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Accounts Receivable and Net Revenue (Tables)
6 Months Ended
Jun. 30, 2019
Text Block [Abstract]  
Schedule of Accounts Receivable, Net
Accounts receivable, net consists of the following (in thousands):
                 
 
June 30, 2019
   
December 31, 2018
 
Gross accounts receivable
  $
1,916,850
    $
1,993,395
 
Allowance for contractual adjustments and uncollectibles
   
(1,412,660
)    
(1,486,672
)
                 
  $
504,190
    $
506,723
 
                 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Schedule of Net Revenue
The following table summarizes the Company’s net revenue by category (in thousands):
                                 
 
Three Months Ended
June 30,
   
Six Months Ended
June 30,
 
 
2019
   
2018
   
2019
   
2018
 
Net patient service revenue
  $
765,525
    $
763,667
    $
1,515,110
    $
1,520,040
 
Hospital contract administrative fees
   
96,741
     
95,534
     
191,462
     
186,773
 
Other revenue
   
6,043
     
5,786
     
12,920
     
10,802
 
                                 
  $
868,309
    $
864,987
    $
1,719,492
    $
1,717,615
 
                                 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Schedule of Percentage of Net Revenue
The approximate percentage of net patient service revenue by type of payor was as follows:
                                 
 
Three Months Ended
June 30,
   
Six Months Ended
June 30,
 
 
2019
   
2018
   
2019
   
2018
 
Contracted managed care
   
70
%    
70
%    
70
%    
70
%
Government
   
24
     
25
     
24
     
25
 
Other third-parties
   
4
     
4
     
5
     
4
 
Private-pay
patients
   
2
     
1
     
1
     
1
 
                                 
   
100
%    
100
%    
100
%    
100
%