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Accounts Receivable and Net Revenue (Tables)
3 Months Ended
Mar. 31, 2021
Text Block [Abstract]  
Schedule of Accounts Receivable, Net
Accounts receivable, net consists of the following (in thousands):
 
    
March 31, 2021
    
December 31, 2020
 
Gross accounts receivable
   $ 1,127,620      $ 1,106,394  
Allowance for contractual adjustments and uncollectibles
     (881,884      (864,463
    
 
 
    
 
 
 
     $ 245,736      $ 241,931  
    
 
 
    
 
 
 
Schedule of Net Revenue
The following table summarizes the Company’s net revenue by category (in thousands):
 
    
Three Months Ended

March 31,
 
    
2021
    
2020
 
Net patient service revenue
   $ 381,063      $ 384,436  
Hospital contract administrative fees
     57,066        51,843  
Other revenue
     8,624        4,966  
    
 
 
    
 
 
 
     $  446,753      $  441,245  
    
 
 
    
 
 
 
Schedule of Percentage of Net Revenue
The approximate percentage of net patient service revenue by type of payor was as follows:
 
    
Three Months Ended

March 31,
 
    
2021
   
2020
 
Contracted managed care
     69 %     68 %
Government
     25       26  
Other third-parties
     5       4  
Private-pay
patients
     1       2  
    
 
 
   
 
 
 
       100     100