Accounts Receivable, Net (Tables)

12 Months Ended

Dec. 31, 2021

Accounts Receivable, after Allowance for Credit Loss [Abstract]

Schedule of accounts receivable, net

Accounts receivable, net as of December 31, 2021 and 2020 is comprised of the following:

	As of December 31, 2021						As of December 31, 2020
(in thousands)	Patient Care		Products & Services		Consolidated		Patient Care		Products & Services		Consolidated
Gross charges before estimates for implicit price concessions	$	173,115	$	21,459	$	194,574	$	156,504	$	21,300	$	177,804
Less estimates for implicit price concessions:
Payor disallowances	(33,007)		—		(33,007)		(39,343)		—		(39,343)
Patient non-payments	(7,500)		—		(7,500)		(7,042)		—		(7,042)
Accounts receivable, gross	132,608		21,459		154,067		110,119		21,300		131,419
Allowance for doubtful accounts	—		(2,009)		(2,009)		—		(2,823)		(2,823)
Accounts receivable, net	$	132,608	$	19,450	$	152,058	$	110,119	$	18,477	$	128,596

Schedule of activities by year for the allowance for doubtful accounts

The following table summarizes activities by year for the allowance for doubtful accounts:

(in thousands)	Allowance for Doubtful Accounts
Balance at December 31, 2018	$	2,272
Additions	1,877
Reductions	(762)
Recoveries	(746)
Balance at December 31, 2019	2,641
Additions	1,869
Reductions	(114)
Recoveries	(1,573)
Balance at December 31, 2020	2,823
Additions	907
Reductions	(759)
Recoveries	(962)
Balance at December 31, 2021	$	2,009

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

The following tables represent gross charges before estimates for payor disallowances and patient non-payments, by major payor classification and by aging categories reduced by implicit price concessions and allowance for doubtful accounts to accounts receivable, net as of December 31, 2021 and 2020, respectively:

December 31, 2021
(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)	$	50,397	$	12,559	$	6,512	$	11,869	$	81,337
Private pay	938		392		284		121		1,735
Medicaid	15,595		3,404		1,698		4,135		24,832
VA	4,345		868		517		453		6,183
Non-Medicare	71,275		17,223		9,011		16,578		114,087
Medicare	35,354		6,100		3,923		13,651		59,028
Products & Services accounts receivable, before allowance	14,301		5,071		901		1,186		21,459
Gross charges before estimates for implicit price concessions and allowance for doubtful accounts	120,930		28,394		13,835		31,415		194,574
Less estimates for implicit price concessions									(40,507)
Accounts receivable, before allowance									154,067
Allowance for doubtful accounts									(2,009)
Accounts receivable, net									$	152,058

December 31, 2020
(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)	$	43,069	$	10,743	$	5,335	$	12,316	$	71,463
Private pay	850		401		309		281		1,841
Medicaid	13,569		2,705		1,390		3,771		21,435
VA	4,291		692		263		279		5,525
Non-Medicare	61,779		14,541		7,297		16,647		100,264
Medicare	27,572		5,169		2,915		20,585		56,241
Products & Services accounts receivable, before allowance	14,091		4,598		841		1,769		21,299
Gross charges before estimates for implicit price concessions and allowance for doubtful accounts	103,442		24,308		11,053		39,001		177,804
Less estimates for implicit price concessions									(46,385)
Accounts receivable, before allowance									131,419
Allowance for doubtful accounts									(2,823)
Accounts receivable, net									$	128,596