XML 46 R35.htm IDEA: XBRL DOCUMENT v3.19.2
NET OPERATING REVENUES (Tables)
6 Months Ended
Jun. 30, 2019
Revenue from Contract with Customer [Abstract]  
Disaggregation of operating revenues less provision for doubtful accounts and implicit price concessions
The table below shows our sources of net operating revenues from continuing operations:
 
 
Three Months Ended
June 30,
 
Six Months Ended
June 30,
 
 
2019
 
2018
 
2019
 
2018
Hospital Operations and other:
 
 

 
 

 
 
 
 
Net patient service revenues from hospitals and related outpatient facilities
 
 
 
 
 
 
 
 
Medicare
 
$
721

 
$
701

 
$
1,479

 
$
1,483

Medicaid
 
316

 
314

 
630

 
635

Managed care
 
2,330

 
2,273

 
4,684

 
4,641

Uninsured
 
11

 
8

 
12

 
45

Indemnity and other
 
169

 
147

 
324

 
282

Total
 
3,547

 
3,443

 
7,129

 
7,086

Physician practices revenues
 
282

 
271

 
552

 
551

Health plans
 
1

 

 
1

 
6

Revenue from other sources
 
(3
)
 
19

 
7

 
37

Hospital Operations and other total prior to inter-segment eliminations
 
3,827

 
3,733

 
7,689

 
7,680

Ambulatory Care
 
524

 
531

 
1,004

 
1,029

Conifer
 
355

 
386

 
704

 
790

Inter-segment eliminations
 
(146
)
 
(144
)
 
(292
)
 
(294
)
Net operating revenues
 
$
4,560

 
$
4,506

 
$
9,105

 
$
9,205


The table below shows the composition of net operating revenues for our Ambulatory Care segment:
 
 
Three Months Ended
June 30,
 
Six Months Ended
June 30,
 
 
2019
 
2018
 
2019
 
2018
Net patient service revenues
 
$
496

 
$
500

 
$
947

 
$
969

Management fees
 
23

 
23

 
46

 
46

Revenue from other sources
 
5

 
8

 
11

 
14

Net operating revenues
 
$
524

 
$
531

 
$
1,004

 
$
1,029


The table below shows the composition of net operating revenues for our Conifer segment:
 
 
Three Months Ended
June 30,
 
Six Months Ended
June 30,
 
 
2019
 
2018
 
2019
 
2018
Revenue cycle services – Tenet
 
$
142

 
$
139

 
$
284

 
$
283

Revenue cycle services – other customers
 
187

 
220

 
367

 
452

Other services – Tenet
 
4

 
5

 
8

 
11

Other services – other customers
 
22

 
22

 
45

 
44

Net operating revenues
 
$
355

 
$
386

 
$
704

 
$
790


Performance obligation, expected timing of satisfaction
The following table includes Conifer’s revenue that is expected to be recognized in the future related to performance obligations that are unsatisfied, or partially unsatisfied, at the end of the reporting period. The amounts in the table primarily consist of revenue cycle management fixed fees, which are typically recognized ratably as the performance obligation is satisfied. The estimated revenue does not include volume or contingency based contracts, performance incentives, penalties or other variable consideration that is considered constrained. Conifer’s contract with Common Spirit, a minority interest owner of
Conifer Health Solutions, LLC, represents the majority of the fixed-fee revenue related to remaining performance obligations. Conifer’s contract term with Common Spirit ends in 2032.
 
 
 
 
Six Months
Ending
 
Years Ending
 
Later Years
 
 
 
 
December 31,
 
 
 
Total
 
2019
 
2020
 
2021
 
2022
 
2023
 
Performance obligations
 
$
7,587

 
$
298

 
$
597

 
$
594

 
$
594

 
$
594

 
$
4,910