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Revenue (Tables)
12 Months Ended
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