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Revenue (Tables)
6 Months Ended
Jun. 30, 2019
Summary of the Activity in Unearned Revenue in the U.K. Facilities A summary of the activity in unearned revenue in the U.K. Facilities is as follows (in thousands):

 

Balance at December 31, 2018

 

$

31,239

 

Payments received

 

 

87,690

 

Revenue recognized

 

 

(83,456

)

Foreign currency translation loss

 

 

(747

)

Balance at June 30, 2019

 

$

34,726

 

 

U.S. Facilities [Member]  
Schedule of Revenue Attributed to Each Category

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

 

 

 

Three Months Ended

June 30,

 

 

Six Months Ended

June 30,

 

 

 

2019

 

 

2018

 

 

2019

 

 

2018

 

Acute inpatient psychiatric facilities

 

$

229,128

 

 

$

203,535

 

 

$

445,725

 

 

$

399,426

 

Specialty treatment facilities

 

 

201,269

 

 

 

192,894

 

 

 

394,304

 

 

 

377,429

 

Residential treatment centers

 

 

74,084

 

 

 

74,133

 

 

 

147,308

 

 

 

145,690

 

Outpatient community-based facilities

 

 

5,332

 

 

 

10,908

 

 

 

10,436

 

 

 

21,330

 

Revenue

 

$

509,813

 

 

$

481,470

 

 

$

997,773

 

 

$

943,875

 

Schedule of Revenue and Percentage Generated by Each Payor Type

The following table presents revenue by payor type and as a percentage of revenue in our U.S. Facilities (in thousands):

 

 

Three Months Ended

June 30,

 

 

Six Months Ended

June 30,

 

 

 

2019

 

 

2018

 

 

2019

 

 

2018

 

 

 

Amount

 

 

%

 

 

Amount

 

 

%

 

 

Amount

 

 

%

 

 

Amount

 

 

%

 

Commercial

 

$

146,917

 

 

 

28.8

%

 

$

147,279

 

 

 

30.6

%

 

$

286,344

 

 

 

28.7

%

 

$

284,898

 

 

 

30.2

%

Medicare

 

 

73,505

 

 

 

14.4

%

 

 

69,343

 

 

 

14.4

%

 

 

146,121

 

 

 

14.6

%

 

 

136,557

 

 

 

14.5

%

Medicaid

 

 

255,070

 

 

 

50.0

%

 

 

225,732

 

 

 

46.9

%

 

 

494,261

 

 

 

49.5

%

 

 

439,068

 

 

 

46.5

%

Self-Pay

 

 

29,624

 

 

 

5.8

%

 

 

33,379

 

 

 

6.9

%

 

 

61,356

 

 

 

6.2

%

 

 

70,286

 

 

 

7.4

%

Other

 

 

4,697

 

 

 

1.0

%

 

 

5,737

 

 

 

1.2

%

 

 

9,691

 

 

 

1.0

%

 

 

13,066

 

 

 

1.4

%

Revenue

 

$

509,813

 

 

 

100.0

%

 

$

481,470

 

 

 

100.0

%

 

$

997,773

 

 

 

100.0

%

 

$

943,875

 

 

 

100.0

%

 

U.K. Facilities [Member]  
Schedule of Revenue Attributed to Each Category

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

 

 

 

Three Months Ended

June 30,

 

 

Six Months Ended

June 30,

 

 

 

2019

 

 

2018

 

 

2019

 

 

2018

 

Healthcare facilities

 

$

155,553

 

 

$

158,894

 

 

$

307,261

 

 

$

313,509

 

Education and Children’s Services

 

 

46,142

 

 

 

48,065

 

 

 

92,264

 

 

 

96,150

 

Adult Care facilities

 

 

77,854

 

 

 

77,309

 

 

 

152,681

 

 

 

154,445

 

Revenue

 

$

279,549

 

 

$

284,268

 

 

$

552,206

 

 

$

564,104

 

Schedule of Revenue and Percentage Generated by Each Payor Type

The following table presents revenue by payor type and as a percentage of revenue in our U.K. Facilities (in thousands):

 

 

Three Months Ended

June 30,

 

 

Six Months Ended

June 30,

 

 

 

2019

 

 

2018

 

 

2019

 

 

2018

 

 

 

Amount

 

 

%

 

 

Amount

 

 

%

 

 

Amount

 

 

%

 

 

Amount

 

 

%

 

U.K. public funded sources

 

$

252,332

 

 

 

90.3

%

 

$

256,881

 

 

 

90.4

%

 

$

497,745

 

 

 

90.1

%

 

$

510,175

 

 

 

90.4

%

Self-Pay

 

 

26,651

 

 

 

9.5

%

 

 

27,272

 

 

 

9.6

%

 

 

53,465

 

 

 

9.7

%

 

 

52,340

 

 

 

9.3

%

Other

 

 

566

 

 

 

0.2

%

 

 

115

 

 

 

0.0

%

 

 

996

 

 

 

0.2

%

 

 

1,589

 

 

 

0.3

%

Revenue

 

$

279,549

 

 

 

100.0

%

 

$

284,268

 

 

 

100.0

%

 

$

552,206

 

 

 

100.0

%

 

$

564,104

 

 

 

100.0

%