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Accounts Receivable and Net Revenue (Tables)
12 Months Ended
Dec. 31, 2020
Text Block [Abstract]  
Schedule of Accounts Receivable, Net
Accounts receivable, net consists of the following (in thousands):
 
    
December 31,
 
    
2020
    
2019
 
Gross accounts receivable
   $ 1,106,394      $ 1,750,264  
Allowance for contractual adjustments and uncollectibles
     (864,463      (1,315,998
    
 
 
    
 
 
 
     $ 241,931      $ 434,266  
    
 
 
    
 
 
 
Schedule of Net Revenue
Net revenue consists of the following (in thousands):
 
    
Years Ended December 31,
 
    
2020
    
2019
    
2018
 
Net patient service revenue
   $
 
1,481,331      $
 
1,567,624      $
 
1,529,561  
Hospital contract administrative fees
     218,495        197,340        181,050  
Other revenue
     34,125        14,795        12,496  
    
 
 
    
 
 
    
 
 
 
     $ 1,733,951      $ 1,779,759      $ 1,723,107  
    
 
 
    
 
 
    
 
 
 
Schedule of Percentage of Net Revenue
The following is a summary of
the Company’s
payor mix, expressed as a percentage of net revenue, exclusive of administrative fees and other miscellaneous revenue, for the periods indicated:
 
    
Years Ended December 31,
 
    
2020
   
2019
   
2018
 
Contracted managed care
     68     68     67
Government
     27     26     26
Other third-parties
     4     5     6
Private-pay patients
     1     1     1
    
 
 
   
 
 
   
 
 
 
       100     100     100