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Revenue (Tables)
9 Months Ended
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