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Revenue (Tables) | 3 Months Ended
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Mar. 31, 2019
Summary of the Activity in Unearned Revenue in the U.K. Facilities | A summary of the activity in unearned revenue in the U.K. Facilities is as follows (in thousands):
Balance at December 31, 2018 |  | $ | 31,239 |
Payments received |  |  | 48,216 |
Revenue recognized |  |  | (39,736 | )
Foreign currency translation gain |  |  | 480 |
Balance at March 31, 2019 |  | $ | 40,199 |
U.S. Facilities [Member] |
Schedule of Revenue Attributed to Each Category | The table below presents total U.S. revenue attributed to each category (in thousands):
|  | Three Months Ended March 31, |
|  | 2019 |  |  | 2018 |
Acute inpatient psychiatric facilities |  | $ | 216,597 |  |  | $ | 195,891 |
Specialty treatment facilities |  |  | 193,035 |  |  |  | 184,535 |
Residential treatment centers |  |  | 73,224 |  |  |  | 71,557 |
Outpatient community-based facilities |  |  | 5,104 |  |  |  | 10,422 |
Revenue |  | $ | 487,960 |  |  | $ | 462,405 |
Schedule of Revenue and Percentage Generated by Each Payor Type | The following table presents revenue by payor type and as a percentage of revenue in our U.S. Facilities (in thousands):
|  | Three Months Ended March 31, |
|  | 2019 |  |  | 2018 |
|  | Amount |  |  | % |  |  | Amount |  |  | % |
Commercial |  | $ | 139,427 |  |  |  | 28.6 | % |  | $ | 137,619 |  |  |  | 29.8 | %
Medicare |  |  | 72,616 |  |  |  | 14.9 | % |  |  | 67,214 |  |  |  | 14.5 | %
Medicaid |  |  | 239,191 |  |  |  | 49.0 | % |  |  | 213,336 |  |  |  | 46.1 | %
Self-Pay |  |  | 31,732 |  |  |  | 6.5 | % |  |  | 36,907 |  |  |  | 8.0 | %
Other |  |  | 4,994 |  |  |  | 1.0 | % |  |  | 7,329 |  |  |  | 1.6 | %
Revenue |  | $ | 487,960 |  |  |  | 100.0 | % |  | $ | 462,405 |  |  |  | 100.0 | %
U.K. Facilities [Member] |
Schedule of Revenue Attributed to Each Category | The table below presents total U.K. revenue attributed to each category (in thousands):
|  | Three Months Ended March 31, |
|  | 2019 |  |  | 2018 |
Healthcare facilities |  | $ | 151,708 |  |  | $ | 154,615 |
Education and Children’s Services |  |  | 46,122 |  |  |  | 48,085 |
Adult Care facilities |  |  | 74,827 |  |  |  | 77,136 |
Revenue |  | $ | 272,657 |  |  | $ | 279,836 |
Schedule of Revenue and Percentage Generated by Each Payor Type | The following table presents revenue by payor type and as a percentage of revenue in our U.K. Facilities (in thousands):
|  | Three Months Ended March 31, |
|  | 2019 |  |  | 2018 |
|  | Amount |  |  | % |  |  | Amount |  |  | % |
U.K. public funded sources |  | $ | 245,413 |  |  |  | 90.0 | % |  | $ | 253,294 |  |  |  | 90.5 | %
Self-Pay |  |  | 26,814 |  |  |  | 9.8 | % |  |  | 25,068 |  |  |  | 9.0 | %
Other |  |  | 430 |  |  |  | 0.2 | % |  |  | 1,474 |  |  |  | 0.5 | %
Revenue |  | $ | 272,657 |  |  |  | 100.0 | % |  | $ | 279,836 |  |  |  | 100.0 | %

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