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Segment Information (Tables)
6 Months Ended
Jun. 30, 2019
Segment Reporting [Abstract]  
Schedule of segment reporting information
The following table sets forth selected segment financial and operating data:
 
Three Months Ended
June 30,
 
Six Months Ended
June 30,
(in thousands)
2019
 
2018
 
2019
 
2018
Revenue:
 
 
 
 
 
 
 
Independent Living (1)
$
135,951

 
$
159,293

 
$
271,645

 
$
317,690

Assisted Living and Memory Care (1)
450,225

 
522,027

 
908,751

 
1,054,307

CCRCs (1)
101,253

 
104,796

 
204,980

 
209,865

Health Care Services (1)
114,434

 
109,853

 
225,966

 
220,373

Management Services (2)
217,594

 
259,231

 
450,159

 
540,199

Total revenue
$
1,019,457

 
$
1,155,200

 
$
2,061,501

 
$
2,342,434

Segment operating income: (3)
 
 
 
 
 
 
 
Independent Living
$
51,459

 
$
65,134

 
$
104,335

 
$
129,556

Assisted Living and Memory Care
133,144

 
169,737

 
273,843

 
346,275

CCRCs
17,847

 
23,819

 
39,484

 
48,482

Health Care Services
9,167

 
10,203

 
17,340

 
18,521

Management Services
15,449

 
17,071

 
31,192

 
35,752

Total segment operating income
227,066

 
285,964

 
466,194

 
578,586

General and administrative expense (including non-cash stock-based compensation expense)
57,576

 
62,907

 
113,887

 
144,342

Facility operating lease expense
67,689

 
81,960

 
136,357

 
162,360

Depreciation and amortization
94,024

 
116,116

 
190,912

 
230,371

Goodwill and asset impairment
3,769

 
16,103

 
4,160

 
446,466

Loss on facility lease termination and modification, net
1,797

 
146,467

 
2,006

 
146,467

Income (loss) from operations
$
2,211

 
$
(137,589
)
 
$
18,872

 
$
(551,420
)

 
As of
(in thousands)
June 30, 2019
 
December 31, 2018
Total assets:
 
 
 
Independent Living
$
1,469,683

 
$
1,104,774

Assisted Living and Memory Care
4,293,648

 
3,684,170

CCRCs
792,344

 
707,819

Health Care Services
270,496

 
254,950

Corporate and Management Services
633,311

 
715,547

Total assets
$
7,459,482

 
$
6,467,260


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

(2)
Management services segment revenue includes management fees and reimbursements of costs incurred on behalf of managed communities.

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