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Allowance for Doubtful Accounts
9 Months Ended
Sep. 30, 2022
Receivables [Abstract]  
Allowance for Doubtful Accounts
Note 4—Allowance for Doubtful Accounts

In making the Company’s credit evaluations, management considers the general collection risk associated with trends in the long-term care industry. The Company establishes credit limits through payment terms with customers, performs ongoing credit evaluations and monitors accounts on an aging schedule basis to minimize the risk of loss. Despite the Company’s efforts to minimize credit risk exposure, customers could be adversely affected if future industry trends, including those related to COVID-19, change in such a manner as to negatively impact their cash flows. The full effects of COVID-19 on the Company’s customers are highly uncertain and cannot be predicted. As a result, the Company’s future collection experience can differ significantly from historical collection trends. If the Company’s customers experience a negative impact on their cash flows, it could have a material adverse effect on the Company’s results of operations and financial condition.

The Company evaluates its accounts and notes receivable for expected credit losses quarterly. Accounts receivables are evaluated based on internally developed credit quality indicators derived from the aging of receivables. Notes receivable are evaluated based on internally developed credit quality indicators derived from Management’s assessment of collection risk. The Company manages note receivable portfolios using a two tiered approach by disaggregating standard notes receivables, which are promissory notes in good standing, from those who have been identified by Management as having an elevated credit risk profile due to a triggering event such as bankruptcy. At the end of each period, the Company sets a reserve for expected credit losses on standard notes receivable based on the Company’s historical loss rate. Notes receivable with an elevated risk profile, which are from customers who have filed bankruptcy, are subject to collections activity or are slow payers that are experiencing financial difficulties, are aggregated and evaluated to determine the total reserve for the class of receivable.
The guidance in ASC 326 permits entities to make an accounting policy election not to measure an estimate for credit losses on accrued interest if those entities write-off accrued interest deemed uncollectible in a timely manner. The Company follows an income recognition policy on all interest earned on notes receivable. Under such policy the Company accounts for all notes receivable on a non-accrual basis and defers the recognition of any interest income until receipt of cash payments. This policy was established, recognizing the environment of the long-term care industry, and not because such notes receivable are necessarily impaired. Accordingly, the Company does not record a credit loss adjustment for accrued interest. Interest income from notes receivable for the three months ended September 30, 2022 and 2021 was $0.2 million and $0.3 million, respectively. Interest income from notes receivable for both the nine months ended September 30, 2022 and 2021 was $1.0 million.

The following table presents the Company’s two tiers of notes receivable further disaggregated by year of origination, as well as write-off activity for the nine months ended September 30, 2022.
Notes Receivable
Amortized Cost Basis by Origination Year
20222021202020192018PriorTotal
(in thousands)
Notes Receivable
Standard notes receivable$17,508 $11,917 $1,972 $206 $13 $21,991 $53,607 
Elevated risk notes receivable$— $— $— $— $— $1,223 $1,223 
Current-period gross write-offs$$— $49 $54 $— $483 $587 
Current-period recoveries— — — — — — — 
Current-period net write-offs$$— $49 $54 $— $483 $587 

The following table provides information as to the status of payment on the Company’s notes receivable which were past due as of September 30, 2022:
Age Analysis of Past-Due Notes Receivable as of September 30, 2022
0 - 90 Days91 - 180 DaysGreater than 181 DaysTotal
(in thousands)
Notes Receivable
Standard notes receivable$469 $162 $3,205 $3,836 
Elevated risk notes receivable— — 1,223 1,223 
$469 $162 $4,428 $5,059 

The following tables provide a summary of the changes in the Company’s allowance for doubtful accounts on a portfolio segment basis for the three months ended September 30, 2022 and 2021.
Allowance for doubtful accounts
Portfolio Segment:June 30,
2022
Write-Offs/Adjustments1
Bad Debt ExpenseSeptember 30,
2022
(in thousands)
Accounts Receivables$62,603 $(5,145)$7,863 $65,321 
Notes Receivables
Standard notes receivable$12,606 $(6,718)$(1,545)$4,343 
Elevated risk notes receivable811 — — 811 
Total notes receivable$13,417 $(6,718)$(1,545)$5,154 
Total$76,020 $(11,863)$6,318 $70,475 
1.Write-offs are shown net of recoveries. During the three months ended September 30, 2022, the Company collected less than $0.1 million of accounts receivables and notes receivables which had previously been written-off as uncollectible. Adjustments
include a reduction of $8.0 million of allowance for doubtful accounts which related to a customer concession granted during the three months ended September 30, 2022.

Allowance for doubtful accounts
Portfolio Segment:June 30,
2021
Write-Offs1
Bad Debt ExpenseSeptember 30,
2021
(in thousands)
Accounts Receivables$50,243 $(427)$4,230 $54,046 
Notes Receivables
Standard notes receivable$12,534 $— $(149)$12,385 
Elevated risk notes receivable1,583 — — 1,583 
Total notes receivable$14,117 $— $(149)$13,968 
Total$64,360 $(427)$4,081 $68,014 
1.Write-offs are shown net of recoveries. During the three months ended September 30, 2021, the Company collected an immaterial amount of accounts receivables which had previously been written-off as uncollectible.

The following tables provide a summary of the changes in the Company’s allowance for doubtful accounts on a portfolio segment basis for the nine months ended September 30, 2022 and 2021.
Allowance for doubtful accounts
Portfolio Segment:December 31,
2021
Write-Offs/Adjustments1
Bad Debt ExpenseSeptember 30,
2022
(in thousands)
Accounts Receivables$50,794 $(11,195)$25,722 $65,321 
Notes Receivables
Standard notes receivable$13,607 $(6,773)$(2,491)$4,343 
Elevated risk notes receivable1,183 (483)111 811 
Total notes receivable$14,790 $(7,256)$(2,380)$5,154 
Total$65,584 $(18,451)$23,342 $70,475 
1.Write-offs are shown net of recoveries. During the nine months ended September 30, 2022, the Company collected $0.2 million of accounts receivables and notes receivables which had previously been written-off as uncollectible. Adjustments include a reduction of $8.0 million of allowance for doubtful accounts which related to a customer concession granted during the nine months ended September 30, 2022.
Allowance for doubtful accounts
Portfolio Segment:December 31,
2020
Write-Offs1
Bad Debt ExpenseSeptember 30,
2021
(in thousands)
Accounts Receivables$51,052 $(7,807)$10,801 $54,046 
Notes Receivables
Standard notes receivable$13,258 $(9)$(864)$12,385 
Elevated risk notes receivable3,491 (2,761)853 1,583 
Total notes receivable$16,749 $(2,770)$(11)$13,968 
Total$67,801 $(10,577)$10,790 $68,014 
1.Write-offs are shown net of recoveries. During the nine months ended September 30, 2021, the Company collected $0.1 million of accounts receivables and notes receivables which had previously been written-off as uncollectible.