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| Sports contest |
| Solicit support |
| Propose |
| Reduce routine activity |
| Release or return |
| Endorse |
| Yield |
| Yield to order |
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| Reward |
| Wiki | Wiki Summary |
|---|---|
| Risk management | Risk management is the identification, evaluation, and prioritization of risks (defined in ISO 31000 as the effect of uncertainty on objectives) followed by coordinated and economical application of resources to minimize, monitor, and control the probability or impact of unfortunate events or to maximize the realization of opportunities.\nRisks can come from various sources including uncertainty in international markets, threats from project failures (at any phase in design, development, production, or sustaining of life-cycles), legal liabilities, credit risk, accidents, natural causes and disasters, deliberate attack from an adversary, or events of uncertain or unpredictable root-cause. |
| The Walt Disney Company | The Walt Disney Company, commonly known as Disney (), is an American multinational mass media and entertainment conglomerate headquartered at the Walt Disney Studios complex in Burbank, California.\nDisney was originally founded on October 16, 1923, by brothers Walt and Roy O. Disney as the Disney Brothers Cartoon Studio; it also operated under the names the Walt Disney Studio and Walt Disney Productions before changing its name to the Walt Disney Company in 1986. |
| East India Company | The East India Company (EIC) was an English, and later British, joint-stock company founded in 1600. It was formed to trade in the Indian Ocean region, initially with the East Indies (the Indian subcontinent and Southeast Asia), and later with East Asia. |
| Live-in caregiver | A professional live-in caregiver provides personal care and assistance to individuals, including those suffering from chronic illness, Alzheimer’s disease, and dementia, within the home setting. Typical duties of a live-in caregiver include meal planning and preparation, assistance with grooming, dressing and toileting, medication management, laundry and light housekeeping, and transportation/escorts to doctor’s appointments or social engagements. |
| Caregiver burden | Caregiver burden is the stress which is perceived by caregivers due to the home care situation. The subjective burden is considered to be one of the most important predictors of negative outcomes from the home care situation. |
| Family caregivers | Family caregivers (also known as “carers”) are “relatives, friends, or neighbors who provide assistance related to an underlying physical or mental disability for at-home care delivery and assist in the activities of daily living (ADLs) who are unpaid and have no formal training to provide those services.” A recent study says that 26.5% of all American adults today are family caregivers. A 2012 report by the Alzheimer’s Association states that 15 million of those family caregivers are caring for a person with Alzheimer’s disease or another dementia. |
| Elderly care | Elderly care, or simply eldercare (also known in parts of the English-speaking world as aged care), serves the needs and requirements of senior citizens. It encompasses assisted living, adult daycare, long-term care, nursing homes (often called residential care), hospice care, and home care. |
| Reactive attachment disorder | Reactive attachment disorder (RAD) is described in clinical literature as a severe and relatively uncommon disorder that can affect children, although these issues do occasionally persist into adulthood. RAD is characterized by markedly disturbed and developmentally inappropriate ways of relating socially in most contexts. |
| Companys, procés a Catalunya | Companys, procés a Catalunya (Spanish: Companys, proceso a Cataluña) is a 1979 Spanish Catalan drama film directed by Josep Maria Forn, based on the last months of the life of the President of Catalonia, Lluís Companys, in which he shows his detention by the Nazis and his subsequent execution by the Spanish Francoists. It competed in the Un Certain Regard section at the 1979 Cannes Film Festival. |
| List of largest companies in the United States by revenue | This list comprises the largest companies in the United States by revenue as of 2022, according to the Fortune 500 tally of companies. Retail corporation Walmart has been the largest company in the US by revenue since 2014. |
| Amazon (company) | Amazon.com, Inc. ( AM-ə-zon) is an American multinational technology company which focuses on e-commerce, cloud computing, digital streaming, and artificial intelligence. |
| Nursing home care in the United States | As of 2017, approximately 1.4 million Americans live in a nursing home, two-thirds of whom rely on Medicaid to pay for their care. Residential nursing facilities receive Medicaid federal funding and approvals through a state health department. |
| Health reimbursement account | A Health Reimbursement Account, formally a Health Reimbursement Arrangement (HRA), is a type of US employer-funded health benefit plan that reimburses employees for out-of-pocket medical expenses and, in limited cases, to pay for health insurance plan premiums.An HRA is not truly an account, since it does not place funds under a separate legal title. Instead, it is an agreement under which the employee can submit qualified health expenses to the employer for reimbursement.Following implementation of the Affordable Care Act, HRAs must be integrated with a qualified employer-sponsored group health insurance plan to avoid excise tax penalties. |
| Diagnosis-related group | Diagnosis-related group (DRG) is a system to classify hospital cases into one of originally 467 groups, with the last group (coded as 470 through v24, 999 thereafter) being "Ungroupable". This system of classification was developed as a collaborative project by Robert B Fetter, PhD, of the Yale School of Management, and John D. Thompson, MPH, of the Yale School of Public Health. |
| Operations management | Operations management is an area of management concerned with designing and controlling the process of production and redesigning business operations in the production of goods or services. It involves the responsibility of ensuring that business operations are efficient in terms of using as few resources as needed and effective in meeting customer requirements. |
| Operation (mathematics) | In mathematics, an operation is a function which takes zero or more input values (called operands) to a well-defined output value. The number of operands (also known as arguments) is the arity of the operation. |
| Subsidiary | A subsidiary, subsidiary company or daughter company is a company owned or controlled by another company, which is called the parent company or holding company. Two or more subsidiaries that belong to the same parent company are called sister companies. |
| Subsidiary alliance | A subsidiary alliance, in South Asian history, was a tributary alliance between an Indian state and a European East India Company. The system of subsidiary alliances was pioneered by the French East India Company governor Joseph François Dupleix, who in the late 1740s established treaties with the Nizam of Hyderabad, India, and other Indian princes in the Carnatic.It stated that the Indian rulers who formed a treaty with the British would be provided with protection against any external attacks in place that the rulers were (a) required to keep the British army at the capitals of their states (b)they were either to give either money or some territory to the company for the maintenance of the British troops (c) they were to turn out from their states all non-english europeans whether they were employed in the army or in the civil service and (d)they had to keep a British official called 'resident' at the capital of their respective states who would oversee all the negotiations and talks with the other states which meant that the rulers were to have no direct correspondence or relations with the other states . |
| List of Gazprom subsidiaries | Russian energy company Gazprom has several hundred subsidiaries and affiliated companies owned and controlled directly or indirectly. The subsidiaries and affiliated companies are listed by country. |
| Alphabet Inc. | Alphabet Inc. is an American multinational technology conglomerate holding company headquartered in Mountain View, California. |
| Subsidiary right | A subsidiary right (also called a subright or sub-lease) is the right to produce or publish a product in different formats based on the original material. Subsidiary rights are common in the publishing and entertainment industries, in which subsidiary rights are granted by the author to an agent, publisher, newspaper, or film studio. |
| American Health Care Association | The American Health Care Association (AHCA) is a non-profit federation of affiliated state health organizations that represents more than 14,000 non-profit and for-profit nursing homes, assisted living communities, and facilities for individuals with disabilities. The organization's president and CEO is Mark Parkinson. |
| New England Patriots | The New England Patriots are a professional American football team based in the Greater Boston area. They compete in the National Football League (NFL) as a member club of the league's American Football Conference (AFC) East division. |
| New England (medieval) | New England (Latin: Nova Anglia, Old English: Nīwe Englaland) was a colony allegedly founded, either in the 1070s or the 1090s, by English refugees fleeing William the Conqueror. Its existence is attested in two much later sources, the French Chronicon Universale Anonymi Laudunensis (which ends in 1219) and the 14th-century Icelandic Játvarðar Saga. |
| New England College | New England College (NEC) is a private liberal arts college in Henniker, New Hampshire. As of Fall 2020 New England College's enrollment was 4,327 students (1,776 undergraduate and 2,551 graduate). |
| Child sexual abuse | Child sexual abuse, also called child molestation, is a form of child abuse in which an adult or older adolescent uses a child for sexual stimulation. Forms of child sexual abuse include engaging in sexual activities with a child (whether by asking or pressuring, or by other means), indecent exposure (of the genitals, female nipples, etc.), child grooming, and child sexual exploitation, including using a child to produce child pornography.Child sexual abuse can occur in a variety of settings, including home, school, or work (in places where child labor is common). |
| Formula One regulations | The numerous Formula One regulations, made and enforced by the FIA and later the FISA, have changed dramatically since the first Formula One World Championship in 1950. This article covers the current state of F1 technical and sporting regulations, as well as the history of the technical regulations since 1950. |
| Capitation (healthcare) | Capitation is a payment arrangement for health care service providers. It pays a set amount for each enrolled person assigned to them, per period of time, whether or not that person seeks care. |
| Health insurance in the United States | Health insurance in the United States is any program that helps pay for medical expenses, whether through privately purchased insurance, social insurance, or a social welfare program funded by the government. Synonyms for this usage include "health coverage", "health care coverage", and "health benefits". |
| New York Codes, Rules and Regulations | The New York Codes, Rules and Regulations (NYCRR) contains New York state rules and regulations. The NYCRR is officially compiled by the New York State Department of State's Division of Administrative Rules. |
| Business mileage reimbursement rate | The business mileage reimbursement rate is an optional standard mileage rate used in the United States for purposes of computing the allowable business deduction, for Federal income tax purposes under the Internal Revenue Code, at 26 U.S.C. § 162, for the business use of a vehicle. Under the law, the taxpayer for each year is generally entitled to deduct either the actual expense amount, or an amount computed using the standard mileage rate, whichever is greater. |
| Child abuse | Child abuse or child maltreatment is physical, sexual, and/or psychological maltreatment or neglect of a child or children, especially by a parent or a caregiver. Child abuse may include any act or failure to act by a parent or a caregiver that results in actual or potential harm to a child and can occur in a child's home, or in the organizations, schools, or communities the child interacts with. |
| Elder abuse | Elder abuse (also called "elder mistreatment", "senior abuse", "abuse in later life", "abuse of older adults", "abuse of older women", and "abuse of older men") is "a single, or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person." This definition has been adopted by of the World Health Organization (WHO) from a definition put forward by Action on Elder Abuse in the UK. Laws protecting the elderly from abuse are similar to and related to laws protecting dependent adults from abuse.\nIt includes harms by people the older person knows, or has a relationship with, such as a spouse, partner, or family member; a friend or neighbor; or people that the older person relies on for services. |
| Limited liability | Limited liability is a legal status where a person's financial liability is limited to a fixed sum, most commonly the value of a person's investment in a corporation, company or partnership. If a company that provides limited liability to its investors is sued, then the claimants are generally entitled to collect only against the assets of the company, not the assets of its shareholders or other investors. |
| Legal liability | In law, liable means "responsible or answerable in law; legally obligated". Legal liability concerns both civil law and criminal law and can arise from various areas of law, such as contracts, torts, taxes, or fines given by government agencies. |
| Insurance policy | In insurance, the insurance policy is a contract (generally a standard form contract) between the insurer and the policyholder, which determines the claims which the insurer is legally required to pay. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy language. |
| List of acquisitions by Oracle | This is a listing of Oracle Corporation's corporate acquisitions, including acquisitions of both companies and individual products.\nOracle's version does not include value of the acquisition.See also Category:Sun Microsystems acquisitions (Sun was acquired by Oracle). |
| Risk Factors |
|---|
| NATIONAL HOME HEALTH CARE CORP Item 1A Risk Factors This section summarizes certain risks, among others, that should be considered by stockholders and prospective investors in the Company |
| The Company relies significantly on its ability to attract and retain caregivers who possess the skills, experience and licenses necessary to meet the requirements of the Company’s customers |
| The Company competes for home health care services personnel with other providers of home health care -10- _________________________________________________________________ services |
| The Company must continually evaluate and expand its network of caregivers to keep pace with its customers’ needs |
| Currently, there is a shortage of qualified nurses and a diminishing pool of home health aides in the states in which the Company conducts its business, competition for nursing personnel is increasing and wages and benefit costs have risen |
| The Company may be unable to continue to increase the number of caregivers that it recruits, adversely affecting the potential for growth of the Company’s business |
| The Company’s ability to attract and retain caregivers depends on several factors, including the Company’s ability to provide such caregivers with assignments that they view as attractive and with competitive wages and benefits |
| The cost of attracting caregivers and providing them with attractive benefit packages may be higher than the Company anticipates and, as a result, if it is unable to obtain increased reimbursement rates, the Company’s profitability could decline |
| Moreover, if the Company is unable to attract and retain caregivers, the quality of its services to its customers may decline and, as a result, it could lose certain customers |
| Risks Related to Collective Bargaining |
| Effective May 1, 2004, Allen Health Care and District Council 1707, AFSCME concluded negotiations on an initial three-year labor contract |
| The Company is unable to estimate how upcoming negotiations will affect the Company’s future results of operations or financial condition |
| On May 13, 2005, Accredited received a copy of a Petition for Certification of Representative, pursuant to the provisions of the National Labor Relations Act |
| Although on March 21, 2006, the home health aides of Accredited, in a mail ballot election, rejected union representation by SEIU 1199 New Jersey, there can be no assurance that further unionizing activity will not occur at this or other subsidiaries of the Company or that any such activity or any new collective bargaining agreements will not have a material adverse effect on the Company |
| Risks Related to Competition |
| The home health care business is highly competitive |
| Some of the Company’s competitors, unlike the Company, provide pharmaceutical products and other home health care services that generate additional referrals |
| Some of the Company’s competitors also may have greater marketing and financial resources than the Company |
| The Company believes that the primary competitive factors in obtaining and retaining customers are the quality of services provided and the pricing of such services |
| Competition for referrals may increase in the future and, as a result, the Company may not be able to remain competitive |
| To the extent competitors gain or retain market share by reducing prices or increasing marketing expenditures, the Company could lose market share or otherwise experience a material adverse effect |
| The Company does not have long-term agreements or exclusive guaranteed order contracts with its customers |
| The success of the Company’s business is dependent upon its ability to continually secure new business from its customers and to service such new business with its caregivers |
| The Company’s customers are free to seek services from the Company’s competitors and to use caregivers that such competitors offer them |
| Therefore, the Company must maintain positive relationships with its customers; otherwise, the Company may be unable to generate new business for its caregivers, which could have a material adverse effect on the Company |
| -11- _________________________________________________________________ New England, as a Connecticut Medicaid provider, is subject to retroactive adjustments due to prior year audits, reviews and investigations, government fraud and abuse initiatives and other similar actions |
| Federal regulations also provide for withholding payments to recoup amounts payable under the Medicaid program |
| While the Company believes it is in material compliance with applicable Medicaid reimbursement regulations, there can be no assurance that the Company, pursuant to such audits, reviews and investigations, among other things, will be found to be in compliance in all respects with such reimbursement regulations |
| A determination that the Company is in violation of any such reimbursement regulations could result in retroactive adjustments and recoupments and have a material adverse effect on the Company |
| As a Medicaid provider, the Company is also subject to routine, unscheduled audits, which may have an adverse impact on the Company’s results of operations |
| For information on a recent audit performed by the Connecticut Department of Social Services, Office of Quality Assurance, see “Government Regulation and Licensing – Audit |
| ” Risks Related to Federal and State Regulations |
| The Company is subject to substantial and frequently changing federal, state and local regulations |
| The Company must also comply with state licensing along with federal and state eligibility standards for certification as a Medicare and Medicaid provider |
| In addition, new laws and regulations are adopted periodically to regulate new and existing services in the health care industry |
| Changes in laws or regulations or new interpretations of existing laws or regulations can have a dramatic effect on operating methods, costs and reimbursement amounts provided by government and other third-party payers |
| Federal laws governing the Company’s activities include regulation of Medicare reimbursement and certification and certain financial relationships with health care providers (collectively, the “fraud and abuse laws”) |
| Although the Company intends to comply with all applicable federal and state fraud and abuse laws, these laws are not always clear and may be subject to a range of potential interpretations |
| (For further discussion on such fraud and abuse laws, see “Government Regulation and Licensing – Medicare Fraud and Abuse |
| ”) There can be no assurance that administrative or judicial clarification or interpretation of existing laws or regulations, or legislative enactment of new laws or regulations, will not have a material adverse effect on the Company |
| In addition, the Balanced Budget Act of 1997, as amended (the “Balanced Budget Act”), introduced several government initiatives causing changes to Medicare reimbursement |
| These changes have resulted in the Company experiencing a decline in revenue from its Medicare certified subsidiary in Connecticut |
| ”) New England, as a participant in the State of Connecticut Department of Social Services Medicaid program, is subject to survey and audits of operational, clinical and financial records with respect to proper applications of general regulations governing operations and billing of claims |
| These audits can result in retroactive adjustments for payments received from this program |
| There can be no assurance that federal, state or local governments will not change existing standards or impose additional standards |
| Any failure to comply with existing or future standards could have a material adverse effect on the Company |
| For information as to surveys of New England conducted by DPH, see “Government Regulation and Licensing – Surveys |
| ” A failure by New England to retain Medicare certification would result in New England’s termination from participating in the Medicare and Medicaid programs |
| Revenues derived from New England’s participation in these programs for the fiscal year ended July 31, 2006 were 30prca of the Company’s total revenues |
| -12- _________________________________________________________________ Provision of home health care services entails an inherent risk of liability |
| Certain participants in the home health care industry may be subject to lawsuits that may involve large claims and significant defense costs |
| It is expected that the Company periodically will be subject to such suits as a result of the nature of its business |
| The Company currently maintains professional liability insurance intended to cover such claims in amounts which management believes are in accordance with industry standards |
| There can be no assurance that the Company will be able to obtain liability insurance coverage in the future on acceptable terms, if at all |
| There can be no assurance that claims in excess of the Company’s insurance coverage or claims not covered by the Company’s insurance coverage will not arise |
| A successful claim against the Company in excess of the Company’s insurance coverage could have a material adverse effect on the Company |
| Claims against the Company, regardless of their merit or eventual outcome, may also have a material adverse effect on the Company’s ability to attract customers or to expand its business |
| In addition, one of the Company’s subsidiaries is self-insured for its workers compensation and is at risk for claims up to certain levels |
| Risks Related to Third Party Payers |
| For the twelve months ended July 31, 2006, 2005 and 2004, the percentage of the Company’s revenues derived from Medicare and Medicaid was 51prca, 51prca and 48prca, respectively |
| The revenues and profitability of the Company are affected by the continuing efforts of all third-party payers to contain or reduce the costs of health care by lowering reimbursement rates, narrowing the scope of covered services, increasing case management review of services and negotiating reduced contract pricing |
| Any changes in reimbursement levels under Medicare, Medicaid or other payer sources and any changes in applicable government regulations could have a material adverse effect on the Company |
| See Item 7 – “Management’s Discussion and Analysis of Financial Condition and Results of Operations — Certain Trends Expected to Impact Future Results of Operations |
| ” Changes in the mix of the Company’s patients among Medicare, Medicaid and other payer sources may also affect the Company’s revenues and profitability |
| Risks Related to the Company’s Acquisition Strategy |
| In recent years, the Company’s strategic focus has been on the acquisition of small to medium sized home health care agencies, or of certain of their assets, in targeted markets |
| These acquisitions involve significant risks and uncertainties, including difficulties integrating acquired personnel and other corporate cultures into the Company’s business, the potential loss of key employees or customers of acquired companies, the assumption of liabilities and exposure to unforeseen liabilities of acquired companies and the diversion of management attention from existing operations |
| The Company may not be able to fully integrate the operations of the acquired businesses with its own in an efficient and cost-effective manner |
| The failure to effectively integrate any of these businesses could have a material adverse effect on the Company |
| In addition, the Company’s growth over the last several years has principally resulted from acquisitions and penetration of markets abandoned by competitors |
| There can be no assurance that the Company will be able to identify suitable acquisitions or available market share in the future nor that any such opportunities, if identified, will be consummated on terms favorable to the Company, if at all |
| In the absence of such successful transactions, there can be no assurance that the Company will experience further growth, nor that such transactions, if consummated, will result in further growth |
| -13- _________________________________________________________________ In addition, although the Company attempted in its acquisitions to determine the nature and extent of any pre-existing liabilities, and has obtained indemnification rights from the previous owners for acts or omissions arising prior to the date of the acquisition, resolving issues of liability between the parties could involve a significant amount of time, manpower and expense on the part of the Company |
| If the Company or any of its subsidiaries were to be unsuccessful in a claim for indemnity from a seller, the liability imposed on the Company or its subsidiary could have a material adverse effect on the Company |
| The Company has grown significantly over the past few years |
| This growth, which has resulted primarily from acquisitions and which management intends to continue to pursue, poses a number of difficulties and risks for the Company |
| As the Company has grown and may continue to grow (as to which there can be no assurance) in both revenue and geographical scope, such growth stretches the various resources of the Company, including management, information systems, regulatory compliance, logistics and other controls |
| There can be no assurance that such resources will keep pace with such growth |
| If the Company does not maintain such pace, then its prospects would be materially adversely affected |
| Risks Related to the Company’s Dependence on Senior Management |
| The Company believes that the success of its business strategy and its ability to operate profitably depends on the continued employment of its senior management team |
| If any member of the Company’s senior management team becomes unable or unwilling to continue in his present position, the Company’s business and financial results could be materially adversely affected |