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Allowance for Doubtful Accounts | 9 Months Ended
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Sep. 30, 2025
Receivables [Abstract] |
Allowance for Doubtful Accounts | Note 5—Allowance for Doubtful Accounts 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 change in such a manner as to negatively impact their cash flows. As a result, the Company’s future collection experience could 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 receivable 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. At the end of each period, the Company sets a reserve for expected credit losses on standard accounts and notes receivable based on the Company’s historical loss rates. Accounts and notes receivable with an elevated risk profile, which are from customers who have filed bankruptcy or are subject to collections activity, are aggregated and evaluated to determine the total reserve for the class of receivable. Additionally, starting in the year ended December 31, 2024, for notes receivable management evaluates standard receivables based on whether the customer is current (paying within 60 days of terms) or delinquent (paying outside of 60 days of terms). On July 9, 2025, Genesis Healthcare, Inc. (“Genesis”) filed for Chapter 11 bankruptcy protection in the Northern District of Texas. As of September 30, 2025, the Company had outstanding accounts and notes receivable due from Genesis of $50.4 million and $20.4 million, respectively. Upon review of the bankruptcy petition, the Company identified the Genesis accounts and notes receivables as separate loss pools for evaluating the collectability of the receivables due to the size of the outstanding balances and the assessed unlikelihood of any potential recovery. As of September 30, 2025, the Company assessed a 100% allowance on the outstanding balances of both the accounts and notes receivable due from Genesis. In conjunction with recording the allowance for Genesis receivables, the Company recognized bad debt expense of $2.7 million and $63.9 million during the three and nine months ended September 30, 2025, respectively. 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 based on the Company’s history of collections of interest on outstanding notes receivable, as we do not deem it probable that we will receive substantially all interest on outstanding notes receivable. Accordingly, the Company does not record a credit loss adjustment for accrued interest. Interest income from notes receivable for the three months ended September 30, 2025 and 2024 was $0.8 million and $0.5 million, respectively. Interest income from notes receivable for the nine months ended September 30, 2025 and 2024 was $3.1 million and $2.2 million, respectively. The following table presents the Company’s four tiers of notes receivable as of and for the nine months ended September 30, 2025 further disaggregated by year of origination, as well as write-off activity:
|  | Notes receivable
|  | Amortized cost basis by origination year
|  | 2025 |  | 2024 |  | 2023 |  | 2022 |  | 2021 |  | Prior |  | Total
|  | (in thousands)
Notes receivable |  |  |  |  |  |  |  |  |  |  |  |  |  |
Standard notes receivable |  | $ | 35,065 |  |  | $ | 11,468 |  |  | $ | 2,967 |  |  | $ | 4,931 |  |  | $ | — |  |  | $ | — |  |  | $ | 54,431 |
Delinquent notes receivable |  | $ | 547 |  |  | $ | 164 |  |  | $ | 691 |  |  | $ | 1,811 |  |  | $ | 405 |  |  | $ | — |  |  | $ | 3,618 |
Genesis notes receivable |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | 20,410 |  |  | $ | 20,410 |
Elevated risk notes receivable |  | $ | — |  |  | $ | — |  |  | $ | 1,538 |  |  | $ | — |  |  | $ | — |  |  | $ | 1,491 |  |  | $ | 3,029 |
Current-period gross write-offs |  | $ | — |  |  | $ | 6 |  |  | $ | 326 |  |  | $ | — |  |  | $ | 121 |  |  | $ | — |  |  | $ | 453 |
Current-period recoveries |  | — |  |  | (278) |  |  | — |  |  | — |  |  | — |  |  | — |  |  | (278) |
Current-period net write-offs |  | $ | — |  |  | $ | (272) |  |  | $ | 326 |  |  | $ | — |  |  | $ | 121 |  |  | $ | — |  |  | $ | 175 |
The following table provides information as to the status of payment on the Company’s notes receivable which were past due as of September 30, 2025:
|  | Age analysis of past-due notes receivable as of September 30, 2025
|  | 0 - 90 Days |  | 91 - 180 Days |  | Greater than 181 Days |  | Total
|  | (in thousands)
Notes receivable |  |  |  |  |  |  |  |
Standard notes receivable |  | $ | 43 |  |  | $ | 15 |  |  | $ | — |  |  | $ | 58 |
Delinquent notes receivable |  | 144 |  |  | 344 |  |  | 2,506 |  |  | 2,994 |
Genesis notes receivable |  | — |  |  | — |  |  | 20,410 |  |  | 20,410 |
Elevated risk notes receivable |  | — |  |  | — |  |  | 3,029 |  |  | 3,029 |
|  | $ | 187 |  |  | $ | 359 |  |  | $ | 25,945 |  |  | $ | 26,491 |
The following tables provide a summary of the changes in the Company’s allowance for doubtful accounts on a portfolio segment basis for the three months ended September 30, 2025 and 2024, respectively:
|  | Allowance for doubtful accounts
Portfolio Segment: |  | June 30, 2025 |  |  |  | Write-Offs 1 |  | Bad Debt Expense |  | September 30, 2025
|  | (in thousands)
Accounts receivable |  |  |  |  |  |  |  |  |  |
Aged accounts receivable |  | $ | 64,743 |  |  |  |  | $ | (816) |  |  | $ | 4,172 |  |  | $ | 68,099 |
Genesis accounts receivable |  | 47,728 |  |  |  |  | — |  |  | 2,710 |  |  | 50,438 |
Total accounts receivable |  | $ | 112,471 |  |  |  |  | $ | (816) |  |  | $ | 6,882 |  |  | $ | 118,537 |
Notes receivable |  |  |  |  |  |  |  |  |  |
Standard notes receivable |  | $ | 5,621 |  |  |  |  | $ | (454) |  |  | $ | (1,211) |  |  | $ | 3,956 |
Delinquent notes receivable |  | 1,072 |  |  |  |  | — |  |  | (40) |  |  | 1,032 |
Genesis notes receivable |  | 20,410 |  |  |  |  | — |  |  | — |  |  | 20,410 |
Elevated risk notes receivable |  | 2,310 |  |  |  |  | — |  |  | — |  |  | 2,310 |
Total notes receivable |  | $ | 29,413 |  |  |  |  | $ | (454) |  |  | $ | (1,251) |  |  | $ | 27,708 |
Total accounts and notes receivable |  | $ | 141,884 |  |  |  |  | $ | (1,270) |  |  | $ | 5,631 |  |  | $ | 146,245 |
1.Write-offs are shown net of recoveries. During the three months ended September 30, 2025, the Company collected less than $0.1 million of accounts and notes receivable which had previously been written-off as uncollectible.
|  | Allowance for doubtful accounts
Portfolio segment: |  | June 30, 2024 |  |  |  | Write-Offs 1 |  | Bad Debt Expense |  | September 30, 2024
|  | (in thousands)
Accounts receivable |  | $ | 103,693 |  |  |  |  | $ | (14,468) |  |  | $ | 1,151 |  |  | $ | 90,376 |
Notes receivable |  |  |  |  |  |  |  |  |  |
Standard notes receivable |  | $ | 2,987 |  |  |  |  | $ | — |  |  | $ | 579 |  |  | $ | 3,566 |
Delinquent notes receivable |  | 3,850 |  |  |  |  | — |  |  | (786) |  |  | 3,064 |
Elevated risk notes receivable |  | 4,755 |  |  |  |  | (3,024) |  |  | (739) |  |  | 992 |
Total notes receivable |  | $ | 11,592 |  |  |  |  | $ | (3,024) |  |  | $ | (946) |  |  | $ | 7,622 |
Total accounts and notes receivable |  | $ | 115,285 |  |  |  |  | $ | (17,492) |  |  | $ | 205 |  |  | $ | 97,998 |
1.Write-offs are shown net of recoveries. During the three months ended September 30, 2024, the Company collected less than $0.1 million of accounts and notes receivable which had previously been written-off as uncollectible. The following tables provide a summary of the changes in the Company’s allowance for doubtful accounts on a portfolio segment basis for the nine months ended September 30, 2025 and 2024, respectively:
|  | Allowance for doubtful accounts
Portfolio Segment: |  | December 31, 2024 |  | Reclassifications 1 |  | Write-Offs 2 |  | Bad Debt Expense |  | September 30, 2025
|  | (in thousands)
Accounts receivable |  |  |  |  |  |  |  |  |  |
Aged accounts receivable |  | $ | 87,520 |  |  | $ | (1,651) |  |  | $ | (33,374) |  |  | $ | 15,604 |  |  | $ | 68,099 |
Genesis accounts receivable |  | — |  |  | 1,651 |  |  | — |  |  | 48,787 |  |  | 50,438 |
Total accounts receivable |  | $ | 87,520 |  |  | $ | — |  |  | $ | (33,374) |  |  | $ | 64,391 |  |  | $ | 118,537 |
Notes receivable |  |  |  |  |  |  |  |  |  |
Standard notes receivable |  | $ | 5,096 |  |  | $ | — |  |  | $ | 278 |  |  | $ | (1,418) |  |  | $ | 3,956 |
Delinquent notes receivable |  | 6,026 |  |  | (5,176) |  |  | (453) |  |  | 635 |  |  | 1,032 |
Genesis notes receivable |  | — |  |  | 5,176 |  |  | — |  |  | 15,234 |  |  | 20,410 |
Elevated risk notes receivable |  | 2,140 |  |  | — |  |  | — |  |  | 170 |  |  | 2,310 |
Total notes receivable |  | $ | 13,262 |  |  | $ | — |  |  | $ | (175) |  |  | $ | 14,621 |  |  | $ | 27,708 |
Total accounts and notes receivable |  | $ | 100,782 |  |  | $ | — |  |  | $ | (33,549) |  |  | $ | 79,012 |  |  | $ | 146,245 |
1.Reclassifications include only reserve balances moved to new risk portfolios during the nine months ended September 30, 2025. 2.Write-offs are shown net of recoveries. During the nine months ended September 30, 2025, the Company collected $0.3 million of accounts and notes receivable which had previously been written-off as uncollectible.
|  | Allowance for doubtful accounts
Portfolio segment: |  | December 31, 2023 |  |  |  | Write-Offs 1 |  | Bad Debt Expense |  | September 30, 2024
|  | (in thousands)
Accounts receivable |  | $ | 80,819 |  |  |  |  | $ | (27,456) |  |  | $ | 37,013 |  |  | $ | 90,376 |
Notes receivable |  |  |  |  |  |  |  |  |  |
Standard notes receivable |  | $ | 3,510 |  |  |  |  | $ | — |  |  | $ | 56 |  |  | $ | 3,566 |
Delinquent notes receivable |  | 2,615 |  |  |  |  | (69) |  |  | 518 |  |  | 3,064 |
Elevated risk notes receivable |  | 4,755 |  |  |  |  | (3,024) |  |  | (739) |  |  | 992 |
Total notes receivable |  | $ | 10,880 |  |  |  |  | $ | (3,093) |  |  | $ | (165) |  |  | $ | 7,622 |
Total accounts and notes receivable |  | $ | 91,699 |  |  |  |  | $ | (30,549) |  |  | $ | 36,848 |  |  | $ | 97,998 |
1.Write-offs are shown net of recoveries. During the nine months ended September 30, 2024, the Company collected $0.1 million of accounts and notes receivable which had previously been written-off as uncollectible.

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