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Revenue (Tables)
9 Months Ended
Sep. 30, 2020
Revenue From Contract With Customer [Abstract]  
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, 2020 and 2019 (in thousands):

 

 

For the three months ended September 30, 2020

 

 

Acute Care

 

 

Behavioral Health

 

 

Other

 

 

Total

 

Medicare

$

319,259

 

 

20

%

 

$

120,691

 

 

9

%

 

 

 

 

 

$

439,950

 

 

15

%

Managed Medicare

 

234,169

 

 

15

%

 

 

62,618

 

 

5

%

 

 

 

 

 

 

296,787

 

 

10

%

Medicaid

 

160,671

 

 

10

%

 

 

159,756

 

 

12

%

 

 

 

 

 

 

320,427

 

 

11

%

Managed Medicaid

 

126,979

 

 

8

%

 

 

316,683

 

 

24

%

 

 

 

 

 

 

443,662

 

 

15

%

Managed Care (HMO and PPOs)

 

585,333

 

 

36

%

 

 

321,719

 

 

25

%

 

 

 

 

 

 

907,052

 

 

31

%

UK Revenue

 

0

 

 

0

%

 

 

155,323

 

 

12

%

 

 

 

 

 

 

155,323

 

 

5

%

Other patient revenue and adjustments, net

 

56,188

 

 

3

%

 

 

127,322

 

 

10

%

 

 

 

 

 

 

183,510

 

 

6

%

Other non-patient revenue (a)

 

127,404

 

 

8

%

 

 

35,479

 

 

3

%

 

 

2,947

 

 

 

165,830

 

 

6

%

Total Net Revenue

$

1,610,003

 

 

100

%

 

$

1,299,591

 

 

100

%

 

$

2,947

 

 

 

2,912,541

 

 

100

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the nine months ended September 30, 2020

 

 

Acute Care

 

 

Behavioral Health

 

 

Other

 

 

Total

 

Medicare

$

909,594

 

 

20

%

 

$

346,879

 

 

9

%

 

 

 

 

 

$

1,256,473

 

 

15

%

Managed Medicare

 

638,931

 

 

14

%

 

 

181,835

 

 

5

%

 

 

 

 

 

 

820,766

 

 

10

%

Medicaid

 

420,082

 

 

9

%

 

 

488,864

 

 

13

%

 

 

 

 

 

 

908,946

 

 

11

%

Managed Medicaid

 

358,770

 

 

8

%

 

 

900,105

 

 

23

%

 

 

 

 

 

 

1,258,875

 

 

15

%

Managed Care (HMO and PPOs)

 

1,558,765

 

 

34

%

 

 

955,530

 

 

25

%

 

 

 

 

 

 

2,514,295

 

 

30

%

UK Revenue

 

0

 

 

0

%

 

 

428,795

 

 

11

%

 

 

 

 

 

 

428,795

 

 

5

%

Other patient revenue and adjustments, net

 

198,983

 

 

4

%

 

 

371,517

 

 

10

%

 

 

 

 

 

 

570,500

 

 

7

%

Other non-patient revenue (a)

 

513,433

 

 

11

%

 

 

191,298

 

 

5

%

 

 

8,581

 

 

 

713,312

 

 

8

%

Total Net Revenue

$

4,598,558

 

 

100

%

 

$

3,864,823

 

 

100

%

 

$

8,581

 

 

$

8,471,962

 

 

100

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the three months ended September 30, 2019

 

 

Acute Care

 

 

Behavioral Health

 

 

Other

 

 

Total

 

Medicare

$

333,777

 

 

22

%

 

$

143,514

 

 

11

%

 

 

 

 

 

$

477,291

 

 

17

%

Managed Medicare

 

197,993

 

 

13

%

 

 

60,801

 

 

5

%

 

 

 

 

 

 

258,794

 

 

9

%

Medicaid

 

148,570

 

 

10

%

 

 

168,871

 

 

13

%

 

 

 

 

 

 

317,441

 

 

11

%

Managed Medicaid

 

133,906

 

 

9

%

 

 

278,888

 

 

22

%

 

 

 

 

 

 

412,794

 

 

15

%

Managed Care (HMO and PPOs)

 

554,341

 

 

36

%

 

 

324,140

 

 

25

%

 

 

 

 

 

 

878,481

 

 

31

%

UK Revenue

 

0

 

 

0

%

 

 

134,905

 

 

10

%

 

 

 

 

 

 

134,905

 

 

5

%

Other patient revenue and adjustments, net

 

45,918

 

 

3

%

 

 

130,964

 

 

10

%

 

 

 

 

 

 

176,882

 

 

6

%

Other non-patient revenue

 

114,030

 

 

7

%

 

 

49,733

 

 

4

%

 

 

2,102

 

 

 

165,865

 

 

6

%

Total Net Revenue

$

1,528,535

 

 

100

%

 

$

1,291,816

 

 

100

%

 

$

2,102

 

 

$

2,822,453

 

 

100

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the nine months ended September 30, 2019

 

 

Acute Care

 

 

Behavioral Health

 

 

Other

 

 

Total

 

Medicare

$

988,746

 

 

22

%

 

$

420,218

 

 

11

%

 

 

 

 

 

$

1,408,964

 

 

17

%

Managed Medicare

 

618,756

 

 

14

%

 

 

167,212

 

 

4

%

 

 

 

 

 

 

785,968

 

 

9

%

Medicaid

 

391,762

 

 

9

%

 

 

525,350

 

 

13

%

 

 

 

 

 

 

917,112

 

 

11

%

Managed Medicaid

 

413,607

 

 

9

%

 

 

821,413

 

 

21

%

 

 

 

 

 

 

1,235,020

 

 

15

%

Managed Care (HMO and PPOs)

 

1,690,889

 

 

37

%

 

 

1,018,739

 

 

26

%

 

 

 

 

 

 

2,709,628

 

 

32

%

UK Revenue

 

0

 

 

0

%

 

 

415,407

 

 

11

%

 

 

 

 

 

 

415,407

 

 

5

%

Other patient revenue and adjustments, net

 

133,962

 

 

3

%

 

 

381,345

 

 

10

%

 

 

 

 

 

 

515,307

 

 

6

%

Other non-patient revenue

 

337,366

 

 

7

%

 

 

148,756

 

 

4

%

 

 

8,484

 

 

 

494,606

 

 

6

%

Total Net Revenue

$

4,575,088

 

 

100

%

 

$

3,898,440

 

 

100

%

 

$

8,484

 

 

$

8,482,012

 

 

100

%

 

 

(a) Acute Care includes CARES Act and other grant income of $4 million and $161 million recorded in the three and nine-months periods ended September 30, 2020, respectively.  Behavioral Health includes the reversal of CARES Act and other grant income of $9 million and CARES Act and other grant income of $52 million recorded in the three and nine-months periods ended September 30, 2020, respectively.  As an accounting policy election, we have utilized ASC 958 by analogy to recognize funds received under the CARES Act from the Provider Relief Fund as revenue, given no direct authoritative guidance available to for-profit organizations to recognize revenue for government contributions and grants.