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NET REVENUE AND ACCOUNTS RECEIVABLE (Tables)
12 Months Ended
Dec. 31, 2018
Revenue from Contract with Customer [Abstract]  
Disaggregation of net revenue by associated payor class
The following table presents our disaggregated net revenue for each associated payor class (in thousands). Sales and usage-based taxes are excluded from net revenue.
 
Year Ended December 31,
 
2018
 
2017
 
2016
 Commercial
$
575,566

 
$
677,536

 
$
771,278

 Government
127,301

 
131,459

 
158,450

 Patient
6,036

 
8,195

 
5,861

Net Revenue
$
708,903

 
$
817,190

 
$
935,589

Schedule of aging of accounts receivable
The following table sets forth the aging of our accounts receivable, aged based on date of service and categorized based on the three primary payor groups (in thousands):
 
 
December 31, 2018
 
December 31, 2017
 
 
0 - 180 days
 
Over 180 days
 
Total
 
% of Total
 
0 - 180 days
 
Over 180 days
 
Total
 
% of Total
Government
 
$
17,849

 
$
6,098

 
$
23,947

 
 
 
$
20,602

 
$
10,082

 
$
30,684

 
 
Commercial
 
67,288

 
14,740

 
82,028

 
 
 
63,767

 
18,779

 
82,546

 
 
Patient
 
2,092

 
6,797

 
8,889

 
 
 
2,577

 
7,627

 
10,204

 
 
Gross accounts receivable
 
$
87,229

 
$
27,635

 
114,864

 
 
 
$
86,946

 
$
36,488

 
123,434

 
 
Allowance for doubtful accounts
 
 
 
 
 

 
%
 
 
 
 
 
(37,912
)
 
30.7
%
Accounts receivable, net
 
 
 
 
 
$
114,864

 
 
 
 
 
 
 
$
85,522