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Accounts Receivable and Net Revenue (Tables)

12 Months Ended

Dec. 31, 2018

Text Block [Abstract]

Schedule of Accounts Receivable, Net

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

		December 31,
		2018				2017
Gross accounts receivable		$	2,031,341			$	1,790,034
Allowance for contractual adjustments and uncollectibles			(1,489,069	)			(1,286,035	)
		$	542,272			$	503,999

Schedule of Net Revenue

Net revenue consists of the following (in thousands):

		Years Ended December 31,
		2018				2017				2016
Net patient service revenue		$	3,067,784			$	2,915,648			$	2,760,192
Hospital contract administrative fees			363,369				315,778				271,886
Management services and other			215,970				226,886				151,081
		$	3,647,123			$	3,458,312			$	3,183,159

Schedule of Percentage of Net Revenue

The following is a summary of our payor mix, expressed as a percentage of net revenue, exclusive of administrative fees and revenue related to management services and other, for the periods indicated:

		Years Ended December 31,
		2018				2017				2016
Contracted managed care			70	%			70	%			70	%
Government			24	%			25	%			23	%
Other third-parties			4	%			4	%			6	%
Private-pay patients			2	%			1	%			1	%
			100	%			100	%			100	%

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- 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.

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