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Accounts and Notes Receivable | 9 Months Ended
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Sep. 30, 2021
Receivables [Abstract] |
Accounts and Notes Receivable | Note 3—Accounts and Notes Receivable The Company’s accounts and notes receivable balances consisted of the following as of September 30, 2021 and December 31, 2020:
| September 30, 2021 |  | December 31, 2020
| (in thousands)
Short-term |  |  |
Accounts and notes receivable | $ | 351,604 |  |  | $ | 315,380 |
Allowance for doubtful accounts | (61,879) |  |  | (59,906) |
Total net short-term accounts and notes receivable | $ | 289,725 |  |  | $ | 255,474 |
Long-term |  |  |
Notes receivable | $ | 36,786 |  |  | $ | 42,312 |
Allowance for doubtful accounts | (6,135) |  |  | (7,895) |
Total net long-term notes receivable | $ | 30,651 |  |  | $ | 34,417 |
Total net accounts and notes receivable | $ | 320,376 |  |  | $ | 289,891 |
The Company makes credit decisions on a case-by-case basis after reviewing a number of qualitative and quantitative factors related to the specific customer as well as current industry variables that may impact that customer. There are a variety of factors that impact a customer’s ability to pay in accordance with the Company’s contracts. These factors include, but are not limited to, fluctuating census numbers, litigation costs and the customer’s participation in programs funded by federal and state governmental agencies. Deviations in the timing or amounts of reimbursements under those programs can impact the customer’s cash flows and its ability to make timely payments. However, the customer’s obligation to pay the Company in accordance with the contracts are not contingent upon the customer’s cash flow. Notwithstanding the Company’s efforts to minimize its credit risk exposure, the aforementioned factors, as well as other factors that impact customer cash flows or ability to make timely payments, could have an indirect, yet material adverse effect on the Company’s results of operations and financial condition. Fluctuations in net accounts and notes receivable are generally attributable to a variety of factors including, but not limited to, the timing of cash receipts from customers and the inception, transition, modification or termination of customer relationships. The Company deploys significant resources and has invested in tools and processes to optimize Management’s credit and collections efforts. When appropriate, the Company utilizes interest-bearing promissory notes to enhance the collectability of amounts due, by instituting definitive repayment plans and providing a means by which to further evidence the amounts owed. In addition, the Company may amend contracts from full service to management-only arrangements, or adjust contractual payment terms, to accommodate customers who have in good faith established clearly-defined plans for addressing cash flow issues. These efforts are intended to minimize the Company’s collections risk.

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- Definition The entire disclosure for claims held for amounts due a entity, excluding financing receivables. Examples include, but are not limited to, trade accounts receivables, notes receivables, loans receivables. Includes disclosure for allowance for credit losses. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 310 -SubTopic 10 -URI http://asc.fasb.org/subtopic&trid=2196772 + Details
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