231 unchanged sentences
See also Note 1 to our consolidated financial statements.
−Removed: We had no investing activities for the years ended
−Removed: December 31, 2023 and 2022.
+Added: For the year ended December 31, 2022, the Company factored
+Added: a total of $3,406,356 of our accounts receivable in exchange for cash of $1,451,448.
+Added: For the year ended December 31, 2023, the Company
+Added: factored a total of $544,196 of our accounts receivable in exchange for cash of $253,750.
+Added: The Company ceased factoring of accounts receivable
+Added: in the first quarter of 2023.
+Added: The most recent average collection time for accounts receivable net was approximately 470 days from patient
+Added: initial date of service.
+Added: Typically, a patient will have a series of dates of service over an average 12-16 month time period.
+Added: The following
+Added: table summarizes accounts receivables factored and corresponding cash received for each of the most recent quarterly reporting periods
+Added: when factored:
+Added: Quarter ended
+Added: Cash received
+Added: March 31, 2023
+Added: December 31, 2022
+Added: September 30, 2022
+Added: March 31, 2022
+Added: We had no investing activities for the years
+Added: ended December 31, 2023 and 2022.
Our net cash provided by financing activities
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collection rates are estimated using the most current prior 12-month historical payment and collection percentages.
+Added: We satisfy performance obligations as services
+Added: are performed and then billed to the patient.
+Added: Payment in most cases is made by an attorney for such services to our patients which are
+Added: due upon final settlement of patients claims.
+Added: During the claims process, legal counsel warranties such claim through the letter of protection,
+Added: which is sent to us, as a medical provider, on behalf of the client patient.
+Added: This letter states that the attorney is responsible for
+Added: paying the client’s medical bills when the case is fully developed and settles.
+Added: The medical professional agrees to provide treatment
+Added: to the injured person and refrain from attempting to collect payment as it is developing and until the case is resolved.
+Added: Once the personal
+Added: injury case is finalized with the insurance company, the attorney pays the outstanding medical bills from the settlement.
Historically through April 2023, our
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able to collect a portion of the receivable.
−Removed: We have a 99% collection rate based on net
−Removed: settlements recorded to its accounts receivable and revenue.
+Added: We have a 99% collection rate based on net settlements
+Added: recorded to its accounts receivable and revenue.
+Added: Our accounts receivable balance each reporting period does not include accounts receivables
+Added: that were factored (sold).
+Added: Further, accounts receivable and revenue are recorded at what the company anticipates will ultimately be collected,
+Added: which historically is 99% of the net recognized upon billing to its patients of gross amounts for services.
+Added: In the past, for those receivables
+Added: that were factored, we were advanced 46% of the accounts receivable balance and recorded 54% to finance charge.
+Added: We last factored its
+Added: accounts receivable in the first quarter of fiscal 2023.
Collection rates are estimated considering our 48-month historical collections
with primary emphasis to the most current prior 12-month trailing payment and collection percentage rates.
−Removed: The method we use to measure
−Removed: expected credit losses is the loss rate method, and in addition we qualitatively evaluate on an ongoing basis various factors, which include
−Removed: market conditions in which we operate, and the status of claims being settled.
−Removed: We have established billing rates, which are not the same
−Removed: as actual amounts recovered.
−Removed: These rates generally do not reflect what is ultimately paid by the customer, insurance carriers, law
−Removed: firms and other payors, which is typically received eighteen to twenty-four months later, and are not reported in the consolidated financial
−Removed: statements at those established billing rates.
−Removed: Our customers, the patients, typically pay amounts based on established charges per
−Removed: procedure with guidance from the annually updated CPT guidelines that designates relative value units and a suggested range of charges
−Removed: for each procedure which is then assigned a CPT code.
−Removed: This fee is discounted to reflect the percentage paid to us “using a modifier”
−Removed: recognized by each insurance carrier for services, less deductible, co-pay, and contractual adjustments which are deducted from the calculated
+Added: We acquired Nova in May
+Added: Nova was founded in January 2019.
+Added: As of December 31, 2023, the Company based its 48-month historical collections analysis on look
+Added: back period from December 31, 2023 to 48 months, part of which was a period of time we did not yet own Nova.
+Added: The method we use to
+Added: measure expected credit losses is the loss rate method, and in addition we qualitatively evaluate on an ongoing basis various factors,
+Added: which include market conditions in which we operate, and the status of claims being settled.
+Added: We have established billing rates, which
+Added: are not the same as actual amounts recovered.
+Added: These rates generally do not reflect what is ultimately paid by the customer, insurance
+Added: carriers, law firms and other payors, which is typically received eighteen to twenty-four months later, and are not reported in the consolidated
+Added: financial statements at those established billing rates.
+Added: Our customers, the patients, typically pay amounts based on established
+Added: charges per procedure with guidance from the annually updated CPT guidelines that designates relative value units and a suggested range
+Added: of charges for each procedure which is then assigned a CPT code.
+Added: This fee is discounted to reflect the percentage paid to us “using
+Added: a modifier” recognized by each insurance carrier for services, less deductible, co-pay, and contractual adjustments which are deducted
+Added: from the calculated fee.
The net revenue is recorded at the time the services are rendered.
−Removed: Collection of that revenue typically occurs eighteen to twenty-four
−Removed: months later and after the patient claim develops and settles.
−Removed: Historical collection rates are estimated using the most current prior
−Removed: 12-month historical payment and collection percentages.
+Added: Collection of that revenue typically occurs
+Added: eighteen to twenty-four months later and after the patient claim develops and settles.
+Added: Historical collection rates are estimated using
+Added: the most current prior 12-month historical payment and collection percentages.
+Added: We may incur instances whereby patient claims are not
+Added: However, these instances are very rare.
+Added: For example, the death of a patient during the claim’s development period and
+Added: there is no estate to bequeath.
+Added: Settlements that are less than what was billed to the patient is covered in the Company’s 99% collectability
We have adopted ASU 2016-13, “Financial
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from our healthcare subsidiary in its normal course of business.
−Removed: We calculate a forward-looking collectability
−Removed: rate which we then apply to our gross billings.
−Removed: The amount recorded in accounts receivables approximates the amount expected to actually
−Removed: be collected.
−Removed: The allowance for credit losses represents any adjustments deemed necessary to the collectability rate based upon an annual
−Removed: review of both actual collections, as well as any changes in industry billing and collection, and/or legal practices.
+Added: We recognize credit losses when such losses
+Added: are expected.
+Added: These credit losses include those amounts we determine will not be collectible when billed.
+Added: Historically, we conduct an
+Added: annual assessment of our collectability rate of patients accounts receivables, and then record a provision for changes to this collectability
+Added: rate as a provision.
+Added: We calculate this forward-looking collectability rate which we apply to our gross billings.
+Added: recorded in accounts receivables approximates the amount expected to actually be collected.
+Added: The allowance for credit losses represents
+Added: any adjustments deemed necessary to the collectability rate based upon an annual review of both actual collections, as well as any changes
+Added: in industry billing and collection, and/or legal practices.
+Added: For the period
+Added: ending December 31, 2023, we recorded bad debt expense in excess of credit loss recognized in that period,
+Added: which is as a result of our recording direct write offs when deemed uncollectible in accordance with ASC 326-20-35-8 and accounts receivable
+Added: true up adjustments to bad debt expense.
+Added: During the year ended December 31, 2023, we recorded a $270,000 provision less a $147,810 adjustment
+Added: to that provision for the change in collectability rate to the roll forward of allowance for credit losses.
+Added: Also, during this period,
+Added: we recorded bad debt expense of $132,281, which consisted of the $270,000 charge and the $147,810 credit as well as direct write offs
+Added: We continue to assess our collections of its accounts receivable through industry analysis and its collectability rate assessment
+Added: of 99% by applying a 12-month look back to collections from settlements made on claims.
+Added: Based on our accounts receivable balances and
+Added: its revenue, we do not believe the bad debt is a material amount.
Property and Equipment .
81 unchanged sentences
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.