Segments and Customer Concentrations

3 Months Ended

Mar. 31, 2020

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 March 31, 2020 and 2019, net services revenue from healthcare organizations affiliated with Ascension accounted for 65% and 66% of the Company's total net services revenue, 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 March 31, 2020 and 2019, Intermountain Healthcare accounted for 15% and 15% of the Company's total net services revenue, respectively.

As of March 31, 2020 and December 31, 2019, the Company had a concentration of credit risk with Ascension accounting for 39% and 37% of accounts receivable, respectively.