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Accounting Policies (Tables)
 9 Months Ended
Sep. 30, 2018
Accounting Policies [Abstract]  
Schedule of effects on financial statement lines for adoption of new standard The Company adopted the new revenue recognition standard on January 1, 2018, using the full retrospective transition method. Adoption of the revenue recognition standard impacted the Company’s reported results as follows:
 
Three Months Ended September 30, 2017
 
As Reported
 
As Adjusted(1)
 
Adoption Impact
 
(in thousands)
Condensed Consolidated Statements of Operations
 
 
 
 
 
Net operating revenues
$
1,097,166

 
$
1,077,014

 
$
(20,152
)
Bad debt expense
20,321

 
169

 
(20,152
)
 
Nine Months Ended September 30, 2017
 
As Reported
 
As Adjusted(1)
 
Adoption Impact
 
(in thousands)
Condensed Consolidated Statements of Operations
 
 
 
 
 
Net operating revenues
$
3,329,202

 
$
3,270,996

 
$
(58,206
)
Bad debt expense
59,120

 
914

 
(58,206
)
 
 
 
 
 
 
Condensed Consolidated Statements of Cash Flows
 
 
 
 
 
Provision for bad debts
$
59,120

 
$
914

 
$
(58,206
)
Changes in accounts receivable
(201,514
)
 
(143,308
)
 
58,206

 _____________________________________________________________
(1) Bad debt expense is now included in cost of services on the condensed consolidated statements of operations.
 
December 31, 2017
 
As Reported
 
As Adjusted
 
Adoption Impact
 
(in thousands)
Condensed Consolidated Balance Sheets
 
 
 
 
 
Accounts receivable
$
767,276

 
$
691,732

 
$
(75,544
)
Allowance for doubtful accounts
75,544

 
—

 
(75,544
)
Accounts receivable
$
691,732

 
$
691,732

 
$
—