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ACCOUNTS RECEIVABLE, NET (Tables)
12 Months Ended
Dec. 31, 2017
ACCOUNTS RECEIVABLE, NET  
Schedule of accounts receivable allowances

 

 

As of December 31, 2017

 

As of December 31, 2016

 

(in thousands)

 

Patient Care

 

Products &
Services

 

Consolidated

 

Patient Care

 

Products &
Services

 

Consolidated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, before allowances

 

$

193,150

 

$

23,494

 

$

216,644

 

$

193,835

 

$

27,385

 

$

221,220

 

Allowance for disallowed revenue

 

(56,233

)

 

(56,233

)

(61,137

)

 

(61,137

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, gross

 

136,917

 

23,494

 

160,411

 

132,698

 

27,385

 

160,083

 

Allowance for doubtful accounts

 

(9,894

)

(4,171

)

(14,065

)

(10,575

)

(4,946

)

(15,521

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, net

 

$

127,023

 

$

19,323

 

$

146,346

 

$

122,123

 

$

22,439

 

$

144,562

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Schedule of net accounts receivable by major payor classification

 

December 31, 2017

 

(in thousands)

 

0-60
Days

 

61-120
Days

 

121-180
Days

 

Over 180
Days

 

Total

 

Patient Care

 

 

 

 

 

 

 

 

 

 

 

Commercial insurance (excluding Medicare and Medicaid Managed Care)

 

$

50,310

 

$

11,649

 

$

6,302

 

$

15,279

 

$

83,540

 

Private pay

 

880

 

447

 

381

 

1,311

 

3,019

 

Medicaid

 

13,785

 

3,561

 

1,832

 

5,684

 

24,862

 

VA

 

4,578

 

1,193

 

552

 

694

 

7,017

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-Medicare

 

69,553

 

16,850

 

9,067

 

22,968

 

118,438

 

 

 

 

 

 

 

 

 

 

 

 

 

Medicare

 

34,197

 

5,725

 

3,396

 

31,394

 

74,712

 

 

 

 

 

 

 

 

 

 

 

 

 

Products & Services

 

14,316

 

5,075

 

1,219

 

2,884

 

23,494

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, before allowances

 

118,066

 

27,650

 

13,682

 

57,246

 

216,644

 

 

 

 

 

 

 

 

 

 

 

 

 

Allowance for disallowed revenue

 

 

 

 

 

 

 

 

 

(56,233

)

Allowance for doubtful accounts

 

 

 

 

 

 

 

 

 

(14,065

)

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, net

 

 

 

 

 

 

 

 

 

$

146,346

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

December 31, 2016

 

(in thousands)

 

0-60
Days

 

61-120
Days

 

121-180
Days

 

Over 180
Days

 

Total

 

Patient Care

 

 

 

 

 

 

 

 

 

 

 

Commercial insurance (excluding Medicare and Medicaid Managed Care)

 

$

48,568

 

$

11,677

 

$

6,050

 

$

17,453

 

$

83,748

 

Private pay

 

897

 

547

 

441

 

1,034

 

2,919

 

Medicaid

 

13,937

 

3,554

 

2,110

 

5,415

 

25,016

 

VA

 

3,638

 

875

 

395

 

721

 

5,629

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-Medicare

 

67,040

 

16,653

 

8,996

 

24,623

 

117,312

 

 

 

 

 

 

 

 

 

 

 

 

 

Medicare

 

32,980

 

4,813

 

3,055

 

35,675

 

76,523

 

 

 

 

 

 

 

 

 

 

 

 

 

Products & Services

 

16,126

 

6,690

 

3,031

 

1,538

 

27,385

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, before allowances

 

116,146

 

28,156

 

15,082

 

61,836

 

221,220

 

 

 

 

 

 

 

 

 

 

 

 

 

Allowance for disallowed revenue

 

 

 

 

 

 

 

 

 

(61,137

)

Allowance for doubtful accounts

 

 

 

 

 

 

 

 

 

(15,521

)

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, net

 

 

 

 

 

 

 

 

 

$

144,562

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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 December 31, 2014

 

$

87,192

 

$

9,944

 

Additions (1)

 

60,076

 

14,515

 

Reductions

 

(65,962

)

(9,432

)

 

 

 

 

 

 

Balance at December 31, 2015

 

81,306

 

15,027

 

Additions (1)

 

48,961

 

13,727

 

Reductions

 

(69,130

)

(13,233

)

 

 

 

 

 

 

Balance at December 31, 2016

 

61,137

 

15,521

 

Additions (1)

 

36,962

 

9,423

 

Reductions

 

(41,866

)

(10,879

)

 

 

 

 

 

 

Balance at December 31, 2017

 

$

56,233

 

$

14,065

 

 

 

 

 

 

 

 

 

 

 

(1)The accounts receivables associated with the Dosteon businesses, which are classified as discontinued operations as of each respective date of the consolidated financial statements, were not a part of the disposal transactions.  Therefore the associated allowances, additions, and reductions are included in the above table.  Dosteon’s bad debt expense included in “Income (loss) from discontinued operations, net of income taxes” were $0 million in 2017 and 2016, and $1.7 million in 2015.  Dosteon’s disallowed revenue included in “Income (loss) from discontinued operations, net of income taxes” were $0 million in 2017 and 2016, and $(0.2) million in 2015.