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Accounts Receivable and Net Revenue (Tables)
12 Months Ended
Dec. 31, 2019
Text Block [Abstract]  
Schedule of Accounts Receivable, Net
Accounts receivable, net consists of the following (in thousands):
 
December 31,
 
 
2019
 
 
2018
 
Gross accounts receivable
  $
1,943,664
    $
1,993,395
 
Allowance for contractual adjustments and uncollectibles
   
(1,444,795
)    
(1,486,672
)
                 
  $
498,869
    $
506,723
 
                 
Schedule of Net Revenue
Net revenue consists of the following (in thousands):
 
Years Ended December 31,
 
 
2019
 
 
2018
 
 
2017
 
Net patient service revenue
  $
3,091,987
    $
3,067,784
    $
2,915,648
 
Hospital contract administrative fees
   
396,814
     
363,368
     
315,778
 
Other revenue
   
24,741
     
23,658
     
21,965
 
                         
  $
 3,513,542
    $
 3,454,810
    $
 3,253,391
 
                         
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,
 
 
2019
 
 
2018
 
 
2017
 
Contracted managed care
   
69
%    
69
%    
70
%
Government
   
24
%    
24
%    
23
%
Other third-parties
   
5
%    
5
%    
5
%
Private-pay
patients
   
2
%    
2
%    
2
%
                         
   
100
%    
100
%    
100
%