XML 40 R28.htm IDEA: XBRL DOCUMENT

Segments and Customer Concentrations	6 Months Ended
Segments and Customer Concentrations	Jun. 30, 2019
Segment Reporting [Abstract]
Segments and Customer Concentrations	Segments and Customer Concentrations The Company has determined that it has a single operating segment in accordance with how its business activities are managed and evaluated. All of the Company’s significant operations are organized around the single business of providing end-to-end management services of revenue cycle operations for U.S.-based healthcare providers. Accordingly, for purposes of segment disclosures, the Company has only one reportable segment. Healthcare providers affiliated with Ascension have accounted for a significant portion of the Company’s net services revenue each year since the Company’s formation. For the three months ended June 30, 2019 and 2018, net services revenue from healthcare organizations affiliated with Ascension accounted for 67% and 68% of the Company's total net services revenue, respectively. For the six months ended June 30, 2019 and 2018, net services revenue from Ascension accounted for 67% and 78%, respectively. The loss of customers within the Ascension health system could have a material adverse impact on the Company’s operations. For the three months ended June 30, 2019 and 2018, Intermountain Healthcare accounted for 14% and 16% of the Company's total net services revenue, respectively. For the six months ended June 30, 2019 and 2018, Intermountain Healthcare accounted for 14% and 10% of the Company's total net services revenue, respectively. As of June 30, 2019 and December 31, 2018, the Company had a concentration of credit risk with Ascension accounting for 40% and 57% of accounts receivable, respectively.