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126 - Disclosure - SIGNIFICANT ACCOUNTING POLICIES (Tables)
(http://www.iasishealthcare.com/taxonomy/role/NotesToFinancialStatementsSignificantAccountingPoliciesTextBlockTables)
Table(Implied)
Slicers (applies to each fact value in each table cell)
Reporting Entity [Axis]0001294632 (http://www.sec.gov/CIK)
Accounting Policies [Abstract]Period [Axis]
2015-10-01 - 2016-09-30
Accounting Policies [Abstract]
 
Summary of Sources of Net Patient Revenue Before its Provision for Bad Debts by Payor

The sources of the Company’s hospital net patient revenue by payor before its provision for bad debts are summarized as follows:

 

     Year Ended
September 30,		  
     2016     2015     2014  

Medicare

      18.8 %      19.6 %      20.4 % 

Managed Medicare

      10.6        10.4        10.8   

Medicaid and managed Medicaid

      11.6        12.2        12.8   

Managed care

      43.8        42.7        40.9   

Self-pay

      15.2        15.1        15.1   
  

 

 

    

 

 

    

 

 

  

Total

      100.0 %      100.0 %      100.0 % 
  

 

 

    

 

 

    

 

 

  
  
Summary of Allowance for Doubtful Accounts

A summary of activity in the Company’s allowance for doubtful accounts is as follows (in thousands):

 

     Beginning
Balance		      Provision for
Bad Debts		      Accounts
Written Off,
Net of
Recoveries		      Ending
Balance		  

Year ended September 30, 2014

    $ 255,725       $ 337,118       $ (372,046 )     $ 220,797   

Year ended September 30, 2015

      220,797         359,241         (369,972 )       210,066   

Year ended September 30, 2016

      210,066         385,903         (374,528 )       221,441   

  
Summary of Premium, Service and Other Revenue by Product Line

The sources of Health Choice’s premium, service and other revenue by major product line are summarized as follows:

 

     Year Ended
September 30,		  
     2016     2015     2014  

Medicaid and Medicaid MSO

      88.3 %      85.7 %      86.7 % 

MAPD SNP

      9.8        13.0        13.1   

Other

      1.9        1.3        0.2   
  

 

 

    

 

 

    

 

 

  

Total

      100.0 %      100.0 %      100.0 % 
  

 

 

    

 

 

    

 

 

  
  
Summary of Receivables Under Texas Private Supplemental Medicaid Reimbursement Programs

The source of the Company’s receivables under these Texas private supplemental Medicaid reimbursements programs are comprised of the following:

 

     September 30,
2016		      September 30,
2015		  

Disproportionate share hospital (“DSH”) program

    $ 3,585       $ 20,246   

Uncompensated care (“UC”) program

      3,651         26,660   

Delivery System Reform Incentive Pool (“DSRIP”)

      22,133         30,646   
  

 

 

     

 

 

  
   $ 29,369       $ 77,552   
  

 

 

     

 

 

  
  
Components of Change in Medical Claims Payable

The following table shows the components of the change in medical claims payable (in thousands):

 

     Year Ended September 30,  
     2016      2015      2014  

Medical claims payable, beginning of year

    $ 104,296       $ 79,449       $ 57,514   

Reinsurance recoverable, beginning of year

      (18,927 )       (2,920 )       (4,647 ) 
  

 

 

     

 

 

     

 

 

  

Net claims payable, beginning of year

      85,369         76,529         52,867   

Medical claims expense attributable to:

         

Current year

      1,117,081         715,658         592,642   

Prior year

      18,175         17,022         4,136   
  

 

 

     

 

 

     

 

 

  

Medical claims expense

      1,135,256         732,680         596,778   

Medical claims payments attributable to:

         

Current year

      (957,963 )       (634,295 )       (510,900 ) 

Prior year

      (117,869 )       (89,545 )       (62,216 ) 
  

 

 

     

 

 

     

 

 

  

Medical claims paid

      (1,075,832 )       (723,840 )       (573,116 ) 

Net claims payable, end of year

      144,793         85,369         76,529   

Reinsurance recoverable, end of year

      22,231         18,927         2,920   
  

 

 

     

 

 

     

 

 

  

Medical claims payable, end of year

    $ 167,024       $ 104,296       $ 79,449   
  

 

 

     

 

 

     

 

 

  
  
Carrying Value and Fair Value of Senior Secured Term Loan Facility and 8.375% Senior Notes Due 2019

The carrying value and fair value of the Company’s senior secured term loan facility and its 8.375% senior notes due 2019 (the “Senior Notes”) as of September 30, 2016 and 2015, were as follows (in thousands):

 

     Carrying Amount      Fair Value  
     September 30,
2016		      September 30,
2015		      September 30,
2016		      September 30,
2015		  

Senior secured term loan facility

    $ 968,138       $ 977,477       $ 959,004       $ 980,592   

Senior Notes

      847,916         847,147         771,284         875,397