Revenue (Tables)

12 Months Ended

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