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Revenue (Tables)
9 Months Ended
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

%