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Revenue (Tables) | 9 Months Ended
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Sep. 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 |  |  | 128,866 |
Revenue recognized |  |  | (124,067 | )
Foreign currency translation loss |  |  | (1,791 | )
Balance at September 30, 2019 |  | $ | 34,247 |
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 September 30, |  |  | Nine Months Ended September 30, |
|  | 2019 |  |  | 2018 |  |  | 2019 |  |  | 2018 |
Acute inpatient psychiatric facilities |  | $ | 233,141 |  |  | $ | 208,885 |  |  | $ | 678,866 |  |  | $ | 608,311 |
Specialty treatment facilities |  |  | 201,169 |  |  |  | 198,107 |  |  |  | 595,473 |  |  |  | 575,536 |
Residential treatment centers |  |  | 69,681 |  |  |  | 72,351 |  |  |  | 216,989 |  |  |  | 218,041 |
Outpatient community-based facilities |  |  | 5,392 |  |  |  | 9,283 |  |  |  | 15,828 |  |  |  | 30,613 |
Revenue |  | $ | 509,383 |  |  | $ | 488,626 |  |  | $ | 1,507,156 |  |  | $ | 1,432,501 |
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 September 30, |  |  | Nine Months Ended September 30, |
|  | 2019 |  |  | 2018 |  |  | 2019 |  |  | 2018 |
|  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |
Commercial |  | $ | 140,315 |  |  |  | 27.5 | % |  | $ | 146,439 |  |  |  | 30.0 | % |  | $ | 426,659 |  |  |  | 28.3 | % |  | $ | 431,337 |  |  |  | 30.1 | %
Medicare |  |  | 76,906 |  |  |  | 15.1 | % |  |  | 73,528 |  |  |  | 15.0 | % |  |  | 223,027 |  |  |  | 14.8 | % |  |  | 210,307 |  |  |  | 14.7 | %
Medicaid |  |  | 256,370 |  |  |  | 50.3 | % |  |  | 229,390 |  |  |  | 46.9 | % |  |  | 750,631 |  |  |  | 49.8 | % |  |  | 668,236 |  |  |  | 46.6 | %
Self-Pay |  |  | 30,626 |  |  |  | 6.0 | % |  |  | 33,559 |  |  |  | 6.9 | % |  |  | 91,982 |  |  |  | 6.1 | % |  |  | 103,845 |  |  |  | 7.3 | %
Other |  |  | 5,166 |  |  |  | 1.1 | % |  |  | 5,710 |  |  |  | 1.2 | % |  |  | 14,857 |  |  |  | 1.0 | % |  |  | 18,776 |  |  |  | 1.3 | %
Revenue |  | $ | 509,383 |  |  |  | 100.0 | % |  | $ | 488,626 |  |  |  | 100.0 | % |  | $ | 1,507,156 |  |  |  | 100.0 | % |  | $ | 1,432,501 |  |  |  | 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 September 30, |  |  | Nine Months Ended September 30, |
|  | 2019 |  |  | 2018 |  |  | 2019 |  |  | 2018 |
Healthcare facilities |  | $ | 148,138 |  |  | $ | 150,589 |  |  | $ | 455,399 |  |  | $ | 464,098 |
Education and Children’s Services |  |  | 43,388 |  |  |  | 45,795 |  |  |  | 135,652 |  |  |  | 141,945 |
Adult Care facilities |  |  | 76,342 |  |  |  | 75,906 |  |  |  | 229,023 |  |  |  | 230,351 |
Revenue |  | $ | 267,868 |  |  | $ | 272,290 |  |  | $ | 820,074 |  |  | $ | 836,394 |
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 September 30, |  |  | Nine Months Ended September 30, |
|  | 2019 |  |  | 2018 |  |  | 2019 |  |  | 2018 |
|  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |
U.K. public funded sources |  | $ | 242,747 |  |  |  | 90.6 | % |  | $ | 245,919 |  |  |  | 90.3 | % |  | $ | 740,492 |  |  |  | 90.3 | % |  | $ | 756,094 |  |  |  | 90.4 | %
Self-Pay |  |  | 24,430 |  |  |  | 9.1 | % |  |  | 26,159 |  |  |  | 9.6 | % |  |  | 77,895 |  |  |  | 9.5 | % |  |  | 78,499 |  |  |  | 9.4 | %
Other |  |  | 691 |  |  |  | 0.3 | % |  |  | 212 |  |  |  | 0.1 | % |  |  | 1,687 |  |  |  | 0.2 | % |  |  | 1,801 |  |  |  | 0.2 | %
Revenue |  | $ | 267,868 |  |  |  | 100.0 | % |  | $ | 272,290 |  |  |  | 100.0 | % |  | $ | 820,074 |  |  |  | 100.0 | % |  | $ | 836,394 |  |  |  | 100.0 | %

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