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Revenue (Tables) | 12 Months Ended
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Dec. 31, 2022
Revenue From Contract With Customer [Abstract] |
Schedule of Revenue Attributed to Each Category | The table below presents total revenue from continuing operations attributed to each category (in thousands):
|  | Year Ended December 31, |
|  | 2022 |  |  | 2021 |  |  | 2020 |
Acute inpatient psychiatric facilities |  | $ | 1,330,757 |  |  | $ | 1,126,872 |  |  | $ | 984,609 |
Specialty treatment facilities |  |  | 564,671 |  |  |  | 510,929 |  |  |  | 452,805 |
Comprehensive treatment centers |  |  | 419,940 |  |  |  | 385,635 |  |  |  | 349,217 |
Residential treatment centers |  |  | 295,031 |  |  |  | 283,169 |  |  |  | 281,158 |
Other |  |  | — |  |  |  | 7,789 |  |  |  | 22,140 |
Revenue |  | $ | 2,610,399 |  |  | $ | 2,314,394 |  |  | $ | 2,089,929 |
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 for continuing operations for the years ended December 31, 2022, 2021 and 2020 (in thousands):
|  | Year Ended December 31, |
|  | 2022 |  |  | 2021 |  |  | 2020 |
|  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |
Commercial |  | $ | 788,895 |  |  |  | 30.2 | % |  | $ | 684,292 |  |  |  | 29.6 | % |  | $ | 596,698 |  |  |  | 28.5 | %
Medicare |  |  | 394,227 |  |  |  | 15.1 | % |  |  | 364,598 |  |  |  | 15.8 | % |  |  | 330,070 |  |  |  | 15.8 | %
Medicaid |  |  | 1,319,600 |  |  |  | 50.6 | % |  |  | 1,147,884 |  |  |  | 49.6 | % |  |  | 1,037,852 |  |  |  | 49.7 | %
Self-Pay |  |  | 76,050 |  |  |  | 2.9 | % |  |  | 93,425 |  |  |  | 4.0 | % |  |  | 98,302 |  |  |  | 4.7 | %
Other |  |  | 31,627 |  |  |  | 1.2 | % |  |  | 24,195 |  |  |  | 1.0 | % |  |  | 27,007 |  |  |  | 1.3 | %
Revenue |  | $ | 2,610,399 |  |  |  | 100.0 | % |  | $ | 2,314,394 |  |  |  | 100.0 | % |  | $ | 2,089,929 |  |  |  | 100.0 | %
Summary of the Activity in Unearned Revenue in U.S. Facilities | A summary of the activity in contract liabilities is as follows (in thousands):
Balance at December 31, 2020 |  | $ | 47,196 |
Payments received |  |  | 11,739 |
Revenue recognized |  |  | (3,463 | )
Medicare advance repayments |  |  | (25,101 | )
Balance at December 31, 2021 |  | $ | 30,371 |
Payments received |  |  | 22,914 |
Revenue recognized |  |  | (26,497 | )
Medicare advance repayments |  |  | (20,135 | )
Balance at December 31, 2022 |  | $ | 6,653 |

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