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Revenue (Tables) | 6 Months Ended
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Jun. 30, 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 |  |  | 87,690 |
Revenue recognized |  |  | (83,456 | )
Foreign currency translation loss |  |  | (747 | )
Balance at June 30, 2019 |  | $ | 34,726 |
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 June 30, |  |  | Six Months Ended June 30, |
|  | 2019 |  |  | 2018 |  |  | 2019 |  |  | 2018 |
Acute inpatient psychiatric facilities |  | $ | 229,128 |  |  | $ | 203,535 |  |  | $ | 445,725 |  |  | $ | 399,426 |
Specialty treatment facilities |  |  | 201,269 |  |  |  | 192,894 |  |  |  | 394,304 |  |  |  | 377,429 |
Residential treatment centers |  |  | 74,084 |  |  |  | 74,133 |  |  |  | 147,308 |  |  |  | 145,690 |
Outpatient community-based facilities |  |  | 5,332 |  |  |  | 10,908 |  |  |  | 10,436 |  |  |  | 21,330 |
Revenue |  | $ | 509,813 |  |  | $ | 481,470 |  |  | $ | 997,773 |  |  | $ | 943,875 |
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 June 30, |  |  | Six Months Ended June 30, |
|  | 2019 |  |  | 2018 |  |  | 2019 |  |  | 2018 |
|  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |
Commercial |  | $ | 146,917 |  |  |  | 28.8 | % |  | $ | 147,279 |  |  |  | 30.6 | % |  | $ | 286,344 |  |  |  | 28.7 | % |  | $ | 284,898 |  |  |  | 30.2 | %
Medicare |  |  | 73,505 |  |  |  | 14.4 | % |  |  | 69,343 |  |  |  | 14.4 | % |  |  | 146,121 |  |  |  | 14.6 | % |  |  | 136,557 |  |  |  | 14.5 | %
Medicaid |  |  | 255,070 |  |  |  | 50.0 | % |  |  | 225,732 |  |  |  | 46.9 | % |  |  | 494,261 |  |  |  | 49.5 | % |  |  | 439,068 |  |  |  | 46.5 | %
Self-Pay |  |  | 29,624 |  |  |  | 5.8 | % |  |  | 33,379 |  |  |  | 6.9 | % |  |  | 61,356 |  |  |  | 6.2 | % |  |  | 70,286 |  |  |  | 7.4 | %
Other |  |  | 4,697 |  |  |  | 1.0 | % |  |  | 5,737 |  |  |  | 1.2 | % |  |  | 9,691 |  |  |  | 1.0 | % |  |  | 13,066 |  |  |  | 1.4 | %
Revenue |  | $ | 509,813 |  |  |  | 100.0 | % |  | $ | 481,470 |  |  |  | 100.0 | % |  | $ | 997,773 |  |  |  | 100.0 | % |  | $ | 943,875 |  |  |  | 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 June 30, |  |  | Six Months Ended June 30, |
|  | 2019 |  |  | 2018 |  |  | 2019 |  |  | 2018 |
Healthcare facilities |  | $ | 155,553 |  |  | $ | 158,894 |  |  | $ | 307,261 |  |  | $ | 313,509 |
Education and Children’s Services |  |  | 46,142 |  |  |  | 48,065 |  |  |  | 92,264 |  |  |  | 96,150 |
Adult Care facilities |  |  | 77,854 |  |  |  | 77,309 |  |  |  | 152,681 |  |  |  | 154,445 |
Revenue |  | $ | 279,549 |  |  | $ | 284,268 |  |  | $ | 552,206 |  |  | $ | 564,104 |
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 June 30, |  |  | Six Months Ended June 30, |
|  | 2019 |  |  | 2018 |  |  | 2019 |  |  | 2018 |
|  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |
U.K. public funded sources |  | $ | 252,332 |  |  |  | 90.3 | % |  | $ | 256,881 |  |  |  | 90.4 | % |  | $ | 497,745 |  |  |  | 90.1 | % |  | $ | 510,175 |  |  |  | 90.4 | %
Self-Pay |  |  | 26,651 |  |  |  | 9.5 | % |  |  | 27,272 |  |  |  | 9.6 | % |  |  | 53,465 |  |  |  | 9.7 | % |  |  | 52,340 |  |  |  | 9.3 | %
Other |  |  | 566 |  |  |  | 0.2 | % |  |  | 115 |  |  |  | 0.0 | % |  |  | 996 |  |  |  | 0.2 | % |  |  | 1,589 |  |  |  | 0.3 | %
Revenue |  | $ | 279,549 |  |  |  | 100.0 | % |  | $ | 284,268 |  |  |  | 100.0 | % |  | $ | 552,206 |  |  |  | 100.0 | % |  | $ | 564,104 |  |  |  | 100.0 | %

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