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Revenue (Tables) | 12 Months Ended
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Dec. 31, 2020
Revenue From Contract With Customer [Abstract] |
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, |
|  | 2020 |  |  | 2019 |  |  | 2018 |
Acute inpatient psychiatric facilities |  | $ | 984,609 |  |  | $ | 912,097 |  |  | $ | 814,124 |
Specialty treatment facilities |  |  | 802,022 |  |  |  | 788,232 |  |  |  | 761,017 |
Residential treatment centers |  |  | 281,158 |  |  |  | 286,959 |  |  |  | 293,053 |
Outpatient community-based facilities |  |  | 22,140 |  |  |  | 21,093 |  |  |  | 36,501 |
Revenue |  | $ | 2,089,929 |  |  | $ | 2,008,381 |  |  | $ | 1,904,695 |
Schedule of Revenue and Percentage Generated by Each Payor Type in U.S Facilities | 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, 2020, 2019 and 2018 (in thousands):
|  | Year Ended December 31, |
|  | 2020 |  |  | 2019 |  |  | 2018 |
|  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |
Commercial |  | $ | 596,698 |  |  |  | 28.5 | % |  | $ | 565,350 |  |  |  | 28.2 | % |  | $ | 573,089 |  |  |  | 30.1 | %
Medicare |  |  | 330,070 |  |  |  | 15.8 | % |  |  | 294,691 |  |  |  | 14.7 | % |  |  | 280,340 |  |  |  | 14.7 | %
Medicaid |  |  | 1,037,852 |  |  |  | 49.7 | % |  |  | 1,007,102 |  |  |  | 50.1 | % |  |  | 893,644 |  |  |  | 46.9 | %
Self-Pay |  |  | 98,302 |  |  |  | 4.7 | % |  |  | 118,716 |  |  |  | 5.9 | % |  |  | 134,054 |  |  |  | 7.1 | %
Other |  |  | 27,007 |  |  |  | 1.3 | % |  |  | 22,522 |  |  |  | 1.1 | % |  |  | 23,568 |  |  |  | 1.2 | %
Revenue |  | $ | 2,089,929 |  |  |  | 100.0 | % |  | $ | 2,008,381 |  |  |  | 100.0 | % |  | $ | 1,904,695 |  |  |  | 100.0 | %
Summary of the Activity in Unearned Revenue in U.S. Facilities | A summary of the activity in unearned revenue in the U.S. Facilities is as follows (in thousands):
Balance at December 31, 2019 |  | $ | 1,895 |
Payments received |  |  | 51,044 |
Revenue recognized |  |  | (5,743 | )
Balance at December 31, 2020 |  | $ | 47,196 |

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- Definition Tabular disclosure of receivable, contract asset, and contract liability from contract with customer. Includes, but is not limited to, change in contract asset and contract liability. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 10 -URI http://asc.fasb.org/extlink&oid=121604090&loc=SL49130551-203045 + Details
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- Definition Tabular disclosure of disaggregation of revenue into categories depicting how nature, amount, timing, and uncertainty of revenue and cash flows are affected by economic factor. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=121604090&loc=SL49130545-203045 + Details
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