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v3.10.0.1

Revenue (Tables) | 9 Months Ended
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Sep. 30, 2018
Schedule of Disaggregates Revenue by Major Source | The following table disaggregates our revenue by major source for the three and nine month periods ended September 30, 2018 and 2017 (in thousands):
| For the three months ended September 30, 2018 |
| Acute Care |  |  | Behavioral Health |  |  | Other |  |  | Total |
Medicare | $ | 295,691 |  |  | 21 | % |  | $ | 155,642 |  |  | 12 | % |  |  |  |  |  | $ | 451,333 |  |  | 17 | %
Managed Medicare |  | 175,248 |  |  | 13 | % |  |  | 55,285 |  |  | 4 | % |  |  |  |  |  |  | 230,533 |  |  | 9 | %
Medicaid |  | 126,977 |  |  | 9 | % |  |  | 169,614 |  |  | 13 | % |  |  |  |  |  |  | 296,591 |  |  | 11 | %
Managed Medicaid |  | 123,296 |  |  | 9 | % |  |  | 242,233 |  |  | 19 | % |  |  |  |  |  |  | 365,529 |  |  | 14 | %
Managed Care (HMO and PPOs) |  | 500,688 |  |  | 36 | % |  |  | 333,585 |  |  | 26 | % |  |  |  |  |  |  | 834,273 |  |  | 31 | %
UK Revenue |  | 0 |  |  | 0 | % |  |  | 129,965 |  |  | 10 | % |  |  |  |  |  |  | 129,965 |  |  | 5 | %
Other patient revenue and adjustments, net |  | 62,055 |  |  | 4 | % |  |  | 126,157 |  |  | 10 | % |  |  |  |  |  |  | 188,212 |  |  | 7 | %
Other non-patient revenue |  | 99,095 |  |  | 7 | % |  |  | 49,991 |  |  | 4 | % |  |  | 3,391 |  |  |  | 152,477 |  |  | 6 | %
Total Net Revenue | $ | 1,383,050 |  |  | 100 | % |  | $ | 1,262,472 |  |  | 100 | % |  | $ | 3,391 |  |  |  | 2,648,913 |  |  | 100 | %
| For the nine months ended September 30, 2018 |
| Acute Care |  |  | Behavioral Health |  |  | Other |  |  | Total |
Medicare | $ | 972,073 |  |  | 23 | % |  | $ | 444,812 |  |  | 12 | % |  |  |  |  |  | $ | 1,416,885 |  |  | 18 | %
Managed Medicare |  | 550,683 |  |  | 13 | % |  |  | 151,323 |  |  | 4 | % |  |  |  |  |  |  | 702,006 |  |  | 9 | %
Medicaid |  | 349,794 |  |  | 8 | % |  |  | 522,916 |  |  | 14 | % |  |  |  |  |  |  | 872,710 |  |  | 11 | %
Managed Medicaid |  | 410,243 |  |  | 10 | % |  |  | 720,285 |  |  | 19 | % |  |  |  |  |  |  | 1,130,528 |  |  | 14 | %
Managed Care (HMO and PPOs) |  | 1,547,496 |  |  | 37 | % |  |  | 1,052,694 |  |  | 28 | % |  |  |  |  |  |  | 2,600,190 |  |  | 32 | %
UK Revenue |  | 0 |  |  | 0 | % |  |  | 364,163 |  |  | 10 | % |  |  |  |  |  |  | 364,163 |  |  | 5 | %
Other patient revenue and adjustments, net |  | 104,926 |  |  | 2 | % |  |  | 364,534 |  |  | 10 | % |  |  |  |  |  |  | 469,460 |  |  | 6 | %
Other non-patient revenue |  | 297,458 |  |  | 7 | % |  |  | 153,824 |  |  | 4 | % |  |  | 10,558 |  |  |  | 461,840 |  |  | 6 | %
Total Net Revenue | $ | 4,232,673 |  |  | 100 | % |  | $ | 3,774,551 |  |  | 100 | % |  | $ | 10,558 |  |  |  | 8,017,782 |  |  | 100 | %
| For the three months ended September 30, 2017 |
| Acute Care |  |  | Behavioral Health |  |  | Other |  |  | Total |
Medicare | $ | 299,844 |  |  | 23 | % |  | $ | 157,622 |  |  | 13 | % |  |  |  |  |  | $ | 457,466 |  |  | 18 | %
Managed Medicare |  | 160,548 |  |  | 12 | % |  |  | 42,322 |  |  | 3 | % |  |  |  |  |  |  | 202,870 |  |  | 8 | %
Medicaid |  | 121,290 |  |  | 9 | % |  |  | 177,196 |  |  | 14 | % |  |  |  |  |  |  | 298,486 |  |  | 12 | %
Managed Medicaid |  | 124,079 |  |  | 9 | % |  |  | 209,463 |  |  | 17 | % |  |  |  |  |  |  | 333,542 |  |  | 13 | %
Managed Care (HMO and PPOs) |  | 471,623 |  |  | 36 | % |  |  | 335,373 |  |  | 27 | % |  |  |  |  |  |  | 806,996 |  |  | 32 | %
UK Revenue |  | 0 |  |  | 0 | % |  |  | 110,526 |  |  | 9 | % |  |  |  |  |  |  | 110,526 |  |  | 4 | %
Other patient revenue and adjustments, net |  | 26,022 |  |  | 2 | % |  |  | 136,714 |  |  | 11 | % |  |  |  |  |  |  | 162,736 |  |  | 6 | %
Other non-patient revenue |  | 113,342 |  |  | 9 | % |  |  | 55,332 |  |  | 5 | % |  |  | 568 |  |  |  | 169,242 |  |  | 7 | %
Total Net Revenue | $ | 1,316,748 |  |  | 100 | % |  | $ | 1,224,548 |  |  | 100 | % |  | $ | 568 |  |  |  | 2,541,864 |  |  | 100 | %
| For the nine months ended September 30, 2017 |
| Acute Care |  |  | Behavioral Health |  |  | Other |  |  | Total |
Medicare | $ | 925,857 |  |  | 23 | % |  | $ | 451,704 |  |  | 12 | % |  |  |  |  |  | $ | 1,377,561 |  |  | 18 | %
Managed Medicare |  | 471,727 |  |  | 12 | % |  |  | 121,709 |  |  | 3 | % |  |  |  |  |  |  | 593,436 |  |  | 8 | %
Medicaid |  | 343,675 |  |  | 8 | % |  |  | 540,823 |  |  | 15 | % |  |  |  |  |  |  | 884,498 |  |  | 11 | %
Managed Medicaid |  | 384,340 |  |  | 9 | % |  |  | 650,327 |  |  | 18 | % |  |  |  |  |  |  | 1,034,667 |  |  | 13 | %
Managed Care (HMO and PPOs) |  | 1,452,448 |  |  | 36 | % |  |  | 1,050,550 |  |  | 29 | % |  |  |  |  |  |  | 2,502,998 |  |  | 32 | %
UK Revenue |  | 0 |  |  | 0 | % |  |  | 316,938 |  |  | 9 | % |  |  |  |  |  |  | 316,938 |  |  | 4 | %
Other patient revenue and adjustments, net |  | 141,919 |  |  | 3 | % |  |  | 381,723 |  |  | 10 | % |  |  |  |  |  |  | 523,642 |  |  | 7 | %
Other non-patient revenue |  | 352,786 |  |  | 9 | % |  |  | 171,456 |  |  | 5 | % |  |  | 9,096 |  |  |  | 533,338 |  |  | 7 | %
Total Net Revenue | $ | 4,072,752 |  |  | 100 | % |  | $ | 3,685,230 |  |  | 100 | % |  | $ | 9,096 |  |  |  | 7,767,078 |  |  | 100 | %
ASU 2014-09 |
Schedule of Impact of Adoption on Condensed Consolidated Income Statement | On January 1, 2018, we adopted the new accounting standard using the modified retrospective method. The information in comparative periods have not been restated and continues to be reported under the accounting standards in effect for those periods. In accordance with the new revenue standard requirements, the disclosure of the impact of adoption on our condensed consolidated income statement was as follows (in thousands):
|  |  |  |  | Balances Without |  |  |  |  |
| As |  |  | Adoption |  |  | Effect |
| Reported |  |  | ASC 606 |  |  | of Change |
For the three months ended September 30, 2018: |  |  |  |  |  |  |  |  |  |  |
Net Revenue before provision for doubtful accounts |  |  |  |  | $ | 2,929,710 |  |  |  |  |
Less: Provision for doubtful accounts |  |  |  |  |  | 285,044 |  |  |  |  |
Net Revenues | $ | 2,648,913 |  |  | $ | 2,644,666 |  |  | $ | 4,247 |
Other operating expenses | $ | 651,442 |  |  | $ | 647,195 |  |  | $ | 4,247 |
|  |  |  |  | Balances Without |  |  |  |  |
| As |  |  | Adoption |  |  | Effect |
| Reported |  |  | ASC 606 |  |  | of Change |
For the nine months ended September 30, 2018: |  |  |  |  |  |  |  |  |  |  |
Net Revenue before provision for doubtful accounts |  |  |  |  | $ | 8,814,635 |  |  |  |  |
Less: Provision for doubtful accounts |  |  |  |  |  | 807,747 |  |  |  |  |
Net Revenues | $ | 8,017,782 |  |  | $ | 8,006,888 |  |  | $ | 10,894 |
Other operating expenses | $ | 1,896,745 |  |  | $ | 1,885,851 |  |  | $ | 10,894 |

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