulation-National Competitive Bidding.”

Similar trends and concerns are occurring in state Medicaid programs. These recent changes to reimbursement policies, and any additional unfavorable reimbursement policies or budgetary cuts that may be adopted in the future, could adversely affect the demand for the company's products by customers who depend on reimbursement from the government-funded programs. The percentage of the company's overall sales that are dependent on Medicare or other insurance programs may increase as the portion of the U.S. population over age 65 continues to grow, making the company more vulnerable to reimbursement level reductions by these organizations. Reduced government reimbursement levels also could result in reduced private payor reimbursement levels because some third-party payors index their reimbursement schedules to Medicare fee schedules. Reductions in reimbursement levels also may affect the profitability of the company's customers and ultimately force some customers without strong financial resources to become unable to pay their bills as they come due or go out of business. The reimbursement reductions may prove to be so dramatic that some of the company's customers may not be able to adapt quickly enough to survive. The company is one of the industry's significant creditors and an increase in bankruptcies or financial weakness in the company's customer base could have an adverse effect on the company's financial results.

Outside the U.S., reimbursement systems vary significantly by country. Many foreign markets have government-managed health care systems that govern reimbursement for home health care products. The ability of hospitals and other providers supported by such systems to purchase the company's products is dependent, in part, upon public budgetary constraints. Various countries have tightened reimbursement rates and other countries may follow. If adequate levels of reimbursement from third-party payors outside of the U.S. are not obtained, international sales of the company's products may decline, which could adversely affect the company's net sales.

The impact of all the above is uncertain and could have a material adverse effect on the company's business, financial condition, liquidity and results of operations.

Part I
Item 1A. Risk Factors

The company is subject to a consent decree of injunction ("consent decree") with the U.S. Food and Drug Administration (“FDA”), the effects of which have been, and continue to be, costly to the company and could result in continued adverse consequences to the company's business.


In December 2012, the company became subject to a consent decree of injunction filed by FDA with respect to the company's Corporate facility and its Taylor Street manufacturing facility in Elyria, Ohio. The consent decree initially limited the company's (i) manufacture and distribution of power and manual wheelchairs, wheelchair components and wheelchair sub-assemblies at or from its Taylor Street manufacturing facility, except in verified cases of medical necessity, (ii) design activities related to wheelchairs and power beds that take place at the impacted Elyria facilities and (iii) replacement, service and repair of products already in use from the Taylor Street manufacturing facility. Under the terms of the consent decree, in order to resume full operations, the company had to successfully complete independent, third-party expert certification audits at the impacted Elyria facilities, comprised ofcomprising three distinct certification reports separately submitted to, and accepted by, FDA; submit its own report to the FDA; and successfully complete a reinspection by FDA of the company’scompany's Corporate and Taylor Street facilities.


On July 24, 2017, following its reinspection, FDA notified the company that it was in substantial compliance with the QSR and atthe Federal Food, Cosmetic & Drug Act (The FDA Act), FDA regulations and the terms of the consent decree that time, the company was permitted to resume full operations at those facilities including the resumption of unrestricted sales of products made in those facilities.


The consent decree will continue in effect for a minimum of five years from July 24, 2017, during which time the company's Corporate and Taylor Street facilities must complete two semi-annual audits in the first year and then four annual audits
in the next four years performed by a company retained expert firm. The expert audit firm will determine whether the facilities remain in continuous compliance with the FDA Act, regulations and the terms of the consent decree. The FDA has the authority to inspect these facilities and any other FDA registered facility, at any time. The FDA also has the authority to order the company to take a wide variety of remedial actions if the FDA finds that the company is not in compliance with the consent decree or FDA regulations. The FDA also has authority under the consent decree to assess liquidated damages for any violations of the consent decree, FDA regulations or the FDA Act. Any such failure by the company to comply with the consent decree, the FDA Act or FDA regulations, or any need to complete significant remediation as a result of any such audits or inspections, or actions taken by the FDA as a result of any such failure to comply, could have a material adverse effect
on the company’scompany's business, financial condition, liquidity or results of operations.


The limitations previously imposed by the FDA consent decree negatively affected net sales in the NA/HMENorth America segment and, to a certain extent, the Asia/Asia Pacific segmentregion beginning in 2012. The limitations led to delays in new product introductions. Further, uncertainty regarding how long the limitations would be in effect limited the company’scompany's ability to renegotiate and bid on certain customer contracts and otherwise led to a decline in customer orders.


Although the company has been permitted to resume full operations at the Corporate and Taylor Street facilities, the negative effect of the consent decree on customer orders and net sales in the NA/HMENorth America segment and Asia/Asia Pacific segmentsregion has been considerable, and it is uncertain as to whether, or how quickly, the company will be able to rebuild net sales to more typical historical levels, irrespective of market conditions. Accordingly, when compared to the company's 2010 results, the previous limitations in the consent decree had, and likely may continue to have, a material adverse effect on the company's business, financial condition and results of operations. See Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations.


The company’sAny failure by the company to comply with medical device regulatory requirements or receive regulatory clearance or approval for the company’scompany's products or operations in the United States or abroad could adversely affect the company’scompany's business.


The company’scompany's medical devices are subject to extensive regulation in the United States by FDA, and by similar governmental authorities in the foreign countries where the company does business. FDA regulates virtually all aspects of a medical device’sdevice's development, testing, manufacturing, labeling, promotion, distribution and marketing. In addition, the company is required to file reports with FDA if the company’scompany's products may have caused, or contributed to, a death or serious injury, or if they malfunction and would be
Part IItem 1A. Risk Factors
Table of Contents

likely to cause, or contribute to, a death or serious injury if the malfunction were to recur. In general, unless an exemption applies, the company’scompany's mobility and respiratory therapy products must receive a pre-market clearance from FDA before they can be marketed in the United States. FDA also regulates the export of medical devices to foreign countries. The company cannot be assured that any of the company’scompany's devices, to the extent required, will be cleared by FDA through the pre-market clearance process or that FDA will provide export certificates that are necessary to export certain of the company’s products. Export certificates are required for the company to have itscompany's products registered for sale in certain foreign countries. In connection with the FDA warning letter received by the company's Sanford, Florida facility in December 2010, as described below, FDA has refused to provide new export certificates for company products until the matters covered in the warning letter are resolved. Currently,If the company cannot obtain new certificates of export for Sanford, Florida facility products until the warning letter has been closed. The inabilityis unable to obtain export certificates for its products, produced at its Sanford facility has limitedit will limit the company's ability to support new foreign markets with such products.products, which may have an adverse impact on the company's business and results of operations.

Part I
Item 1A. Risk Factors


Additionally, the company is required to obtain pre-market clearances to market modifications to the company’scompany's existing products or market its existing products for new indications. FDA requires device manufacturers themselves to make and document a determination as to whether or not a modification requires a new clearance; however, FDA can review and disagree with a manufacturer’smanufacturer's decision. The company has applied for, and received, a number of pre-market clearances for modifications to marketed devices. The company may not be successful in receiving clearances in the future or FDA may not agree with the company’scompany's decisions not to seek clearances for any particular device modification. FDA may require a clearance for any past or future modification or a new indication for the company’scompany's existing products. Such submissions may require the submission of additional data and may be time consuming and costly, and ultimately, may not be cleared by FDA.


If FDA requires the company to obtain pre-market clearances for any modification to a previously cleared device, the company may be required to cease manufacturing and marketing the modified device or to recall the modified device until the company obtains FDA clearance, and the company may be subject to significant regulatory fines or penalties. In addition, FDA may not clear these submissions in a timely manner, if at all. FDA also may change its policies, adopt additional regulations or revise existing regulations, each of which could prevent or delay pre-market clearance of the company’scompany's devices, or could impact the company’scompany's ability to market a device that was previously cleared. Any of the foregoing could adversely affect the company’scompany's business.


The company’sAny failure by the company to comply with the regulatory requirements of FDA and other applicable U.S. regulatory requirements may subject the company to administrative or judicially imposed sanctions. These sanctions include warning letters, civil penalties, criminal penalties, injunctions, consent decrees, product seizure or detention, product recalls and total or partial suspension of production.production, any of which could materially adversely affect the company's business, financial condition, liquidity and results of operations.


As part of its regulatory function, FDA routinely inspects the facilities of medical device companies and has continued to actively inspect the company’scompany's facilities, other than through the processes established under the consent decree. Recent inspections for which follow-up remains ongoing are summarized in Item 1. Business-Government Regulation-FDA-Other FDA Matters. The FDA has informed the company of further upcoming inspections to its facilities, and the company believes that additional inspections beyond those for which it has been notified will likely occur in the near future. Accordingly, the company expects that the FDA will from time to time, inspect substantially all the company's domestic and foreign FDA-registered operational facilities and may do so repeatedly. The results of regulatory claims, proceedings or investigations are difficult to predict. An unfavorable resolution or outcome of any matter that may arise out of any FDA inspection of the company's facilities, could materially and adversely affect the company's business, financial condition, liquidity and results of operations.


In many of the foreign countries in which the company manufactures or markets its products, the company is subject to extensive medical device regulations that are similar to those of FDA, including those in Europe. The regulation of the company’scompany's products in Europe falls primarily within the European Economic Area, which consists of the European Union member states, as well as Iceland, Liechtenstein and Norway. Only medical devices that comply with certain conformity requirements of the Medical Device Directive ("MDD") are allowed to be marketed within the European Economic Area. The company's products will be required to comply with the European Medical Device Regulation ("MDR"), for class I products by May 2020, and for class II products by the expiring of their current MDD certification which will begin to expire in 2022. Products that fail to be certified with the MDR may not be marketed or sold in the European Union. In addition, the national health or social security organizations of certain foreign countries, including those outside Europe, require the company’scompany's products to be qualified before they can be marketed in those countries. Failure to receive, or delays in the receipt of, relevant foreign qualifications in the European Economic Area or other foreign countries could have a material adverse effect on the company’scompany's business.


The impact of the United Kingdom ("UK") exiting the European Union (the "EU") known as "Brexit" may adversely affect the company's business, results of operations and/or financial condition.

The UK exited the European Union on January 31, 2020 and started a 11-month transition plan. During the transition, the UK effectively remains in the EU's customs union and single market and continues to obey EU rules; however, it is no longer part of the EU political institutions. The company markets all of its main products in the UK, has contracts with the U.K. government and manufactures mattresses, seating and upholstery products in the UK. Due to Brexit, the company will likely need to re-register products with the Medical and Healthcare Products Regulatory Agency ("MHRA") and make labeling and other changes for products delivered from the UK into the EU. Brexit poses supply chain risks as the company will need to make various changes, including changes to transportation documentation. Brexit may increase the company's foreign exchange risk should the exchange rates between the British Pound and other currencies such as the U.S. Dollar and Euro materially change. The company will work to mitigate any and all such risks associated with Brexit but there is no assurance that its efforts will be entirely successful. If the company's mitigation efforts are not sufficient, the company's financial results could be adversely affected.




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Item 1A. Risk Factors

Being in the health care industry, the company is subject to extensive government regulation, and if the company fails to comply with applicable health care laws or regulations, the company could suffer severe civil or criminal sanctions or may be required to make significant changes to the company’scompany's operations that could have a material adverse effect on the company’scompany's results of operations.


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The company sells its products principally to medical equipment and home health care providers who resell or rent those products to consumers. Many of those providers (the company’scompany's customers) are reimbursed by third-party payors, including Medicare and Medicaid, for the companyproducts sold to their customers and patients. The U.S. federal government and the governments in the states and other countries in which the company operates regulate many aspects of the company’scompany's business and the business of the company's customers. As a part of the health care industry, the company and its customers are subject to extensive government regulation, including numerous laws directed at preventing fraud and abuse and laws regulating reimbursement under various government programs. The marketing, invoicing, documenting and other practices of health care suppliers and manufacturers are all subject to government scrutiny. Government agencies periodically open investigations and obtain information from health care suppliers and manufacturers pursuant to the legal process. Violations of law or regulations can result in severe administrative, civil and criminal penalties and sanctions, including disqualification from Medicare and other reimbursement programs, which could have a material adverse effect on the company’scompany's business. While the company has established numerous policies and procedures to address compliance with these laws and regulations, there can be no assurance that the company's efforts will be effective to prevent a material adverse effect on the company’scompany's business from noncompliance issues. For example, as discussed in the preceding Risk Factors, the company is subject to a FDA consent decree affecting its Corporate facility and Taylor Street manufacturing facility in Elyria, Ohio and subject to FDA warning letters related to its Sanford, Florida and Albstadt, Germany facilities.


Health care is an area of rapid regulatory change. Changes in the law and new interpretations of existing laws may affect permissible activities, the costs associated with doing business, and reimbursement amounts paid by federal, state and other third-party payors, all of which may affect the company and its customers. The company cannot predict the future of federal, state and local regulation or legislation, including Medicare and Medicaid statutes and regulations, or possible changes in health care policies in any country in which the company conducts business. Future legislation and regulatory changes could have a material adverse effect on the company’scompany's business.


The company’s products are subject to recalls, which could be costly and harm the company’s reputation and business.


The company is subject to ongoing medical device reporting regulations that require the company to report to FDA or similar governmental authorities in other countries if the company’s products cause, or contribute to, death or serious injury, or if they malfunction and would be likely to
cause, or contribute to, death or serious injury if the malfunction were to recur. In light of a deficiency, defect in design or manufacturing or defect in labeling, the company may voluntarily elect to recall or correct the company’s products. In addition, FDA and similar governmental authorities in other countries could force the company to do a field correction or recall the company’s products in the event of material deficiencies or defects in design or manufacturing. A government mandated or voluntary recall or field correction by the company could occur as a result of component failures, manufacturing errors or design defects, including defects in labeling. Any recall or field correction could divert managerial and financial resources and could harm the company’s reputation with its customers, product users and the health care professionals that use, prescribe and recommend the company’s products. The company could have product recalls or field actions that result in significant costs to the company in the future, and these actions could have a material adverse effect on the company’s business. The company will continue to review the adequacy of its recall accruals as the recalls progress, as its warranty reserves are subject to adjustment in future periods as new developments can impact the company's estimate of the cost of these matters.

Changes in government and other third-party payor reimbursement levels and practices have negatively impacted and could continue to negatively impact the company’s revenues and profitability.

The company’s products are sold primarily through a network of medical equipment and home health care providers, extended care facilities and other providers such as various government-provider agencies throughout the world. Many of these providers (the company’s customers) are reimbursed for the products and services provided to their customers and patients by third-party payors, such as government programs, including Medicare and Medicaid, private insurance plans and managed care programs. Most of these programs set maximum reimbursement levels for some of the products sold by the company in the United States and abroad. If third-party payors deny coverage, make the reimbursement process or documentation requirements more uncertain or further reduce their current levels of reimbursement (i.e., beyond the reductions described below), or if the company’s costs of production do not decrease to keep pace with decreases in reimbursement levels, the company may be unable to sell the affected product(s) through its distribution channels on a profitable basis.

Reduced government reimbursement levels and changes in reimbursement policies have in the past added, and could continue to add, significant pressure to the company’s revenues and profitability. For example, in 100 metropolitan areas, the CMS introduced its NCB program which set new, lower payment rates for medical equipment and supplies. Round 1 of NCB for nine metropolitan areas in
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the U.S. went into effect in January 2011. The reimbursement rates for nine product categories were reduced by an average of 32 percent in these nine metropolitan areas. Effective July 2013, CMS commenced round 2 of the NCB program, which was expanded to include an additional 91 metropolitan areas. In January 2016, CMS began the deployment of NCB rates to the remainder of the Medicare population that had not yet been impacted by the program, primarily to rural areas. CMS has divided the United States into eight regions and applied the average reimbursement reduction per NCB product category in each region from Round 1 and Round 2 to the rural providers in those eight regions. Fifty percent of the reimbursement reduction became effective in January 2016. The remaining half of the reduction was applied in July 2016, although in December 2016 Congress retroactively delayed that payment cut until January 1, 2017.

CMS announced that the NCB program has resulted in $202.1 million in savings in its first year of implementation in the nine metropolitan areas with significant savings primarily in oxygen and oxygen supplies, mail-order diabetic supplies and standard power wheelchairs. The CMS Office of the Actuary estimated that the NCB program would save Medicare an estimated $25.8 billion, and beneficiaries an estimated $17.2 billion, over ten years.

Similar trends and concerns are occurring in state Medicaid programs. These recent changes to reimbursement policies, and any additional unfavorable reimbursement policies or budgetary cuts that may be adopted in the future, could adversely affect the demand for the company’s products by customers who depend on reimbursement from the government-funded programs. The percentage of the company’s overall sales that are dependent on Medicare or other insurance programs may increase as the portion of the U.S. population over age 65 continues to grow, making the company more vulnerable to reimbursement level reductions by these organizations. Reduced government reimbursement levels also could result in reduced private payor reimbursement levels because some third-party payors index their reimbursement schedules to Medicare fee schedules. Reductions in reimbursement levels also may affect the profitability of the company’s customers and ultimately force some customers without strong financial resources to become unable to pay their bills as they come due or go out of business. The reimbursement reductions may prove to be so dramatic that some of the company’s customers may not be able to adapt quickly enough to survive. The company is one of the industry’s largest creditors and an increase in bankruptcies or financial weakness in the company’s customer base could have an adverse effect on the company’s financial results.

Outside the U.S., reimbursement systems vary significantly by country. Many foreign markets have government-managed health care systems that govern reimbursement for home health care products. The ability of hospitals and other providers supported by such systems to
purchase the company’s products is dependent, in part, upon public budgetary constraints. Various countries have tightened reimbursement rates and other countries may follow. If adequate levels of reimbursement from third-party payors outside of the U.S. are not obtained, international sales of the company’s products may decline, which could adversely affect the company’s net sales.

The impact of all the above is uncertain and could have a material adverse effect on the company’s business, financial condition, liquidity and results of operations.

The adoption of healthcare reform and other legislative developments in the U.S. may adversely affect the company’s business, results of operations and/or financial condition.

The U.S. Affordable Care Act enacted in 2010 includes provisions intended to expand access to health insurance coverage, improve the quality and reduce the costs of healthcare over time. Specifically, as one means to pay for the costs of the Affordable Care Act, the law imposes a 2.3% sales-based excise tax on U.S. sales by manufacturers or importers of most medical devices. The excise tax is deductible by the manufacturer or importer on its federal income tax return. The company has determined that most of its products are exempt from the tax based on the retail exemption provided in the Affordable Care Act as defined by the regulations. However, certain products that it sells for institutional use are subject to the excise tax. Based on the company's interpretation of the regulations, the impact from the tax has been immaterial for the company. However, the excise tax may increase the company’s cost of doing business, particularly if the exemptions do not ultimately apply as the company expects based on its interpretations of the regulations. In January 2018, Congress passed a moratorium to suspend the excise tax until January 2020.

The Affordable Care Act and the programs implemented by the law may reduce reimbursements for the company's products, may impact the demand for the company’s products and may impact the prices at which the company sells its products. In addition, various healthcare programs and regulations may be ultimately implemented at the federal or state level. Such changes could have a material adverse effect on the company’s business, results of operations and/or financial condition.

If the company’s business transformation efforts are ineffective, the company’s strategic goals, business plans, financial performance or liquidity could be negatively impacted.

The company is in the midst of a multi-year turnaround strategy intended to substantially transform its business and re-orient its resources to a more clinically complex mix of products and solutions. To date, this strategy has included
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actions to re-orient the company’s North American commercial team, restart the company’s innovation pipeline, shift its product mix, develop and expand its talent, and strengthen its balance sheet. As part of these actions, the company has increased the size of its salesforce and support in North America, invested in product development, discontinued a significant amount of non-core product, and issued convertible debt. The strategy also will include steps to realign infrastructure and processes, such as restructuring actions, intended to drive efficiency and reduce costs.

The company may not be successful in achieving the full long-term growth and profitability, operating efficiencies and cost reductions, or other benefits expected from these efforts. The company also may experience business disruptions associated with these activities. Further, the benefits of the strategy, if realized, may be realized later than expected, the costs of implementing the strategy may be greater than anticipated, and the company may lack adequate cash or capital or may not be able to attract and retain the necessary talent, to complete the transformation. If these measures are not successful, the company may undertake additional transformation efforts, which could result in future expenses. If the company’s business transformation efforts prove ineffective, the company’s ability to achieve its strategic goals and business plans, and the company’s financial performance, may be materially adversely affected.

If the company’s business transformation efforts prove ineffective and it continues to experience negative cash flows and losses, the company may require additional financing. Under these circumstances, such financing may be difficult or expensive to obtain, and the company can make no assurances that it would be available on terms acceptable to the company, if at all.

The company’s revenues and profits are subject to exchange rate and interest rate fluctuations that could adversely affect its results of operations or financial position.

Currency exchange rates are subject to fluctuation due to, among other things, changes in local, regional or global economic conditions, the imposition of currency exchange restrictions and unexpected changes in regulatory or taxation environments. The predominant currency used by the company’s subsidiaries outside the U.S. to transact business is the functional currency used for each subsidiary. Through the company’s international operations, the company is exposed to foreign currency fluctuations, and changes in exchange rates can have a significant impact on net sales and elements of cost. The company conducts a significant number of transactions in currencies other than the U.S. dollar. In addition, because certain of the company’s costs and revenues are denominated in other currencies, in particular costs and revenues from its European operations, the company’s results of operations are exposed to foreign exchange rate
fluctuations as the financial results of those operations are translated from local currency into U.S. dollars upon consolidation. For example, during 2017, the devaluation of the Euro had a negative impact on the translation of company's European segment net income into U.S. dollars, and the foreign currency impact of the Brexit referendum in the U.K. had a negative impact on acquisition of dollar and Euro denominated goods in the U.K. If other countries also exit the European Union, similar negative impacts may result.

The company uses foreign exchange forward contracts primarily to help reduce its exposure to transactional exchange rate risk. Despite the company’s efforts to mitigate these risks, however, the company’s revenues and profitability may be materially adversely affected by exchange rate fluctuations. The company does not have any similar arrangements that mitigate the company's exposure to foreign exchange translation risk, and does not believe that any meaningful arrangement to do so is available to the company.

The company also is exposed to market risk through various financial instruments, including fixed rate and floating rate debt instruments. The company does at times use interest rate swap contracts to mitigate its exposure to interest rate fluctuations, but those efforts may not adequately protect the company from significant interest rate risks. Interest on some of the company’s debt is based on the London Interbank Offered Rate (LIBOR), which is currently historically low. Increases in LIBOR could have a significant impact on the company’s reported interest expense, to the extent that the company has outstanding borrowings subject to LIBOR-based interest rates.

If the company's information technology systems fail, or if the company experiences an interruption in the operation of its information technology systems, then the company's business, financial condition and results of operations could be materially adversely affected.

The company relies upon the capacity, reliability and security of its information technology, or IT, systems across all of its major business functions, including research and development, manufacturing, sales, financial and administrative functions. Since the company is geographically diverse, has various business segments and has grown over the years through various acquisitions, it also has many disparate versions of IT systems across its organization. As a result of these disparate IT systems, some of which may no longer be supported by the hardware or software vendors, the company faces the challenge of supporting these older systems, implementing upgrades or migrating to new platforms when necessary and aggregating data that is timely and accurate. The failure of the company's information technology systems, whether resulting from the disparate or older versions of IT systems across its various segments, business functions or otherwise, its inability to
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successfully maintain, enhance and/or replace its information technology systems, or any compromise of the integrity or security of the data that is generated from information technology systems, or any shortcomings in the company's disaster recovery platforms, could adversely affect the company's results of operations, disrupt business and make the company unable, or severely limit the company's ability to respond to customer demands. In addition, the company's information technology systems are vulnerable to damage or interruption from: earthquake, fire, flood and other natural disasters; employee or other theft; cybersecurity attacks by computer viruses, malware or hackers; power outages; and computer systems, internet, telecommunications or data network failure.

Any interruption of the company's information technology systems could result in decreased revenue, increased expenses, increased capital expenditures, customer dissatisfaction and potential lawsuits, any of which could have a material adverse effect on the company's results of operations, liquidity or financial condition.

Increased IT security threats and more sophisticated and targeted computer crime could pose a risk to the company’s systems, networks, products and services.
Increased global IT security threats and more sophisticated and targeted computer crime pose a risk to the security of the company’s systems and networks as well as the confidentiality, availability and integrity of the company’s data, including potential general data protection regulation and Health Insurance Portability and Accountability Act risks. While the company attempts to mitigate these risks by employing a number of measures, including employee training, monitoring of its networks and systems, and maintenance of backup and protective systems, the company’s systems, networks, products and services remain potentially vulnerable to advanced persistent threats. Through its sales channels, the company may collect and store confidential information that customers provide to, among other things, purchase products or services, enroll in promotional programs and register on the company’s website. The company may also acquire and retain information about suppliers and employees in the normal course of business. The company also creates and maintains proprietary information that is critical to its business, such as its product designs and manufacturing processes.
Despite the company’s efforts to secure its systems and networks, the company could experience a significant data security breach. Computer hackers may attempt to penetrate the company’s or its vendors’ information systems and, if successful, misappropriate confidential customer, supplier, employee or other business information, such as company intellectual property. Third parties could also gain control of company systems and use them for criminal purposes. Depending on their nature and scope, such threats could result
in the loss of existing customers, difficulty in attracting new customers, exposure to claims from customers, financial institutions, payment card associations, employees and other persons, imposition of regulatory sanctions or penalties, in additional expenses or lost revenues, or in other adverse consequences, any of which could have a material adverse effect on the company’s business and results of operations.
The company is dependent upon its processes and procedures to ensure essential operational functions can continue during events that disrupt normal operations.

A major natural or manmade disaster such as terrorist attack, fire, hurricane, tornado, earthquake, or flood could cause damage to the company or key supplier facilities, limiting the company’s ability to sustain operations. The damage could result in an inability to meet customer demands resulting in the loss of associated sales and profits, and in property losses in excess of insurance coverage. While the company has put in place procedures to ensure essential functions continue in the event of a crisis, there is no guarantee that its procedures will be adequate or sufficient to handle a given unforeseen event.
The industry in which the company operates is highly competitive and some of the company’s competitors may have greater financial resources, a more effective market strategy or better strategic execution.
The home medical equipment market is highly competitive and the company’s products face significant competition from other well-established manufacturers or potential new market entrants. Reduced government reimbursement levels and changes in reimbursement policies, such as the National Competitive Bidding program implemented by CMS, may drive competitors, particularly those that have greater financial resources than the company's to offer drastically reduced pricing terms in an effort to take market share from the company or secure government acceptance of their products and pricing. new or disruptive products which compete with the company's products may be introduced in the market or may find higher level or customer acceptance than the company's products. Any increase in competition may cause the company to lose market share or compel the company to reduce prices to remain competitive, which could have a material adverse effect on the company’s results of operations. The company's failure to recognize changing market demands or a failure to develop or execute a strategy to meet such changes could also result in a material adverse effect on the company’s results of operations.
The consolidation of health care customers and the company’s competitors could result in a loss of customers or in additional competitive pricing pressures.
Numerous initiatives and reforms instituted by legislators, regulators and third-party payors to reduce home
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medical equipment costs have resulted in a consolidation trend in the home medical equipment industry as well as among the company’s customers, including home health care providers. In the past, some of the company’s competitors, which may include distributors, have been lowering the purchase prices of their products in an effort to attract customers. This in turn has resulted in greater pricing pressures, including pressure to offer customers more competitive pricing terms, and the exclusion of certain suppliers from important market segments as group purchasing organizations, independent delivery networks and large single accounts continue to consolidate purchasing decisions for some of the company’s customers. Further consolidation could result in a loss of customers, increased collectability risks, or increased competitive pricing pressures. In addition, as reimbursement pressures persist in the U.S. market, the company is beginning to see some customers directly sourcing select lifestyle products to secure a low-cost advantage.

The company maintains cash balances globally in various financial institutions.

While the company monitors its accounts with financial institutions both domestically and internationally, recovery of funds cannot be assured in the event the financial institution would fail. In addition, the company may be limited by foreign governments in the amount and timing of funds to be repatriated from foreign financial institutions. For example, the company's closure of it Suzhou, China facility requires the transfer of cash to settle intercompany balances and the eventual repatriation of cash upon legal dissolution. Any financial institution failure or repatriation delay could adversely impact the company's ability to fund normal operations, capital expenditures, or service debt, which could adversely affect the company's results.

The company is subject to certain risks inherent in managing and operating businesses in many different foreign jurisdictions.

The company has significant international operations, including operations in Australia, Canada, New Zealand, Mexico, Asia (primarily China) and Europe. There are risks inherent in operating and selling products internationally, including:
different regulatory environments and reimbursement systems;
difficulties in enforcing agreements and collecting receivables through certain foreign legal systems;
foreign customers who may have longer payment cycles than customers in the United States;
fluctuations in foreign currency exchange rates;
tax rates in certain foreign countries that may exceed those in the United States and foreign earnings that may be subject to withholding requirements;
the imposition of tariffs, exchange controls or other trade restrictions including transfer pricing restrictions when products produced in one country are sold to an affiliated entity in another country;
potential adverse changes in trade agreements between the United States and foreign countries, including the North America Free Trade Agreement (NAFTA) among the United States, Canada and Mexico;
potential adverse changes in economic and political conditions in countries where the company operates or where end-users of the company’s products reside, or in their diplomatic relations with the United States;
government control of capital transactions, including the borrowing of funds for operations or the expatriation of cash;
potential adverse tax consequences, including those that may result from new United States tax laws, rules, regulations or policies;
security concerns and potential business interruption risks associated with political and/or social unrest in foreign countries where the company’s facilities or assets are located;
difficulties associated with managing a large organization spread throughout various countries;
difficulties in enforcing intellectual property rights and weaker intellectual property rights protection in some countries;
required compliance with a variety of foreign laws and regulations; and
differing consumer product preferences.
The factors described above also could disrupt the company’s product manufacturing and assembling operations or its key suppliers located outside of the United States, or increase the cost to the company of conducting those operations or using those suppliers. For example, the company relies on its manufacturing and sourcing operations in China and Mexico to produce its products. Disruptions in, or increased costs related to, the company’s foreign operations, particularly those in China or Mexico, may impact the company’s revenues and profitability.
The company may be adversely affected by legal actions or regulatory proceedings.
In addition to the risks associated with the impact of the FDA consent decree, the company may be subject to claims, litigation, governmental or regulatory investigations, or other liabilities as a result of injuries caused by allegedly defective products, or disputes arising out of dispositions the
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company has completed or relating to the company's intellectual property. Any such claims or litigation against the company, regardless of the merits, could result in substantial costs and could harm the company's business or its reputation.

The results of legal or regulatory actions or regulatory proceedings are difficult to predict and the company cannot provide any assurance that an action or proceeding will not be commenced against the company, or that the company will prevail in any such action or proceeding. An unfavorable resolution of any legal action or proceeding could materially and adversely affect the company's business, results of operations, liquidity or financial condition or its reputation.

Product liability claims may harm the company’s business, particularly if the number of claims increases significantly or the company’s product liability insurance proves inadequate.

The manufacture and sale of medical devices and related products exposes the company to a significant risk of product liability claims. From time to time, the company has been, and currently is, subject to a number of product liability claims alleging that the use of the company’s products has resulted in serious injury or even death.
Even if the company is successful in defending against any liability claims, these claims could nevertheless distract the company’s management, result in substantial costs, harm the company’s reputation, adversely affect the sales of all the company’s products and otherwise harm the company’s business. If there is a significant increase in the number of product liability claims, the company’s business could be adversely affected.
The company is self-insured in North America for product liability exposures through its captive insurance company, Invatection Insurance Company, which currently has a policy year that runs from September 1 to August 31 and insures annual policy losses up to $10,000,000 per occurrence and $13,000,000 in the aggregate. The company also has additional layers of external insurance coverage, related to all lines of insurance coverage, insuring up to $75,000,000 in aggregate losses per policy year arising from individual claims anywhere in the world that exceed the captive insurance company policy limits or the limits of the company’s per country foreign liability limits, as applicable. There can be no assurance that Invacare’s current insurance levels will continue to be adequate or available at affordable rates.
Product liability reserves are recorded for individual claims based upon historical experience, industry expertise and indications from the third-party actuary. Additional reserves, in excess of the specific individual case reserves, are provided for incurred but not reported claims based upon actuarial valuations at the time such valuations are conducted. Historical claims experience and other assumptions are taken
into consideration to estimate the ultimate reserves. For example, the actuarial analysis assumes that historical loss experience is an indicator of future experience, that the distribution of exposures by geographic area and nature of operations for ongoing operations is expected to be very similar to historical operations with no dramatic changes and that the government indices used to trend losses and exposures are appropriate. Estimates made are adjusted on a regular basis and can be impacted by actual loss awards and settlements on claims. While actuarial analysis is used to help determine adequate reserves, the company is responsible for the determination and recording of adequate reserves in accordance with accepted loss reserving standards and practices. If the company's reserves are not adequate to cover actual claims experience, the company's financial results could be adversely affected.
In addition, as a result of a product liability claim or if the company’s products are alleged to be defective, the company may have to recall some of its products, may have to incur significant costs or may suffer harm to its business reputation.
Decreased availability or increased costs of materials could increase the company’s costs of producing its products.
The company purchases raw materials, fabricated components, some finished goods and services from a variety of suppliers. Raw materials such as plastics, steel and aluminum are considered key raw materials. Where appropriate, the company employs contracts with its suppliers, both domestic and international. From time to time, however, the prices, availability, or quality of these materials fluctuate due to global market demands or economic conditions, which could impair the company’s ability to procure necessary materials, or increase the cost of these materials. Inflationary and other increases in costs of these materials have occurred in the past and may recur from time to time. In addition, freight costs associated with shipping and receiving product and sales are impacted by fluctuations in the cost of oil and gas. A reduction in the supply or increase in the cost or change in quality of those materials could impact the company’s ability to manufacture its products and could increase the cost of production. For example, the recently announced proposed tariffs on steel and aluminum to be imposed by the U.S. could have a significant on the company's cost of product. Additionally, the company may not be able to increase the prices of its products due to competitive pricing pressure or other factors. As an example, inflation in China has in the past and may in the future increase costs and an appreciation of the Yuan or an increase in labor rates could have an unfavorable impact on the cost of key components and some finished goods. Demand in China and other developing countries for raw materials may result in increases in the cost of key commodities and could have a negative impact on the profits of the company if these increases cannot be passed onto the company’s customers.
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The company's ability to manage an effective supply chain is a key success factor.
The company needs to manage its supply chain from sourcing to manufacturing and distribution. Successful supply chain management is based on building strong supplier relationships, and built on conforming, quality products delivered on-time and at a fair price. Cost reduction efforts depend on the company's execution of global and regional product platforms that create leverage in sourcing. If the company's supply chain management or cost reduction efforts are ineffective, the company's revenues and profitability can be negatively impacted.
Lower cost imports could negatively impact the company’s profitability.
Competition from lower cost imports sourced from low cost countries, such as countries in Asia, may negatively impact the company’s sales volumes. In the past, competition from certain of these products has caused the company to lower its prices, cutting into the company’s profit margins and reducing the company’s overall profitability.
The company’s success depends on the company’s ability to design, manufacture, distribute and achieve market acceptance of new products with higher functionality and lower costs.
The company sells products to customers primarily in markets that are characterized by technological change, product innovation and evolving industry standards, yet in which product price is increasingly a primary consideration in customers’ purchasing decisions. The company historically has been engaged in product development and improvement programs. However, beginning in 2012 as a result of the FDA consent decree, which is described elsewhere in this Annual Report on Form 10-K, the company's engineering resources had been more substantially focused on quality remediation activities displacing activities relating to the design of new products.

The company must continue to design and improve innovative products, effectively distribute and achieve market acceptance of those products, and reduce the costs of producing the company’s products, in order to compete successfully with the company’s competitors and to differentiate the company's brands from its competitors. If competitors’ product development capabilities become more effective than the company’s product development capabilities, if competitors’ new or improved products are accepted by the market before the company’s products or if competitors can produce products at a lower cost and thus offer products for sale at a lower price, the company’s business, financial condition and results of operation could be adversely affected.


 
The company’s business strategy relies on certain assumptions concerning demographic trends that impact the market for its products. If these assumptions prove to be incorrect, demand for the company’s products may be lower than expected.

The company’s ability to achieve its business objectives is subject to a variety of factors, including the relative increase in the aging of the general population. The company believes that these trends will increase the need for its products. The projected demand for the company’s products could materially differ from actual demand if the company’s assumptions regarding these trends and acceptance of its products by health care professionals and patients prove to be incorrect or do not materialize. If the company’s assumptions regarding these factors prove to be incorrect, the company may not be able to successfully implement the company’s business strategy, which could adversely affect the company’s results of operations. In addition, the perceived benefits of these trends may be offset by competitive or business factors, such as the introduction of new products by the company’s competitors or the emergence of other countervailing trends, including lower reimbursement and pricing.

The terms of the company’scompany's debt facilities and financing arrangements may limit the company’scompany's flexibility in operating its business.


The company has outstanding $150,000,000 aggregate principal amount of 5.00% Convertible Senior Notes due 2021 (the “2021 Notes”) and $120,000,000 aggregate principal amount of 4.50% Convertible Senior Notes due 2022 (the “2022 Notes”) and is a party to an Amended and Restated Credit Agreement that provides for asset-based lending senior secured revolving credit facilities which mature in January 2021. Thecompany's credit agreement provides the company and certain of the company's U.S., Canadian, U.K. and French subsidiaries with the ability to borrow under senior secured revolving credit, letter of credit and swing line loan facilities. The aggregate borrowing availability under the credit facilities is determined based on borrowing base formulas set forth in the credit agreement. The credit facilities are secured by substantially all the company's domestic and Canadian assets, other than real estate, and by substantially all the personal property assets of the company's U.K. subsidiaries and all of the receivables of the company's French subsidiaries. The credit agreement contains customary default provisions, with certain grace periods and exceptions, that include, among other things, failure to pay amounts due, breach of covenants, representations or warranties, bankruptcy, the occurrence of a material adverse effect, exclusion from any medical reimbursement program, and an interruption of any material manufacturing facilities for more than ten consecutive days.


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The restrictive terms of the company's credit agreement may limit the company’scompany's ability to conduct and expand its business and pursue its business strategies. The company’scompany's ability to comply with the provisions of its credit agreements can be affected by events beyond its control, including changes in general economic and business conditions, or by government enforcement actions, such as, for example, adverse impacts from the FDA consent decree of injunction. If the company is unable to comply with the provisions in the credit agreement, it could result in a default which could trigger acceleration of, or the right to accelerate, the related debt. Because of cross-default provisions in its agreements and instruments governing certain of the company's indebtedness, a default under the credit agreement could result in a default under, and the acceleration of, certain other company indebtedness. In addition, the company's lenders would be entitled to proceed against the collateral securing the indebtedness.


The company's ability to meet its liquidity needs will depend on many factors, including the operating performance of the business, as well as the company's continued compliance with the covenants under its credit agreement. Notwithstanding the company's expectations, if the company's operating results decline, the company may be unable to comply with the financial covenants, and its lenders could demand repayment of the amounts outstanding under the company's credit facility.





Part I
Item 1A. Risk Factors


The company also has an agreement with De Lage Landen, Inc. (“DLL”), a third-party financing company, to provide financing to the company's U.S. customers. Either party could terminate this agreement with 180 days' notice or 90 days' notice by DLL upon the occurrence of certain events. Should this agreement be terminated, the company's borrowing needs under the credit agreement could increase.


The company's leverage and debt obligations could adversely affect its financial condition, limit its ability to raise additional capital to fund its operations, impact the way it operates its business and prevent it from fulfilling its debt service obligations.

The company has significant outstanding indebtedness. As of December 31, 2019, the company had outstanding $61,091,000 aggregate principal amount of 5.00% Convertible Senior Notes that mature in February 2021 (the “2021 Notes”), $120,000,000 aggregate principal amount of 4.50% Convertible Senior Notes that mature in June 2022 (the “2022 Notes”) and $72,909,000 aggregate principal amount of 5.00% Convertible Senior Notes that mature in November 2024 (the “2024 Notes”) and was party to an Amended and Restated Credit Agreement providing for asset-based lending senior secured revolving credit facilities which mature in January 2021.

The company's indebtedness could have important negative consequences, including:

reduced availability of cash for the company's operations and other business activities after satisfying interest payments and other requirements under the terms of its debt instruments;
less flexibility to plan for or react to competitive challenges, and suffer a competitive disadvantage relative to competitors that do not have as much indebtedness;
difficulty in obtaining additional financing in the future;
inability to comply with covenants in, and potential for default under, the company's debt instruments; and
challenges to refinancing any of the company's debt.

The company’s ability to satisfy its debt obligations will depend principally upon its future operating performance. As a result, prevailing economic conditions and financial, business, legal and regulatory and other factors, many of which are beyond the company’s control, may affect its ability to make payments on its debt. If it does not generate sufficient cash flow to satisfy its debt obligations, the company may have to undertake alternative financing plans, such as refinancing or restructuring its debt, selling assets, seeking additional capital or reducing or delaying capital investments. The company’s ability to restructure or refinance its debt will depend on the capital markets and the company’s financial condition at the time. Restructuring or refinancing
indebtedness could require the company to issue additional debt, pay additional fees and interest, issue potentially dilutive additional equity, further encumber certain of the company’s assets, agree to covenants that could restrict its future operations and pay related transaction fees and expenses. Any such measures would require agreements with counterparties, including potentially the company’s existing creditors, and may not be successful on attractive terms or otherwise. Whether or not successful, any such measures may have a negative impact on the company’s financial condition and results of operations, including on the market price of the company’s common stock and debt securities.

See Item 7. “Management's Discussion and Analysis of Financial Condition and Results of Operations - Liquidity and Capital Resources.”

The company may not have the abilitybe able to raise the funds necessary to settle conversions ofrepay or refinance the 2021 Notes, or 2022 Notes.

Upon any or 2024 Notes, and the issuance of common shares upon conversion of the 2021, 2022 or 2024 Notes orcould cause dilution to the company's existing shareholders.

As of December 31, 2019, the company had outstanding $61,091,000, $120,000,000 and $72,909,000 aggregate principal amount of its 2021 Notes, 2022 Notes and its 2024 Notes, respectively. Prior to the close of business on the business day immediately preceding August 15, 2020 (with respect to the 2021 Notes) and prior to the company’s receiptclose of shareholder approvalbusiness on the business day immediately preceding December 1, 2021 (with respect to issuethe 2022 Notes) and prior to the close of business on the business day preceding May 15, 2024 (with respect to the 2024 Notes), the notes will be convertible only upon satisfaction of certain conditions. Holders may convert their 2021 Notes at their option at any time after August 15, 2020 until the close of business on the second scheduled trading day immediately prior to February 15, 2021, holders may convert their 2022 Notes at their option at any time after December 1, 2021 until the close of business on the second scheduled trading day immediately preceding June 1, 2022 and holders may convert their 2024 Notes at their option at any time after May 15, 2024 until the close of business on the second scheduled trading day immediately preceding November 15, 2024.

Any use of cash upon conversion of the notes more than 19.99% of the outstanding common shares, the company will be required to make cash payments in respect of the notes being converted. Unless the company obtains shareholder approval and elects to deliver solely common shares to settle such conversion (other than paying cash in lieu of delivering any fractional share), the company will be required to make cash payments in respect of the notes being converted. Any requirement to deliver cash upon conversionor maturity of the notes could adversely affect the company’s liquidity, and the company may not have enough available cash or be able to obtain financing at the time it is required to pay cash in settlement of notes being converted.converted or maturing. Furthermore, the company may seek to refinance the 2021 Notes, the 2022 Notes and/or the 2024 Notes prior to maturity, and there is no assurance that the company will be able to do so on attractive terms or at all.



Part I
Item 1A. Risk Factors

The company may settle conversions of the notes by paying or delivering, as the case may be, cash, common shares, or a combination of cash and common shares, at the company's election. If any such conversions occur and the company has authority, and so elects, to settle some or all of the converted notes in common shares, the number of shares issued could be significant and such an issuance could cause dilution to the interests of the existing shareholders.

The company's 2021 Notes, 2022 Notes and 2024 Notes have certain fundamental change and conditional conversion features which, if triggered, may adversely affect the company's financial condition.

If a fundamental change occurs under the company's 2021 Notes, 2022 Notes or its 2024 Notes, the holders of the notes may require the company to purchase for cash any or all of the notes. However, there can be no assurance that the company will have sufficient funds at the time of the fundamental change to purchase all of the notes delivered for purchase, and it may not be able to arrange necessary financing on acceptable terms, if at all. Likewise, if one of the conversion contingencies of the notes is triggered, holders of notes will be entitled to convert the notes at any time during specified periods. If the company desires to settle any portion of any converted notes through the payment of cash, there can be no assurance that it will have sufficient funds to purchase all of the notes delivered for purchase, and the company may not be able to arrange necessary financing on acceptable terms, if at all. If the company elects to settle any converted notes through the issuance of common shares, it would have a dilutive effect on shareholders’ interests.

If a fundamental change occurs under the company's 2021 Notes or 2022 Notes, the company may have to settle the open convertible note warrant transactions with the respective counterparties, which may require the company to issue common shares to the counterparty, which would have a dilutive effect on shareholders’ interests, or to make cash payments to the counterparty, and there can be no assurance that the company will have sufficient funds to do so.

In addition, whether following a fundamental change or otherwise, the counterparties to the company’s convertible note hedge and warrant transactions or their respective affiliates may modify their initial hedge positions by entering into or unwinding various derivatives contracts with respect to the company’s common shares and/or purchasing or selling common shares or other securities of the company in secondary market transactions prior to the maturity of the notes. This activity could cause or avoid a significant change in the market price of the company’s common shares.




 
Decreased availability or increased costs of materials could increase the company's costs of producing its products.

The company purchases raw materials, fabricated components, some finished goods and services from a variety of suppliers. Raw materials such as plastics, steel and aluminum are considered key raw materials. Where appropriate, the company employs contracts with its suppliers, both domestic and international. From time to time, however, the prices, availability, or quality of these materials fluctuate due to global market demands, import duties and tariffs, delays or interruptions in production or delivery, including events such as the coronavirus outbreak, or economic conditions, which could impair the company's capital expenditures could be higher than anticipated.

Unanticipated maintenance issues, changesability to procure necessary materials or increase the cost of these materials. Inflationary and other increases in government regulationscosts of these materials have occurred in the past and may recur from time to time. In addition, freight costs associated with shipping and receiving product and sales are impacted by fluctuations in the cost of oil and gas. A reduction in the supply or significant investmentsincrease in technology and new product development could resultthe cost or change in higher than anticipated capital expenditures, whichquality of those materials could impact the company's debt, interest expenseability to manufacture its products and cash flows.could increase the cost of production, which could negatively impact the company's revenues and profitability. For example, the tariffs on steel and aluminum on a wide range of products and components imported from China imposed by the U.S. as well as material cost increases imposed by domestic suppliers influenced by the tariffs, have had, and may continue to have, a significant adverse effect on the company's cost of product. The company is attempting to mitigate the adverse impacts of these tariffs, through identifying long-term alternative supply chain opportunities and other actions. The company's actions to date have greatly reduced the impact of tariffs. However, if the company is unsuccessful in mitigating the impact of tariffs in the future, its revenues, profitability and results of operations may continue to be adversely affected.


The company’scompany's ability to manage an effective supply chain is a key success factor.

The company needs to manage its supply chain efficiently from sourcing to manufacturing and distribution. Successful supply chain management is based on building strong supplier relationships, built on conforming, quality products delivered on-time and at a fair price and operating efficiency. Cost reduction efforts depend on the company's execution of global and regional product platforms that create leverage in sourcing. If the company's supply chain management or cost reduction optimization efforts are ineffective, or if the supply chain is adversely effected by disruption due to shortages, trade barriers or other factors, such as the coronavirus pandemic, the company's revenues and profitability can be negatively impacted.

Part I
Item 1A. Risk Factors


The company's success depends on the company's ability to design, manufacture, distribute and achieve market acceptance of new products with higher functionality and lower costs.

The company sells products to customers primarily in markets that are characterized by technological change, product innovation and evolving industry standards, yet in which product price is increasingly a primary consideration in customers' purchasing decisions.

The company must continue to design and improve innovative products, effectively distribute and achieve market acceptance of those products, and reduce the costs of producing the company's products, in order to compete successfully with the company's competitors and to differentiate the company's brands from its competitors. If competitors' product development capabilities become more effective than the company's product development capabilities, if competitors' new or improved products are accepted by the market before the company's products or if competitors can produce products at a lower cost and thus offer products for sale at a lower price, the company's business, financial condition and results of operation could be adversely affected.

Lower cost imports could negatively impact the company's profitability.

Competition from lower cost imports sourced from low cost countries, such as countries in Asia, may negatively impact the company's sales volumes. In the past, competition from certain of these products has caused the company to lower its prices, cutting into the company's profit margins and reducing the company's overall profitability.

The company may be adversely affected by legal actions or regulatory proceedings.

In addition to the risks associated with the impact of the FDA consent decree, the company may be subject to claims, litigation, governmental or regulatory investigations, or other liabilities as a result of injuries caused by allegedly defective products, or disputes arising out of dispositions the company has completed or relating to the company's intellectual property. Any such claims or litigation against the company, regardless of the merits, could result in substantial costs and could harm the company's business or its reputation.

The results of legal or regulatory actions or regulatory proceedings are difficult to predict, and the company cannot provide any assurance that an action or proceeding will not be commenced against the company, or that the company will prevail in any such action or proceeding. An unfavorable resolution of any legal action or proceeding could materially and adversely affect the company's business, results of operations, liquidity or financial condition or its reputation.
Product liability claims may harm the company's business, particularly if the number of claims increases significantly or the company's product liability insurance proves inadequate.

The manufacture and sale of medical devices and related products exposes the company to a significant risk of product liability claims. From time to time, the company has been, and currently is, subject to a number of product liability claims alleging that the use of the company's products has resulted in serious injury or even death.

Even if the company is successful in defending against any liability claims, these claims could nevertheless distract the company's management, result in substantial costs, harm the company's reputation, adversely affect the sales of all the company's products and otherwise harm the company's business. If there is a significant increase in the number of product liability claims, the company's business could be adversely affected.

The company is self-insured in North America for product liability exposures through its captive insurance company, Invatection Insurance Company, which currently has a policy year that runs from September 1 to August 31 and insures annual policy losses up to $10,000,000 per occurrence and $13,000,000 in the aggregate. The company also has additional layers of external insurance coverage, related to all lines of insurance coverage, insuring up to $75,000,000 in aggregate losses per policy year arising from individual claims anywhere in the world that exceed the captive insurance company policy limits or the limits of the company's per country foreign liability limits, as applicable. There can be no assurance that Invacare's current insurance levels will continue to be adequate or available at affordable rates.

Product liability reserves are recorded for individual claims based upon historical experience, industry expertise and indications from the third-party actuary. Additional reserves, in excess of the specific individual case reserves, are provided for incurred but not reported claims based upon actuarial valuations at the time such valuations are conducted. Historical claims experience and other assumptions are taken into consideration to estimate the ultimate reserves. For example, the actuarial analysis assumes that historical loss experience is an indicator of future experience, that the distribution of exposures by geographic area and nature of operations for ongoing operations is expected to be very similar to historical operations with no dramatic changes and that the government indices used to trend losses and exposures are appropriate. Estimates made are adjusted on a regular basis and can be impacted by actual loss awards and settlements on claims. While actuarial analysis is used to help determine adequate reserves, the company is responsible for the determination and recording of adequate reserves in accordance with accepted loss reserving standards and
Part I
Item 1A. Risk Factors

practices. If the company's reserves are not adequate to cover actual claims experience, the company's financial results could be adversely affected.

In addition, as a result of a product liability claim or if the company's products are alleged to be defective, the company may have to recall some of its products, may have to incur significant costs or may suffer harm to its business reputation.

The company's products may be subject to recalls, which could be costly and harm the company's reputation and business.

The company is subject to ongoing medical device reporting regulations that require the company to report to FDA or similar governmental authorities in other countries if the company's products cause, or contribute to, death or serious injury, or if they malfunction and would be likely to cause, or contribute to, death or serious injury if the malfunction were to recur. If a deficiency, defect in design or manufacturing or defect in labeling is discovered, the company may voluntarily elect to recall or correct the company's products. In addition, FDA and similar regulatory authorities in other countries could force the company to do a field correction or recall the company's products in the event of material deficiencies or defects in design or manufacturing. A government mandated or voluntary recall or field correction by the company could occur for various reasons, such as component failures, manufacturing errors or design defects, including defects in labeling. Any recall or field correction could divert managerial and financial resources and could harm the company's reputation with its customers, product users and the health care professionals that use, prescribe and recommend the company's products. The company could have product recalls or field actions that result in significant costs to the company in the future, and these actions could have a material adverse effect on the company's business.

The company's operating results and financial condition could be adversely affected if the company becomes involved in litigation regarding its patents or other intellectual property rights.


Litigation involving patents and other intellectual property rights is common in the company’scompany's industry, and other companies within the company’scompany's industry have used intellectual property litigation in an attempt to gain a competitive advantage. The company in the past has been, and in the future may become, a party to lawsuits involving patents or other intellectual property. If the company were to receive an adverse judgment in any such proceeding, a court or a similar foreign governing body could invalidate or render unenforceable the company’scompany's owned or licensed patents, require the company to pay significant damages, seek licenses and/or pay ongoing royalties to third parties, require
the company to redesign its products, or prevent the company from manufacturing, using or selling its products, any of which could have an adverse effect on the company’scompany's results of operations and financial condition. The company in the past has brought, and may in the future also bring, actions against third parties for infringement of the company’scompany's intellectual property rights. The company may not succeed in these actions. The defense and prosecution of intellectual property suits, proceedings before the U.S. Patent and Trademark Office or its foreign equivalents and related legal and administrative proceedings are both costly and time consuming. Protracted litigation to defend or prosecute the company’scompany's intellectual property rights could seriously detract from the time the company’scompany's management would otherwise devote to running its business. Intellectual property litigation relating to the company’scompany's products could cause its customers or potential customers to defer or limit their purchase or use of the affected products until resolution of the litigation.


The company's research and development and manufacturing processes are subject to federal, state and local requirements.

The company's research and development and manufacturing processes are subject to federal, state and local requirements, including requirements governing the discharge of pollutants into the air or water, the use, handling, storage and disposal of hazardous substances and the responsibility to investigate and clean up contaminated sites. Under some of these laws, the company also could be held responsible for costs relating to any contamination at the company's past or present facilities and at third-party waste disposal sites. These could include costs relating to contamination that did not result from any violation of law and, in some circumstances, contamination that the company did not cause. The company may incur significant expenses relating to the failure to comply with environmental laws. The enactment of stricter laws or regulations, the stricter interpretation of existing laws and regulations or the requirement to undertake the investigation or remediation of currently unknown environmental contamination at the company's own or third-party sites may require the company to make additional expenditures, which could be material.

If the company is unable to protect its intellectual property rights or resolve successfully claims of infringement brought against it, the company's product sales and business could be affected adversely.


The company's business depends in part on its ability to establish, protect, safeguard and enforce its intellectual property and contractual rights and to defend against any claims of infringement, both of which involve complex legal, factual and marketplace uncertainties. The company relies on a combination of patent, trade secret, copyright and trademark law and security measures to protect its intellectual property, but effective intellectual property protection may
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Item 1A. Risk Factors
   
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property, but effective intellectual property protection may not be available in all places that the company sells its products or services, particularly in certain foreign jurisdictions, and patents provide protection for finite time periods. In addition, the company uses nondisclosure, confidentiality agreements and invention assignment agreements with many of its employees, and nondisclosure and confidentiality agreements with certain third parties, in an effort to help protect its proprietary technology and know-how. If these agreements are breached or the company's intellectual property is otherwise infringed, misappropriated or violated, the company may have to rely on litigation to enforce its intellectual property rights. If any of these measures are unsuccessful in protecting the company's intellectual property, the company's business may be affected adversely.


In addition, the company may face claims of infringement, misappropriation or other violation of third parties’parties' intellectual property that could interfere with its ability to use technology or other intellectual property rights that are material to the company's business operations. In the event that a claim of infringement, misappropriation or other violation against the company is successful, the company may be required to pay royalties or license fees to continue to use technology or other intellectual property rights that the company was using, or the company may be unable to obtain necessary licenses from third parties at a reasonable cost or within a reasonable time. If the company is unable to obtain licenses on reasonable terms, it may be forced to cease selling or using the products that incorporate the challenged intellectual property, or to redesign or, in the case of trademark claims, rename its products to avoid infringing the intellectual property rights of third parties, which may not be possible, or if possible, may be time-consuming. Any litigation of this type, whether successful or unsuccessful, could result in substantial costs to the company and adversely affect the company's business and financial condition.


The company also holds patent and other intellectual property licenses from third parties for some of its products and on technologies that are necessary in the design and manufacture of some of the company's products. The loss of these licenses could prevent the company from, or could cause additional disruption or expense in, manufacturing, marketing and selling these products, which could harm the company's business.


The company’s researchcompany's capital expenditures could be higher than anticipated.

Unanticipated maintenance issues, changes in government regulations or significant investments in technology and new product development could result in higher than anticipated capital expenditures, which could impact the company's debt, interest expense and manufacturing processes are subject to federal, state, local and foreign environmental requirements.cash flows.

The company’s research and development and manufacturing processes are subject to federal, state, local and foreign environmental requirements, including requirements governing the discharge of pollutants into the air or water, the use, handling, storage and disposal of
 
hazardous substancesThe company has long-term capital leases on its significant facilities located in Elyria and North Ridgeville, Ohio and Sanford, Florida, with the responsibility to investigate and clean up contaminated sites. same owner/landlord.

Under somethe terms of these laws,the real estate leases, defaults by the company alsounder any one of such leases, would trigger a cross default under all related leases with the owner/landlord. Should a default by the company occur, there could be held responsible for costs relating to any contamination ata material adverse effect on the company’s pastcompany's business, operations, financial condition or present facilities and at third-party waste disposal sites. These could include costs relating to contamination that did not result from any violation of law and, in some circumstances, contamination that the company did not cause. The company may incur significant expenses relating to the failure to comply with environmental laws. The enactment of stricter laws or regulations, the stricter interpretation of existing laws and regulations or the requirement to undertake the investigation or remediation of currently unknown environmental contamination at the company’s own or third-party sites may require the company to make additional expenditures, which could be material.liquidity.


The company may be unable to make strategic acquisitions without obtaining amendments to its credit agreement.


The company’scompany's business plans historically included identifying, analyzing, acquiring, and integrating other strategic businesses. There are various reasons for the company to acquire businesses or product lines, including providing new products or new manufacturing and service capabilities, to add new customers, to increase penetration with existing customers, and to expand into new geographic markets. The provisions of the credit agreement restrict the company from undertaking certain acquisitions unless the company is able to negotiate and obtain amendments with regard to those provisions. If the company is unable to obtain the necessary amendments, it may miss opportunities to grow its business through strategic acquisitions.


In addition, an acquisition could materially impair the company’scompany's operating results by causing the company to incur debt or requiring the amortization of acquisition expenses and acquired assets.


The company's revenues and profits are subject to exchange rate and interest rate fluctuations that could adversely affect its results of operations or financial position.

Currency exchange rates are subject to fluctuation due to, among other things, changes in local, regional or global economic conditions, the imposition of currency exchange restrictions and unexpected changes in regulatory or taxation environments. The predominant currency used by the company's subsidiaries outside the U.S. to transact business is the functional currency used for each subsidiary. Through the company's international operations, the company is exposed to foreign currency fluctuations, and changes in exchange rates can have a significant impact on net sales and elements of cost. The company conducts a significant number of transactions in currencies other than the U.S. dollar. In addition, because certain of the company's costs and revenues are denominated in other currencies, such as those from its European operations, the company's results of operations are exposed to foreign exchange rate fluctuations as the financial results of those operations are translated from local currency into U.S. dollars upon consolidation. For example, in prior
Part I
Item 1A. Risk Factors

years, the devaluation of the Euro had a negative impact on the translation of company's European segment net income into U.S. dollars, and the foreign currency impact of the Brexit referendum in the U.K. had a negative impact on acquisition of dollar and Euro denominated goods in the U.K. If other countries also exit the European Union, similar negative impacts may result.

The company uses foreign exchange forward contracts primarily to help reduce its exposure to transactional exchange rate risk. Despite the company's efforts to mitigate these risks, however, the company's revenues and profitability may be materially adversely affected by exchange rate fluctuations. The company does not have any similar arrangements that mitigate the company's exposure to foreign exchange translation risk, and does not believe that any meaningful arrangement to do so is available to the company.

The company also is exposed to market risk through various financial instruments, including fixed rate and floating rate debt instruments. The company does at times use interest rate swap contracts to mitigate its exposure to interest rate fluctuations, but those efforts may not adequately protect the company from significant interest rate risks. Interest on some of the company's debt is based on the London Interbank Offered Rate (LIBOR), which is currently historically low. Increases in LIBOR could have a significant impact on the company's reported interest expense, to the extent that the company has outstanding borrowings subject to LIBOR-based interest rates.

Additional tax expense or additional tax exposures could affect the company's future profitability and cash flow.


The company is subject to income taxes in the United States and various non-U.S. jurisdictions. The domestic and international tax liabilities are dependent upon the allocation of income among these different jurisdictions. The company's tax expense includes estimates of additional tax which may be incurred for tax exposures and reflects various other estimates and assumptions. In addition, the assumptions include assessments of future earnings of the company that could impact the valuation of its deferred tax assets. The company’scompany's future results of operations could be adversely affected by changes in the company's effective tax rate which could result from changes in the mix of earnings in countries with differing statutory tax rates, changes in the overall profitability of the company, changes in tax legislation and
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rates, changes in generally accepted accounting principles, changes in the valuation of deferred tax assets and liabilities, the results of audits and examinations of previously filed tax returns and continuing assessments of its tax exposures. Corporate tax reform and tax law changes continue to be analyzed in many jurisdictions, including the potential impacts of new United States tax laws, rules, regulations or
policies, and any legislation or regulations which may result from those policies.


The Tax Cuts and Jobs Act (“Tax Act”) was enacted on December 22, 2017. The Tax Act significantly revamped U.S. taxation of corporations, including a reduction of the federal income tax rate from 35% to 21%, a limitation on interest deductibility, and a new tax regime for foreign earnings. The limitation on interest deductibility, the new U.S. taxes on accumulated and future foreign earnings, other adverse changes resulting from the Tax Act, or a change in the mix of domestic and foreign earnings, might offset the benefit from the reduced tax rate, and the company’scompany's future effective tax rates and/or cash taxes may increase, even significantly, or not decrease much, compared to recent or historical trends. Many of the provisions of the Tax Act are highly complex and may be subject to further interpretive guidance from the IRS or others. Some of the provisions of the Tax Act may be changed by a future Congress or challenged by the World Trade Organization (“WTO”) or be subject to trade or tax retaliation by other countries. Although the company cannot predict the nature or outcome of such future interpretive guidance, or actions by a future Congress, WTO or other countries, they could adversely impact the company’scompany's financial condition, results of operations and cash flows.


The company’scompany's reported results may be adversely affected by increases in reserves for uncollectible accounts receivable.


The company has a large balance of accounts receivable and has established a reserve for the portion of such accounts receivable that the company estimates will not be collected because of the company’s customers’company's customers' non-payment. The specific reserve is based on historical trends and current relationships with the company’scompany's customers and providers. Changes in the company’scompany's collection rates can result from a number of factors, including turnover in personnel, changes in the payment policies or practices of payors, changes in industry rates or pace of reimbursement or changes in the financial health of the company’scompany's customers. As a result of past changes in Medicare reimbursement regulations, specifically changes to the qualification processes and reimbursement levels of consumer power wheelchairs and custom power wheelchairs, the business viability of some the company’scompany's customers may be at risk. Further, as National Competitive Bidding is implemented in additional areas, the number of start-up or new providers who have three-year contracted pricing will increase.


The company’scompany's reserve for uncollectible receivables has fluctuated in the past and will continue to fluctuate in the future. Changes in rates of collection, even if they are small in absolute terms, could require the company to increase its reserve for uncollectible receivables beyond its current level. The company has reviewed the accounts receivables, including those receivables financed through DLL, associated with many of its customers that are most exposed to these issues. If the business viability of certain of the company’scompany's customers deteriorates or the company’scompany's credit policies are ineffective in reducing the company’scompany's exposures
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Item 1A. Risk Factors


to credit risk, additional increases in reserves for uncollectible accounts may be necessary, which could adversely affect the company’scompany's financial results.


The inabilitycompany maintains cash balances globally in various financial institutions.

While the company monitors its accounts with financial institutions both domestically and internationally, recovery of funds cannot be assured in the event the financial institution would fail. In addition, the company may be limited by foreign governments in the amount and timing of funds to attract and retain,be repatriated from foreign financial institutions. Any financial institution failure or loss ofrepatriation delay could adversely impact the services of, the company’s key management and personnelcompany's ability to fund normal operations, capital expenditures, or service debt, which could adversely affect its ability to operate the company’s business.

The company’s future success will depend, in part, upon the continued service of key managerial, research and development staff and sales and technical personnel. In addition, the company’s future success will depend on its ability to continue to attract and retain other highly qualified personnel, including personnel experienced in quality systems and regulatory affairs. If the company is not successful in retaining its current personnel or in hiring or retaining qualified personnel in the future, the company’s business may be adversely affected. The company’s future success depends, to a significant extent, on the abilities and efforts of its executive officers and other members of its management team, such as the company's Chairman, President and Chief Executive Officer and its Senior Vice President and Chief Financial Officer, as well as other members of its management team. The company had significant turnover in its management team in recent years and cannot be certain that its executive officers and other key employees will continue in their respective capacities for any period of time, and these employees may be difficult to replace. If the company loses the services of any of its management team, the company’s business may be adversely affected.

results.
Certain provisions of the company’scompany's debt agreements, its charter documents, and Ohio law could delay or prevent a sale or change in control of the company.


Provisions of the company’scompany's credit agreement, its charter documents, and Ohio law may make it more difficult for a third party to acquire, or attempt to acquire, control of the company even if a change in control would result in the purchase of shares of the company at a premium to market price. In addition, these provisions may limit the ability of shareholders of the company to approve transactions that they may deem to be in their best interest.

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Difficulties in implementing or upgrading the company’s Enterprise Resource Planning systems may disrupt the company’s business.


The company ismay experience volatility in the process of upgrading its Enterprise Resource Planning, or “ERP,” system in Europe and may undertake further deployment of systems in other geographies of parts of the business. The complexities and business process changes associated with such an ERP upgrade can result in various difficulties including problems processing and fulfilling orders, customer disruptions and lost business. While the company believes the potential difficulties associated with upgrading the company’s primary ERP system in Europe have been addressed or can be mitigated, there can be no assurance that the company will not experience disruptions or inefficiencies in the company’s business operations as a result of the upgrade which could have a material adverse effect on the company's business, financial condition, liquidity or results of operations.
The Company May Experience Volatility in the Market Pricemarket price of its Common Sharescommon shares


The market price of the company’scompany's common shares may be influenced by lower trading volume and concentrated ownership relative to many other publicly-held companies. Because several of the company’scompany's shareholders own significant amounts of the company’scompany's outstanding common shares, the common shares are relatively less liquid and therefore more susceptible to price fluctuations than many other companies’companies' shares. If any one or more of these shareholders were to sell all or a portion of their holdings of company common shares at once or within short periods of time, or there was an expectation that such a sale was imminent, then the market price of the company’scompany's common shares could be negatively affected.













Item 1B.    Unresolved Staff Comments.


None.

Part I
Item 2. Properties 
   
Table of Contents


Item 2.        Properties.


The company owns or leases its manufacturing facilities, warehouses and offices and believes that these facilities are well maintained, adequately insured and suitable for their present and intended uses. Information concerning certain leased facilities of the company as of December 31, 20172019 is set forth in Leases and Commitments in the Notes to the Consolidated Financial Statements of the company included in this report. The company's corporate headquarters is in Elyria, Ohio and a summary of the company's materially important properties by segment is as follows:
 Owned Leased
 Number Square Feet Number Square Feet
Manufacturing Facilities       
Europe3 349,612
 6 513,601
NA/HME1 152,256
 10 520,417
Asia/Pacific 
 2 30,518
 4 501,868
 18 1,064,536
        
Warehouse and Office Facilities       
Europe3 39,289
 48 445,391
NA/HME 
 11 469,831
IPG 
 1 10,786
Asia/Pacific 
 4 76,221
 3 39,289
 64 1,002,229
        
 Owned Leased
 Number Square Feet Number Square Feet
Manufacturing Facilities       
Europe3 349,612
 6 513,601
North America1 152,256
 10 481,656
 4 501,868
 16 995,257
        
Warehouse and Office Facilities       
Europe2 37,674
 45 412,183
North America 
 9 319,486
All Other (Asia Pacific) 
 5 104,728
 2 37,674
 59 836,397
        






Part I
Item 3. Legal Proceedings
   
Table of Contents



Item 3.        Legal Proceedings.


In the ordinary course of its business, the company is a defendant in a number of lawsuits, primarily product liability actions in which various plaintiffs seek damages for injuries allegedly caused by defective products. All the product liability lawsuits that the company faces in the United States have been referred to the company's captive insurance company and/or excess insurance carriers while all non-U.S. lawsuits have been referred to the company's commercial insurance carriers. All such lawsuits are generally contested vigorously. The coverage territory of the company's insurance is worldwide with the exception of those countries with respect to which, at the time the product is sold for use or at the time a claim is made, the U.S. government has suspended or prohibited diplomatic or trade relations. Management does not believe that the outcome of any of these actions will have a material adverse effect upon the company's business or financial condition.


In December 2012, the company reached agreement with FDA on the terms ofbecame subject to a consent decree of injunction filed by FDA in the U.S. District Court for the Northern District of Ohio with respect to the company's Corporate facility and its Taylor Street manufacturing facility in Elyria, Ohio. A complaint and consent decree were filed in the U.S. District Court for the Northern District of Ohio, and on December 21, 2012, the Court approved the consent decree and it became effective. On July 24, 2017, following its reinspection of the Corporate and Taylor Street facilities, FDA notified the company that it was in substantial compliance with the QSRFDA Act, FDA regulations and atthe terms of the consent decree and that time, the company was permitted to resume full operations at those facilities, including the resumption of unrestricted sales of products made in those facilities.


The consent decree will continue in effect for a minimum ofat least five years from July 24, 2017, during which time the company’scompany's Corporate and Taylor Street facilities must complete to two semi-annual audits in the first year and then four annual audits in the next four years performed by a company-retained expert firm. The expert audit firm will determine whether the facilities remain in continuous compliance with the FDA Act, regulations and the terms of the consent decree.


The FDA has the authority to inspect the Corporate and Taylor Street facilities, and any other FDA registered facility, at any time. The FDA also has the authority to order the company to take a wide variety of actions if the FDA finds that the company is not in compliance with the consent decree, FDA Act or FDA regulations, including requiring the company to cease all operations relating to Taylor Street products. The FDA also can order the company to undertake a partial cessation of operations or a recall, issue a safety alert, public health advisory, or press release, or to take any other corrective action the FDA deems necessary with respect to Taylor Street products.


 
FDA also has authority under the consent decree to assess liquidated damages of $15,000 per violation per day for any violations of the consent decree, FDA Act or FDA regulations. FDA also may assess liquidated damages for shipments of adulterated or misbranded devices in the amount of twice the sale price of any such adulterated or misbranded device. The liquidated damages, if assessed, are capped atlimited to a total of $7,000,000 for each calendar year. The authority to assess liquidated damages areis in addition to any other remedies otherwise available to FDA, including civil money penalties.


Additional information regarding the consent decree is included in Item 1. Business - Government Regulation; Item 1A. Risk Factors; Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations; and in Contingencies in the Notes to the Consolidated Financial Statements included in this Annual Report on Form 10-K.


Item 4.        Mine Safety Disclosures.
None.


Part I

Executive Officers of the Registrant 
   
Table of Contents


Information about our Executive Officers*
Executive Officers of the Registrant*


The following table sets forth the names of the executive officers of the company, each of whom serves at the pleasure of the Board of Directors, as well as certain other information.
NameAgePosition
Matthew E. Monaghan5052Chairman, President and Chief Executive Officer
Kathleen P. Leneghan5456Senior Vice President and Chief Financial Officer
Dean J. Childers51Senior Vice President and General Manager, North America
Anthony C. LaPlaca5961Senior Vice President, General Counsel and Secretary
Ralf A. Ledda5052Senior Vice President and General Manager, Europe, Middle East & Africa
Darcie L. Karol53Senior Vice President, Human Resources
 _______________________
*The description of executive officers is included pursuant to Instruction 3the instructions to Section (b) of Item 401 of Regulation S-K.


Matthew E. Monaghan was appointed the company’s President and Chief Executive Officer in April 2015 and was elected Chairman of the Board in May 2015. Prior to joining Invacare, Mr. Monaghan served as a business unit leader at Zimmer Holdings (now Zimmer Biomet NYSE: ZBH), a major orthopedic implant company, serving first as Vice President and General Manager of the company’s Global Hips business (December 2009 to January 2014) and later as Senior Vice President of Hips and Reconstructive Research (January 2014 until joining Invacare). While at Zimmer, Mr. Monaghan was responsible for the Hip division’sDivision’s new product development, engineering, marketing, clinical studies, quality, regulatory affairs and results of the shared sales and supply chain functions. Later, those responsibilities also included directing global research for various areas of material, process and product innovation. Prior to joining Zimmer in 2009, Mr. Monaghan spent eight years as an operating executive for two leading private equity firms, Texas Pacific Group (TPG) and Cerberus Capital Management, where he led acquisitions and operational improvements of portfolio companies, which included the carve-out from Baxter Healthcare of a global medical business, making significant improvements at a U.S. personal insurance business and as COO of a consumer durable goods business spun off from Newell-Rubbermaid. For the first 13 years of his career, Mr. Monaghan held various engineering, financial and management positions at General Electric (NYSE:GE). Since November 2016, Mr. Monaghan has served as a director of Syneos Health (NASDAQ:SYNH), formerly known as INC Research (NASDAQ: INCR), a contract research and contract commercial organization serving the needs of pharmaceuticalbiopharmaceutical clients.












Kathleen P. Leneghan was appointed as the Senior Vice President and Chief Financial Officer onof Invacare Corporation in February 22, 2018, after having servedserving as Interiminterim Chief Financial Officer of the company since November 2017. She served as Vice President and Corporate Controller of the company since 2003. Ms. Leneghan has been employed by the company for 2728 years, serving in various financial roles in North America and Europe. Prior to joining the Company,company, Ms. Leneghan was an audit manager with Ernst &Young& Young LLP.



Dean J. Childers joined the company in May 2015 and was appointed Senior Vice President & General Manager, North America, in June 2015. Prior to joining the company, Mr. Childers served as Vice President, Business Operations at Integra Lifesciences, Inc., Plainsboro NJ (NASDAQ: IART), a life sciences company focused on regenerative technologies and orthopedics, from September 2014 until May 2015. From 2010 through 2014, Mr. Childers served as Vice President, Logistics at Zimmer, Inc. (now Zimmer Biomet NYSE: ZBH), an orthopedic device company participating in the joint reconstruction, trauma, sports medicine, surgical equipment, spine and dental markets.

Anthony C. LaPlaca was appointed Senior Vice President, General Counsel and Secretary effective January 2009. Previously, Mr. LaPlaca served as Vice President and General Counsel for six and a half years with Bendix Commercial Vehicle Systems LLC, Elyria, Ohio, a member of the Knorr-Bremse group, a supplier of commercial vehicle safety systems. Prior to that, he served as Vice President and General Counsel to Honeywell Transportation & Power Systems and General Counsel to Honeywell Commercial Vehicle Systems LLC.


Ralf A. Ledda was appointed Senior Vice President and General Manager, Europe, Middle East & Africa in November 2016. Previously he served for 21 years as Managing Director of Alber GmbH, Albstadt, Germany, Invacare’s subsidiary that specializes in innovative electromotive technology and power add-on devices used with medical and recreational products.


Darcie L. Karol was appointed Senior Vice President, Human Resources in June 2018. Prior to joining the company, Ms. Karol worked at the Valspar Corporation, a global paint and coatings company acquired by Sherwin-Williams in June 2017. Ms. Karol served as Valspar’s Vice President of Human Resources - Global Coatings from January 2014 until August 2017, and prior to that was Valspar’s Human Resources Director for the Asia Region from July 2011 until September 2013. Prior to Valspar, Ms. Karol held Human Resources roles of increasing responsibility at General Mills, Inc., a global consumer packaged goods company.

Part II Part II
Items 5 - 6
   
Table of Contents





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


Invacare’sInvacare's Common Shares, without par value, trade on the New York Stock Exchange (NYSE) under the symbol “IVC.” Ownership of the company’scompany's Class B Common Shares (which are not listed on NYSE)the NYSE or any other established trading market) cannot be transferred, except, in general, to family members without first being converted into Common Shares. Class B Common Shares may be converted into Common Shares at any time on a share-for-share basis. The number of record holders of the company Common Shares and Class B Common Shares at March 6, 20184, 2020 was 2,0741,912 and 16, respectively. The closing sale price for the Common Shares on March 6, 2018 as reported by NYSE was $17.60. The prices set forth below do not include retail markups, markdowns or commissions.

The following table sets forth, for each of the quarterly periods indicated, the high and low intraday sales prices of the company’s common shares and dividends declared on the company’s common shares for the periods indicated.
 2017 2016
 High Low 
Cash Dividends
Declared
 High Low 
Cash Dividends
Declared
Quarter Ended:           
December 31$17.95
 $13.95
 $0.0125
 $13.45
 $8.00
 $0.0125
September 3016.35
 12.35
 0.0125
 13.66
 10.76
 0.0125
June 3016.65
 10.25
 0.0125
 14.06
 9.89
 0.0125
March 3113.75
 9.90
 0.0125
 17.25
 11.67
 0.0125

During 2017 and 2016, the Board of Directors also declared annualized dividends of $0.0455 per Class B Common Share. For information regarding limitations on the payment of dividends in the company's credit facilities and debt agreements, see Long Term Debt in the Notes to the Consolidated Financial Statements included in this report. The Common Shares are entitled to receive cash dividends at a rate of at least 110% of cash dividends paid on the Class B Common Shares. See Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations - Liquidity and Capital Resources, regarding covenants in the company's senior credit facilities with respect to the payment of dividends.

Part II
Table of Contents


SHAREHOLDER RETURN PERFORMANCE GRAPH


The following graph compares the yearly cumulative total return on Invacare’sInvacare's Common Shares against the yearly cumulative total return of the companies listed on the Standard & Poor’sPoor's 500 Stock Index, the Russell 2000 Stock Index and the S&P Healthcare Equipment & Supplies Index*.Index. The S&P Healthcare Equipment & Supplies Index is a capitalization-weighted average index comprised of health care companies in the S&P 500 Index.

chart-359dd6fa7e0a531ebce.jpg
12/12 12/13 12/14 12/15 12/16 12/1712/14 12/15 12/16 12/17 12/18 12/19
Invacare Corporation$100.00
 $142.94
 $103.54
 $107.73
 $81.17
 $105.10
$100.00
 $104.05
 $78.40
 $101.51
 $25.98
 $54.98
S&P 500100.00
 132.39
 150.51
 152.59
 170.84
 208.14
100.00
 101.38
 113.51
 138.29
 132.23
 173.86
Russell 2000100.00
 138.82
 145.62
 139.19
 168.85
 193.58
100.00
 95.59
 115.95
 132.94
 118.30
 148.89
S&P Healthcare Equipment & Supplies100.00
 127.32
 153.92
 165.62
 178.63
 234.97
100.00
 107.57
 116.14
 152.94
 175.13
 225.62

Copyright© 20182020 Standard & Poor's, a division of S&P Global. All rights reserved.

Copyright© 20182020 Russell Investment Group. All rights reserved.
________________________
*The S&P Healthcare Equipment & Supplies Index is a capitalization-weighted average index comprised of health care companies in the S&P 500 Index.


The graph assumes $100 invested on December 31, 20122014 in the Common Shares of Invacare Corporation, S&P 500 Index, Russell 2000 Index and the S&P Healthcare Equipment & Supplies Index, including reinvestment of dividends, through December 31, 2017.

2019.
Part II 
Items 5 - 6 
   
Table of Contents


The following table presents information with respect to repurchases of Common Shares made by the company during the three months ended December 31, 2017.2019.
 
Period  
Total Number
of Shares  Purchased (1)
 
Average Price
Paid Per Share
 
Total Number of Shares
Purchased as Part of
Publicly Announced
Plans or Programs
 
Maximum Number
of Shares That May Yet
Be Purchased Under
the Plans or Programs (2)
10/1/2017-10/31/17 $—  2,453,978
11/1/2017-11/30/173,115 17.62  2,453,978
12/1/2017-12/31/17   2,453,978
Total  3,115 $17.62  2,453,978
Period  
Total Number
of Shares  Purchased (1)
 
Average Price
Paid Per Share
 
Total Number of Shares
Purchased as Part of
Publicly Announced
Plans or Programs
 
Maximum Number
of Shares That May Yet
Be Purchased Under
the Plans or Programs (2)
10/1/2019-10/31/19 $ __  2,453,978
11/1/2019-11/30/193,387 10.02  2,453,978
12/1/2019-12/31/19   2,453,978
Total  3,387 $10.02  2,453,978
________________________ 
(1)All 3,1153,387 shares repurchased between October 1, 20172019 and December 31, 20172019 were surrendered to the company by employees for minimum tax withholding purposes in conjunction with the vesting of restricted shares awarded to the employees or exercise of non-qualified options under the company’scompany's equity compensation plans.

(2)In 2001, the Board of Directors authorized the company to purchase up to 2,000,000 Common Shares, excluding any shares acquired from employees or directors as a result of the exercise of options or vesting of restricted shares pursuant to the company’scompany's performance plans. The Board of Directors reaffirmed its authorization of this repurchase program on November 5, 2010, and on August 17, 2011 authorized an additional 2,046,500 shares for repurchase under the plan. To date, the company has purchased 1,592,522 shares under this program, with authorization remaining to purchase 2,453,978 shares. The company purchased no shares pursuant to this Board authorized program during 2017.2019.


The equity compensation plan information required under Item 201(d) of Regulation S-K is incorporated by reference to the information under the caption "Equity Compensation Plan Information" in the company's definitive Proxy Statement on Schedule 14A for the 20182020 Annual Meeting of Shareholders.


Under the terms of the company's senior credit facilities, repurchases of shares by the company generally are not permitted except in certain limited circumstances in connection with the vesting or exercise of employee equity compensation awards. See Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations - Liquidity and Capital Resources, regarding covenants of the company's senior credit facilities with respect to share purchases.


Item 6.        Selected Financial Data.


The selected consolidated financial data set forth below with respect to the company’scompany's consolidated statements of comprehensive income (loss), cash flows and shareholders’shareholders' equity for the fiscal years ended December 31, 2017, 20162019, 2018 and 2015,2017, and the consolidated balance sheets as of December 31, 20172019 and 20162018 are derived from the Consolidated Financial Statements included elsewhere in this Form 10-K or as adjusted to reflect the impact of discontinued operations.10-K. The consolidated statements of comprehensive income (loss), cash flows and shareholders’shareholders' equity data for the fiscal years ended December 31, 20142016 and 20132015 and consolidated balance sheet data for the fiscal years ended December 31, 2015, 20142017, 2016 and 20132015 are derived from the company’scompany's previously filed Consolidated Financial Statements or as adjusted to reflect the impact of discontinued operations.





The data set forth belowin the following table should be read in conjunction with Item 7—“Management’sManagement's Discussion and Analysis of Financial Condition and Results of Operations” and the company’scompany's Consolidated Financial Statements and Notes thereto included elsewhere in this Form 10-K. The Balance Sheet, Other Data and Key Ratios reflect the impact of discontinued operations to the extent included in the Consolidated Balance Sheets and Consolidated Statement of Cash Flows.


Part II
Items 5 - 6


 2019 * 2018 ** 2017 *** 2016 **** 2015 *****
 (In thousands, except per share and ratio data)
Earnings (Loss)         
Net sales from continuing operations$927,964
 $972,347
 $966,497
 $1,047,474
 $1,142,338
          
Loss from continuing operations(53,327) (43,922) (76,541) (42,856) (26,450)
Net earnings from discontinued operations
 
 
 
 260
Net Loss(53,327) (43,922) (76,541) (42,856) (26,190)
          
Net Earnings (Loss) per Share—Basic:         
Net loss from continuing operations(1.59) (1.33) (2.34) (1.32) (0.82)
Net earnings from discontinued operations
 
 
 
 0.01
Net Loss per Share—Basic(1.59) (1.33) (2.34) (1.32) (0.81)
          
Net Earnings (Loss) per Share—Assuming Dilution:         
Net loss from continuing operations(1.59) (1.33) (2.34) (1.32) (0.82)
Net earnings from discontinued operations
 
 
 
 0.01
Net Loss per Share—Assuming Dilution(1.59) (1.33) (2.34) (1.32) (0.81)
          
Dividends per Common Share0.05
 0.05
 0.05
 0.05
 0.05
Dividends per Class B Common Share
 0.02273
 0.04545
 0.04545
 0.04545
          
Balance Sheet         
Current Assets$355,877
 $397,410
 $456,914
 $409,072
 $362,299
Total Assets852,126
 885,855
 1,066,033
 903,743
 838,143
Current Liabilities218,657
 198,208
 218,064
 220,861
 247,644
Working Capital137,220
 199,202
 238,850
 188,211
 114,655
Long-Term Debt258,004
 253,535
 241,405
 146,088
 45,092
Other Long-Term Obligations66,949
 74,965
 183,270
 114,407
 82,589
Shareholders' Equity308,516
 359,147
 423,294
 422,387
 462,818
          
Other Data         
Research and Development Expenditures$15,836
 $17,377
 $17,796
 $17,123
 $18,677
Capital Expenditures10,874
 9,823
 14,569
 10,151
 7,522
Depreciation and Amortization15,563
 15,556
 14,631
 14,635
 18,204
          
Key Ratios         
Return on Sales % from continuing operations(5.7) (4.5) (7.9) (4.1) (2.3)
Return on Average Assets %(6.1) (4.5) (7.8) (4.9) (2.9)
Return on Beginning Shareholders' Equity %(14.8) (10.4) (18.1) (9.3) (4.6)
Current Ratio1.6:1
 2.0:1
 2.1:1
 1.9:1
 1.5:1
Debt-to-Equity Ratio0.87:1
 0.71:1
 0.58:1
 0.38:1
 0.10:1
Part II 
Table of Contents

 2017 * 2016 ** 2015 *** 2014 **** 2013 *****
 (In thousands, except per share and ratio data)
Earnings         
Net sales from continuing operations$966,497
 $1,047,474
 $1,142,338
 $1,270,163
 $1,334,505
          
Loss from continuing operations(76,541) (42,856) (26,450) (68,760) (54,334)
Net Earnings from Discontinued Operations
 
 260
 12,690
 87,385
Net Earnings (Loss)(76,541) (42,856) (26,190) (56,070) 33,051
          
Net Earnings (Loss) per Share—Basic:         
Net loss from continuing operations(2.34) (1.32) (0.82) (2.15) (1.70)
Net earnings from discontinued operations
 
 0.01
 0.40
 2.74
Net Earnings (Loss) per Share—Basic(2.34) (1.32) (0.81) (1.75) 1.04
          
Net Earnings (loss) per Share—Assuming Dilution:         
Net loss from continuing operations(2.34) (1.32) (0.82) (2.15) (1.70)
Net earnings from discontinued operations
 
 0.01
 0.39
 2.73
Net Earnings (Loss) per Share—Assuming Dilution(2.34) (1.32) (0.81) (1.75) 1.04
          
Dividends per Common Share0.05
 0.05
 0.05
 0.05
 0.05
Dividends per Class B Common Share0.04545
 0.04545
 0.04545
 0.04545
 0.04545
          
Balance Sheet         
Current Assets$456,914
 $409,072
 $362,299
 $405,987
 $419,539
Total Assets1,066,033
 903,743
 838,143
 963,731
 1,096,434
Current Liabilities218,064
 220,861
 247,644
 290,232
 276,165
Working Capital238,850
 188,211
 114,655
 115,755
 143,374
Long-Term Debt241,405
 146,088
 45,092
 19,732
 31,184
Other Long-Term Obligations183,270
 114,407
 82,589
 88,805
 118,276
Shareholders’ Equity423,294
 422,387
 462,818
 565,322
 670,809
          
Other Data         
Research and Development Expenditures$17,796
 $17,123
 $18,677
 $23,149
 $24,075
Capital Expenditures14,569
 10,151
 7,522
 12,327
 14,158
Depreciation and Amortization14,631
 14,635
 18,204
 30,941
 34,399
          
Key Ratios         
Return on Sales % from continuing operations(7.9) (4.1) (2.3) (5.4) (4.1)
Return on Average Assets %(7.8) (4.9) (2.9) (5.4) 2.8
Return on Beginning Shareholders’ Equity %(18.1) (9.3) (4.6) (8.4) 5.3
Current Ratio2.1:1
 1.9:1
 1.5:1
 1.4:1
 1.5:1
Debt-to-Equity Ratio0.58:1
 0.38:1
 0.10:1
 0.04:1
 0.07:1
Part IIItems 5 - 6  
   
Table of Contents


________________________
*Reflects charges related to restructuring from continuing operations of $11,829,000 ($9,003,000 after-tax expense or $0.27 per share assuming dilution), loss on debt extinguishment including debt finance charges and fees of $6,165,000 ($6,165,000 after-tax expense or $0.18 per share assuming dilution), net gains on convertible debt derivatives of $1,197,000 ($1,197,000 after-tax income or $0.04 per share assuming dilution) and an intangible asset impairment of $587,000 ($435,000 after-tax expense or $0.01 per share assuming dilution).

**Reflects charges related to restructuring from continuing operations of $3,481,000 ($3,249,000 after-tax expense or $0.10 per share assuming dilution), net loss on convertible debt derivatives of $11,994,000 ($11,994,000 after-tax income or $0.36 per share assuming dilution), an intangible asset impairment of $583,000 ($431,000 after-tax expense or $0.01 per share assuming dilution) and a non-cash tax benefit of $2,023,000 ($0.06 per share assuming dilution) related to U.S. tax reform legislation.

***Reflects charges related to restructuring from continuing operations of $12,274,000 ($11,872,000 after-tax expense or $0.36 per share assuming dilution), net loss on convertible debt derivatives of $3,657,000 ($3,657,000 after-tax income or $0.11 per share assuming dilution), an intangible asset impairment of $320,000 ($237,000 after-tax expense or $0.01 per share assuming dilution) and a non-cash tax benefit of $1,580,000 ($0.05 per share assuming dilution) related to the revaluation of net deferred tax liabilities as a result of the new U.S. tax reform legislation.


****Reflects gain on sale of Garden City Medical, Inc. of $7,386,000 ($7,386,000 after-tax income or $0.23 per share assuming dilution), charges related to restructuring from continuing operations of $2,447,000 ($2,447,000 after-tax expense or $0.08 per share assuming dilution), incremental warranty expense of $2,856,000 ($2,856,000 after-tax expense or $0.09 per share assuming dilution related to three product recalls) and net gain on convertible debt derivatives of $1,268,000 ($1,268,000 after-tax income or $0.04 per share assuming dilution).

*****Reflects charges related to restructuring from continuing operations of $1,971,000 ($1,843,000 after-tax expense or $0.06 per share assuming dilution), net warranty reversals of $2,325,000 ($2,325,000 after-tax income or $0.07 per share assuming dilution related to three product recalls) and the positive impact of an intraperiod tax allocation associated with discontinued operations of $140,000 or $0.00 per share assuming dilution.

****Reflects charges related to restructuring from continuing operations of $11,112,000 ($10,096,000 after-tax expense or $0.32 per share assuming dilution), incremental warranty expense of $11,493,000 ($10,801,000 after-tax expense or $0.34 per share assuming dilution related to three product recalls), intangible asset impairments of $13,041,000 ($13,041,000 after-tax expense or $0.41 per share assuming dilution) and the positive impact of an intraperiod tax allocation associated with discontinued operations of $7,175,000 or $0.22 per share assuming dilution.

*****Reflects charges related to restructuring from continuing operations of $9,336,000 ($7,493,000 after-tax expense or $0.23 per share assuming dilution), incremental warranty expense of $7,264,000 ($7,170,000 after-tax expense or $0.22 per share assuming dilution related to a power wheelchair joystick recall), intangible asset impairments of $1,523,000 ($1,322,000 after-tax expense or $0.04 per share assuming dilution) and the positive impact of an intraperiod tax allocation associated with discontinued operations of $3,445,000 or $0.11 per share assuming dilution.










Part II
Management Discussion & Analysis - Overview
   
Table of Contents



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


OVERVIEW

Management’sManagement's discussion and analysis should be read in conjunction with the consolidated financial statements and accompanying notes that appear elsewhere in this annual reportAnnual Report on Form 10-K.


In the first quarter of 2019, the company reassessed the alignment of its reporting segments and combined the North America/Home Medical Equipment (NA/HME) and Institutional Products Group (IPG) segments into a single operating segment, referred to as North America. The company believes that this change will better reflect how the company manages the business, allocates resources and assesses performance of the businesses contained in the North America segment. Additionally, the company reassessed the activity of the businesses in its former Asia Pacific segment and began reporting the Asia Pacific businesses as part of the All Other segment, since those businesses, individually and collectively, are not large enough relative to the company's overall business to merit disclosure as a separate reporting segment. The company believes that these changes provide improved transparency of the company’s business results to its shareholders, and are better aligned with how the company manages its businesses. Segment results for 2018 have been reclassified to reflect the realignment of the company’s reporting segments and be comparable to the segment results for 2019.

Invacare is a multi-national company with integrated capabilities to design, producemanufacture and distribute durable medical equipment.devices. The company makes products that help people move, breathe, rest and perform essential hygiene, and with those products the company supports people with congenital, acquired and degenerative conditions. The company’scompany's products and solutions are important parts of care for people with a range of challenges, from those who are active and heading toinvolved in work or school each day and may need additional mobility or respiratory support, to those who are cared for in residential care settings, at home and in rehabilitation centers. The company operates in facilities in North America, Europe and Asia/Asia Pacific, which are the result of dozens of acquisitions made over the company’s nearlycompany's forty-year history. Some of these acquisitions have been combined into integrated operating units, while others remainhave remained relatively independent.

Strategy


The company had a strategy to be a leading provider of durable medical equipment to health care providers in global markets by providing the broadest portfolio available. This strategy has not kept pace with certain reimbursement
changes, competitive dynamics and company-specific challenges. Since 2015, the company has made a major shift in its strategy. The company has since been aligning its resources to produce products and solutions that assist customers and end-users with their most clinically complex needs. By focusing the company’scompany's efforts to provide the best possible assistance and outcomes to the people and caregivers who use its products, the company aims to improve its financial condition for sustainable profit and growth. To execute this transformation, the company is undertaking a substantial three-phase multi-year transformation plan.












Transformation


The company is executingcontinues to execute a multi-year transformation to shiftreturn the company to profitability by focusing its new strategy. This is expected to yield better financial results from the application of the company’s resources toon products and solutions that provide greater healthcare value in clinically complex rehabilitation and post-acute care. The transformation is divided into the following three phases:


Phase One - Assess and Reorient
Increase commercial effectiveness;
Shift and narrow the product portfolio;
Align innovation resources to clinically complex solutions;
Accelerate quality efforts with culture of quality excellence; and
Develop and expand talent.

Phase Two - Build and Align
Leverage commercial improvements;
Optimize the business for cost and efficiency;
Continue to improve quality systems;
Launch new clinical product platforms; and
Expand talent management and culture.

Phase Three - Grow
Lead in quality culture and operations excellence; and
Grow above market.
20172019 was a tremendous year of tremendous progress in the company's transformation, acrossdespite some external challenges in North America. The company reinvigorated its innovation pipeline with the company. In quality milestones,launch of new products in the mobility and seating, lifestyles and respiratory product categories. These new products offer compelling clinical solutions that benefit customers and end-users. At the same time, the company had a major step forwardeliminated some legacy products which no longer met the minimum threshold that aligns with the consent decree. As of July 24, 2017, the company was able to sell without restrictions from its Elyria, Ohio power wheelchair manufacturing facility. The company launched over ten new products, including two products that move Invacare into the world of informatics - the new Invacare® TDX® SP2 Power Wheelchair with LiNX® Technology and the Invacare® Platinum® Mobile Oxygen Concentrator with Connectivity.long-term financial goals. The company also made significant investmentstook actions to begin tooptimize and resize its infrastructure, around its new business model, as reflected in theexpanded gross margins and a significant reduction of SG&A expense.

In 2019, Europe delivered solid performance with continued growth in constant currency net sales and improved operating income. In North America, sales growth in mobility and seating products were more than offset by declines in sales of respiratory products. Sales of respiratory products were negatively impacted by changes in NCB reimbursement effective January 1, 2019, and also by the company's strategic decision to balance sales volume growth with optimizing profitability. Asia Pacific, which is reported in the All Other segment, was impacted by payor process changes which temporarily affected funding availability in New Zealand.

The introduction of U.S. tariffs on imported goods primarily from China increased cost of goods sold and influenced cost increases of other domestically sourced materials and components. The company believes it has mitigated a substantial majority of the impact of tariffs and continues to actively implement additional mitigation efforts for the remaining exposure.

Free cash flow usage for 2019 improved significantly from 2018 due to stronger operating results and reduced working capital.
Part II
Management Discussion & Analysis - OverviewOverview
   
Table of Contents


In 2017, Europe overcame foreign currency headwinds from the beginningThe company's transformation and growth plan balances innovative organic growth, product portfolio changes across all regions, and cost improvements in supply chain and administrative functions. Key elements of the yearenhanced transformation and delivered solid performance. Asia/growth plan are:
Globally, continue to drive all business segments and product lines based on their potential to achieve a leading market position and to support profitability goals;
In Europe, leverage centralized innovation and supply chain capabilities while reducing the cost and complexity of a legacy infrastructure;
In North America, adjust the portfolio to consistently grow profitability amid cost increases by adding new products, reducing costs and continuing to improve customers' experience;
In Asia Pacific, demonstrated continued improvement. NA/HME continuedremain focused on sustainable growth and expansion in the southeast Asia region; and
Take actions globally to stabilizereduce working capital and improve free cash flow.

During 2019, the company took various steps to streamline its business operations to reduce costs and to increase competitiveness, including:

Significantly reduced constant currency sequential net salesSG&A;

Substantially mitigated the majority of tariffs which impacted North America;

Completed the transfer of manual wheelchair production to France;

Announced the consolidation of two German facilities by the end of 2020 and;

Engaged in the fourth quarter comparedstrategic long-term program to the third quarter 2017 with growth in mobility and seating and respiratory products. The increase in respiratory sales was largely driven by promotional activities for the company's new portable oxygen concentrator that launched in October 2017.modernize IT infrastructure at no incremental in-period expense.


The company willmade great progress in 2019 and there is more work to be done in 2020. The company intends to continue to make significant investments in its transformation, reduce sales in certain areas, refocus resources away from less accretive activities, and look at its global infrastructure for opportunities to drive efficiency. Phase One investmentsefficiency with a focus on improving profitability and cash flow generation. As part of the company’s efforts to streamline its operations and focus its resources on core product lines that provide the greatest value and financial returns, the company continuously evaluates opportunities and activities, including potential divestitures, which it considers from time
to time, particularly if they involve businesses or assets outside of the company’s primary areas of focus.

For 2020, the company anticipates net sales growth in all segments and product categories, as well as margin expansion as a result of cost improvement actions. These actions are providing returns. Theexpected to contribute to improved earnings in 2020. As a result, the company expects to see improved results in 2018grow constant currency sales by 2-4% with Phase Two actions continuing as the1Q20 sales flat to prior year.

The company continues to streamline operations, resize and reshape the organization, especially in North America, around its new business mix and size. By executing this strategy and making these operational improvements, the company expects long-term benefitsanticipates positive free cash flow generation for the company’s constituents.

As a result of anticipated commercial effectiveness, the company expects increasedfiscal year 2020 as compared to free cash flow usage in 2019 driven by improvements in segment operating results and reduced working capital. It further assumes that these benefits will be partially offset by higher capital to support growth, especially of NA/HME mobility and seating products, which would include investmentsexpenditures, including investment in demonstration units, and cash needed to fund restructuring actions. The company has historically generated negative free cash flow during the first half of the year. This pattern is expected to continue due to the timing of annual one-time payments such as customer rebates and employee bonuses earned during the prior year, and higher working capital needed to supportusage from seasonal inventory increases. The absence of these payments and somewhat seasonally stronger sales in the extended quote-to-cash process for power wheelchairs. Also,second half of the company will make additional restructuring and capital investments as it continues to reshapeyear typically result in more favorable free cash flow in the business oversecond half of the course of 2018.year. The company expects spending on capital expenditures to increase from recent low levels toof approximately $20,000,000 to $25,000,000 in 2018. As a result, the company anticipates its cash flow usage for 2018 will be similar to the cash used in 2017, including consideration of seasonality of cash flow usage during the year.2020.


As noted previously, the company is gradually applying the transformation to the Europe segment, which may slightly reduce the segment's net sales as it begins to shift its product mix toward more clinically valued, higher-margin products. Regarding the IPG segment, the company expects its new strategic selling approach in the capital selling environment to continue to take time to yield growth. In its pursuit of increased shareholder value, the company continues to prioritize its emphasis on a culture of quality excellence and achieving its long-term earnings potential.







Favorable Long-term Demand


Ultimately, demand for the company’scompany's products and services is based on the need to provide care for people with certain conditions. The company’scompany's medical devices provide solutions for end-users and caregivers. Therefore, the demand for the company’scompany's medical equipment is largely driven by population growth and the incidence of certain conditions where treatment may be supplemented by the company’scompany's devices. The company also provides solutions to help equipment providers and residential care operators deliver cost-effective and high-quality care. The company believes that its commercial team, customer relationships, products and solutions, supply chain infrastructure, and strong research and development pipeline will create favorable business potential.




Part II
MD&A - Results of Operations


RESULTS OF OPERATIONS

Reclassifications& Other Changes- In the first quarter of 2019, the company reassessed the alignment of its reporting segments and combined the North America/Home Medical Equipment (NA/HME) and Institutional Products Group (IPG) segments into a single operating segment, referred to as North America. This change better reflects how the company manages, allocates resources and assesses performance of the businesses contained in the North America segment. Additionally, the company reassessed the activity of the businesses in its former Asia Pacific segment and began reporting the Asia Pacific businesses as part of the All Other segment, since those businesses, individually and collectively, are not large enough relative to the company's overall business to merit disclosure as a separate reporting segment. The company believes that these changes provide improved transparency of the company’s business results to its shareholders, and are better aligned with how the company manages its businesses. Segment results for 2018 and 2017 have been reclassified to reflect the realignment of the company’s reporting segments and be comparable to the segment results for 2019.


Part IIManagement Discussion & AnalysisResults
MD&A - Net Sales
   
Table of Contents

RESULTS OF OPERATIONS

The company has completed various divestitures over the past few years as part of its focus on other lines of business where the company’s resources can best generate returns. The most recent divested operations are explained below.

On September 30, 2016, the company completed the sale of its subsidiary, Garden City Medical Inc. for approximately $13,829,000 in cash ("GCM"), to Compass Health Brands. GCM, doing business as PMI and Pinnacle Medsource, sourced and distributed primarily single-use products under the brand ProBasics by PMI. GCM was part of the North America/Home Medical Equipment (NA/HME) segment. The net proceeds from the transaction were $12,729,000, net of expenses. The company recorded a pre-tax gain of $7,386,000 in the third quarter of 2016, which represented the excess of the net sales price over the book value of the assets and liabilities of GCM. The sale of GCM was dilutive to the company's results. The company determined that the sale of GCM did not meet the criteria for classification as a discontinued operation in accordance with ASU 2014-08 but the "held for sale" criteria of ASC 360-10-45-9 were met and thus GCM was treated as held for sale for purposes of the Consolidated Balance Sheets as of December 31, 2015. As such, the results of the rentals businesses are included in the Results from Continuing Operations discussion below.




























On July 2, 2015, the company sold its rentals businesses to Joerns Healthcare Parent, LLC, for approximately $15,500,000 in cash, which was subject to final post-closing adjustments. The rentals businesses had been operated on a stand-alone basis and reported as part of the IPG segment of the company. The company recorded a pre-tax gain of approximately $24,000 in the third quarter of 2015, which represented the excess of the net sales price over the book value of the assets and liabilities of the rentals businesses, as of the date of completion of the disposition. The sale of the rentals businesses was not dilutive to the company's results. The company determined that the sale of the rentals businesses did not meet the criteria for classification as a discontinued operation in accordance with ASU 2014-08. The rentals businesses were treated as held for sale as of June 30, 2015 until sold on July 2, 2015. As such, the results of the rentals businesses are included in the Results from Continuing Operations.

Reclassifications& Other Changes- During the first quarter of 2017, a subsidiary, formerly included in the Europe segment, was transferred to the NA/HME segment as the subsidiary is managed by the NA/HME segment manager effective January 1, 2017. Segment results for 2016 and 2015 have been changed accordingly. In 2016, the company redefined the measure by which it evaluates segment profit or loss to be segment operating profit (loss). The previous performance measure was earnings before income taxes. All prior periods presented were restated to reflect the new measure.



Part IIManagement Discussion & AnalysisNet Sales
Table of Contents


NET SALES

20172019 Versus 20162018
 


($ in thousands USD) 2017 2016 Reported % Change Foreign Exchange % Impact Constant Currency % Change
Europe 535,326
 534,801
 0.1
 (0.5) 0.6
NA/HME 320,818
 402,914
 (20.4) 0.1
 (20.5)
IPG 59,472
 64,413
 (7.7) 
 (7.7)
Asia/Pacific 50,881
 45,346
 12.2
 1.8
 10.4
Consolidated 966,497
 1,047,474
 (7.7) (0.1) (7.6)
           
NA/HME less divested GCM 320,818
 376,306
 (14.7) 0.2
 (14.9)
Consolidated less divested GCM 966,497
 1,020,866
 (5.3) (0.1) (5.2)
($ in thousands USD) 2019 2018 
% Change
Fav/(Unfav)
 Foreign Exchange % Impact 
Constant Currency % Change
Fav/(Unfav)
Europe 533,048
 558,518
 (4.6) (5.8) 1.2
North America 348,201
 364,590
 (4.5) (0.2) (4.3)
All Other (Asia Pacific) 46,715
 49,239
 (5.1) (5.5) 0.4
Consolidated 927,964
 972,347
 (4.6) (3.7) (0.9)
           


The table above provides net sales change as reported and as adjusted to exclude the impact of foreign exchange translation (constant currency net sales) as well as net sales further adjusted to exclude the impact of the sale of GCM, which was sold in September 2016 and not deemed a discontinued operation from an external reporting perspective.. “Constant currency net sales" is a non-GAAP financial measure, which is defined as net sales excluding the impact of foreign currency translation. The current year's functional currency net sales are translated using the prior year's foreign exchange rates. These amounts are then compared to the prior year's sales to calculate the constant currency net sales change. Management believes that this financial measure provides meaningful information for evaluating the core operating performance of the company.


Consolidated net sales for 20172019 decreased 7.7%4.6% for the year, to $966,497,000$927,964,000 from $1,047,474,000$972,347,000 in 2016.2018. Foreign currency translation decreased net sales by 0.13.7 percentage points. Constant currency net sales decreased 7.6%0.9% compared to 2016. Higher constant currency net sales2018 as a decline in the Europe and Asia/Pacific segments wererespiratory products of $19,249,000, or 20.7%, was only partially offset by lower constant currency net salesincreases in the North America / Home Medical Equipment (NA/HME)mobility and Institutional Products (IPG) segments. Constant currency net sales for the company, excluding the impactseating products of all the divested Garden City Medical (GCM) businesses, decreased 5.2% compared to 2016. Constant currency net sales is a non-GAAP financial measure - see the reconciliation table above and later in this section for 2016.$10,211,000.


Europe - European net sales increased 0.1%decreased 4.6% in 20172019 compared to 20162018 to $535,326,000$533,048,000 from $534,801,000$558,518,000 as foreign currency translation decreased net sales by 0.5 of a5.8 percentage point.points. Constant currency net sales increased 0.6%1.2% compared to 2016. The improvements2018 driven by a 4.4% increase in constant currency net sales were driven primarily by increased sales of mobility and seating products partially offset by respiratory and lifestyle products. Changes in exchange rates have had, and


may continue to have, a significant impact on sales in this segment.


NA/HME












North America - NA/HMENorth America net sales decreased 20.4%4.5% in 20172019 versus the prior year to $320,818,000$348,201,000 from $402,914,000 with$364,590,000 as foreign currency translation increasingdecreased net sales by 0.1 of a0.2% percentage point.points. Constant currency net sales decreased 20.5% compared to the prior year. Excluding theas net sales impact of the divested GCM business, reported net sales decreased by 14.7% and by 14.9% on a constant currency basis. The decreasesgrowth in constant currency net sales were primarily driven by reduced sales of lifestyle and respiratory products and to a lesser extent mobility and seatingas well as reduced net sales into China as result of the closure of one of the company's Suzhou, China facilities. Excluding consumer product discontinued in the fourth quarter of 2016, mobility and seating net sales were flat year-over-year.

IPG - IPG net sales decreased 7.7% in 2017 over the prior year to $59,472,000 from $64,413,000 with foreign currency translation having no material impact. Theand lifestyles was completely offset by a $15,925,000 decrease in constant currencyrespiratory net sales.

All Other - Net sales, was driven by sales declineswhich relate entirely to the Asia Pacific region decreased 5.1% in the major product categories.

Asia/Pacific - Asia/Pacific net sales increased 12.2% in 20172019 from the prior year to $50,881,000$46,715,000 from $45,346,000.$49,239,000. Foreign currency translation increaseddecreased net sales by 1.85.5 percentage points. Constant currency net sales increased 10.4%0.4% compared to 2016 due to2018 as net sales increases in lifestyle products were largely offset by declines in sale of mobility and seating products. The second half 2019 sales growth was impacted by payor process changes which temporarily affecting funding availability in New Zealand. Changes in exchange rates, particularly with the euro and U.S. dollar, have had, and may continue to have, a significant impact on sales in this segment.


Part II
Management Discussion & AnalysisMD&A - Net Sales
   
Table of Contents



The following tables provide net sales at reported rates for the quarters ended December 31, September 30, June 30, and March 31, 2017,2019, respectively, and net sales for the quarters ended December 31, September 30 and June 30, 2017,2019, respectively, as translated at the foreign exchange rates for the quarter ended March 31, 20172019 with each then compared to the net sales for the most recent prior periodeach other (constant currency sequential net sales) (in thousands).
 Q4 17 at Reported Foreign Exchange Rates Foreign Exchange Translation Impact 
Q4 17 at
Q1 17 Foreign Exchange Rates
 Q3 17 at Q1 17 Foreign Exchange Rates Sequential Growth $ Sequential Growth %
Europe$144,052
 $(12,999) $131,053
 $133,350
 $(2,297) (1.7)%
NA/HME79,351
 (301) 79,050
 79,069
 (19) 
IPG13,804
 (15) 13,789
 13,941
 (152) (1.1)
Asia Pacific13,144
 44
 13,188
 13,686
 (498) (3.6)
Consolidated$250,351
 $(13,271) $237,080
 $240,046
 $(2,966) (1.2)%
            
 Q4 19 at Reported Foreign Exchange Rates Foreign Exchange Translation Impact 
Q4 19 at
Q1 19 Foreign Exchange Rates
 Q3 19 at Q1 19 Foreign Exchange Rates Sequential Growth $ Sequential Growth %
Europe$136,842
 $4,577
 $141,419
 $140,155
 $1,264
 0.9 %
North America85,286
 (52) 85,234
 87,062
 (1,828) (2.1)
All Other (Asia Pacific)10,785
 485
 11,270
 11,795
 (525) (4.5)
Consolidated$232,913
 $5,010
 $237,923
 $239,012
 $(1,089) (0.5)%
            
 Q3 17 at Reported Foreign Exchange Rates Foreign Exchange Translation Impact 
Q3 17 at
Q1 17 Foreign Exchange Rates
 Q2 17 at Q1 17 Foreign Exchange Rates Sequential Growth $ Sequential Growth %
Europe$143,281
 $(9,931) $133,350
 $126,226
 $7,124
 5.6 %
NA/HME79,516
 (447) 79,069
 77,791
 1,278
 1.6
IPG13,975
 (34) 13,941
 15,335
 (1,394) (9.1)
Asia Pacific14,134
 (448) 13,686
 12,114
 1,572
 13.0
Consolidated$250,906
 $(10,860) $240,046
 $231,466
 $8,580
 3.7 %
            
 Q3 19 at Reported Foreign Exchange Rates Foreign Exchange Translation Impact 
Q3 19 at
Q1 19 Foreign Exchange Rates
 Q2 19 at Q1 19 Foreign Exchange Rates Sequential Growth $ Sequential Growth %
Europe$137,371
 $2,784
 $140,155
 $135,385
 $4,770
 3.5 %
North America87,118
 (56) 87,062
 89,610
 (2,548) (2.8)
All Other (Asia Pacific)11,285
 510
 11,795
 12,604
 (809) (6.4)
Consolidated$235,774
 $3,238
 $239,012
 $237,599
 $1,413
 0.6 %
            
 Q2 17 at Reported Foreign Exchange Rates Foreign Exchange Translation Impact 
Q2 17 at
Q1 17 Foreign Exchange Rates
 Q1 17 at Reported Foreign Exchange Rates Sequential Growth $ Sequential Growth %
Europe$128,485
 $(2,259) $126,226
 $119,508
 $6,718
 5.6 %
NA/HME77,689
 102
 77,791
 84,262
 (6,471) (7.7)
IPG15,320
 15
 15,335
 16,373
 (1,038) (6.3)
Asia Pacific12,023
 91
 12,114
 11,580
 534
 4.6
Consolidated$233,517
 $(2,051) $231,466
 $231,723
 $(257) (0.1)%
            
 Q2 19 at Reported Foreign Exchange Rates Foreign Exchange Translation Impact 
Q2 19 at
Q1 19 Foreign Exchange Rates
 Q1 19 at Q1 19 Foreign Exchange Rates Sequential Growth $ Sequential Growth %
Europe$133,991
 $1,394
 $135,385
 $124,844
 $10,541
 8.4%
North America89,553
 57
 89,610
 86,243
 3,367
 3.9
All Other (Asia Pacific)12,314
 290
 12,604
 12,332
 272
 2.2
Consolidated$235,858
 $1,741
 $237,599
 $223,419
 $14,180
 6.3%
            


 Q1 17 at Reported Foreign Exchange Rates 
Q2 17 at
Q1 17 Foreign Exchange Rates
 Q3 17 at Q1 17 Foreign Exchange Rates Q4 17 at Q1 17 Foreign Exchange Rates Q2 17 vs Q1 17 Sequential Growth % Q3 17 vs Q2 17 Sequential Growth % Q4 17 vs Q3 17 Sequential Growth %
Europe$119,508
 $126,226
 $133,350
 $131,053
 5.6 % 5.6 % (1.7)%
NA/HME84,262
 77,791
 79,069
 79,050
 (7.7) 1.6
 
IPG16,373
 15,335
 13,941
 13,789
 (6.3) (9.1) (1.1)
Asia Pacific11,580
 12,114
 13,686
 13,188
 4.6
 13.0
 (3.6)
Consolidated$231,723
 $231,466
 $240,046
 $237,080
 (0.1)% 3.7 % (1.2)%
              

Part IIManagement Discussion & Analysis
MD&A - Net Sales
   
Table of Contents


chart-a75f16d96e1f5c18b2e.jpg
The net sales amounts in the above table are converted at Q1 20172019 foreign exchange rates so that the sequential change in net sales can be shown, excluding the impact of changes in foreign currency exchange rates.


Results for 2017 reflected the company's efforts to stabilize net sales sequentially, specifically in its NA/HME segment through new product introduction and focus on clinically complex products, and increased productivity from its new commercial salesforce. Sequential sales reflect thefor North America mobility and seating products continued to improve in 2019; however, these improvements were more than offset by sequential declines in other products, particularly respiratory products.
 
general improvement for NA/HME in the second half of 2017.

Sequentially, net sales for Europe also showed improvement in the second halfthroughout 2019 driven by sales of 2017lifestyle and mobility and seating products while sequential sales for All Other declined as compared to the first half, which has historically been typical for this segment. The Asia Pacific segment showed strong sequential growth throughout the year while IPG sequentialnet sales declined as the segment continued to work through its customer mix shift with the long-term care channel.were negatively impacted by government reimbursement issues in New Zealand.


Part II
Management Discussion & AnalysisMD&A - Net Sales
   
Table of Contents



chart-73028aae17a9568ea65.jpg
The company realized a favorable impact from sales mix year-to-date attributable toin 2019 as mobility and seating products, which comprise most of the company's clinically complex product portfolio.portfolio, continued to grow to a larger portion of overall sales. This favorable net sales mix shift is the result of the company's continued transformation and in particular, the implementation of Phase One of thefocus on shifting and
 
transformation, where the company focused on shifting and narrowing the product portfolio and alignment of resources to focus on clinically complex solutions. Declines inSales of lifestyle products are expected withalso improved. However, respiratory product sales declined significantly, in part due to the transformation while the company is focused on reversing the declinescompany's strategic decision to optimize profitability in respiratory products.this product category.


20162018 Versus 20152017
($ in thousands USD) 2016 2015 Reported % Change Foreign Exchange % Impact Constant Currency % Change
Europe 534,801
 535,372
 (0.1) (3.1) 3.0
NA/HME 402,914
 475,287
 (15.2) (0.2) (15.0)
IPG 64,413
 87,137
 (26.1) (0.2) (25.9)
Asia/Pacific 45,346
 44,542
 1.8
 (1.7) 3.5
Consolidated 1,047,474
 1,142,338
 (8.3) (1.6) (6.7)
           
NA/HME less divested GCM 376,306
 440,468
 (14.6) (0.3) (14.3)
IPG less divested Rentals 64,413
 72,794
 (11.5) (0.2) (11.3)
Consolidated less all divested 1,020,866
 1,093,176
 (6.6) (1.7) (4.9)
($ in thousands USD) 2018 2017 Reported % Change Foreign Exchange % Impact Constant Currency % Change
Europe 558,518
 535,326
 4.3
 4.5
 (0.2)
North America 364,590
 380,290
 (4.1) 0.1
 (4.1)
All Other (Asia Pacific) 49,239
 50,881
 (3.2) (2.1) (1.1)
Consolidated 972,347
 966,497
 0.6
 2.4
 (1.8)
           


Consolidated net sales for 2016 decreased 8.3%2018 increased 0.6% for the year, to $1,047,474,000$972,347,000 from $1,142,338,000$966,497,000 in 2015.2017. Foreign currency translation increased net sales by 2.4 percentage points. Constant currency net sales decreased 1.8% compared to 2017. Reported net sales for mobility and seating products increased 10.6% globally and 8.5% for North America. Europe constant currency net sales for the year declined 0.2%, as the company strategically reduced sales of less profitable products. Constant currency net sales declined in North America due to declines in sales of respiratory and lifestyle products impacted by reimbursement changes.

Europe - European net sales increased 4.3% in 2018 compared to 2017 to $558,518,000 from $535,326,000 as foreign currency translation increased net sales by 4.5 percentage points. Constant currency net sales decreased 0.2% compared to 2017 as the company strategically reduced sales of less profitable products.

North America - North America net sales decreased 4.1% in 2018 versus the prior year to $364,590,000 from $380,290,000 with foreign currency translation having no material impact on net sales. Net sales decreased compared to the prior year due to declines in sales of respiratory and lifestyle products impacted by reimbursement changes. These declines were partially offset by constant currency net sales growth of 8.0% in North America mobility and seating products.

All Other - Asia Pacific net sales decreased 3.2% in 2018 from the prior year to $49,239,000 from $50,881,000. Foreign currency translation decreased net sales by 1.62.1 percentage points. Constant currency net sales decreased 6.7%1.1% compared to 2015. Higher constant currency net sales in the Europe and Asia/Pacific segments were offset by lower constant currency net sales in the NA/HME and IPG segments. Constant currency net sales for the company, excluding the impact of all the divested businesses (GCM and rentals businesses), decreased 4.9% compared to 2015.

Europe - European net sales decreased 0.1% in 2016 compared to the prior year to $534,801,000 from $535,372,000 as foreign currency translation decreased net sales by 3.1 percentage points. Constant currency net sales increased 3.0% compared to 2015. The improvements in constant currency net sales were driven by increased sales of mobility and seating and lifestyle products.

NA/HME - NA/HME net sales decreased 15.2% in 2016 versus the prior year to $402,914,000 from $475,287,000 with foreign currency translation decreasing net sales by 0.2 of a percentage point. Constant currency net sales decreased 15.0% compared to the prior year. Excluding
the net sales impact of the divested GCM business, reported net sales decreased by 14.6% and by 14.3% on a constant currency basis. The decreases in constant currency net sales were primarily driven by reduced sales of lifestyle and respiratory products while mobility and seating declined slightly.

IPG - IPG net sales decreased 26.1% in 2016 over the prior year to $64,413,000 from $87,137,000 as foreign currency translation decreased sales by 0.2 of a percentage point. Excluding the net sales impact of the divested rentals businesses, reported net sales decreased by 11.5% and by 11.3% on a constant currency basis. The decreases in constant currency net sales of the non-rentals businesses were driven by sales declines in all major product categories.

Asia/Pacific - Asia/Pacific net sales increased 1.8% in 2016 from the prior year to $45,346,000 from $44,542,000. Foreign currency translation decreased net sales by 1.7 percentage points. Constant currency net sales increased 3.5% compared to 20152017 due to net sales increases in the Australiamobility and New Zealand distribution businesses and at the company's subsidiary that produces microprocessor controllers.seating products.

Part IIManagement Discussion & Analysis
MD&A - Gross Profit
   
Table of Contents


GROSS PROFIT

20172019 Versus 20162018
chart-d42a0bb51d285d6aa21.jpg
Consolidated gross profit as a percentage of net sales was 27.9%28.2% in 20172019 as compared to 27.1%27.5% in 2016. Excluding the impact of the divested GCM business, gross2018. Gross profit as a percentage of net sales for 20172019 increased by 0.5 of a percentage point70 basis points as compared to 2016.2018. The gross margin improvement was principally a resultreflects the effective mitigation of the strategic shift toward mobilitypreviously estimated approximately $5,000,000 annual negative impact of tariffs, to an actual negative impact of less than $2,000,000, as well as lower material and seating products and reduced freight costs partially offset by increased manufacturing costs, including unfavorable impact from foreign exchange.costs. Gross profit as a percentage of net sales increasedimproved significantly for all segments.North America while Europe margins were flat and All Other declined. Gross profit dollars increased for the Europe and Asia/Pacific segments but declined in NA/HME and IPG principallydecreased due to lower net sales.sales and unfavorable foreign currency translation which negatively impacted consolidated gross profit by $10,742,000 in 2019.


Europe - Gross profit as a percentage of net sales increased 0.4 of a percentage pointwas unchanged in 2017 from2019 compared to the prior year and gross margin dollars increaseddecreased by $2,547,000.$7,913,000. The increasedecrease in margin dollars was principally due to favorable netunfavorable foreign currency and unfavorable sales mix and reduced warranty expense partially offset by unfavorable manufacturing variances, including negative impact from foreign exchange, and R&D expenses.mix.


NA/HMENorth America - Gross profit as a percentage of net sales increased by 0.8 of a percentage point200 basis points in 20172019 from the prior year while gross margin dollars decreased by $16,293,000. Excluding the impact of the divested GCM business, gross margin as a percentage of net sales increased by 0.5 of a percentage point, while gross profit dollars decreased by $10,796,000.$3,811,000. The decreaseincrease in gross profit dollars was primarily due to net sales volume declinesfavorable material costs, improved product mix and also lower freight and warranty costs. The favorable material costs were partially offset bydue to mitigating the negative impact of tariffs, which were reduced freight, warranty and R&D expenses as well as favorable net sales mix.to a combined negative impact of less than $2,000,000.




IPGAll Other - Gross profit, as a percentage of net sales increased 1.3 percentagewhich primarily relates to the company's Asia Pacific businesses decreased 60 basis points in 20172019 from the prior year and gross margin dollars decreased $681,000.$1,507,000. The decrease in gross profit dollars was driven by volume declines partially offset by favorable sales mix and reduced freight expense.

Asia/Pacific - Gross profit as a percentage of net sales increased 0.9 of a percentage point in 2017 from the prior year and gross margin dollars increased $950,000. The increase was primarily attributable to volume increases, favorable netreduced sales mix and reduced research and development expense partially offset by unfavorable manufacturing variances and increased warranty expense.volumes.
chart-d21adfc7f2625f2ab26.jpg

Sequential gross margin as a percentage of net sales and gross margin dollars stabilizedincreased in 2019. Sequential gross profit as a percentage of net sales generally increased for all segments sequentially declined over the last two quarters of 2019.
chart-a12df27a50bd5e75bc5.jpg
During 2019, sequential gross margin dollars increased on a consolidated basis. While Europe generally improved during 2017 with the declineyear, North America improved sequentially through Q2 2019 but then declined in the fourth quartersecond half of 2017 driven by the liquidation of inventories built up over the year to facilitate smooth transitions2019 and All Other improved after initially declining in 2017 related to plant closures and manufacturing costs related to product transfers, and year-end promotional activities.Q1 2019.

Part II
Management Discussion & AnalysisMD&A - Gross Profit
   
Table of Contents



The increase in gross profit dollars during the second half of 2017 was driven by volume increases, favorable sales mix, and favorable foreign currency partially offset by unfavorable manufacturing variances and increased freight and warranty expense. Sequential gross margin dollars increased in the Europe and Asia/Pacific segments but declined in the NA/HME and IPG segments.

Research and developmentDevelopment


The company continued to invest strategically in research and development activities in 2017.2019. The company dedicated funds to applied research activities to ensure that new and enhanced design concepts are available to its businesses. Research and development expenditures, which are included in costs of products sold, increaseddecreased to $17,796,000$15,836,000 in 20172019 from $17,123,000$17,377,000 in 2016.2018. The expenditures, as a percentage of net sales, were 1.7% and 1.8% in 2019 and 1.6% in 2017 and 2016,2018, respectively.


20162018 Versus 20152017
chart-754db66559df5fcbb9f.jpg
Consolidated gross profit as a percentage of net sales was 27.1%27.5% in 20162018 as compared to 27.4%27.9% in 2015. Excluding the impact of all the divested businesses, gross margin2017. Gross profit as a percentage of net sales for 2016 increased2018 decreased by 0.2 of a percentage point40 basis points as compared to 2015 driven by favorable sales mix2017. The gross margin decline was principally offset by increased warranty expense.a result of rising material costs associated with U.S. tariffs, higher freight costs incurred in North America and Europe, and unfavorable operational variances in Europe associated with production transfers. Gross marginprofit as a percentage of net sales increased for the NA/HMEAsia Pacific and Asia/Pacific segments with declines indeclined for North America and slightly for Europe. Gross profit dollars increased significantly for the Europe and IPG segments. Gross profit dollarsAll Other segments but declined materially in all segments, except for Asia/Pacific, with the largest declines in NA/HME and IPG. The decline in IPG was primarily impacted by the sale of the rentals businesses in 2015.North America principally due to lower net sales.



















 
Europe - Gross profit in Europe as a percentage of net sales decreased 0.7 of a percentage point10 basis points in 20162018 from the prior year and gross margin dollars decreasedincreased by $2,937,000.$6,466,000. The decreaseincrease in margin dollars was principally due to unfavorablefavorable foreign currency pricing, warrantypartially offset by unfavorable freight, R&D and R&D expense. Incremental warranty recall expense of $1,490,000 was recorded in 2016 for a component of a lifestyles product.manufacturing costs.


NA/HME grossNorth America - Gross profit as a percentage of net sales increaseddecreased by 0.5 of a percentage point220 basis points in 20162018 from the prior year while gross margin dollars decreased by $12,890,000 driven by$12,357,000. The decrease in gross profit dollars was primarily due to net sales volume declines, unfavorable material costs and increasedhigher freight costs, partially offset by reduced warranty expense.and R&D expenses as well as favorable operational variances. The 2016 gross margin reflects warranty recall expenseunfavorable material and freight costs were impacted by tariffs, which had a combined negative impact of $1,366,000, or 0.3 of a percentage point, for a recall which was related to a component on a lifestyles product. In comparison, warranty recall expense reversals of $2,325,000, or 0.5 of a percentage point, were recorded in 2015.less than $2,000,000.


IPG grossAll Other - Gross profit as a percentage of net sales decreased 9.9 percentageincreased 460 basis points in 2016 from the prior year and gross margin dollars decreased $14,090,000. The decrease in margin was primarily attributable to the sale of the rentals businesses ($11,359,000 or 8.5 percentage points) and to a lesser extent unfavorable sales mix and increased warranty expense.

Gross profit in Asia/Pacific as a percentage of net sales increased 1.8 percentage points in 20162018 from the prior year and gross margin dollars increased $1,038,000.$4,316,000. The increase was primarily relatedattributable to reduced research and development expenses and favorable sales mix and reduced manufacturing costs, which were partially offset by R&D expense.variances.


See “Accrued Expenses” in the Notes to the Consolidated Financial Statements included elsewhere in this Annual Report on Form 10-K for the total warranty provision amounts and a reconciliation of the changes in the warranty accrual.


Research and Development


The company continued to invest in research and development activities in 2016. The company dedicated funds to applied research activities to ensure that new and enhanced design concepts are available to its businesses. Research and development expenditures, which are included in costs of products sold, decreased to $17,123,000$17,377,000 in 20162018 from $18,677,000$17,796,000 in 2015.2017. The expenditures, as a percentage of net sales, were 1.6%1.8% and 1.6%1.8% in 20162018 and 2015,2017, respectively.



Part IIManagement Discussion & Analysis
MD&A - SG&A
   
Table of Contents


SELLING, GENERAL AND ADMINISTRATIVE EXPENSES

20172019 Versus 20162018
($ in thousands USD)20172016Reported ChangeForeign Exchange ImpactConstant Currency Change20192018Reported ChangeForeign Exchange ImpactConstant Currency Change
SG&A Expenses - $296,816
303,781
(6,965)72
(7,037)260,061
281,906
(21,845)(7,228)(14,617)
SG&A Expenses - % change (2.3)
(2.3) (7.7)(2.5)(5.2)
% to net sales30.7
29.0
  28.0
29.0
  
Consolidated less divested GCM - $296,816
300,252
(3,436)72
(3,508)
Consolidated less divested GCM - % change (1.1)0.1
(1.2)
% to net sales30.7
29.4
  


The table above provides selling, general and administrative (SG&A) expense change as reported and as adjusted to exclude the impact of foreign exchange translation (constant currency SG&A) as well as SG&A expense further adjusted to exclude the impact of the sale of GCM, which was sold in September 2016 and not deemed a discontinued operation from an external reporting perspective.. “Constant currency SG&A" is a non-GAAP financial measure, which is defined as SG&A expenses excluding the impact of foreign currency translation. The current year's functional currency SG&A expenses are translated using the prior year's foreign exchange rates. These amounts are then compared to the prior year's SG&A expenses to calculate the constant currency SG&A expense change. Management believes that this financial measure provides meaningful information for evaluating the core operating performance of the company.


Consolidated SG&A expenses as a percentage of net sales were 30.7%28.0% in 20172019 and 29.0% in 2016.2018. The overall dollar decrease was $6,965,000,$21,845,000, or 2.3%7.7%, with foreign currency translation increasingdecreasing expense by $72,000.$7,228,000. Excluding the impact of foreign currency translation, SG&A expenses decreased $7,037,000,$14,617,000, or 2.3%. Excluding the impact of the divested GCM business and foreign currency translation, SG&A expense decreased $3,508,000, or 1.2%5.2%, compared to 2016, primarily driven by reduced employment and product liability and legal costs partially offset by negative impact of foreign currency transactionshigher bonus and higher bad debtstock compensation expense.


Europe - European SG&A expenses increaseddecreased by 2.9%8.7%, or $3,510,000,$11,413,000, in 20172019 compared to 2016.2018. Foreign currency translation decreased expense by approximately $409,000$6,135,000 or 0.4%. Excluding the foreign currency translation impact, SG&A expenses increased by $3,919,000, or 3.3%, primarily attributable to increased employment and information technology expense.





NA/HME - SG&A expenses for NA/HME decreased 8.4%, or $11,341,000, in 2017 compared to 2016 with foreign currency translation increasing expense by $186,000 or 0.1%. Excluding the foreign currency translation, SG&A expense decreased $11,527,000, or 8.5%, Excluding the impact of the divested GCM business and foreign currency translation, SG&A expense decreased $7,998,000, or 6.0%, compared to 2016 driven primarily by decreased employment, legal and product liability costs partially offset by unfavorable foreign currency
transactions.

IPG - SG&A expenses for IPG decreased by 7.1%, or $826,000, in 2017 compared to 2016. Excluding the impact of foreign currency translation, SG&A expenses decreased by $835,000, or 7.2%, primarily related to lower employment costs.

Asia/Pacific - Asia/Pacific SG&A expenses decreased 2.9%, or $459,000, in 2017 compared to 2016. Foreign currency translation increased expense by $286,000 or 1.8%4.7%. Excluding the foreign currency translation impact, SG&A expenses decreased $745,000,by $5,278,000, or 4.7%4.0%, principally relatedprimarily attributable to lower employment costs and favorablecosts.
















North America - SG&A expenses for North America decreased 17.8%, or $21,104,000, in 2019 compared to 2018 with foreign currency transactions.translation decreasing expense by $302,000 or 0.2%. Excluding the foreign currency translation, SG&A expense decreased $20,802,000, or 17.6%, driven primarily by decreased employment, consulting and product liability costs.


All Other - SG&A expenses increased $10,672,000 in 2019 compared to 2018. Foreign currency translation decreased expense by $791,000. All Other includes SG&A related to the Asia Pacific businesses and non-allocated corporate costs. SG&A expenses related to the Other Segmentnon-allocated corporate costs for 2019 increased by 10.7%61.3%, or $2,151,000 in 2017 as$11,036,000, compared to 20162018. The increase was driven primarily related toby increased employment costs, including stock compensation and bonus expense. Related to the Asia Pacific businesses, 2019 SG&A decreased 2.5%, or $364,000, compared to 2018 with foreign currency translation decreasing SG&A expenses $791,000, or 5.5%. Constant currency SG&A expenses increased $427,000, or 3.0%, primarily due to higher sales and marketing and employment costs.

Part II
Management Discussion & AnalysisMD&A - SG&A
   
Table of Contents



20162018 Versus 20152017
($ in thousands USD)20162015Reported ChangeForeign Exchange ImpactConstant Currency Change20182017Reported ChangeForeign Exchange ImpactConstant Currency Change
SG&A Expenses - $303,781
318,646
(14,865)(4,226)(10,639)281,906
296,816
(14,910)5,014
(19,924)
SG&A Expenses - % change (4.7)(1.4)(3.3) (5.0)1.7
(6.7)
% to net sales29.0
27.9
  29.0
30.7
  
Consolidated less divested - $300,252
302,266
(2,014)(4,226)2,212
Consolidated less divested - % change (0.7)(1.4)0.7
% to net sales29.4
27.7
  


Consolidated SG&A expenses as a percentage of net sales were 29.0% in 20162018 and 27.9%30.7% in 2015.2017. The overall dollar decrease was $14,865,000,$14,910,000, or 4.7%5.0%, with foreign currency translation decreasingincreasing expense by $4,226,000 or 1.4%.$5,014,000. Excluding the impact of foreign currency translation, SG&A expenses decreased $10,639,000,$19,924,000, or 3.3%. Excluding the impacts6.7%, primarily driven by reduced employment costs partially offset by negative impact of all the divested businesses and foreign currency translation, SG&A expense increased $2,212,000, or 0.7%, compared to 2015, primarily related to increased product liabilitytransactions and employmenthigher consulting costs. The SG&A expense in 2015 included a write-off of costs related to a canceled legacy software program based on a change in the NA/HME IT strategy.


Europe - European SG&A expenses increased by 2.4%5.6%, or $2,810,000,$6,951,000, in 20162018 compared to 2015.2017. Foreign currency translation decreasedincreased expense by approximately $3,224,000$5,181,000 or 2.7%4.2%. Excluding the foreign currency translation impact, SG&A expenses increased by $6,034,000,$1,770,000, or 5.1%1.4%, principally relatedprimarily attributable to increasedunfavorable foreign currency transactions partially offset by lower employment costs.


NA/HME





























North America - SG&A expenses for NA/HMENorth America decreased 3.1%12.5%, or $4,334,000,$16,840,000 in 20162018 compared to 20152017 with foreign currency translation decreasingincreasing expense by $722,000$134,000 or 0.5%0.1%. Excluding the foreign currency translation, SG&A expense decreased $3,612,000,$16,974,000, or 2.6%12.6%, principally as a result of reduced regulatory costs in 2016, a $4,031,000 write-off of costs for a canceled legacy software program in 2015, and a reduction in expense in 2016 resulting from the GCM divestiture.














driven primarily by decreased employment costs.
 

IPGAll Other - SG&A expenses for IPG decreased by 50.7%, or $11,949,000, in 2016 compared to 2015. Excluding the impact of foreign currency translation, SG&A expenses decreased by $11,927,000, or 50.6%, primarily related to a reduction$5,021,000 in expense for the rentals business divestiture ($11,239,000) and employment costs.

Asia/Pacific - Asia/Pacific SG&A expenses decreased 6.1%, or $1,018,000, in 20162018 compared to 2015.2017. Foreign currency translation decreased expense by $258,000 or 1.6%. Excluding$301,000. All Other includes SG&A related to the foreign currency translation impact, SG&A expenses decreased $760,000, or 4.5%, principally as a result of favorable foreign currency transactionsAsia Pacific businesses and reduced employmentnon-allocated corporate costs.

Other - SG&A expenses related to the Other Segmentnon-allocated corporate costs for 2018 decreased by 1.8%19.0%, or $374,000 in 2016 as$4,220,000, compared to 20152017. The decrease was driven primarily relatedby decreased employment costs. Related to the Asia Pacific businesses, 2018 SG&A decreased legal expense in 2016.5.3%, or $801,000, compared to 2017 with foreign currency translation decreasing SG&A expenses $301,000, or 2.0%. Constant currency SG&A expenses decreased $500,000, or 3.3%, lower employment costs partially offset by unfavorable foreign currency transactions.



Part IIManagement Discussion & Analysis
MD&A - Operating Income
   
Table of Contents


OPERATING INCOME (LOSS)

 2019 vs. 20182018 vs. 2017
($ in thousands USD) 2017 vs. 20162016 vs. 2015201920182017$ Change% Change$ Change% Change
201720162015$ Change% Change$ Change% Change
Europe33,160
34,122
39,869
(962)(2.8)(5,747)(14.4)36,174
32,673
33,160
3,501
10.7
(487)(1.5)
NA/HME(42,831)(37,876)(29,320)(4,955)(13.1)(8,556)(29.2)
IPG5,839
5,693
7,834
146
2.6
(2,141)(27.3)
Asia/Pacific(27)(1,436)(3,493)1,409
98.1
2,057
58.9
North America(7,592)(32,506)(36,992)24,914
76.6
4,486
12.1
All Other(23,706)(20,657)(20,712)(3,049)(14.8)55
0.3
(26,576)(14,397)(23,733)(12,179)(84.6)9,336
39.3
Gains on sale of businesses
7,386
24
(7,386)(100.0)7,362
30,675
Charges related to restructuring(12,274)(2,447)(1,971)(9,827)(401.6)(476)(24.2)(11,829)(3,481)(12,274)(8,348)(239.8)8,793
71.6
Impairment of an intangible asset(320)

(320)(100.0)

(587)(583)(320)(4)0.7
(263)82.2
Consolidated Operating Income (Loss)(40,159)(15,215)(7,769)(24,944)(163.9)(7,446)(95.8)
Consolidated Operating Loss(10,410)(18,294)(40,159)7,884
43.1
21,865
54.4
    
20172019 Versus 20162018


Consolidated operating loss increaseddecreased by $24,944,000$7,884,000 to a loss of $40,159,000$10,410,000 in 20172019 from a loss of $15,215,000$18,294,000 in 2016. Excluding a $7,386,000 gain on sale of the GCM business in 2016, the loss increased by $17,558,000 compared to 20162018 primarily due to increased restructuring costs of $9,827,000 anda $21,845,000 decrease in SG&A expenses, principally attributable to lower net sales.

Europe - Operating income decreased in 2017 compared to 2016 primarily related to unfavorable manufacturing costs, including unfavorable foreign exchange, and increased information technology, R&D and employment costs, partially offset by an increase in restructuring costs of $8,348,000.

Europe - Operating income increased constant currency net sales, favorable net sales mixby $3,501,000 in 2019 compared to 2018 primarily related to improved gross profit and reduced warranty expense.SG&A expenses, driven by lower employment costs, partially offset by unfavorable foreign exchange of $3,200,000.


NA/HMENorth America - Operating loss decreased by $24,914,000 in 2019 compared to 2018 driven primarily by lower SG&A expenses, due to decreased employment and consulting costs, as well as improved gross margin driven by cost reductions.

All Other - Operating loss increased in 20172019 compared to 2016 primarily2018 driven by increased SG&A expense related to net sales declines partially offset by favorable sales mixstock compensation and reduced freight, employment, product liability, warranty, legal and R&D expenses. In addition, 2016 included $1,969,000bonuses as well as a decline in operating incomeprofit for GCM.the Asia Pacific business driven by lower net sales.

IPG - Operating income increased in 2017 compared to 2016 primarily related to reduced SG&A, related to employment costs, and favorable product mix principally offset by net sales declines.

Asia/Pacific - Operating loss decreased in 2017 compared to 2016 primarily related to increased constant currency net sales, favorable sales mix, reduced R&D expense, and favorable foreign exchange.

All Other - Operating loss increased in 2017 compared to 2016 due to increased employment costs.



Gain on sale of business

As a result of the sale of GCM on September 30, 2016, the company recorded a gain in 2016 of $7,386,000 on the sale, which represents the excess of the net sales price over the book value of the net assets of GCM.


Charge Related to Restructuring Activities


The company's restructuring charges were primarily originally necessitated primarily by continued declines in Medicare and Medicaid reimbursement by the U.S. government, as well as similar healthcare reimbursement pressures abroad, which negatively affect the company's customers (e.g. home health care providers) and continued pricing pressures faced by the company due to the outsourcing by competitors to lower cost locations. Restructuring decisions were also the result of reduced profitability in each of the NA/HME and Asia/Pacific segments. In addition, as a result of the company's transformation strategy, additional restructuring actions were incurredimplemented in 20162017 and have continued in 2017.into 2019. The company expects any near-term cost savings from restructuring will be offset by otherreduced salary and benefit costs becauseprincipally impacting Selling, General and Administrative expenses, and to a lesser extent, Costs of pressures on the business.Products Sold.


Charges for the year ended December 31, 20172019 totaled $12,274,000$11,829,000 which were related to NA/HME segmentNorth America ($8,889,000)1,617,000), Europe ($1,975,000)9,579,000) and the Asia/Pacific segmentAll Other ($1,410,000)633,000). The 2017 charges relate to plant closures/transfers and general reduction in force. In NA/HME,North America, costs were incurred related to severance ($8,162,000)1,573,000) and lease termination costs ($727,000)44,000). The European charges were incurred related to severance ($1,753,000)9,356,000) and lease termination costs ($222,000)223,000). The Asia/PacificAll Other charges were for severance costs.related to severance. Payments for the year ended December 31, 20172019 were $10,438,000 and the cash payments were funded with company's cash on hand.

Part IIManagement Discussion & AnalysisOperating Income
Table of Contents

Charges for the year ended December 31, 2016 totaled $2,447,000 which were related to NA/HME segment ($2,347,000) and the Asia/Pacific segment ($100,000). In NA/HME, costs were incurred related to severance ($1,862,000) and lease termination costs ($485,000). The Asia/Pacific charges were for severance costs. Payments for the year ended December 31, 2016 were $2,992,000$6,484,000 and the cash payments were funded with company's cash on hand. The 2016majority of the 2019 charges are expected to be paid out within twelve months.

Charges for the year ended December 31, 2018 totaled $3,481,000 which were related to North America ($1,359,000), Europe ($1,773,000) and All Other ($349,000). In North America, costs were incurred related to severance ($1,471,000) and lease termination reversals were recognized ($112,000). The European and All Other charges were incurred related to severance costs. Payments for the year ended December 31, 2018 were $5,804,000 and the cash payments were funded with company's cash on hand. Most of the 2018 charges have been paid out.


To date, the company's liquidity has not been materially impacted; however, the company's disclosure below in Liquidity and Capital Resources highlights risks that could negatively impact the company's liquidity. See also "Charges Related to Restructuring Activities" in the Notes to the Consolidated Financial Statements included in this Annual Report on Form 10-K.


Impairment of intangible assetIntangible Asset


In accordance with ASC 350, Intangibles - Goodwill and Other, the company reviews intangibles for impairment. As a result of the company's 20172019 intangible review, the company recognized an intangible impairment charge in the IPGInstitutional Products Group reporting unit, which is part of the North America segment, of $320,000$587,000 ($237,000435,000 after-tax) related to a trademark with an indefinite life. The fair value of the trademark was calculated using a relief from
Part II
MD&A - Operating Income


royalty payment methodology which requires applying an estimated market royalty rate to forecasted net sales and discounting the resulting cash flows to determine fair value.

2018 Versus 2017

Consolidated operating loss decreased by $21,865,000 to a loss of $18,294,000 in 2018 from a loss of $40,159,000 in 2017 primarily due to a $14,910,000 decrease in SG&A expenses, principally attributable to lower employment costs, and a decrease in restructuring costs of $8,793,000.

Europe - Operating income decreased slightly in 2018 compared to 2017 primarily related to increased freight costs driven by product transfers associated with facility consolidation, higher R&D expense and unfavorable manufacturing variances, partially offset by lower employment costs.

North America - Operating loss decreased in 2018 compared to 2017 primarily due to reduced employment costs, warranty and R&D expense, as well as favorable operational variances, partially offset by the negative impact of net sales volume declines, unfavorable material costs and higher freight costs.

All Other - Operating loss decreased in 2018 compared to 2017 primarily related to increased constant currency net sales, favorable sales mix, reduced R&D expense, and favorable foreign exchange.



























Charge Related to Restructuring Activities

Charges for the year ended December 31, 2018 totaled $3,481,000 which were related to North America ($1,359,000), Europe ($1,773,000) and All Other ($349,000). In North America, costs were incurred related to severance ($1,471,000) and lease termination reversals were recognized ($112,000). The European and All Other charges were incurred related to severance costs. Payments for the year ended December 31, 2018 were $5,804,000 and the cash payments were funded with company's cash on hand. Most of the 2018 charges have been paid out.

Charges for the year ended December 31, 2017 totaled $12,274,000 which were related to North America ($8,889,000), Europe ($1,975,000) and All Other ($1,410,000). In North America, costs were incurred related to severance ($8,162,000) and lease termination costs ($727,000). The European charges were incurred related to severance ($1,753,000) and lease termination costs ($222,000). The European and All Other charges were for severance costs. Payments for the year ended December 31, 2017 were $10,438,000 and the cash payments were funded with company's cash on hand. The 2017 charges have been paid out.

Impairment of Intangible Asset

As a result of the company's 2018 intangible review, the company recognized an intangible impairment charge in the Institutional Products Group reporting unit, which is part of the North America segment, of $583,000 ($431,000 after-tax) related to a trademark with an indefinite life. The fair value of the trademark was calculated using a relief from royalty payment methodology which requires applying an estimated market royalty rate to forecasted net sales and discounting the resulting cash flows to determine fair value.

2016 Versus 2015

Consolidated operating loss increased by $7,446,000 to a loss of $15,215,000 in 2016 from a loss of $7,769,000 in 2015. Excluding gains on sales of business in both periods, the loss increased by $14,808,000 compared to 2016 primarily due to lower net sales.

Europe - Operating income decreased in 2016 compared to 2015 primarily related to unfavorable foreign currency, pricing, warranty and R&D expense as well as increased employment costs.

NA/HME - Operating loss increased in 2016 compared to 2015 primarily related to net sales declines, increased warranty expense and reduced operating income resulting from divesting GCM, partially offset by reduced regulatory costs.







IPG - Operating income decreased in 2016 compared to 2015 primarily related to net sales declines, unfavorable sales mix and increased warranty expense partially offset by reduced SG&A, primarily related to lower employment costs.

Asia/Pacific - Operating loss decreased in 2016 compared to 2015 primarily related to increased constant currency net sales, favorable sales mix, reduced manufacturing costs, favorable foreign currency transactions and reduced employment costs partially offset by higher R&D expense.

All Other - Operating loss was relatively unchanged in 2016 compared to 2015.

Gains on Sale of Businesses

As a result of the sale of GCM on September 30, 2016, the company recorded a gain in 2016 of $7,386,000 on the sale, which represents the excess of the net sales price over the book value of the net assets of GCM. As a result of the sale of the rentals business on July 2, 2015, the company recorded a gain of $24,000 in 2015, which represented the excess of the net sales price over the book value of the net assets of the rentals businesses.

Charge Related to Restructuring Activities

Charges for the year ended December 31, 2016 totaled $2,447,000 which were related to NA/HME segment ($2,347,000) and the Asia/Pacific segment ($100,000). In NA/HME, costs were incurred related to severance ($1,862,000) and lease termination costs ($485,000). The Asia/Pacific charges were for severance costs. Payments for the year ended December 31, 2016 were $2,992,000 and the cash payments were funded with company's cash on hand. The 2016 charges have been paid out.

Charges for the year ended December 31, 2015 totaled $1,971,000 including charges for severance ($1,678,000) and charges primarily in the NA/HME segment ($293,000) principally related to a building lease termination. Severance charges were incurred in the NA/HME segment ($1,069,000), Europe segment ($510,000), IPG segment ($73,000) and Asia/Pacific segment ($26,000) related to the elimination of certain positions as a result of general restructuring efforts. Payments for the year ended December 31, 2015 were $3,723,000 and were funded with cash on hand. The 2015 charges have been paid out.
Part IIManagement Discussion & Analysis
MD&A - Other Items
   
Table of Contents


OTHER ITEMS

20172019 Versus 2016

2018
Net Gain (Loss) on Convertible Debt Derivatives
($ in thousands USD)Change in Fair Value - Gain (Loss)Change in Fair Value - Gain (Loss)
2017201620192018
Convertible Note Hedge Assets43,344
(2,504)9,600
(90,505)
Convertible Debt Conversion Liabilities(47,001)3,772
(8,403)102,499
Net gain (loss) on convertible debt derivatives(3,657)1,268
Net gain on convertible debt derivatives1,197
11,994
    
The company recognized a net lossgain of $3,657,000$1,197,000 in 20172019 compared to a net gain of $1,268,000$11,994,000 in 20162018 related to the fair value of convertible debt derivatives. As a result of the company's receipt of shareholder approval authorizing the company to elect to settle future conversions of its convertible notes in common shares, 2Q19 was the last quarter for which the company could recognize gain (or loss) on the fair value of its note hedge assets and convertible debt conversion liabilities. See "Long-Term Debt" in the notes to the Consolidated Financial Statements included elsewhere in this report for more detail.

Interest
($ in thousands USD)20172016$ Change% Change20192018$ Change% Change
Interest Expense22,907
15,875
7,032
44.3
29,076
28,336
740
2.6
Interest Income(473)(265)(208)(78.5)(429)(534)105
19.7
Interest expense increased dueand income did not materially change in 2019 compared to the convertible debt issuance in the second quarter of 2017.

2018.
Income Taxes

The company had an effective tax rate charge of 15.5%21.1% and 45.0%28.8% on losses before taxes in 20172019 and 2016,2018, respectively, compared to an expected benefit at the U.S. statutory rate of 35.0%21.0% on the pre-tax losses for each period.period, respectively. The company's effective tax rate in 20172019 and 20162018 was unfavorable compared to the U.S. federal statutory rate expected benefit, principally due to the negative impact of the company's inability to record tax benefits related to the significant losses in countries which had tax valuation allowances. The 2019 and 2018 effective tax rates were increased by certain taxes outside the United States, excluding countries with tax valuation allowances, that were at an effective rate higher than the U.S. statutory rate. The 2018 effective rate was also benefited by 5.9% as a result of the effect of indefinite intangibles and a related 2018 indefinite loss carryforward created in 2018 due to U.S. tax reform. See “Income Taxes” in the Notes to the Consolidated Financial Statements included elsewhere in this report for more detail.
2018 Versus 2017
Net Gain (Loss) on Convertible Debt Derivatives
($ in thousands USD)Change in Fair Value - Gain (Loss)
 20182017
Convertible Note Hedge Assets(90,505)43,344
Convertible Debt Conversion Liabilities102,499
(47,001)
Net gain on convertible debt derivatives11,994
(3,657)
   
The company recognized a net gain of 11,994,000 in 2018 compared to a net loss of $3,657,000 in 2017 related to the fair value of convertible debt derivatives. See "Long-Term Debt" in the notes to the Consolidated Financial Statements included elsewhere in this report for more detail.
Interest
($ in thousands USD)20182017$ Change% Change
Interest Expense28,336
22,907
5,429
23.7
Interest Income(534)(473)(61)(12.9)
Interest expense increased due to the full year impact in 2018 of the convertible debt issuance in the second quarter of 2017.
Income Taxes
The company had an effective tax rate charge of 28.8% and 15.5% on losses before taxes in 2018 and 2017, respectively, compared to an expected benefit at the U.S. statutory rate of 21.0% and 35.0% on the pre-tax losses for each period, respectively. The company's effective tax rate in 2018 and 2017 was unfavorable compared to the U.S. federal statutory rate expected benefit, principally due to the negative impact of the company's inability to record tax benefits related to the significant losses in countries which had tax valuation allowances. The 2018 effective tax rate was increased by certain taxes outside the United States, excluding countries with tax valuation allowances, that were at an effective rate higher than the U.S. statutory rate. The 2018 effective rate was also benefited by 5.9% as a result of the effect of indefinite intangibles and a related 2018 indefinite loss carryforward created in 2018 due to U.S. tax reform. During the fourth quarter of 2017, the company's effective tax rate also provisionally benefited by 2.4% due to the U.S. federal tax legislation rate reduction. The effective tax rate was reduced by certain taxes outside the United States, excluding countries with tax valuation allowances, that were at an effective rate lower than the U.S. statutory rate. During 2016, installment payments were made related to a previously disclosed liability for uncertain tax positions including accelerating the balance of the installment obligation, in order to reduce interest costs. See “Income Taxes” in the Notes to the Consolidated Financial Statements included elsewhere in this report for more detail.

2016 Versus 2015

Interest
($ in thousands USD)20162015$ Change% Change
Interest Expense15,875
4,136
11,739
283.8
Interest Income(265)(165)(100)(60.6)

Interest expense increased due to the convertible debt issuance in the first quarter of 2016 and, to a lesser extent, capital lease interest expense as a result of the real estate sale and leaseback transaction completed during the second quarter of 2015.

Income Taxes

The company had an effective tax rate of 45.0% in 2016 compared to an expected benefit of 35.0% on the continuing operations pre-tax loss and an effective tax rate of 125.3% in 2015 compared to an expected benefit of 35.0% on the pre-tax loss from continuing operations. The company's effective tax rates in 2016 and 2015 both were unfavorable to the expected U.S. federal statutory rate benefit for those years due to the negative impact of the company not being able to record tax benefits related to losses in those countries which had tax valuation allowances for the year, which more than offset the benefit of foreign income taxed at rates below the U.S. statutory rate. See “Income Taxes” in the Notes to the Consolidated Financial Statements included elsewhere in this report for more detail.

Inflation

Although the company cannot determine the precise effects of inflation, management believes that inflation does continue to have an influence on the cost of materials, salaries and benefits, utilities and outside services. The company attempts to minimize or offset the effects through its review of pricing, capital expenditure programs designed to improve productivity, alternative sourcing of material and other cost control measures.

Part II
Management Discussion & AnalysisMD&A - Liquidity and Capital Resources
   
Table of Contents



LIQUIDITY AND CAPITAL RESOURCES

The company continues to maintain an adequate liquidity position through its cash balances and unused bank lines of credit (see Long-Term Debt in the Notes to the Consolidated Financial Statements included in this report) as described below.


Key balances on the company's balance sheet and related metrics:
($ in thousands USD)December 31, 2017December 31, 2016$ Change% ChangeDecember 31, 2019December 31, 2018$ Change% Change
Cash and cash equivalents176,528
124,234
52,294
42.1
80,063
116,907
(36,844)(31.5)
Working capital (1)
238,850
188,211
50,639
26.9
137,220
199,202
(61,982)(31.1)
Total debt (2)
301,415
196,501
104,914
53.4
302,106
299,912
2,194
0.7
Long-term debt (2)
299,375
181,240
118,135
65.2
292,744
297,802
(5,058)(1.7)
Total shareholders' equity423,294
422,387
907
0.2
308,516
359,147
(50,631)(14.1)
Credit agreement borrowing availability (3)
39,949
44,260
(4,311)(9.7)34,516
33,362
1,154
3.5
(1) 
Current assets less current liabilities.
(2) 
Long-term debt and Total debt includeexclude debt issuance costs recognized as a deduction from the carrying amount of debt liability and debt discounts classified as debt or equity.
(3) 
Reflects the combined availability of the company's North American and European asset-based revolving credit facilities. The change is borrowing availability is due to changes in the calculated borrowing base.


The company's cash and cash equivalents were $176,528,000$80,063,000 and $124,234,000$116,907,000 at December 31, 20172019 and December 31, 2016,2018, respectively. The increasedecrease in cash balances at December 31, 20172019 compared to December 31, 20162018 was primarily the result of the net proceeds received from the issuance of the 2022 Notes in the second quarter of 2017 partially offset by cash utilized for normal operations, and byincluding the February 2, 2017continued investment in our transformation strategy, as well as the repurchase of all the outstanding$16,000,000 in principal amount of convertible senior subordinated debenturesthe company’s 5.00% Convertible Senior Notes due 20272021 (the "debentures"“2021 Notes”) totaling $13,350,000 asin open market transactions for an aggregate of $14,708,000 in cash during the holders exercised their February 1, 2017 right to requirequarter ended September 30, 2019 and the company to repurchase their debentures.exchange of $72,909,000 in aggregate principal amount of 2021 Notes for the same aggregate principal amount of new 5.00% Convertible Senior Exchange Notes due 2024 (the “2024 Notes”) which exchange included cash paid of $6,928,000.


Debt repayments, acquisitions, divestitures, the timing of vendor payments, the timing of customer rebate payments, the granting of extended payment terms to significant national accounts and other activity can have a significant impact on the company's cash flow and borrowings outstanding such that the cash reported at the end of a given period may be materially different than cash levels during a given period. While the company has cash balances in various jurisdictions around the world, there are no material restrictions regarding the use of such cash for dividends within the company, loans or other purposes, except in China where the cash balance as of December 31, 20172019 was approximately $1,596,000.$168,000.


The company's total debt outstanding, inclusive of the debt discount related to the debentures included in equity in accordance with FSB APB 14-1 as well as the debt discount and fees associated with the company's Convertible Senior
Notes due 2021, 2022 and 2022

2024 ("the Notes"), increased by $104,914,000$2,194,000 to $301,415,000$302,106,000 at December 31, 20172019 from $196,501,000$299,912,000 as
of December 31, 2018. As a result of implementing ASU 2016-02, "Leases as of January 1,2019, the company recorded operating lease liabilities which totaled $18,850,000 as of December 31, 2016.


2019. The company's balance sheet reflectsincrease in debt as the impactresult of ASC 470-20, which reducedrecording operating lease liabilities was partially offset by a net decrease in debt and increased equity by $311,000 as of December 31, 2016 related$14,367,000 attributable to the debentures. repurchase of 2021 Notes in the third quarter of 2019.

The debt discount and fees associated with the 2021, 2022 and 20222024 Notes reduced the company's reported debt balance by $57,970,000$34,740,000 and $34,841,000$44,267,000 as of December 31, 20172019 and December 31, 2016,2018, respectively. The debt increase in 2017 was principally a result of issuing $120,000,000 aggregate principal amount of 2022 Notes. At December 31, 20172019 and December 31, 2016,2018, the company had zero borrowings outstanding under its revolving credit facility.


The company may from time to time seek to retire or purchase its convertible senior notes, in open market purchases, privately negotiated transactions or otherwise. Such purchases, if any, will depend on prevailing market conditions, the company's liquidity requirements, contractual restrictions and other factors. The amount involved in any such transactions, individually or in the aggregate, may be material.

The company has an asset-based lending Amended and Restated Revolving Credit and Security Agreement (the “Credit Agreement”), which provides for a revolving line of credit, letter of credit and swing line facility for the company's U.S. and Canadian borrowers in an aggregate principal amount of up to $100,000,000 (the "U.S. and Canadian Credit Facility") and a similar facility for European borrowers in an aggregate principal amount of up to $30,000,000 (the "European
Part II
MD&A - Liquidity and Capital Resources

"European Credit Facility") each of which is subject to variable rates and availability based on a borrowing base formula.


As determined pursuant to the borrowing base formula for the U.S. and Canadian borrowers, the company’scompany's borrowing base including the period ending December 31, 20172019 under the U.S. and Canadian Credit Facility of the Credit Agreement was approximately $46,431,000,$41,180,000, with aggregate borrowing availability of approximately $26,453,000,$22,603,000, taking into account the $5,000,000$3,000,000 minimum availability reserve, then-outstanding letters of credit, other reserves and the $11,250,000$6,750,000 dominion trigger amount noted below. As determined pursuant to the borrowing base formula for the European borrowers, the company’scompany's borrowing base
Part IIManagement Discussion & AnalysisLiquidity and Capital Resources
Table of Contents

including the period ending December 31, 20172019 under the European Credit Facility of the Credit Agreement was approximately $19,871,000,$18,288,000, with aggregate borrowing availability of approximately $13,496,000,$11,913,000, considering the $3,000,000 minimum availability reserve and the $3,375,000 dominion trigger amount noted below. As of December 31, 2017,2019, the combined aggregate borrowing availability under the U.S. and Canadian Credit Facility and the European Credit Facility of the Credit Agreement was $39,949,000.$34,516,000.


As a result of entering into the Credit Agreement, the company incurred fees which were capitalized and are being amortized as interest expense through January 16, 2021 of which $1,184,000$809,000 are yet to be amortized as of December 31, 2017. In addition, as a result of terminating the previous credit agreement, which was scheduled to mature in October 2015, the company wrote-off $668,000 in previously capitalized fees in the first quarter of 2015, which is reflected in the expense of the North America / HME segment.2019.

As of December 31, 2017,2019, the company was in compliance with all covenant requirements under the Credit Agreement. The Credit Agreement contains customary representations, warranties and covenants including dominion triggers requiring the company to maintain borrowing capacity of not less than $11,250,000$6,750,000 on anany given business day or $12,500,000 for five consecutive days related to the U.S. and Canadian borrowers, and $3,375,000 on anany given business day or 12.5% of the maximum amount that may be drawn under the European Credit Facility for five consecutive days related to European borrowers, in order to avoid triggering full control by an agent for the lenders of the company's cash receipts for application to the company's obligations under the agreement.


If the company is unable to comply with the provisions in the Credit Agreement, it could result in a default, which could trigger acceleration of, or the right to accelerate, the related debt. Because of cross-default provisions in its agreements and instruments governing certain of the company's indebtedness, a default under the Credit Agreement could result in a default under, and the acceleration of, certain other company indebtedness. In addition, the company's lenders would be entitled to proceed against the collateral securing the indebtedness.


Based on the company's current expectations, the company believes that its cash balances and available borrowing capacity under its Credit Agreement should be sufficient to meet working capital needs, capital requirements, and commitments for at least the next twelve months. Notwithstanding the company's expectations, if the company's operating results declinedecrease as the result of pressures on the business due to, for example, currency fluctuations or regulatory issues or the company's failure to execute its business plans or if the company's transformation takes longer than expected, the company may require additional financing, or may be unable to comply with its obligations under the Credit Agreement,credit facilities , and its lenders
could demand repayment of any amounts outstanding under the company's credit facilities.


In the first quarter of 2016, the company issued $150,000,000 aggregate principal amount of 2021 Notes in a private offering which bear interest at a rate of 5.00% per year payable semi-annually and will mature in February 2021, unless repurchased or converted in accordance with their terms prior to such date. Prior to August 15, 2020, the notes will be convertible only upon satisfaction of certain conditions and during certain periods, and thereafter, at any time until the close of business on the second scheduled trading day immediately preceding the maturity date. The net proceeds from the offering of the 2021 Notes were $144,034,000, after deducting fees and estimated offering expenses payable by the company. Approximately $5,000,000 of the net proceeds from the offering was used to repurchase the company’scompany's common shares, and $15,600,000 of the net proceeds was used to pay the net cost of the convertible note hedge and warrant transactions. The company incurred fees which were capitalized and are being amortized as interest expense through February 2021 of which $3,745,000$547,000 have yet to be amortized as of December 31, 2017.2019. In the third quarter of 2019, $16,000,000 in principal amount of 2021 Notes were repurchased for cash. In the fourth quarter of 2019, $72,909,000 in principal amount of 2021 Notes were exchanged for 2024 Notes. At December 31, 2019, $61,091,000 in principal amount of 2021 Notes remained outstanding.


In the second quarter of 2017, the company issued $120,000,000 aggregate principal amount of the 2022 Notes in a private offering which bear interest at a rate of 4.50% per year payable semi-annually and will mature in June 2022, unless repurchased or converted in accordance with their terms prior to such date. Prior to December 1, 2021, the 2022 notes will be convertible only upon satisfaction of certain conditions and during certain periods, and thereafter, at any time until the close of business on the second scheduled trading day immediately preceding the maturity date. The net proceeds from the offering of the 2022 notes were approximately $115,289,000, after deducting fees and offering expenses of $4,711,000. These debt issuance costs were capitalized and are being amortized as interest expense
Part II
MD&A - Liquidity and Capital Resources


through June 2022 of which $3,947,000$2,158,000 have yet to be amortized as of December 31, 2017.2019. A portion of the net proceeds from the offering were used to pay the cost of the convertible note hedge transactions (after such cost is partially offset by the proceeds to the company from the warrant transactions), which net cost was $10,680,000.

Unless and until the company obtains shareholder approval of the issuance of the company's common shares upon conversion of the Notes under applicable New York Stock Exchange rules, the Notes will be convertible, subject to certain conditions, into cash. If the company obtains such shareholder approval, the Notes may be settled in cash, the company’s common shares or a combination of cash and the company’s common shares, at the company’s election.


In connection with the Notes offerings,fourth quarter of 2019, the company entered into privately negotiated convertible note hedge
Part IIManagement Discussion & AnalysisLiquidity and Capital Resources
Table of Contents

transactions with certain financial institutions (the “option counterparties”). These transactions cover, subject to customary anti-dilution adjustments, the number of the company’s common shares that will initially underlie the Notes, and are expected generally to reduce the potential equity dilution, and/or offset any cash payments in excess of the principal amount due, as the case may be, upon conversion of the Notes. The company entered into separate privately negotiated warrant transactionsagreements with certain holders of its 2021 Notes to exchange $72,909,000 in aggregate principal amount of 2021 Notes, for aggregate consideration of $72,909,000 in aggregate principal amount of new 2024 Notes of the option counterpartiescompany and approximately $6,928,000 in cash. The New Notes bear interest at a higher strike price relatingfixed rate of 5.00% per year payable semi-annually and will mature in November 2024, unless earlier repurchased, redeemed or converted. Prior to May 2024, the same number2024 Notes will be convertible only upon satisfaction of certain conditions and during certain periods, and thereafter, at any time until the company’s common shares, subjectclose of business on the second scheduled trading day immediately preceding the maturity date. Prior to customary anti-dilution adjustments, pursuant to whichmaturity, the 2024 Notes will be redeemable by the company sold warrantsupon satisfaction of certain conditions and during certain periods. The fees paid totaled $1,394,000. These debt issuance costs were capitalized and are being amortized as interest expense through November 2024 of which $1,359,000 have yet to the option counterparties. The warrants could have a dilutive effect on the company’s outstanding common shares and the company’s earnings per share to the extent that the pricebe amortized as of the company’s common shares exceeds the strike price of those warrants.December 31, 2019.


The company has used, and intends to continue to use the remaining net proceeds from the Notes offerings for working capital and general corporate purposes, which may include funding portions of the company’scompany's ongoing turnaround and addressing potential risks and contingencies. The net proceeds have allowed the company to invest in new products, people, marketing initiatives and working capital to transform the business and pursue growth.


The company also has an agreement with De Lage Landen, Inc. (“DLL”), a third-party financing company, to provide lease financing to the company's U.S. customers. Either party could terminate this agreement with 180 days' notice or 90 days' notice by DLL upon the occurrence of certain events. Should this agreement be terminated, the company's borrowing needs under the Credit Agreementits credit facilities could increase.


While there is general concern about the potential for risingShould interest rates increase, the company expects that it willwould be able to absorb modest rate increases in the months ahead without any material impact on its liquidity or capital resources. For 20172019 and 2016,2018, the weighted average interest rate on all borrowings, excluding capital leases, was 4.84%4.78% and 4.85%4.78%, respectively.


See Long-Term Debt"Long-Term Debt" and "Leases and Commitments" in the Notes to the Consolidated Financial Statements for more details regarding the company's convertible notes and credit facilities.










facilities and lease liabilities, respectively.
 
CAPITAL EXPENDITURES


There were no individually material capital expenditure commitments outstanding as of December 31, 2017.2019. The company estimates that capital investments for 20182020 will be approximately $20,000,000 to $25,000,000 compared to actual capital expenditures of $14,569,000$10,874,000 in 2017.2019. The anticipated increase relates primarily to the company's investments to transform the company. The company believes that its balances of cash and cash equivalents and existing borrowing facilities will be sufficient to meet its operating cash requirements and fund required capital expenditures (see "Liquidity and Capital Resources"). The Credit Agreement limits the company's annual capital expenditures to $35,000,000.


DIVIDEND POLICY


It is the company’scompany's policy to pay a nominal dividend in order for its stock to be more attractive to a broader range of investors. For 2017,2019, annualized dividends of $0.05 per Common Share and $0.045 per Class B Common Share were declared and paid. It is not anticipated that this annual dividend rate for Common Shares will change materially as the company believes that capital should be kept available for investments and growth opportunities as a result of its multi-year turnaround strategy. The Board of Directors suspended the company's regular quarterly dividend on the Class B Common Shares starting in Q3 2018. Less than 7,000 Class B Common Shares remain outstanding and suspending the regular Class B dividend allows the company to save on the administrative costs and compliance expenses associated with that dividend. Holders of Class B Common Shares are entitled to convert their shares into Common Shares at any time on a share-for-share basis and would be eligible for any Common Share dividends declared following any such conversion.


Part IIManagement Discussion & Analysis
MD&A - Cash Flows
   
Table of Contents


CASH FLOWS

chart-541f46fe55765823bcd.jpg
Cash flows usedprovided by operating activities were $25,774,000$2,743,000 in 2017,2019, compared to cash flow used of $56,613,000$46,423,000 in the previous year. The 20172019 operating cash flows benefited from a reduced operating loss, reduced inventory and an increase in accrued expenses partially offset by negative impact of decrease in payables. In 2018, operating cash flows were negatively impacted by a net loss, increased inventory and declines in accrued expenses and accounts payable. Operating cash flows in 2017 were positively impacted by reduced inventory and accounts receivable. In 2016, operating cash flows were negatively impacted by net loss, declines in accrued expenses, including tax payments of approximately $12,500,000 related to a liability for uncertain tax positions and current taxes, and accounts payable as well as increased inventory. Operating cash flows in 2016 were positively impacted by a reduction in accounts receivable.expenses.
chart-2858498938605350ada.jpg
Cash flows used by investing activities were $14,648,000$11,614,000 in 2017,2019, compared to cash flows providedused by investing activities of $3,649,000$6,363,000 in 2016. Cash flow2018. The increase in cash flows used for investing was driven by investing activities in 2017 includedhigher purchases of property, plant and equipment compared to 2018 which was lower to an increaseadvance payment of approximately $5,250,000 in demonstration equipment$3,524,000 related to the sale of the company's Isny, Germany facility for which control is not expected to transfer until April 2020.
 

classified as purchases of property and equipment. The company determined the 2017 investment in certain demonstration equipment should be recorded as fixed assets and depreciated over their estimated useful life considering their estimated recoverable values. This determination was based on the company deciding to place the equipment in provider locations for longer periods of time versus historically, selling the units. Cash flows provided by investing activities in 2016 included net proceeds of $13,829,000 from the sale of GCM.
chart-663d98d6db2f571989a.jpg
Cash flows providedused by financing activities in 20172019 were $88,097,000$27,941,000 compared to $118,549,000cash flow used of $2,924,000 in 2016.2018. Cash flows providedused in 2017 reflect net proceeds received as a result of the issuance of the 2022 Notes, including the net proceeds used for the related convertible note hedge transactions and payment of financing costs. These proceeds were partially offset by the repayment of $13,350,0002019 reflects $14,708,000 in aggregatecash to repurchase $16,000,000 in principal amount of the 2027 Debentures. Cash flows provided in 2016 reflect net proceeds received as a result of the issuance of the 2021 Notes, including the net proceeds usedcash payments of $6,928,000 to debt holders that exchanged 2021 Notes for the related convertible note hedge transactions, repurchase2024 Notes and debt fee payments of common shares and payment of financing costs.$1,278,000.


Free cash flow is a non-GAAP financial measure and is reconciled to the corresponding GAAP measure as follows:
  ($ in thousands USD)
Twelve Months Ended
December 31,
 2017 2016
Net cash used by operating activities$(25,774) $(56,613)
Plus: Sales of property and equipment369
 42
Less: Purchases of property and equipment(14,569) (10,151)
Free Cash Flow$(39,974) $(66,722)
    
Part IIManagement Discussion & AnalysisCash Flows
Table of Contents
($ in thousands USD)
Twelve Months Ended
December 31,
 2019 2018
Net cash provided (used) by operating activities$2,743
 $(46,423)
Plus: Sales of property and equipment73
 40
Plus: Advance payment from sale of property
 3,524
Less: Purchases of property and equipment(10,874) (9,823)
Free Cash Flow$(8,058) $(52,682)
    


Free cash flow was negative $39,974,000$8,058,000 in 20172019 compared to $66,722,000$52,682,000 in 2016. Free2018. The change in free cash flow was impacted in both yearsdriven by reduced inventory and the same items affecting cash flows used by operation activities. Excluding the negativepositive impact of $12,500,000increases in tax payments, free cash flow in 2016 was negative $54,222,000.accrued expenses. Free cash flow is a non-GAAP financial measure comprisedcomposed of net cash used by operating activities less purchases of property and equipment plus proceeds from sales of property and equipment. Management believes that this financial measure provides meaningful information for evaluating the overall financial performance of the company and its ability to repay debt or make future investments (including acquisitions, etc.).
Part II
MD&A - Cash Flows


chart-6f68a0aba906500fa5d.jpg
 

Free cash flow for 20172019 improved sequentially during 2017 primarily because of improved working capital management related to the benefits of inventory and accounts receivable partially offset by accounts payable, and a reduced sequential net loss. In addition, the thirdeach quarter of 2017 reflects2019, except the fourth quarter. The company has historically generated negative free cash flow relatedduring the first half of the year, which was the case in 2019 as well. This pattern is expected to continue due to the closuretiming of annual one-time payments such as customer rebates and employee bonuses earned during the company's Suzhou, China, manufacturing facility as compared to positive free cash flow generated by the facilityprior year, and higher working capital usage from seasonal inventory increases. The absence of these payments and somewhat seasonally stronger sales in the second quarterhalf of 2017. Historically, the company realizes strongeryear typically result in more favorable free cash flow in the second half of the year versus the first half of the year and the company anticipates its cash flow usage and seasonality for 2018 will be similar to 2017.year.
The company's approximate cash conversion days at December 31, 20172019 and December 31, 20162018 are as follows:
chart-15947a005b405d35be3.jpg
The days in inventory increase from year end 2016 was due to lower than expected net sales and inventory build primarily related to plant closures. The increase in days in receivables compared to 2016 was driven primarily by higher sales in the last quarter of 2017 compared to the last quarter of 2016.


Days in receivables are equal to current quarter net current receivables divided by trailing four quarters of net sales multiplied by 365 days. Days in inventory and accounts payable are equal to current quarter net inventory and accounts payable, respectively, divided by trailing four quarters of cost of sales multiplied by 365 days. Total cash conversion days are equal to days in receivables plus days in inventory less days in accounts payable.












The company provides a summary of days of cash conversion for the components of working capital, so investors may see the rate at which cash is disbursed, collected and how quickly inventory is converted and sold.

Part IIManagement Discussion & Analysis
MD&A - Accounting Estimates and Pronouncements
   
Table of Contents


ACCOUNTING ESTIMATES AND PRONOUNCEMENTS

CRITICAL ACCOUNTING ESTIMATESPOLICIES


The Consolidated Financial Statements included in the report include accounts of the company and all majority-owned subsidiaries. The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions in certain circumstances that affect amounts reported in the accompanying Consolidated Financial Statements and related footnotes. In preparing the financial statements, management has made its best estimates and judgments of certain amounts included in the financial statements, giving due consideration to materiality. However, application of these accounting policies involves the exercise of judgment and use of assumptions as to future uncertainties and, as a result, actual results could differ from these estimates.

The following critical accounting policies, among others, affect the more significant judgments and estimates used in preparation of the company’scompany's consolidated financial statements.


Revenue Recognition


Invacare’sThe company recognizes revenues are recognized when products are shippedcontrol of the product or services providedservice is transferred to unaffiliated customers. Revenue RecognitionRevenues from Contracts with Customers, ASC 605,606, provides guidance on the application of generally accepted accounting principles to selected revenue recognition issues. The company has concluded that its revenue recognition policy is appropriate and in accordance with GAAP under ASC 606.

All of the company's product-related contracts, and ASC 605. Shippinga portion related to services, have a single performance obligation, which is the promise to transfer an individual good or service, with revenue recognized at a point in time. Certain service-related contracts contain multiple performance obligations that require the company to allocate the transaction price to each performance obligation. For such contracts, the company allocates revenue to each performance obligation based on its relative standalone selling price at inception of the contract. The company determined the standalone selling price based on the expected cost-plus margin methodology. Revenue related to the service contracts with multiple performance obligations is recognized over time. To the extent performance obligations are satisfied over time, the company defers revenue recognition until the performance obligations are satisfied.

The determination of when and handling costshow much revenue to recognize can require the use of significant judgment. Revenue is recognized when obligations under the terms of a contract with the customer are satisfied; generally, this occurs with the transfer of control of the company's products and services to the customer.
Revenue is measured as the amount of consideration expected to be received in exchange for transferring the product or providing services. The amount of consideration received and recognized as revenue by the company can vary as a result of variable consideration terms included in costthe contracts such as customer rebates, cash discounts and return policies. Customer rebates and cash discounts are estimated based on the most likely amount principle and these estimates are based on historical experience and anticipated performance. Customers have the right to return product within the company's normal terms policy, and as such, the company estimates the expected returns based on an analysis of goods sold.historical experience. The company adjusts its estimate of revenue at the earlier of when the most likely amount of consideration the company expects to receive changes or when the consideration becomes fixed. The company generally does not expect that there will be significant changes to its estimates of variable consideration (see Receivables in the Notes to the Consolidated Financial Statements include elsewhere in this report).


Depending on the terms of the contract, the company may defer recognizing a portion of the revenue at the end of a given period as the result of title transfer terms that are based upon delivery and or acceptance which align with transfer of control of the company's products to its customers.

Sales are made only to customers with whom the company believes collection is reasonably assured based upon a credit analysis, which may include obtaining a credit application, a signed security agreement, personal guarantee and/or a cross corporate guarantee depending on the credit history of the customer. Credit lines are established for new customers after an evaluation of their credit report and/or other relevant financial information. Existing credit lines are regularly reviewed and adjusted with consideration given to any outstanding past due amounts.


The company offers discounts and rebates, which are accounted for as reductions to revenue in the period in which the sale is recognized. Discounts offered include: cash discounts for prompt payment, base and trade discounts based on contract level for specific classes of customers. Volume discounts and rebates are given based on large purchases and the achievement of certain sales volumes. Product returns are accounted for as a reduction to reported sales with estimates

recorded for anticipated returns at the time of sale. The company does not ship any goods on consignment.

Distributed products sold by the company are accounted for in accordance with the revenue recognition guidance in ASC 605-45-05.The company records distributed product sales gross as a principal since the company takes title to the products and has the risks of loss for collections, delivery and returns. The company's payment terms are for relatively short periods and thus do not contain any element of financing. Additionally, no contract costs are incurred that would require capitalization and amortization.


Product salesSales, value-added, and other taxes the company collects concurrent with revenue producing activities are excluded from revenue. Incidental items that give riseare immaterial in the context of the contract are recognized as expense. Shipping and handling costs are included in cost of products sold.

Part II
MD&A - Accounting Estimates and Pronouncements


The majority of the company's warranties are considered assurance-type warranties and continue to installment receivablesbe recognized as expense when the products are sold (see Current Liabilities in the Notes to the Consolidated Financial Statements include elsewhere in this report). These warranties cover against defects in material and workmanship for various periods depending on the product from the date of sale to the customer. Certain components carry a lifetime warranty. In addition, the company has sold extended warranties that, while immaterial, require the company to defer the revenue associated with those warranties until earned. The company has established procedures to appropriately defer such revenue. A provision for estimated warranty cost is recorded at the time of sale whenbased upon actual experience. The company continuously assesses the risksadequacy of its product warranty accruals and rewards of ownershipmakes adjustments as needed. Historical analysis is primarily used to determine the company's warranty reserves. Claims history is reviewed and provisions are transferred. Interest income is recognized on installment agreementsadjusted as needed. However, the company does consider other events, such as a product recall, which could require additional warranty reserve provisions. See Accrued Expenses in accordance with the termsNotes to the Consolidated Financial Statements for a reconciliation of the agreements. Installment accounts are monitored and if a customer defaults on payments, interest income is no longer recognized. All installment accounts are accounted for usingchanges in the same methodology, regardless of duration of the installment agreements.warranty accrual.


Allowance for Uncollectible Accounts Receivable


The estimated allowance for uncollectible amounts is based primarily on management's evaluation of the financial condition of the customer. In addition, as a result of the third-party financing arrangement, management monitors the collection status of these contracts in accordance with the company's limited recourse obligations and provides amounts necessary for estimated losses in the allowance for doubtful accounts and establishing reserves for specific customers as needed.


The company continues to closely monitor the credit-worthiness of its customers and adhere to tight credit policies. In 2013, theThe Centers for Medicare and Medicaid Services announced newpublishes Medicare contract prices which became effective in July 2013 for the second round of theunder its NCB program which was expanded to include 91 additional MSAs. In January 2016, CMS began expanding NCB to rural areas which expanded the program toincludes 100% of the Medicare population. WhileThe company believes that the current NCB program contract pricing continues through the end of 2018, the company believes the changes could have a significant impact on the collectability of accounts receivable for those customers which are in the rural locations impacted and which have a portion of their revenues tied to Medicare reimbursement. In addition, there is a risk that these precedent-setting price reductions could influence other non-CMS payors’payors' reimbursement rates for the same product categories. As a result, this is an additional risk factor which the company considers when assessing the collectability of accounts receivable.



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The company has an agreement with DLL, a third-party financing company, to provide lease financing to Invacare's U.S. customers. The DLL agreement provides for direct leasing between DLL and the Invacare customer. The
company retains a recourse obligation for events of default under the contracts. The company monitors the collections status of these contracts and has provided amounts for estimated losses in its allowances for doubtful accounts.

Inventories and Related Allowance for Obsolete and Excess Inventory

Inventories are stated at the lower of cost or market with cost determined by the first-in, first-out method. Inventories have been reduced by an allowance for excess and obsolete inventories. The estimated allowance is based on management’s review of inventories on hand compared to estimated future usage and sales. A provision for excess and obsolete inventory is recorded as needed based upon the discontinuation of products, redesigning of existing products, new product introductions, market changes and safety issues. Both raw materials and finished goods are reserved for on the balance sheet.

In general, Invacare reviews inventory turns as an indicator of obsolescence or slow-moving product as well as the impact of new product introductions. Depending on the situation, the company may partially or fully reserve for the individual item. The company continues to increase its overseas sourcing efforts, increase its emphasis on the development and introduction of new products, and decrease the cycle time to bring new product offerings to market. These initiatives are potential sources of inventory obsolescence for both raw material and finished goods.


Goodwill, Intangible and Other Long-Lived Assets


Property, equipment, intangibles and certain other long-lived assets are amortized over their useful lives. Useful lives are based on management's estimates of the period that the assets will generate revenue. Under Intangibles-Goodwill and Other, ASC 350, goodwill and intangible assets deemed to have indefinite lives are subject to annual impairment tests. The company's measurement date for its annual goodwill impairment test is October 1 and the analysis is completed in the fourth quarter. Furthermore, goodwill and other long-lived assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Most of the company's goodwill and intangible assets relate to the company's Europe and IPG segmentsInstitutional Products Group reporting units which were profitable in 2017.2019.


To review goodwill for impairment in accordance with ASC 350, the company first estimates the fair value of each reporting unit and compares the calculated fair value to the carrying value of each reporting unit. A reporting unit is defined as an operating segment or one level below. The
company has determined that its reporting units are the same as its operating segments. The company completes its annual impairment tests in the fourth quarter of each year. To estimate the fair values of the reporting units, the company utilizes a discounted cash flow (DCF) method in which the company forecasts income statement and balance sheet amounts based on assumptions regarding future sales growth, profitability, inventory turns, days' sales outstanding, etc. to forecast future cash flows. The cash flows are discounted using a weighted average cost of capital discount rate where the cost of debt is based on quoted rates for 20-year debt of companies of similar credit risk and the cost of equity is based upon the 20-year treasury rate for the risk-free rate, a market risk premium, the industry average beta and a small cap stock adjustment. The discount rates used have a significant impact upon the discounted cash flow methodology utilized in the company's annual impairment testing as higher discount rates decrease the fair value estimates. The assumptions used are based on a market participant's point of view and yielded a discount rate of 9.07%11.88% in 20172019 for the company's annual impairment analysis for the reporting units with goodwill compared to 8.67%12.41% in 20162018 and 9.41%9.07% in 2015.2017.


The company also utilizes an Enterprise Value (EV) to Earnings Before Interest, Taxes, Depreciation and Amortization (EBITDA) Methodmethod to compute the fair value of its reporting units which considers potential acquirers and their EV to EBITDA multiples adjusted by an estimated premium. While more weight is given to the discounted cash
Part II
MD&A - Accounting Estimates and Pronouncements

flow method, the EV to EBITDA method does provide corroborative evidence of the reasonableness of the discounted cash flow method results.


As part of the company's review of goodwill for impairment, the company also considers the potential for impairment of any other assets. In 2017,2019, the company performed a review for potential impairments of any other assets and recognized an intangible impairment charge infor the IPGInstitutional Products Group reporting unit, which is part of the North America segment, of $320,000$587,000 ($237,000435,000 after-tax) compared to $583,000 ($431,000 after-tax) in 2018 related to a trademark with an indefinite life while nolife. No impairment of any other asset was recognized in 2016 or 2015.2017. The fair value of the trademark was calculated using a relief from royalty payment methodology which requires applying an estimated market royalty rate to forecasted net sales and discounting the resulting cash flows to determine fair value.


While there was no indication of impairment in 20172019 related to goodwill for the Europe or IPG segments,Institutional Products Group units, a future potential impairment is possible for any of the company's segmentsreporting units should actual results differ materially from forecasted results used in the valuation analysis. Furthermore, the company's annual valuation of goodwill can differ materially if the market inputs used to determine the discount rate change significantly. For instance, higher interest rates or greater stock price volatility would increase the discount rate and thus increase the chance of impairment. In consideration of this potential, the company reviewed the
Part IIManagement Discussion & AnalysisAccounting Estimates and Pronouncements
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results if the discount rate used were 100 basis points higher for the 20172019 impairment analysis and determined that there still would not be any indicator of potential impairment for the Europe or IPG segments.Institutional Products Group reporting units.


The company's intangible assets consist of intangible assets with defined lives as well as intangible assets with indefinite lives. Defined-lived intangible assets consist principally of customer lists and developed technology. The company's indefinite lived intangible assets consist entirely of trademarks.


The company evaluates the carrying value of definite-lived assets whenever events or circumstances indicate possible impairment. Definite-lived assets are determined to be impaired if the future un-discounted cash flows expected to be generated by the asset are less than the carrying value. Actual impairment amounts for definite-lived assets are then calculated using a discounted cash flow calculation. The company reviews indefinite-lived assets for impairment annually in the fourth quarter of each year and whenever events or circumstances indicate possible impairment. Any impairment amounts for indefinite-lived assets are calculated as the difference between the future discounted cash flows expected to be generated by the asset less than the carrying value for the asset.

Product Liability


The company is essentially self-insured in North America for product liability exposures through its captive insurance company, Invatection Insurance Company, which currently has a policy year that runs from September 1 to August 31 and insures annual policy losses up to $10,000,000 per occurrence and $13,000,000 in the aggregate. The company also has additional layers of external insurance coverage, related to all lines of insurance coverage, insuring up to $75,000,000 in aggregate losses per policy year arising from individual claims anywhere in the world that exceed the captive insurance company policy limits or the limits of the company’scompany's per country foreign liability limits, as applicable. There can be no assurance that Invacare’sInvacare's current insurance levels will continue to be adequate or available at affordable rates.


Product liability reserves are recorded for individual claims based upon historical experience, industry expertise and other indicators. Additional reserves, in excess of the specific individual case reserves, are provided for incurred but not reported claims based upon actuarial valuations at the time such valuations are conducted. Historical claims experience and other assumptions are taken into consideration by the company in estimating the ultimate reserves. For example, the actuarial analysis assumes that historical loss experience is an indicator of future experience, that the distribution of exposures by geographic area and nature of operations for ongoing operations is expected to be
very similar to historical operations with no dramatic changes and that the government indices used to trend losses and exposures are appropriate. Estimates made are adjusted on a regular basis and can be impacted by actual loss awards and settlements on claims. While actuarial analysis is used to help determine adequate reserves, the company is responsible for the determination and recording of adequate reserves in accordance with accepted loss reserving standards and practices.


Warranty


Generally, the company’scompany's products are covered by assurance-type warranties against defects in material and workmanship for various periods depending on the product from the date of sale to the customer. Certain components carry a lifetime warranty. In addition, the company has sold extended warranties that, while immaterial, require the company to defer the revenue associated with those warranties until earned. A provision for estimated warranty cost is recorded at the time of sale based upon actual experience. The company continuously assesses the adequacy of its product warranty accrual and makes adjustments as needed. Historical analysis is primarily used to determine the company’scompany's warranty reserves. Claims history is reviewed and provisions are adjusted as needed. However, the company does consider other events, such as a product
Part II
MD&A - Accounting Estimates and Pronouncements


recall, which could warrant additional warranty reserve provision. See Accrued Expenses in the Notes to the Consolidated Financial Statements for a reconciliation of the changes in the warranty accrual.


Accounting for Stock-Based Compensation


The company accounts for share based compensation under the provisions of Compensation—Stock Compensation, ASC 718. The company has not made any modifications to the terms of any previously granted awards and no changes have been made regarding the valuation methodologies or assumptions used to determine the fair value of awards granted and the company continues to use a Black-Scholes valuation model to value options granted. As of December 31, 2017,2019, there was $15,030,000$16,722,000 of total unrecognized compensation cost from stock-based compensation arrangements, which is related to non-vested options and shares, and includes $7,005,000$8,453,000 related to restricted stock awards $5,523,000and $8,269,000 related to performance awards and $2,502,000 related to non-qualified stock options. awards. 


The substantial majorityMost of the options awarded have been granted at exercise prices equal to the market value of the underlying stock on the date of grant. Restricted stock awards granted without cost to the recipients are expensed on a straight-line basis over the vesting periods. Performance awards granted are expensed based on estimated achievement of the performance objectives over the relevant performance award periods.

Part IIManagement Discussion & AnalysisAccounting Estimates and Pronouncements
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Income Taxes


As part of the process of preparing its financial statements, the company is required to estimate income taxes in various jurisdictions. The process requires estimating the company’scompany's current tax liability, including assessing uncertainties related to tax return filing positions, as well as estimating temporary differences due to the different treatment of items for tax and accounting policies. The temporary differences are reported as deferred tax assets and or liabilities. The company also must estimate whether it will more likely than not realize its deferred tax assets and whether a valuation allowance should be established. The company's deferred tax assets are offset by a valuation allowance in the U.S., Australia, Switzerland and New Zealand and for one entity in China.Zealand. In the event that actual results differ from its estimates, the company’scompany's provision for income taxes could be materially impacted. The company does not believe that there is a substantial likelihood that materially different amounts would be reported related to its critical accounting policies.


On December 22, 2017 the U.S. government enacted comprehensive tax legislation commonly referred to as the Tax Cuts and Jobs Act (the “Tax Act”). The Tax Act makes broad and complex changes the U.S. tax code, including, but not limited to, (1) reducing the U.S. federal corporate tax rate
from 35 percent to 21 percent; (2) requiring companies to pay a one-time transition tax on certain unrepatriated earnings, if any, of foreign subsidiaries; (3) generally eliminating U.S. federal income taxes on dividends from foreign subsidiaries; (4) requiring a current inclusion in U.S. federal taxable income of certain earnings of controlled foreign corporations; (5) eliminating the corporate alternative minimum tax (AMT) and changing how existing AMT credits can be realized; (6) creating a base erosion anti-abuse tax (BEAT), a new minimum tax, (7) creating a new limitation on deductible interest expense; and (8) changing rules related to uses and limitations of net operating loss carryforwards created in tax years beginning after December 31, 2017.


The SEC staff issued SAB 118, which provides guidance on accounting for the tax effects of the Tax Act.  SAB 118 provides a measurement period that should not extend beyond one year form the Tax Act enactment date for companies to complete the accounting under ASC 740. In accordance with SAB 118, a company must reflect the income tax effects of those aspects of the Tax Act for which the accounting under ASC 740 is complete. To the extent that a company’scompany's accounting for certain income tax effects of the Tax Act is incomplete but it is able to determine a reasonable estimate, it must record a provisional estimate in the financial statements. If a company cannot determine a provisional estimate to be included in the financial statements, it should continue to apply ASC 740 on the basis of the provisions of the tax laws that were in effect immediately before the enactment of the Tax Act.
The company does not believe that there is a substantial likelihood that materially different amounts would be reported related to its critical accounting policies.


Accounting for Convertible Debt and Related Derivatives


In 2016 and 2017, the company issued $150,000,000 and $120,000,000 aggregate principal amount of the 2021 and 2022 Notes, (the "Notes"), respectively. In 2019, the company repurchased $16,000,000 in aggregate principal amount of 2021 Notes for cash and entered into separate privately negotiated agreements with certain holders of its 2021 Notes to exchange $72,909,000 in aggregate principal amount of 2021 Notes for aggregate consideration of $72,909,000 in aggregate principal amount of new 5.00% Convertible Senior Exchange Notes due 2024 of the company and $6,928,000 in cash. In connection with the offering of the 2021 Notes and 2022 Notes, the company entered into privately negotiated convertible note hedge transactions with certain counterparties. These transactions cover, subject to customary anti-dilution adjustments, the number of the company’scompany's common shares that will initially underlie the Notes, and are expected generally to reduce the potential equity dilution, and/or offset any cash payments in excess of the principal amount due, as the case may be, upon conversion of the Notes.


The company entered into separate, privately negotiated warrant transactions with the option counterparties at a higher strike price relating to the same
Part II
MD&A - Accounting Estimates and Pronouncements

number of the company’scompany's common shares, subject to customary anti-dilution adjustments, pursuant to which the company sold warrants to the option counterparties. The warrants could have a dilutive effect on the company’scompany's outstanding common shares and the company’scompany's earnings per share to the extent that the price of the company’scompany's common shares exceeds the strike price of those warrants. The initial strike price of the warrants is $22.4175 and $21.4375 per share on the 2021 and 2022 Notes, respectively, and is subject to certain adjustments under the terms of the warrant transactions.


As a result of the repurchase of 2021 Notes in third quarter of 2019 and the exchange of 2021 Notes for new notes in the fourth quarter of 2019, a partial unwind of the note hedge options and warrants entered into with the issuance of the 2021 Notes also occurred during the fourth quarter of 2019. Note hedge options outstanding were reduced from the original number of 300,000 to 138,182 and warrants were reduced from the initial number of 9,007,380 to 3,860,624. The partial unwind of the note hedge options and warrants resulted in no net impact to cash or paid in capital.

The convertible debt conversion liabilities and the convertible note hedges arewere accounted for as derivatives that areand fair valued quarterly whileuntil no longer accounted for separately as a result of obtaining shareholder approval in May 2019 to settle the Notes with common shares. The warrants are included as equity. The fair value of the convertible debt conversion liabilities and the convertible note hedges arewere estimated using a lattice model incorporating the terms and conditions of the notes and considering, for example, changes in the prices of the company's common shares, company stock price volatility, risk-free rates and changes in market rates. The valuations are,were, among other things, subject to changes in both the company's credit worthiness and the counter-parties to the instruments as well as change in general market conditions. While the change in fair value of the convertible debt conversion liabilities and the convertible note hedges are generally expected to move in opposite directions, the net change in any given period may be material.










RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS
For the company’scompany's disclosure regarding recently issued accounting pronouncements, see Accounting Policies - Recent Accounting Pronouncements in the Notes to the Consolidated Financial Statements.
Part II
Management Discussion & AnalysisMD&A - Contractual Obligations
   
Table of Contents



CONTRACTUAL OBLIGATIONS

The company’scompany's contractual obligations as of December 31, 20172019 are as follows (in thousands):
Payments due by periodPayments due by period
Total 
Less than
1 year
 1-3 years 3-5 years 
More than
5 years
Total 
Less than
1 year
 1-3 years 3-5 years 
More than
5 years
5.00% Convertible Senior Subordinated Debentures due 2021$173,438
 $7,500
 $15,000
 $150,938
 $
4.500% Convertible Senior Subordinated Debentures due 2022143,850
 5,400
 10,800
 127,650
 
Purchase obligations (primarily computer systems contracts) (1)$235,138
 $27,598
 $59,240
 $56,840
 $91,460
4.500% Convertible Senior Subordinated Notes due 2022133,050
 5,400
 127,650
 
 
4.500% Convertible Senior Subordinated Notes due 202490,680
 3,645
 7,291
 79,744
 
5.00% Convertible Senior Subordinated Notes due 202164,528
 3,055
 61,473
 
 
Future lease obligations (2)67,931
 2,264
 6,793
 6,793
 52,081
Capital lease obligations41,793
 3,162
 5,708
 4,988
 27,935
39,753
 3,785
 6,017
 4,897
 25,054
Operating lease obligations32,313
 13,268
 13,244
 4,345
 1,456
21,625
 8,063
 9,919
 2,532
 1,111
Purchase obligations (primarily computer systems contracts)21,481
 12,502
 7,369
 1,610
 
Product liability16,480
 2,905
 6,470
 2,992
 4,113
16,150
 2,736
 6,414
 3,019
 3,981
Supplemental Executive Retirement Plan6,027
 391
 782
 782
 4,072
5,824
 391
 782
 782
 3,869
Other, principally deferred compensation6,165
 572
 221
 
 5,372
5,354
 
 
 
 5,354
Total$441,547
 $45,700
 $59,594
 $293,305
 $42,948
$680,033
 $56,937
 $285,579
 $154,607
 $182,910

________________________
(1) In October 2019, the company entered into an agreement to outsource substantially all of the company’s information technology business service activities, including, among other things, support, rationalization and upgrading of the company’s legacy information technology systems and implementation of a global enterprise resource planning system and eCommerce platform.
(2) In December 2018, the company entered into a lease agreement in Germany. The lease is not expected to commence until April 2020.

The table does not include any payments related to liabilities recorded for uncertain tax positions as the company cannot make a reasonably reliable estimate as to the timing of any other payments. See Income Taxes in the Notes to the Consolidated Financial Statements included in this report.


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Items 7 - 9 
   
Table of Contents




Item 7A.Quantitative and Qualitative Disclosures about Market Risk.


The company is at times exposed to market risk through various financial instruments, including fixed rate and floating rate debt instruments. Based on December 31, 20172019 debt levels, a 1% change in interest rates would have no impact on annual interest expense as the company did not have any variable rate debt outstanding. Additionally, the company operates internationally and, as a result, is exposed to foreign currency fluctuations. Specifically, the exposure results from intercompany loans, intercompany sales or payments and third-party sales or payments. In an attempt to reduce this exposure, foreign currency forward contracts are utilized to hedge intercompany purchases and sales as well as third-party purchases and sales. The company does not believe that any potential loss related to these financial instruments would have a material adverse effect on the company’scompany's financial condition or results of operations.


The company is party to the Credit Agreement which was originally entered into on January 16, 2015 and matures in January 2021, as extended by an amendment to the Credit Agreement which became effective on November 30, 2016. Accordingly, while the company is exposed to increases in interest rates, its exposure to the volatility of the current market environment is currently limited until the Credit Agreement expires. The Credit Agreement contains customary default provisions, with certain grace periods and exceptions, which provide that events of default that include, among other things, failure to pay amounts due, breach of covenants, representations or warranties, bankruptcy, the occurrence of a material adverse effect, exclusion from any medical reimbursement program, and an interruption of any material manufacturing facilities for more than ten consecutive days. Should the company fail to comply with these requirements, the company would potentially have to attempt to obtain alternative financing and thus likely be required to pay much higher interest rates.


As of December 31, 2017,2019, the company had no borrowings outstanding under its Credit Agreement, which provides for a senior secured revolving credit facility for U.S. and Canadian borrowers of up to $100,000,000 at variable rates, subject to availability based on a borrowing base formula, and in addition provides for a revolving credit, letter of credit and swing line loan facility for European borrowers allowing borrowing up to an aggregate principal amount of $30,000,000 at variable rates, also subject to availability based on a borrowing base formula. As of December 31, 2017,2019, the company had $150,000,000$61,091,000, $120,000,000 and $120,000,000$72,909,000 in principal amount outstanding of its fixed rate 2021 Notes, 2022 Notes and 20222024 Notes, respectively.




 
Item 8.Financial Statements and Supplementary Data.


Reference is made to the Report of Independent Registered Public Accounting Firm, Consolidated Balance Sheets, Consolidated Statement of Comprehensive Income (Loss),Loss, Consolidated Statement of Cash Flows, Consolidated Statement of Shareholders’Shareholders' Equity, Notes to Consolidated Financial Statements and Financial Statement Schedule, which appear on pages 6973 to 124133 of this Annual Report on Form 10-K.


Item 9.Changes in and Disagreements with Accountants on Accounting and Financial Disclosure.
None.


Item 9A.    Controls and Procedures.
(a) Evaluation of Disclosure Controls and Procedures
As of December 31, 20172019, an evaluation was performed, under the supervision and with the participation of the company’scompany's management, including the Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of the company’scompany's disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)). Based on that evaluation, the company’scompany's management, including the Chief Executive Officer and Chief Financial Officer, concluded that the company’scompany's disclosure controls and procedures were effective as of December 31, 20172019, in ensuring that information required to be disclosed by the company in the reports it files and submits under the Exchange Act is (1) recorded, processed, summarized and reported, within the time periods specified in the Commission’sCommission's rules and forms and (2) accumulated and communicated to the company’scompany's management, including the Chief Executive Officer and Chief Financial Officer, as appropriate to allow for timely decisions regarding required disclosure.


(b) Management’sManagement's Annual Report on Internal Control Over Financial Reporting
Management is responsible for establishing and maintaining a system of adequate internal control over financial reporting that provides reasonable assurance that assets are safeguarded and that transactions are authorized, recorded and reported properly. The system includes self-monitoring mechanisms; regular testing by the company’scompany's internal auditors; a Code of Conduct; written policies and procedures; and a careful selection and training of employees. Actions are taken to correct deficiencies as they are identified. An effective internal control system, no matter how well designed, has inherent limitations—including the possibility of the circumvention or overriding of controls—and therefore can provide only reasonable assurance that errors and fraud
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Items 7 - 9
   
Table of Contents



that can be material to the financial statements are prevented or would be detected on a timely basis. Further, because of changes in conditions, internal control system effectiveness may vary over time.


Management’sManagement's assessment of the effectiveness of the company’scompany's internal control over financial reporting is based on the Internal Control—Integrated Framework published by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework).


In management’smanagement's opinion, internal control over financial reporting is effective as of December 31, 20172019.


(c) Attestation Report of the Independent Registered Public Accounting Firm
The company’scompany's independent registered public accounting firm, Ernst & Young LLP, audited the company’scompany's internal control over financial reporting and, based on that audit, issued its report regarding the company’scompany's internal control over financial reporting, which is included in this Annual Report on Form 10-K on page 70.74.


(d) Changes in Internal Control Over Financial Reporting
There have been no changes in the company’s internal control over financial reporting during the company’s last fiscal quarter that have materially affected, or are reasonably likely to materially affect, the company’s internal control over financial reporting.






















































 
Item 9B.    Other Information.
None.

Part III
Items 10 - 14 
   
Table of Contents




Item 10.Directors, Executive Officers and Corporate Governance.


Information required by Item 10 as to the executive officers of the company is included in Part I of this Annual Report on Form 10-K. The other information required by Item 10 as to the directors of the company, the Audit Committee, the Audit Committee financial experts, the procedures by which security holders may recommend nominees to the Board of Directors, compliance with Section 16(a) of the Exchange Act, code of ethics and corporate governance is incorporated herein by reference to the information set forth under the captions “Election of Directors,” “Corporate Governance,” and “Section“Delinquent Section 16(a) Beneficial Ownership Reporting Compliance”Reports” in the company’scompany's definitive Proxy Statement on Schedule 14A for the 20182020 Annual Meeting of Shareholders.


Item 11.        Executive Compensation.


The information required by Item 11 is incorporated by reference to the information set forth under the captions “Corporate Governance”, “Executive Compensation” and “CEO Pay Ratio” in the company’scompany's definitive Proxy Statement on Schedule 14A for the 20182020 Annual Meeting of Shareholders.


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


The information required by Item 12 is incorporated by reference to the information set forth under the caption “Security Ownership of Certain Beneficial Holders and Management” in the company’scompany's definitive Proxy Statement on Schedule 14A for the 20182020 Annual Meeting of Shareholders.


Information regarding the securities authorized for issuance under the company’scompany's equity compensation plans is incorporated by reference to the information set forth under the captions “Equity Compensation Plan Information” in the company’scompany's definitive Proxy Statement on Schedule 14A for the 20182020 Annual Meeting of Shareholders.
























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


The information required by Item 13 is incorporated by reference to the information set forth under the caption “Certain Relationships and Related Transactions” in the company’scompany's definitive Proxy Statement on Schedule 14A for the 20182020 Annual Meeting of Shareholders.


Item 14.Principal Accountant Fees and Services.


The information required by Item 14 is incorporated by reference to the information set forth under the caption “Independent Registered Public Accounting Firm Fees and Services” in the company’scompany's definitive Proxy Statement on Schedule 14A for the 20182020 Annual Meeting of Shareholders.


Part IV
Items 15 - 16
   
Table of Contents





Item 15.        Exhibits and Financial Statement Schedules.


(a)(1) Financial Statements.
The following financial statements of the company are included in Part II, Item 8:
Consolidated Statement of Comprehensive Income (Loss)—Loss—years ended December 31, 20172019, 20162018 and 20152017
Consolidated Balance Sheet—December 31, 20172019 and 20162018
Consolidated Statement of Cash Flows—years ended December 31, 20172019, 20162018 and 20152017
Consolidated Statement of Shareholders’Shareholders' Equity—years ended December 31, 20172019, 20162018 and 20152017
Notes to Consolidated Financial Statements


(a)(2) Financial Statement Schedules.
The following financial statement schedule of the company is included in Part II, Item 8:
Schedule II—Valuation and Qualifying Accounts
All other schedules have been omitted because they are not applicable or not required, or because the required information is included in the Consolidated Financial Statements or notes thereto.


(a)(3) Exhibits.
See Exhibit Index at page number 6366 of this Annual Report on Form 10-K.


Item 16.        Form 10-K Summary.


None.








Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized as of March 9, 2018.2020.
 
 INVACARE CORPORATION
   
 By:/s/    MATTHEW E. MONAGHAN
  Matthew E. Monaghan
  Chairman of the Board of Directors, President and Chief Executive Officer


Exhibit Index 
 
   
Table of Contents


INVACARE CORPORATION
Report on Form 10-K for the fiscal year ended December 31, 2017.2019.


Official
Exhibit No.
Description 
Sequential
Page No.
Membership Interest Purchase Agreement among Invacare Continuing Care, Inc., Invacare Corporation and Joerns Healthcare Parent, LLC, dated July 2, 2015. (Pursuant to Item 601(b)(2) of Regulation S-K, the registrant hereby agrees to supplementally furnish to the Securities and Exchange Commission upon request any omitted schedule or exhibit to the agreement.) (A)
Share Purchase Agreement among Invacare Corporation, Garden City Medical Inc. and Compass Health Brands Corp., dated September 30, 2016. (Pursuant to Item 601(b)(2) of Regulation S-K, the registrant hereby agrees to supplementally furnish to the Securities and Exchange Commission upon request any omitted schedule or exhibit to the agreement.) (B)
Securities Purchase Agreement among Allied Motion Christchurch Limited, Invacare Holdings New Zealand and Invacare Corporation, dated March 6, 2020. (Pursuant to Item 601(b)(2) of Regulation S-K, the registrant hereby agrees to supplementally furnish to the Securities and Exchange Commission upon request any omitted schedule or exhibit to the agreement.)(OO)
Second Amended and Restated Articles of Incorporation (C)
Second Amended and Restated Code of Regulations, as amended (D)
Amendment No. 1 to the Second Amended and Restated Articles of Incorporation(E)
Specimen Share Certificate for Common Shares (E)(F)
Specimen Share Certificate for Class B Common Shares (E)(F)
Indenture, dated as of February 23, 2016, by and between Invacare Corporation and Wells Fargo Bank, National Association (including the form of the 5.00% Convertible Senior Notes due 2021). (F)(G)
Indenture, dated as of June 14, 2017, by and between Invacare Corporation and Wells Fargo Bank, National Association (including the form of the 4.50% Convertible Senior Notes due 2022). (DD)(H)
Indenture, dated as of November 19, 2019, by and between Invacare Corporation and Wells Fargo Bank, N.A., as Trustee (including the form of the 5.00% Convertible Senior Exchange Notes due 2024).(I)
Description of Securities Registered Under the Exchange Act.
Invacare Retirement Savings Plan, effective January 1, 2001, as amended (G)(J)*
Invacare Corporation 401(K) Plus Benefit Equalization Plan, effective January 1, 2003, as amended and restated (G)(J)*
Invacare Corporation Deferred Compensation Plus Plan, effective January 1, 2005, as amended August 19, 2009 and on November 23, 2010 (H)(K)*
Amendment No. 3 to Invacare Corporation Deferred Compensation Plus Plan, effective January 1, 2005 (I)(L)*
Invacare Corporation Death Benefit Only Plan, effective January 1, 2005, as amended (G)(J)*
Supplemental Executive Retirement Plan, as amended and restated effective February 1, 2000 (J)(M)*
Cash Balance Supplemental Executive Retirement Plan, as amended and restated, effective December 31, 2008 (K)(N)*
Amendment No. 1 to the Cash Balance Supplemental Executive Retirement Plan, effective August 19, 2009 (N)(O)*
Form of Participation Agreement, for current participants in the Cash Balance Supplemental Executive Retirement Plan, as of December 31, 2008, entered into by and between the company and certain participants and a schedule of all such agreements with participants (M)(P)*
Invacare Corporation Amended and Restated 2003 Performance Plan (N)(O)*
Form of Director Stock Option Award under Invacare Corporation 2003 Performance Plan (G)*
Form of Director Deferred Option Award under Invacare Corporation 2003 Performance Plan(H)*
Form of Restricted Stock Award under Invacare Corporation 2003 Performance Plan(I)
Form of Stock Option Award under Invacare Corporation 2003 Performance Plan(G)*
Form of Executive Stock Option Award under Invacare Corporation 2003 Performance Plan(G)*
Form of Switzerland Stock Option Award under Invacare Corporation 2003 Performance Plan(G)*
Form of Switzerland Executive Stock Option Award under Invacare Corporation 2003 Performance Plan(G)(J)*
Exhibit Index
  
   
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Official
Exhibit No.
Description 
Sequential
Page No.
Form of Director Deferred Option Award under Invacare Corporation 2003 Performance Plan(K)*
Form of Restricted Stock Award under Invacare Corporation 2003 Performance Plan(L)
Form of Stock Option Award under Invacare Corporation 2003 Performance Plan(J)*
Form of Executive Stock Option Award under Invacare Corporation 2003 Performance Plan(J)*
Form of Switzerland Stock Option Award under Invacare Corporation 2003 Performance Plan(J)*
Form of Switzerland Executive Stock Option Award under Invacare Corporation 2003 Performance Plan(J)*
Invacare Corporation 2013 Equity Compensation Plan (O)(Q)
Amendment No. 1 to the Invacare Corporation 2013 Equity Compensation Plan (P)(R)*
Form of Executive Stock Option Award under the Invacare Corporation 2013 Equity Compensation Plan (Q)(S)
Form of Stock Option Award under the Invacare Corporation 2013 Equity Compensation Plan (Q)(S)
Form of Executive Stock Option Award for Swiss Employees under the Invacare Corporation 2013 Equity Compensation Plan (Q)(S)
Form of Stock Option Award for Swiss Employees under the Invacare Corporation 2013 Equity Compensation Plan (Q)(S)
Form of Director Restricted Stock Award under the Invacare Corporation 2013 Equity Compensation Plan (Q)(S)
Form of Restricted Stock Award under the Invacare Corporation 2013 Equity Compensation Plan (Q)(S)
Form of Performance Share Award Agreement under the Invacare Corporation 2013 Equity Compensation Plan (R)(T)
Form of Restricted Stock Award Agreement for Employees under the Invacare Corporation 2013 Equity Compensation Plan (S)(U)
Form of Director Restricted Stock Unit under the Invacare Corporation 2013 Equity Compensation Plan (FF)(V)
Invacare Corporation Executive Incentive Bonus Plan, as amended and restated (P)(R)*
Employment Agreement, dated as of January 21, 2015, by and between the company and Matthew E. Monaghan. (T)(W)*
Letter Agreement, dated as of February 20, 2018, by and between Invacare Corporation and Kathleen P. Leneghan. (U)(X)*
Letter agreement, dated as of April 15, 2015, by and between the company and Dean J. Childers.(M)*
Letter agreement, dated as of July 31, 2008, by and between the company and Anthony C. LaPlaca. (M)(P)*
Employment Agreement, dated as of October 21, 2016, by and between the company and Ralf Ledda. (FF)(V)
Change of Control Agreement, dated as of December 31, 2008, by and between the company and Anthony C. LaPlaca *(Y)
Form of Change of Control Agreement entered into by and between the company and certain of its executive officers and schedule of all such agreements with certain executive officers (Z)*
Technical Information & Non-Competition Agreement, dated April 1, 2015, entered into by and between the company and Matthew E. Monaghan (M)(P)*
Technical Information & Non-Competition Agreement, dated April 6, 2008, entered into by and between the company and Robert K. Gudbranson (M)(P)*
Technical Information & Non-Competition Agreement entered into by and between the company and certain of its executive officers and schedule of all such agreements with executive officers (M)(Z)*
Exhibit Index

Official
Exhibit No.
Description
Sequential
Page No.
Indemnity Agreement, dated April 1, 2015, entered into by and between the company and Matthew E. Monaghan. (M)(P)*
Form of Indemnity Agreement entered into by and between the company and its directors and certain of its executive officers and schedule of all such agreements with directors and executive officers (Z)*
Form of Rule 10b5-1 Sales Plan entered into between the company and certain of its executive officers and other employees and a schedule of all such agreements with executive officers and other employees (H)
Exhibit Index
Table of Contents

Official
Exhibit No.
Description
Sequential
Page No.
(K)
Director Compensation Schedule *
2012 Non-employee Directors Deferred Compensation Plan, effective January 1, 2012, Amended and Restated as of November 17, 2016 (FF)(V)
Retirement Agreement and Release, dated as of November 14, 2014, by and between Invacare Corporation and A. Malachi Mixon, III. (V)(AA)*
Purchase and Sale Agreement, dated as of February 24, 2015, by and between the company and Industrial Realty Group, LLC. (W)(BB)
Form of Lease Agreement by and among the company and the affiliates of

Industrial Realty Group, LLC named therein.
 (W)(BB)
Amended and Restated Revolving Credit and Security Agreement, dated as of September 30, 2015, by and among the company, the other Borrowers party thereto, the Guarantors party thereto, the Lenders party thereto, PNC Bank, National Association, as administrative agent, JP Morgan Chase Bank, N.A. and J.P. Morgan Europe Limited, as European agent. (X)(CC)
First Amendment to Amended and Restated Revolving Credit and Security Agreement, dated as of February 16, 2016, by and among the company, the other borrowers party thereto, the guarantors party thereto, the lenders party thereto, PNC Bank, National Association, as administrative agent, and J.P. Morgan Europe Limited, as European agent. (Y)(DD)
Second Amendment to Amended and Restated Revolving Credit and Security Agreement, dated as of May 3, 2016 by and among the company, the other borrowers party thereto, the guarantors party thereto, the lenders party thereto, PNC Bank, National Association, as administrative agent, and J.P. Morgan Europe Limited, as European agent. (FF)(V)
Third Amendment to Amended and Restated Revolving Credit and Security Agreement, dated as of September 30, 2016, by and among the company, the other borrowers party thereto, the guarantors party thereto, the lenders party thereto, PNC Bank, National Association, as administrative agent, and J.P. Morgan Europe Limited, as European agent. (FF)(V)
Fourth Amendment to Amended and Restated Revolving Credit and Security Agreement, dated as of November 30, 2016, by and among the company, the other borrowers party thereto, the guarantors party thereto, the lenders party thereto, PNC Bank, National Association, as agent for the lenders, and J.P. Morgan Europe Limited, as European agent for the lenders. (Z)(EE)
Call Option Transaction Confirmation entered into between JPMorgan Chase Bank, National Association, London Branch and Invacare Corporation as of February 17, 2016(F)
Call Option Transaction Confirmation entered into between Wells Fargo Bank, National Association and Invacare Corporation as of February 17, 2016(F)
Warrants Confirmation between Invacare Corporation to JPMorgan Chase Bank, National Association, London Branch as of February 17, 2016(F)
Warrants Confirmation between Invacare Corporation to Wells Fargo Bank, National Association as of February 17, 2016(F)
Additional Call Option Transaction Confirmation, dated March 4, 2016, between JPMorgan Chase Bank, National Association, London Branch and Invacare Corporation.(AA)
Additional Call Option Transaction Confirmation, dated March 4, 2016, between Wells Fargo Bank, National Association and Invacare Corporation.(AA)
Additional Warrants Confirmation, dated March 4, 2016, between JPMorgan Chase Bank, National Association, London Branch and Invacare Corporation.(AA)
Additional Warrants Confirmation, dated March 4, 2016, between Wells Fargo Bank, National Association and Invacare Corporation.(AA)
Form of Performance-Based Stock Option Award under Invacare Corporation 2013 Equity Compensation Plan.(BB)
Waiver and Fifth Amendment to Amended and Restated Revolving Credit and Security Agreement, dated as of November 30, 2016, by and among the company, the other borrowers party thereto, the guarantors party thereto, the lenders party thereto, PNC Bank, National Association, as agent for the lenders, and J.P. Morgan Europe Limited, as European agent for the lenders. 10(CC)10(FF)
Base Sixth Amendment to Amended and Restated Revolving Credit and Security Agreement, dated as of November 13, 2019, by and among the company, the other borrowers party thereto, the guarantors party thereto, the lenders party thereto, PNC Bank, National Association, as agent for the lenders, and J.P. Morgan Europe Limited, as European agent for the lenders.10(I)
Call Option Transaction Confirmation dated June 8, 2017,entered into between Goldman Sachs & Co. LLCJPMorgan Chase Bank, National Association, London Branch and Invacare Corporation.Corporation as of February 17, 2016 10(DD)(G)
Call Option Transaction Confirmation entered into between Wells Fargo Bank, National Association and Invacare Corporation as of February 17, 2016(G)
Warrants Confirmation between Invacare Corporation to JPMorgan Chase Bank, National Association, London Branch as of February 17, 2016(G)
Warrants Confirmation between Invacare Corporation to Wells Fargo Bank, National Association as of February 17, 2016(G)
Exhibit Index
  
   
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Official
Exhibit No.
Description 
Sequential
Page No.
Additional Call Option Transaction Confirmation, dated March 4, 2016, between JPMorgan Chase Bank, National Association, London Branch and Invacare Corporation.(GG)
Additional Call Option Transaction Confirmation, dated March 4, 2016, between Wells Fargo Bank, National Association and Invacare Corporation.(GG)
Additional Warrants Confirmation, dated March 4, 2016, between JPMorgan Chase Bank, National Association, London Branch and Invacare Corporation.(GG)
Additional Warrants Confirmation, dated March 4, 2016, between Wells Fargo Bank, National Association and Invacare Corporation.(GG)
Partial Unwind Agreement, dated as of November 26, 2019, between Invacare Corporation and JPMorgan Chase Bank, National Association, London Branch.
Partial Unwind Agreement, dated as of November 22, 2019, between Invacare Corporation and Wells Fargo Bank, National Association.
Form of Performance-Based Stock Option Award under Invacare Corporation 2013 Equity Compensation Plan.(HH)
Base Call Option Transaction Confirmation, dated June 8, 2017, between Goldman Sachs & Co. LLC and Invacare Corporation.10(H)
Base Warrants Confirmation, dated June 8, 2017, between Goldman Sachs & Co. LLC and Invacare Corporation. 10(DD)10(H)
Additional Call Option Transaction Confirmation, dated June 9, 2017, between Goldman Sachs & Co. LLC and Invacare Corporation. 10(DD)10(H)
Additional Warrants Confirmation, dated June 9, 2017, between Goldman Sachs & Co. LLC and Invacare Corporation. 10(DD)10(H)
Separation Agreement and Release by and between Invacare Corporation and Patricia A. Stumpp. 10(EE)10(II)*
Invacare Corporation 2018 Equity Compensation Plan10(JJ)
Amendment No. 1 to Invacare Corporation 2018 Equity Compensation Plan10(E)*
Form of Restricted Stock Award under Invacare Corporation 2018 Equity Compensation Plan10(KK)
Form of Restricted Stock Unit Award under Invacare Corporation 2018 Equity Compensation Plan10(KK)
Form of Director Restricted Stock Unit Award under Invacare Corporation 2018 Equity Compensation Plan10(KK)
Form of Performance Award under Invacare Corporation 2018 Equity Compensation Plan10(KK)
Form of Performance Unit Award under Invacare Corporation 2018 Equity Compensation Plan10(KK)
Letter agreement, dated as of May 9, 2018, by and between the company and Darcie L. Karol10(KK)*
Separation Agreement and Release by and between Invacare Corporation and Dean J. Childers10(LL)*
Omnibus Amendment10(Z)
Master Information Technology Services Agreement by and between Invacare Corporation and Birlasoft Solutions, Inc. effective October 1, 2019.10(MM)
Subsidiaries of the company  
Consent of Independent Registered Public Accounting Firm  
Certification of the Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002  
Certification of the Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002  
Certification of the Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002  
Exhibit Index

Official
Exhibit No.
Description
Sequential
Page No.
Certification of the Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002  
Consent Decree of Permanent Injunction, as filed with the U.S. District Court for the Northern District of Ohio on December 20, 2012. (GG)(NN)
101.INS**Inline XBRL instance document  
101.SCH**Inline XBRL taxonomy extension schema  
101.CAL**Inline XBRL taxonomy extension calculation linkbase  
101.DEF**Inline XBRL taxonomy extension definition linkbase  
101.LAB**Inline XBRL taxonomy extension label linkbase  
101.PRE**Inline XBRL taxonomy extension presentation linkbase
104Cover Page Interactive Data File - 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).  
________________________
*Management contract, compensatory plan or arrangement
**Filed herewith






 
(A)Reference is made to Exhibit 2.1 of the company report on Form 8-K, dated July 2, 2015, which Exhibit is incorporated herein by reference.
(B)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated October 3, 2016, which Exhibit is incorporated herein by reference.
(C)Reference is made to Exhibit 3(a) of the company report on Form 10-K for the fiscal year ended December 31, 2008, which Exhibit is incorporated herein by reference.
(D)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated February 13, 2014, which Exhibit is incorporated herein by reference.
(E)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated May 16, 2019, which Exhibit is incorporated herein by reference.
(F)Reference is made to the appropriate Exhibit of the company report on Form 10-K for the fiscal year ended December 31, 2005, which Exhibit is incorporated herein by reference.
(F)(G)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated February 23, 2016, which Exhibit is incorporated herein by reference.
(G)(H)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated June 8, 2017, which Exhibit is incorporated herein by reference.
(I)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated November 13, 2019, which Exhibit is incorporated herein by reference.
(J)Reference is made to the appropriate Exhibit of the company report on Form 10-K for the fiscal year ended December 31, 2007, which Exhibit is incorporated herein by reference.
(H)(K)Reference is made to the appropriate Exhibit of the company report on Form 10-K for the fiscal year ended December 31, 2010, which Exhibit is incorporated herein by reference.
(I)(L)Reference is made to the appropriate Exhibit of the company report on Form 10-K for the fiscal year ended December 31, 2011, which Exhibit is incorporated herein by reference.
(J)(M)Reference is made to the appropriate Exhibit of the company report on Form 10-K for the fiscal year ended December 31, 2004, which Exhibit is incorporated herein by reference.
(K)(N)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated December 31, 2008, which Exhibit is incorporated herein by reference.
(O)Reference is made to Exhibit 10.1 of the company report on Form 8-K, dated May 21, 2009, which Exhibit is incorporated herein by reference.
Exhibit Index
  
   
Table of Contents



(L)Reference is made to the Exhibit 10.2 of the company report on Form 10-Q, dated September 30, 2009, which Exhibit is incorporated herein by reference.
(M)(P)Reference is made to the appropriate Exhibit of the company report on Form 10-K for the fiscal year ended December 31, 2015, which Exhibit is incorporated herein by reference.
(N)Reference is made to Exhibit 10.1 of the company report on Form 8-K, dated May 21, 2009, which Exhibit is incorporated herein by reference.
(O)(Q)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated May 16, 2013, which Exhibit is incorporated herein by reference.
(P)(R)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated May 14, 2015, which Exhibit is incorporated herein by reference.
(Q)(S)Reference is made to the appropriate Exhibit of the company report on Form 10-Q, for the fiscal quarter ended September 30, 2013, which Exhibit is incorporated herein by reference.
(R)(T)Reference is made to Exhibit 10.1 of the company report on Form 8-K, dated March 7, 2014, which Exhibit is incorporated herein by reference.
(S)(U)Reference is made to Exhibit 10.2 of the company report on Form 8-K, dated March 7, 2014, which Exhibit is incorporated herein by reference.
(T)(V)Reference is made to the appropriate Exhibit of the company report on Form 10-K for the fiscal year ended December 31, 2016, which Exhibit is incorporated herein by reference.
(W)Reference is made to Exhibit 10.1 of the company report on Form 8-K, dated January 21, 2015, which Exhibit is incorporated herein by reference.
(U)(X)Reference is made to Exhibit 10.1 of the company report on Form 8-K, dated February 22, 2018, which Exhibit is incorporated herein by reference.
(V)(Y)Reference is made to the appropriate Exhibit of the company report on Form 10-K for the fiscal year ended December 31, 2017, which Exhibit is incorporated herein by reference.
(Z)Reference is made to the appropriate Exhibit of the company report on Form 10-K for the fiscal year ended December 31, 2018, which Exhibit is incorporated herein by reference.
(AA)Reference is made to Exhibit 10.1 of the company report on Form 8-K, dated November 14, 2014, which Exhibit is incorporated herein by reference.
(W)(BB)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated April 23, 2015, which Exhibit is incorporated herein by reference.
(X)(CC)Reference is made to Exhibit 10.1 of the company report on Form 8-K, dated September 30, 2015, which Exhibit is incorporated herein by reference.
(Y)(DD)Reference is made to Exhibit 10.1 of the company report on Form 8-K, dated February 16, 2016, which Exhibit is incorporated herein by reference.
(Z)(EE)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated November 30, 2016, which Exhibit is incorporated herein by reference.
(AA)(FF)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated June 7, 2017, which Exhibit is incorporated herein by reference.
(GG)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated March 7, 2016, which Exhibit is incorporated herein by reference.
(BB)(HH)Reference is made to the appropriate Exhibit of the company report on Form 10-Q, for the fiscal quarter ended March 31, 2017, which Exhibit is incorporated herein by reference.
(CC)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated June 7, 2017, which Exhibit is incorporated herein by reference.
(DD)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated June 8, 2017, which Exhibit is incorporated herein by reference.
(EE)(II)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated December 14, 2017, which Exhibit is incorporated herein by reference.
(FF)(JJ)Reference is made to the appropriate Exhibit of the company report on Form 10-K for the fiscal year ended December 31, 2016,8-K, dated May 18, 2018, which Exhibit is incorporated herein by reference.
(GG)(KK)Reference is made to the appropriate Exhibit of the company report on Form 10-Q, for the fiscal quarter ended June 30, 2018, which Exhibit is incorporated herein by reference.
(LL)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated October 10, 2018, which Exhibit is incorporated herein by reference.
(MM)Reference is made to the appropriate Exhibit of the company report on Form 10-Q, for the fiscal quarter ended September 30, 2019, which Exhibit is incorporated herein by reference.
(NN)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated December 20, 2012, which Exhibit is incorporated herein by reference.
(OO)Reference is made to the appropriate Exhibit of the company report on Form 8-K, dated March 9, 2020, which Exhibit is incorporated herein by reference.


Signatures 
 
   
Table of Contents


Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, this Report has been signed below by the following persons on behalf of the Registrant and in the capacities indicated as of March 9, 2018.2020.
   
Signature  Title
  
/s/    MATTHEW E. MONAGHAN  Chairman of the Board of Directors, President and Chief Executive Officer (Principal Executive Officer)
Matthew E. Monaghan 
   
/s/    KATHLEEN P. LENEGHAN Senior Vice President and Chief Financial Officer (Principal Financial and Accounting Officer)
Kathleen P. Leneghan 
   
/s/    SUSAN H. ALEXANDER         Director
Susan H. Alexander 
   
/s/    BARBARA W. BODEM    JULIE A. BECK  Director
Barbara W. BodemJulie A. Beck
/s/    PETRA DANIELSOHN-WEIL, PhDDirector
Petra Danielsohn-Weil, PhD
/s/    DIANA S. FERGUSONDirector
Diana S. Ferguson  
   
/s/    MARC M. GIBELEY  Director
Marc M. Gibeley 
   
/s/    C. MARTIN HARRIS, M.D.         Director
C. Martin Harris, M.D. 
   
/s/    MICHAEL J. MERRIMANDirector
Michael J. Merriman
/s/    CLIFFORD D. NASTAS         Director
Clifford D. Nastas 
  
/s/ BAIJU R. SHAH Director
Baiju R. Shah  




Reports of Independent Registered Public Accounting Firm
  
   
Table of Contents




To the Shareholders and Board of Directors of Invacare Corporation


Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheets of Invacare Corporation and subsidiaries (the Company) as of December 31, 20172019 and 2016,2018, the related consolidated statements of comprehensive income (loss),loss, shareholders' equity and cash flows for each of the three years in the period ended December 31, 2017,2019, and the related notes and financial statement schedule listed in the Index at Item 15(a), (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company at December 31, 20172019 and 2016,2018, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 2017,2019, in conformity with U.S. generally accepted accounting principles.


We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the Company’sCompany's internal control over financial reporting as of December 31, 2017,2019, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework),and our report dated March 9, 20182020 expressed an unqualified opinion thereon.


Basis for Opinion
These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on the Company’sCompany's financial statements based on our audits. We are a public accounting firm registered with the 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 audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. Our audits included performing procedures to assess the risks of material misstatement of the 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 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 financial statements. We believe that our audits provide a reasonable basis for our opinion.


/s/ Ernst & Young LLP


We have served as the Company's auditor since 1984.


Cleveland, Ohio
March 9, 20182020



 


Reports of Independent Registered Public Accounting Firm 
 
   
Table of Contents




To the Shareholders and Board of Directors of Invacare Corporation


Opinion on Internal Control over Financial Reporting
We have audited Invacare Corporation and subsidiaries’subsidiaries' internal control over financial reporting as of December 31, 2017,2019, based on criteria established in Internal Control- Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework) (the COSO criteria). In our opinion, Invacare Corporation and subsidiaries (the Company) maintained, in all material respects, effective internal control over financial reporting as of December 31, 2017,2019, based on the COSO criteria.


We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the consolidated balance sheets of the Company as of December 31, 20172019 and 2016,2018, the related consolidated statements of comprehensive income (loss), shareholders’loss, shareholders' equity and cash flows for each of the three years in the period ended December 31, 2017,2019, and the related notes and financial statement schedule listed in the Index at Item 15(a) and our report dated March 9, 20182020 expressed an unqualified opinion thereon.


Basis for Opinion
The Company’sCompany's management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting included in the accompanying “Management’s“Management's Annual Report on Internal Control over Financial Reporting”. Our responsibility is to express an opinion on the Company’sCompany's internal control over financial reporting based on our audit. We are a public accounting firm registered with the 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 audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects.


Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.


Definition and Limitations of Internal Control Over Financial Reporting
A company’scompany'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’scompany's internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’scompany's assets that could have a material effect on the financial statements.


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


/s/ Ernst & Young LLP


Cleveland, Ohio
March 9, 20182020




Financial Statements
Consolidated Statements of Comprehensive Loss


INVACARE CORPORATION AND SUBSIDIARIES
Consolidated Statements of Comprehensive Loss
 Years Ended December 31,
 2019 2018 2017
 (In thousands, except per share data)
Net sales$927,964
 $972,347
 $966,497
Cost of products sold665,897
 704,671
 697,246
Gross Profit262,067
 267,676
 269,251
Selling, general and administrative expenses260,061
 281,906
 296,816
Charges related to restructuring activities11,829
 3,481
 12,274
Impairment of an intangible asset587
 583
 320
Operating Loss(10,410) (18,294) (40,159)
Net loss (gain) on convertible debt derivatives(1,197) (11,994) 3,657
Loss on debt extinguishment including debt finance charges and fees6,165
 
 
Interest expense29,076
 28,336
 22,907
Interest income(429) (534) (473)
Loss Before Income Taxes(44,025) (34,102) (66,250)
Income tax provision9,302
 9,820
 10,291
Net Loss$(53,327) $(43,922) $(76,541)
Net Loss per Share—Basic$(1.59) $(1.33) $(2.34)
Weighted Average Shares Outstanding—Basic33,594
 33,124
 32,752
Net Loss per Share—Assuming Dilution$(1.59) $(1.33) $(2.34)
Weighted Average Shares Outstanding—Assuming Dilution33,642
 33,543
 33,216
Net Loss$(53,327) $(43,922) $(76,541)
Other comprehensive income (loss):     
Foreign currency translation adjustments(8,499) (30,858) 54,591
Defined benefit plans:     
Amortization of prior service costs and unrecognized losses(596) 4,949
 3,596
Deferred tax adjustment resulting from defined benefit plan activity48
 (51) (67)
Valuation reserve associated with defined benefit plan activity(48) 51
 67
Current period gain (loss) on cash flow hedges(571) 1,894
 (2,088)
Deferred tax benefit (loss) related to gain (loss) on cash flow hedges1
 (62) 106
Other Comprehensive Income (Loss)(9,665) (24,077) 56,205
Comprehensive Loss$(62,992) $(67,999) $(20,336)

See notes to consolidated financial statements.
Financial Statements 
Table of Contents

INVACARE CORPORATION AND SUBSIDIARIES
Consolidated Statement of Comprehensive Income (Loss)
 Years Ended December 31,
 2017 2016 2015
 (In thousands, except per share data)
Net sales$966,497
 $1,047,474
 $1,142,338
Cost of products sold697,246
 763,847
 829,514
Gross Profit269,251
 283,627
 312,824
Selling, general and administrative expenses296,816
 303,781
 318,646
Gains on sale of businesses
 (7,386) (24)
Charges related to restructuring activities12,274
 2,447
 1,971
Impairment of an intangible asset320
 
 
Operating Loss(40,159) (15,215) (7,769)
Net loss (gain) on convertible debt derivatives3,657
 (1,268) 
Interest expense22,907
 15,875
 4,136
Interest income(473) (265) (165)
Loss from Continuing Operations Before Income Taxes(66,250) (29,557) (11,740)
Income taxes10,291
 13,299
 14,710
Loss from Continuing Operations(76,541)
(42,856) (26,450)
Gain on sale (net of tax of $0; $0 and $140)
 
 260
Total Net Earnings from Discontinued Operations
 
 260
Net Loss$(76,541) $(42,856) $(26,190)
Net Earnings (Loss) per Share—Basic:     
Net loss from continuing operations$(2.34) $(1.32) $(0.82)
Net earnings from discontinued operations$
 $
 $0.01
Net Loss per Share—Basic$(2.34) $(1.32) $(0.81)
Weighted Average Shares Outstanding—Basic32,752
 32,471
 32,171
Net Earnings (Loss) per Share—Assuming Dilution:     
Net loss from continuing operations$(2.34) $(1.32) $(0.82)
Net earnings from discontinued operations$
 $
 $0.01
Net Loss per Share—Assuming Dilution$(2.34) $(1.32) $(0.81)
Weighted Average Shares Outstanding—Assuming Dilution33,216
 32,590
 32,683
      
Net Loss$(76,541) $(42,856) $(26,190)
Other comprehensive income (loss):     
Foreign currency translation adjustments54,591
 (7,194) (81,404)
Defined benefit plans:     
Amortization of prior service costs and unrecognized losses3,596
 (1,580) (1,375)
Amounts arising during the year, primarily addition of new participants
 
 (784)
Deferred tax adjustment resulting from defined benefit plan activity(67) (134) (44)
Valuation reserve (reversal) associated with defined benefit plan activity67
 223
 47
Current period gain (loss) on cash flow hedges(2,088) (1,407) 2,731
Deferred tax benefit (loss) related to gain (loss) on cash flow hedges106
 144
 (177)
Other Comprehensive Income (Loss)56,205
 (9,948) (81,006)
Comprehensive Loss$(20,336) $(52,804) $(107,196)

See notes to consolidated financial statements.
Financial StatementsConsolidated Balance Sheets  
   
Table of Contents


INVACARE CORPORATION AND SUBSIDIARIES
Consolidated Balance Sheets
 
December 31,
2017
 December 31,
2016
(In thousands)December 31,
2019
 December 31,
2018
Assets   (In thousands)
Current Assets      
Cash and cash equivalents$176,528
 $124,234
$80,063
 $116,907
Trade receivables, net125,615
 116,307
116,669
 119,743
Installment receivables, net1,334
 1,368
736
 1,574
Inventories, net121,933
 135,644
120,500
 128,123
Other current assets31,504
 31,519
37,909
 31,063
Total Current Assets456,914
 409,072
355,877
 397,410
Other Assets97,576
 29,687
4,216
 6,360
Intangibles30,244
 29,023
26,447
 26,506
Property and Equipment, net80,016
 75,359
46,607
 45,984
Financing Lease Assets, net26,900
 28,322
Operating Lease Assets, net18,676
 
Goodwill401,283
 360,602
373,403
 381,273
Total Assets$1,066,033
 $903,743
$852,126
 $885,855
Liabilities and Shareholders’ Equity   
Liabilities and Shareholders' Equity   
Current Liabilities      
Accounts payable$90,566
 $88,236
$88,003
 $92,469
Accrued expenses118,697
 110,095
120,947
 99,867
Current taxes payable6,761
 7,269
345
 3,762
Short-term debt and current maturities of long-term obligations2,040
 15,261
58
 
Current portion of financing lease obligations2,514
 2,110
Current portion of operating lease obligations6,790
 
Total Current Liabilities218,064
 220,861
218,657
 198,208
Long-Term Debt241,405
 146,088
219,464
 225,733
Finance Lease Long-term Obligations26,480
 27,802
Operating Leases Long-term Obligations12,060
 
Other Long-Term Obligations183,270
 114,407
66,949
 74,965
Shareholders’ Equity   
Shareholders' Equity   
Preferred Shares (Authorized 300 shares; none outstanding)
 

 
Common Shares (Authorized 100,000 shares; 36,532 and 35,318 issued and outstanding in 2017 and 2016, respectively)—no par9,304
 8,974
Class B Common Shares (Authorized 12,000 shares; 6 and 729 issued and outstanding in 2017 and 2016)—no par2
 183
Common Shares (Authorized 150,000 shares; 37,609 and 37,010 issued and outstanding in 2019 and 2018, respectively)—no par9,588
 9,419
Class B Common Shares (Authorized 12,000 shares; 6 issued and outstanding in 2019 and 2018)—no par2
 2
Additional paid-in-capital290,125
 266,151
312,650
 297,919
Retained earnings187,999
 266,144
87,475
 142,447
Accumulated other comprehensive income (loss)36,870
 (19,335)
Treasury shares (3,701 and 3,616 shares in 2017 and 2016, respectively)(101,006) (99,730)
Total Shareholders’ Equity423,294
 422,387
Total Liabilities and Shareholders’ Equity$1,066,033
 $903,743
Accumulated other comprehensive income3,128
 12,793
Treasury shares (3,953 and 3,841 shares in 2019 and 2018, respectively)(104,327) (103,433)
Total Shareholders' Equity308,516
 359,147
Total Liabilities and Shareholders' Equity$852,126
 $885,855


See notes to consolidated financial statements.
Financial Statements
Consolidated Statements of Cash Flows

INVACARE CORPORATION AND SUBSIDIARIES
Consolidated Statements of Cash Flows
 Years Ended December 31,
 2019 2018 2017
Operating Activities(In thousands)
Net loss$(53,327) $(43,922) $(76,541)
Adjustments to reconcile net earnings to net cash used by operating activities:     
Depreciation and amortization15,563
 15,556
 14,631
Amortization operating lease right of use assets8,927
 
 
Provision for losses on trade and installment receivables955
 2,029
 2,042
Benefit for deferred income taxes(830) (2,800) (4,370)
Provision (benefit) for other deferred liabilities1,144
 (121) 589
Provision for equity compensation11,110
 5,283
 7,347
Loss (gain) on disposals of property and equipment182
 928
 (87)
Loss on debt extinguishment including debt finance charges and associated fees6,165
 
 
Impairment of an intangible asset587
 583
 320
Amortization of convertible debt discount12,325
 11,608
 8,811
Amortization of debt fees2,384
 2,489
 2,220
Net loss (gain) on convertible debt derivatives(1,197) (11,994) 3,657
Changes in operating assets and liabilities:     
Trade receivables1,474
 (666) 2,395
Installment sales contracts, net434
 (603) (930)
Inventories6,466
 (11,497) 22,263
Other current assets(7,314) (873) 1,925
Accounts payable(3,603) 4,505
 (2,168)
Accrued expenses2,276
 (17,158) (5,711)
Other long-term liabilities(978) 230
 (2,167)
Net Cash Provided (Used) by Operating Activities2,743
 (46,423) (25,774)
Investing Activities     
Purchases of property and equipment(10,874) (9,823) (14,569)
Proceeds from sale of property and equipment73
 40
 369
Advance Payment from Sale of Property
 3,524
 
Decrease in other long-term assets(781) (116) (361)
Other(32) 12
 (87)
Net Cash Used by Investing Activities(11,614) (6,363) (14,648)
Financing Activities     
Proceeds from revolving lines of credit and long-term borrowings
 
 95,220
Repurchases of convertible debt and capital lease payments(17,196) (1,493) (16,308)
Proceeds from exercise of stock options
 2,626
 2,676
Payment of financing costs(1,278) 
 (4,711)
Payment of dividends(1,645) (1,630) (1,604)
Issuance of warrants
 
 14,100
Payments to debt holders(6,928) 
 
Purchases of treasury shares(894) (2,427) (1,276)
Net Cash Provided (Used) by Financing Activities(27,941) (2,924) 88,097
Effect of exchange rate changes on cash(32) (3,911) 4,619
Increase (decrease) in cash and cash equivalents(36,844) (59,621) 52,294
Cash and cash equivalents at beginning of year116,907
 176,528
 124,234
Cash and cash equivalents at end of year$80,063
 $116,907
 $176,528

See notes to consolidated financial statements.
Financial Statements 
Table of Contents

INVACARE CORPORATION AND SUBSIDIARIES
Consolidated Statement of Cash Flows
 Years Ended December 31,
 2017 2016 2015
Operating Activities(In thousands)
Net loss$(76,541) $(42,856) $(26,190)
Adjustments to reconcile net earnings to net cash provided by operating activities:     
Gains on sale of businesses (pre-tax)
 (7,386) (24)
Gain on sale of discontinued operations
 
 (400)
Depreciation and amortization14,631
 14,635
 18,204
Provision for losses on trade and installment receivables2,042
 1,059
 754
Provision (benefit) for deferred income taxes(4,370) 901
 3,588
Provision for other deferred liabilities589
 996
 266
Provision for stock-based compensation7,347
 6,894
 4,013
Loss (gain) on disposals of property and equipment(87) 51
 5,135
Loss on debt extinguishment including debt finance charges and associated fees
 
 668
Impairment of an intangible asset320
 
 
Amortization of convertible debt discount8,811
 5,454
 796
Amortization of debt fees2,220
 1,991
 558
Loss (gain) on convertible debt derivatives3,657
 (1,268) 
Changes in operating assets and liabilities:     
Trade receivables2,395
 10,210
 9,164
Installment sales contracts, net(930) (1,236) 283
Inventories22,263
 (9,944) 11,610
Other current assets1,925
 84
 5,283
Accounts payable(2,168) (13,648) (7,240)
Accrued expenses(5,711) (18,491) (22,003)
Other long-term liabilities(2,167) (4,059) (9,843)
Net Cash Used by Operating Activities(25,774) (56,613) (5,378)
Investing Activities     
Purchases of property and equipment(14,569) (10,151) (7,522)
Proceeds from sale of property and equipment369
 42
 23,117
Proceeds from sale of businesses
 13,829
 13,700
Decrease in other long-term assets(361) (167) 15,003
Other(87) 96
 78
Net Cash Provided (Used) for Investing Activities(14,648) 3,649
 44,376
Financing Activities     
Proceeds from revolving lines of credit and long-term borrowings95,220
 122,025
 219,603
Payments on revolving lines of credit and long-term borrowings(16,308) (2,830) (232,808)
Proceeds from exercise of equity awards2,676
 17
 2,402
Payment of financing costs(4,711) (6,125) (1,954)
Payment of dividends(1,604) (1,583) (1,589)
Issuance of warrants14,100
 12,376
 
Purchases of treasury shares(1,276) (5,331) 
Net Cash Provided (Used) by Financing Activities88,097
 118,549
 (14,346)
Effect of exchange rate changes on cash4,619
 (1,406) (3,528)
Increase in cash and cash equivalents52,294
 64,179
 21,124
Cash and cash equivalents at beginning of year124,234
 60,055
 38,931
Cash and cash equivalents at end of year$176,528
 $124,234
 $60,055

See notes to consolidated financial statements.
Financial Statements of Shareholders' Equity  
   
Table of Contents


INVACARE CORPORATION AND SUBSIDIARIES
Consolidated Statement of Shareholders' Equity
(In thousands)
Common
Stock
 
Class B
Stock
 
Additional
Paid-in-
Capital
 
Retained
Earnings
 
Accumulated Other
Comprehensive
Earnings
 
Treasury
Stock
 Total
Common
Stock
 
Class B
Stock
 
Additional
Paid-in-
Capital
 
Retained
Earnings
 
Accumulated Other
Comprehensive
Earnings
 
Treasury
Stock
 Total
January 1, 2015 Balance$8,591
 $272
 $240,743
 $338,362
 $71,619
 $(94,265) $565,322
Exercise of stock options43
 
 2,359
 
 
 
 2,402
Non-qualified stock option
 
 1,228
 
 
 
 1,228
Restricted stock awards93
 
 2,692
 
 
 (134) 2,651
Conversion from Class B to Common Stock88
 (88) 
 
 
 
 
Net loss
 
 
 (26,190) 
 
 (26,190)
Foreign currency translation adjustments
 
 
 
 (81,404) 
 (81,404)
Unrealized gain on cash flow hedges
 
 
 
 2,554
 
 2,554
Defined benefit plans:             
Amortization of prior service costs and unrecognized losses and credits
 
 
 
 (1,372) 
 (1,372)
Additions - new participants
 
 
 
 (784) 
 (784)
Total comprehensive loss
 
 
 
 
 
 (107,196)
Dividends
 
 
 (1,589) 
 
 (1,589)
December 31, 2015 Balance8,815
 184
 247,022
 310,583
 (9,387) (94,399) 462,818
Deferred equity compensation69
 
 (69) 
 
 
 
Exercise of stock options
 
 17
 
 
 
 17
Performance awards
 
 1,110
 
 
 
 1,110
Non-qualified stock options
 
 745
 
 
 
 745
Restricted stock awards89
 
 4,950
 
 
 (331) 4,708
Conversion from Class B to Common Stock1
 (1) 
 
 
 
 
Net loss
 
 
 (42,856) 
 
 (42,856)
Foreign currency translation adjustments
 
 
 
 (7,194) 
 (7,194)
Unrealized loss on cash flow hedges
 
 
 
 (1,263) 
 (1,263)
Defined benefit plans:             
Amortization of prior service costs and unrecognized losses and credits
 
 
 
 (1,491) 
 (1,491)
Total comprehensive loss
 
 
 
 
 
 (52,804)
Issuance of warrants
 
 12,376
 
 
 
 12,376
Dividends
 
 
 (1,583) 
 
 (1,583)
Purchase of treasury shares
 
 
 
 
 (5,000) (5,000)
December 31, 2016 Balance8,974
 183
 266,151
 $266,144
 (19,335) (99,730) 422,387
January 1, 2017 Balance$8,974
 $183
 $266,151
 $266,144
 $(19,335) $(99,730) $422,387
Exercise of stock options48
 
 2,628
 
 
 (65) 2,611
48
 
 2,628
 
 
 (65) 2,611
Performance awards
 
 1,834
 
 
 
 1,834

 
 1,834
 
 
 
 1,834
Non-qualified stock options
 
 865
 
 
 
 865

 
 865
 
 
 
 865
Restricted stock awards101
 
 4,547
 
 
 (1,211) 3,437
101
 
 4,547
 
 
 (1,211) 3,437
Conversion from Class B to Common Stock181
 (181) 
 
 
 
 
181
 (181) 
 
 
 
 
Net loss
 
 
 (76,541) 
 
 (76,541)
 
 
 (76,541) 
 
 (76,541)
Foreign currency translation adjustments
 
 
 
 54,591
 
 54,591

 
 
 
 54,591
 
 54,591
Unrealized loss on cash flow hedges
 
 
 
 (1,982) 
 (1,982)
 
 
 
 (1,982) 
 (1,982)
Defined benefit plans:                          
Amortization of prior service costs and unrecognized losses and credits
 
 
 
 3,596
 
 3,596

 
 
 
 3,596
 
 3,596
Total comprehensive loss
 
 
 
 
 
 (20,336)
 
 
 
 
 
 (20,336)
Issuance of warrants
 
 14,100
 
 
 
 14,100

 
 14,100
 
 
 
 14,100
Dividends
 
 
 (1,604) 
 
 (1,604)
 
 
 (1,604) 
 
 (1,604)
December 31, 2017 Balance$9,304
 $2
 $290,125
 $187,999
 $36,870
 $(101,006) $423,294
9,304
 2
 290,125
 187,999
 36,870
 (101,006) 423,294
             
Exercise of stock options46
 
 2,580
 
 
 (919) 1,707
Performance awards
 
 777
 
 
 
 777
Non-qualified stock options
 
 201
 
 
 
 201
Restricted stock awards69
 
 4,236
 
 
 (1,508) 2,797
Net loss
 
 
 (43,922) 
 
 (43,922)
Foreign currency translation adjustments
 
 
 
 (30,858) 
 (30,858)
Unrealized loss on cash flow hedges
 
 
 
 1,832
 
 1,832
Defined benefit plans:             
Amortization of prior service costs and unrecognized losses and credits
 
 
 
 4,949
 
 4,949
Total comprehensive loss
 
 
 
 
 
 (67,999)
Dividends
 
 
 (1,630) 
 
 (1,630)
December 31, 2018 Balance9,419
 2
 297,919
 142,447
 12,793
 (103,433) 359,147
Performance awards29
 
 4,370
 
 
 (348) 4,051
Non-qualified stock options
 
 1,939
 
 
 
 1,939
Restricted stock awards140
 
 4,632
 
 
 (546) 4,226
Net loss
 
 
 (53,327) 
 
 (53,327)
Foreign currency translation adjustments
 
 
 
 (8,499) 
 (8,499)
Unrealized loss on cash flow hedges
 
 
 
 (570) 
 (570)
Defined benefit plans:             
Amortization of prior service costs and unrecognized losses and credits
 
 
 
 (596) 
 (596)
Total comprehensive loss
 
 
 
 
 
 (62,992)
Convertible debt derivative adjustments    (220)       (220)
Exchange of convertible notes    4,010
       4,010
Dividends
 
 
 (1,645) 
 
 (1,645)
December 31, 2019 Balance$9,588
 $2
 $312,650
 $87,475
 $3,128
 $(104,327) $308,516

See notes to consolidated financial statements.
Notes to Financial Statements
Accounting Policies
   
Table of Contents





Accounting Policies

Nature of Operations: Invacare Corporation is a leading manufacturer and distributor of medical equipment used in the home based upon the company’scompany's distribution channels, breadth of product line and net sales. The company designs, manufactures and distributes an extensive line of health care products for the non-acute care environment, including the home health care, retail and continuing care markets.


Principles of Consolidation: The consolidated financial statements include the accounts of the company and its wholly owned subsidiaries and include all adjustments, which were of a normal recurring nature, necessary to present fairly the financial position of the company as of December 31, 20172019 and the results of its operations and changes in its cash flow for the years ended December 31, 2017, 20162019, 2018 and 2015,2017, respectively. Certain foreign subsidiaries, represented by the European segment, are consolidated using a November 30 fiscal year end to meet filing deadlines. No material subsequent events have occurred related to the European segment, which would require disclosure or adjustment to the company’scompany's financial statements. All significant intercompany transactions are eliminated.


Use of Estimates: The consolidated financial statements are prepared in conformity with accounting principles generally accepted in the United States, which require management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. Actual results may differ from these estimates.


Cash and Cash Equivalents: The company's policy is to treat investments that are readily convertible to cash and with maturities so near that there is little risk of changes in value due to changes in interest rates as cash and cash equivalents. Cash and cash equivalents are carried at cost, which approximates fair value.


Accounts Receivable: The company records accounts receivable when control of the product or service transfers to its unaffiliated customers, risk of loss is passed and title is transferred. The estimated allowance for uncollectible amounts is based primarily on management's evaluation of the financial condition of specific customers. The company records accounts receivable reserves for amounts that may become uncollectible in the future. The company writes off accounts receivable when it becomes apparent, based upon customer circumstances, that such amounts will not be collected and legal remedies are exhausted.



Reserves for customer bonus and cash discounts are recorded as a reduction in revenue and netted against gross
accounts receivable. Customer rebates in excess of a given customer's accounts receivable balance are classified in Accrued Expenses. Customer rebates and cash discounts are estimated based on the most likely amount principal as well as historical experience and anticipated performance. In addition, customers have the right to return product within the company’scompany's normal terms policy, and as such the company estimates the expected returns based on an analysis of historical experience and adjusts revenue accordingly.
Inventories: Inventories are stated at the lower of cost or marketnet realizable value with cost determined by the first-in, first-out method. Market values are based onNet realizable value is the lowerestimated selling prices in the ordinary course of replacement cost or estimated net realizable value.business, less reasonably predictable costs of completion, disposal, and transportation. Finished goods and work in process inventories include material, labor and manufacturing overhead costs. Inventories have been reduced by an allowance for excess and obsolete inventories. The estimated allowance is based on management’smanagement's review of inventories on hand compared to estimated future usage and sales.


Property and Equipment: Property and equipment are stated based on cost. The company principally uses the straight-line method of depreciation for financial reporting purposes based on annual rates sufficient to amortize the cost of the assets over their estimated useful lives. Machinery and equipment as well as furniture and fixtures are generally depreciated using lives of 3 to 10 years, while buildings and improvements are depreciated using lives of 5 to 40 years. Accelerated methods of depreciation are used for federal income tax purposes. Expenditures for maintenance and repairs are charged to expense as incurred. Amortization of assets under capital leases is included in depreciation expense. In 2017, the company determined that certain demonstration equipment should be recorded as fixed assets and depreciated to their estimated recoverable values over their estimated useful lives. This determination was based on the company deciding to place the equipment in provider locations for longer periods of time versus selling the units. Accordingly, approximately $5,250,000 in demonstration equipment was reclassed from inventory to property and equipment as of December 31, 2017.


Long-lived assets are reviewed for impairment whenever events or changes in circumstances indicate the carrying amount may not be recoverable. An asset would be considered impaired when the future net undiscounted cash flows generated by the asset are less than its carrying value. An impairment loss would be recognized based on the amount by which the carrying value of the asset exceeds its fair value.


Notes to Financial StatementsAccounting Policies
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Goodwill and Other Intangibles: In accordance with Intangibles—Goodwill and Other, ASC 350, goodwill and indefinite lived intangibles are subject to annual impairment testing. For purposes of the goodwill impairment test, the fair value of each reporting unit is estimated using an income approach by forecasting cash flows and discounting those cash flows using appropriate discount rates.rates as well as considering market and cost approaches as appropriate. The fair values are then compared to the carrying value of the net assets of each reporting unit. Intangibles assets are also
Notes to Financial Statements
Accounting Policies

reviewed for impairment by estimating forecasted cash flows and discounting those cash flows as needed to calculate impairment amounts. During 2017,2019 and 2018, the company recognized an intangible impairment charge of $320,000$587,000 and $583,000 respectively, related to an indefinite-lived trademark recorded in the IPG segment.Institutional Products Group reporting unit.


Accrued Warranty Cost: Generally, the company’scompany's products are covered by assurance-type warranties against defects in material and workmanship for various periods depending on the product from the date of sale to the customer. Certain components carry a lifetime warranty. inIn addition, the company has sold extended warranties that, while immaterial, require the company to defer the revenue associated with those warranties until earned. A provision for estimated warranty cost is recorded at the time of sale based upon actual experience. The company continuously assesses the adequacy of its product warranty accrual and makes adjustments as needed. Historical analysis is primarily used to determine the company’scompany's warranty reserves. Claims history is reviewed and provisions are adjusted as needed. However, the company does consider other events, such as a product recall, which could necessitate additional warranty reserve provisions. See Accrued Expenses in the Notes to the Consolidated Financial Statements for a reconciliation of the changes in the warranty accrual.
 
Product Liability Cost: The company is self-insured in North America for product liability exposures through its captive insurance company, Invatection Insurance Company, which currently has a policy year that runs from September 1 to August 31 and insures annual policy losses up to $10,000,000 per occurrence and $13,000,000 in the aggregate. The company also has additional layers of external insurance coverage, related to all lines of insurance coverage, insuring up to $75,000,000 in aggregate losses per policy year arising from individual claims anywhere in the world that exceed the captive insurance company policy limits or the limits of the company’scompany's per country foreign liability limits, as applicable. There can be no assurance that Invacare’sInvacare's current insurance levels will continue to be adequate or available at affordable rates.


Product liability reserves are recorded for individual claims based upon historical experience, industry expertise and other indicators. Additional reserves, in excess of the specific individual case reserves, are provided for incurred but not reported claims based upon actuarial valuations at the time such valuations are conducted. Historical claims
experience and other assumptions are taken into consideration by the company in estimating the ultimate reserves. For example, the actuarial analysis assumes that historical loss experience is an indicator of future experience, that the distribution of exposures by geographic area and nature of operations for ongoing operations is expected to be very similar to historical operations with no dramatic changes
and that the government indices used to trend losses and exposures are appropriate. Estimates made are adjusted on a regular basis and can be impacted by actual loss awards and settlements on claims. While actuarial analysis is used to help determine adequate reserves, the company is responsible for the determination and recording of adequate reserves in accordance with accepted loss reserving standards and practices.


Revenue Recognition: Invacare’s The company recognizes revenues are recognized when products are shippedcontrol of the product or service providedis transferred to unaffiliated customers, risk of loss is passed and title is transferred. Revenue Recognitioncustomers. Revenues from Contracts with Customers, ASC 605,606, provides guidance on the application of generally accepted accounting principles to selected revenue recognition issues. ShippingThe company has concluded that its revenue recognition policy is appropriate and handling costsin accordance with GAAP under ASC 606.

All of the company's product-related contracts, and a portion related to services, have a single performance obligation, which is the promise to transfer an individual good or service, with revenue recognized at a point in time. Certain service-related contracts contain multiple performance obligations that require the company to allocate the transaction price to each performance obligation. For such contracts, the company allocates revenue to each performance obligation based on its relative standalone selling price at inception of the contract. The company determined the standalone selling price based on the expected cost-plus margin methodology. Revenue related to the service contracts with multiple performance obligations is recognized over time. To the extent performance obligations are satisfied over time, the company defers revenue recognition until the performance obligations are satisfied.

The determination of when and how much revenue to recognize can require the use of significant judgment. Revenue is recognized when obligations under the terms of a contract with the customer are satisfied; generally, this occurs with the transfer of control of the company's products and services to the customer.

Revenue is measured as the amount of consideration expected to be received in exchange for transferring the product or providing services. The amount of consideration received and recognized as revenue by the company can vary as a result of variable consideration terms included in costthe contracts such as customer rebates, cash discounts and return policies. Customer rebates and cash discounts are estimated based on the most likely amount principle and these estimates are based on historical experience and anticipated performance. Customers have the right to return product within the company's normal terms policy, and as such, the company estimates the expected returns based on an analysis of goods sold.historical experience. The company adjusts its estimate of revenue at the earlier of when the most likely amount of consideration the company expects to receive changes or

Notes to Financial Statements
Accounting Policies


when the consideration becomes fixed. The company generally does not expect that there will be significant changes to its estimates of variable consideration (see Receivables in the Notes to the Consolidated Financial Statements include elsewhere in this report).

Depending on the terms of the contract, the company may defer recognizing a portion of the revenue at the end of a given period as the result of title transfer terms that are based upon delivery and or acceptance which align with transfer of control of the company's products to its customers.

Sales are made only to customers with whom the company believes collection is reasonably assured based upon a credit analysis, which may include obtaining a credit application, a signed security agreement, personal guarantee and/or a cross corporate guarantee depending on the credit history of the customer. Credit lines are established for new customers after an evaluation of their credit report and/or other relevant financial information. Existing credit lines are regularly reviewed and adjusted with consideration given to any outstanding past due amounts.


The company offers discounts and rebates, which are accounted for as reductions to revenue in the period in which the sale is recognized. Discounts offered include: cash discounts for prompt payment, base and trade discounts based on contract level for specific classes of customers. Volume discounts and rebates are given based on large purchases and the achievement of certain sales volumes. Product returns are accounted for as a reduction to reported sales with estimates recorded for anticipated returns at the time of sale. The company does not sell any goods on consignment.
Distributed products sold by the company are accounted for in accordance with the revenue recognition guidance in ASC 605-45-05.The company records distributed product sales gross as a principal since the company takes title to the products and has the risks of loss for collections, delivery and returns. The company's payment terms are for relatively short periods and thus do not contain any element of financing. Additionally, no contract costs are incurred that would require capitalization and amortization.


Product salesSales, value-added, and other taxes the company collects concurrent with revenue producing activities are excluded from revenue. Incidental items that give riseare immaterial in the context of the contract are recognized as expense. Shipping and handling costs are included in cost of products sold.

The majority of the company's warranties are considered assurance-type warranties and continue to installment receivablesbe recognized as expense when the products are sold (see Current Liabilities in the Notes to the Consolidated Financial Statements include elsewhere in this report). These warranties cover against defects in material and workmanship for various periods depending on the product from the date of sale to the customer. Certain components carry a lifetime warranty. In addition, the company has sold extended warranties that, while immaterial, require the company to defer the revenue associated with those warranties until earned. A provision for estimated warranty cost is recorded at the time of sale whenbased upon actual experience. The company continuously assesses the risksadequacy of its product warranty accruals and rewards of ownershipmakes adjustments as needed. Historical analysis is primarily used to determine the company's warranty reserves. Claims history is reviewed and provisions are transferred. Asadjusted as needed. However,
the company does consider other events, such interest income is recognized based onas a product recall, which could require additional warranty reserve provisions. See Accrued Expenses in the termsNotes to the Consolidated Financial Statements for a reconciliation of the installment agreements.
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Installment accounts are monitored and if a customer defaults on payments, interest income is no longer recognized. All installment accounts are accounted for usingchanges in the same methodology, regardless of duration ofwarranty accrual. In addition, the installment agreements.company has sold extended warranties that, while immaterial, require the company to defer the revenue associated with those warranties until earned. The company has entered into an agreement with De Lage Landen, Inc. (“DLL”), a third-party financing company,established procedures to provide the majority of future lease financing to Invacare customers.appropriately defer such revenue.


Research and Development: Research and development costs are expensed as incurred and included in cost of products sold. The company’scompany's annual expenditures for product development and engineering were approximately $15,836,000, $17,377,000 and $17,796,000 $17,123,000for 2019, 2018 and $18,677,000 for 2017, 2016 and 2015, respectively.


Advertising: Advertising costs are expensed as incurred and included in selling, general and administrative expenses. Advertising expenses amounted to $7,871,000, and $10,109,000 $10,463,000 $13,593,000for 2019, 2018 and $9,203,000 for 2017, 2016 and 2015, respectively, the majority of which is incurred for advertising in the United States and Europe.


Income Taxes: The company uses the liability method in measuring the provision for income taxes and recognizing deferred tax assets and liabilities on the balance sheet. The liability method requires that deferred income taxes reflect the tax consequences of currently enacted rates for differences between the tax and financial reporting bases of assets and liabilities. The amount of the unrecognized deferred tax liability for temporary differences related to investments in foreign subsidiaries that are permanently reinvested is not practically determinable.


Value Added Taxes: The company operates internationally and is required to comply with value added tax (VAT) or goods and service tax (GST) regulations, particularly in Europe and Asia/Asia Pacific. VAT and GST are taxes on consumption in which the company pays tax on its purchases of goods and services and charges customers on the sale of product. The difference between billings to customers and payments on purchases is then remitted or received from the government as filings are due. The company records tax assets and liabilities related to these taxes and the balances in these accounts can vary significantly from period to period based on the timing of the underlying transactions.


Derivative Instruments:Derivatives and Hedging, ASC 815, requires companies to recognize all derivative instruments in the consolidated balance sheet as either assets or liabilities at fair value. The accounting for changes in fair value of a derivative is dependent upon whether or not the derivative has been designated and qualifies for hedge accounting treatment and the type of hedging relationship. For derivatives designated and qualifying as hedging instruments, the company must designate the hedging
instrument, based upon the exposure being hedged, as a fair
Notes to Financial Statements
Accounting Policies

value hedge, cash flow hedge, or a hedge of a net investment in a foreign operation.


A majority of the company’scompany's derivative instruments are designated and qualify as cash flow hedges. Accordingly, the effective portion of the gain or loss on the derivative instrument is reported as a component of other comprehensive income and reclassified into earnings in the same period or periods during which the hedged transaction affects earnings. The remaining gain or loss on the derivative instrument in excess of the cumulative change in the fair value of the hedged item, if any, is recognized in current earnings during the period of change.


In 2016, the company issued $150,000,000 aggregate principal amount of 5.00% Convertible Senior Notes due 2021 and, in the second quarter of 2017, issued $120,000,000 aggregate principal amount of 4.50% Convertible Senior Notes due 2022 (the “notes”). In connection with the offering of the notes, the company entered into privately negotiated convertible note hedge transactions with certain financial institutions (the “option counterparties”). The convertible debt conversion liabilities and the convertible note hedges arewere accounted for as derivatives that arewere fair valued quarterly.quarterly until the company obtained shareholder approval on May 16, 2019 to settle its convertible debt using cash or shares, which resulted in no longer accounting for the conversion liabilities and note hedges as derivatives. The fair value of the convertible debt conversion liabilities and the convertible note hedge assets arewere estimated using a lattice model incorporating the terms and conditions of the notes and considering, for example, changes in the prices of the company's common stock, company stock price volatility, risk-free rates and changes in market rates. The valuations are,were, among other things, subject to changes in both the company's credit worthiness and the counter-parties to the instruments as well as change in general market conditions. The change in the fair value of the convertible note hedges areand convertible debt conversion liabilities were recognized in net income (loss) for the respective period. While the change in fair value of the convertible debt conversion liabilities and the convertible note hedge assets are generally expected to move in opposite directions, the net change in any given period may be material.


Foreign Currency Translation: The functional currency of the company’scompany's subsidiaries outside the United States is the applicable local currency. The assets and liabilities of the company’scompany's foreign subsidiaries are translated into U.S. dollars at year-end exchange rates. Revenues and expenses are translated at monthly average exchange rates. Gains and losses resulting from translation of balance sheet items are included in accumulated other comprehensive earnings.


Net Earnings Per Share: Basic earnings per share are computed based on the weighted-average number of Common Shares and Class B Common Shares outstanding during the year. Diluted earnings per share are computed based on the weighted-average number of Common Shares and Class B Common Shares outstanding plus the effects of
Notes to Financial StatementsAccounting Policies
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dilutive stock options and awards outstanding during the year. For periods in which there was a net loss, loss per share assuming dilution utilized weighted average shares-basic.


Defined Benefit Plans: The company’scompany's benefit plans are accounted for in accordance with Compensation-Retirement Benefits, ASC 715 which requires plan sponsors to recognize the funded status of their defined benefit postretirement benefit plans in the consolidated balance sheet, measure the fair value of plan assets and benefit obligations as of the balance sheet date and to recognize changes in that funded status in the year in which the changes occur through comprehensive income.


Reclassifications: During Finance lease assets and related long-term liabilities have been reclassified from Property and Equipment, net and Long-Term Debt, respectively, to Finance lease assets, net and Long-term Obligations - Financing Leases, respectively, in the Consolidated Balance sheet as of December 31, 2018 to conform with the presentation for 2019.

In the first quarter of 2017,2019, the company reassessed the alignment of its reporting segments and combined the former North America/Home Medical Equipment (NA/HME) and Institutional Products Group (IPG) segments into a subsidiary, formerly includedsingle operating segment, referred to as North America. This change better reflects how the company manages, allocates resources and assesses performance of the businesses contained in the EuropeNorth America Segment. Additionally, the company reassessed the activity of the businesses in it former Asia Pacific segment was transferredand began reporting the Asia Pacific businesses as part of All Other segment, since those businesses, individually and collectively, are not large enough relative to the NA/HME segmentcompany's overall business to merit disclosure as a separate reporting segment. The company believes that these changes provide improved transparency of the subsidiary is managed bycompany's business results to its shareholders, and are better aligned with how the NA/HME segment manager effective January 1, 2017.company manages its businesses. Segment results for 2016 and 20152018 have been changed accordingly. In 2016, the company redefined the measure by which it evaluates segment profit or loss to be segment operating profit (loss). The previous performance measure was earnings before income taxes. All prior periods presented were restatedreclassified to reflect the new measure. See Business Segments inrealignment of the Notescompany's reporting segments and be comparable to the Consolidated Financial Statementssegment results for a description of the change.2019.


Certain other minor reclassifications also made in the Notes to the Consolidated Financial Statements to conform to current year presentation.


























Recent Accounting Pronouncements (Already Adopted):
In MarchFebruary 2016, the FASB issued ASU 2016-09, "Compensation – Stock Compensation: Topic 718: Improvements to Employee Share-Based Payment Accounting.2016-02, "Leases." ASU 2016-09 is intended2016-02 requires lessees to simplify several aspects of theput most leases on their balance sheet while recognizing expense in a manner similar to existing accounting. The new accounting guidance was effective for share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities,fiscal periods beginning after December 15, 2018 and classification on the statement of cash flows. The company has historically withheld shares for tax-withholding purposes and reflected the taxes paid as a financing activity, which is consistent with ASU 2016-09.early adoption was permitted. The company adopted ASU 2016-09,2016-02, effective on January 1, 2017,2019, using the optional transitional method in which periods prior to 2019 were not restated. The company elected to apply the package of practical expedients in which lease identification, classification and treatment of initial direct costs was retained, and recognized right of use lease assets and liabilities for all leases with a lease term of greater than a
Notes to Financial Statements
Accounting Policies


year. The company completed an assessment of its systems, data and processes related to implementing the standard and completed its information system design and solution development as well as the development of related internal controls. As a result of adoption of this standard, the company recorded $23,420,000 in operating lease right of use assets offset by lease liabilities on the company's consolidated balance sheets. The standard did not have a material impact on the company's financial statements.results of operations or cash flows.
In February 2018, the FASB issued ASU No. 2018-02, “Income Statement - Reporting Comprehensive Income (Topic 220): Reclassification of Certain Tax Effects From Accumulated Other Comprehensive Income,” which allows reclassification of certain tax effects created as a result of changing methodologies, laws and tax rates legislated in the Tax Cuts and Jobs Act of 2017 (the Act). This new standard allows for stranded income tax effects resulting from the Act to be reclassified into retained earnings to allow for their tax effect to reflect the appropriate tax rate.  Due to the full valuation allowance on our U.S. net deferred tax assets, a reclassification of stranded tax effects to retained earnings was not required.
In July 2015, the FASB issued ASU 2015-11, “Inventory (Topic 330): Simplifying the Measurement of Inventory,” to simplify the subsequent measurement of inventory. With effectiveness of this update, entities are required to subsequently measure inventory at the lower of cost or net realizable value rather than at the lower of cost or market. The company adopted ASU 2015-11, effective January 1, 2017, which did not have a material impact on the company's financial statements.

In April 2014, the FASB issued ASU 2014-08, "Reporting Discontinued Operations and Disclosure of Disposals of Components of an Entity," changing the presentation of discontinued operations on the statements of income and other requirements for reporting discontinued operations. Under the new standard, a disposal of a component or a group of components of an entity is required to be reported in discontinued operations if the disposal represents a strategic shift that has (or will have) a major effect on an entity’s operations and financial results when the component meets the criteria to be classified as held for sale or is disposed. The amendments in this update also require additional disclosures about discontinued operations and disposal of an individually significant component of an entity that does not qualify for discontinued operations. This standard was required to be prospectively applied to all reporting periods presented in financial reports issued after the effective date. This standard impacts the presentation of the company's financial statements but does not affect the calculation of net income, comprehensive income or earnings per share. The company adopted ASU 2014-08 effective January 1, 2015 which impacted the company’s Consolidated Statement of Comprehensive Income (Loss), Balance Sheets and Statement of Cash Flows. Specifically, the disposals of the United States Rentals businesses, in the third quarter of 2015, and Garden City Medical, in September 2016, were not deemed to be discontinued operations.

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Recent Accounting Pronouncements (Not Yet Adopted):


In May 2014, the FASB issued ASU 2014-09, "Revenue from Contracts with Customers." ASU 2014-09 requires a company to recognize revenue when promised goods or services are transferred to customers in an amount that reflects the consideration to which the company expects to be entitled in exchange for those goods and services. The guidance requires five steps to be applied: 1) identify the contract(s) with customers, 2) identify the performance obligations in the contract, 3) determine the transaction price, 4) allocate the transaction price to the performance obligation in the contract and 5) recognize revenue when (or as) the entity satisfies a performance obligation. The guidance also requires both quantitative and qualitative disclosures, which are more comprehensive than existing revenue standards. The disclosures are intended to enable financial statement users to understand the nature, timing and uncertainty of revenue and the related cash flow.


An entity can applyEffective January 1, 2018, the company adopted the new revenueaccounting standard, retrospectively to each prior reporting period presented orand all the related amendments, on a modified retrospective basis, with theno cumulative effect of initially applyingadjustment to equity needed. Upon adoption, the standard recognized at the date of initial application in retained earnings. The new accounting guidance is effective for annual periods beginning after December 15, 2017, due to an approved one-year deferral, and early adoption is permitted.

During 2017, the company completed an assessment of its contracts and related accounting. The company concluded it has a product revenue stream for which revenue is recognized at a point in time and a service revenue stream for which revenue is principally recognized at a point in time with some service revenues recognized over time. Based on this assessment, the company doesdid not expect this standard will have a material impact on the company's results of
operations or cash flows innor does the periods after adoption.company expect it to have a material impact on future periods. Pursuant to ASU 2014-09, revenues are recognized as control transfers to the customers, which is consistent with the currentprior revenue recognition model and the currentprior accounting for mostthe vast majority of the company's contracts. TheWhile the company will adoptdoes have a minor amount of service business for which revenue is recognized over time as compared to a point in time, the provisionscompany's process to estimate the amount of ASU 2014-09 onrevenue to be recognized did not change as a modified retrospective basis with no material cumulative effect adjustment to equity needed.











In February 2016, the FASB issued ASU 2016-02, "Leases." ASU 2016-02 requires lessees to put most leases on their balance sheet while recognizing expense in a manner similar to existing accounting. The new accounting guidance is effective for fiscal periods beginning after December 15, 2018 and early adoption is permitted. The company is currently reviewing the impactresult of the adoptionimplementation of ASU 2016-02 on the company's financial statements.new standard.


Recent Accounting Pronouncements (Not Yet Adopted):
In June 2016, the FASB issued ASU 2016-13, "Measurement of Credit Losses on Financial Statements." ASU 2016-13 requires a new credit loss standard for most financial assets and certain other instruments. For example, entities will be required to use an "expected loss" model that will generally require earlier recognition of allowances for losses for trade receivables. The standard also requires additional disclosures, including disclosures regarding how an entity tracks credit quality. The amendments in the pronouncement are effective for fiscal years beginning after December 15, 2019, including interim periods within those fiscal years. Entities maycould early adopt the amendments as of fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. The company is currently reviewinghas established procedures and controls to implement the impact ofnew standard and anticipates the adoption of ASU 2016-092016-13 will not have a material impact on the company's financial statements.


In January 2017, the FASB issued ASU 2017-04, "Intangibles - Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment". The guidance in ASU 2017-04 eliminates the requirement to determine the fair value of individual assets and liabilities of a reporting unit to measure goodwill impairment. Under the amendments in the new ASU, goodwill impairment testing will be performed by comparing the fair value of the reporting unit with its carrying amount and recognizing an impairment charge for the amount by which the carrying amount exceeds the reporting unit’s fair value. The new standard is effective for annual and interim goodwill impairment tests in fiscal years beginning after December 15, 2019, and should be applied on a prospective basis. Early adoption is permitted for annual or interim goodwill impairment testing performed after January 1, 2017. The company is currently reviewing the impact of the adoption of ASU 2017-04 but does not expect the adoption to impact the company's financial statements.
Notes to Financial Statements
Divested Businesses 
   
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Divested Businesses

Operations Held for Sale


On July 2, 2015, Invacare Continuing Care, Inc., a Missouri Corporation and wholly-owned subsidiary ofPrior to 2019, the company ("ICC") completed the sale (the "Transaction") of all the issued and outstanding membership interests in Dynamic Medical Systems, LLC, a Nevada limited liability company, and Invacare Outcomes Management, LLC, a Delaware limited liability company, each a wholly-owned subsidiary of ICC (“collectively the rentals businesses”), pursuant to a Membership Interest Purchase Agreement (the “Purchase Agreement”) among the company, ICC and Joerns Healthcare Parent, LLC, a Delaware limited liability company. The rentals businesses had been operated on a stand-alone basis and reported as part of the Institutional Products Group segment of the company. The price paid to ICC for the rentals businesses was approximately $15,500,000 in cash, which was subject to certain post-closing adjustments required by the Purchase Agreement. Net proceeds from the Transaction were approximately $13,700,000, net of taxes and expenses.

The company recorded a pre-tax gain of approximately $24,000 in the third quarter of 2015, which represented the excess of the net sales price over the book value of the assets and liabilities of the rentals businesses, as of the date of completion of the disposition. The company recorded expenses related to the sale of the rentals businesses totaling $1,792,000, of which $1,265,000 have been paid as of December 31, 2017. The sale of the rentals businesses was not dilutive to the company's results. The company utilized the net proceeds from the sale to reduce debt outstanding under its credit agreement. The company determined that the sale of the rentals businesses did not meet the criteria for classification as a discontinued operation in accordance with ASU 2014-08 but the "held for sale" criteria of ASC 360-10-45-9 were met and thus the rentals businesses were treated asoperations held for sale as of June 30, 2015 until sold on July 2, 2015.

On September 30, 2016, the company, completed the sale of its subsidiary, Garden City Medical Inc, a Delaware corporation and wholly-owned subsidiary (“GCM”), dba PMI and Pinnacle Medsource, to Compass Health Brands Corp., a Delaware corporation (the “Purchaser”), pursuant to a Share Purchase Agreement. GCM sourced and distributed primarily lifestyle products under the brand ProBasicsby PMI. GCM was part of the NA/HME segment of the company. The price paid to the company for GCM was $13,829,000 in cash and net proceeds from the transaction were $12,729,000, net of expenses.


The company recorded a pre-tax gain of $7,386,000 in the third quarter of 2016, which represented the excess of the net sales price over the book value of the assets and liabilities of GCM. The company recorded expenses related to the sale of GCM totaling $1,100,000 all$2,892,000 of which was$2,377,000 has been paid out as of December 31, 2017. The sale of GCM was dilutive to the company's results. The company utilized the net proceeds to fund operations. The company determined that the sale of GCM did not meet the criteria for classification as a discontinued operation in accordance with ASU 2014-08 but the "held for sale" criteria of ASC 360-10-45-9 were met and thus GCM was treated as held for sale for purposes of the Consolidated Balance Sheets as of December 31, 2015. The assets and liabilities of GCM that were sold on September 30, 2016 were comprised of the following (in thousands):2019.
 September 30, 2016
Trade receivables, net$4,526
Inventories, net5,335
Other current assets74
Property and equipment, net149
Assets sold10,084
  
Accounts payable2,990
Accrued expenses and other short-term obligations1,751
Liabilities sold$4,741

With the sale of GCM, the company entered into an agreement with the Purchaser for the Purchaser to buy, at cost, all ProBasics inventory capitalized on the balance sheets of certain Invacare subsidiaries which was not sold as part of the GCM sale on September 30, 2016. The value of the inventory sold was approximately $2,400,000 which was transferred to the Purchaser in the fourth quarter of 2016 and was paid by the Purchaser as of September 30, 2017. During the third quarter of 2017, the company and the Purchaser agreed on the final purchase price of GCM. As a result, the company paid the Purchaser approximately $667,000 in the fourth quarter of 2017, which had been accrued for in 2016.





























Discontinued Operations
From 2012 through 2014, the company sold three businesses which were classified as discontinued operations. Prior to 2017,2019, the company had recorded cumulative expenses related to the sale of discontinued operations totaling $8,801,000, of which $8,405,000 were paid as of December 31, 2017.2019.
Notes to Financial Statements
Current Assets
   
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Current Assets

Receivables


Receivables as of December 31, 20172019 and 20162018 consist of the following (in thousands):
 2019 2018
Accounts receivable, gross$141,732
 $146,482
Customer rebate reserve(13,922) (15,452)
Allowance for doubtful accounts(4,804) (5,268)
Cash discount reserves(5,326) (4,777)
Other, principally returns and allowances reserves(1,011) (1,242)
Accounts receivable, net$116,669
 $119,743
 2017 2016
Accounts receivable, gross$154,966
 $151,258
Customer rebate reserve(18,747) (23,109)
Allowance for doubtful accounts(5,113) (6,916)
Cash discount reserves(4,252) (3,672)
Other, principally returns and allowances reserves(1,239) (1,254)
Accounts receivable, net$125,615
 $116,307

Reserves for customer bonus rebates and cash discounts are recorded as a reduction in revenue and netted against gross accounts receivable. Customer rebates in excess of a given customer's accounts receivable balance are classified in Accrued Expenses. Customer rebates and cash discounts are estimated based on the most likely amount principal as well as historical experience and anticipated performance. In addition, customers have the right to return product within the company’scompany's normal terms policy, and as such the company estimates the expected returns based on an analysis of historical experience and adjusts revenue accordingly.


Accounts receivable are reduced by an allowance for amounts that may become uncollectible in the future. Substantially all the company’scompany's receivables are due from health care, medical equipment providers and long-term care facilities located throughout the United States, Australia, Canada, New Zealand, China and Europe. A significant portion of products sold to providers, both foreign and domestic, are ultimately funded through government reimbursement programs such as Medicare and Medicaid in the U.S. As a consequence, changes in these programs can have an adverse impact on dealer liquidity and profitability.


The estimated allowance for uncollectible amounts areis based primarily on management’smanagement's evaluation of the financial condition of specific customers. In addition, as a result of the company's financing arrangement with DLL, a third-party financing company which the company has worked with since 2000, management monitors the collection status of these contracts in accordance with the company’scompany's limited recourse obligations and provides amounts necessary for estimated losses in the allowance for doubtful accounts and establishes reserves for specific customers as needed. The company writes off uncollectible trade accounts receivable after such receivables are moved to collection status and legal remedies are exhausted. See Concentration of Credit Risk in the Notes to the Consolidated Financial Statements for a description of the financing arrangement. Long-term
 
installment receivables are included in “Other Assets” on the consolidated balance sheet.


The company’scompany's U.S. customers electing to finance their purchases can do so using DLL. In addition, the company often provides financing directly for its Canadian customers for which DLL is not an option, as DLL typically provides financing to Canadian customers only on a limited basis. The installment receivables recorded on the books of the company represent a single portfolio segment of finance receivables to the independent provider channel and long-term care customers. The portfolio segment is comprised ofcomprises two classes of receivables distinguished by geography and credit quality. The U.S. installment receivables are the first class and represent installment receivables re-purchased from DLL because the customers were in default. Default with DLL is defined as a customer being delinquent by 3 payments. The Canadian installment receivables represent the second class of installment receivables which were originally financed by the company because third party financing was not available to the HME providers. The Canadian installment receivables are typically financed for twelve months and historically have had a very low risk of default.


The estimated allowance for uncollectible amounts and evaluation for impairment for both classes of installment receivables is based on the company’scompany's quarterly review of the financial condition of each individual customer with the allowance for doubtful accounts adjusted accordingly. Installments are individually and not collectively reviewed for impairment. The company assesses the bad debt reserve levels based upon the status of the customer’scustomer's adherence to a legally negotiated payment schedule and the company’scompany's ability to enforce judgments, liens, etc.


For purposes of granting or extending credit, the company utilizes a scoring model to generate a composite score that considers each customer’scustomer's consumer credit score and and/or D&B credit rating, payment history, security collateral and time in business. Additional analysis is performed for most customers desiring credit greater than $250,000, which generally includes a detailed review of the customer’scustomer's financials as well as consideration of other factors such as exposure to changing reimbursement laws.


Interest income is recognized on installment receivables based on the terms of the installment agreements. Installment accounts are monitored and if a customer defaults on payments and is moved to collection, interest income is no longer recognized. Subsequent payments received once an account is put on non-accrual status are generally first applied to the principal balance and then to the interest. Accruing of interest on collection accounts would only be restarted if the account became current again.
Notes to Financial Statements
Current Assets 
   
Table of Contents


All installment accounts are accounted for using the same methodology regardless of the duration of the installment agreements. When an account is placed in collection status, the company goes through a legal process for pursuing collection of outstanding amounts, the length of
 
which typically approximates eighteen months. Any write-offs are made after the legal process has been completed. The company has not made any changes to either its accounting policies or methodology to estimate allowances for doubtful accounts in the last twelve months.


Installment receivables as of December 31, 20172019 and 20162018 consist of the following (in thousands):
 2019 2018
 Current 
Long-
Term
 Total Current 
Long-
Term
 Total
Installment receivables$1,192
 $1,257
 $2,449
 $1,986
 $1,374
 $3,360
Less: Unearned interest(22) 
 (22) (22) 
 (22)
 1,170
 1,257
 2,427
 1,964
 1,374
 3,338
Allowance for doubtful accounts(434) (1,080) (1,514) (390) (1,152) (1,542)
 $736
 $177
 $913
 $1,574
 $222
 $1,796

 2017 2016
 Current 
Long-
Term
 Total Current 
Long-
Term
 Total
Installment receivables$2,415
 $2,076
 $4,491
 $2,027
 $2,685
 $4,712
Less: Unearned interest(38) 
 (38) (40) 
 (40)
 2,377
 2,076
 4,453
 1,987
 2,685
 4,672
Allowance for doubtful accounts(1,043) (1,601) (2,644) (619) (2,219) (2,838)
 $1,334
 $475
 $1,809
 $1,368
 $466
 $1,834


Installment receivables purchased from DLL during the twelve months ended December 31, 20172019 increased the gross installment receivables balance by $2,362,000$89,000 during the year compared to $1,901,000$1,295,000 in 2016.2018. No sales of installment receivables were made by the company during the year.


The movement in the installment receivables allowance for doubtful accounts was as follows (in thousands):
 2019 2018
Balance as of beginning of period$1,542
 $2,644
Current period provision479
 550
Direct write-offs charged against the allowance(507) (1,652)
Balance as of end of period$1,514
 $1,542
 2017 2016
Balance as of January 1$2,838
 $2,792
Current period provision1,001
 1,220
Direct write-offs charged against the allowance(1,195) (1,174)
Balance as of December 31$2,644
 $2,838

 
Installment receivables by class as of December 31, 20172019 consist of the following (in thousands):
Total
Installment
Receivables
 
Unpaid
Principal
Balance
 
Related
Allowance for
Doubtful
Accounts
 
Interest
Income
Recognized
Total
Installment
Receivables
 
Unpaid
Principal
Balance
 
Related
Allowance for
Doubtful
Accounts
 
Interest
Income
Recognized
U.S.              
Impaired installment receivables with a related allowance recorded$3,566
 $3,566
 $2,642
 $
$1,762
 $1,762
 $1,497
 $
Canada              
Non-impaired installment receivables with no related allowance recorded923
 885
 
 74
670
 648
 
 92
Impaired installment receivables with a related allowance recorded2
 2
 2
 
17
 17
 17
 
Total Canadian installment receivables$925
 $887
 $2
 $74
687
 665
 17
 92
Total              
Non-impaired installment receivables with no related allowance recorded923
 885
 
 74
670
 648
 
 92
Impaired installment receivables with a related allowance recorded3,568
 3,568
 2,644
 
1,779
 1,779
 1,514
 
Total installment receivables$4,491
 $4,453
 $2,644
 $74
$2,449
 $2,427
 $1,514
 $92


Notes to Financial Statements
Current Assets
   
Table of Contents



Installment receivables by class as of December 31, 20162018 consist of the following (in thousands):
 
Total
Installment
Receivables
 
Unpaid
Principal
Balance
 
Related
Allowance for
Doubtful
Accounts
 
Interest
Income
Recognized
U.S.��      
Impaired installment receivables with a related allowance recorded$2,669
 $2,669
 $1,540
 $
Canada       
Non-impaired installment receivables with no related allowance recorded689
 667
 
 127
Impaired installment receivables with a related allowance recorded2
 2
 2
 
Total Canadian installment receivables691
 669
 2
 127
Total       
Non-impaired installment receivables with no related allowance recorded689
 667
 
 127
Impaired installment receivables with a related allowance recorded2,671
 2,671
 1,542
 
Total installment receivables$3,360
 $3,338
 $1,542
 $127

 
Total
Installment
Receivables
 
Unpaid
Principal
Balance
 
Related
Allowance for
Doubtful
Accounts
 
Interest
Income
Recognized
U.S.       
Impaired installment receivables with a related allowance recorded$3,762
 $3,762
 $2,706
 $
Canada       
Non-impaired installment receivables with no related allowance recorded818
 778
 
 65
Impaired installment receivables with a related allowance recorded132
 132
 132
 
Total Canadian installment receivables$950
 $910
 $132
 $65
Total       
Non-impaired installment receivables with no related allowance recorded818
 778
 
 65
Impaired installment receivables with a related allowance recorded3,894
 3,894
 2,838
 
Total installment receivables$4,712
 $4,672
 $2,838
 $65


Installment receivables with a related allowance recorded as noted in the table above represent those installment receivables on a non-accrual basis in accordance with ASU 2010-20. As of December 31, 2017,2019, the company had no U.S. installment receivables past due of 90 days or more for which the company is still accruing interest. Individually, all U.S. installment receivables are assigned a specific allowance for doubtful accounts based on
 
management’smanagement's review when the company does not expect to receive both the contractual principal and interest payments as specified in the loan agreement. In Canada, the company had an immaterial amount of installment receivables which were past due of 90 days or more as of December 31, 20172019 and December 31, 20162018 for which the company is still accruing interest.




The aging of the company’scompany's installment receivables was as follows as of December 31, 20172019 and 20162018 (in thousands):
 December 31, 2019 December 31, 2018
 Total U.S. Canada Total U.S. Canada
Current$659
 $
 $659
 $663
 $
 $663
0-30 days past due2
 
 2
 11
 
 11
31-60 days past due4
 
 4
 10
 
 10
61-90 days past due
 
 
 6
 
 6
90+ days past due1,784
 1,762
 22
 2,670
 2,669
 1
 $2,449
 $1,762
 $687
 $3,360
 $2,669
 $691


 December 31, 2017 December 31, 2016
 Total U.S. Canada Total U.S. Canada
Current$916
 $
 $916
 $832
 $
 $832
0-30 days past due6
 
 6
 18
 
 18
31-60 days past due
 
 
 12
 
 12
61-90 days past due
 
 
 2
 
 2
90+ days past due3,569
 3,566
 3
 3,848
 3,762
 86
 $4,491
 $3,566
 $925
 $4,712
 $3,762
 $950

Notes to Financial Statements
Current Assets 
   
Table of Contents


Inventories


Inventories net of reserves, as of December 31, 20172019 and 20162018 consist of the following (in thousands):
 2019 2018
Finished goods$54,064
 $62,766
Raw materials54,638
 55,120
Work in process11,798
 10,237
Inventories, net$120,500
 $128,123

 2017 2016
Finished goods$52,773
 $68,701
Raw materials59,497
 56,270
Work in process9,663
 10,673
 $121,933
 $135,644


Other Current Assets



Other current assets as of December 31, 20172019 and 20162018 consist of the following (in thousands):
 2019 2018
Tax receivables principally value added taxes$16,049
 $16,372
Receivable due from information technology provider6,262
 
Prepaid insurance2,918
 2,626
Service contracts2,013
 2,201
Prepaid social charges1,216
 
Derivatives (foreign currency forward contracts)838
 1,020
Prepaid inventory684
 521
Recoverable income taxes297
 787
Prepaid debt fees207
 395
Prepaid and other current assets7,425
 7,141
Other Current Assets$37,909
 $31,063


In the fourth quarter of 2019, the company entered into an agreement with to outsource substantially all of the company’s information technology ("IT") business service activities, including, among other things, support, rationalization and upgrading of the company’s legacy information technology systems and implementation of a global enterprise resource planning system. The agreement provides for reimbursement by the IT provider of IT expenses incurred by the company which are shown as Receivable due from IT provider above. The amount of pass through charges will diminish as IT expenses are recorded directly by the IT provider. In addition, a corresponding current payable is due to the IT provider. See "Accrued Expenses" in the notes to the Consolidated Financial Statements included elsewhere in this report.











 2017 2016
Value added tax receivables$16,174
 $14,529
Service contracts2,812
 2,902
Prepaid insurance2,647
 2,761
Derivatives (foreign currency forward contracts)730
 2,754
Prepaid inventory711
 790
Prepaid debt fees397
 489
Recoverable income taxes341
 503
Prepaid and other current assets7,692
 6,791
 $31,504
 $31,519

Regarding prepaid social charges, the company was in a liability position as of December 31, 2018.

Notes to Financial Statements
Long-Term Assets
   
Table of Contents



Long-Term Assets

Other Long-Term Assets
 




Other long-term assets as of December 31, 20172019 and 20162018 consist of the following (in thousands):
 2019 2018
Convertible 2021 note hedge asset$
 $1,028
Convertible 2022 note hedge asset
 2,062
Cash surrender value of life insurance policies2,124
 1,948
Deferred financing fees602
 402
Investments85
 90
Long-term installment receivables177
 222
Long-term deferred taxes928
 352
Other300
 256
Other Long-Term Assets$4,216
 $6,360
 2017 2016
Convertible 2021 note hedge asset$46,915
 $25,471
Convertible 2022 note hedge asset46,680
 
Cash surrender value of life insurance policies1,991
 1,824
Deferred financing fees787
 793
Investments103
 108
Long-term installment receivables475
 466
Long-term deferred taxes518
 837
Other107
 188
 $97,576
 $29,687



During the second quarter of 2017, the company issued $120,000,000 principal amount of Convertible Senior Notes due 2022. As part of the transaction,issuing convertible notes, the company entered into related convertible note hedge derivatives which arewere included in Other Long-Term Assets, the value of which will bewas adjusted quarterly to reflect fair value. On May 16, 2019, the company received shareholder approval authorizing it to elect to settle future conversions of convertible notes in common shares. As a result of the shareholder approval, the note hedge assets and conversion


 


liabilities may no longer be bifurcated and accounted for as separate derivatives and thus they are no longer accounted for by the company as separate long-term assets.

See "Long-Term Debt" in the notes to the Consolidated Financial Statements included elsewhere in this report for more detail regarding the company's issuance of convertible debtnotes and the related convertible note hedge derivatives.




Property and Equipment


Property and equipment as of December 31, 20172019 and 20162018 consist of the following (in thousands):
 2019 2018
Machinery and equipment$296,078
 $301,039
Land, buildings and improvements33,054
 37,606
Furniture and fixtures9,898
 9,898
Leasehold improvements9,023
 8,847
Capitalized software3,509
 
Property and Equipment, gross351,562
 357,390
Less allowance for depreciation(304,955) (311,406)
Property and Equipment, net$46,607
 $45,984

 2017 2016
Machinery and equipment$307,244
 $301,367
Land, buildings and improvements78,522
 73,709
Furniture and fixtures10,264
 10,100
Leasehold improvements9,947
 12,054
 405,977
 397,230
Less allowance for depreciation(325,961) (321,871)
 $80,016
 $75,359


Machinery and equipment includes demonstration equipment recorded as fixed assets andunits placed in provider locations which are depreciated to their estimated recoverable values over their estimated useful lives. These demonstration units are placedIn the fourth quarter of 2019, the company initiated the first stage of an Enterprise Resource Planning ("ERP") software implementation. As a result of the initiation of the ERP project, the company capitalized certain costs in provider locations for longer periodsaccordance with ASC 350 as shown in capitalized software above. In the third quarter of time2018, the company agreed to sell its Isny, Germany location with a net book value at the signing of the agreement of approximately $2,900,000, which is included in Land, buildings and thusimprovements in the table

above. In accordance with the agreement, control will not transfer to the buyer until April 2020; however, the company received an advance payment of $3,524,000 representing a majority of the proceeds to be received, which is reflected in the investing section of the Consolidated Statement of Cash Flows and classified as propertyin Accrued Expenses in the Consolidated Balance Sheets. The company will continue to depreciate the building and equipment.expects to record a gain on the transaction when completed in 2020.

Notes to Financial Statements
Long-Term Assets 
   
Table

Lease Assets

In the first quarter of Contents
2019, the company recorded operating lease assets as a result of the adoption of ASU 2016-02. The company's operating lease assets, and financing lease asset, have been separately disclosed on the Consolidate Balance Sheets. Finance lease assets have been reclassified from Property and Equipment, net to Finance Lease Assets in the Consolidated Balance Sheets as of December 31, 2018 to conform with the presentation for 2019.


Goodwill



The carrying amount of goodwill by operating segmentreporting unit is as follows (in thousands):
 
Institutional
Products Group
 Europe Consolidated
Balance at December 31, 2017$28,730
 $372,553
 $401,283
Foreign currency translation adjustments(1,353) (18,657) (20,010)
Balance at December 31, 201827,377
 353,896
 381,273
Foreign currency translation adjustments785
 (8,655) (7,870)
Balance at December 31, 2019$28,162
 $345,241
 $373,403

 
Institutional
Products
Group
 Europe Consolidated
Balance at January 1, 2016$27,156
 $334,524
 $361,680
Foreign currency translation adjustments450
 (1,528) (1,078)
Balance at December 31, 201627,606
 332,996
 360,602
Foreign currency translation adjustments1,124
 39,557
 40,681
Balance at December 31, 2017$28,730
 $372,553
 $401,283


In accordance with Intangibles—Goodwill and Other, ASC 350, goodwill is reviewed for impairment. The company first estimates the fair value of each reporting unit and compares the calculated fair value to the carrying value of each reporting unit. A reporting unit is defined as an operating segment or one level below. The company has determined that its reporting units are the same as its operating segments.North America / HME, Europe, Institutional Products Group and Asia Pacific.


The company completes its annual impairment tests in the fourth quarter of each year or whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. To estimate the fair values of the reporting units, the company utilizes a discounted cash flow method model in which the company forecasts income statement and balance sheet amounts based on assumptions regarding future sales growth, profitability, inventory turns, days' sales outstanding, etc. to forecast future cash flows. The cash flows are discounted using a weighted average cost of capital discount rate where the cost of debt is based on quoted rates for 20-year debt of potential acquirer companies of similar credit risk and the cost of equity is based upon the 20-year treasury rate for the risk-free rate, a market risk premium, the industry average beta and a small cap stock adjustment. The discount rates used have a significant impact upon the discounted cash flow methodology utilized in the company's annual impairment testing as higher discount rates decrease the fair value estimates. The assumptions used are based on a market participant's point of view and yielded a discount rate of 9.07%11.88% in 20172019 for the company's annual impairment analysis for the reporting units with goodwill compared to 8.67%12.41% in 20162018 and 9.41%9.07% in 2015.2017.








The company also utilizes an Enterprise Value (EV) to Earnings Before Interest, Taxes, Depreciation and Amortization (EBITDA) Method to compute the fair value of its reporting units which considers potential acquirers and
their EV to EBITDA multiples adjusted by an estimated premium. While more weight is given to the discounted cash flow method, the EV to EBITDA Method does provide corroborative evidence of the reasonableness of the discounted cash flow method results.


While there was no indication of impairment in 20172019 related to goodwill for the Europe or IPG segments,Institutional Products Group reporting units, a future potential impairment is possible for these segmentsreporting units should actual results differ materially from forecasted results used in the valuation analysis. Furthermore, the company's annual valuation of goodwill can differ materially if the market inputs used to determine the discount rate change significantly. For instance, higher interest rates or greater stock price volatility would increase the discount rate and thus increase the chance of impairment. In consideration of this potential, the company reviewed the results if the discount rate used were 100 basis points higher for the 20172019 impairment analysis and determined that there still would not be an indicator of potential impairment for the Europe or IPGInstitutional Products Group reporting units.
As part of the company's review of goodwill for impairment, the company also considers the potential for impairment of any other assets. See Intangibles in the Notes to the Consolidated Financial Statements for a description of any intangible impairments.
The change in goodwill from December 31, 2018 to December 31, 2019 was due to foreign currency translation. As part of the company's realignment of its reportable and operating segments in the first quarter of 2019, the company considered whether the reporting units used for purposes of assessing impairment of goodwill should be changed and concluded that no changes were necessary.
Notes to Financial Statements
Long-Term Assets
   
Table of Contents



Intangibles


All the company’s othercompany's intangible assets have been assigned definite lives and continue to be amortized over their useful lives, except for trademarks shown below, which have indefinite lives.

The changes in intangible balances reflected on the balance sheet from December 31, 20162018 to December 31, 20172019 were the result of foreign currency translation and amortization except for an intangible impairment noted below.below and the recording of software licenses related to the Company's ERP implementation.

The company’scompany's intangibles consist of the following (in thousands):
 December 31, 2019 December 31, 2018
 
Historical
Cost
 
Accumulated
Amortization
 
Historical
Cost
 
Accumulated
Amortization
Customer lists$51,108
 $51,108
 $51,828
 $50,768
Trademarks23,479
 
 24,385
 
License agreements2,884
 770
 733
 733
Developed technology7,483
 6,642
 7,608
 6,563
Patents5,521
 5,521
 5,500
 5,497
Other1,163
 1,150
 1,162
 1,149
Intangibles$91,638
 $65,191
 $91,216
 $64,710

 December 31, 2017 December 31, 2016
 
Historical
Cost
 
Accumulated
Amortization
 
Historical
Cost
 
Accumulated
Amortization
Customer lists$54,516
 $51,957
 $49,362
 $45,797
Trademarks26,372
 
 24,091
 
License agreements1,187
 1,187
 1,126
 1,126
Developed technology7,925
 6,636
 7,287
 5,969
Patents5,566
 5,559
 5,512
 5,487
Other1,162
 1,145
 1,162
 1,138
 $96,728
 $66,484
 $88,540
 $59,517


Amortization expense related to other intangibles was $1,827,000, $2,218,000 and $1,881,000 $1,629,000for 2019, 2018 and $1,907,000 for 2017, 2016 and 2015, respectively. Estimated amortization expense for each of the next five years is expected to be $1,626,000$399,000 for 2018, $1,319,000 in 2019, $190,000 in 2020, $190,000$399,000 in 2021, $389,000 in 2022, $389,000 in 2023 and $190,000$350,000 in 2022.2024. Amortized intangibles are being amortized on a straight-line basis over remaining lives fromof 1 to 104 years with the majoritymost of the intangibles being amortized over an average remaining life of approximately 4 years.


In accordance with ASC 350, Intangibles—Goodwill and Other, the company reviews intangibles for impairment. The company's intangible assets consist of intangible assets with defined lives as well as intangible assets with indefinite lives. Defined-lived intangible assets consist principally of customer lists and developed technology. The company's indefinite lived intangible assets consist entirely of trademarks.




















 
The company evaluates the carrying value of definite-lived assets whenever events or circumstances indicate possible impairment. Definite-lived assets are determined to be impaired if the future un-discounted cash flows expected to be generated by the asset are less than the carrying value. Actual impairment amounts for definite-lived assets are then calculated using a discounted cash flow calculation. The company reviews indefinite-lived assets for impairment annually in the fourth quarter of each year and whenever events or circumstances indicate possible impairment. Any impairment amounts for indefinite-lived assets are calculated as the difference between the future discounted cash flows expected to be generated by the asset less than the carrying value for the asset.
During 2017,2019 and 2018, the company recognized an intangible impairment charge in the IPGInstitutional Products Group reporting unit, which is part of the North America segment, of $320,000$587,000 ($237,000435,000 after-tax) and $583,000 ($431,000 after-tax) respectively, related to a trademark with an indefinite life. The fair value of the trademark was calculated using a relief from royalty payment methodology which requires applying an estimated market royalty rate to forecasted net sales and discounting the resulting cash flows to determine fair value.

Notes to Financial Statements
Current Liabilities 
   
Table of Contents


Current Liabilities

Accrued Expenses


Accrued expenses as of December 31, 20172019 and 20162018 consisted of accruals for the following (in thousands):
 2019 2018
Salaries and wages$29,725
 $23,289
Taxes other than income taxes, primarily Value Added Taxes22,194
 23,197
Warranty11,626
 16,353
Rebates10,743
 7,966
Severance7,023
 1,657
Professional6,869
 5,888
IT service contracts6,125
 
Freight3,744
 3,363
Interest3,608
 3,992
Advance payment on sale of land & buildings3,471
 
Deferred revenue3,173
 2,416
Product liability, current portion2,736
 2,728
IT licenses2,114
 
Derivatives (foreign currency forward exchange contracts)905
 219
Insurance699
 738
Rent415
 483
Supplemental Executive Retirement Program liability Plan (SERP)391
 391
Other items, principally trade accruals5,386
 7,187
Accrued Expenses$120,947
 $99,867

 2017 2016
Salaries and wages$33,390
 $32,959
Taxes other than income taxes, primarily Value Added Taxes22,627
 19,194
Warranty cost22,468
 23,302
Rebates5,831
 356
Professional5,203
 4,728
Freight4,002
 5,211
Interest3,919
 3,747
Severance3,704
 2,049
Product liability, current portion2,905
 3,996
Deferred revenue2,770
 1,446
Derivatives (foreign currency forward exchange contracts)2,120
 1,783
Rent808
 672
Insurance645
 742
Supplemental Executive Retirement Plan (SERP)391
 391
Other items, principally trade accruals7,914
 9,519
 $118,697
 $110,095


Depending on the terms of the contract, the company may defer the recognition of a portion of the revenue at the end of a reporting period to align with the transfer of control of the company’s products to the customer. In addition, to the extent performance obligations are satisfied over time, the company defers revenue recognition until the performance obligations are satisfied.

Accrued rebates relate to several volume incentive programs the company offers its customers. The company accounts for these rebates as a reduction of revenue when the products are sold in accordance with the guidance in ASC 605-50, Customer Payments and Incentives. Rebates are netted against gross accounts receivables unless in excess of such receivables and then classified as accrued expenses.




Generally, the company's products are covered by warranties against defects in material and workmanship for various periods depending on the product from the date of sales to the customer. Certain components carry a lifetime warranty. A provision for estimated warranty cost is recorded at the time of sale based upon actual experience. In addition, the company has sold extended warranties that, while immaterial, require the company to defer the revenue associated with those warranties until earned. The company has established procedures to appropriate defer such revenue.

The company continuously assesses the adequacy of its product warranty accrual and makes adjustments as needed. Historical analysis is primarily used to determine the company's warranty reserves. Claims history is reviewed and provisions are adjusted as needed. However, the company does consider other events, such as a product field action and recalls, which could warrantrequire additional warranty reserve provision.

Accrued rebates relate to several volume incentive programs the company offers its customers. The company accounts for these rebates as a reduction of revenue when the products are sold. Rebates are netted against gross accounts receivables. If rebates are in excess of such receivables, they are then classified as accrued expenses.

In the fourth quarter of 2019, the company entered into an agreement with an IT provider to outsource substantially all of the company’s information technology business service activities, including, among other things, support, rationalization and upgrading of the company’s legacy information technology systems and implementation of a global enterprise resource planning (“ERP”) system. Accrued expenses related to IT outsourcing are reflected in IT service contracts. Separately, the company entered into licenses for a new ERP system which are shown as IT licenses.

In the third quarter of 2018, the company agreed to sell its Isny, Germany location with a net book value at the signing of the agreement of approximately $2,900,000. In accordance with the agreement, control will not transfer to the buyer until April 2020; however, the company received an advance payment for a portion of the proceeds, as disclosed above. The advance payment was reflected in Other Long-Term Obligations as of December 31, 2018 and in the investing section of the Consolidated Statement of Cash Flows in the third quarter of 2018. The company will continue to record depreciation with respect to the Isny facility until control is transferred and expects to recognized a gain upon closing of the transaction when completed in 2020.
Notes to Financial Statements
Current Liabilities
   
Table

The following is a reconciliation of Contents

Changesthe changes in accrued warranty costs were as followsfor the reporting period (in thousands):
 2019 2018
Balance as of January 1$16,353
 $22,468
Warranties provided during the period5,504
 7,106
Settlements made during the period(10,882) (13,731)
Changes in liability for pre-existing warranties during the period, including expirations651
 510
Balance as of December 31$11,626
 $16,353

 2017 2016
Balance as of January 1$23,302
 $22,820
Warranties provided during the period10,176
 12,019
Settlements made during the period(11,917) (15,461)
Changes in liability for pre-existing warranties during the period, including expirations907
 3,924
Balance as of December 31$22,468
 $23,302


The company's warranty expense for 2016 includes $2,856,000 principally driven by two specific issues. First, an expense of $1,366,000 for a product recall which was related to a component on a lifestyles product, recorded in the NA/HME segment. Secondly, an additional warranty expense of $1,490,000 for a component of a lifestyles product which was recorded in the European segment.







































The company's warranty expense for 2015 includes reversals of $2,325,000 principally driven by a $2,000,000 reversal as a result of changes in the company's estimate of costs related to a recall for a component in a stationary oxygen concentrator that was manufactured in the company’s facility in Suzhou, China.

Warranty reserves are subject to adjustment in future periods as new developments change the company's estimate of the total cost.
















































































Notes to Financial Statements
Long-Term ObligationsDebt 
   
Table of Contents

Long-Term Liabilities


Long-Term Debt


Debt as of December 31, 20172019 and 20162018 consisted of the following (in thousands):
 2019 2018
Convertible senior notes at 5.00%, due in February 2021$56,628
 $130,260
Convertible senior notes at 4.50%, due in June 2022101,815
 95,473
Convertible senior notes at 5.00%, due in November 202460,817
 
Other obligations262
 
 219,522
 225,733
Less current maturities of long-term debt(58) 
Long-Term Debt$219,464
 $225,733

 2017 2016
Convertible senior notes at 5.00%, due in February 2021$122,355
 $115,159
Convertible senior notes at 4.50%, due in June 202289,675
 
Convertible senior subordinated debentures at 4.125%, due in February 2027
 13,039
Other notes and lease obligations31,415
 33,151
 243,445
 161,349
Less current maturities of long-term debt(2,040) (15,261)
 $241,405
 $146,088


The company had outstanding letters of credit of $2,945,000$8,827,000 and $2,853,000$3,123,000 as of December 31, 20172019 and 2016,2018, respectively. There were no borrowings denominated in foreign currencies excluding a portion of the company's capital leases, as of December 31, 20172019 or December 31, 2016.2018. For 20172019 and 2016,2018, the weighted average interest rate on all borrowings, excluding capital leases, was 4.84%4.78% and 4.85%4.78%, respectively.


On September 30, 2015, the company entered into an Amended and Restated Revolving Credit and Security Agreement, which was subsequently amended (the "Credit Agreement") and which matures on January 16, 2021. The Credit Agreement was entered into by and among the company, certain of the company’scompany's direct and indirect U.S. and Canadian subsidiaries and certain of the company’scompany's European subsidiaries (together with the company, the “Borrowers”), certain other of the company’scompany's direct and indirect U.S., Canadian and European subsidiaries (the “Guarantors”), and PNC Bank, National Association (“PNC”), JPMorgan Chase Bank, N.A., J.P. Morgan Europe Limited, KeyBank National Association, and Citizens Bank, National Association (the “Lenders”). PNC is the administrative agent (the “Administrative Agent”) and J.P. Morgan Europe Limited is the European agent (the “European Agent”) under the Credit Agreement.

In connection with entering into the company's Credit Agreement, the company incurred fees which were capitalized and are being amortized as interest expense. As of December 31, 2017,2019, debt fees yet to be amortized through January 2021 totaled $1,184,000. In addition, as a result of terminating the previous credit agreement, which was scheduled to mature in October 2015, the company wrote-off $668,000 in previously capitalized fees in the first quarter of 2015, which is reflected in the expense of the North America / HME segment.$809,000.




U.S. and Canadian Borrowers Credit Facility


For the company's U.S. and Canadian Borrowers, the Credit Agreement provides for an asset-based-lending senior secured revolving credit facility which is secured by substantially all the company’scompany's U.S. and Canadian assets, other than real estate. The Credit Agreement provides the company and the other Borrowers with a credit facility in an aggregate principal amount of $100,000,000, subject to availability based on a borrowing base formula, under a senior secured revolving credit, letter of credit and swing line
loan facility (the “U.S. and Canadian Credit Facility”). Up to $25,000,000 of the U.S. and Canadian Credit Facility will be available for issuance of letters of credit. The aggregate principal amount of the U.S. and Canadian Credit Facility may be increased by up to $25,000,000 to the extent requested by the company and agreed to by any Lender or new financial institution approved by the Administrative Agent.


The aggregate borrowing availability under the U.S. and Canadian Credit Facility is determined based on a borrowing base formula. The aggregate usage under the U.S. and Canadian Credit Facility may not exceed an amount equal to the sum of (a) 85% of eligible U.S. accounts receivable plus (b) the lesser of (i) 70% of eligible U.S. inventory and eligible foreign in-transit inventory and (ii) 85% of the net orderly liquidation value of eligible U.S. inventory and eligible foreign in-transit inventory (not to exceed $4,000,000), plus (c) the lesser of (i) 85% of the net orderly liquidation value of U.S. eligible machinery and equipment and (ii) $1,315,800$146,000 as of December 31, 20172019 (subject to reduction as provided in the Credit Agreement), plus (d) 85% of eligible Canadian accounts receivable, plus (e) the lesser of (i) 70% of eligible Canadian inventory and (ii) 85% of the net orderly liquidation value of eligible Canadian inventory, less (f) swing loans outstanding under the U.S. and Canadian Credit Facility, less (g) letters of credit issued and undrawn under the U.S. and Canadian Credit Facility, less (h) a $5,000,000 minimum availability reserve, less (i) other reserves required by the Administrative Agent, and in each
Notes to Financial StatementsLong-Term Obligations
Table of Contents

case subject to the definitions and limitations in the Credit Agreement. As of December 31, 2017,2019, the company was in compliance with all covenant requirements and had borrowing capacity on the U.S. and Canadian Credit Facility under the Credit Agreement of $26,453,000,$22,603,000, considering the minimum availability reserve, then-outstanding letters of credit, other reserves and the $11,250,000$6,750,000 dominion trigger amount described below. Borrowings under the U.S. and Canadian Credit Facility are secured by substantially all the company’scompany's U.S. and Canadian assets, other than real estate.




Notes to Financial Statements
Long-Term Debt


Interest will accrue on outstanding indebtedness under the Credit Agreement at the LIBOR rate, plus a margin ranging from 2.25% to 2.75%, or at the alternate base rate, plus a margin ranging from 1.25% to 1.75%, as selected by the company. Borrowings under the U.S. and Canadian Credit Facility are subject to commitment fees of 0.25% or 0.375% per year, depending on utilization.


The Credit Agreement contains customary representations, warranties and covenants. Exceptions to the operating covenants in the Credit Agreement provide the company with flexibility to, among other things, enter into or undertake certain sale and leaseback transactions, dispositions of assets, additional credit facilities, sales of receivables, additional indebtedness and intercompany indebtedness, all subject to limitations set forth in the Credit Agreement, as amended. The Credit Agreement also contains a covenant requiring the company to maintain minimum availability under the U.S. and Canadian Credit Facility of not less than the greater of (i) 11.25% of the maximum amount that may be drawn under the U.S. and Canadian Credit Facility for five (5) consecutive business days, or (ii) $5,000,000 on any business day. The company also is subject to dominion triggers under the U.S. and Canadian Credit Facility requiring the company to maintain borrowing capacity of not less than $11,250,000$6,750,000 on any business day or $12,500,000 for five consecutive days in order to avoid triggering full control by an agent for the lenders of the company's cash receipts for application to the company’scompany's obligations under the agreement.


The Credit Agreement contains customary default provisions, with certain grace periods and exceptions, which provide thatfor events of default that include, among other things, failure to pay amounts due, breach of covenants, representations or warranties, bankruptcy, the occurrence of a material adverse effect, exclusion from any medical reimbursement program, and an interruption of any material manufacturing facilities for more than 10 consecutive days. There were no borrowings outstanding under the U.S. and Canadian Credit Facility at December 31, 2017.2019.






European Credit Facility


The Credit Agreement also provides for a revolving credit, letter of credit and swing line loan facility which gives the company and European Borrowers the ability to borrow up to an aggregate principal amount of $30,000,000, with a $5,000,000 sublimit for letters of credit and a $2,000,000 sublimit for swing line loans (the “European Credit Facility”). Up to $15,000,000 of the European Credit Facility will be available to each of Invacare Limited (the “UK Borrower”) and Invacare Poirier SAS (the “French Borrower” and, together with the UK Borrower, the “European Borrowers”). The European Credit Facility matures in January 2021, together with the U.S. and Canadian Credit Facility.

The aggregate borrowing availability for each European Borrower under the European Credit Facility is determined based on a borrowing base formula. The aggregate borrowings of each of the European Borrowers under the European Credit Facility may not exceed an amount equal to (a) 85% of the European Borrower’sBorrower's eligible accounts receivable, less (b) the European Borrower’sBorrower's borrowings and swing line loans outstanding under the European Credit Facility, less (c) the European Borrower’sBorrower's letters of credit issued and undrawn under the European Credit Facility, less (d) a $3,000,000 minimum availability reserve, less (e) other reserves required by the European Agent, and in each case subject to the definitions and limitations in the Credit Agreement. As of December 31, 2017,2019, the aggregate borrowing availability to the European Borrowers under the European Credit Facility was approximately $13,496,000,$11,913,000, considering the $3,000,000 minimum availability reserve and a $3,375,000 dominion trigger amount described below.


The aggregate principal amount of the European Credit Facility may be increased by up to $10,000,000 to the extent requested by the company and agreed to by any Lender or Lenders that wish to increase their lending participation or, if not agreed to by any Lender, a new financial institution that agrees to join the European Credit Facility and that is approved by the Administrative Agent and the European Agent.


Interest will accrue on outstanding indebtedness under the European Credit Facility at an adjustedthe overnight LIBOR rate, plus a margin ranging from 2.50% to 3.00%, or for swing line loans, at the overnight LIBOR rate, plus a margin ranging from 2.50% to 3.00%, as selected by the company. The margin will be adjusted quarterly based on utilization. Borrowings under the European Credit Facility are subject to commitment fees of between 0.25% and 0.375% per year, depending on utilization.



Notes to Financial StatementsLong-Term Obligations
Table of Contents

The European Credit Facility is secured by substantially all the personal property assets of the UK Borrower and its in-country subsidiaries, and all the receivables of the French Borrower and its in-country subsidiaries. The UK and French facilities (which comprisecompose the European Credit Facility) are cross collateralized, and the U.S. personal property assets previously pledged under the U.S. and Canadian Credit Facility also serve as collateral for the European Credit Facility.


The European Credit Facility is subject to customary representations, warranties and covenants generally consistent with those applicable to the U.S. and Canadian Credit Facility. Exceptions to the operating covenants in the Credit Agreement provide the company with flexibility to, among other things, enter into or undertake certain sale/leaseback transactions, dispositions of assets, additional credit facilities, sales of receivables, additional indebtedness and intercompany indebtedness, all subject to limitations set
Notes to Financial Statements
Long-Term Debt

forth in the Credit Agreement. The Credit Agreement also contains a covenant requiring the European Borrowers to maintain undrawn availability under the European Credit Facility of not less than the greater of (i) 11.25% of the maximum amount that may be drawn under the European Credit Facility for five (5) consecutive business days, or (ii) $3,000,000 on any business day. The European Borrowers also are subject to cash dominion triggers under the European Credit Facility requiring the European Borrower to maintain borrowing capacity of not less than $3,375,000 on any business day or 12.50% of the maximum amount that may be drawn under the European Credit Facility for five (5) consecutive business days in order to avoid triggering full control by an agent for the Lenders of the European Borrower’sBorrower's cash receipts for application to its obligations under the European Credit Facility.


The European Credit Facility is subject to customary default provisions, with certain grace periods and exceptions, consistent with those applicable to the U.S. and Canadian Credit Facility, which provide that events of default include, among other things, failure to pay amounts due, breach of covenants, representations or warranties, cross-default, bankruptcy, the occurrence of a material adverse effect, exclusion from any medical reimbursement program, and an interruption in the operations of any material manufacturing facility for more than 10 consecutive days.

The proceeds of the European Credit Facility will be used to finance the working capital and other business needs of the company. There were no borrowings outstanding under the European Credit Facility at December 31, 2017.

Convertible senior subordinated debentures due in 2027

In 2007, the company issued $135,000,000 principal amount of 4.125% Convertible Senior Subordinated Debentures due 2027 (the "debentures"), of which $0
principal amount remained outstanding at December 31, 2017 as the holders of the debentures exercised their right to require the company to repurchase all of the debentures on February 1, 2017 at a price equal to 100% of the principal amount. As a result of the repurchase, the company wrote-off unamortized debt fees of $207,000 and recognized amortization expense of $311,000 in the first quarter of 2017.

The liability components of the debentures consisted of the following (in thousands):
 2016
Carrying amount of equity component$25,381
  
Principal amount of liability component$13,350
Unamortized discount(311)
Net carrying amount of liability component$13,039
The unamortized discount as of December 31, 2016 was fully amortized in the first quarter 2017 due to the repurchase of all the debentures on February 1, 2017.
The effective interest rate on the liability component was 11.5%. Non-cash interest expense of $311,000, $892,000 and $796,000 was recognized in 2017, 2016 and 2015, respectively, in comparison to actual interest expense paid of $275,000, $551,000 and $551,000 based on the stated coupon rate of 4.125%, for each of the same periods.2019.
Convertible senior notes due 2021
In the first quarter of 2016, the company issued $150,000,000 aggregate principal amount of 5.00% Convertible Senior Notes due 2021 (the “2021 notes”) in a private offering to qualified institutional buyers pursuant to Rule 144A under the Securities Act. The notes bear interest at a rate of 5.00% per year payable semi-annually in arrears on February 15 and August 15 of each year, beginning August 15, 2016. The notes will mature on February 15, 2021, unless repurchased or converted in accordance with their terms prior to such date. Prior to August 15, 2020, the 2021 notes will be convertible only upon satisfaction of certain conditions and during certain periods, and thereafter, at any time until the close of business on the second scheduled trading day immediately preceding the maturity date. Unless and untilPrior to May 16, 2019, the 2021 notes were convertible, subject to certain conditions, into cash only. On May 16, 2019, the company obtainsobtained shareholder approval under applicable New York Stock Exchange rules the 2021 notes will be convertible, subject to certain conditions, into cash. If the company obtains such shareholder approval,that conversion of the 2021 notes may be settled in cash, the company’s common shares or a combination of cash and the company’s common shares, at the company’s election. At December 31, 2019, $61,091,000 aggregate principal amount of the 2021 Notes remained outstanding, following the repurchase and exchange transactions completed in 2019, as further discussed below.
Holders of the 2021 notes may convert their 2021 notes at their option at any time prior to the close of business on the business day immediately preceding August 15, 2020 only under the following circumstances: (1) during any fiscal quarter commencing after March 31, 2016 (and only during such fiscal quarter), if the last reported sale price of the company’s Common Shares for at least 20 trading days (whether or not consecutive) during the period of 30 consecutive trading days ending on, and including, the last trading day of the immediately preceding fiscal quarter is greater than or equal to 130% of the applicable conversion price for the 2021 notes on each applicable trading day; (2) during the five business day period after any 10 consecutive trading day period (the “measurement period”) in which the “trading price” (as defined in the Indenture) per one thousand U.S. dollar principal amount of 2021 notes for each trading day of such measurement period was less than 98% of the product of the last reported sale price of the company’s Common Shares and the applicable conversion rate for the 2021 notes on each such trading day; or (3) upon the occurrence of specified corporate events described in the Indenture. On or after August 15, 2020 until the close of business on the second scheduled trading day immediately preceding the maturity of the 2021 Notes, holders may convert their 2021 Notes, at the option of the holder, regardless of the foregoing circumstances.
Holders of the 2021 notes will have the right to require the company to repurchase all or some of their 2021 notes at 100% of their principal, plus any accrued and unpaid interest,
Notes to Financial StatementsLong-Term Obligations
Table of Contents

upon the occurrence of certain fundamental changes. The initial conversion rate is 60.0492 common shares per $1,000 principal amount of 2021 notes (equivalent to an initial conversion price of approximately $16.65 per common share). TheUntil the company evaluatedreceived shareholder approval on May 16, 2019 authorizing it to elect to settle future conversions of the terms of2021 Notes in common shares, the company separately accounted for the conversion features under the applicable accounting literature, including Derivatives and Hedging, ASC 815, and determined that the features did require separate accounting as a derivative. ThisThe derivative was capitalized on the balance sheet as a long-term liability and will be adjustedwith adjustment to reflect fair value each quarter.quarter until the change to the conversion features as a result of the shareholder approval received on May 16, 2019 resulted in the termination of the derivative. The fair value of the convertible debt conversion liability related to the notes at issuance was $34,480,000. The fair value of the convertible debt conversion liability at December 31, 20172019 was $53,154,000$0 compared to $30,708,000$1,458,000 as of December 31, 2016.2018. The company recognized a loss of $22,446,000$2,210,000 in 20172019 compared to a gain of $3,772,000$51,696,000 in 20162018 related to the convertible debt conversion liability.
In connection with the offering of the 2021 notes, the company entered into privately negotiated convertible note hedge transactions with two financial institutions (the “option counterparties”). These transactions cover, subject to customary anti-dilution adjustments, the number of the company’scompany's common shares that will initially underlie the
Notes to Financial Statements
Long-Term Debt


2021 notes, and are expected generally to reduce the potential equity dilution, and/or offset any cash payments in excess of the principal amount due, as the case may be, upon conversion of the 2021 notes. The company evaluated the note hedges under the applicable accounting literature, including Derivatives and Hedging, ASC 815, and determined that the note hedges should be accounted for as derivatives. These derivatives were capitalized on the balance sheet as long-term assets and will be adjusted to reflect fair value each quarter.quarter until no longer accounted for separately as a result of obtaining shareholder approval in May 2019 to settle the Notes with common shares. The fair value of the convertible note hedge assets at issuance was $27,975,000. The fair value of the convertible note hedge asset at December 31, 20172019 was $46,915,000$0 compared to $25,471,000$1,028,000 as of December 31, 2016.2018. The company recognized a gain of $21,444,000$2,852,000 in 20172019 compared to a loss of $2,504,000$45,887,000 in 20162018 related to the convertible note hedge asset.


The company entered into separate, privately negotiated warrant transactions with the option counterparties at a higher strike price relating to the same number of the company’scompany's common shares, subject to customary anti-dilution adjustments, pursuant to which the company sold warrants to the option counterparties. The warrants could have a dilutive effect on the company’scompany's outstanding common shares and the company’scompany's earnings per share to the extent that the price of the company’scompany's common shares exceeds the strike price of those warrants. The initial strike price of the warrants is $22.4175 per share and is subject to certain adjustments under the terms of the warrant transactions. The company evaluated the warrants under the applicable accounting literature, including Derivatives and Hedging, ASC 815, and determined that the warrants meet
met the definition of a derivative, are indexed to the company's own stock and should be classified in shareholder's equity. The amount paid for the warrants and capitalized in shareholder's equity was $12,376,000.


The net proceeds from the offering of the 2021 notes were approximately $144,034,000, after deducting fees and offering expenses of $5,966,000, which were paid in 2016. These debt issuance costs were capitalized and are being amortized as interest expense through February 2021.2021 unless required to be expensed earlier. In accordance with ASU 2015-03, Simplifying the Presentation of Debt Issuance Costs, these debt issuance costs are presented on the balance sheet as a direct deduction from the carrying amount of the related debt liability. Approximately $5,000,000 of the net proceeds from the offering were used to repurchase the company’scompany's common shares from purchasers of 2021 notes in the offering in privately negotiated transactions. A portion of the net proceeds from the offering were used to pay the cost of the convertible note hedge transactions (after such cost is partially offset by the proceeds to the company from the warrant transactions), which net cost was $15,600,000.

During the third quarter of 2019, the company used an aggregate of $14,708,000 in cash to repurchase a total amount of $16,000,000 in principal amount of 2021 Notes. After recognizing expenses on unamortized fees and discounts associated with the repurchased 2021 Notes, the repurchases resulted in a net reduction of debt of $14,367,000 and a net loss on the repurchases of $280,000.
During the fourth quarter of 2019, the company entered into separate privately negotiated agreements with certain holders of its 2021 Notes to exchange $72,909,000 in aggregate principal amount of 2021 Notes (the “Exchange Transactions”) for aggregate consideration of $72,909,000 in aggregate principal amount of new 5.00% Convertible Senior Exchange Notes due 2024 (the “2024 Notes”) of the company and $6,928,000 in cash. See "Convertible senior notes due 2024" below for more information. As a result of the exchange transaction in the fourth quarter of 2019 and the repurchase of $16,000,000 in principal amount of 2021 Notes in the third quarter of 2019, a partial unwind of the note hedge options and warrants entered into with the issuance of the 2021 Notes also occurred during the fourth quarter of 2019. Note hedge options outstanding were reduced from the original number of 300,000 to 138,182 and warrants were reduced from the initial number of 9,007,380 to 3,860,624. The partial unwind of the note hedge options and warrants resulted in no net impact to cash or paid in capital.
The liability components of the 2021 notes consist of the following (in thousands):
 December 31, 2019 December 31, 2018
Principal amount of liability component$61,091
 $150,000
Unamortized discount(3,916) (17,193)
Debt fees(547) (2,547)
Net carrying amount of liability component$56,628
 $130,260

 December 31, 2017 December 31, 2016 
Principal amount of liability component$150,000
 $150,000
 
Unamortized discount(23,900) (29,919) 
Debt fees(3,745) (4,922) 
Net carrying amount of liability component$122,355
 $115,159
 


The unamortized discount of $23,900,000$3,916,000 is to be amortized through February 2021. The effective interest rate on the liability component was 11.1%. Non-cash interest expense of $6,019,000$6,672,000 and $4,562,000$6,706,000 was recognized in 20172019 and 2016,2018, respectively, in comparison to actual interest expense accrued of $6,803,000 and $7,500,000 in 2019 and $6,378,000 in 2017 and 2016,2018, respectively, based on the stated coupon rate of 5.0%. The 2021 notes were not convertible as of December 31, 20172019 nor was the applicable conversion threshold met.


Convertible senior notes due 2022


In the second quarter of 2017, the company issued $120,000,000 aggregate principal amount of 4.50% Convertible Senior Notes due 2022 (the “2022 notes”) in a private offering to qualified institutional buyers pursuant to Rule 144A under the Securities Act. The 2022 notes bear
Notes to Financial Statements
Long-Term Debt

interest at a rate of 4.50% per year payable semi-annually in arrears on June 1 and December 1 of each year, beginning December 1, 2017. The 2022 notes will mature on June 1, 2022, unless repurchased or converted in accordance with their terms prior to such date. Prior to December 1, 2021, the
Notes to Financial StatementsLong-Term Obligations
Table of Contents

2022 notes will be convertible only upon satisfaction of certain conditions and during certain periods, and thereafter, at any time until the close of business on the second scheduled trading day immediately preceding the maturity date. Unless and untilPrior to May 16, 2019, the 2022 notes were convertible, subject to certain conditions, into cash only. On May 16, 2019, the company obtainsobtained shareholder approval of the issuance of the company's common shares upon conversion of the 2022 notes under applicable New York Stock Exchange rules the 2022 notes will be convertible, subject to certain conditions, into cash. If the company obtains such shareholder approval,that conversion of the 2022 notes may be settled in cash, the company’s common shares or a combination of cash and the company’s common shares, at the company’s election.


Holders of the 2022 notes may convert their 2022 notes at their option at any time prior to the close of business on the business day immediately preceding December 1, 2021 only under the following circumstances: (1) during any fiscal quarter commencing after September 30, 2017 (and only during such fiscal quarter), if the last reported sale price of the company’s Common Shares for at least 20 trading days (whether or not consecutive) during the period of 30 consecutive trading days ending on, and including, the last trading day of the immediately preceding fiscal quarter is greater than or equal to 130% of the applicable conversion price for the 2022 notes on each applicable trading day; (2) during the five business day period after any 10 consecutive trading day period (the “measurement period”) in which the “trading price” (as defined in the Indenture) per one thousand U.S. dollar principal amount of 2022 notes for each trading day of such measurement period was less than 98% of the product of the last reported sale price of the company’s Common Shares and the applicable conversion rate for the 2022 notes on each such trading day; or (3) upon the occurrence of specified corporate events described in the Indenture. On or after December 1, 2021 until the close of business on the second scheduled trading day immediately preceding the maturity of the 2022 Notes, holders may convert their 2022 Notes, at the option of the holder, regardless of the foregoing circumstances.

Holders of the 2022 notes will have the right to require the company to repurchase all or some of their 2022 notes at 100% of their principal, plus any accrued and unpaid interest, upon the occurrence of certain fundamental changes. The initial conversion rate is 61.6095 common shares per $1,000 principal amount of 2022 notes (equivalent to an initial conversion price of approximately $16.23 per common share). TheUntil the company evaluatedreceived shareholder approval on May 16, 2019 authorizing it to elect to settle future conversions of the terms of2022 Notes in common shares, the company separately accounted for the conversion features under the applicable accounting literature, including Derivatives and Hedging, ASC 815, and determined that the features did require separate accounting as a derivative. ThisThe derivative was capitalized on the balance sheet as a long-term liability and will be adjustedwith adjustment to reflect fair
value each quarter.quarter until the change to the conversion features as a result of the shareholder approval received on May 16, 2019 resulted in the termination of the derivative. The fair value of the convertible debt conversion liability at issuance was $28,859,000. The fair value of the convertible debt conversion liability at December 31, 20172019 was $53,414,000.$0 compared to $2,611,000 at December 31, 2018. The company recognized a loss of $24,555,000$6,193,000 in 20172019 compared to a gain of $50,803,000 in 2018 related to the convertible debt conversion liability.


In connection with the offering of the 2022 notes, the company entered into privately negotiated convertible note hedge transactions with one financial institution (the “option counterparty”). These transactions cover, subject to customary anti-dilution adjustments, the number of the company’scompany's common shares that will initially underlie the 2022 notes, and are expected generally to reduce the potential equity dilution, and/or offset any cash payments in excess of the principal amount due, as the case may be, upon conversion of the 2022 notes. The company evaluated the note hedges under the applicable accounting literature, including Derivatives and Hedging, ASC 815, and determined that the note hedges should be accounted for as derivatives. These derivatives were capitalized on the balance sheet as long-term assets and will be adjusted to reflect fair value each quarter. The fair value of the convertible note hedge assets at issuance was $24,780,000. The fair value of the convertible note hedge assets at December 31, 20172019 was $46,680,000.$0 compared to $2,062,000 at December 31, 2018. The company recognized a gain of $21,900,000$6,748,000 in 20172019 compared to a loss of $44,618,000 in 2018 related to the convertible note hedge asset.


The company entered into separate, privately negotiated warrant transactions with the option counterparty at a higher strike price relating to the same number of the company’scompany's common shares, subject to customary anti-
dilutionanti-dilution adjustments, pursuant to which the company sold warrants to the option counterparties. The warrants could have a dilutive effect on the company’scompany's outstanding common shares and the company’scompany's earnings per share to the extent that the price of the company’scompany's common shares exceeds the strike price of those warrants. The initial strike price of the warrants is $21.4375 per share and is subject to certain adjustments under the terms of the warrant transactions. The company evaluated the warrants under the applicable accounting literature, including Derivatives and Hedging, ASC 815, and determined that the warrants meet the definition of a derivative, are indexed to the company's own stock and should be classified in shareholder's equity. The amount paid for the warrants and capitalized in shareholder's equity was $14,100,000.


The net proceeds from the offering of the 2022 notes were approximately $115,289,000, after deducting fees and offering expenses of $4,711,000, which were paid in 2017.
Notes to Financial Statements
Long-Term Debt


These debt issuance costs were capitalized and are being amortized as interest expense through June 2022. As of December 31, 2017, all the debt issuance costs were paid. In accordance with ASU 2015-03, Simplifying the Presentation of Debt Issuance Costs, these debt issuance costs are presented on the balance sheet as a direct deduction from the carrying amount of the related debt liability. A portion of the net proceeds from the offering were used to pay the cost of the convertible note hedge transactions (after such cost is partially offset by the proceeds to the company from the warrant transactions), which net cost was $10,680,000.


The liability components of the 2022 notes consist of the following (in thousands):
 December 31, 2019 December 31, 2018
Principal amount of liability component$120,000
 $120,000
Unamortized discount(16,027) (21,476)
Debt fees(2,158) (3,051)
Net carrying amount of liability component$101,815
 $95,473

 December 31, 2017
Principal amount of liability component$120,000
Unamortized discount(26,378)
Debt fees(3,947)
Net carrying amount of liability component$89,675


The unamortized discount of $26,378,000$16,027,000 is to be amortized through June 2022. The effective interest rate on the liability component was 10.9%. Non-cash interest expense of $2,481,000$5,448,000 and $4,902,000 was recognized in 20172019 and 2018, respectively, in comparison to actual interest expense accrued of $2,955,000$5,400,000 and $5,400,000 for the same period,periods, based on the stated coupon rate of 4.5%. The 2022 notes were not convertible as of December 31, 20172019 nor was the applicable conversion threshold met.

Convertible senior notes due 2024
During the fourth quarter of 2019, the company entered into separate privately negotiated agreements with certain holders of its 2021 Notes to exchange $72,909,000 in aggregate principal amount of 2021 Notes (the “Exchange Transactions”) for aggregate consideration of $72,909,000 in aggregate principal amount of new 5.00% Convertible Senior Exchange Notes due 2024 (the “2024 Notes”) of the company and $6,928,000 in cash.
The notes bear interest at a rate of 5.00% per year payable semi-annually in arrears on May 15 and November 15 of each year, beginning May 15, 2020. The notes will mature on November 15, 2024, unless repurchased, redeemed or converted in accordance with their terms prior to such date. Prior to May 15, 2024, the 2024 notes will be convertible only upon satisfaction of certain conditions and during certain periods, and thereafter, at any time until the close of business on the second scheduled trading day immediately preceding the maturity date. The 2024 notes may be settled in cash, the company’s common shares or a combination of cash and the company’s common shares, at the company’s election.
Prior to the maturity of the 2024 Notes, the company may, at its election, redeem for cash all or part of the 2024 Notes if the last reported sale price of the company’s common shares equals or exceeds 130% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading day period (including the last trading day of such period) ending on, and including, the trading day immediately preceding the date on which the company provides notice of redemption. The redemption price will be equal to 100% of the principal amount of the 2024 Notes to be redeemed, plus accrued and unpaid interest to, but excluding, the redemption date (subject to certain limited exceptions). No sinking fund is provided for the 2024 Notes, which means the company is not required to redeem or retire the 2024 Notes periodically.
Holders of the 2024 notes may convert their 2024 notes at their option at any time prior to the close of business on the business day immediately preceding May 15, 2024 only under the following circumstances: (1) during any calendar quarter commencing after the calendar quarter ending December 31, 2016 (and only during such calendar quarter), if the last reported sale price of the company’s Common Shares for at least 20 trading days (whether or not consecutive) during the period of 30 consecutive trading days ending on the last trading day of the immediately preceding calendar quarter is greater than or equal to 130% of the conversion price for the 2024 notes on each applicable trading day; (2) during the five business day period after any 10 consecutive trading day period (the “measurement period”) in which the “trading price” (as defined in the Indenture) per one thousand U.S. dollar principal amount of 2024 notes for each trading day of such measurement period was less than 98% of the product of the last reported sale price of the company’s Common Shares and the applicable conversion rate for the 2024 notes on each such trading day; (3) upon the occurrence of specified corporate events described in the Indenture; or (4) if the company calls the 2024 Notes for redemption pursuant to the terms of the Indenture. Holders of the 2024 notes will have the right to require the company to repurchase all or some of their 2024 notes at 100% of their principal, plus any accrued and unpaid interest, upon the occurrence of certain fundamental changes. The initial conversion rate is 67.6819 common shares per $1,000 principal amount of 2024 notes (equivalent to an initial conversion price of approximately $14.78 per common share). On or after May 15, 2024 until the close of business on the second scheduled trading day immediately preceding the maturity of the 2024 Notes, holders may convert their 2024 Notes, at the option of the holder, regardless of the foregoing circumstances.

A loss of $5,885,000 was recorded a part of the exchange transaction, which included the write-off of fees related to the portion of the 2021 note exchanged. Debt issuance costs of $1,394,000 were capitalized and are being amortized as interest expense through November 15. In accordance with
Notes to Financial Statements
Long-Term Debt

ASU 2015-03, Simplifying the Presentation of Debt Issuance Costs, these debt issuance costs are presented on the balance sheet as a direct deduction from the carrying amount of the related debt liability. The liability components of the 2024 notes consist of the following (in thousands):
 December 31, 2019 
Principal amount of liability component$72,909
 
Unamortized discount(10,733) 
Debt fees(1,359) 
Net carrying amount of liability component$60,817
 


The unamortized discount of $10,733,000 is to be amortized through November 15, 2024. The effective interest rate on the liability component was 8.77%. Non-cash interest expense of $205,000 was recognized in 2019 in comparison to actual interest expense accrued of $456,000 in 2019 based on the stated coupon rate of 5.0%. The 2024 notes were not convertible as of December 31, 2019 nor was the applicable conversion threshold met.

The aggregate minimum maturities of long-term debt for each of the next five years are as follows: $2,040,000 in 2018, $1,873,000 in 2019, $1,810,000$4,825,000 in 2020, $151,693,000$66,802,000 in 2021, $124,654,000 in 2022, $4,500,000 in 2023, and $121,431,000$77,311,000 in 2022.2024. Interest paid on all borrowings was $11,995,000, $5,955,000$15,042,000, $14,526,000 and $2,753,000$11,955,000 in 2017, 20162019, 2018 and 2015,2017, respectively.
Notes to Financial Statements
Other Long-Term Obligations
   
Table of Contents



Other Long-Term Obligations



Other long-term obligations as of December 31, 20172019 and 20162018 consist of the following (in thousands):
 2019 2018
Deferred income taxes$23,376
 $24,681
Product liability13,414
 13,865
Pension7,006
 6,670
Deferred gain on sale leaseback5,819
 6,124
Supplemental Executive Retirement Plan liability5,433
 5,250
Deferred compensation5,354
 5,577
Uncertain tax obligation including interest2,612
 2,140
Advance payment on sale of land & buildings
 3,524
Convertible 2022 debt conversion liability
 2,611
Convertible 2021 debt conversion liability
 1,458
Other3,935
 3,065
Other long-term obligations$66,949
 $74,965

 2017 2016
Convertible 2022 debt conversion liability$53,414
 $
Convertible 2021 debt conversion liability53,154
 30,708
Deferred income taxes28,890
 31,079
Product liability13,575
 16,615
Pension10,340
 13,258
Deferred gain on sale leaseback6,419
 6,703
Supplemental Executive Retirement Plan liability5,636
 5,612
Deferred compensation5,592
 3,593
Uncertain tax obligation including interest2,738
 3,150
Other3,512
 3,689
Total long-term obligations$183,270
 $114,407


During the quarter ended March 31, 2016, the company issued $150,000,000 principal amount of 5.00% convertible senior notes due 2021. During the quarter ended June 30, 2017, the company issued $120,000,000 principal amount of 4.50% convertible senior notes due 2022. Due to the 2016 and 2017 issuances, long-term liabilities representing theThe convertible debt conversion liabilities were recorded which are adjusted to reflect fair values quarterly. Theliability amounts included in the above table representsrepresent the fair values of the conversion liabilities as of December 31, 20172019 and December 31, 2016.2018. On May 16, 2019, the company received shareholder approval authorizing it to elect to settle future conversions of convertible notes in common shares. As a result of the shareholder approval, the conversion liabilities and note hedge assets may no longer be bifurcated and accounted for as separate derivatives and thus they are no longer accounted for by the company as separate obligations. See "Long-Term Debt" in the Notesnotes to the Consolidated Financial Statements included elsewhere in this report for more detail.

























On April 23, 2015, the company entered into a real estate sales leaseback transaction which resulted in the recording of an initial deferred gain of $7,414,000, the majority of which is included in Other Long-Term Obligations and will be recognized over the 20-year life of the leases. The gain realized was $275,000$295,000 and $265,000$284,000 as of December 31, 20172019 and 2016,2018, respectively.















In the third quarter of 2018, the company agreed to sell its Isny, Germany location with a net book value at the signing of the agreement of approximately $2,900,000. In accordance with the agreement, title will not transfer to the buyer until April 2020; however, the company received an advance payment for a portion of the proceeds, originally disclosed above and now reclassed as a short-term obligation in Accrued Expenses. The advance payment is reflected in the investing section of the Consolidated Statement of Cash Flows. The company will continue to record depreciation with respect to the Isny facility until control is transferred and expects to recognize a gain upon closing of the transaction when completed in 2020.

Notes to Financial Statements

Leases and Commitments 
   
Table of Contents


Leases and Commitments

The company reviews new contracts in accordance with ASU 2016-02, "Leases" to determine if the contracts include a lease. To the extent a lease agreement includes an extension option that is reasonably certain to be exercised, the company has recognized those amounts as part of the right-of-use assets and lease liabilities. The company combines lease and non-lease components, such as common area maintenance, in the calculation of the lease assets and related liabilities. As most lease agreements do not provide an implicit rate, the company uses an incremental borrowing rate (IBR) based on information available at commencement date in determining the present value of lease payments and to help classify the lease as operating or financing. The company calculates its IBR based on the secured rates of the company's recent debt issuances, the credit rating of the company, changes in currencies, lease repayment timing as well as other publicly available data.

The company leases a portion of its facilities, transportation equipment, data processing equipment and certain other equipment. These leases have terms from 1 to 20 years and provide for renewal options. Generally, the company wasis required to pay taxes and normal expenses ofassociated with operating the facilities and equipment. As of December 31, 2017,2019, the company is committed under non-cancelable operating leases, which have initial or remaining terms in excess of one year and expire on various dates through 2035. Lease expenses were approximately $18,102,000 in 2017, $18,805,000 in 2016 and $20,360,000 in 2015.
On April 23, 2015, the company sold and leased back, under four separate lease agreements, four properties located in Ohio and one property in Florida for net proceeds of $23,000,000, which were used to reduce debt under the U.S. and Canadian Credit Facility. The initial total annual rent for the properties was $2,275,000 and can increase annually over the 20-year term of the leases based on the applicable geographical consumer price index (CPI). Each of the four lease agreements contains three 10-year renewals with the rent for each option term based on the greater of the then-current fair market rent for each property or the then- current rate and increasing annually by the applicable CPI. Under the terms of the lease agreements, the company is responsible for all taxes, insurance and utilities. The company is permitted to sublet the properties; however, the properties are currently being utilized exclusively by the company and there is no current subletting. The company is required to adequately maintain each of the properties and any leasehold improvements will be amortized over the lesser of the lives of the improvements or the remaining lease lives.lives, consistent with any other company leases.
In connection with the transaction, the requirements for sale lease-back accounting were met. Accordingly, the company recorded the sale of the properties, removed the related property and equipment from the company's balance
sheet, recognized an initial deferred gain of $7,414,000 and an immediate loss of $257,000 related to one property and recorded new lease liabilities. Specifically, the company recorded four capital leases totaling $32,339,000 and one operating lease related to leased land, which was not a material component of the transaction. The gains on the sales of the properties were required to be deferred and recognized over the life of the leases as the property sold is being leased back. The deferred gain is classified under Other Long-Term Obligations on the Consolidated Balance Sheet. The gains realized in 2019 were $295,000, as compared to $284,000 in 2018.



In December 2018, the company entered into a 20-year lease agreement in Germany. The lease is not expected to commence until April 2020.







The amount of buildings and equipment capitalized in connection with capital leases was $44,629,000 and $42,946,000 atLease expenses for the year ended December 31, 20172019 and 2016, respectively. At December 31, 2017 and 2016, accumulated amortization was $13,215,000 and $9,795,000,2018, respectively, which is included in depreciation expense.were as follows (in thousands):

  2019 2018 
Operating leases $10,550
 $17,024
 
Variable and short-term leases 2,848
 
 
Total operating leases $13,398
 $17,024
 
      
Finance lease interest cost $1,316
 $1,134
 
Finance lease depreciation 2,658
 2,305
 
Total finance leases $3,974
 $3,439
 
      


Future minimum operating and capital lease commitments, as of December 31, 2017,2019, are as follows (in thousands):
 
Finance
Leases
 Operating Leases
2020$3,785
 $8,063
20213,510
 6,144
20222,507
 3,775
20232,452
 1,419
20242,445
 1,113
Thereafter25,054
 1,111
Total future minimum lease payments39,753
 21,625
Amounts representing interest(10,759) (2,775)
Present value of minimum lease payments28,994
 18,850
Less: current maturities of lease obligations(2,514) (6,790)
Long-term lease obligations$26,480
 $12,060

 
Capital 
Leases
 Operating Leases
2018$3,162
 $13,268
20192,925
 8,177
20202,783
 5,067
20212,722
 2,786
20222,266
 1,559
Thereafter27,935
 1,456
Total future minimum lease payments41,793
 $32,313
Amounts representing interest(10,378)  
Present value of minimum lease payments$31,415
  

Notes to Financial Statements
Leases and Commitments



Supplemental cash flow amounts for the year ended December 31, 2019 were as follows (in thousands):
Cash Activity: Cash paid in measurement of amounts for lease liabilities December 31, 2019
Operating Leases $13,456
Financing Leases 3,696
Total $17,152
   
Non-Cash Activity: Right-of-use assets obtained in exchange for lease obligations December 31, 2019
Operating Leases $1,554
Financing Leases 1,377
Total $2,931
   










































Weighted-average remaining lease terms and discount rates for finance and operating leases are as follows as of December 31, 2019:
December 31, 2019
Weighted-average remaining lease term - finance leases14.3 years
Weighted-average remaining lease term - operating leases3.7 years
Weighted-average discount rate - finance leases3.92%
Weighted-average discount rate - operating leases7.77%


Notes to Financial Statements
Retirement and Benefit Plans 
   
Table of Contents


Retirement and Benefit Plans

Substantially all full-time salaried and hourly domestic employees are included in the Invacare Retirement Savings Plan sponsored by the company. The company makes matching cash contributions up to 66.7% of employees’employees' contributions up to 3% of compensation. The company also makes quarterly contributions to this Plan equal to a percentage of qualified wages. In 2017,2019, quarterly contributions were made at 1% of qualified wages. The company may make discretionary contributions to the domestic plans based on an annual resolution of the Board of Directors. Contribution expense for the Invacare Retirement Savings Plan in 2019, 2018 and 2017 2016was $1,765,000, $1,786,000 and 2015 was $2,131,000, $2,335,000 and $2,573,000, respectively.


The company sponsors a Deferred Compensation Plus Plan covering certain employees, which provides for elective deferrals and the company retirement deferrals so that the total retirement deferrals equal amounts that would have contributed to the company’scompany's principal retirement plans if it were not for limitations imposed by income tax regulations.


The company sponsors a non-qualified defined benefit Supplemental Executive Retirement Plan (SERP) for certain key executives. Effective December 31, 2008, the SERP was amended, in part to comply with IRS Section 409A. As a result of the amendment, the plan became a defined benefit cash balance plan for the non-retired participants and thus, future payments by the company will be madesince December 31, 2008 have been based upon a cash balance formula with interest credited at a rate determined annually by the Compensation and Management Development Committee of the Board of Directors. In 2019, 2018 and 2017, respectively, interest was credited at 0% for active participants in the SERP. The plan continues to be unfunded with individual hypothetical accounts maintained for each participant.


The SERP projected benefit obligation related to this unfunded plan was $6,027,000$5,824,000 and $6,003,000$5,641,000 at December 31, 20172019 and December 31, 2016,2018, respectively, and the accumulated benefit obligation was $6,027,000$5,824,000 and $6,003,000$5,641,000 at December 31, 20172019 and December 31, 2016,2018, respectively. The projected benefit obligations were calculated using an assumed future salary increase of 3.25% at December 31, 20172019 and 2016,2018, respectively. The assumed discount rate, relevant for three participants unaffected by the plan conversion was 3.60%3.22% and 4.14%4.22% for 20172019 and 2016,2018, respectively, based upon the discount rate on high-quality fixed-income investments without adjustment. The retirement age was 67 for 20172019 and 2016. In addition, the2018, respectively. The mortality assumption was updated toassumptions used for 2019 and 2018 were based upon the RP-2014 White Collar Fully Generational Mortality Table using Scale Mp-2017.MP-2018.





 
Expense for the SERP in 20172019 was $414,000$574,000 compared to expense of $1,073,000$5,000 and $142,000$414,000 in 20162018 and 2015,2017, respectively. The expense was comprisedcomposed of interest expense of $246,000 and $908,000$392,000 in 2017 and 2016, respectively, compared to2019, interest income of $42,000$193,000 in 20152018 and interest expense of $246,000 in 2017, respectively, with the remaining non-interest expense related to service costs, prior service costs and other gains/losses. Benefit payments in 2017, 20162019, 2018 and 20152017 were $391,000, $1,279,000$391,000 and $21,517,000,$391,000, respectively.


The company also sponsors a Death Benefit Only Plan (DBO) for certain key executives that provides a benefit equal to three times the participant’sparticipant's final target earnings should the participant’sparticipant's death occur while an employee and a benefit equal to one time the participant’sparticipant's final earnings upon the participant’sparticipant's death after normal retirement or if a participant dies after his or her employment with the company is terminated following a change in control of the company. Expense for the plan in 20172019 was $150,000$561,000 compared to income of $121,000$151,000 in 20162018 and expense of $103,000$150,000 in 2015, respectively.2017. The expense was comprised of2019 and 2017 amounts contained service and accrual adjustment expense of $488,000 and $69,000, in 2017respectively, compared to income of $216,000 and $28,000$253,000 in 2016 and 2015, respectively,2018, with the remaining portionactivity in each year related to interest costs in each year, respectively.costs. There were no benefit payments in 20172019, 2018 or 2015 compared to benefit payments of $761,000 in 2016.2017. In conjunction with the company's DBO, the company has invested in life insurance policies related to certain employees to help satisfy the DBO obligations.


In Europe, the company maintains twoa defined benefit plansplan in Switzerland. The statutory pension plans areplan is maintained with a private insurance company and, in accordance with Swiss law, the plans functionplan functions as defined contribution plansplan whereby employee and employer contributions are defined as a percentage of individual salary depending on the age of the employee and a guaranteed interest rate, which is annually defined by the Swiss Pension Fund. Under U.S. GAAP, the plans areplan is treated as defined benefit plans.plan. Expense for the European plansplan was $34,000, $1,079,000 and $436,000 in 2019, 2018 and $1,004,000 in 2017, and 2016, respectively, compared to income of $19,000 in 2015.respectively.


Notes to Financial Statements
Revenue


Revenue

The company has two revenue streams: product and services. Services include repair, refurbishment, preventive maintenance and rental of product. Services for the North America (N.A.) segment include maintenance and repair of product. Services for the Europe segment include repair, refurbishment and preventive maintenance services. Services in All other, are in the Asia Pacific region, and include rental and repair of product.

The following tables disaggregate the company's revenues by major source and by reportable segment for the year ended December 31, 2019 and December 31, 2018 (in thousands):
  2019
  Product Service Total
Europe $519,160
 $13,888
 $533,048
N.A. 346,642
 1,559
 348,201
Other 41,852
 4,863
 46,715
Total $907,654
 $20,310
 $927,964
% Split 98% 2% 100%
  2018
  Product Service Total
Europe $544,517
 $14,001
 $558,518
N.A. 362,431
 2,159
 364,590
Other 44,393
 4,846
 49,239
Total $951,341
 $21,006
 $972,347
% Split 98% 2% 100%


The company's revenues are principally related to the sale of products, approximately 98%, with the remaining 2% related to services including repair, refurbishment, preventive maintenance and rental of product. While the company has a significant amount of contract types, the sales split by contract type is estimated as follows: general terms and conditions (31%), large national customers (26%), governments, principally pursuant to tender contracts (20%) and other customers including buying groups and independent customers (23%).

All product and substantially all service revenues are recognized at a point in time. The remaining service revenue, recognized over time, are reflected in the Europe segment and include multiple performance obligations. For such contracts, the company allocates revenue to each performance obligation based on its relative standalone selling price. The company generally determines the standalone selling price based on the expected cost-plus margin methodology.    

Revenue is recognized when obligations under the terms of a contract with the customer are satisfied; generally, this occurs with the transfer of control of the company's products and services. Revenue is measured as the amount of consideration expected to be received in exchange for transferring product or providing services. The amount of consideration received and revenue recognized by the company can vary as a result of variable consideration terms included in the contracts related to customer rebates, cash discounts and return policies. Customer rebates and cash discounts are estimated based on the most likely amount principle and these estimates are based on historical experience and anticipated performance. In addition, customers have the right to return product within the company's normal terms policy, and as such the company estimates the expected returns based on an analysis of historical experience. The company adjusts its estimate of revenue at the earlier of when the most likely amount of consideration it expects to receive changes or when the consideration becomes fixed. The company generally does not expect that there will be significant changes to its estimates of variable consideration (see “Receivables” and "Accrued Expenses" in the Notes to the Consolidated Financial Statements include elsewhere in this report for more detail).

Depending on the terms of the contract, the company may defer the recognition of a portion of the revenue at the end of a reporting period to align with transfer of control of the company's products to the customer. In addition, to the extent performance obligations are satisfied over time, the company defers revenue recognition until the performance obligations are satisfied. As of December 31, 2019 and December 31, 2018, the company had deferred revenue of $3,173,000 and $2,416,000, respectively, related to outstanding performance obligations.

Notes to Financial Statements
Equity Compensation 
   
Table of Contents


Equity Compensation

The company’scompany's Common Shares have a $.25 stated value. The Common Shares and the Class B Common Shares generally have identical rights, terms and conditions and vote together as a single class on most issues, except that the Class B Common Shares have ten10 votes per share carry a 10% lower cash dividend rate and, in general, can only be transferred to family members or for estate planning purposes. Holders of Class B Common Shares are entitled to convert their shares into Common Shares at any time on a share-for-share basis.

On May 31, 2017, the company received notice that holders of 703,912 When Class B Common Shares had electedare transferred out of a familial relationship, they automatically convert to convert all theirCommon Shares. The Board of Directors suspended further dividends on the Class B Common Shares into Common Shares.

As of December 31, 2017,2019, 6,357 Class B Common Shares remained outstanding. The conversionPrior conversions of Class B Common Shares have substantially diminished the significance of the Company’scompany's dual class voting structure, asstructure. As of December 31, 2017,2019, the holders of the Common Shares represent approximately 99.9% of the Company’scompany's total outstanding voting power.


Equity Compensation Plan


On May 16, 2013,17, 2018, the shareholders of the company approved the Invacare Corporation 2018 Equity Compensation Plan (the “2018 Plan”), which was adopted on March 27, 2018 by the company's Board of Directors (the “Board”). The company's Board adopted the 2018 Plan in order to authorize additional Common Shares for grant as equity compensation, and to reflect changes to Section 162(m) of the Internal Revenue Code (the “Code”) resulting from the U.S. Tax Cuts and Jobs Act of 2017.
Following shareholder approval of the 2018 Plan, all of the Common Shares then-remaining available for issuance under the Invacare Corporation 2013 Equity Compensation Plan (the “2013 Plan”), which was adopted on March 27, 2013 by and all of the company's BoardCommon Shares that were forfeited or remained unpurchased or undistributed upon termination or expiration of Directors (the “Board”). The Board adoptedawards under the 2013 Plan to replace the company's prior equity plan,and under the Invacare Corporation Amended and Restated 2003 Performance Plan (the “2003 Plan”), which expired on May 21, 2013. Due to its expiration, no new awards may be grantedbecome available for issuance under the 2018 Plan. Awards granted previously under the 2013 Plan and 2003 Plan; however, awards granted prior to its expirationPlan will remain outstanding until they are exercised, vest, terminate or expire in accordance witheffect under their original terms.

The 20132018 Plan uses a fungible share-counting method, under which each common shareCommon Share underlying an award of stock options or stock appreciation rights ("SAR") will count against the number of total shares available under the 20132018 Plan as one share; and each Common Share underlying any award other than a stock option or a SAR will count against the number of total shares available under the 20132018 Plan as two shares. Shares underlying awards made under the 2003 Plan or 2013 Plan that are canceledforfeited or forfeited may be added back toremain unpurchased or undistributed upon termination or expiration of the 2013awards
will become available under the 2018 Plan for use in future awards. Any Common Shares that are added back to the 20132018 Plan as the result of the cancellationforfeiture, termination or forfeitureexpiration of an award granted under the 2018 Plan or the 2013 Plan will be added back in the same manner such shares were originally counted against the total number of shares available under the 2018 Plan or 2013 Plan.Plan, as applicable. Each common shareCommon Share that is added back to the 20132018 Plan due to a cancellationforfeiture, termination or forfeitureexpiration of an award granted under the 2003 Plan will be added back as one Common Share.
At December 31, 2017, an aggregate of 1,073,226 Common Shares underlie awards outstanding under the 2003 Plan, which shares may become available under the 2013 Plan to the extent such awards are forfeited or expire unexercised.
The Compensation and Management Development Committee of the Board (the “Compensation Committee”), in its discretion, may grant an award under the 20132018 Plan to any director or employee of the company or an affiliate. As of December 31, 2017, 2,131,355 common shares2019, 3,851,945 Common Shares were available for future issuance under the 20132018 Plan in connection with the following types of awards with respect to shares of the company's common shares:Common Shares: incentive stock options, nonqualified stock options, SARs, restricted stock, restricted stock units, unrestricted stock and performance shares. The Compensation Committee also may grant performance units that are payable in cash. The Compensation Committee has the authority to determine which participants will receive awards, the amount of the awards and the other terms and conditions of the awards.  The Common Shares authorized for issuance under the 2018 Plan includes an additional 3,000,000 Common Shares that were approved by shareholders at the company’s 2019 annual meeting on May 16, 2019.


At December 31, 2019, an aggregate of 905,263 Common Shares underlie awards which forfeited or expired unexercised under the 2003 and 2013 Plans and thus are available to be transferred under the 2018 Plan.
The 20132018 Plan provides that shares granted come from the company’scompany's authorized but unissued common sharesCommon Shares or treasury shares. In addition, the company’scompany's stock-based compensation plans allow employee participants to exchange shares for minimum withholding taxes, which results in the company acquiring treasury shares. Under these provisions, the company acquired approximately 112,000 treasury shares for $894,000 in 2019, 140,000 shares for $2,427,000 in 2018 and 85,000 treasury shares for $1,276,000 in 2017, 32,000 shares for $331,000 in 2016 and 7,000 shares for $134,000 in 2015.2017.











Notes to Financial Statements
Equity Compensation


The amounts of equity-based compensation expense recognized as part of selling, general and administrativeSG&A expenses in All Other in business segment reporting were as follows (in thousands):
 2019 2018 2017
Non-qualified and performance stock options$1,939
 $201
 $865
Restricted stock / units4,772
 4,305
 4,648
Performance shares / units4,399
 777
 1,834
Total stock-based compensation expense$11,110
 $5,283
 $7,347

 2017 2016 2015
Non-qualified stock options$865
 $745
 $1,228
Restricted stock and restricted stock units4,648
 5,039
 2,785
Performance shares and performance share units1,834
 1,110
 
Total stock-based compensation expense$7,347
 $6,894
 $4,013


Notes to Financial StatementsEquity Compensation
Table of Contents

As of December 31, 2017,2019, unrecognized compensation expense related to equity-based compensation arrangements granted under the company's 20132018 Plan and previous plans, which is related to non-vested options and shares, was as follows (in thousands):
 2019 2018 2017
Non-qualified and performance stock options$
 $1,939
 $2,502
Restricted stock and restricted stock units8,453
 7,469
 7,005
Performance shares and performance share units8,269
 7,441
 5,523
Total unrecognized stock-based compensation expense$16,722
 $16,849
 $15,030

 2017 2016 2015
Non-qualified stock options$2,502
 $175
 $1,059
Restricted stock and restricted stock units7,005
 8,740
 9,476
Performance shares and performance share units5,523
 3,134
 
Total stock-based compensation expense$15,030
 $12,049
 $10,535

Total unrecognized compensation cost will be adjusted for future changes in actual and estimated forfeitures and for updated vesting assumptions for the performance share awards (see "Performance"Stock Options" and "Performance Shares and Performance Share Units" below). No tax benefitbenefits for share-based compensation waswere realized during 2017,
20162019, 2018 and 20152017 due to a valuation allowance against deferred tax assets. In accordance with ASC 718, any tax benefits resulting from tax deductions in excess of the compensation expense recognized is classified as a component of financing cash flows.


Stock Options


Generally, non-qualified stock option awards typically have a term of ten years and were granted with an exercise price per share equal to the fair market value of the company’scompany's Common Shares on the date of grant. Stock option awards granted in 2017 were performance-based awards which will only becomebecame exercisable ifbased upon achievement of the performance goals established by the Compensation Committee areas achieved over a 3-year period ending in 2019 andwhich were subject to the Compensation Committee's exercise of negative discretion to reduce the number of options vested based on the progress towards the company's transformation. The company expects the compensation expense to be recognized over a weighted-average period of approximately 2 years.




The following table summarizes information about stock option activity for the three years ended 2017, 20162019, 2018 and 2015: 2017:
2017 
Weighted
Average
Exercise
Price
 2016 
Weighted
Average
Exercise
Price
 2015 
Weighted
Average
Exercise
Price
2019 
Weighted
Average
Exercise
Price
 2018 
Weighted
Average
Exercise
Price
 2017 
Weighted
Average
Exercise
Price
Options outstanding at January 12,542,732
 $21.19
 2,942,783
 $21.22
 3,600,132
 $22.74
1,885,362
 $18.78
 2,631,569
 $19.44
 2,542,732
 $21.19
Granted756,420
 12.15
 
 
 
 

 
 
 
 756,420
 12.15
Exercised(193,263) 13.51
 (1,250) 13.82
 (172,218) 13.95

 
 (184,549) 14.28
 (193,263) 13.51
Canceled(474,320) 19.45
 (398,801) 21.47
 (485,131) 34.98
(444,160) 20.49
 (561,658) 23.34
 (474,320) 19.45
Options outstanding at December 312,631,569
 $19.44
 2,542,732
 $21.19
 2,942,783
 $21.22
1,441,202
 $18.26
 1,885,362
 $18.78
 2,631,569
 $19.44
Options exercise price range at December 31$ 12.15 to
   $ 13.37 to
   $ 13.37 to
  $ 12.15 to
   $ 12.15 to

   $ 12.15 to
  
$33.36
   $33.36
   $33.36
  $33.36
   $33.36
   $33.36
  
Options exercisable at December 312,029,773
   2,513,614
   2,656,983
  910,267
   1,354,202
   2,029,773
  
Shares available for grant at December 31*2,131,355
   3,891,121
   2,659,562
  3,851,945
   3,994,255
   2,131,355
  
 ________________________
 *Shares available for grant under the 2018 Plan as of December 31, 20172019 reduced by net restricted stock and restricted stock unit and performance share and performance share unit award activity of 2,045,888(510,028) shares and 1,999,706812,396 shares, respectively.

Notes to Financial Statements
Equity Compensation 
   
Table of Contents


The following table summarizes information about stock options outstanding at December 31, 2017:2019:
 Options Outstanding Options Exercisable
Exercise Prices
Number
Outstanding
At 12/31/19
 
Weighted Average
Remaining
Contractual Life (Years)
 
Weighted Average
Exercise Price
 
Number
Exercisable
At 12/31/19
 
Weighted Average
Exercise Price
$ 12.15 – $20.00792,284
 5.8 $12.75
 261,349
 $13.98
$ 20.01 – $25.00306,999
 1.7 24.45
 306,999
 24.45
$ 25.01 – $30.00337,423
 0.6 25.33
 337,423
 25.33
$ 30.01 – $33.364,496
 1.4 33.36
 4,496
 33.36
Total1,441,202
 3.7 $18.26
 910,267
 $21.82

 Options Outstanding Options Exercisable
Exercise Prices
Number
Outstanding
At 12/31/17
 
Weighted Average
Remaining
Contractual Life Years
 
Weighted Average
Exercise Price
 
Number
Exercisable
At 12/31/17
 
Weighted Average
Exercise Price
$ 12.15 – $20.001,071,784
 6.9 $13.07
 469,988
 $14.23
$ 20.01 – $25.00823,501
 2.2 22.21
 823,501
 22.21
$ 25.01 – $30.00731,788
 1.5 25.55
 731,788
 25.55
$ 30.01 – $33.364,496
 3.4 33.36
 4,496
 33.36
Total2,631,569
 3.9 $19.44
 2,029,773
 $21.60


Pursuant to the Plans, the Committee has established that grants may not be exercised within one year from the date grantedThe 2018 Plan provides for a one-year minimum vesting period for stock options and, generally, options must be exercised within ten years from the date granted. AllNo stock options were issued in 2019 or 2018 and those issued in 2017 were performance-based and may vestvested after the conclusion of the three-year performance period endingended December 31, 2019 based on achievement of performance goals established by the Compensation Committee and subject to the Compensation Committee's exercise of negative discretion to reduce the number of options vested based on the progress towards the company's transformation. All other outstanding stock options were issued in 2014 andor prior years and were not performance-based.


For the stock options issued in 2014 and prior, 25% of such options vested one year following the issuance and provided a four-year vesting period whereby options vest equally in 25% installments in each year. Options granted with graded vesting were accounted for as single options. 

The fair value of options granted is estimated on the date of grant using the Black-Scholes option-pricing model. The calculated fair value of the 2017 performance option awards was $5.38 based on the following assumptions:
2017
Expected dividend yield0.4%
Expected stock price volatility39.1%
Risk-free interest rate2.31%
Expected life in years7.8

Forfeiture percentage5.0%

 
Expected dividend yields was based on historical dividends. Expected stock price volatility percentage was calculated at each date of grant based on historical stock prices for a period of time commensurate with the expected life of the option. The assumed expected life and forfeiture percentage were based on the company's historical analysis of option history.


The weighted-average fair value of options granted in 2017 was $5.38. The weighted-average remaining contractual life of options outstanding at December 31, 2019, 2018 and 2017 2016was 3.7, 3.8 and 2015 was 3.9 3.5 and 4.3 years, respectively. The weighted-average contractual life of options exercisable at December 31, 20172019 was 2.41.6 years. The total intrinsic value of stock awards exercised in 2019, 2018 and 2017 2016was $0, $755,000 and 2015 was $350,000, $2,000 and $1,107,000, respectively. As of December 31, 2017,2019 and 2018, the intrinsic value of all options outstanding and of all options exercisable was $4,070,000$0 and $1,252,000,$0, respectively.


The exercise of stock awards in 2017, 20162019, 2018 and 20152017 resulted in cash received by the company totaling $2,676,000, $17,000$0, $2,626,000 and $2,402,000$2,676,000 for each period, respectively with no tax benefits for any period. The total fair value of awards vested during 2019, 2018 and 2017 2016was $2,844,000, $1,000 and 2015 was $363,000, $953,000 and $1,867,000, respectively.


Notes to Financial Statements
Equity Compensation
   
Table of Contents



Restricted Stock and Restricted Stock Units


The following table summarizes information about restricted shares and restricted share units (primarily for non-U.S. recipients):
 2019Weighted Average Fair Value 2018Weighted Average Fair Value 2017Weighted Average Fair Value
Stock / Units unvested at January 1637,663
$15.04
 776,520
$13.75
 878,356
$15.87
Granted828,484
9.86
 377,299
17.48
 523,412
12.37
Vested(309,150)14.26
 (386,275)15.05
 (369,128)16.63
Canceled(191,912)12.60
 (129,881)14.43
 (256,120)14.02
Stock / Units unvested at December 31965,085
$11.32
 637,663
$15.04
 776,520
$13.75
         

 2017Weighted Average Fair Value 2016Weighted Average Fair Value 2015Weighted Average Fair Value
Stock / Units unvested at January 1878,356
$15.87
 641,505
$18.89
 312,423
$17.91
Granted523,412
12.37
 486,711
12.62
 480,839
19.09
Vested(369,128)16.63
 (139,298)17.86
 (56,976)16.47
Canceled(256,120)14.02
 (110,562)16.60
 (94,781)18.11
Stock / Units unvested at December 31776,520
$13.75
 878,356
$15.87
 641,505
$18.89
         


The restricted stock awards generally vest ratably over the three years after the award date. Unearned restricted stock compensation, determined as the market value of the shares at the date of grant, is being amortized on a straight-line basis over the vesting period.


Performance Shares and Performance Share Units


The following table summarizes information about performance shares and performance share units (primarily for non-U.S. recipients):
 2019 Weighted Average Fair Value 2018 Weighted Average Fair Value 2017 Weighted Average Fair Value
Shares / Units unvested at January 1448,294
 $14.37
 457,879
 $12.33
 309,468
 $14.58
Granted576,737
 9.93
 205,164
 17.48
 336,694
 12.02
Vested(255,259) 12.02
 (155,766) 12.82
 
 
Canceled(16,500) 11.99
 (58,983) 13.43
 (188,283) 15.48
Shares / Units unvested at December 31753,272
 $11.82
 448,294
 $14.37
 457,879
 $12.33
            

 2017 Weighted Average Fair Value 2016 Weighted Average Fair Value 2015 Weighted Average Fair Value
Shares / Units unvested at January 1309,468
 $14.58
 198,401
 $19.50
 121,644
 $20.05
Granted336,694
 12.02
 234,402
 12.82
 114,257
 18.95
Vested
 
 
 
 
 
Canceled(188,283) 15.48
 (123,335) 19.14
 (37,500) 19.62
Shares / Units unvested at December 31457,879
 $12.33
 309,468
 $14.58
 198,401
 $19.50
            


During 2017, 20162019, 2018 and 2015,2017, the performance shares and performance share units (for non-U.S. recipients) were granted as performance awards with a 3-year performance period with payouts based on achievement of certain performance goals. The awards are classified as equity awards as they will be settled in common shares upon vesting. The number of shares earned will be determined at the end of the three-year performance period based on achievement of performance criteria for the periodsJanuary 1, 2019 through December 31, 2021 established by the Compensation Committee at the time of grant. Recipients will be entitled to receive a number of common sharesCommon Shares equal to the number of performance shares that vest based upon the levels of achievement which may range between 0% and 150% of the target number of shares with the target being 100% of the initial grant.











 
The fair value of the performance awards is based on the stock price on the date of grant discounted for the estimated value of dividends foregone as the awards are not eligible for dividends except to the extent vested. The company assesses the probability that the performance targets will be met with expense recognized whenever it is probable that at least the minimum performance criteria will be achieved. Depending upon the company's assessment of the probability of achievement of the goals, the company may not recognize any expense associated with performance awards in a given period, may reverse prior expense recorded or record additional expense to make up for expense not recorded in a prior period. Performance award compensation expense is generally expected to be recognized over 3three years. No performancePerformance award expense was recognized at 75% of target for the 20142016 awards, which vested on December 31, 2019, and 2015at 122.5% to 146.45% for the 2017 awards, which vested on December 31, 2019. The company continues to recognize expense related to the awards granted in 2018 and 2019 as it is considered probable that the performance goals for these performance awards were not met and thus those awards were forfeited without any shares earned in 2016 and 2017, respectively.

will be met.
Notes to Financial Statements
Accumulated Other Comprehensive Income 
   
Table of Contents




Accumulated Other Comprehensive Income (Loss) by Component

Changes in accumulated other comprehensive income ("OCI") during the year ended December 31, 20172019 were as follows (in thousands):
 Foreign Currency Long-Term Notes Defined Benefit Plans Derivatives Total Foreign Currency Long-Term Notes Defined Benefit Plans Derivatives Total
December 31, 2016 $(26,199) $17,372
 $(11,248) $740
 $(19,335)
December 31, 2018 $12,244
 $2,662
 $(2,703) $590
 $12,793
OCI before reclassifications 76,575
 (21,984) 3,446
 (2,737) 55,300
 (3,346) (5,153) (1,157) 1,958
 (7,698)
Amount reclassified from accumulated OCI 
 
 150
 755
 905
 
 
 561
 (2,528) (1,967)
Net current-period OCI 76,575
 (21,984) 3,596
 (1,982) 56,205
 (3,346) (5,153) (596) (570) (9,665)
December 31, 2017 $50,376
 $(4,612) $(7,652) $(1,242) $36,870
December 31, 2019 $8,898
 $(2,491) $(3,299) $20
 $3,128


Changes in OCI during the year ended December 31, 20162018 were as follows (in thousands):
  Foreign Currency Long-Term Notes Defined Benefit Plans Derivatives Total
December 31, 2017 $50,376
 $(4,612) $(7,652) $(1,242) $36,870
OCI before reclassifications (38,132) 7,274
 5,100
 2,098
 (23,660)
Amount reclassified from accumulated OCI 
 
 (151) (266) (417)
Net current-period OCI (38,132) 7,274
 4,949
 1,832
 (24,077)
December 31, 2018 $12,244
 $2,662
 $(2,703) $590
 $12,793

  Foreign Currency Long-Term Notes Defined Benefit Plans Derivatives Total
December 31, 2015 $(5,744) $4,111
 $(9,757) $2,003
 $(9,387)
OCI before reclassifications (20,455) 13,261
 (2,284) 989
 (8,489)
Amount reclassified from accumulated OCI 
 
 793
 (2,252) (1,459)
Net current-period OCI (20,455) 13,261
 (1,491) (1,263) (9,948)
December 31, 2016 $(26,199) $17,372
 $(11,248) $740
 $(19,335)

OCI activity related to Long-Term Notes represents currency translation on notes that are long-term in nature and not intended to be settled.


Reclassifications out of accumulated OCI for the year ended December 31, 20172019 and December 31, 20162018 were as follows (in thousands):
  Amount reclassified from OCI Affected line item in the Statement of Comprehensive (Income) Loss
  2019 2018  
Defined Benefit Plans:      
Service and interest costs $561
 $(151) Selling, General and Administrative
Tax 
 
 Income Taxes
Total after tax $561
 $(151)  
       
Derivatives:      
Foreign currency forward contracts hedging sales $(52) $1,352
 Net Sales
Foreign currency forward contracts hedging purchases (2,673) (1,591) Cost of Products Sold
Total loss (income) before tax (2,725) (239)  
Tax 197
 (27) Income Taxes
Total after tax $(2,528) $(266)  


Notes to Financial Statements
Capital Stock
  Amount reclassified from OCI Affected Statement of Comprehensive (Income) Loss line
  2017 2016  
Defined Benefit Plans:      
Service and interest costs $150
 $882
 Selling, General and Administrative
Tax 
 (89) Income Taxes
Total after tax $150
 $793
  
       
Derivatives:      
Foreign currency forward contracts hedging sales $(517) $(4,453) Net Sales
Foreign currency forward contracts hedging purchases 1,357
 1,880
 Cost of Products Sold
Total before tax 840
 (2,573)  
Tax (85) 321
 Income Taxes
Total after tax $755
 $(2,252)  



Capital Stock

Capital stock activity for 2019, 2018 and 2017 consisted of the following (in thousands of shares):
 
Common Stock
Shares
 
Class B
Shares
 
Treasury
Shares
January 1, 2017 Balance35,318
 729
 (3,616)
Conversion of Class B to Common723
 (723) 
Exercise of stock options193
 
 (4)
Restricted stock awards298
 
 (81)
December 31, 2017 Balance36,532
 6
 (3,701)
Exercise of stock options185
 
 (50)
Restricted stock awards293
 
 (90)
December 31, 2018 Balance37,010
 6
 (3,841)
Restricted and performance stock awards599
 
 (112)
December 31, 201937,609
 6
 (3,953)


Stock awards for 191,912, 129,881 and 256,120 shares were canceled in 2019, 2018 and 2017, respectively. In 2019, 2018 and 2017, dividends of $0.05 per Common Share were declared and paid. In 2018, dividends of $0.023 and $0.034 were declared and paid, respectively, per Class B Common Share as the Board of Directors suspended further dividends on the Class B Common Shares. In 2017, dividends of $0.045 per Class B Common Share were declared and paid, respectively.


Notes to Financial StatementsCapital Stock
Charges Related to Restructuring 
   
Table of Contents


Capital Stock

Capital stock activity for 2017, 2016 and 2015 consisted of the following (in thousands of shares):
 
Common Stock
Shares
 
Class B
Shares
 
Treasury
Shares
January 1, 2015 Balance34,219
 1,085
 (3,187)
Conversion of Class B to Common351
 (351) 
Exercise of stock options172
 
 
Restricted stock awards282
 
 (7)
December 31, 2015 Balance35,024
 734
 (3,194)
Conversion of Class B to Common5
 (5) 
Exercise of stock options1
 
 
Restricted stock awards288
 
 (32)
Purchase of treasury shares
 
 (390)
December 31, 2016 Balance35,318
 729
 (3,616)
Conversion of Class B to Common723
 (723) 
Exercise of stock options193
 
 (4)
Restricted stock awards298
 
 (81)
December 31, 2017 Balance36,532
 6
 (3,701)

Stock awards for 256,120, 110,562 and 94,781 shares were canceled in 2017, 2016 and 2015, respectively. In 2017, 2016 and 2015, dividends of $0.05 per Common Share and $0.045 per Class B Common Share were declared and paid, respectively.

Notes to Financial StatementsCharges Related to Restructuring
Table of Contents


Charges Related to Restructuring Activities

The company's restructuring charges were primarily originally necessitated primarily by continued declines in Medicare and Medicaid reimbursement by the U.S. government, as well as similar healthcare reimbursement pressures abroad, which negatively affect the company's customers (e.g. home health care providers) and continued pricing pressures faced by the company due to the outsourcing by competitors to lower cost locations. Restructuring decisions were also the result of reduced profitability in each of the NA/HME and Asia/Pacific segments. In addition, as a result of the company's transformation strategy, additional restructuring actions were incurredimplemented in 20162017 and have continued in 2017. The company expects any near-term cost savings from restructuring will be offset by other costs because of pressures on the business.into 2019.

The company's restructuring commenced in 2011 and cumulative charges through December 31, 2017 totaled $59,069,000. Charges for the year ended December 31, 2015 totaled $1,971,000 including charges for severance ($1,678,000) and charges primarily in the NA/HME segment ($293,000) principally related to a building lease termination. Severance charges were incurred in the NA/HME segment ($1,069,000), Europe segment ($510,000), IPG segment ($73,000) and Asia/Pacific segment ($26,000) related to the elimination of certain positions as a result of general restructuring efforts. Payments for the year ended December 31, 2015 were $3,723,000 and were funded with operating cash flows and cash on hand. The 2015 charges have been paid out.
Charges for the year ended December 31, 2016 totaled $2,447,000 which were related to NA/HME segment ($2,347,000) and the Asia/Pacific segment ($100,000). In NA/HME, costs were incurred related to severance
($1,862,000) and lease termination costs ($485,000). The Asia/Pacific charges were for severance costs. Payments for the year ended December 31, 2016 were $2,992,000 and the cash payments were funded with company's cash on hand. The 2016 charges have been paid out.
Charges for the year ended December 31, 2017 totaled $12,274,000 which were related to NA/HME segmentNorth America ($8,889,000), Europe ($1,975,000) and the Asia/Pacific segmentAll Other ($1,410,000). In NA/HME,North America, costs were incurred related to severance ($8,162,000) and lease termination costs ($727,000). The European charges were incurred related to severance ($1,753,000) and lease termination costs ($222,000). The Asia/PacificEuropean and All Other charges were for severance costs. Payments for the year ended December 31, 2017 were $10,438,000 and the cash payments were funded with company's cash on hand. The 2017 charges have been paid out.

Charges for the year ended December 31, 2018 totaled $3,481,000 which were related to North America ($1,359,000), Europe ($1,773,000) and All Other
($349,000). In North America, costs were incurred related to severance ($1,471,000) and lease termination reversals were recognized ($112,000). The European and All Other charges were incurred related to severance costs. Payments for the year ended December 31, 2018 were $5,804,000 and the cash payments were funded with company's cash on hand. Most of the 2018 charges have been paid out.

Charges for the year ended December 31, 2019 totaled $11,829,000 which were related to North America ($1,617,000), Europe ($9,579,000) and All Other ($633,000). In North America, costs were incurred related to severance ($1,573,000) and lease termination costs ($44,000). The European charges were incurred related to severance ($9,356,000) and lease termination costs ($223,000) while All Other charges were related to severance. The majority of the 20172019 charges are expected to be paid out within twelve months.


There have been no material changes in accrued balances related to the charges, either as a result of revisions into the plans or changes in estimates. In addition, the savings anticipated as a result of the company's restructuring plans have been or are expected to be achieved, primarily resulting in reduced salary and benefit costs principally impacting Selling, General and Administrative expenses, and to a lesser extent, Costs of Products Sold. However, in general, these savings have been more than offset by the general business decline, higher regulatory and compliance costs related to quality system improvements, and more recently, higher interest expense. To date, the company's liquidity has not been materially impacted.



A progression by reporting segment of the accruals recorded as a result of the restructuring is as follows (in thousands):
 Severance Contract Terminations Total
January 1, 2017 Balance     
North America$783
 $120
 $903
All Other1,266
 
 1,266
Total2,049
 120
 2,169
Charges     
North America8,162
 727
 8,889
Europe1,753
 222
 1,975
All Other1,410
 
 1,410
Total11,325
 949
 12,274
Payments     
North America(6,506) (680) (7,186)
Europe(1,504) (88) (1,592)
All Other(1,660) 
 (1,660)
Total$(9,670) $(768) $(10,438)
      
      
      

Notes to Financial Statements
Charges Related to Restructuring


 Severance Contract Terminations Total
December 31, 2017 Balance     
North America$2,439
 $167
 $2,606
Europe249
 134
 383
All Other1,016
 
 1,016
Total3,704
 301
 4,005
Charges     
North America1,471
 (112) 1,359
Europe1,773
 
 1,773
All Other349
 
 349
Total3,593
 (112) 3,481
Payments     
North America(3,254) (30) (3,284)
Europe(1,841) (134) (1,975)
All Other(545) 
 (545)
Total(5,640) (164) (5,804)
December 31, 2018 Balance     
North America656
 25
 681
Europe181
 
 181
All Other820
 
 820
Total1,657
 25
 1,682
Charges     
North America1,573
 44
 1,617
Europe9,356
 223
 9,579
All Other633
 
 633
Total11,562
 267
 11,829
Payments     
North America(2,018) (69) (2,087)
Europe(3,131) (219) (3,350)
All Other(1,047) 
 (1,047)
Total(6,196) (288) (6,484)
December 31, 2019 Balance     
North America211
 
 211
Europe6,406
 4
 6,410
All Other406
 

406
Total$7,023
 $4
 $7,027
      

 Severance Inventory Lease Terminations Other Total
December 31, 2014 Balance         
NA/HME$662
 $
 $
 $
 $662
IPG148
 
 
 
 148
Europe421
 
 
 
 421
Asia/Pacific
 
 257
 
 257
Other2,978
 
 
 
 2,978
Total4,209
 
 257
 
 4,466
Charges         
NA/HME1,069
 
 292
 
 1,361
IPG73
 
 
 
 73
Europe510
 
 
 
 510
Asia/Pacific26
 
 1
 
 27
Total$1,678
 $
 $293
 $
 $1,971
          
Notes to Financial StatementsCharges Related to Restructuring
Income Taxes 
   
Table of Contents

 Severance Inventory Lease Terminations Other Total
Payments         
NA/HME$(1,069) $
 $(55) $
 $(1,124)
IPG(221) 
 
 
 (221)
Europe(619) 
 
 
 (619)
Asia/Pacific(26) 
 (258) 
 (284)
Other(1,475) 
 
 
 (1,475)
Total(3,410) 
 (313) 
 (3,723)
December 31, 2015 Balance         
NA/HME662
 
 237
 
 899
Europe312
 
 
 
 312
Other1,503
 
 
 
 1,503
Total2,477
 
 237
 
 2,714
Charges         
NA/HME1,862
 
 485
 
 2,347
Asia/Pacific100
 
 
 
 100
Total1,962
 
 485
 
 2,447
Payments         
NA/HME(1,741) 
 (602) 
 (2,343)
Europe(312) 
 
 
 (312)
Asia/Pacific(100) 
 
 
 (100)
Other(237) 
 
 
 (237)
Total(2,390) 
 (602) 
 (2,992)
December 31, 2016 Balance         
NA/HME783
 
 120
 
 903
Other1,266
 
 
 
 1,266
Total2,049
 
 120
 
 2,169
Charges         
NA/HME8,162
 
 727
 
 8,889
Europe1,753
 
 222
 
 1,975
Asia/Pacific1,410
 
 
 
 1,410
Total11,325
 
 949
 
 12,274
Payments         
NA/HME(6,506) 
 (680) 
 (7,186)
Europe(1,504) 
 (88) 
 (1,592)
Asia/Pacific(1,410) 
 
 
 (1,410)
Other(250) 
 
 
 (250)
Total(9,670) 
 (768) 
 (10,438)
December 31, 2017 Balance         
NA/HME2,439
 
 167
 
 2,606
Europe249
 
 134
 
 383
Other1,016
 
 
 
 1,016
Total$3,704
 $
 $301
 $
 $4,005
          
Notes to Financial StatementsIncome Taxes
Table of Contents


Income Taxes

Earnings (loss) from continuing operations before income taxes consist of the following (in thousands):
 2019 2018 2017
Domestic$(66,135) $(72,703) $(96,343)
Foreign22,110
 38,601
 30,093
 $(44,025) $(34,102) $(66,250)

 2017 2016 2015
Domestic$(96,343) $(68,949) $(54,812)
Foreign30,093
 39,392
 43,072
 $(66,250) $(29,557) $(11,740)


The company has provided for income taxes (benefits) from continuing operations as follows (in thousands):
 2019 2018 2017
Current:     
Federal$152
 $(202) $(125)
State(90) 147
 (437)
Foreign10,070
 12,675
 15,223
 10,132
 12,620
 14,661
Deferred:     
Federal(148) (2,073) (2,164)
State
 
 
Foreign(682) (727) (2,206)
 (830) (2,800) (4,370)
Income Taxes$9,302
 $9,820
 $10,291

 2017 2016 2015
Current:     
Federal$(125) $(360) $(167)
State(437) (115) (150)
Foreign15,223
 12,873
 11,439
 14,661
 12,398
 11,122
Deferred:     
Federal(2,164) 
 3,222
State
 
 318
Foreign(2,206) 901
 48
 (4,370) 901
 3,588
Income Taxes$10,291
 $13,299
 $14,710


Included in the 20152018 Federal current tax benefitdeferred taxes is a benefit of $140,000$680,000 related to an intra-period allocation to continuing operations. A charge in an equal amount is in discontinued operations.other comprehensive income. In addition, included in deferred federal taxes is a benefit of $148,000 and $2,023,000 in 2019 and 2018, respectively, which resulted from the effective of indefinite intangibles and a related 2018 indefinite loss carryforward created, due to the U.S. tax reform legislation, resulting in a deferred tax benefit.


The US Tax Cuts and Jobs Act of 2017 ("Tax Act") was enacted on December 22, 2017. The Tax Act subjects a US shareholder to current tax on global intangible low-taxed income (GILTI) earned by certain foreign subsidiaries. The FASB Staff Q&A, Topic 740 No. 5, Accounting for Global Intangible Low-Taxed Income, states that an entity can make an accounting policy election to either recognize deferred taxes for temporary differences expected to reverse as GILTI in future years or provide for the tax expense related to GILTI in the year the tax is incurred. The company has elected to recognize the tax on GILTI as a period expense in the period the tax is incurred.

The SEC staff issued SAB 118, which provides guidance on accounting for the tax effects of the Tax Act. SAB 118 provides a measurement period that should not extend beyond one year from the Tax Act enactment date for companies to complete the accounting under ASC 740. In accordance with SAB 118, a company must reflect the income
tax effects of those aspects of the Tax Act for which the accounting under ASC 740 is complete. To the extent that a company's accounting for certain income tax effects of the Tax Act is incomplete but it is able to determine a reasonable estimate, it must record a provisional estimate in the financial statements.

Reduction of U.S. federal corporate tax rate: The US Tax Cuts and Jobs Act of 2017 reduces the corporate rate to 21%, effective January 1, 2018. Consequently, the company has provisionally recorded a decrease related to deferred tax assets and liabilities of $64,440,000 and $20,034,000, respectively, and has recorded a decrease to the valuation allowance of $45,986,000 with a corresponding net adjustment to deferred tax benefit of $1,580,000 for the year-ended December 31, 2017.


Deemed Repatriation Transition Tax: The Deemed Repatriation Transition tax (Transition Tax) is a tax on previously untaxed accumulated and current earnings and profit (E&P) of certain of our foreign subsidiaries. To
determine the amount of Transition Tax, a company must determine, in addition to other factors, the amount of post-1986 E&P of the relevant subsidiaries as well as the amount of non-U.S. income taxes paid on such earnings. The company believesbelieved it hashad an overall foreign E&P deficit and accordingly hasdid not recordedrecord any provisional Transition Tax obligation as of December 31, 2017. However,During 2018, the company is continuing to gather additional information to more precisely compute the amount of any Transition Tax.concluded it did not have a transitional tax liability.

Notes to Financial Statements
Income Taxes
We

The company determined thatat December 31, 2017 the provisional calculations willwould be finalized after the underlying timing differences and foreign earnings and profits arewere finalized with ourthe company's 2017 federal tax return filing. Furthermore, we are still analyzing certain aspectsThe provision calculations were finalized in 2018 with the company's federal tax return.

The company has historically considered the undistributed earnings of the UScompany's foreign subsidiaries to be indefinitely reinvested, and, accordingly, no taxes have been provided on such earnings (other than earnings of our Chinese subsidiary). The company continues to evaluate its plans for reinvestment or repatriation of unremitted foreign earnings and has not changed its previous indefinite reinvestment determination following the enactment of the Tax Act and refining our calculations which could potentially affectAct. As a result of U.S. tax reform legislation,
distributions of profits from non-U.S. subsidiaries are not expected to cause a significant incremental U.S. tax impact in the measurementfuture. However, these distributions may be subject to non-U.S. withholding taxes if profits are distributed from certain jurisdictions. Undistributed profits of these balances or potentially give rise to new or additionalnon-U.S. subsidiaries of approximately $36.3 million are considered indefinitely reinvested. Determination of the amount of unrecognized deferred tax amounts.liability related to indefinitely reinvested profits is not practicable.


The company regularly reviews its cash positions and its determination of permanent reinvestment of foreign earnings. If the company determines all or a portion of such foreign earnings are no longer indefinitely reinvested, the company may be subject to additional foreign withholding taxes and U.S. state income taxes.

Notes to Financial StatementsIncome Taxes
Table of Contents


A reconciliation to the effective income tax rate from the federal statutory rate is as follows:
 2019 2018 2017
Statutory federal income tax rate (benefit)(21.0)% (21.0)% (35.0)%
State and local income taxes, net of federal income tax benefit(0.2) 0.3
 (0.4)
Tax credits
 
 (0.2)
Expiring foreign tax credits40.2
 4.7
 2.1
Foreign taxes at other than the federal statutory rate (including tax holidays)5.1
 12.9
 (1.3)
Federal and foreign valuation allowance(20.4) 35.6
 46.2
Withholding taxes0.1
 0.2
 0.1
Unremitted earnings0.1
 
 (1.1)
Dividends
 
 5.7
Debt repurchase1.7
 
 
Foreign branch activity12.4
 0.1
 (1.2)
Uncertain tax positions1.4
 (1.9) 0.1
Effects of US Tax Reform
 
 (2.4)
Intraperiod allocations to OCI
 (2.0) 
Other, net1.7
 (0.1) 2.9
Effective federal income tax rate21.1 % 28.8 % 15.5 %
 2017 2016 2015
Statutory federal income tax rate(35.0)% (35.0)% (35.0)%
State and local income taxes, net of federal income tax benefit(0.4) (0.3) 0.9
Tax credits(0.2) (1.7) (61.8)
Foreign taxes at less than the federal statutory rate (including tax holidays)(1.3) (7.1) (46.1)
Federal and foreign valuation allowance48.3
 83.0
 168.0
Withholding taxes0.1
 1.1
 3.0
Unremitted earnings(1.1) 5.8
 (3.7)
Dividends5.7
 3.0
 100.1
Life insurance(0.1) (0.2) (2.7)
Foreign branch activity(1.2) (3.1) (8.1)
Uncertain tax positions0.1
 (2.0) 6.7
Effects of US Tax Reform(2.4) 
 
Other, net3.0
 1.5
 4.0
Effective federal income tax rate15.5 % 45.0 % 125.3 %

 
At December 31, 2017,2019, total deferred tax assets were $168,706,000,$178,632,000, total deferred tax liabilities were $29,875,000$38,290,000 and the tax valuation allowance total was $167,203,000$162,790,000 for a net deferred income tax liability of $28,372,000$22,448,000 compared to total deferred tax assets of $174,251,000,$178,301,000, total deferred tax liabilities of $30,512,000$27,971,000 and a tax valuation allowance total of $173,981,000$174,659,000 for a net deferred income tax liability of $30,242,000$24,329,000 at December 31, 2016.

Significant components of long-term deferred income tax assets and liabilities at December 31, 2017 and 2016 are as follows (in thousands):
 2017 2016
Bad Debt$1,237
 $2,952
Warranty2,949
 4,861
Other accrued expenses and reserves1,419
 1,263
Inventory3,096
 3,605
Goodwill and intangibles(24,939) (24,694)
Convertible debt916
 (319)
Fixed assets(4,158) (5,499)
Compensation and benefits9,206
 8,491
Loss and credit carryforwards118,374
 124,901
Product liability2,375
 4,044
State and local taxes29,134
 21,692
Valuation allowance(167,203) (173,981)
Other, net(778) 2,442
Net Deferred Income Taxes$(28,372) $(30,242)
2018. The company recorded a valuation allowance for its U.S. and certain foreign country net deferred tax assets where it is or is projected to be in a three-year cumulative loss.









Notes to Financial Statements
Income Taxes

Significant components of long-term deferred income tax assets and liabilities at December 31, 2019 and 2018 are as follows (in thousands):
 2019 2018
Bad Debt$841
 $954
Warranty1,391
 2,134
Other accrued expenses and reserves1,515
 511
Inventory2,993
 2,878
Goodwill and intangibles(22,686) (23,589)
Convertible debt(1,530) (1,225)
Fixed assets(13,421) (3,107)
Compensation and benefits5,965
 6,268
Loss and credit carryforwards121,602
 131,896
Product liability3,113
 2,315
State and local taxes31,499
 31,345
Valuation allowance(162,790) (174,659)
Lease liability9,713
 
Other, net(653) (50)
Net Deferred Income Taxes$(22,448) $(24,329)


The company made net payments for income taxes of $15,377,000, $26,663,000,$12,463,000, $15,820,000, and $7,966,000$15,377,000 during the years ended December 31, 2019, 2018 and 2017, 2016respectively.

The company has a federal domestic net operating loss carryforward of $360,749,000 of which $287,360,000 expires between 2034 and 2015, respectively. 2016 net2037 and the remaining are non-expiring; domestic interest carryforward of $49,656,000 which is non-expiring and federal tax payments included a foreign tax payment for an item currently being contested in the courts.

credit carryforwards of $15,838,000 of which $4,906,000 expire between 2020 and 2022 and $9,070,000 expire between 2023 and 2027, $1,862,000 expire between 2031 and 2037.
At December 31, 2017,2019, the company also had $665,139,000 of domestic state and local tax loss carryforwards, of which $179,438,000 expire between 2020 and 2023, $229,018,000 expire between 2024 and 2033 and $235,221,000 expire after 2033 and $21,462,000 have an unlimited carryover.
At December 31, 2019, the company had foreign tax loss carryforwards of approximately $81,281,000$76,800,000 of which $7,667,000$16,069,000 expire by 20242026 and the remaining are non-expiring all of which are offset by valuation allowances. At December 31, 2017, the company also had $659,065,000 of domestic state and local tax loss carryforwards, of which $220,585,000 expire between 2018 and 2021, $212,154,000 expire between 2022 and 2031 and $226,326,000 expire after 2031. The company has a federal domestic net operating loss carryforward of $287,138,000 which expires between 2034 and 2037 and federal tax credit carryforwards of $34,928,000 of which $23,290,000 expire between 2018 and 2020 and $10,029,000 expire between 2020 and 2027, $1,609,000 expire between 2031 and 2037.allowances except for $582,000.


As of December 31, 20172019 and 2016,2018, the company had a liability for uncertain tax positions, excluding interest and penalties of $1,896,000$2,082,000 and $2,337,000,$1,623,000, respectively. The total liabilities associated with unrecognized tax benefits that, if recognized, would impact the effective tax rates were $1,896,000$2,082,000 and $2,337,000$1,623,000 at December 31, 20172019 and 2016,2018, respectively.

Notes to Financial StatementsIncome Taxes
Table of Contents

A reconciliation of the beginning and ending balance of unrecognized tax benefits is as follows (in thousands):
 2019 2018
Balance at beginning of year$2,355
 $2,865
Additions to:   
Positions taken during the current year641
 58
Positions taken during a prior year52
 163
Exchange rate impact14
 
Deductions due to:   
Exchange rate impact
 (22)
Positions taken during a prior year
 (546)
Lapse of statute of limitations(190) (163)
Balance at end of year$2,872
 $2,355

 2017 2016
Balance at beginning of year$3,468
 $9,553
Additions to:   
Positions taken during the current year40
 54
Positions taken during a prior year49
 280
Exchange rate impact19
 57
Deductions due to:   
Exchange rate impact
 (11)
Positions taken during a prior year(176) (42)
Settlements with taxing authorities
 (6,245)
Lapse of statute of limitations(535) (178)
Balance at end of year$2,865
 $3,468


The company recognizes interest and penalties associated with uncertain tax positions in income tax expense. During 2017, 20162019, 2018 and 20152017 the expense (benefit) for interest and penalties was $30,000, $288,000$13,000, $(322,000) and $315,000,$30,000, respectively. The company had approximately $842,000$530,000 and $813,000$517,000 of accrued interest and penalties as of December 31, 20172019 and 2016,2018, respectively.

































 
The company and its subsidiaries file income tax returns in the U.S. and certain foreign jurisdictions. The company is subject to U.S. federal income tax examinations for calendar years 20142016 to 20172019 with limited exceptions, and is subject to various U.S. state income tax examinations for 20132015 to 2017.2019. With regards to foreign income tax jurisdictions, the company is generally subject to examinations for the periods 20112013 to 2017.

2019.
Notes to Financial Statements
Net EarningsLoss per Common Share
   
Table of Contents



Net Loss Per Common Share

The following table sets forth the computation of basic and diluted net earnings (loss) per common share.share for the periods indicated.
 2019 2018 2017
 (In thousands, except per share data)
Basic     
Average common shares outstanding33,594
 33,124
 32,752
      
Net loss$(53,327) $(43,922) $(76,541)
      
Net loss per common share$(1.59) $(1.33) $(2.34)
      
Diluted     
Average common shares outstanding33,594
 33,124
 32,752
Stock options and awards48
 419
 464
Average common shares assuming dilution33,642
 33,543
 33,216
      
Net loss$(53,327) $(43,922) $(76,541)
      
Net loss per common share *$(1.59) $(1.33) $(2.34)

 2017 2016 2015
 (In thousands, except per share data)
Basic     
Average common shares outstanding32,752
 32,471
 32,171
      
Net loss from continuing operations$(76,541) $(42,856) $(26,450)
Net earnings from discontinued operations$
 $
 $260
Net loss$(76,541) $(42,856) $(26,190)
      
Net loss per common share from continuing operations$(2.34) $(1.32) $(0.82)
Net earnings per common share from discontinued operations$
 $
 $0.01
Net loss per common share$(2.34) $(1.32) $(0.81)
      
Diluted     
Average common shares outstanding32,752
 32,471
 32,171
Stock options and awards464
 119
 512
Average common shares assuming dilution33,216
 32,590
 32,683
      
Net loss from continuing operations$(76,541) $(42,856) $(26,450)
Net earnings from discontinued operations$
 $
 $260
Net loss$(76,541) $(42,856) $(26,190)
      
Net loss per common share from continuing operations *$(2.34) $(1.32) $(0.82)
Net earnings per common share from discontinued operations$
 $
 $0.01
Net loss per common share *$(2.34) $(1.32) $(0.81)


* Net earnings (loss) per share assuming dilution calculated utilizing weighted average shares outstanding - basic infor the periods in which there iswas a net loss.


At December 31, 2017, 20162019, 2018 and 2015,2017, shares associated with stock options of 801,992, 1,730,707326,799, 333,899 and 1,479,912,801,992, respectively, were excluded from the average common shares assuming dilution, as they were anti-dilutive. At December 31, 2019, the majority of the anti-dilutive shares were granted at an exercise price of $25.24, which was higher than the average fair market value price of $6.93 for 2019. In 2018, the majority of the anti-dilutive shares were granted at an exercise price of $25.24, which was higher than the average fair market value price of $15.27 for 2018. In 2017, the majority of the anti-dilutive shares were granted at an exercise price of $25.79, which was higher than the average fair market value price of $13.93 for 2017. In 2016, the majority of the anti-dilutive shares were granted at an exercise price of $25.24, which was higher than the average fair market value price of $12.36 for 2016. In 2015, the majority of the anti-dilutive shares were granted at an exercise price of $25.24, which was higher than the average fair market value price of $18.51 for 2015. For the 2017, 20162019, 2018 and 20152017 net loss per share from continuing operations calculation, all the shares associated with stock options were anti-dilutive because of the company's loss.























 


For 20172019, 2018 and 2016, no shares were included in the common shares assuming dilution related to the company's issued warrants as the average market price of the company stock for these periods did not exceed the strike price of the warrants.


Notes to Financial Statements
Concentration of Credit Risk 
   
Table of Contents


Concentration of Credit Risk

The company manufactures and distributes durable medical equipment to the home health care, retail and extended care markets. The company performs credit evaluations of its customers’customers' financial condition. The company utilizes De Lage Landen, Inc. (“DLL”), a third-party financing company, to provide lease financing to Invacare’sInvacare's U.S. customers. The DLL agreement provides for direct leasing between DLL and the Invacare customer. The company retains a recourse obligation of $1,508,000$2,355,000 at December 31, 20172019 to DLL for events of default under the contracts, which total $19,214,000$9,008,000 at December 31, 2017. 2019. Guarantees, ASC 460, requires the company to record a guarantee liability as it relates to the limited recourse obligation. As such, the company has recorded a liability of $24,000$41,000 for this guarantee obligation within accrued expenses. The company's recourse is re-evaluated by DLL biannually, considers activity between the biannual dates and excludes any receivables purchased by the company from DLL. The company monitors the collections status of these contracts and has provided amounts for estimated losses in its allowances for doubtful accounts in accordance with Receivables, ASC 310-10-05-4. Credit losses are provided for in the financial statements.






























































 
Substantially all the company’scompany's receivables are due from health care, medical equipment providers and long-term care facilities located throughout the United States, Australia, Canada, New Zealand and Europe. A significant portion of products sold to dealers, both foreign and domestic, is ultimately funded through government reimbursement programs such as Medicare and Medicaid. The company has also seen a significant shift in reimbursement to customers from managed care entities. As a consequence, changes in these programs can have an adverse impact on dealer liquidity and profitability. In addition, reimbursement guidelines in the home health care industry have a substantial impact on the nature and type of equipment an end user can obtain as well as the timing of reimbursement and, thus, affect the product mix, pricing and payment patterns of the company’scompany's customers.


The company’scompany's top 10 customers accounted for approximately 17.7%19.1% of 20172019 net sales. The loss of business of one or more of these customers may have a significant impact on the company, although no single customer accounted for more than 4.1%5.2% of the company’s 2017company's 2019 net sales. Providers who are part of a buying group generally make individual purchasing decisions and are invoiced directly by the company.


Notes to Financial Statements
Derivatives Derivatives
   
Table of Contents


Derivatives

ASC 815 requires companies to recognize all derivative instruments in the consolidated balance sheet as either assets or liabilities at fair value. The accounting for changes in fair value of a derivative is dependent upon whether or not the derivative has been designated and qualifies for hedge accounting treatment and the type of hedging relationship. For derivatives designated and qualifying as hedging instruments, the company must designate the hedging instrument, based upon the exposure being hedged, as a fair value hedge, cash flow hedge, or a hedge of a net investment in a foreign operation.


Cash Flow Hedging Strategy


The company uses derivative instruments in an attempt to manage its exposure to transactional foreign currency exchange risk and interest rate risk. Foreign forward exchange contracts are used to manage the price risk associated with forecasted sales denominated in foreign currencies and the price risk associated with forecasted purchases of inventory over the next twelve months.


The company recognizes its derivative instruments as assets or liabilities in the consolidated balance sheet measured at fair value. A majority of the company’scompany's derivative instruments are designated and qualify as cash flow hedges. Accordingly, the effective portion of the gain or loss on the derivative instrument is reported as a component of other comprehensive income and reclassified into earnings in the same period or periods during which the hedged transaction affects earnings. The remaining gain or loss on the derivative instrument in excess of the cumulative change in the fair value of the hedged item, if any, is recognized in current earnings during the period of change.








































 
To protect against increases/decreases in forecasted foreign currency cash flows resulting from inventory purchases/sales over the next year, the company utilizes foreign currency forward contracts to hedge portions of its forecasted purchases/sales denominated in foreign currencies. The gains and losses are included in cost of products sold and selling, general and administrative expenses on the consolidated statement of comprehensive income (loss). If it is later determined that a hedged forecasted transaction is unlikely to occur, any prospective gains or losses on the forward contracts would be recognized in earnings. The company does not expect any material amount of hedge ineffectiveness related to forward contract cash flow hedges during the next twelve months.


The company has historically not recognized any material amount of ineffectiveness related to forward contract cash flow hedges because the company generally limits its hedges to between 50% and 90% of total forecasted transactions for a given entity’sentity's exposure to currency rate changes and the transactions hedged are recurring in nature. Furthermore, the majoritymost of the hedged transactions are related to intercompany sales and purchases for which settlement occurs on a specific day each month. Forward contracts with a total notional amount in USD of $171,770,000$148,874,000 and $228,640,000$165,200,000 matured during the twelve months ended December 31, 20172019 and 2016,2018, respectively.


Notes to Financial Statements
Derivatives 
   
Table of Contents


ForeignOutstanding foreign currency forward exchange forward contracts qualifying and designated for hedge accounting treatment were as follows (in thousands USD):
 December 31, 2019 December 31, 2018
 
Notional
Amount
 
Unrealized
Net Gain
(Loss)
 
Notional
Amount
 
Unrealized
Net Gain
(Loss)
USD / AUD$3,840
 $(106) $6,390
 $146
USD / CAD3,888
 32
 12,221
 (101)
USD / CNY
 
 4,460
 32
USD / EUR110,905
 122
 70,748
 173
USD / GBP3,972
 (8) 1,233
 
USD / NZD2,760
 (166) 10,359
 149
USD / SEK5,062
 (38) 603
 
USD / MXP6,763
 346
 7,801
 37
EUR / CAD4,151
 24
 
 
EUR / CHF9,821
 10
 
 
EUR / GBP29,824
 (216) 41,087
 174
EUR / NOK5,797
 15
 977
 
EUR / SEK9,493
 (46) 15,106
 (92)
EUR / NZD
 
 2,042
 64
DKK / SEK5,936
 24
 1,561
 
NOK / SEK5,151
 18
 
 
 $207,363
 $11
 $174,588
 $582

 December 31, 2017 December 31, 2016
 
Notional
Amount
 
Unrealized
Net Gain
(Loss)
 
Notional
Amount
 
Unrealized
Net Gain
(Loss)
USD / AUD$3,960
 $44
 $5,841
 $316
USD / CAD33,344
 115
 2,604
 (18)
USD / CHF
 
 370
 15
USD / CNY4,027
 61
 11,252
 (301)
USD / EUR72,259
 (558) 60,387
 1,826
USD / GBP4,640
 (124) 3,253
 (75)
USD / NZD9,300
 11
 9,650
 (64)
USD / SEK
 
 4,923
 146
USD / MXP6,461
 (158) 6,148
 (417)
EUR / AUD
 
 506
 6
EUR / GBP32,248
 (682) 14,511
 (686)
EUR / NOK4,521
 68
 2,503
 (25)
EUR / SEK7,732
 39
 
 
EUR / NZD2,855
 (8) 3,777
 16
GBP / AUD
 
 503
 34
GBP / CHF
 
 215
 (10)
GBP / SEK
 
 1,389
 (42)
CHF / DKK
 
 595
 (2)
DKK / SEK6,453
 (120) 31,978
 49
NOK / CHF
 
 1,335
 (13)
NOK / SEK
 
 2,618
 21
 $187,800
 $(1,312) $164,358
 $776


Derivatives Not Qualifying or Designated for Hedge Accounting Treatment


The company utilizes foreign currency forward contracts that are not designated as hedges in accordance with ASC 815. These contracts are entered into to eliminate the risk associated with the settlement of short-term intercompany trading receivables and payables between Invacare Corporation and its foreign subsidiaries. The currency forward contracts are entered into at the same time as the intercompany receivables or payables are created so that upon settlement, the gain/loss on the settlement is offset by the gain/loss on the foreign currency forward contract. No material net gain or loss was realized by the company in 20172019 or 20162018 related to these contracts and the associated short-term intercompany trading receivables and payables.


Notes to Financial Statements
Derivatives Derivatives
   
Table of Contents


Foreign currency forward exchange forward contracts not qualifying or designated for hedge accounting treatment, as well as ineffective hedges, entered into in 20172019 and 2016,2018, respectively, and outstanding were as follows (in thousands USD):
 December 31, 2019 December 31, 2018
 
Notional
Amount
 
Gain
(Loss)
 
Notional
Amount
 
Gain
(Loss)
AUD / USD$10,000
 $(94) $11,500
 $167
CAD / USD8,000
 (50) 
 $
EUR / USD10,000
 104
 
 
GBP / USD7,000
 40
 
 
NZD / USD4,500
 (101) 3,000
 30
NOK / EUR
 
 18
 
NZD / AUD7,900
 23
 10,800
 22
 $47,400
 $(78) $25,318
 $219

 December 31, 2017 December 31, 2016
 
Notional
Amount
 
Gain
(Loss)
 
Notional
Amount
 
Gain
(Loss)
AUD / USD$2,750
 $(77) $5,800
 $204
CNY / USD
 
 5,556
 (24)
NZD / USD3,300
 (53) 
 
EUR / AUD4,000
 43
 
 
NZD / AUD3,600
 9
 3,264
 15
 $13,650
 $(78) $14,620
 $195


The fair values of the company’scompany's derivative instruments were as follows (in thousands):
 December 31, 2019 December 31, 2018
 Assets Liabilities Assets Liabilities
Derivatives designated as hedging instruments under ASC 815       
Foreign currency forward exchange contracts$668
 $657
 $792
 $210
Derivatives not designated as hedging instruments under ASC 815       
Foreign currency forward exchange contracts170
 248
 228
 9
Total derivatives$838
 $905
 $1,020
 $219

 December 31, 2017 December 31, 2016
 Assets Liabilities Assets Liabilities
Derivatives designated as hedging instruments under ASC 815       
Foreign currency forward exchange contracts$678
 $1,990
 $2,535
 $1,759
Derivatives not designated as hedging instruments under ASC 815       
Foreign currency forward exchange contracts52
 130
 219
 24
 $730
 $2,120
 $2,754
 $1,783


The fair values of the company’scompany's foreign currency forward exchange contract assets and liabilities are included in Other Current Assets and Accrued Expenses, respectively in the Consolidated Balance Sheets.
 


The effect of derivative instruments on the Statement of Operations andAccumulated Other Comprehensive Income (OCI) and the Statement of Comprehensive Income (Loss) was as follows net of tax (in thousands):
Derivatives (foreign currency forward exchange contracts) in ASC 815 cash flow hedge relationships
Amount of Gain
(Loss) Recognized in Accumulated OCI on Derivatives
(Effective Portion)
 
Amount of Gain (Loss)
Reclassified from
Accumulated OCI into
Income (Effective
Portion)
 
Amount of Gain (Loss)
Recognized in Income
on Derivatives (Ineffective Portion
and Amount Excluded from
Effectiveness Testing)
Year ended December 31, 2019$1,958
 $2,528
 $
Year ended December 31, 2018$2,098
 $266
 $
      
Derivatives (foreign currency forward exchange contracts) not designated as hedging instruments under ASC 815
Amount of Gain (Loss)
Recognized in Income on
Derivatives
    
Year ended December 31, 2019$(78)    
Year ended December 31, 2018$219
    

Derivatives (foreign currency forward exchange contracts) in ASC 815 cash flow hedge relationships
Amount of Gain
(Loss) Recognized in OCI on Derivatives
(Effective Portion)
 
Amount of Gain (Loss)
Reclassified from
Accumulated OCI into
Income (Effective
Portion)
 
Amount of Gain (Loss)
Recognized in Income
on Derivatives (Ineffective Portion
and Amount Excluded from
Effectiveness Testing)
Year ended December 31, 2017$(2,737) $(755) $(94)
Year ended December 31, 2016$989
 $2,252
 $40
      
Derivatives (foreign currency forward exchange contracts) not designated as hedging instruments under ASC 815
Amount of Gain (Loss)
Recognized in Income on
Derivatives
    
Year ended December 31, 2017$(78)    
Year ended December 31, 2016$195
    


Notes to Financial Statements
Derivatives 
   
Table of Contents


The gains or losses recognized as the result of the settlement of cash flow hedge foreign currency forward contracts are recognized in net sales for hedges of inventory sales orand in cost of product sold for hedges of inventory purchases. In 2019, net sales were increased by $52,000 and cost of product sold was decreased by $2,673,000 for a net pre-tax realized gain of $2,725,000. In 2018, net sales were decreased by $1,352,000 and cost of product sold was decreased by $1,591,000 for a net pre-tax realized gain of $239,000. In 2017, net sales were increased by $517,000 and cost of product sold was increased by $1,357,000 for a net realized loss of $840,000. In 2016, net sales were increased by $4,453,000 and cost of product sold was increased by $1,880,000 for a net realized gain of $2,573,000. In 2015, net sales were decreased by $2,778,000 and cost of product sold was decreased by $3,890,000 for a net realized gain of $1,112,000.


A loss of $78,000 in 2017,2019, a gain of $195,000$150,000 in 20162018 and a loss of $54,000$78,000 in 20152017 were recognized in selling, general and administrative (SG&A) expenses related to forward contracts not designated as hedging instruments thatinstruments. The forward contracts were entered into to offset gains/losses that were also recorded in SG&A expenses on intercompany trade receivables or payables. The gains/losses on the non-designated hedging instruments were substantially offset by gains/losses on intercompany trade payables.


The company's derivative agreements provide the counterparties with a right of set off in the event of a default thatdefault. The right of set off would enable the counterparty to offset any net payment due by the counterparty to the company under the applicable agreement by any amount due by the company to the counterparty under any other agreement. For example, the terms of the agreement would permit a counterparty to a derivative contract that is also a lender under the company's Credit Agreement to reduce any derivative settlement amounts owed to the company under the derivative contract by any amounts owed to the counterparty by the company under the Credit Agreement. In addition, the agreements contain cross-default provisions that could trigger a default by the company under the agreement in the
event of a default by the company under another agreement with the same
counterparty. The company does not present any derivatives on a net basis in its financial statements, other than the conversion and bond hedge derivatives which are presented net on the Condensed Consolidated Statement of Comprehensive Income (Loss), and all derivative balances presented are subject to provisions that are similar to master netting agreements.


During the first quarter of 2016, the company entered into privately negotiated convertible 2021 note hedges and related2021 warrants in connection with its sale of $150,000,000 in aggregate principal amount of the company’scompany's 5.00% Convertible Senior Notes due 2021. The 2021 warrants, which increased paid in capital by $12,376,000, are clearly and closely related to the convertible 2021 notes and thus classified as equity. The convertible2021 note hedge asset and 2021 convertible debt conversion liability were recorded, based on initial fair values, as an asset of $27,975,000 and a liability of $34,480,000, respectively, and these fair values are updated quarterly with the offset to the income statement. See "Long-Term Debt" in the notes to the Consolidated Financial Statements included elsewhere in this report for more detail.


During the second quarter of 2017, the company entered into privately negotiated convertible 2022 note hedges and warrants in connection with its sale of $120,000,000 in aggregate principal amount of the company’scompany's 4.50% Convertible Senior Notes due 2022. The 2022 warrants, which increased paid in capital by $14,100,000, are clearly and closely related to the convertible 2022 notes and thus classified as equity. The 2022 note hedge assets and 2022 convertible debt conversion liability were recorded, based on initial fair values, as an asset of $24,780,000 and a liability of $28,859,000, respectively, and these fair values are updated quarterly with the offset to the income statement. See "Long-Term Debt" in the notes to the Consolidated Financial Statements included elsewhere in this report for more detail.






Notes to Financial Statements
Derivatives


The fair values of the outstanding convertible note derivatives as of December 31, 20172019 and their effect on the Statement of Comprehensive Income (Loss) were as follows (in thousands):
  Gain (Loss)  Gain (Loss)
Fair Value Twelve Months EndedFair Value Twelve Months Ended
December 31, 2017 December 31, 2017 December 31, 2016December 31, 2019 December 31, 2019 December 31, 2018
Convertible 2021 debt conversion long-term liability$(53,154) $(22,446) $3,772
$
 $(2,210) $51,696
Convertible 2022 debt conversion long-term liability(53,414) (24,555) 

 (6,193) 50,803
Convertible 2021 note hedge long-term asset46,915
 21,444
 (2,504)
 2,852
 (45,887)
Convertible 2022 note hedge long-term asset46,680
 21,900
 

 6,748
 (44,618)
Net fair value and net gains (losses) on convertible debt derivatives$(12,973) $(3,657) $1,268
$
 $1,197
 $11,994
The 2021 and 2022 convertible debt conversion liability amounts and the 2021 and 2022 note hedge asset amounts are included in Other Long-Term Obligations and Other Long-Term Assets, respectively, in the company's Consolidated Balance Sheets. The year-to-date changes in the fair values of the convertible debt conversion liabilities and note hedge derivatives were significantly impacted by the change in the company's stock price.

On May 16, 2019, the company received shareholder approval authorizing it to elect to settle future conversions of convertible notes in common shares. As a result of the shareholder approval, the note hedge assets and conversion liabilities may no longer be bifurcated and accounted for as separate derivatives and thus were eliminated together with a corresponding offset to additional paid-in-capital.


Notes to Financial Statements
Fair Values 
   
Table of Contents


Fair Values

Pursuant to ASC 820, the inputs used to derive the fair value of assets and liabilities are analyzed and assigned a level I, II or III priority, with level I being the highest and level III being the lowest in the hierarchy. Level I inputs are quoted prices in active markets for identical assets or liabilities. Level II inputs are quoted prices for similar assets

or liabilities in active markets: quoted prices for identical or similar instruments in markets that are not active; and model-derived valuations in which all significant inputs are observable in active markets. Level III inputs are based on valuations derived from valuation techniques in which one or more significant inputs are unobservable.

On May 16, 2019, the company received shareholder approval to elect to settle future conversions of convertible notes in common shares. As a result of the shareholder approval, the note hedge assets and conversion liabilities may no longer be bifurcated and accounted for as separate derivatives and thus they are no longer accounted for as separate assets and liabilities.


The following table provides a summary of the company’scompany's assets and liabilities that are measured on a recurring basis (in thousands):
  Basis for Fair Value Measurements at Reporting Date
 
Quoted Prices in Active Markets
for Identical
Assets / (Liabilities)
 
Significant
Other
Observable
Inputs
 
Significant
Other
Unobservable
Inputs
 Level I Level II Level III
December 31, 2019      
Forward exchange contracts—net 
 $(67) 
December 31, 2018      
Forward exchange contracts—net 
 $801
 
Convertible 2021 debt conversion liability 
 (1,458) 
Convertible 2021 note hedge asset 
 1,028
 
Convertible 2022 debt conversion liability 
 (2,611) 
Convertible 2022 note hedge asset 
 2,062
 

  Basis for Fair Value Measurements at Reporting Date
 
Quoted Prices in Active Markets
for Identical
Assets /
(Liabilities)
 
Significant
Other
Observable
Inputs
 
Significant
Other
Unobservable
Inputs
 Level I Level II Level III
December 31, 2017      
Forward Exchange Contracts—net 
 $(1,390) 
Convertible 2021 debt conversion liability 
 (53,154) 
Convertible 2021 note hedge asset 
 46,915
 
Convertible 2022 debt conversion liability 
 (53,414) 
Convertible 2022 note hedge asset 
 46,680
 
December 31, 2016      
Forward Exchange Contracts—net 
 $971
 
Convertible 2021 debt conversion liability 
 (30,708) 
Convertible 2021 note hedge asset 
 25,471
 


The carrying and fair values of the company’scompany's financial instruments at December 31, 20172019 and 20162018 are as follows (in thousands):
 2019 2018
 
Carrying
Value
 Fair Value 
Carrying
Value
 Fair Value
Cash and cash equivalents$80,063
 $80,063
 $116,907
 $116,907
Other investments85
 85
 90
 90
Installment receivables, net of reserves913
 913
 1,796
 1,796
Long-term debt (including current maturities of long-term debt) *(267,366) (225,037) (255,645) (181,928)
Convertible 2021 debt conversion liability in Other Long-Term Obligations
 
 (1,458) (1,458)
Convertible 2021 note hedge in Other Long-Term Assets
 
 1,028
 1,028
Convertible 2022 debt conversion liability in Other Long-Term Obligations
 
 (2,611) (2,611)
Convertible 2022 note hedge in Other Long-Term Assets
 
 2,062
 2,062
Forward contracts in Other Current Assets838
 838
 1,020
 1,020
Forward contracts in Accrued Expenses(905) (905) (219) (219)
 2017 2016
 
Carrying
Value
 Fair Value 
Carrying
Value
 Fair Value
Cash and cash equivalents$176,528
 $176,528
 $124,234
 $124,234
Other investments103
 103
 108
 108
Installment receivables, net of reserves1,809
 1,809
 1,834
 1,834
Long-term debt (including current maturities of long-term debt) *(243,445) (294,173) (161,349) (164,900)
Convertible 2021 debt conversion liability in Other Long-Term Obligations(53,154) (53,154) (30,708) (30,708)
Convertible 2021 note hedge in Other Long-Term Assets46,915
 46,915
 25,471
 25,471
Convertible 2022 debt conversion liability in Other Long-Term Obligations(53,414) (53,414) 
 
Convertible 2022 note hedge in Other Long-Term Assets46,680
 46,680
 
 
Forward contracts in other current assets730
 730
 2,754
 2,754
Forward contracts in accrued expenses(2,120) (2,120) (1,783) (1,783)

________
* The company's long-term debt is shown net of discount and fees associated with the Convertible Senior Notes due 2021 and 2022 on the company's consolidated balance sheet. Accordingly, the fair values of the Convertible Senior Notes due 2021 and 2022 are included in the long-term debt presented in this table isare also shown net of the discount and fees. Long-term debt amounts also include long term lease obligations for both operating and financing leases.
Notes to Financial Statements
Fair Values
   
Table of Contents


The company, in estimating its fair value disclosures for financial instruments, used the following methods and assumptions:


Cash, cash equivalents: The carrying amountvalue reported in the balance sheet for cash, cash equivalents equals its fair value.
 
Other investments: The company has an investment in a limited partnership, which is accounted for using the cost method, adjusted for any estimated declines in value. The investment was acquired in a private placement and there is no quoted market price or stated rate of return. The company does not have the ability to easily sell the investment. The company completes an evaluation of the residual value related to such investments in the fourth quarter of each year. No impairment was recognized in 2017, 20162019, 2018 or 2015.2017.


Installment receivables: The carrying amountvalue reported in the balance sheet for installment receivables approximates its fair value. The interest rates associated with these receivables have not varied significantly since inception. Management believes that after consideration of the credit risk, the net book value of the installment receivables approximates market value.


Long-term debt: Fair value for the company’scompany's convertible debt is based on quoted market-based estimates as of the end of the year,period, while the revolving credit facility fair value is based upon an estimate of the market for similar borrowing arrangements. Long term lease obligations for both operating and financing leases are based on present value of minimum lease payments. The fair values are deemed to be categorized as Level 2 in the fair value hierarchy.


Convertible debt derivatives: The fair values for the convertible debt conversion liabilityliabilities and note hedge asset derivatives arewere based on valuation models in which all the significant inputs are observable in active markets.

Forward Contracts: The company operates internationally, and as a result, is exposed to foreign currency fluctuations. Specifically, the exposure includes intercompany loans and third-party sales or payments. In an attempt to reduce this exposure, foreign currency forward contracts are utilized and accounted for as hedging instruments. The forward contracts are used to hedge the following currencies: AUD, CAD, CHF, CNY, DKK, EUR, GBP, MXP, NOK, NZD, SEK and USD. The company does not use derivative financial instruments for speculative purposes. Fair values for the company’scompany's foreign exchange forward contracts are based on quoted market prices for contracts with similar maturities. The company’scompany's forward contracts are included in Other Current Assets or Accrued Expenses in the Consolidated Balance Sheets.



The gains and losses that result from the majority of the forward contracts are deferred and recognized when the offsetting gains and losses for the identified transactions are recognized. The company recognized a net gain of $2,725,000 in 2019 compared to a gain of $239,000 and a loss of $840,000
in 2017 compared to gains of $2,573,0002018 and $1,112,000 in 2016 and 2015,2017, respectively, related to ASC 815 designated derivatives. Gains or losses recognized as the result of the settlement of forward contracts are recognized in cost of products sold for hedges of inventory transactions, sales for hedges of forecasted sales or selling, general and administrative expenses for other hedged transactions.


Intangibles and Goodwill: Under Intangibles—Goodwill and Other, ASC 350, goodwill and intangible assets deemed to have indefinite lives are subject to annual impairment tests. Furthermore, goodwill and other long-lived assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. To review goodwill for impairment in accordance with ASC 350, the company first estimates the fair value of each reporting unit and compares the calculated fair value to the carrying value of each reporting unit. A reporting unit is defined as an operating segment or one level below. The company has determined that its reporting units are the same as its operating segments.North America / HME, Europe, Institutional Products Group and Asia Pacific.


The company completes its annual impairment tests in the fourth quarter of each year. To estimate the fair values of the reporting units, the company utilizes a discounted cash flow method model in which the company forecasts income statement and balance sheet amounts based on assumptions regarding future sales growth, profitability, inventory turns, days' sales outstanding, etc. to forecast future cash flows. The cash flows are discounted using a weighted average cost of capital discount rate where the cost of debt is based on quoted rates for 20-year debt of companies of similar credit risk and the cost of equity is based upon the 20-year treasury rate for the risk-free rate, a market risk premium, the industry average beta and a small cap stock adjustment and reporting unit specific risk premiums as deemed appropriate.adjustment. The discount rates used have a significant impact upon the discounted cash flow methodology utilized in the company's annual impairment testing as higher discount rates decrease the fair value estimates. The assumptions used are based on a market participant view and yielded a discount rate of 9.07%11.88% in 20172019 for the company's annual impairment analysis for the reporting units with goodwill compared to 8.67%12.41% in 20162018 and 9.41%9.07% in 2015.2017.
The company also utilizes an Enterprise Value (EV) to EBITDA (Earnings Before Interest, Taxes, Depreciation and Amortization) Method to compute the fair value of its reporting units which considers potential acquirers and their EV to EBITDA multiples adjusted by an estimated premium. While more weight is given to the discounted cash flow method, the EV to EBITDA Method does provide corroborative evidence of the reasonableness of the discounted cash flow method results.


Notes to Financial Statements
Fair Values 
   
Table

corroborative evidence of Contentsthe reasonableness of the discounted cash flow method results.

While there was no indication of impairment in 20172019 related to goodwill for the Europe or IPG segments,Institutional Products Group units, a future potential impairment is possible for any of the company's segmentsthese reporting units should actual results differ materially from forecasted results used in the valuation analysis. Furthermore, the company's annual valuation of goodwill can differ materially if the market inputs used to determine the discount rate change significantly. For instance, higher interest rates or greater stock price volatility would increase the discount rate and thus increase the chance of impairment. In consideration of this potential, the company reviewed the results if the discount rate used were 100 basis points higher for the 20172019 impairment analysis and determined that there still would not be any indicator of potential impairment for the reporting units with goodwill, which are Europe and IPG.Institutional Products Group reporting units.













































 
During 2017, theThe company recognized an intangible impairment charge in the IPGInstitutional Products Group reporting unit, which is part of the North America segment, of $320,000$587,000 ($237,000435,000 after-tax) in 2019 and $583,000 ($431,000 after-tax) in 2018 related to a trademark with an indefinite life. The fair value of the trademark was calculated using a relief from royalty payment methodology which requires applying an estimated market royalty rate to forecasted net sales and discounting the resulting cash flows to determine fair value.
The fair values of the company's intangible assets were calculated using inputs that are not observable in the market and included management’smanagement's own estimates regarding the assumptions that market participants would use and thus these inputs are deemed Level III inputs in regardsregard to the fair value hierarchy.
Notes to Financial Statements
Business Segments
   


Business Segments

The company operates in fourtwo primary business segments: North America/Home Medical Equipment (NA/HME), Institutional Products Group (IPG),America and Europe and Asia/Pacific. The NA/HME segment sellswith each ofselling the threecompany's primary product lines,categories, which includes:include: lifestyle, mobility and seating and respiratory therapy products. IPG sells,Sales in Asia Pacific are reported in All Other and rented prior to the disposition of the rentals businesses, long-term care medical equipment, health care furnishings and accessory products. Europe and Asia/Pacific sell product linesinclude products similar to NA/HMEthose sold in North America and IPG.Europe. The accounting policies of each segment are the same as those described in the summary of significant accounting policies for the company’scompany's consolidated financial statements. Intersegment sales and transfers are based on the costs to manufacture plus a reasonable profit element.


Segment performance is measured and resources are allocated based on a number of factors, with the primary profit or loss measure being segment operating profit (loss). Segment operating profit (loss) represents net sales less cost of products sold less selling general and administrative expenses. Segment operating profit (loss) excludes unallocated corporate general and administrative expenses not allocated to the segments and intersegment sales and
profit eliminations, which are included in All Other. In addition, segment operating profit (loss) further excludes charges related to restructuring activities, asset impairments and gain on sale of business (as applicable). The previous performance measure was earnings before income taxes. With the issuance of convertible debt during 2016, this performance measure has not been utilized by the Chief Operating Decision Maker (CODM) as the interest expense incurred by the company is related to the company’s financing decision to issue convertible debt as compared to the operating decisions resulting from allocation of resources and segment operating income performance. In addition, in 2016, the company included an operating income line on the consolidated statement of comprehensive income (loss) to emphasize the CODM’s emphasis on operating income (loss).


As noted, thisThis performance measure, segment operating income (loss), is used by the CODMChief Operating Decision Maker (CODM) for purposes of making decisions about allocating resources to a segment and assessing its performance. In addition, this metric is reviewed by the company’scompany's Board of
Directors regarding segment performance and is a key metric in the performance management assessment of the company's employees.

In the first quarter of 2019, the company reassessed the alignment of its reporting segments and combined the North America/Home Medical Equipment (NA/HME) and Institutional Products Group (IPG) segments into a single operating segment, referred to as North America. This change better reflects how the company manages, allocates resources and assesses performance of the businesses contained in the North America segment. Additionally, the company reassessed the activity of the businesses in its former Asia Pacific segment and began reporting the Asia Pacific businesses as part of the All Other segment, since those businesses, individually and collectively, are not large enough relative to the company's overall business to merit disclosure as a separate reporting segment. The company believes that these changes provide improved transparency of the company’s business results to its shareholders, and are better aligned with how the company manages its businesses. Segment results for 2018 and 2017 have been reclassified to reflect the realignment of the company’s reporting segments and be comparable to the segment results for 2019.

As part of the company's realignment of its reportable and operating segments, the company considered whether the reporting units used for purposes of assessing impairment of goodwill should be changed and concluded that no changes were necessary.


The information by segment is as follows (in thousands):
 2017 2016 2015
Revenues from external customers     
Europe (1)$535,326
 $534,801
 $535,372
NA/HME (1)320,818
 402,914
 475,287
Institutional Products Group59,472
 64,413
 87,137
Asia/Pacific50,881
 45,346
 44,542
Consolidated$966,497
 $1,047,474
 $1,142,338
Intersegment revenues     
Europe$13,815
 $14,182
 $9,958
NA/HME82,716
 96,750
 111,321
Institutional Products Group2,083
 2,885
 997
Asia/Pacific15,312
 19,366
 20,661
Consolidated$113,926
 $133,183
 $142,937
Depreciation and amortization     
Europe$7,446
 $7,038
 $7,176
NA/HME (2)5,452
 5,956
 7,556
Institutional Products Group293
 254
 1,980
Asia/Pacific1,420
 1,349
 1,463
All Other (3)20
 38
 29
Consolidated (2)$14,631
 $14,635
 $18,204
      
      
 2019 2018 2017
Revenues from external customers     
Europe$533,048
 $558,518
 $535,326
North America348,201
 364,590
 380,290
All Other (Asia Pacific)46,715
 49,239
 50,881
Consolidated$927,964
 $972,347
 $966,497
Intersegment revenues     
Europe$14,185
 $15,784
 $13,815
North America80,727
 90,944
 84,799
All Other (Asia Pacific)13,033
 17,737
 15,312
Consolidated$107,945
 $124,465
 $113,926
Restructuring charges before income taxes     
Europe$9,579
 $1,773
 $1,975
North America1,617
 1,359
 8,889
All Other633
 349
 1,410
Consolidated$11,829
 $3,481
 $12,274
      
      
Notes to Financial Statements
Business Segments 
   


 2017 2016 2015
Net interest expense (income)     
Europe$229
 $197
 $(444)
NA/HME (2)21,729
 15,119
 3,305
Institutional Products Group277
 191
 1,028
Asia/Pacific199
 103
 82
Consolidated (2)$22,434
 $15,610
 $3,971
Operating income (loss)     
Europe (1)$33,160
 $34,122
 $39,869
NA/HME (1)(42,831) (37,876) (29,320)
Institutional Products Group5,839
 5,693
 7,834
Asia/Pacific(27) (1,436) (3,493)
All Other (3)(23,706) (20,657) (20,712)
Charge related to restructuring activities(12,274) (2,447) (1,971)
Gains on sale of businesses
 7,386
 24
Asset write-off(320) 
 
Consolidated operating loss(40,159) (15,215) (7,769)
Net gain (loss) on convertible derivatives(3,657) 1,268
 
Net Interest expense(22,434) (15,610) (3,971)
Loss from continuing operations before income taxes$(66,250) $(29,557) $(11,740)
Assets     
Europe$646,085
 $572,427
 $555,867
NA/HME (4)349,137
 265,092
 205,724
Institutional Products Group38,884
 38,657
 38,730
Asia/Pacific29,922
 25,703
 24,421
All Other2,005
 1,864
 1,752
Assets Held for Sale (4)
 
 11,649
Consolidated$1,066,033
 $903,743
 $838,143
Long-lived assets     
Europe$430,998
 $388,692
 $391,505
NA/HME142,238
 70,585
 49,169
Institutional Products Group31,340
 30,603
 30,278
Asia/Pacific2,538
 2,927
 3,140
All Other2,005
 1,864
 1,752
Consolidated$609,119
 $494,671
 $475,844
Expenditures for assets     
Europe$5,819
 $5,552
 $5,038
NA/HME7,702
 3,426
 1,252
Institutional Products Group53
 58
 212
Asia/Pacific995
 1,115
 969
All Other
 
 51
Consolidated$14,569
 $10,151
 $7,522
 2019 2018 2017
Depreciation and amortization     
Europe$7,851
 $8,125
 $7,446
North America6,429
 6,228
 5,745
All Other (1)1,283
 1,203
 1,440
Consolidated$15,563
 $15,556
 $14,631
Net interest expense     
Europe$368
 $225
 $229
North America28,070
 27,355
 22,006
All Other209
 222
 199
Consolidated$28,647
 $27,802
 $22,434
Operating income (loss)     
Europe$36,174
 $32,673
 $33,160
North America(7,592) (32,506) (36,992)
All Other (1)(26,576) (14,397) (23,733)
Charge related to restructuring activities(11,829) (3,481) (12,274)
Asset write-off(587) (583) (320)
Consolidated operating loss(10,410) (18,294) (40,159)
Net gain (loss) on convertible derivatives1,197
 11,994
 (3,657)
Loss on debt extinguishment including debt finance charges and fees(6,165) 
 
Net Interest expense(28,647) (27,802) (22,434)
Loss before income taxes$(44,025) $(34,102) $(66,250)
Assets     
Europe$602,471
 $611,230
 $646,085
North America (2)212,733
 242,341
 388,021
All Other36,922
 32,284
 31,927
Consolidated$852,126
 $885,855
 $1,066,033
Long-lived assets     
Europe$408,847
 $407,021
 $430,998
North America (2)79,369
 77,009
 173,578
All Other8,033
 4,415
 4,543
Consolidated$496,249
 $488,445
 $609,119
Expenditures for assets     
Europe$6,041
 $5,348
 $5,819
North America3,679
 3,648
 7,755
All Other1,154
 827
 995
Consolidated$10,874
 $9,823
 $14,569
  ________________________
(1)During the first quarter of 2017, a subsidiary, formerly included in the Europe segment, was transferred to the NA/HME segment as the subsidiary is managed by the NA/HME segment manager effective January 1, 2017. This revision increased revenues from external customers by $5,212,000 and $1,091,000 and increased operating loss by $128,000 and $75,000 for
(1) Consists of un-allocated corporate SG&A costs and intercompany profits, which do not meet the quantitative criteria for determining reportable segments.
(2) Total assets and long-lived assets materially impacted by change in the fair value of the company's convertible note hedge assets.


Notes to Financial Statements
Business Segments
   

the twelve months ended December 31, 2016 and December 31, 2015, respectively, for NA/HME with an offsetting impact on Europe. Other items were also revised by immaterial amounts for 2016 and 2015 to conform with 2017 presentation.
(2)Revised 2015 for reclass of debt fees from depreciation and amortization to net interest expense with adoption of ASU 2015-03.
(3)Consists of un-allocated corporate SG&A costs and intercompany profits, which do not meet the quantitative criteria for determining reportable segments.
(4)Revised 2015 for GCM sale on September 30, 2016 and classified as assets held for sale.



Net sales by product, are as follows (in thousands):
2017 2016 20152019 2018 2017
Europe          
Lifestyle$266,290
 $274,684
 $275,932
$245,987
 $263,340
 $266,290
Mobility and Seating225,909
 209,501
 207,639
249,144
 252,997
 225,909
Respiratory Therapy26,261
 35,030
 36,373
19,258
 23,736
 26,261
Other(1)16,866
 15,586
 15,428
18,659
 18,445
 16,866

$535,326
 $534,801
 $535,372
$533,048
 $558,518
 $535,326
NA/HME     
North America     
Lifestyle$126,308
 $173,301
 $222,944
$173,039
 $172,622
 $179,563
Mobility and Seating114,087
 121,934
 118,323
121,955
 122,013
 112,448
Respiratory Therapy78,666
 104,631
 130,349
51,649
 67,797
 85,760
Other(1)1,757
 3,048
 3,671
1,558
 2,158
 2,519

$320,818
 $402,914
 $475,287
$348,201
 $364,590
 $380,290
Institutional Products Group     
Continuing Care$59,472
 $64,413
 $87,137
     
Asia/Pacific     
All Other (Asia Pacific)     
Mobility and Seating$29,096
 $25,254
 $25,655
$28,448
 $31,286
 $29,096
Lifestyle10,402
 10,161
 10,277
10,831
 10,829
 14,003
Continuing Care3,601
 3,521
 3,115
Respiratory Therapy1,640
 1,244
 807
1,283
 1,330
 1,640
Other(1)6,142
 5,166
 4,688
6,153
 5,794
 6,142
$50,881
 $45,346
 $44,542
$46,715
 $49,239
 $50,881
          
Total Consolidated$966,497
 $1,047,474
 $1,142,338
$927,964
 $972,347
 $966,497
  ________________________
(1)Includes various services, including repair services, equipment rentals and external contracting.
 
No single customer accounted for more than 4.1%5.2% of the company’scompany's sales.


Notes to Financial Statements
Contingencies 
   
Table of Contents


Contingencies

General
In the ordinary course of its business, the company is a defendant in a number of lawsuits, primarily product liability actions in which various plaintiffs seek damages for injuries allegedly caused by defective products. All the product liability lawsuits that the company faces in the United States have been referred to the company's captive insurance company and/or excess insurance carriers while all non-U.S. lawsuits have been referred to the company's commercial insurance carriers. All such lawsuits are generally contested vigorously. The coverage territory of the company's insurance is worldwide with the exception of those countries with respect to which, at the time the product is sold for use or at the time a claim is made, the U.S. government has suspended or prohibited diplomatic or trade relations. The amount recorded for identified contingent liabilities is based on estimates. Amounts recorded are reviewed periodically and adjusted to reflect additional technical and legal information that becomes available. Actual costs to be incurred in future periods may vary from the estimates, given the inherent uncertainties in evaluating certain exposures.


As a medical device manufacturer, the company is subject to extensive government regulation, including numerous laws directed at preventing fraud and abuse and laws regulating reimbursement under various government programs. The marketing, invoicing, documenting, developing, testing, manufacturing, labeling, promoting, distributing and other practices of health care suppliers and medical device manufacturers are all subject to government scrutiny. Most of the company's facilities are subject to inspection at any time by the FDA or similar medical device regulatory agencies in other jurisdictions. Violations of law or regulations can result in administrative, civil and criminal penalties and sanctions, which could have a material adverse effect on the company's business.

Medical Device Regulatory Matters


The FDA in the United States and comparable medical device regulatory authorities in other jurisdictions regulate virtually all aspects of the marketing, invoicing, documenting, development, testing, manufacturing, labeling, promotion, distribution and other practices regarding medical devices. The company and its products are subject to the laws and regulations of the FDA and other regulatory bodies in the various jurisdictions where the company's products are manufactured or sold. The company's failure to comply with the regulatory requirements of the FDA and other applicable medical device regulatory requirements can subject the company to administrative or judicially imposed sanctions or enforcement actions. These sanctions include injunctions, consent decrees, warning letters, civil
 
penalties, criminal penalties, product seizure or detention, product recalls and total or partial suspension of production.
In December 2012, the company became subject to a consent decree of injunction filed by FDA with respect to the company's Corporate facility and its Taylor Street manufacturing facility in Elyria, Ohio. The consent decree initially limited the company's (i) manufacture and distribution of power and manual wheelchairs, wheelchair components and wheelchair sub-assemblies at or from its Taylor Street manufacturing facility, except in verified cases of medical necessity, (ii) design activities related to wheelchairs and power beds that take place at the impacted Elyria facilities and (iii) replacement, service and repair of products already in use from the Taylor Street manufacturing facility. Under the terms of the consent decree, in order to resume full operations, the company had to successfully complete independent, third-party expert certification audits at the impacted Elyria facilities, comprised ofcomprising three distinct certification reports separately submitted to, and subject acceptedto acceptance by, FDA; submit its own report to the FDA; and successfully complete a reinspection by FDA of the company’scompany's Corporate and Taylor Street facilities.
On July 24, 2017, following its June 2017 reinspection of the Corporate and Taylor Street facilities, FDA notified the company that it is in substantial compliance with the QSRFDA Act, FDA regulations and atthe terms of the consent decree and, that time, the company was permitted to resume full operations at those facilities including the resumption of unrestricted sales of products made in those facilities.


The consent decree will continue in effect for a minimum ofat least five years from July 24, 2017, during which time the company’scompany's Corporate and Taylor Street facilities must complete to two semi-annual audits in the first year and then four annual audits in the next four years performed by a company-retained expert firm. The expert audit firm will determine whether the facilities remain in continuous compliance with the FDA Act, FDA regulations and the terms of the consent decree. The FDA has the authority to inspect these facilities and any other FDA registered facility, at any time.
The FDA has continued to actively inspect the company’scompany's facilities, other than through the processes established under the consent decree. The FDA has informed the company of further upcoming inspections to its facilities, and the company believes that additional inspections beyond those for which it has been notified will likely occur in the near future. The company expects that the FDA will, from time to time, inspect substantially all the company's domestic and foreign FDA-registered facilities. Recent inspections for which follow-up remains ongoing are summarized in the following paragraphs.
Notes to Financial StatementsContingencies
Table of Contents

In June 2017, FDA inspected the company's Corporate and Taylor Street facilities in connection with the consent decree, as described above, and issued an inspectional observation on Form 483. The company submitted its response to the agency in a timely manner. On July 24, 2017, the FDA notified the company that it was in substantial compliance with the QSR and that it was permitted to resume full operations at those facilities.
In September 2017, Alber GmbH, a wholly owned subsidiary of the company, received a warning letter from the FDA. The warning letter required completion of corrective actions to address FDA Form 483 observations issued following an inspection of Alber’s facility in Albstadt, Germany in May 2017. As a consequence of the warning letter, all Alber devices could not be imported into the United States until all findings were corrected to FDA’s satisfaction. On January 3, 2018, FDA notified the company that Alber’s responses to the warning letter were adequate, and that FDA had as of that date, removed the import suspension. FDA is expected to conduct a follow-up inspection of Alber’s facility in Q2 2018 and the warning letter cannot be fully resolved until successful completion of the inspection. The company cannot predict the timing or the outcome of such inspection.
In October 2017, FDA inspected the Corporate and Taylor Street facilities to investigate an anonymous complaint concerning one of the company’s company's Verification of Medical Necessity documents under the consent decree. There were no Form 483 issued by FDA at the conclusion of the inspection.
In November 2017, FDA inspected the company’s facility in Pinellas Park, Florida and issued its observations on Form 483, one of which was annotated as corrected and verified at the conclusion of the inspection. The company has submitted its response to the agency in a timely manner.

In November 2017, the FDA inspected the company’s facility in Sanford, Florida and issued its observations on Form 483, and the company submitted its response to the agency in a timely manner. The Sanford facility is the subject of a warning letter from the FDA issued in December 2010 related to quality systems processes and procedures and the company continues to work on addressing the FDA’s citations.
In November 2017, the FDA inspected the company’s facility in Porta Westfalica, Germany, and there were no inspectional observations issued at the end of the inspection.
In December 2017, the California Department of Public Health, on behalf of FDA, inspected the company's facility in Simi Valley, California and there were no inspectional observations issued at the end of the inspection.

The results of regulatory claims, proceedings, investigations, or litigation are difficult to predict. An unfavorable resolution or outcome of any FDA warning letters or inspectional observations, or other FDA enforcement related to company facilities, could materially
Notes to Financial Statements
Contingencies


and adversely affect the company's business, financial condition, and results of operations.
The limitations previously imposed by the FDA consent decree negatively affected net sales in the NA/HMENorth America segment and, to a certain extent, the Asia/Asia Pacific segmentregion beginning in 2012. The limitations led to delays in new product introductions. Further, uncertainty regarding how long the limitations would be in effect limited the company’scompany's ability to renegotiate and bid on certain customer contracts and otherwise led to a decline in customer orders.
Although the company has been permitted to resume full operations at the Corporate and Taylor Street facilities, the negative effect of the consent decree on customer orders and net sales in the NA/HMENorth America segment and Asia/Asia Pacific segmentsregion has been considerable, and it is uncertain as to whether, or how quickly, the company will be able to rebuild net sales to more typical historical levels, irrespective of market conditions. Accordingly, when compared to the company's 2010 results, the previous limitations in the consent decree had, and likely may continue to have, a material adverse effect on the company's business, financial condition and results of operations.
Separately, net sales in the NA/HMENorth America segment have likely been impacted by uncertainty on the part of the company's customers as they coped with prepayment reviews and post-payment audits by the Centers for Medicare and Medicaid Services ("CMS") and the impact of the National Competitive Bidding ("NCB") process. In addition, net sales in the NA/HME segment have and may continue to declinedeclined as a result of the company's strategic focus away from lower margin, less differentiated products as the company becomes more focused on its clinically complex products.products and as a result of changes in reimbursement in the U.S. which became effective January 1, 2019.














Warranty Matters
The company's warranty reserves are subject to adjustment in future periods based on historical analysis of warranty claims and as new developments occur that may change the company's estimates related to specific product recalls. See Current Liabilities in the Notes to the Consolidated Financial Statements for the total provision amounts and a reconciliation of the changes in the warranty accrual.
Any of the above contingencies could have an adverse impact on the company's financial condition or results of operations.




Notes to Financial StatementsInterim Financial Information
Subsequent Events 
   
Table

Subsequent Events

On March 7, 2020, the company, completed the sale (the “Transaction”) of Contentsits indirect subsidiary, Dynamic Controls, a New Zealand incorporated unlimited company (“Dynamic Controls”), to Allied Motion Christchurch Limited, a New Zealand limited company (the “Purchaser”), pursuant to a Securities Purchase Agreement among the company, Invacare Holdings New Zealand, a New Zealand incorporated unlimited company, and the Purchaser, dated March 6, 2020 (the “Purchase Agreement”). Dynamic Controls is a producer of electronic control systems for powered medical mobility devices, including systems incorporating the LiNX™ technology platform. Dynamic Controls was a component of the All Other Segment.
Dynamic Controls is a supplier of power mobility products and respiratory components to the company as well as supplying power mobility products to external customers. In 2019, total sales were $17,174,000, including $13,087,000 in intercompany sales, compared to 2018 sales of $19,982,000, including $17,778,000 in intercompany sales. Earnings before Income Taxes was approximately $853,000 and $2,462,000 in 2019 and 2018, respectively, inclusive of intercompany profits on sales to the company.
The decline in revenue and profits in 2019 as compared to 2018 was the result of lower intercompany sales as the Company focused on improving its working capital, specifically related to inventory globally, which temporarily impacted the demand for product from Dynamic Controls. In addition, the decline in respiratory sales as result of reimbursement changes in the U.S. as well as the company’s strategic decision to balance sales volume growth with optimizing profitability, also reduced intercompany sales and related profit in 2019 as compared to 2018.
The transaction was the result of considering options for the products sold by Dynamic Controls which resulted in selling the business to a third-party which can provide access to further technological innovations to further differentiate the company’s power mobility products.
Upon the closing of the Transaction, the price paid to the company for Dynamic Controls was approximately $15,000,000 in cash, which is subject to certain post-closing adjustments required by the Purchase Agreement. The company estimates net proceeds from the Transaction are approximately $12,800,000, net of taxes and expenses. The company expects to realize a pre-tax gain of approximately $13,300,000.
The Purchase Agreement contains customary indemnification obligations of each party with respect to breaches of their respective representations, warranties and

covenants, and certain other specified matters, which are subject to certain exceptions, terms and limitations described further in the Purchase Agreement.
At the closing of the Transaction, the parties entered into a supply agreement pursuant to which Dynamic Controls will supply certain electronic components as required by the company for a five-year period following the Transaction, including ongoing supply and support of the LiNX™ electronic control system with informatics technology, continued contract manufacturing of certain electronic components for the company’s respiratory products and continued infrastructure and applications support for the informatics solution for the company’s respiratory products. The estimated continued inflows and outflows following the disposal with the Purchaser are not expected to be material to the company.
The asset and liabilities of Dynamic Controls as of December 31, 2019 and 2018 consist of the following (in thousands):
 2019 2018
Trade receivables, net$1,804
 $2,528
Inventories, net3,008
 2,980
Other assets933
 1,014
Property and equipment, net707
 847
Operating lease assets, net1,870
 
Total assets$8,322
 $7,369
    
Accounts payable$4,501
 $5,183
Accrued expenses2,108
 1,614
Current taxes payable92
 50
Current portion of operating lease obligations393
 
Operating lease long-term obligations1,754
 
Total liabilities$8,848
 $6,847


Notes to Financial Statements
Interim Financial Information


Interim Financial Information

(In thousands, except per share data - unaudited)QUARTER ENDED
2019March 31, June 30, September 30, December 31,
Net sales$223,419
 $235,858
 $235,774
 $232,913
Gross profit61,455
 65,066
 67,585
 67,961
Loss before income taxes(11,936) (10,642) (4,741) (16,706)
Net loss(13,886) (12,717) (8,041) (18,683)
Net loss per share—basic(0.42) (0.38) (0.24) (0.56)
Net loss per share—assuming dilution *(0.42) (0.38) (0.24) (0.56)
        
2018March 31, June 30, September 30, December 31,
Net sales$237,060
 $246,152
 $244,559
 $244,576
Gross profit66,517
 67,346
 65,589
 68,224
Loss from before income taxes(11,758) (13,568) (8,226) (550)
Net loss(14,108) (16,543) (12,026) (1,245)
Net loss per share—basic(0.43) (0.50) (0.36) (0.04)
Net loss per share—assuming dilution *(0.43) (0.50) (0.36) (0.04)

________________________
(In thousands, except per share data - unaudited)QUARTER ENDED
2017March 31, June 30, September 30, December 31,
Net sales$231,723
 $233,517
 $250,906
 $250,351
Gross profit65,145
 65,022
 70,740
 68,344
Loss before income taxes(14,180) (21,333) (15,141) (15,596)
Net loss(16,780) (23,508) (18,591) (17,662)
Net loss per share—basic(0.52) (0.72) (0.57) (0.54)
Net loss per share—assuming dilution *(0.52) (0.72) (0.57) (0.54)
        
2016March 31, June 30, September 30, December 31,
Net sales$257,552
 $275,037
 $268,145
 $246,740
Gross profit67,860
 73,595
 73,442
 68,730
Loss from before income taxes(6,791) (9,630) (595) (12,541)
Net loss(8,616) (11,580) (5,020) (17,640)
Net loss per share—basic(0.27) (0.36) (0.15) (0.54)
Net loss per share—assuming dilution *(0.27) (0.36) (0.15) (0.54)
* Net earnings (loss) per share assuming dilution calculated utilizing weighted average shares outstanding - basic in periods in which there is a net loss.
 
The description of significant items affecting continuing operations for each quarter presented are detailed below.


Loss and loss per share for the quarter ended March 31, 20172019 reflects restructuring charges of $3,283,000$692,000 ($3,166,000 after tax or $0.10 per share assuming dilution) and net gain on convertible debt derivatives of $901,000 ($901,000 after tax or $0.03 per share assuming dilution).

Loss and loss per share for the quarter ended June 30, 2017 reflects restructuring charges of $4,987,000 ($4,939,000 after tax or $0.15 per share assuming dilution) and net loss on convertible debt derivatives of $1,051,000 ($1,051,000 after tax or $0.03 per share assuming dilution).

Loss and loss per share for the quarter ended September 30, 2017 reflects restructuring charges of $703,000 ($604,000642,000 after tax or $0.02 per share assuming dilution) and net loss on convertible debt derivatives of $2,550,000$273,000 ($2,550,000273,000 after tax or $0.08$0.01 per share assuming dilution).


Loss and loss per share for the quarter ended June 30, 2019 reflects restructuring charges of $1,321,000 ($1,200,000 after tax or $0.04 per share assuming dilution) and net gain on convertible debt derivatives of $1,470,000 ($1,470,000 after tax or $0.04 per share assuming dilution).

Loss and loss per share for the quarter ended September 30, 2019 reflects restructuring charges of $1,628,000 ($1,229,000 after tax or $0.04 per share assuming dilution).

Loss and loss per share for the quarter ended December 31, 2019 reflects restructuring charges of $8,188,000 pre-tax ($5,932,000 after tax or $0.18 per share assuming dilution), loss on debt extinguishment including debt finance charges and fees of $5,885,000 pre-tax ($5,885,000 after tax or $0.17 per share assuming dilution) and an intangible asset impairment of $587,000 ($435,000 after-tax expense or $0.01 per share assuming dilution).




Loss and loss per share for the quarter ended March 31, 2018 reflects restructuring charges of $401,000 ($340,000 after tax or $0.01 per share assuming dilution) and net gain on convertible debt derivatives of $103,000 ($103,000 after tax or $0.00 per share assuming dilution).

Loss and loss per share for the quarter ended June 30, 2018 reflects restructuring charges of $344,000 ($330,000 after tax or $0.01 per share assuming dilution) and net gain on convertible debt derivatives of $21,000 ($21,000 after tax or $0.00 per share assuming dilution).

Loss and loss per share for the quarter ended September 30, 2018 reflects restructuring charges of $920,000 ($885,000 after tax or $0.03 per share assuming dilution) and net gain on convertible debt derivatives of $4,080,000 ($4,080,000 after tax or $0.12 per share assuming dilution).

Loss and loss per share for the quarter ended December 31, 20172018 reflects restructuring charges of $3,301,000$1,816,000 pre-tax ($3,163,0001,694,000 after tax or $0.10$0.05 per share assuming dilution), net lossgain on convertible debt derivatives of $957,000$7,790,000 ($957,0007,790,000 after tax or $0.03$0.23 per share assuming dilution), an intangible asset impairment of $320,000583,000 ($237,000431,000 after-tax expense or $0.01 per share assuming dilution) and a non-cash tax benefit of $1,580,000$2,023,000 ($0.050.06 per share assuming dilution) related to the revaluation of net deferred tax liabilities as a result of the new U.S. tax reform legislation.

Loss and loss per share for the quarter ended March 31, 2016 reflects recall warranty expense of $1,220,000 ($1,220,000 after tax or $0.04 per share assuming dilution), restructuring charges of $102,000 ($102,000 after tax or $0.00 per share assuming dilution) and net gain on convertible debt derivatives of $604,000 ($604,000 after tax or $0.02 per share assuming dilution).

Loss and loss per share for the quarter ended June 30, 2016 reflects recall warranty expense of $1,670,000 ($1,670,000 after tax or $0.05 per share assuming dilution), restructuring charges of $689,000 ($689,000 after tax or $0.02 per share assuming dilution) and net gain on convertible debt derivatives of $486,000 ($486,000 after tax or $0.02 per share assuming dilution).

Loss and loss per share for the quarter ended September 30, 2016 reflects a gain on the sale of Garden City Medical, Inc. of $7,386,000 ($7,386,000 after tax or $0.23 per share assuming dilution), restructuring charges of $508,000 ($508,000 after tax or $0.02 per share assuming dilution) and net gain on convertible debt derivatives of $1,192,000 ($1,192,000 after tax or $0.04 per share assuming dilution).

Loss and loss per share for the quarter ended December 31, 2016 reflects restructuring charges of $1,148,000 pre-tax ($1,148,000 after tax or $0.04 per share assuming dilution) and net loss on convertible debt derivatives of $1,014,000 ($1,014,000 after tax or $0.03 per share assuming dilution).
Schedule II - Valuation and Qualifying Accounts 
 
   
Table of Contents


SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS

COL A. COL B. COL C. COL D.COL A. COL B. COL C. COL D.
Balance
At
Beginning
of Period
 
Charged
To Cost
And
Expenses
 
Additions
(Deductions)
Describe
 
Balance
At End
of Period
Balance
At
Beginning
of Period
 
Charged
To Cost
And
Expenses
 
Additions
(Deductions)
Describe
 
Balance
At End
of Period
  (In thousands)    (In thousands)  
Year Ended December 31, 2019       
Deducted from asset accounts—       
Allowance for doubtful accounts$6,810
 $955
 $(1,447)(A) $6,318
Inventory obsolescence reserve18,342
 3,542
 (3,706)(B) 18,178
Tax valuation allowances174,659
 (8,413) (3,456)(C) 162,790
Accrued warranty cost16,353
 6,155
 (10,882)(B) 11,626
Accrued product liability16,593
 2,527
 (2,970)(D) 16,150
Year Ended December 31, 2018       
Deducted from asset accounts—       
Allowance for doubtful accounts$7,757
 $2,029
 $(2,976)(A) $6,810
Inventory obsolescence reserve19,003
 3,673
 (4,334)(B) 18,342
Tax valuation allowances167,203
 13,517
 (6,061)(C) 174,659
Accrued warranty cost22,468
 7,616
 (13,731)(B) 16,353
Accrued product liability16,480
 5,586
 (5,473)(D) 16,593
Year Ended December 31, 2017              
Deducted from asset accounts—              
Allowance for doubtful accounts$9,754
 $2,042
 $(4,039)(A) $7,757
$9,754
 $2,042
 $(4,039)(A) $7,757
Inventory obsolescence reserve17,795
 4,922
 (3,714)(B) 19,003
17,795
 4,922
 (3,714)(B) 19,003
Tax valuation allowances173,981
 (9,203) 2,425
(D) 167,203
173,981
 (9,203) 2,425
(C) 167,203
Accrued warranty cost23,302
 11,083
 (11,917)(B) 22,468
23,302
 11,083
 (11,917)(B) 22,468
Accrued product liability20,611
 5,062
 (9,193)(C) 16,480
20,611
 5,062
 (9,193)(D) 16,480
Year Ended December 31, 2016       
Deducted from asset accounts—       
Allowance for doubtful accounts$12,518
 $1,059
 $(3,823)(A) $9,754
Inventory obsolescence reserve16,664
 4,631
 (3,500)(B) 17,795
Tax valuation allowances151,972
 23,478
 (1,469)(D) 173,981
Accrued warranty cost22,820
 15,943
 (15,461)(B) 23,302
Accrued product liability17,709
 9,169
 (6,267)(C) 20,611
Year Ended December 31, 2015       
Deducted from asset accounts—       
Allowance for doubtful accounts$16,873
 $754
 $(5,109)(A) $12,518
Inventory obsolescence reserve17,575
 5,054
 (5,965)(B) 16,664
Tax valuation allowances133,912
 19,717
 (1,657)(D) 151,972
Accrued warranty cost30,738
 9,899
 (17,817)(B) 22,820
Accrued product liability23,194
 3,738
 (9,223)(C) 17,709
________________________
Note (A)—Uncollectible accounts written off, net of recoveries.
Note (B)—Amounts written off or payments incurred.
Note (C)—Loss and loss adjustment.
Note (D)—Other activity not affecting federal or foreign tax expense.
Note (D)—Loss and loss adjustment.





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