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Revenue (Tables) | 9 Months Ended
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Sep. 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 September 30, |  |  | Nine Months Ended September 30, |
|  | 2020 |  |  | 2019 |  |  | 2020 |  |  | 2019 |
Acute inpatient psychiatric facilities |  | $ | 259,353 |  |  | $ | 233,141 |  |  | $ | 723,611 |  |  | $ | 678,866 |
Specialty treatment facilities |  |  | 211,796 |  |  |  | 201,169 |  |  |  | 597,886 |  |  |  | 595,473 |
Residential treatment centers |  |  | 71,153 |  |  |  | 69,681 |  |  |  | 210,432 |  |  |  | 216,989 |
Outpatient community-based facilities |  |  | 5,659 |  |  |  | 5,392 |  |  |  | 16,724 |  |  |  | 15,828 |
Revenue |  | $ | 547,961 |  |  | $ | 509,383 |  |  | $ | 1,548,653 |  |  | $ | 1,507,156 |
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, |
|  | 2020 |  |  | 2019 |  |  | 2020 |  |  | 2019 |
|  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |
Commercial |  | $ | 156,741 |  |  |  | 28.6 | % |  | $ | 140,315 |  |  |  | 27.5 | % |  | $ | 439,911 |  |  |  | 28.4 | % |  | $ | 426,659 |  |  |  | 28.3 | %
Medicare |  |  | 96,536 |  |  |  | 17.6 | % |  |  | 76,906 |  |  |  | 15.1 | % |  |  | 244,721 |  |  |  | 15.9 | % |  |  | 223,027 |  |  |  | 14.8 | %
Medicaid |  |  | 261,341 |  |  |  | 47.7 | % |  |  | 256,370 |  |  |  | 50.3 | % |  |  | 767,075 |  |  |  | 49.4 | % |  |  | 750,631 |  |  |  | 49.8 | %
Self-Pay |  |  | 26,060 |  |  |  | 4.8 | % |  |  | 30,626 |  |  |  | 6.0 | % |  |  | 75,570 |  |  |  | 4.9 | % |  |  | 91,982 |  |  |  | 6.1 | %
Other |  |  | 7,283 |  |  |  | 1.3 | % |  |  | 5,166 |  |  |  | 1.1 | % |  |  | 21,376 |  |  |  | 1.4 | % |  |  | 14,857 |  |  |  | 1.0 | %
Revenue |  | $ | 547,961 |  |  |  | 100.0 | % |  | $ | 509,383 |  |  |  | 100.0 | % |  | $ | 1,548,653 |  |  |  | 100.0 | % |  | $ | 1,507,156 |  |  |  | 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 |  |  | 50,087 |
Revenue recognized |  |  | (4,593 | )
Balance at September 30, 2020 |  | $ | 47,390 |
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, |
|  | 2020 |  |  | 2019 |  |  | 2020 |  |  | 2019 |
Healthcare facilities |  | $ | 157,277 |  |  | $ | 148,138 |  |  | $ | 442,952 |  |  | $ | 455,399 |
Education and Children’s Services |  |  | 47,190 |  |  |  | 43,388 |  |  |  | 138,486 |  |  |  | 135,652 |
Adult Care facilities |  |  | 80,876 |  |  |  | 76,342 |  |  |  | 236,334 |  |  |  | 229,023 |
Revenue |  | $ | 285,343 |  |  | $ | 267,868 |  |  | $ | 817,772 |  |  | $ | 820,074 |
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, |
|  | 2020 |  |  | 2019 |  |  | 2020 |  |  | 2019 |
|  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |
U.K. public funded sources |  | $ | 258,508 |  |  |  | 90.6 | % |  | $ | 242,747 |  |  |  | 90.6 | % |  | $ | 740,329 |  |  |  | 90.5 | % |  | $ | 740,492 |  |  |  | 90.3 | %
Self-Pay |  |  | 26,147 |  |  |  | 9.2 | % |  |  | 24,430 |  |  |  | 9.1 | % |  |  | 75,618 |  |  |  | 9.3 | % |  |  | 77,895 |  |  |  | 9.5 | %
Other |  |  | 688 |  |  |  | 0.2 | % |  |  | 691 |  |  |  | 0.3 | % |  |  | 1,825 |  |  |  | 0.2 | % |  |  | 1,687 |  |  |  | 0.2 | %
Revenue |  | $ | 285,343 |  |  |  | 100.0 | % |  | $ | 267,868 |  |  |  | 100.0 | % |  | $ | 817,772 |  |  |  | 100.0 | % |  | $ | 820,074 |  |  |  | 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 |  |  | 124,691 |
Revenue recognized |  |  | (129,790 | )
Foreign currency translation loss |  |  | (850 | )
Balance at September 30, 2020 |  | $ | 30,630 |

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