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v3.20.4

Revenue Recognition (Tables) | 12 Months Ended
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Dec. 31, 2020
Revenue From Contract With Customer [Abstract] |
Schedule of Disaggregates Revenue by Major Source | The following table disaggregates our revenue by major source for the years ended December 31, 2020, 2019 and 2018 (in thousands):
| For the year ended December 31, 2020 |
| Acute Care |  |  | Behavioral Health |  |  | Other |  |  | Total |
Medicare | $ | 1,242,268 |  |  | 20 | % |  | $ | 448,323 |  |  | 9 | % |  |  |  |  |  | $ | 1,690,591 |  |  | 15 | %
Managed Medicare |  | 869,488 |  |  | 14 | % |  |  | 235,442 |  |  | 5 | % |  |  |  |  |  |  | 1,104,930 |  |  | 10 | %
Medicaid |  | 551,551 |  |  | 9 | % |  |  | 651,081 |  |  | 12 | % |  |  |  |  |  |  | 1,202,632 |  |  | 10 | %
Managed Medicaid |  | 491,234 |  |  | 8 | % |  |  | 1,224,205 |  |  | 24 | % |  |  |  |  |  |  | 1,715,439 |  |  | 15 | %
Managed Care (HMO and PPOs) |  | 2,146,018 |  |  | 34 | % |  |  | 1,280,919 |  |  | 25 | % |  |  |  |  |  |  | 3,426,937 |  |  | 30 | %
UK Revenue |  | 0 |  |  | 0 | % |  |  | 584,000 |  |  | 11 | % |  |  |  |  |  |  | 584,000 |  |  | 5 | %
Other patient revenue and adjustments, net |  | 248,047 |  |  | 4 | % |  |  | 497,297 |  |  | 10 | % |  |  |  |  |  |  | 745,344 |  |  | 6 | %
Other non-patient revenue (a) |  | 788,698 |  |  | 12 | % |  |  | 287,455 |  |  | 6 | % |  |  | 12,871 |  |  |  | 1,089,024 |  |  | 9 | %
Total Net Revenue | $ | 6,337,304 |  |  | 100 | % |  | $ | 5,208,722 |  |  | 100 | % |  | $ | 12,871 |  |  |  | 11,558,897 |  |  | 100 | %
| For the year ended December 31, 2019 |
| Acute Care |  |  | Behavioral Health |  |  | Other |  |  | Total |
Medicare | $ | 1,336,200 |  |  | 22 | % |  | $ | 553,045 |  |  | 11 | % |  |  |  |  |  | $ | 1,889,245 |  |  | 17 | %
Managed Medicare |  | 827,216 |  |  | 13 | % |  |  | 220,543 |  |  | 4 | % |  |  |  |  |  |  | 1,047,759 |  |  | 9 | %
Medicaid |  | 519,508 |  |  | 8 | % |  |  | 688,141 |  |  | 13 | % |  |  |  |  |  |  | 1,207,649 |  |  | 11 | %
Managed Medicaid |  | 560,029 |  |  | 9 | % |  |  | 1,118,612 |  |  | 21 | % |  |  |  |  |  |  | 1,678,641 |  |  | 15 | %
Managed Care (HMO and PPOs) |  | 2,271,002 |  |  | 37 | % |  |  | 1,363,815 |  |  | 26 | % |  |  |  |  |  |  | 3,634,817 |  |  | 32 | %
UK Revenue |  | 0 |  |  | 0 | % |  |  | 553,831 |  |  | 11 | % |  |  |  |  |  |  | 553,831 |  |  | 5 | %
Other patient revenue and adjustments, net |  | 191,422 |  |  | 3 | % |  |  | 505,144 |  |  | 10 | % |  |  |  |  |  |  | 696,566 |  |  | 6 | %
Other non-patient revenue |  | 459,183 |  |  | 7 | % |  |  | 206,932 |  |  | 4 | % |  |  | 3,636 |  |  |  | 669,751 |  |  | 6 | %
Total Net Revenue | $ | 6,164,560 |  |  | 100 | % |  | $ | 5,210,063 |  |  | 100 | % |  | $ | 3,636 |  |  |  | 11,378,259 |  |  | 100 | %
| 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 | %
(a) The 2020 other non-patient revenue includes Acute Care CARES Act and other grant revenue of $316 million and Behavioral Health CARES Act and other grant revenue of $97 million. As an accounting policy election, we have utilized ASC 958 by analogy to recognize funds received under the CARES Act from the Provider Relief Fund as revenue, given no direct authoritative guidance available to for-profit organizations to recognize revenue for government contributions and grants. CARES Act revenues may be subject to future adjustments based on future changes to statutes.

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