XML 30 R21.htm IDEA: XBRL DOCUMENT
v3.22.2.2

Accounts Receivable and Net Revenue (Tables) | 9 Months Ended
--- | ---
Sep. 30, 2022
Text Block [Abstract] |
Schedule of Accounts Receivable, Net | Accounts receivable, net consists of the following (in thousands):
|  | September 30, 2022 |  |  | December 31, 2021 |
Gross accounts receivable |  | $ | 1,499,499 |  |  | $ | 1,393,584 |
Allowance for contractual adjustments and uncollectibles |  |  | (1,205,148 | ) |  |  | (1,091,809 | )
|  | $ | 294,351 |  |  | $ | 301,775 |
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, |
|  | 2022 |  |  | 2021 |  |  | 2022 |  |  | 2021 |
Net patient service revenue |  | $ | 421,085 |  |  | $ | 432,854 |  |  | $ | 1,245,627 |  |  | $ | 1,226,866 |
Hospital contract administrative fees |  |  | 67,418 |  |  |  | 59,491 |  |  |  | 196,425 |  |  |  | 175,462 |
Other revenue |  |  | 1,412 |  |  |  | 604 |  |  |  | 16,125 |  |  |  | 10,333 |
|  | $ | 489,915 |  |  | $ | 492,949 |  |  | $ | 1,458,177 |  |  | $ | 1,412,661 |
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, |
|  | 2022 |  |  | 2021 |  |  | 2022 |  |  | 2021 |
Contracted managed care |  |  | 65 | % |  |  | 69 | % |  |  | 67 | % |  |  | 69 | %
Government |  |  | 28 |  |  |  | 26 |  |  |  | 26 |  |  |  | 25 |
Other third-parties |  |  | 5 |  |  |  | 3 |  |  |  | 5 |  |  |  | 4 |
Private-pay patients |  |  | 2 |  |  |  | 2 |  |  |  | 2 |  |  |  | 2 |
|  |  | 100 | % |  |  | 100 | % |  |  | 100 | % |  |  | 100 | %

X
- Definition 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. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 5 -URI https://asc.fasb.org/extlink&oid=126920106&loc=SL49130545-203045 + Details
Name: | us-gaap_DisaggregationOfRevenueTableTextBlock
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration

X
- Definition Tabular disclosure of the various types of trade accounts and notes receivable and for each the gross carrying value, allowance, and net carrying value as of the balance sheet date. Presentation is categorized by current, noncurrent and unclassified receivables. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.3,4) -URI https://asc.fasb.org/extlink&oid=120391452&loc=d3e13212-122682 + Details
Name: | us-gaap_ScheduleOfAccountsNotesLoansAndFinancingReceivableTextBlock
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration

X
- Definition Tabular disclosure of the nature of a concentration, a benchmark to which it is compared, and the percentage that the risk is to the benchmark. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 825 -SubTopic 10 -Section 50 -Paragraph 21 -URI https://asc.fasb.org/extlink&oid=123594938&loc=d3e13537-108611 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 825 -SubTopic 10 -Section 50 -Paragraph 20 -URI https://asc.fasb.org/extlink&oid=123594938&loc=d3e13531-108611 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 275 -SubTopic 10 -Section 50 -Paragraph 20 -URI https://asc.fasb.org/extlink&oid=99393423&loc=d3e6404-108592 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 275 -SubTopic 10 -Section 50 -Paragraph 16 -URI https://asc.fasb.org/extlink&oid=99393423&loc=d3e6327-108592 Reference 5: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 275 -SubTopic 10 -Section 50 -Paragraph 18 -URI https://asc.fasb.org/extlink&oid=99393423&loc=d3e6351-108592 Reference 6: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 275 -SubTopic 10 -Section 50 -Paragraph 21 -URI https://asc.fasb.org/extlink&oid=99393423&loc=d3e6442-108592 + Details
Name: | us-gaap_SchedulesOfConcentrationOfRiskByRiskFactorTextBlock
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration

X
- References No definition available. + Details
Name: | us-gaap_TextBlockAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration