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Revenue (Tables)
3 Months Ended
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

%