Revenue (Tables)

9 Months Ended

Sep. 30, 2018

Schedule of Disaggregates Revenue by Major Source

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

	For the three months ended September 30, 2018
	Acute Care				Behavioral Health				Other		Total
Medicare	$	295,691	21	%	$	155,642	12	%			$	451,333	17	%
Managed Medicare		175,248	13	%		55,285	4	%				230,533	9	%
Medicaid		126,977	9	%		169,614	13	%				296,591	11	%
Managed Medicaid		123,296	9	%		242,233	19	%				365,529	14	%
Managed Care (HMO and PPOs)		500,688	36	%		333,585	26	%				834,273	31	%
UK Revenue		0	0	%		129,965	10	%				129,965	5	%
Other patient revenue and adjustments, net		62,055	4	%		126,157	10	%				188,212	7	%
Other non-patient revenue		99,095	7	%		49,991	4	%		3,391		152,477	6	%
Total Net Revenue	$	1,383,050	100	%	$	1,262,472	100	%	$	3,391		2,648,913	100	%
	For the nine months ended September 30, 2018
	Acute Care				Behavioral Health				Other		Total
Medicare	$	972,073	23	%	$	444,812	12	%			$	1,416,885	18	%
Managed Medicare		550,683	13	%		151,323	4	%				702,006	9	%
Medicaid		349,794	8	%		522,916	14	%				872,710	11	%
Managed Medicaid		410,243	10	%		720,285	19	%				1,130,528	14	%
Managed Care (HMO and PPOs)		1,547,496	37	%		1,052,694	28	%				2,600,190	32	%
UK Revenue		0	0	%		364,163	10	%				364,163	5	%
Other patient revenue and adjustments, net		104,926	2	%		364,534	10	%				469,460	6	%
Other non-patient revenue		297,458	7	%		153,824	4	%		10,558		461,840	6	%
Total Net Revenue	$	4,232,673	100	%	$	3,774,551	100	%	$	10,558		8,017,782	100	%
	For the three months ended September 30, 2017
	Acute Care				Behavioral Health				Other		Total
Medicare	$	299,844	23	%	$	157,622	13	%			$	457,466	18	%
Managed Medicare		160,548	12	%		42,322	3	%				202,870	8	%
Medicaid		121,290	9	%		177,196	14	%				298,486	12	%
Managed Medicaid		124,079	9	%		209,463	17	%				333,542	13	%
Managed Care (HMO and PPOs)		471,623	36	%		335,373	27	%				806,996	32	%
UK Revenue		0	0	%		110,526	9	%				110,526	4	%
Other patient revenue and adjustments, net		26,022	2	%		136,714	11	%				162,736	6	%
Other non-patient revenue		113,342	9	%		55,332	5	%		568		169,242	7	%
Total Net Revenue	$	1,316,748	100	%	$	1,224,548	100	%	$	568		2,541,864	100	%
	For the nine months ended September 30, 2017
	Acute Care				Behavioral Health				Other		Total
Medicare	$	925,857	23	%	$	451,704	12	%			$	1,377,561	18	%
Managed Medicare		471,727	12	%		121,709	3	%				593,436	8	%
Medicaid		343,675	8	%		540,823	15	%				884,498	11	%
Managed Medicaid		384,340	9	%		650,327	18	%				1,034,667	13	%
Managed Care (HMO and PPOs)		1,452,448	36	%		1,050,550	29	%				2,502,998	32	%
UK Revenue		0	0	%		316,938	9	%				316,938	4	%
Other patient revenue and adjustments, net		141,919	3	%		381,723	10	%				523,642	7	%
Other non-patient revenue		352,786	9	%		171,456	5	%		9,096		533,338	7	%
Total Net Revenue	$	4,072,752	100	%	$	3,685,230	100	%	$	9,096		7,767,078	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
	Reported		ASC 606		of Change
For the three months ended September 30, 2018:
Net Revenue before provision for doubtful accounts			$	2,929,710
Less: Provision for doubtful accounts				285,044
Net Revenues	$	2,648,913	$	2,644,666	$	4,247
Other operating expenses	$	651,442	$	647,195	$	4,247
			Balances Without
	As		Adoption		Effect
	Reported		ASC 606		of Change
For the nine months ended September 30, 2018:
Net Revenue before provision for doubtful accounts			$	8,814,635
Less: Provision for doubtful accounts				807,747
Net Revenues	$	8,017,782	$	8,006,888	$	10,894
Other operating expenses	$	1,896,745	$	1,885,851	$	10,894