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ACCOUNTS RECEIVABLE, NET (Tables)
12 Months Ended
Dec. 31, 2014
ACCOUNTS RECEIVABLE, NET  
Schedule of accounts receivable allowances

 

 

 

As of December 31, 2014

 

(As Restated)
As of December 31, 2013

 

(in thousands)

 

Patient Care

 

Products &
Services

 

Consolidated

 

Patient Care

 

Products &
Services

 

Consolidated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, before allowance

 

$

249,248

 

$

22,136

 

$

271,384

 

$

195,107

 

$

18,381

 

$

213,488

 

Allowance for disallowed revenue

 

(87,192

)

 

(87,192

)

(52,277

)

 

(52,277

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, gross

 

162,056

 

22,136

 

184,192

 

142,830

 

18,381

 

161,211

 

Allowance for doubtful accounts

 

(8,285

)

(1,659

)

(9,944

)

(5,127

)

(1,345

)

(6,472

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, net

 

$

153,771

 

$

20,477

 

$

174,248

 

$

137,703

 

$

17,036

 

$

154,739

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Schedule of gross accounts receivable by major payor classification

 

December 31, 2014

 

(in thousands)

 

0-60
Days

 

61-120
Days

 

121-180
Days

 

Over 180
Days

 

Total

 

Patient Care

 

 

 

 

 

 

 

 

 

 

 

Commercial insurance

 

$

45,929

 

$

13,093

 

$

5,666

 

$

7,880

 

$

72,568

 

Private pay

 

1,542

 

879

 

460

 

411

 

3,292

 

Medicaid

 

12,441

 

4,246

 

1,832

 

2,109

 

20,628

 

VA

 

4,100

 

1,096

 

504

 

641

 

6,341

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-Medicare

 

64,012

 

19,314

 

8,462

 

11,041

 

102,829

 

 

 

 

 

 

 

 

 

 

 

 

 

Medicare

 

31,450

 

7,704

 

3,973

 

7,815

 

50,942

 

 

 

 

 

 

 

 

 

 

 

 

 

Products & Services

 

12,991

 

5,313

 

1,445

 

728

 

20,477

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, net

 

$

108,453

 

$

32,331

 

$

13,880

 

$

19,584

 

$

174,248

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

December 31, 2013

 

 

 

(As Restated)

 

(in thousands)

 

0-60
Days

 

61-120
Days

 

121-180
Days

 

Over 180
Days

 

Total

 

Patient Care

 

 

 

 

 

 

 

 

 

 

 

Commercial insurance

 

$

51,315

 

$

10,239

 

$

3,918

 

$

4,664

 

$

70,136

 

Private pay

 

1,859

 

939

 

381

 

152

 

3,331

 

Medicaid

 

10,936

 

2,871

 

1,143

 

1,078

 

16,028

 

VA

 

3,928

 

780

 

306

 

312

 

5,326

 

Non-Medicare

 

68,038

 

14,829

 

5,748

 

6,206

 

94,821

 

 

 

 

 

 

 

 

 

 

 

 

 

Medicare

 

31,404

 

5,523

 

2,538

 

3,417

 

42,882

 

 

 

 

 

 

 

 

 

 

 

 

 

Products & Services

 

10,611

 

4,161

 

1,112

 

1,152

 

17,036

 

Accounts receivable, net

 

$

110,053

 

$

24,513

 

$

9,398

 

$

10,775

 

$

154,739

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Schedule of activities by year for the Allowance for Disallowed Revenue and the Allowance for Doubtful Accounts

 

(in thousands)

 

Allowance for
Disallowed
Revenue

 

Allowance for
Doubtful
Accounts

 

 

 

 

 

 

 

Balance at January 1, 2012 (As Restated)

 

$

31,136

 

$

3,844

 

Additions (1)

 

73,118

 

4,163

 

Reductions

 

(72,807

)

(3,079

)

Balance at December 31, 2012 (As Restated)

 

31,447

 

4,928

 

Additions (1)

 

94,965

 

8,125

 

Reductions

 

(74,135

)

(6,581

)

Balance at December 31, 2013 (As Restated)

 

52,277

 

6,472

 

Additions (1)

 

119,323

 

14,241

 

Reductions

 

(84,408

)

(10,769

)

Balance at December 31, 2014

 

$

87,192

 

$

9,944

 

 

 

 

 

 

 

 

 

 

 

(1)The accounts receivables associated with the Dosteon businesses, which are recognized as discontinued operations as of each respective date of the consolidated financial statements, are not included in “Assets held for sale” because they were not a part of the disposal transaction.  Therefore the associated allowances, additions, and reductions are included in the above table.  Dosteon’s bad debt expense included in “Loss on discontinued operations net of income tax” in 2014, 2013, and 2012 were $2.6 million, $3.1 million, and ($0.3) million, respectively.  Dosteon’s disallowed revenue included in “Loss on discontinued operations, net of income tax” for 2014, 2013, and 2012 were $14.0 million, $8.7 million, and $5.8 million, respectively.