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v3.10.0.1

Revenue Recognition (Tables) | 12 Months Ended
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Dec. 31, 2018
Schedule of Disaggregates Revenue by Major Source | The following table disaggregates our revenue by major source for the years ended December 31, 2018, 2017 and 2016 (in thousands):
| For the year ended December 31, 2018 |
| Acute Care |  |  | Behavioral Health |  |  | Other |  |  | Total |
Medicare | $ | 1,296,152 |  |  | 23 | % |  | $ | 579,723 |  |  | 12 | % |  |  |  |  |  | $ | 1,875,875 |  |  | 17 | %
Managed Medicare |  | 730,387 |  |  | 13 | % |  |  | 199,003 |  |  | 4 | % |  |  |  |  |  |  | 929,390 |  |  | 9 | %
Medicaid |  | 487,197 |  |  | 9 | % |  |  | 696,421 |  |  | 14 | % |  |  |  |  |  |  | 1,183,618 |  |  | 11 | %
Managed Medicaid |  | 554,438 |  |  | 10 | % |  |  | 975,567 |  |  | 19 | % |  |  |  |  |  |  | 1,530,005 |  |  | 14 | %
Managed Care (HMO and PPOs) |  | 2,093,890 |  |  | 37 | % |  |  | 1,395,980 |  |  | 28 | % |  |  |  |  |  |  | 3,489,870 |  |  | 32 | %
UK Revenue |  | 0 |  |  | 0 | % |  |  | 504,721 |  |  | 10 | % |  |  |  |  |  |  | 504,721 |  |  | 5 | %
Other patient revenue and adjustments, net |  | 167,570 |  |  | 3 | % |  |  | 483,417 |  |  | 10 | % |  |  |  |  |  |  | 650,987 |  |  | 6 | %
Other non-patient revenue |  | 390,271 |  |  | 7 | % |  |  | 204,042 |  |  | 4 | % |  |  | 13,499 |  |  |  | 607,812 |  |  | 6 | %
Total Net Revenue | $ | 5,719,905 |  |  | 100 | % |  | $ | 5,038,874 |  |  | 100 | % |  | $ | 13,499 |  |  |  | 10,772,278 |  |  | 100 | %
| For the year ended December 31, 2017 |
| Acute Care |  |  | Behavioral Health |  |  | Other |  |  | Total |
Medicare | $ | 1,223,150 |  |  | 22 | % |  | $ | 593,690 |  |  | 12 | % |  |  |  |  |  | $ | 1,816,840 |  |  | 17 | %
Managed Medicare |  | 630,083 |  |  | 11 | % |  |  | 161,320 |  |  | 3 | % |  |  |  |  |  |  | 791,403 |  |  | 8 | %
Medicaid |  | 482,820 |  |  | 9 | % |  |  | 723,544 |  |  | 15 | % |  |  |  |  |  |  | 1,206,364 |  |  | 12 | %
Managed Medicaid |  | 511,844 |  |  | 9 | % |  |  | 876,907 |  |  | 18 | % |  |  |  |  |  |  | 1,388,751 |  |  | 13 | %
Managed Care (HMO and PPOs) |  | 1,949,435 |  |  | 36 | % |  |  | 1,412,086 |  |  | 29 | % |  |  |  |  |  |  | 3,361,521 |  |  | 32 | %
UK Revenue |  | 0 |  |  | 0 | % |  |  | 426,575 |  |  | 9 | % |  |  |  |  |  |  | 426,575 |  |  | 4 | %
Other patient revenue and adjustments, net |  | 219,056 |  |  | 4 | % |  |  | 498,915 |  |  | 10 | % |  |  |  |  |  |  | 717,971 |  |  | 7 | %
Other non-patient revenue |  | 468,295 |  |  | 9 | % |  |  | 213,682 |  |  | 4 | % |  |  | 18,463 |  |  |  | 700,440 |  |  | 7 | %
Total Net Revenue | $ | 5,484,683 |  |  | 100 | % |  | $ | 4,906,719 |  |  | 100 | % |  | $ | 18,463 |  |  |  | 10,409,865 |  |  | 100 | %
| For the year ended December 31, 2016 |
| Acute Care |  |  | Behavioral Health |  |  | Other |  |  | Total |
Medicare | $ | 1,114,911 |  |  | 22 | % |  | $ | 614,182 |  |  | 13 | % |  |  |  |  |  | $ | 1,729,093 |  |  | 18 | %
Managed Medicare |  | 536,224 |  |  | 10 | % |  |  | 143,554 |  |  | 3 | % |  |  |  |  |  |  | 679,778 |  |  | 7 | %
Medicaid |  | 424,934 |  |  | 8 | % |  |  | 755,226 |  |  | 16 | % |  |  |  |  |  |  | 1,180,160 |  |  | 12 | %
Managed Medicaid |  | 444,164 |  |  | 9 | % |  |  | 793,234 |  |  | 17 | % |  |  |  |  |  |  | 1,237,398 |  |  | 13 | %
Managed Care (HMO and PPOs) |  | 1,845,571 |  |  | 36 | % |  |  | 1,407,458 |  |  | 30 | % |  |  |  |  |  |  | 3,253,029 |  |  | 33 | %
UK Revenue |  | 0 |  |  | 0 | % |  |  | 241,098 |  |  | 5 | % |  |  |  |  |  |  | 241,098 |  |  | 2 | %
Other patient revenue and adjustments, net |  | 284,872 |  |  | 6 | % |  |  | 456,350 |  |  | 10 | % |  |  |  |  |  |  | 741,222 |  |  | 8 | %
Other non-patient revenue |  | 462,274 |  |  | 9 | % |  |  | 233,905 |  |  | 5 | % |  |  | 8,253 |  |  |  | 704,432 |  |  | 7 | %
Total Net Revenue | $ | 5,112,950 |  |  | 100 | % |  | $ | 4,645,007 |  |  | 100 | % |  | $ | 8,253 |  |  |  | 9,766,210 |  |  | 100 | %
ASU 2014-09 |
Schedule of Impact of Adoption on 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 consolidated statements of income was as follows (in thousands):
|  |  |  |  | Balances Without |  |  |  |  |
| As |  |  | Adoption |  |  | Effect |
| Reported |  |  | ASC 606 |  |  | of Change |
For the twelve months ended December 31, 2018: |  |  |  |  |  |  |  |  |  |  |
Net Revenue before provision for doubtful accounts |  |  |  |  | $ | 11,846,088 |  |  |  |  |
Less: Provision for doubtful accounts |  |  |  |  |  | 1,088,267 |  |  |  |  |
Net Revenues | $ | 10,772,278 |  |  | $ | 10,757,821 |  |  | $ | 14,457 |
Other operating expenses | $ | 2,614,687 |  |  | $ | 2,600,230 |  |  | $ | 14,457 |

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