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REVENUE RECOGNITION (Tables)
9 Months Ended
Sep. 30, 2018
Revenue from Contract with Customer [Abstract]  
Schedule of New Accounting Pronouncements and Changes in Accounting Principles
As a result of applying the modified retrospective method to adopt ASC 606, the following adjustments were made to our operating results:

 
Three Months Ended September 30, 2018
 
As Reported
 
Increase
(Decrease)
 
Balances as if the previous accounting guidance was in effect
Patient Revenues, net
$141,431
 
3,903
(a)
$145,065
 
(269)
(b)
 
3,634
 
Operating Expenses
$113,799
 
3,903
(a)
$117,702
Total Expenses
$147,397
 
3,903
(a)
$151,300

(a) Adjusts for the implicit price concession of bad debt expense.
(b) Adjusts for the implementation of ASC 606.

 
Nine Months Ended September 30, 2018
 
As Reported
 
Increase
(Decrease)
 
Balances as if the previous accounting guidance was in effect
Patient Revenues, net
$423,798
 
11,155
(a)
$434,066
 
(887)
(b)
 
10,268
 
Operating Expenses
$337,517
 
11,155
(a)
$348,672
Total Expenses
$427,672
 
11,155
(a)
$438,827

(a) Adjusts for the implicit price concession of bad debt expense.
(b) Adjusts for the implementation of ASC 606.

 
As of September 30, 2018
 
As Reported
 
Increase
(Decrease)
 
Balances as if the previous accounting guidance was in effect
Accounts Receivable
$65,927
 
(887)
(a)

$81,275
 
16,235
(b)
 
15,348
 
Accumulated Deficit
$(23,432)
 
887
(a)

$(22,829)
 
(284)
(c)
 
603
 

(a) Adjusts for the implementation of ASC 606.
(b) Adjusts for a direct reduction of accounts receivable that would have been reflected as allowance for doubtful accounts in the consolidated balance sheet prior to the adoption of ASC 606.
(c) Reflects the tax impact for the ASC 606 adjustment of $887.
Disaggregation of Revenue
The following table summarizes revenue from contracts with customers by payor source for the periods presented (dollar amounts in thousands):

 
Three Months Ended September 30,
 
2018
 
2018
 
2017(1)
 
As reported
 
As Adjusted to Legacy GAAP
 
As reported
Medicaid
$
68,929

48.7
%
 
$
78,200

53.9
%
 
$
77,027

52.6
%
Medicare
26,997

19.1
%
 
34,933

24.1
%
 
36,449

24.9
%
Managed Care
12,404

8.8
%
 
10,874

7.5
%
 
10,992

7.5
%
Private Pay and other
33,101

23.4
%
 
21,058

14.5
%
 
21,909

15.0
%
Total
$
141,431

100.0
%
 
$
145,065

100.0
%
 
$
146,377

100.0
%
 
Nine Months Ended September 30,
 
2018
 
2018
 
2017(1)
 
As reported
 
As Adjusted to Legacy GAAP
 
As reported
Medicaid
$
198,418

46.8
%
 
$
226,631

52.2
%
 
$
223,410

51.9
%
Medicare
84,611

20.0
%
 
109,150

25.1
%
 
113,360

26.3
%
Managed Care
39,919

9.4
%
 
34,854

8.0
%
 
31,756

7.4
%
Private Pay and other
100,850

23.8
%
 
63,431

14.7
%
 
61,901

14.4
%
Total
$
423,798

100.0
%
 
$
434,066

100.0
%
 
$
430,427

100.0
%

(1) As noted above, prior period amounts have not been adjusted under the application of the modified retrospective method.