Segment Information (Tables)

12 Months Ended

Dec. 31, 2018

Segment Reporting [Abstract]

Schedule of segment reporting infomration

The following table sets forth selected segment financial and operating data:

	For the Years Ended December 31,
(in thousands)	2018		2017		2016
Revenue:
Independent Living (1)	$	599,977	$	654,196	$	679,503
Assisted Living and Memory Care (1)	1,995,851		2,210,688		2,419,459
CCRCs (1)	416,408		468,994		592,826
Health Care Services (1)	436,975		446,262		476,833
Management Services (2)	1,082,215		966,976		808,359
	$	4,531,426	$	4,747,116	$	4,976,980
Segment Operating Income (3):
Independent Living	$	240,609	$	271,417	$	294,530
Assisted Living and Memory Care	628,982		749,058		876,817
CCRCs	92,212		106,162		133,409
Health Care Services	34,080		51,348		64,463
Management Services	71,986		75,845		70,762
	1,067,869		1,253,830		1,439,981
General and administrative (including non-cash stock-based compensation expense)	250,495		255,446		313,409
Transaction costs	8,980		22,573		3,990

Facility lease expense:
Independent Living	93,496			117,131			120,272
Assisted Living and Memory Care	178,716			185,971			193,670
CCRCs	24,856			29,464			51,727
Health Care Services	—			—			—
Corporate and Management Services	6,226			7,155			7,966
Depreciation and amortization:
Independent Living	91,899			95,226			94,049
Assisted Living and Memory Care	261,365			290,344			308,639
CCRCs	53,551			44,294			66,431
Health Care Services	3,201			3,723			4,075
Corporate and Management Services	37,439			48,490			47,208
Goodwill and asset impairment:
Independent Living	2,013			2,968			31,384
Assisted Living and Memory Care	436,892			342,788			132,389
CCRCs	6,669			18,083			46,329
Health Care Services	9,055			14,599			1,596
Corporate and Management Services	35,264			31,344			36,817
Loss on facility lease termination and modification, net	162,001			14,276			11,113
Income (loss) from operations	$	(594,249	)	$	(270,045	)	$	(31,083	)
Total interest expense:
Independent Living	$	58,783		$	55,436		$	56,827
Assisted Living and Memory Care	174,459			207,861			249,449
CCRCs	26,746			27,665			39,824
Health Care Services	—			892			1,461
Corporate and Management Services	20,281			34,300			38,056
	$	280,269		$	326,154		$	385,617
Total capital expenditures for property, plant and equipment, and leasehold intangibles:
Independent Living	$	51,510		$	47,309		$	59,978
Assisted Living and Memory Care	125,750			119,717			156,732
CCRCs	26,615			24,297			37,800
Health Care Services	902			755			1,576
Corporate and Management Services	16,033			29,398			44,027
	$	220,810		$	221,476		$	300,113

	As of December 31,
(in thousands)	2018		2017
Total assets:
Independent Living	$	1,104,774	$	1,266,076
Assisted Living and Memory Care	3,684,170		4,535,114
CCRCs	707,819		667,234
Health Care Services	254,950		257,257
Corporate and Management Services	715,547		949,768
	$	6,467,260	$	7,675,449

(1) All revenue is earned from external third parties in the United States.

(2) Management services segment revenue includes reimbursements for which the Company is the primary obligor of costs incurred on behalf of managed communities.

(3) Segment operating income is defined as segment revenues less segment facility operating expenses (excluding depreciation and amortization) and costs incurred on behalf of managed communities.