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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

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- References

No definition available.

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- 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

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- 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

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