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Receivables
12 Months Ended
Dec. 31, 2017
Receivables [Abstract]  
RECEIVABLES
RECEIVABLES
Receivables, before the allowance for doubtful accounts, consist of the following components:
 
December 31,
 
2017
 
2016
 
 
 
 
Medicare
$
20,007,000

 
$
20,402,000

Medicaid and other non-federal government programs
29,453,000

 
31,208,000

Other patient and resident receivables
29,704,000

 
20,868,000

   
79,164,000

 
72,478,000

Less: allowance for doubtful accounts
(14,235,000
)
 
(10,326,000
)
Accounts receivable, net
64,929,000

 
62,152,000

Other receivables and advances
$
375,000

 
$
1,193,000


The other receivables and advances balance includes $474,000 related to renovation projects to be funded by Omega at December 31, 2016. None of the other receivables and advances balance at December 31, 2017 included funds related to Omega renovation projects. See Note 9, "Commitments and Contingencies" for additional discussion of these receivables and leased center construction projects.
Our accounts receivable at December 31, 2017, reflects a full year of ownership of the twenty-two newly leased Golden Living centers in Alabama and Mississippi. The Company has completed the change in ownership process and is utilizing our billing credentials to perform the billing of the Medicare and Medicaid receivables.
The Company provides credit for a substantial portion of its revenues and continually monitors the credit worthiness and collectability from its patients, including proper documentation of third-party coverage. The Company is subject to accounting losses from uncollectible receivables in excess of its reserves.
Substantially all receivables are pledged as collateral on the Company's debt obligations.