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Revenue Recognition (Tables)
12 Months Ended
Dec. 31, 2021
Revenue From Contract With Customer [Abstract]  
Schedule of Disaggregates Revenue by Major Source

The following table disaggregates our revenue by major source for the years ended December 31, 2021, 2020 and 2019 (in thousands):

 

 

For the year ended December 31, 2021

 

 

Acute Care

 

 

Behavioral Health

 

 

Other

 

 

Total

 

Medicare

$

1,292,205

 

 

18

%

 

$

361,914

 

 

7

%

 

 

 

 

 

$

1,654,119

 

 

13

%

Managed Medicare

 

1,118,901

 

 

16

%

 

 

244,061

 

 

4

%

 

 

 

 

 

 

1,362,962

 

 

11

%

Medicaid

 

539,741

 

 

8

%

 

 

751,951

 

 

14

%

 

 

 

 

 

 

1,291,692

 

 

10

%

Managed Medicaid

 

618,727

 

 

9

%

 

 

1,328,536

 

 

24

%

 

 

 

 

 

 

1,947,263

 

 

15

%

Managed Care (HMO and PPOs)

 

2,521,089

 

 

35

%

 

 

1,435,938

 

 

26

%

 

 

 

 

 

 

3,957,027

 

 

31

%

UK Revenue

 

0

 

 

0

%

 

 

687,725

 

 

12

%

 

 

 

 

 

 

687,725

 

 

5

%

Other patient revenue and adjustments, net

 

358,458

 

 

5

%

 

 

484,742

 

 

9

%

 

 

 

 

 

 

843,200

 

 

7

%

Other non-patient revenue

 

659,133

 

 

9

%

 

 

208,777

 

 

4

%

 

 

30,219

 

 

 

898,129

 

 

7

%

Total Net Revenue

$

7,108,254

 

 

100

%

 

$

5,503,644

 

 

100

%

 

$

30,219

 

 

 

12,642,117

 

 

100

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the year ended December 31, 2020

 

 

Acute Care

 

 

Behavioral Health

 

 

Other

 

 

Total

 

Medicare

$

1,242,268

 

 

20

%

 

$

448,323

 

 

9

%

 

 

 

 

 

$

1,690,591

 

 

15

%

Managed Medicare

 

869,488

 

 

14

%

 

 

235,442

 

 

5

%

 

 

 

 

 

 

1,104,930

 

 

10

%

Medicaid

 

551,551

 

 

9

%

 

 

651,081

 

 

12

%

 

 

 

 

 

 

1,202,632

 

 

10

%

Managed Medicaid

 

491,234

 

 

8

%

 

 

1,224,205

 

 

24

%

 

 

 

 

 

 

1,715,439

 

 

15

%

Managed Care (HMO and PPOs)

 

2,146,018

 

 

34

%

 

 

1,280,919

 

 

25

%

 

 

 

 

 

 

3,426,937

 

 

30

%

UK Revenue

 

0

 

 

0

%

 

 

584,000

 

 

11

%

 

 

 

 

 

 

584,000

 

 

5

%

Other patient revenue and adjustments, net

 

248,047

 

 

4

%

 

 

497,297

 

 

10

%

 

 

 

 

 

 

745,344

 

 

6

%

Other non-patient revenue (a)

 

788,698

 

 

12

%

 

 

287,455

 

 

6

%

 

 

12,871

 

 

 

1,089,024

 

 

9

%

Total Net Revenue

$

6,337,304

 

 

100

%

 

$

5,208,722

 

 

100

%

 

$

12,871

 

 

 

11,558,897

 

 

100

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the year ended December 31, 2019

 

 

Acute Care

 

 

Behavioral Health

 

 

Other

 

 

Total

 

Medicare

$

1,336,200

 

 

22

%

 

$

553,045

 

 

11

%

 

 

 

 

 

$

1,889,245

 

 

17

%

Managed Medicare

 

827,216

 

 

13

%

 

 

220,543

 

 

4

%

 

 

 

 

 

 

1,047,759

 

 

9

%

Medicaid

 

519,508

 

 

8

%

 

 

688,141

 

 

13

%

 

 

 

 

 

 

1,207,649

 

 

11

%

Managed Medicaid

 

560,029

 

 

9

%

 

 

1,118,612

 

 

21

%

 

 

 

 

 

 

1,678,641

 

 

15

%

Managed Care (HMO and PPOs)

 

2,271,002

 

 

37

%

 

 

1,363,815

 

 

26

%

 

 

 

 

 

 

3,634,817

 

 

32

%

UK Revenue

 

0

 

 

0

%

 

 

553,831

 

 

11

%

 

 

 

 

 

 

553,831

 

 

5

%

Other patient revenue and adjustments, net

 

191,422

 

 

3

%

 

 

505,144

 

 

10

%

 

 

 

 

 

 

696,566

 

 

6

%

Other non-patient revenue

 

459,183

 

 

7

%

 

 

206,932

 

 

4

%

 

 

3,636

 

 

 

669,751

 

 

6

%

Total Net Revenue

$

6,164,560

 

 

100

%

 

$

5,210,063

 

 

100

%

 

$

3,636

 

 

 

11,378,259

 

 

100

%

 

(a) The 2020 other non-patient revenue includes Acute Care CARES Act and other grant revenue of $316 million and Behavioral Health CARES Act and other grant revenue of $97 million.  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.  CARES Act revenues may be subject to future adjustments based on future changes to statutes.