Revenue (Tables)

12 Months Ended

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