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Revenue (Tables) | 6 Months Ended
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Jun. 30, 2020
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, |
|  | 2020 |  |  | 2019 |  |  | 2020 |  |  | 2019 |
Acute inpatient psychiatric facilities |  | $ | 224,844 |  |  | $ | 229,128 |  |  | $ | 464,258 |  |  | $ | 445,725 |
Specialty treatment facilities |  |  | 192,479 |  |  |  | 201,269 |  |  |  | 386,090 |  |  |  | 394,304 |
Residential treatment centers |  |  | 68,845 |  |  |  | 74,084 |  |  |  | 139,279 |  |  |  | 147,308 |
Outpatient community-based facilities |  |  | 5,307 |  |  |  | 5,332 |  |  |  | 11,065 |  |  |  | 10,436 |
Revenue |  | $ | 491,475 |  |  | $ | 509,813 |  |  | $ | 1,000,692 |  |  | $ | 997,773 |
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, |
|  | 2020 |  |  | 2019 |  |  | 2020 |  |  | 2019 |
|  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |
Commercial |  | $ | 140,028 |  |  |  | 28.5 | % |  | $ | 146,917 |  |  |  | 28.8 | % |  | $ | 283,170 |  |  |  | 28.3 | % |  | $ | 286,344 |  |  |  | 28.7 | %
Medicare |  |  | 75,914 |  |  |  | 15.4 | % |  |  | 73,505 |  |  |  | 14.4 | % |  |  | 148,185 |  |  |  | 14.8 | % |  |  | 146,121 |  |  |  | 14.6 | %
Medicaid |  |  | 245,690 |  |  |  | 50.0 | % |  |  | 255,070 |  |  |  | 50.0 | % |  |  | 505,734 |  |  |  | 50.5 | % |  |  | 494,261 |  |  |  | 49.5 | %
Self-Pay |  |  | 22,476 |  |  |  | 4.6 | % |  |  | 29,624 |  |  |  | 5.8 | % |  |  | 49,510 |  |  |  | 5.0 | % |  |  | 61,356 |  |  |  | 6.2 | %
Other |  |  | 7,367 |  |  |  | 1.5 | % |  |  | 4,697 |  |  |  | 1.0 | % |  |  | 14,093 |  |  |  | 1.4 | % |  |  | 9,691 |  |  |  | 1.0 | %
Revenue |  | $ | 491,475 |  |  |  | 100.0 | % |  | $ | 509,813 |  |  |  | 100.0 | % |  | $ | 1,000,692 |  |  |  | 100.0 | % |  | $ | 997,773 |  |  |  | 100.0 | %
Summary of the Activity in Unearned Revenue | A summary of the activity in unearned revenue in the U.S. Facilities is as follows (in thousands):
Balance at December 31, 2019 |  | $ | 1,896 |
Payments received |  | $ | 49,332 |
Revenue recognized |  |  | (3,366 | )
Balance at June 30, 2020 |  | $ | 47,862 |
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, |
|  | 2020 |  |  | 2019 |  |  | 2020 |  |  | 2019 |
Healthcare facilities |  | $ | 137,538 |  |  | $ | 155,553 |  |  | $ | 285,675 |  |  | $ | 307,261 |
Education and Children’s Services |  |  | 44,630 |  |  |  | 46,142 |  |  |  | 91,296 |  |  |  | 92,264 |
Adult Care facilities |  |  | 76,668 |  |  |  | 77,854 |  |  |  | 155,458 |  |  |  | 152,681 |
Revenue |  | $ | 258,836 |  |  | $ | 279,549 |  |  | $ | 532,429 |  |  | $ | 552,206 |
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, |
|  | 2020 |  |  | 2019 |  |  | 2020 |  |  | 2019 |
|  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |
U.K. public funded sources |  | $ | 235,685 |  |  |  | 91.1 | % |  | $ | 252,332 |  |  |  | 90.3 | % |  | $ | 481,821 |  |  |  | 90.5 | % |  | $ | 497,745 |  |  |  | 90.1 | %
Self-Pay |  |  | 22,556 |  |  |  | 8.7 | % |  |  | 26,651 |  |  |  | 9.5 | % |  |  | 49,471 |  |  |  | 9.3 | % |  |  | 53,465 |  |  |  | 9.7 | %
Other |  |  | 595 |  |  |  | 0.2 | % |  |  | 566 |  |  |  | 0.2 | % |  |  | 1,137 |  |  |  | 0.2 | % |  |  | 996 |  |  |  | 0.2 | %
Revenue |  | $ | 258,836 |  |  |  | 100.0 | % |  | $ | 279,549 |  |  |  | 100.0 | % |  | $ | 532,429 |  |  |  | 100.0 | % |  | $ | 552,206 |  |  |  | 100.0 | %
Summary of the Activity in Unearned Revenue | A summary of the activity in unearned revenue in the U.K. Facilities is as follows (in thousands):
Balance at December 31, 2019 |  | $ | 36,579 |
Payments received |  |  | 76,680 |
Revenue recognized |  |  | (83,748 | )
Foreign currency translation loss |  |  | (1,947 | )
Balance at June 30, 2020 |  | $ | 27,564 |

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