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Accounts Receivable and Net Revenue (Tables)

3 Months Ended

Mar. 31, 2018

Text Block [Abstract]

Schedule of Accounts Receivable, Net

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

		March 31, 2018				December 31, 2017
Gross accounts receivable		$	1,937,265			$	1,790,034
Allowance for contractual adjustments and uncollectibles			(1,394,656	)			(1,286,035	)
		$	542,609			$	503,999

Schedule of Net Revenue

The following table summarizes the Company’s net revenue by category (in thousands):

		Three Months Ended March 31,
		2018				2017
Net patient service revenue		$	756,374			$	705,453
Hospital contract administrative fees			91,239				72,265
Management services and other			54,244				57,879
		$	901,857			$	835,597

Schedule of Percentage of Net Patient Service Revenue

The approximate percentage of net patient service revenue by type of payor was as follows:

		Three Months Ended March 31,
		2018				2017
Contracted managed care			70	%			71	%
Government			25				24
Other third-parties			4				4
Private-pay patients			1				1
			100	%			100	%

X

- Definition

Tabular disclosure of disaggregation of revenue into categories depicting how nature, amount, timing, and uncertainty of revenue and cash flows are affected by economic factor.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
-SubTopic 10
-Section 50
-Paragraph 5
-URI http://asc.fasb.org/extlink&oid=82913847&loc=SL49130545-203045

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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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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

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