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Revenue
3 Months Ended
Mar. 31, 2019
Revenue from Contract with Customer [Abstract]  
Revenue
Revenue

Disaggregation of Revenue

The Company disaggregates its revenue from contracts with customers by payor source, as the Company believes it best depicts how the nature, amount, timing and uncertainty of its revenue and cash flows are affected by economic factors. See details on a reportable segment basis in the table below.
 
Three Months Ended March 31, 2019
(in thousands)
Independent Living
 
Assisted Living and Memory Care
 
CCRCs
 
Health Care Services
 
Total
Private pay
$
135,045

 
$
441,911

 
$
71,533

 
$
190

 
$
648,679

Government reimbursement
649

 
16,615

 
21,487

 
88,657

 
127,408

Other third-party payor programs

 

 
10,707

 
22,685

 
33,392

Total resident fee revenue
$
135,694

 
$
458,526

 
$
103,727

 
$
111,532

 
$
809,479

 
 
 
 
 
 
 
 
 
 
 
Three Months Ended March 31, 2018
(in thousands)
Independent Living
 
Assisted Living and Memory Care
 
CCRCs
 
Health Care Services
 
Total
Private pay
$
157,507

 
$
514,264

 
$
70,721

 
$
269

 
$
742,761

Government reimbursement
890

 
18,016

 
23,706

 
92,627

 
135,239

Other third-party payor programs

 

 
10,642

 
17,624

 
28,266

Total resident fee revenue
$
158,397

 
$
532,280

 
$
105,069

 
$
110,520

 
$
906,266


The Company has not further disaggregated management fee revenues and revenue for reimbursed costs incurred on behalf of managed communities as the economic factors affecting the nature, timing, amount, and uncertainty of revenue and cash flows do not significantly vary within each respective revenue category.

Contract Balances

Resident fee revenue for recurring and routine monthly services is generally billed monthly in advance under the Company's independent living, assisted living, and memory care residency agreements. Resident fee revenue for standalone or certain ancillary services is generally billed monthly in arrears. Additionally, non-refundable community fees are generally billed and collected in advance or upon move-in of a resident under the Company's independent living, assisted living, and memory care residency agreements. Amounts of revenue that are collected from residents in advance are recognized as deferred revenue until the performance obligations are satisfied. The Company had total deferred revenue (included within refundable fees and deferred revenue, deferred liabilities, and other liabilities within the condensed consolidated balance sheets) of $88.3 million and $106.4 million, including $35.5 million and $50.6 million of monthly resident fees billed and received in advance, as of March 31, 2019 and December 31, 2018, respectively. For the three months ended March 31, 2019 and 2018, the Company recognized $61.7 million and $60.9 million, respectively, of revenue that was included in the deferred revenue balance as of January 1, 2019 and 2018.