A large amount of money in A/R at an organization often indicates:

A large amount of money in Accounts Receivable (A/R) typically signifies that an organization is facing challenges with cash flow. This situation arises when the organization has not been able to collect payments from patients or payers efficiently, leading to delays in cash inflow. When a significant amount of revenue is tied up in A/R, it indicates that the organization has provided services or delivered goods but has not yet received payment for them, which can hinder financial stability and operational efficiency.

In a healthy financial environment, organizations strive for a balance where their receivables are collected promptly, contributing to a steady cash flow. Therefore, if the A/R is substantial without a counterpart of cash flow, it suggests a potential liquidity issue and can disrupt the organization's ability to meet its obligations and operational costs.