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Accounts Receivable and Net Revenue (Tables)
 12 Months Ended
Dec. 31, 2014
Text Block [Abstract]  
Schedule of Accounts Receivable, Net

Accounts receivable, net consists of the following (in thousands):

 

     December 31,  
     2014      2013  

Gross accounts receivable

    $ 1,200,958       $ 997,682   

Allowance for contractual adjustments and uncollectibles

      (848,767 )       (712,285)   
  

 

 

     

 

 

  
   $ 352,191       $ 285,397   
  

 

 

     

 

 

  
Schedule of Net Revenue

Net revenue consists of the following (in thousands):

 

     Years Ended December 31,  
     2014      2013      2012  

Gross revenue

    $ 7,662,556       $ 6,702,484       $ 5,691,790   

Contractual adjustments and uncollectibles

      (5,403,437 )       (4,695,232 )       (3,994,924 ) 

Hospital contract administrative fees

      179,794         146,760         119,746   
  

 

 

     

 

 

     

 

 

  
$ 2,438,913    $ 2,154,012    $ 1,816,612