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ACCOUNTS RECEIVABLE, NET (Tables)
12 Months Ended
Dec. 31, 2016
ACCOUNTS RECEIVABLE, NET  
Schedule of accounts receivable allowances

 

 

As of December 31, 2016

 

As of December 31, 2015

 

(in thousands)

 

Patient Care

 

Products & 
Services

 

Consolidated

 

Patient Care

 

Products & 
Services

 

Consolidated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, before allowances

 

$

193,835

 

$

27,385

 

$

221,220

 

$

245,923

 

$

25,002

 

$

270,925

 

Allowance for disallowed revenue

 

(61,137

)

 

(61,137

)

(81,306

)

 

(81,306

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, gross

 

132,698

 

27,385

 

160,083

 

164,617

 

25,002

 

189,619

 

Allowance for doubtful accounts

 

(10,575

)

(4,946

)

(15,521

)

(13,371

)

(1,656

)

(15,027

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, net

 

$

122,123

 

$

22,439

 

$

144,562

 

$

151,246

 

$

23,346

 

$

174,592

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Schedule of gross accounts receivable by major payor classification

 

December 31, 2016

 

(in thousands)

 

0-60 
Days

 

61-120 
Days

 

121-180 
Days

 

Over 180 
Days

 

Total

 

Patient Care

 

 

 

 

 

 

 

 

 

 

 

Commercial insurance

 

$

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

December 31, 2015

 

(in thousands)

 

0-60 
Days

 

61-120 
Days

 

121-180 
Days

 

Over 180 
Days

 

Total

 

Patient Care

 

 

 

 

 

 

 

 

 

 

 

Commercial insurance

 

$

55,173

 

$

14,744

 

$

7,663

 

$

28,492

 

$

106,072

 

Private pay

 

1,193

 

715

 

641

 

2,718

 

5,267

 

Medicaid

 

14,714

 

4,534

 

2,309

 

7,510

 

29,067

 

VA

 

4,347

 

1,077

 

589

 

2,022

 

8,035

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-Medicare

 

75,427

 

21,070

 

11,202

 

40,742

 

148,441

 

 

 

 

 

 

 

 

 

 

 

 

 

Medicare

 

39,423

 

8,765

 

5,285

 

44,009

 

97,482

 

 

 

 

 

 

 

 

 

 

 

 

 

Products & Services

 

15,343

 

6,434

 

2,193

 

1,032

 

25,002

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, before allowances

 

130,193

 

36,269

 

18,680

 

85,783

 

270,925

 

 

 

 

 

 

 

 

 

 

 

 

 

Allowance for disallowed revenue

 

 

 

 

 

 

 

 

 

(81,306

)

Allowance for doubtful accounts

 

 

 

 

 

 

 

 

 

(15,027

)

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, net

 

 

 

 

 

 

 

 

 

$

174,592

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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, 2013

 

$

52,277

 

$

6,472

 

Additions (1)

 

95,464

 

14,241

 

Reductions

 

(60,549

)

(10,769

)

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

(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 2016, $1.7 million in 2015, and $2.6 million in 2014.  Dosteon’s disallowed revenue included in “Income (loss) from discontinued operations, net of income taxes” were $0 million in 2016, $(0.2) million in 2015, and $14.0 million in 2014.