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Allowance for Doubtful Accounts | 12 Months Ended
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Dec. 31, 2022
Receivables [Abstract] |
Allowance for Doubtful Accounts | Note 8 — Allowance for Doubtful Accounts On January 1, 2020 (the “adoption date”), the Company replaced its previous incurred loss impairment model for estimating credit losses on accounts and notes receivables with an expected loss model prepared in accordance with ASC 326. While the incurred loss impairment model had the Company recognize credit losses when it was probable that a loss had been incurred, ASC 326 requires the Company to estimate future expected credit losses on such instruments before an impairment may occur. On the adoption date, the Company recorded an initial increase of $42.2 million to the Company’s allowance for doubtful accounts, with an offset recorded as an opening adjustment to retained earnings. 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 considering 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. For the years ended December 31, 2022, 2021 and 2020, the Company recognized $1.1 million, $1.2 million and $1.7 million in interest income from notes receivables, respectively. The following table presents the Company’s two tiers of notes receivable for the years ended December 31, 2022 and 2021, respectively, further disaggregated by year of origination, as well as write-off activity:
|  | Notes Receivable as of December 31, 2022
|  | Amortized Cost Basis by Origination Year
|  | 2022 |  | 2021 |  | 2020 |  | 2019 |  | 2018 |  | Prior |  | Total
|  | (in thousands)
Notes Receivable |  |  |  |  |  |  |  |  |  |  |  |  |  |
Standard notes receivable |  | $ | 31,406 |  |  | $ | 10,887 |  |  | $ | 1,683 |  |  | $ | 208 |  |  | $ | 13 |  |  | $ | 21,982 |  |  | $ | 66,179 |
Elevated risk notes receivable |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 1,223 |  |  | $ | 1,223 |
Current-period gross write-offs |  | $ | 1 |  |  | $ | — |  |  | $ | 51 |  |  | $ | 54 |  |  | $ | — |  |  | $ | 491 |  |  | $ | 597 |
Current-period recoveries |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |
Current-period net write-offs |  | $ | 1 |  |  | $ | — |  |  | $ | 51 |  |  | $ | 54 |  |  | $ | — |  |  | $ | 491 |  |  | $ | 597 |
|  | Notes Receivable as of December 31, 2021
|  | Amortized Cost Basis by Origination Year
|  | 2021 |  | 2020 |  | 2019 |  | 2018 |  | 2017 |  | Prior |  | Total
|  | (in thousands)
Notes Receivable |  |  |  |  |  |  |  |  |  |  |  |  |  |
Standard notes receivable |  | $ | 16,558 |  |  | $ | 6,862 |  |  | $ | 401 |  |  | $ | 18,738 |  |  | $ | 21,288 |  |  | $ | 1,560 |  |  | $ | 65,407 |
Elevated risk notes receivable |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 406 |  |  | $ | 1,374 |  |  | $ | 1,780 |
Current-period gross write-offs |  | $ | — |  |  | $ | — |  |  | $ | 541 |  |  | $ | 489 |  |  | $ | 2,494 |  |  | $ | — |  |  | $ | 3,524 |
Current-period recoveries |  | — |  |  | — |  |  | (1) |  |  | — |  |  | — |  |  | (38) |  |  | (39) |
Current-period net write-offs |  | $ | — |  |  | $ | — |  |  | $ | 540 |  |  | $ | 489 |  |  | $ | 2,494 |  |  | $ | (38) |  |  | $ | 3,485 |
The following table provides information as to the status of payment on the Company’s gross notes receivable which were past due as of December 31, 2022 and 2021, respectively:
|  | Age Analysis of Past-Due Notes Receivable as of December 31, 2022
|  | 0-90 Days |  | 91 - 180 Days |  | Greater than 181 Days |  | Total
|  | (in thousands)
Notes Receivable |  |  |  |  |  |  |  |
Standard notes receivable |  | $ | 894 |  |  | $ | 263 |  |  | $ | 3,330 |  |  | $ | 4,487 |
Elevated risk notes receivable |  | — |  |  | — |  |  | 1,223 |  |  | 1,223 |
|  | $ | 894 |  |  | $ | 263 |  |  | $ | 4,553 |  |  | $ | 5,710 |
|  | Age Analysis of Past-Due Notes Receivable as of December 31, 2021
|  | 0-90 Days |  | 91 - 180 Days |  | Greater than 181 Days |  | Total
|  | (in thousands)
Notes Receivable |  |  |  |  |  |  |  |
Standard notes receivable |  | $ | 953 |  |  | $ | 5,676 |  |  | $ | 6,536 |  |  | $ | 13,165 |
Elevated risk notes receivable |  | — |  |  | — |  |  | 1,780 |  |  | 1,780 |
|  | $ | 953 |  |  | $ | 5,676 |  |  | $ | 8,316 |  |  | $ | 14,945 |
The following tables provide a summary of the changes in the Company’s allowance for doubtful accounts on a portfolio segment basis for the years ended December 31, 2022 and 2021, respectively:
|  | Allowance for doubtful accounts
Portfolio Segment: |  | December 31, 2021 |  | Write-Offs/Adjustments 1 |  | Bad Debt Expense |  | December 31, 2022
|  | (in thousands)
Accounts receivable |  | $ | 50,794 |  |  | $ | (16,825) |  |  | $ | 32,632 |  |  | $ | 66,601 |
Notes receivable |  |  |  |  |  |  |  |
Standard notes receivable |  | $ | 13,607 |  |  | $ | (6,783) |  |  | $ | (772) |  |  | $ | 6,052 |
Elevated risk notes receivable |  | 1,183 |  |  | (481) |  |  | 109 |  |  | 811 |
Total notes receivable |  | $ | 14,790 |  |  | $ | (7,264) |  |  | $ | (663) |  |  | $ | 6,863 |
Total accounts and notes receivable |  | $ | 65,584 |  |  | $ | (24,089) |  |  | $ | 31,969 |  |  | $ | 73,464 |
1.Write-offs are shown net of recoveries. During the year ended December 31, 2022, the Company collected $0.3 million of accounts receivables that were recovered subsequent to being written-off. Adjustments include a reduction of $8.0 million of allowance for doubtful accounts which related to a contract modification during the year ended December 31, 2022.
|  | Allowance for doubtful accounts
Portfolio Segment: |  | December 31, 2020 |  |  | Write-Offs/Adjustments 1 |  | Bad Debt Expense |  | December 31, 2021
|  | (in thousands)
Accounts receivable |  | $ | 51,052 |  |  |  | $ | (9,215) |  |  | $ | 8,957 |  |  | $ | 50,794 |
Notes receivable |  |  |  |  |  |  |  |  |
Standard notes receivable |  | $ | 13,258 |  |  |  | $ | (183) |  |  | $ | 532 |  |  | $ | 13,607 |
Elevated risk notes receivable |  | 3,491 |  |  |  | (3,302) |  |  | 994 |  |  | 1,183 |
Total notes receivable |  | $ | 16,749 |  |  |  | $ | (3,485) |  |  | $ | 1,526 |  |  | $ | 14,790 |
Total accounts and notes receivable |  | $ | 67,801 |  |  |  | $ | (12,700) |  |  | $ | 10,483 |  |  | $ | 65,584 |
1.Write-offs are shown net of recoveries. During the year ended December 31, 2021, the Company collected $0.2 million of accounts receivables that were recovered subsequent to being written-off.

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- Definition The entire disclosure for allowance for credit losses. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 310 -URI https://asc.fasb.org/topic&trid=2196771 + Details
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