Accounts Receivable, Net (Tables)

12 Months Ended

Dec. 31, 2019

Accounts Receivable, Net

Schedule of accounts receivable, net

	As of December 31, 2019						As of December 31, 2018
			Products &						Products &
(in thousands)	PatientCare		Services		Consolidated		Patient Care		Services		Consolidated
Gross charges before estimates for implicit price concessions	$	202,132	$	27,551	$	229,683	$	182,338	$	24,542	$	206,880
Less estimates for implicit price concessions:
Payor disallowances		(58,094)		—		(58,094)		(53,378)		—		(53,378)
Patient non-payments		(9,589)		—		(9,589)		(7,244)		—		(7,244)
Accounts receivable, gross		134,449		27,551		162,000		121,716		24,542		146,258
Allowance for doubtful accounts		—		(2,641)		(2,641)		—		(2,272)		(2,272)
Accounts receivable, net	$	134,449	$	24,910	$	159,359	$	121,716	$	22,270	$	143,986

Schedule of activities by year for the allowance for doubtful accounts

	Allowance for
	Doubtful
(in thousands)	Accounts
Balance at December 31, 2016	$	15,521
Additions		9,423
Reductions		(10,879)
Balance at December 31, 2017		14,065
Cumulative Effect of ASC 606		(9,894)
Additions		630
Reductions		(1,155)
Recoveries		(1,374)
Balance at December 31, 2018		2,272
Additions		1,877
Reductions		(762)
Recoveries		(746)
Balance at December 31, 2019	$	2,641

Schedule of gross charges before estimates for payor disallowances and patient non-payments, by major payor classification

December 31, 2019	0-60		61-120		121-180		Over 180
(in thousands)	Days		Days		Days		Days		Total
Patient Care
Commercial insurance (excluding Medicare and Medicaid Managed Care)	$	46,771	$	12,599	$	7,050	$	18,120	$	84,540
Private pay		1,081		535		435		569		2,620
Medicaid		13,779		3,903		2,314		8,068		28,064
VA		4,465		1,015		353		565		6,398
Non-Medicare		66,096		18,052		10,152		27,322		121,622
Medicare		36,654		8,181		5,191		30,484		80,510
Products & Services accounts receivable, before allowance		15,898		7,345		2,103		2,205		27,551
Gross charges before estimates for implicit price concessions and allowance for doubtful accounts		118,648		33,578		17,446		60,011		229,683
Less estimates for implicit price concessions										(67,683)
Accounts receivable, before allowance										162,000
Allowance for doubtful accounts										(2,641)
Accounts receivable, net									$	159,359

December 31, 2018	0-60		61-120		121-180		Over 180
(in thousands)	Days		Days		Days		Days		Total
Patient Care
Commercial insurance (excluding Medicare and Medicaid Managed Care)	$	44,918	$	11,495	$	6,467	$	17,172	$	80,052
Private pay		951		437		343		483		2,214
Medicaid		12,690		2,964		1,855		6,629		24,138
VA		4,786		859		526		784		6,955
Non-Medicare		63,345		15,755		9,191		25,068		113,359
Medicare		32,339		5,483		3,002		28,155		68,979
Products & Services accounts receivable, before allowance		14,768		6,507		1,641		1,626		24,542
Gross charges before estimates for implicit price concessions and allowance for doubtful accounts		110,452		27,745		13,834		54,849		206,880
Less estimates for implicit price concessions										(60,622)
Accounts receivable, before allowance										146,258
Allowance for doubtful accounts										(2,272)
Accounts receivable, net									$	143,986