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Accounts Receivable and Net Revenue (Tables)
3 Months Ended
Mar. 31, 2019
Text Block [Abstract]  
Schedule of Accounts Receivable, Net
Accounts receivable, net consists of the following (in thousands):
 
  
March 31, 2019
  
December 31, 2018
 
Gross accounts receivable
 $1,966,918  $1,993,395 
Allowance for contractual adjustments and uncollectibles
  (1,444,280  (1,486,672
  
 
 
  
 
 
 
  $522,638  $506,723 
  
 
 
  
 
 
 
Schedule of Net Revenue
The following table summarizes the Company’s net revenue by category (in thousands):
 
  
Three Months Ended

March 31,
 
  
2019
  
2018
 
Net patient service revenue
 $749,585  $ 756,374 
Hospital contract administrative fees
  94,721   91,239 
Other revenue
  6,877   5,015 
  
 
 
  
 
 
 
  $ 851,183  $ 852,628 
  
 
 
  
 
 
 
Schedule of Percentage of Net Revenue
The approximate percentage of net patient service revenue by type of payor was as follows:
 
  
Three Months Ended

March 31,
 
  
2019
  
2018
 
Contracted managed care
  69%  70%
Government
  24   25 
Other third-parties
  5   4 
Private-pay patients
  2   1 
  
 
 
  
 
 
 
   100  100