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SALES SERVICE REVENUE, NET AND ACCOUNTS RECEIVABLE (Tables)
9 Months Ended
Sep. 30, 2018
Sales Service Revenue, Net and Accounts Receivable [Abstract]  
Schedule of Net Revenues

Service revenue, net for the three and nine months ended September 30, 2018 and 2017 were as follows (prior-period amounts are not adjusted under the modified-retrospective method of adoption):







 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

For the Three Months Ended September 30,

(dollars in thousands)

 

Diagnostic Testing

 

Biomarker Testing

 

Total



 

2018

 

2017

 

2018

 

2017

 

2018

 

2017

Medicaid

 

$

15 

 

$

 

$

 -

 

$

 -

 

$

15 

 

$

Medicare

 

 

288 

 

 

165 

 

 

 -

 

 

 -

 

 

288 

 

 

165 

Self-pay

 

 

48 

 

 

33 

 

 

 -

 

 

 -

 

 

48 

 

 

33 

Third party payers

 

 

289 

 

 

114 

 

 

 -

 

 

 -

 

 

289 

 

 

114 

Contract diagnostics

 

 

 -

 

 

 -

 

 

168 

 

 

 -

 

 

168 

 

 

 -

Revenues, net of contractual allowances

 

$

640 

 

$

316 

 

$

168 

 

$

 -

 

$

808 

 

$

316 









 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

For the Nine Months Ended September 30,

(dollars in thousands)

 

Diagnostic Testing

 

Biomarker Testing

 

Total



 

2018

 

2017

 

2018

 

2017

 

2018

 

2017

Medicaid

 

$

38 

 

$

24 

 

$

 -

 

$

 -

 

$

38 

 

$

24 

Medicare

 

 

703 

 

 

454 

 

 

 -

 

 

 -

 

 

703 

 

 

454 

Self-pay

 

 

94 

 

 

87 

 

 

 -

 

 

 -

 

 

94 

 

 

87 

Third party payers

 

 

639 

 

 

370 

 

 

 -

 

 

 -

 

 

639 

 

 

370 

Contract diagnostics

 

 

 -

 

 

 -

 

 

1,024 

 

 

 -

 

 

1,024 

 

 

 -

Revenues, net of contractual allowances

 

$

1,474 

 

$

935 

 

$

1,024 

 

$

 -

 

$

2,498 

 

$

935 



Schedule of Gross to Net Sales Adjustments

The following table presents our revenues initially recognized for each associated payor class during the three and nine months ended September 30, 2018 and 2017.







 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

For the Three Months Ended September 30,



 

 

 

 

 

 

 

Contractual Allowances and

 

Revenues, net of Contractual



 

Gross Revenues

 

adjustments

 

Allowances and adjustments



 

2018

 

2017

 

2018

 

2017

 

2018

 

2017

Medicaid

 

$

30 

 

$

 

$

(15)

 

$

(3)

 

$

15 

 

$

Medicare

 

 

293 

 

 

128 

 

 

(5)

 

 

37 

 

 

288 

 

 

165 

Self-pay

 

 

48 

 

 

37 

 

 

 -

 

 

(4)

 

 

48 

 

 

33 

Third party payers

 

 

713 

 

 

323 

 

 

(424)

 

 

(209)

 

 

289 

 

 

114 

Contract diagnostics

 

 

168 

 

 

 -

 

 

 -

 

 

 -

 

 

168 

 

 

 -



 

 

1,252 

 

 

495 

 

 

(444)

 

 

(179)

 

 

808 

 

 

316 

Clinical research grants and other

 

 

15 

 

 

11 

 

 

 -

 

 

 -

 

 

15 

 

 

11 



 

$

1,267 

 

$

506 

 

$

(444)

 

$

(179)

 

$

823 

 

$

327 









 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

For the Nine Months Ended September 30,



 

 

 

 

 

 

 

Contractual Allowances and

 

Revenues, net of Contractual



 

Gross Revenues

 

adjustments

 

Allowances and adjustments



 

2018

 

2017

 

2018

 

2017

 

2018

 

2017

Medicaid

 

$

71 

 

$

72 

 

$

(33)

 

$

(48)

 

$

38 

 

$

24 

Medicare

 

 

722 

 

 

422 

 

 

(19)

 

 

32 

 

 

703 

 

 

454 

Self-pay

 

 

94 

 

 

115 

 

 

 -

 

 

(28)

 

 

94 

 

 

87 

Third party payers

 

 

1,561 

 

 

918 

 

 

(922)

 

 

(548)

 

 

639 

 

 

370 

Contract diagnostics

 

 

1,024 

 

 

 -

 

 

 -

 

 

 -

 

 

1,024 

 

 

 -



 

 

3,472 

 

 

1,527 

 

 

(974)

 

 

(592)

 

 

2,498 

 

 

935 

Clinical research grants and other

 

 

80 

 

 

11 

 

 

 -

 

 

 -

 

 

80 

 

 

11 



 

$

3,552 

 

$

1,538 

 

$

(974)

 

$

(592)

 

$

2,578 

 

$

946 



Schedule of Reported Revenues Net of Collection Allowance

The following table presents our reported revenues net of the collection allowance and adjustments for the three and nine months ended September 30, 2018 and 2017.







 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

For the Three Months Ended September 30,



 

Revenues, net of

 

 

 

 

 

 

 

 

 

 

 

 

(dollars in thousands)

 

Contractual Allowances

 

Allowances for doubtful

 

 

 

 

 

 



 

and adjustments

 

accounts

 

Total



 

2018

 

2017

 

2018

 

2017

 

2018

 

2017

Medicaid

 

$

15 

 

$

 

$

(15)

 

$

(1)

 

$

 -

 

$

Medicare

 

 

288 

 

 

165 

 

 

(43)

 

 

(30)

 

 

245 

 

 

135 

Self-pay

 

 

48 

 

 

33 

 

 

 -

 

 

(6)

 

 

48 

 

 

27 

Third party payers

 

 

289 

 

 

114 

 

 

(115)

 

 

(20)

 

 

174 

 

 

94 

Contract diagnostics

 

 

168 

 

 

 -

 

 

 -

 

 

 -

 

 

168 

 

 

 -



 

 

808 

 

 

316 

 

 

(173)

 

 

(57)

 

 

635 

 

 

259 

Clinical research grants and other

 

 

15 

 

 

11 

 

 

 -

 

 

 -

 

 

15 

 

 

11 



 

$

823 

 

$

327 

 

$

(173)

 

$

(57)

 

$

650 

 

$

270 









 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

For the Nine Months Ended September 30,



 

Revenues, net of

 

 

 

 

 

 

 

 

 

 

 

 

(dollars in thousands)

 

Contractual Allowances

 

Allowances for doubtful

 

 

 

 

 

 



 

and adjustments

 

accounts

 

Total



 

2018

 

2017

 

2018

 

2017

 

2018

 

2017

Medicaid

 

$

38 

 

$

24 

 

$

(38)

 

$

(5)

 

$

 -

 

$

19 

Medicare

 

 

703 

 

 

454 

 

 

(105)

 

 

(83)

 

 

598 

 

 

371 

Self-pay

 

 

94 

 

 

87 

 

 

 -

 

 

(16)

 

 

94 

 

 

71 

Third party payers

 

 

639 

 

 

370 

 

 

(256)

 

 

(64)

 

 

383 

 

 

306 

Contract diagnostics

 

 

1,024 

 

 

 -

 

 

 -

 

 

 -

 

 

1,024 

 

 

 -



 

 

2,498 

 

 

935 

 

 

(399)

 

 

(168)

 

 

2,099 

 

 

767 

Clinical research grants and other

 

 

80 

 

 

11 

 

 

 -

 

 

 -

 

 

80 

 

 

11 



 

$

2,578 

 

$

946 

 

$

(399)

 

$

(168)

 

$

2,179 

 

$

778 



Schedule of Receivables

The following summarizes the mix of receivables:





 

 

 

 

 

 



 

 

 

 

 

 



  

September 30, 2018

 

December 31, 2017

Medicaid

  

$

113 

 

$

37 

Medicare

  

 

631 

 

 

256 

Self-pay

  

 

81 

 

 

53 

Third party payers

  

 

1,215 

 

 

1,066 

Contract diagnostic services

 

 

139 

 

 

445 

Other

 

 

 -

 

 

 -



  

$

2,179 

 

$

1,857 

Less allowance for doubtful accounts

 

 

(1,521)

 

 

(1,127)

Accounts receivable, net

 

$

658 

 

$

730 



Schedule of Allowance for Doubtful Accounts

The following table presents the roll-forward of the allowance for doubtful accounts for the nine months ended September 30, 2018.





 

 

 

 

 

 



 

 

 

 

 

 



 

 

 

 

Allowance for



 

 

 

 

Doubtful

(dollars in thousands)

 

 

 

 

Accounts

Balance, January 1, 2018

 

 

 

 

$

(1,127)

Collection Allowance:

 

 

 

 

 

 

Medicaid

 

$

(38)

 

 

 

Medicare

 

 

(105)

 

 

 

Third party payers

 

 

(256)

 

 

 

Service revenue, net

 

 

(399)

 

 

 

Bad debt expense

 

$

 

 

 

Total charges

 

 

 

 

 

(394)

Balance, September 30, 2018

 

 

 

 

$

(1,521)