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REVENUE (Tables)
9 Months Ended
Sep. 30, 2019
Revenue from Contract with Customer [Abstract]  
Schedule of the Impact of Adoption of Standards
Adoption of the standard impacted the Company’s results as follows (in thousands):

 
 
Prior to ASC 606 Adoption
 
Adjustments for ASC 606
 
Subsequent to ASC 606 Adoption
 
 
As of September 30, 2019
Condensed Consolidated Balance Sheets
 
 
Accounts receivable, net
 
$
336,303

 
$

 
$
336,303

 
 
 
 
 
 
 
 
 
Nine Months Ended September 30, 2019
Condensed Consolidated Statement of Comprehensive Income (Loss)
 
 
Net revenue
 
$
1,644,903

 
$
(55,265
)
 
$
1,589,638

Provision for doubtful accounts
 
(55,265
)
 
55,265

 

Operating loss
 
(14,600
)
 

 
(14,600
)
Condensed Consolidated Statements of Cash Flows
 
 
 
 
 
 
Changes in operating cash flows:
 
 
 
 
 
 
Accounts receivable, net
 
71,029

 

 
71,029

 
 
 
 
 
 
 
 
 
As of December 31, 2018
Condensed Consolidated Balance Sheets
 
 
Accounts receivable, net
 
$
310,169

 
$

 
$
310,169

 
 
 
 
 
 
 
 
 
Nine Months Ended September 30, 2018
Condensed Consolidated Statement of Comprehensive Income (Loss)
 
 
 
 
 
 
Net revenue
 
$
1,479,058

 
$
(44,997
)
 
$
1,434,061

Provision for doubtful accounts
 
(44,997
)
 
44,997

 

Operating Income
 
24,721

 

 
24,721

Condensed Consolidated Statements of Cash Flows
 
 
 
 
 
 
Changes in operating cash flows:
 
 
 
 
 
 
Accounts receivable, net
 
(32,483
)
 

 
(32,483
)
Schedule of Net Revenue Earned by Category of Payer
The following table sets forth the net revenue earned by category of payer for the three and nine months ended September 30, 2019 and 2018 (in thousands):

 
 
Three Months Ended 
 September 30,
 
Nine Months Ended 
 September 30,
 
 
2019
 
2018
 
2019
 
2018
Commercial payers
 
$
525,927

 
$
428,873

 
$
1,373,481

 
$
1,256,109

Government payers
 
80,280

 
56,511

 
194,875

 
160,939

Patients
 
9,673

 
8,544

 
21,282

 
17,013

Net revenue
 
$
615,880

 
$
493,928

 
$
1,589,638

 
$
1,434,061