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Revenue (Tables) - U.S. Facilities [Member]
9 Months Ended
Sep. 30, 2021
Schedule of Revenue Attributed to Each Category

The table below presents total revenue attributed to each category (in thousands):

 

 

 

Three Months Ended

September 30,

 

 

Nine Months Ended

September 30,

 

 

 

2021

 

 

2020

 

 

2021

 

 

2020

 

Acute inpatient psychiatric facilities

 

$

284,143

 

 

$

259,353

 

 

$

832,692

 

 

$

723,611

 

Specialty treatment facilities

 

 

230,753

 

 

 

211,796

 

 

 

669,552

 

 

 

597,886

 

Residential treatment centers

 

 

71,006

 

 

 

71,153

 

 

 

211,377

 

 

 

210,432

 

Outpatient community-based facilities

 

 

1,657

 

 

 

5,659

 

 

 

7,293

 

 

 

16,724

 

Revenue

 

$

587,559

 

 

$

547,961

 

 

$

1,720,914

 

 

$

1,548,653

 

Schedule of Revenue and Percentage Generated by Each Payor Type

The following table presents the Company’s revenue by payor type and as a percentage of revenue (in thousands):

 

 

Three Months Ended

September 30,

 

 

Nine Months Ended

September 30,

 

 

 

2021

 

 

2020

 

 

2021

 

 

2020

 

 

 

Amount

 

 

%

 

 

Amount

 

 

%

 

 

Amount

 

 

%

 

 

Amount

 

 

%

 

Commercial

 

$

170,427

 

 

 

29.0

%

 

$

156,741

 

 

 

28.6

%

 

$

511,975

 

 

 

29.8

%

 

$

439,911

 

 

 

28.4

%

Medicare

 

 

97,529

 

 

 

16.6

%

 

 

96,536

 

 

 

17.6

%

 

 

274,208

 

 

 

15.9

%

 

 

244,721

 

 

 

15.9

%

Medicaid

 

 

288,092

 

 

 

49.0

%

 

 

261,341

 

 

 

47.7

%

 

 

845,128

 

 

 

49.1

%

 

 

767,075

 

 

 

49.4

%

Self-Pay

 

 

25,998

 

 

 

4.4

%

 

 

26,060

 

 

 

4.8

%

 

 

71,875

 

 

 

4.2

%

 

 

75,570

 

 

 

4.9

%

Other

 

 

5,513

 

 

 

1.0

%

 

 

7,283

 

 

 

1.3

%

 

 

17,728

 

 

 

1.0

%

 

 

21,376

 

 

 

1.4

%

Revenue

 

$

587,559

 

 

 

100.0

%

 

$

547,961

 

 

 

100.0

%

 

$

1,720,914

 

 

 

100.0

%

 

$

1,548,653

 

 

 

100.0

%

Summary of the Activity in Contract Liabilities A summary of the activity in contract liabilities is as follows (in thousands):

Balance at December 31, 2020

 

$

47,196

 

Payments received

 

 

5,385

 

Revenue recognized

 

 

(2,724

)

Medicare advance repayments

 

 

(16,931

)

Balance at September 30, 2021

 

$

32,926