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Accounts Receivable and Net Revenue (Tables)

9 Months Ended

Sep. 30, 2019

Text Block [Abstract]

Schedule of Accounts Receivable, Net

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

		September 30, 2019				December 31, 2018
Gross accounts receivable		$	1,923,585			$	1,993,395
Allowance for contractual adjustments and uncollectibles			(1,428,886	)			(1,486,672	)
		$	494,699			$	506,723

Schedule of Net Revenue

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

		Three Months Ended September 30,								Nine Months Ended September 30,
		2019				2018				2019				2018
Net patient service revenue		$	784,935			$	758,015			$	2,300,045			$	2,278,055
Hospital contract administrative fees			97,747				87,095				289,209				273,868
Other revenue			5,993				3,649				18,913				14,451
		$	888,675			$	848,759			$	2,608,167			$	2,566,374

Schedule of Percentage of Net Revenue

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

		Three Months Ended September 30,								Nine Months Ended September 30,
		2019				2018				2019				2018
Contracted managed care			69	%			70	%			69	%			70	%
Government			25				24				24				24
Other third-parties			4				5				5				5
Private-pay patients			2				1				2				1
			100	%			100	%			100	%			100	%

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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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