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Revenue (Tables)
6 Months Ended
Jun. 30, 2018
Schedule of Disaggregates Revenue by Major Source

The following table disaggregates our revenue by major source for the three and six month periods ended June 30, 2018 and 2017 (in thousands):

 

 

For the three months ended June 30, 2018

 

 

Acute Care

 

 

Behavioral Health

 

 

Other

 

 

Total

 

Medicare

$

305,471

 

 

22

%

 

$

146,643

 

 

12

%

 

 

 

 

 

$

452,114

 

 

17

%

Managed Medicare

 

174,196

 

 

12

%

 

 

51,043

 

 

4

%

 

 

 

 

 

 

225,239

 

 

8

%

Medicaid

 

109,225

 

 

8

%

 

 

175,966

 

 

14

%

 

 

 

 

 

 

285,191

 

 

11

%

Managed Medicaid

 

138,346

 

 

10

%

 

 

247,276

 

 

19

%

 

 

 

 

 

 

385,622

 

 

14

%

Managed Care (HMO and PPOs)

 

512,631

 

 

37

%

 

 

361,047

 

 

28

%

 

 

 

 

 

 

873,678

 

 

33

%

UK Revenue

 

0

 

 

0

%

 

 

119,457

 

 

9

%

 

 

 

 

 

 

119,457

 

 

4

%

Other patient revenue

 

63,950

 

 

5

%

 

 

121,392

 

 

10

%

 

 

 

 

 

 

185,342

 

 

7

%

Other non-patient revenue

 

100,172

 

 

7

%

 

 

51,259

 

 

4

%

 

 

3,279

 

 

 

154,710

 

 

6

%

Total Net Revenue

$

1,403,991

 

 

100

%

 

$

1,274,083

 

 

100

%

 

$

3,279

 

 

 

2,681,353

 

 

100

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the six months ended June 30, 2018

 

 

Acute Care

 

 

Behavioral Health

 

 

Other

 

 

Total

 

Medicare

$

661,228

 

 

23

%

 

$

289,170

 

 

12

%

 

 

 

 

 

$

950,398

 

 

18

%

Managed Medicare

 

363,294

 

 

13

%

 

 

96,038

 

 

4

%

 

 

 

 

 

 

459,332

 

 

9

%

Medicaid

 

219,004

 

 

8

%

 

 

353,302

 

 

14

%

 

 

 

 

 

 

572,306

 

 

11

%

Managed Medicaid

 

268,285

 

 

9

%

 

 

478,052

 

 

19

%

 

 

 

 

 

 

746,337

 

 

14

%

Managed Care (HMO and PPOs)

 

1,028,609

 

 

36

%

 

 

719,109

 

 

29

%

 

 

 

 

 

 

1,747,718

 

 

33

%

UK Revenue

 

0

 

 

0

%

 

 

234,198

 

 

9

%

 

 

 

 

 

 

234,198

 

 

4

%

Other patient revenue

 

110,840

 

 

4

%

 

 

238,377

 

 

9

%

 

 

 

 

 

 

349,217

 

 

7

%

Other non-patient revenue

 

198,363

 

 

7

%

 

 

103,833

 

 

4

%

 

 

7,167

 

 

 

309,363

 

 

6

%

Total Net Revenue

$

2,849,623

 

 

100

%

 

$

2,512,079

 

 

100

%

 

$

7,167

 

 

 

5,368,869

 

 

100

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the three months ended June 30, 2017

 

 

Acute Care

 

 

Behavioral Health

 

 

Other

 

 

Total

 

Medicare

$

286,524

 

 

21

%

 

$

147,437

 

 

12

%

 

 

 

 

 

$

433,961

 

 

17

%

Managed Medicare

 

150,510

 

 

11

%

 

 

42,713

 

 

3

%

 

 

 

 

 

 

193,223

 

 

7

%

Medicaid

 

121,318

 

 

9

%

 

 

182,678

 

 

15

%

 

 

 

 

 

 

303,996

 

 

12

%

Managed Medicaid

 

120,223

 

 

9

%

 

 

223,219

 

 

18

%

 

 

 

 

 

 

343,442

 

 

13

%

Managed Care (HMO and PPOs)

 

474,876

 

 

35

%

 

 

359,839

 

 

29

%

 

 

 

 

 

 

834,715

 

 

32

%

UK Revenue

 

0

 

 

0

%

 

 

106,390

 

 

9

%

 

 

 

 

 

 

106,390

 

 

4

%

Other patient revenue

 

94,826

 

 

7

%

 

 

120,211

 

 

10

%

 

 

 

 

 

 

215,037

 

 

8

%

Other non-patient revenue

 

118,180

 

 

9

%

 

 

60,074

 

 

5

%

 

 

3,338

 

 

 

181,592

 

 

7

%

Total Net Revenue

$

1,366,457

 

 

100

%

 

$

1,242,561

 

 

100

%

 

$

3,338

 

 

 

2,612,356

 

 

100

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the six months ended June 30, 2017

 

 

Acute Care

 

 

Behavioral Health

 

 

Other

 

 

Total

 

Medicare

$

614,461

 

 

22

%

 

$

294,082

 

 

12

%

 

 

 

 

 

$

908,543

 

 

17

%

Managed Medicare

 

302,868

 

 

11

%

 

 

79,387

 

 

3

%

 

 

 

 

 

 

382,255

 

 

7

%

Medicaid

 

218,180

 

 

8

%

 

 

363,627

 

 

15

%

 

 

 

 

 

 

581,807

 

 

11

%

Managed Medicaid

 

247,518

 

 

9

%

 

 

440,864

 

 

18

%

 

 

 

 

 

 

688,382

 

 

13

%

Managed Care (HMO and PPOs)

 

966,484

 

 

35

%

 

 

715,177

 

 

29

%

 

 

 

 

 

 

1,681,661

 

 

32

%

UK Revenue

 

0

 

 

0

%

 

 

206,412

 

 

8

%

 

 

 

 

 

 

206,412

 

 

4

%

Other patient revenue

 

167,049

 

 

6

%

 

 

245,009

 

 

10

%

 

 

 

 

 

 

412,058

 

 

8

%

Other non-patient revenue

 

239,444

 

 

9

%

 

 

116,125

 

 

5

%

 

 

8,527

 

 

 

364,096

 

 

7

%

Total Net Revenue

$

2,756,004

 

 

100

%

 

$

2,460,683

 

 

100

%

 

$

8,527

 

 

 

5,225,214

 

 

100

%

 

ASU 2014-09  
Schedule of Impact of Adoption on Condensed Consolidated Income Statement

On January 1, 2018, we adopted the new accounting standard using the modified retrospective method. The information in comparative periods have not been restated and continues to be reported under the accounting standards in effect for those periods. In accordance with the new revenue standard requirements, the disclosure of the impact of adoption on our condensed consolidated income statement was as follows (in thousands):

 

 

 

 

 

 

Balances

 

 

 

 

 

 

 

 

 

 

Without

 

 

 

 

 

 

As

 

 

Adoption

 

 

Effect

 

For the three months ended June 30, 2018:

Reported

 

 

ASC 606

 

 

of Change

 

Net Revenue before provision for doubtful accounts

 

 

 

 

$

2,953,398

 

 

 

 

 

Less: Provision for doubtful accounts

 

 

 

 

 

276,160

 

 

 

 

 

Net Revenues

$

2,681,353

 

 

$

2,677,238

 

 

$

4,115

 

 

 

 

 

 

 

 

 

 

 

 

 

Other operating expenses

$

624,484

 

 

$

620,369

 

 

$

4,115

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balances

 

 

 

 

 

 

 

 

 

 

Without

 

 

 

 

 

 

As

 

 

Adoption

 

 

Effect

 

For the six months ended June 30, 2018:

Reported

 

 

ASC 606

 

 

of Change

 

Net Revenue before provision for doubtful accounts

 

 

 

 

$

5,884,925

 

 

 

 

 

Less: Provision for doubtful accounts

 

 

 

 

 

522,703

 

 

 

 

 

Net Revenues

$

5,368,869

 

 

$

5,362,222

 

 

$

6,647

 

 

 

 

 

 

 

 

 

 

 

 

 

Other operating expenses

$

1,245,303

 

 

$

1,238,656

 

 

$

6,647