XML 46 R28.htm IDEA: XBRL DOCUMENT
v3.8.0.1

Accounts Receivable and Net Revenue (Tables) | 12 Months Ended
--- | ---
Dec. 31, 2017
Receivables [Abstract] |
Schedule of Accounts Receivable, Net | Accounts receivable, net consists of the following (in thousands):
|  | December 31, |
|  | 2017 |  |  | 2016 |
Gross accounts receivable |  | $ | 1,790,034 |  |  | $ | 1,719,642 |
Allowance for contractual adjustments and uncollectibles |  |  | (1,286,035 | ) |  |  | (1,224,366 | )
|  | $ | 503,999 |  |  | $ | 495,276 |
Schedule of Net Revenue | Net revenue consists of the following (in thousands):
|  | Years Ended December 31, |
|  | 2017 |  |  | 2016 |  |  | 2015 |
Gross revenue |  | $ | 11,427,238 |  |  | $ | 10,374,813 |  |  | $ | 8,942,957 |
Contractual adjustments and uncollectibles |  |  | (8,285,317 | ) |  |  | (7,464,030 | ) |  |  | (6,389,195 | )
Hospital contract administrative fees |  |  | 316,391 |  |  |  | 272,376 |  |  |  | 226,234 |
|  | $ | 3,458,312 |  |  | $ | 3,183,159 |  |  | $ | 2,779,996 |

X
- References No definition available. + Details
Name: | us-gaap_ReceivablesAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Tabular disclosure of the various types of trade accounts and notes receivable and for each the gross carrying value, allowance, and net carrying value as of the balance sheet date. Presentation is categorized by current, noncurrent and unclassified receivables. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.3,4) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
Name: | us-gaap_ScheduleOfAccountsNotesLoansAndFinancingReceivableTextBlock
Namespace Prefix: | us-gaap_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration

X
- Definition Tabular disclosure of patient service revenue (net of contractual allowances and discounts), by major payor source of revenue for health care organizations. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 55 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=68073389&loc=SL9156489-173031 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 50 -Paragraph 4 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=68052803&loc=SL9156464-115641 + Details
Name: | us-gaap_ScheduleOfRevenueSourcesHealthCareOrganizationTableTextBlock
Namespace Prefix: | us-gaap_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration