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Revenue (Tables) | 12 Months Ended
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Dec. 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 |  |  | 172,666 |
Revenue recognized |  |  | (167,811 | )
Foreign currency translation loss |  |  | 485 |
Balance at December 31, 2019 |  | $ | 36,579 |
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):
|  | Year Ended December 31, |
|  | 2019 |  |  | 2018 |  |  | 2017 |
Acute inpatient psychiatric facilities |  | $ | 912,097 |  |  | $ | 814,124 |  |  | $ | 757,211 |
Specialty treatment facilities |  |  | 788,232 |  |  |  | 761,017 |  |  |  | 725,151 |
Residential treatment centers |  |  | 286,959 |  |  |  | 293,053 |  |  |  | 284,637 |
Outpatient community-based facilities |  |  | 21,093 |  |  |  | 36,501 |  |  |  | 42,845 |
Revenue |  | $ | 2,008,381 |  |  | $ | 1,904,695 |  |  | $ | 1,809,844 |
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 for the years ended December 31, 2019, 2018 and 2017 (in thousands):
|  | Year Ended December 31, |
|  | 2019 |  |  | 2018 |  |  | 2017 |
|  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |
Commercial |  | $ | 565,350 |  |  |  | 28.2 | % |  | $ | 573,089 |  |  |  | 30.1 | % |  | $ | 569,242 |  |  |  | 30.8 | %
Medicare |  |  | 294,691 |  |  |  | 14.7 | % |  |  | 280,340 |  |  |  | 14.7 | % |  |  | 281,270 |  |  |  | 15.2 | %
Medicaid |  |  | 1,007,102 |  |  |  | 50.1 | % |  |  | 893,644 |  |  |  | 46.9 | % |  |  | 796,375 |  |  |  | 43.0 | %
Self-Pay |  |  | 118,716 |  |  |  | 5.9 | % |  |  | 134,054 |  |  |  | 7.1 | % |  |  | 169,727 |  |  |  | 9.2 | %
Other |  |  | 22,522 |  |  |  | 1.1 | % |  |  | 23,568 |  |  |  | 1.2 | % |  |  | 33,942 |  |  |  | 1.8 | %
Revenue before provision for doubtful accounts |  |  | 2,008,381 |  |  |  | 100.0 | % |  |  | 1,904,695 |  |  |  | 100.0 | % |  |  | 1,850,556 |  |  |  | 100.0 | %
Provision for doubtful accounts |  |  | — |  |  |  |  |  |  |  | — |  |  |  |  |  |  |  | (40,712 | ) |  |  |  |
Revenue |  | $ | 2,008,381 |  |  |  |  |  |  | $ | 1,904,695 |  |  |  |  |  |  | $ | 1,809,844 |  |  |  |  |
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):
|  | Year Ended December 31, |
|  | 2019 |  |  | 2018 |  |  | 2017 |
Healthcare facilities |  | $ | 607,053 |  |  | $ | 614,994 |  |  | $ | 566,482 |
Education and Children’s Services |  |  | 183,195 |  |  |  | 187,306 |  |  |  | 165,874 |
Adult Care facilities |  |  | 308,833 |  |  |  | 305,447 |  |  |  | 294,116 |
Revenue |  | $ | 1,099,081 |  |  | $ | 1,107,747 |  |  | $ | 1,026,472 |
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 for the years ended December 31, 2019, 2018 and 2017 (in thousands):
|  | Year Ended December 31, |
|  | 2019 |  |  | 2018 |  |  | 2017 |
|  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |
U.K. public funded sources |  | $ | 991,353 |  |  |  | 90.2 | % |  | $ | 1,000,828 |  |  |  | 90.3 | % |  | $ | 922,159 |  |  |  | 89.8 | %
Self-Pay |  |  | 105,430 |  |  |  | 9.6 | % |  |  | 104,824 |  |  |  | 9.5 | % |  |  | 95,687 |  |  |  | 9.3 | %
Other |  |  | 2,298 |  |  |  | 0.2 | % |  |  | 2,095 |  |  |  | 0.2 | % |  |  | 8,832 |  |  |  | 0.9 | %
Revenue before provision for doubtful accounts |  |  | 1,099,081 |  |  |  | 100.0 | % |  |  | 1,107,747 |  |  |  | 100.0 | % |  |  | 1,026,678 |  |  |  | 100.0 | %
Provision for doubtful accounts |  |  | — |  |  |  |  |  |  |  | — |  |  |  |  |  |  |  | (206 | ) |  |  |  |
Revenue |  | $ | 1,099,081 |  |  |  |  |  |  | $ | 1,107,747 |  |  |  |  |  |  | $ | 1,026,472 |  |  |  |  |

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