10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Form 10-Q

☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2019

or

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from _____________ to _____________

Commission File Number: 001-32641

BROOKDALE SENIOR LIVING INC.

(Exact name of registrant as specified in its charter)

Delaware	20-3068069
(State or other jurisdiction of incorporation or organization)	(I.R.S. Employer Identification No.)

111 Westwood Place,	Suite 400,	Brentwood,	Tennessee	37027
(Address of principal executive offices)				(Zip Code)

(615) 221-2250

(Registrant's telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:

Title of each class	Trading Symbol(s)	Name of each exchange on which registered
Common Stock, $0.01 Par Value Per Share	BKD	New York Stock Exchange

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes x  No ¨

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).  Yes x  No  ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of "large accelerated filer," "accelerated filer," "smaller reporting company," and "emerging growth company" in Rule 12b-2 of the Exchange Act.

Large accelerated filer	x	Accelerated filer	¨
Non-accelerated filer	¨	Smaller reporting company	☐
		Emerging growth company	☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨

1

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).Yes ☐ No x

As of November 1, 2019, 185,594,591 shares of the registrant's common stock, $0.01 par value, were outstanding (excluding unvested restricted shares).

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TABLE OF CONTENTS

BROOKDALE SENIOR LIVING INC.

FORM 10-Q

FOR THE QUARTER ENDED SEPTEMBER 30, 2019

		PAGE
PART I.	FINANCIAL INFORMATION
Item 1.	Financial Statements
	Condensed Consolidated Balance Sheets -
	As of September 30, 2019 (Unaudited) and December 31, 2018	4
	Condensed Consolidated Statements of Operations -
	Three and nine months ended September 30, 2019 and 2018 (Unaudited)	5
	Condensed Consolidated Statements of Equity -
	Three and nine months ended September 30, 2019 and 2018 (Unaudited)	6
	Condensed Consolidated Statements of Cash Flows -
	Nine months ended September 30, 2019 and 2018 (Unaudited)	7
	Notes to Condensed Consolidated Financial Statements (Unaudited)	9
Item 2.	Management's Discussion and Analysis of Financial Condition and Results of Operations	31
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	63
Item 4.	Controls and Procedures	63
PART II.	OTHER INFORMATION
Item 1.	Legal Proceedings	63
Item 1A.	Risk Factors	63
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	64
Item 6.	Exhibits	65
Signatures		66

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PART I.   FINANCIAL INFORMATION

Item 1.  Financial Statements

BROOKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands, except stock amounts)

	September 30, 2019			December 31, 2018
Assets	(Unaudited)
Current assets
Cash and cash equivalents	$	241,391		$	398,267
Marketable securities	49,790			14,855
Restricted cash	33,305			27,683
Accounts receivable, net	140,661			133,905
Assets held for sale	60,404			93,117
Prepaid expenses and other current assets, net	102,949			106,189
Total current assets	628,500			774,016
Property, plant and equipment and leasehold intangibles, net	5,185,681			5,275,427
Operating lease right-of-use assets	1,221,578			—
Restricted cash	40,663			24,268
Investment in unconsolidated ventures	23,211			27,528
Goodwill	154,131			154,131
Other intangible assets, net	42,776			51,472
Other assets, net	77,663			160,418
Total assets	$	7,374,203		$	6,467,260
Liabilities and Equity
Current liabilities
Current portion of long-term debt	$	343,615		$	294,426
Current portion of financing lease obligations	62,839			23,135
Current portion of operating lease obligations	188,635			—
Trade accounts payable	106,109			95,049
Accrued expenses	275,828			298,227
Refundable fees and deferred revenue	81,034			62,494
Total current liabilities	1,058,060			773,331
Long-term debt, less current portion	3,228,606			3,345,754
Financing lease obligations, less current portion	795,198			851,341
Operating lease obligations, less current portion	1,319,758			—
Deferred liabilities	7,066			262,761
Deferred tax liability	16,834			18,371
Other liabilities	154,885			197,289
Total liabilities	6,580,407			5,448,847
Preferred stock, $0.01 par value, 50,000,000 shares authorized at September 30, 2019 and December 31, 2018; no shares issued and outstanding	—			—
Common stock, $0.01 par value, 400,000,000 shares authorized at September 30, 2019 and December 31, 2018; 199,743,898 and 196,815,254 shares issued and 193,073,421 and 192,356,051 shares outstanding (including 7,490,129 and 5,756,435 unvested restricted shares), respectively	1,997			1,968
Additional paid-in-capital	4,167,146			4,151,147
Treasury stock, at cost; 6,670,477 and 4,459,203 shares at September 30, 2019 and December 31, 2018, respectively	(79,097		)	(64,940		)
Accumulated deficit	(3,301,680		)	(3,069,272		)
Total Brookdale Senior Living Inc. stockholders' equity	788,366			1,018,903
Noncontrolling interest	5,430			(490		)
Total equity	793,796			1,018,413
Total liabilities and equity	$	7,374,203		$	6,467,260

See accompanying notes to condensed consolidated financial statements.

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BROOKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited, in thousands, except per share data)

	Three Months Ended September 30,						Nine Months Ended September 30,
	2019			2018			2019			2018
Revenue
Resident fees	$	801,237		$	840,179		$	2,412,579		$	2,642,414
Management fees	13,564			18,528			44,756			54,280
Reimbursed costs incurred on behalf of managed communities	194,148			261,355			613,115			765,802
Total revenue	1,008,949			1,120,062			3,070,450			3,462,496
Expense
Facility operating expense (excluding facility depreciation and amortization of $86,213, $101,527, $261,110, and $310,011, respectively)	615,717			607,076			1,792,057			1,866,477
General and administrative expense (including non-cash stock-based compensation expense of $5,929, $6,035, $18,315, and $20,710, respectively)	56,409			58,796			170,296			203,138
Facility operating lease expense	67,253			70,392			203,610			232,752
Depreciation and amortization	93,550			110,980			284,462			341,351
Goodwill and asset impairment	2,094			5,500			6,254			451,966
Loss (gain) on facility lease termination and modification, net	—			2,337			2,006			148,804
Costs incurred on behalf of managed communities	194,148			261,355			613,115			765,802
Total operating expense	1,029,171			1,116,436			3,071,800			4,010,290
Income (loss) from operations	(20,222		)	3,626			(1,350		)	(547,794		)
Interest income	2,162			1,654			8,059			7,578
Interest expense:
Debt	(44,344		)	(46,891		)	(135,180		)	(141,585		)
Financing lease obligations	(16,567		)	(20,896		)	(49,959		)	(66,216		)
Amortization of deferred financing costs and debt discount	(1,130		)	(829		)	(2,920		)	(7,113		)
Change in fair value of derivatives	(37		)	(10		)	(212		)	(153		)
Debt modification and extinguishment costs	(2,455		)	(33		)	(5,194		)	(77		)
Equity in earnings (loss) of unconsolidated ventures	(2,057		)	(1,340		)	(3,574		)	(6,907		)
Gain (loss) on sale of assets, net	579			9,833			2,723			76,586
Other non-operating income (loss)	3,763			(17		)	9,950			8,074
Income (loss) before income taxes	(80,308		)	(54,903		)	(177,657		)	(677,607		)
Benefit (provision) for income taxes	1,800			17,763			488			17,724
Net income (loss)	(78,508		)	(37,140		)	(177,169		)	(659,883		)
Net (income) loss attributable to noncontrolling interest	50			19			646			86
Net income (loss) attributable to Brookdale Senior Living Inc. common stockholders	$	(78,458	)	$	(37,121	)	$	(176,523	)	$	(659,797	)
Basic and diluted net income (loss) per share attributable to Brookdale Senior Living Inc. common stockholders	$	(0.42	)	$	(0.20	)	$	(0.95	)	$	(3.52	)
Weighted average shares used in computing basic and diluted net income (loss) per share	185,516			187,675			186,130			187,383

See accompanying notes to condensed consolidated financial statements.

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BROOKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED STATEMENTS OF EQUITY

(Unaudited, in thousands)

	Three Months Ended September 30,						Nine Months Ended September 30,
	2019			2018			2019			2018
Total equity, balance at beginning of period	$	866,204		$	920,657		$	1,018,413		$	1,530,291
Common stock:
Balance at beginning of period	$	1,998		$	1,938		$	1,968		$	1,913
Issuance of common stock under Associate Stock Purchase Plan	—			—			2			1
Restricted stock, net	(1		)	1			31			29
Shares withheld for employee taxes	—			—			(4		)	(4		)
Balance at end of period	$	1,997		$	1,939		$	1,997		$	1,939
Additional paid-in-capital:
Balance at beginning of period	$	4,161,045		$	4,139,353		$	4,151,147		$	4,126,549
Compensation expense related to restricted stock grants	5,929			6,035			18,315			20,710
Issuance of common stock under Associate Stock Purchase Plan	281			377			878			1,146
Restricted stock, net	1			(1		)	(31		)	(29		)
Shares withheld for employee taxes	(137		)	(129		)	(3,238		)	(2,840		)
Other, net	27			48			75			147
Balance at end of period	$	4,167,146		$	4,145,683		$	4,167,146		$	4,145,683
Treasury stock:
Balance at beginning of period	$	(79,097	)	$	(56,440	)	$	(64,940	)	$	(56,440	)
Purchase of treasury stock	—			—			(14,157		)	—
Balance at end of period	$	(79,097	)	$	(56,440	)	$	(79,097	)	$	(56,440	)
Accumulated deficit:
Balance at beginning of period	$	(3,223,222	)	$	(3,163,690	)	$	(3,069,272	)	$	(2,541,294	)
Cumulative effect of change in accounting principle (Note 2)	—			—			(55,885		)	—
Net income (loss)	(78,458		)	(37,121		)	(176,523		)	(659,797		)
Other, net	—			—			—			280
Balance at end of period	$	(3,301,680	)	$	(3,200,811	)	$	(3,301,680	)	$	(3,200,811	)
Noncontrolling interest:
Balance at beginning of period	$	5,480		$	(504	)	$	(490	)	$	(437	)
Net income (loss) attributable to noncontrolling interest	(50		)	(19		)	(646		)	(86		)
Noncontrolling interest contribution	—			—			6,566			—
Balance at end of period	$	5,430		$	(523	)	$	5,430		$	(523	)
Total equity, balance at end of period	$	793,796		$	889,848		$	793,796		$	889,848
Common stock share activity
Outstanding shares of common stock:
Balance at beginning of period	193,111			193,798			192,356			191,276
Issuance of common stock under Associate Stock Purchase Plan	41			42			137			153
Restricted stock, net	(62		)	105			3,258			2,910
Shares withheld for employee taxes	(17		)	(16		)	(467		)	(410		)
Purchase of treasury stock	—			—			(2,211		)	—
Balance at end of period	193,073			193,929			193,073			193,929

See accompanying notes to condensed consolidated financial statements.

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BROOKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited, in thousands)

	Nine Months Ended September 30,
	2019			2018
Cash Flows from Operating Activities
Net income (loss)	$	(177,169	)	$	(659,883	)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Debt modification and extinguishment costs	5,194			77
Depreciation and amortization, net	287,382			348,464
Goodwill and asset impairment	6,254			451,966
Equity in (earnings) loss of unconsolidated ventures	3,574			6,907
Distributions from unconsolidated ventures from cumulative share of net earnings	2,388			2,159
Amortization of deferred gain	—			(3,269		)
Amortization of entrance fees	(1,172		)	(1,220		)
Proceeds from deferred entrance fee revenue	2,902			2,507
Deferred income tax (benefit) provision	(1,216		)	(19,180		)
Operating lease expense adjustment	(13,626		)	(14,656		)
Change in fair value of derivatives	212			153
Loss (gain) on sale of assets, net	(2,723		)	(76,586		)
Loss (gain) on facility lease termination and modification, net	2,006			135,760
Non-cash stock-based compensation expense	18,315			20,710
Non-cash interest expense on financing lease obligations	—			9,151
Non-cash management contract termination gain	(640		)	(5,649		)
Other	(7,173		)	(154		)
Changes in operating assets and liabilities:
Accounts receivable, net	(6,756		)	(1,127		)
Prepaid expenses and other assets, net	50,387			28,118
Prepaid insurance premiums financed with notes payable	(5,875		)	(6,244		)
Trade accounts payable and accrued expenses	(21,970		)	(9,661		)
Refundable fees and deferred revenue	(24,007		)	(4,239		)
Operating lease assets and liabilities for lessor capital expenditure reimbursements	12,043			—
Operating lease assets and liabilities for lease termination	—			(33,596		)
Net cash provided by (used in) operating activities	128,330			170,508
Cash Flows from Investing Activities
Change in lease security deposits and lease acquisition deposits, net	(430		)	(664		)
Purchase of marketable securities	(137,786		)	—
Sale of marketable securities	104,000			293,273
Capital expenditures, net of related payables	(206,385		)	(169,349		)
Acquisition of assets, net of related payables and cash received	(453		)	(271,771		)
Investment in unconsolidated ventures	(4,294		)	(8,946		)
Distributions received from unconsolidated ventures	7,454			10,782
Proceeds from sale of assets, net	53,430			131,912
Proceeds from notes receivable	34,109			1,580
Property insurance proceeds	—			156
Net cash provided by (used in) investing activities	(150,355		)	(13,027		)
Cash Flows from Financing Activities
Proceeds from debt	318,491			279,919

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Repayment of debt and financing lease obligations	(404,152		)	(501,946		)
Proceeds from line of credit	—			200,000
Repayment of line of credit	—			(200,000		)
Purchase of treasury stock, net of related payables	(18,401		)	—
Payment of financing costs, net of related payables	(6,357		)	(3,341		)
Proceeds from refundable entrance fees, net of refunds	—			(316		)
Payments for lease termination	—			(12,548		)
Payments of employee taxes for withheld shares	(3,242		)	(2,844		)
Other	827			1,147
Net cash provided by (used in) financing activities	(112,834		)	(239,929		)
Net increase (decrease) in cash, cash equivalents, and restricted cash	(134,859		)	(82,448		)
Cash, cash equivalents, and restricted cash at beginning of period	450,218			282,546
Cash, cash equivalents, and restricted cash at end of period	$	315,359		$	200,098

 

See accompanying notes to condensed consolidated financial statements.

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BROOKDALE SENIOR LIVING INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

1.  Description of Business

Brookdale Senior Living Inc. ("Brookdale" or the "Company") is an operator of senior living communities throughout the United States. The Company is committed to providing senior living solutions primarily within properties that are designed, purpose-built, and operated to provide quality service, care, and living accommodations for residents. The Company operates and manages independent living, assisted living, memory care, and continuing care retirement communities ("CCRCs"). The Company also offers a range of home health, hospice, and outpatient therapy services to residents of many of its communities and to seniors living outside of its communities.

2.  Summary of Significant Accounting Policies

Basis of Presentation

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States ("GAAP") and pursuant to the rules and regulations of the Securities and Exchange Commission ("SEC") for quarterly reports on Form 10-Q. In the opinion of management, these financial statements include all adjustments, which are of a normal and recurring nature, necessary to present fairly the financial position, results of operations, and cash flows of the Company for all periods presented. Certain information and footnote disclosures included in annual financial statements have been condensed or omitted. The Company believes that the disclosures included are adequate and provide a fair presentation of interim period results. Interim financial statements are not necessarily indicative of the financial position or operating results for an entire year. These interim financial statements should be read in conjunction with the audited financial statements and the notes thereto included in the Company's Annual Report on Form 10-K for the year ended December 31, 2018 filed with the SEC on February 14, 2019. Certain prior period amounts have been reclassified to conform to the current financial statement presentation, with no effect on the Company's condensed consolidated financial position or results of operations.

Except for the changes for the impact of the recently adopted accounting pronouncements discussed in this Note, the Company has consistently applied its accounting policies to all periods presented in these condensed consolidated financial statements.

Principles of Consolidation

The condensed consolidated financial statements include the accounts of Brookdale and its consolidated subsidiaries. All intercompany balances and transactions have been eliminated upon consolidation. Investments in affiliated companies that the Company does not control, but has the ability to exercise significant influence over governance and operations, are accounted for by the equity method. The ownership interest of consolidated entities not wholly-owned by the Company are presented as noncontrolling interests in the accompanying condensed consolidated financial statements. Noncontrolling interest represents the share of consolidated entities owned by third parties. Noncontrolling interest is adjusted for the noncontrolling holder's share of additional contributions, distributions, and the proportionate share of the net income or loss of each respective entity.

Revenue Recognition

Resident Fees

Resident fee revenue is reported at the amount that reflects the consideration the Company expects to receive in exchange for the services provided. These amounts are due from residents or third-party payors and include variable consideration for retroactive adjustments, if any, under reimbursement programs. Performance obligations are determined based on the nature of the services provided. Resident fee revenue is recognized as performance obligations are satisfied.

Under the Company's senior living residency agreements, which are generally for a contractual term of 30 days to one year, the Company provides senior living services to residents for a stated daily or monthly fee. The Company has elected the lessor practical expedient within Accounting Standards Codification ("ASC") 842, Leases ("ASC 842") and recognizes, measures, presents, and discloses the revenue for services under the Company's senior living residency agreements based upon the predominant component, either the lease or nonlease component, of the contracts. The Company has determined that the services included under the Company’s independent living, assisted living, and memory care residency agreements have the same timing and pattern of transfer. The Company recognizes revenue under ASC 606, Revenue Recognition from Contracts with Customers ("ASC 606") for its

9

independent living, assisted living, and memory care residency agreements for which it has estimated that the nonlease components of such residency agreements are the predominant component of the contract.

The Company enters into contracts to provide home health, hospice, and outpatient therapy services. Each service provided under the contract is capable of being distinct, and thus, the services are considered individual and separate performance obligations. The performance obligations are satisfied and revenue is recognized as services are provided.

The Company receives payment for services under various third-party payor programs which include Medicare, Medicaid, and other third-party payors. Settlements with third-party payors for retroactive adjustments due to audits, reviews, or investigations are included in the determination of the estimated transaction price for providing services. The Company estimates the transaction price based on the terms of the contract with the payor, correspondence with the payor and historical payment trends, and retroactive adjustments that differ from the Company's estimates are recognized in the period when final settlements are determined.

Management Services

The Company manages certain communities under contracts which provide periodic management fee payments to the Company. Management fees are generally determined by an agreed upon percentage of gross revenues (as defined in the management agreement). Certain management contracts also provide for an annual incentive fee to be paid to the Company upon achievement of certain metrics identified in the contract. The Company recognizes revenue for community management services in accordance with the provisions of ASC 606. Although there are various management and operational activities performed by the Company under the contracts, the Company has determined that all community operations management activities are a single performance obligation, which is satisfied over time as the services are rendered. The Company estimates the amount of incentive fee revenue expected to be earned, if any, during the annual contract period and revenue is recognized as services are provided. The Company’s estimate of the transaction price for management services also includes the amount of reimbursement due from the owners of the communities for services provided and related costs incurred. Such revenue is included in "reimbursed costs incurred on behalf of managed communities" on the condensed consolidated statements of operations. The related costs are included in "costs incurred on behalf of managed communities" on the condensed consolidated statements of operations.

Gain (Loss) on Sale of Assets

The Company regularly enters into real estate transactions which may include the disposal of certain communities, including the associated real estate. The Company recognizes income from real estate sales under ASC 610-20, Other Income - Gains and Losses from Derecognition of Nonfinancial Assets ("ASC 610-20"). Under ASC 610-20, income is recognized when the transfer of control occurs and the Company applies the five-step model for recognition to determine the amount and timing of income to recognize for all real estate sales.

The Company accounts for the sale of equity method investments under ASC 860, Transfers and Servicing ("ASC 860"). Under

ASC 860, income is recognized when the transfer of control of the equity interest occurs and the Company has no continuing involvement with the transferred financial assets.

Income Taxes

Income taxes are accounted for under the asset and liability approach which requires recognition of deferred tax assets and liabilities for the differences between the financial reporting and tax basis of assets and liabilities. A valuation allowance reduces deferred tax assets when it is more likely than not that some portion or all of the deferred tax assets will not be realized.

Fair Value of Financial Instruments

ASC 820, Fair Value Measurement establishes a three-level valuation hierarchy for disclosure of fair value measurements. The valuation hierarchy is based upon the transparency of inputs to the valuation of an asset or liability as of the measurement date. Categorization within the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement. The three levels are defined as follows:

Level 1 – Inputs to the valuation methodology are quoted prices (unadjusted) for identical assets or liabilities in active markets.

Level 2 – Inputs to the valuation methodology include quoted prices for similar assets and liabilities in active markets, and inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the financial instrument.

Level 3 – Inputs to the valuation methodology are unobservable and significant to the fair value measurement.

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Cash and cash equivalents and restricted cash are reflected in the accompanying condensed consolidated balance sheets at amounts considered by management to reasonably approximate fair value due to the short maturity.

Goodwill

The Company tests goodwill for impairment annually as of October 1 or whenever indicators of impairment arise. Factors the Company considers important in its analysis of whether an indicator of impairment exists include a significant decline in the Company's stock price or market capitalization for a sustained period since the last testing date, significant underperformance relative to historical or projected future operating results and significant negative industry or economic trends. The Company first assesses qualitative factors to determine whether it is necessary to perform a quantitative goodwill impairment test. The quantitative goodwill impairment test is based upon a comparison of the estimated fair value of the reporting unit to which the goodwill has been assigned with the reporting unit's carrying value. The Company is not required to calculate the fair value of a reporting unit unless the Company determines, based on a qualitative assessment, that it is more likely than not that its fair value of a reporting unit is less than its carrying value. The fair values used in the quantitative goodwill impairment test are estimated using Level 3 inputs based upon discounted future cash flow projections for the reporting unit. These cash flow projections are based upon a number of estimates and assumptions such as revenue and expense growth rates, capitalization rates, and discount rates. The Company also considers market based measures such as earnings multiples in its analysis of estimated fair values of its reporting units. If the quantitative goodwill impairment test results in a reporting unit's carrying value exceeding its estimated fair value, an impairment charge will be recorded based on the difference. The impairment charge is limited to the amount of goodwill allocated to the reporting unit.

Long-lived Asset Impairment

Long-lived assets (including right-of-use assets) are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of long-lived assets held for use are assessed by a comparison of the carrying amount of the asset to the estimated future undiscounted net cash flows expected to be generated by the asset, calculated utilizing the lowest level of identifiable cash flows. If estimated future undiscounted net cash flows are less than the carrying amount of the asset then the fair value of the asset is estimated. The impairment expense is determined by comparing the estimated fair value of the asset to its carrying value, with any amount in excess of fair value recognized as an expense in the current period. Undiscounted cash flow projections and estimates of fair value amounts are based on a number of assumptions such as revenue and expense growth rates, estimated holding periods and estimated capitalization rates (Level 3).

Self-Insurance Liability Accruals

The Company is subject to various legal proceedings and claims that arise in the ordinary course of its business. Although the Company maintains general liability and professional liability insurance policies for its owned, leased, and managed communities under a master insurance program, the Company's current policies provide for deductibles for each and every claim. As a result, the Company is, in effect, self-insured for claims that are less than the deductible amounts. In addition, the Company maintains a high deductible workers compensation program and a self-insured employee medical program.

The Company reviews the adequacy of its accruals related to these liabilities on an ongoing basis, using historical claims, actuarial valuations, third-party administrator estimates, consultants, advice from legal counsel, and industry data, and adjusts accruals periodically. Estimated costs related to these self-insurance programs are accrued based on known claims and projected claims incurred but not yet reported. Subsequent changes in actual experience are monitored, and estimates are updated as information becomes available.

Lease Accounting

The following is the Company's lease accounting policy under ASC 842 subsequent to the adoption. Refer to Recently Adopted Accounting Pronouncements in this Note 2 for significant changes that resulted from the adoption effective January 1, 2019. The Company, as lessee, recognizes a right-of-use asset and a lease liability on the Company’s condensed consolidated balance sheet for its community, office, and equipment leases. As of the commencement date of a lease, a lease liability and corresponding right-of-use asset is established on the Company’s condensed consolidated balance sheet at the present value of future minimum lease payments. The Company's community leases generally contain fixed annual rent escalators or annual rent escalators based on an index, such as the consumer price index. The future minimum lease payments recognized on the condensed consolidated balance sheet include fixed payments (including in-substance fixed payments) and variable payments estimated utilizing the index or rate on the lease commencement date. The Company recognizes lease expense as incurred for additional variable payments. For the Company’s leases that do not contain an implicit rate, the Company utilizes its estimated incremental borrowing rate in determining the present value of lease payments based on information available at commencement of the lease, which reflects the fixed rate

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at which the Company could borrow a similar amount for the same term on a collateralized basis. Leases with an initial term of 12 months or less are not recorded on the Company’s condensed consolidated balance sheet and instead are recognized as lease expense as incurred.

The Company, as lessee, makes a determination with respect to each of its community, office, and equipment leases as to whether each should be accounted for as an operating lease or financing lease in accordance with the provisions of ASC 842. The classification criteria is based on estimates regarding the fair value of the leased asset, minimum lease payments, effective cost of funds, the economic life of the asset, and certain other terms in the lease agreements.

For operating leases, payments made under operating lease arrangements are accounted for in the Company's condensed consolidated statements of operations as operating lease expense for actual rent paid, generally plus or minus a straight-line adjustment for estimated minimum lease escalators if applicable. The right-of-use asset is generally reduced each period by an amount equal to the difference between the operating lease expense and the amount of expense on the lease liability utilizing the effective interest method. Subsequent to the impairment of an operating lease right-of-use asset, the Company recognizes operating lease expense consisting of the reduction of the right-of-use asset on a straight-line basis over the remaining lease term and the amount of expense on the lease liability utilizing the effective interest method.

For financing leases, the Company recognizes interest expense on the lease liability utilizing the effective interest method. Additionally, the right-of-use asset is generally amortized to depreciation and amortization expense on a straight-line basis over the lease term unless the lease contains an option to purchase the underlying asset that the Company is reasonably certain to exercise in which case the asset is depreciated over the useful life of the underlying asset.

For transactions in which an owned community is sold and leased back from the buyer (sale-leaseback transactions), the Company recognizes an asset sale and lease accounting is applied if the Company has transferred control of the community. For such transactions, the Company removes the transferred assets from the condensed consolidated balance sheet and a gain or loss on the sale is recognized for the difference between the carrying value of the asset and the transaction price for the sale transaction. For sale‑leaseback transactions in which the Company has not transferred control of the underlying asset, the Company does not recognize an asset sale or derecognize the underlying asset until control is transferred. For such transactions, the Company continues to depreciate the asset over its useful life. Additionally, the Company accounts for any amounts received as a financing lease liability and the Company recognizes interest expense on the financing lease liability utilizing the effective interest method with the interest expense limited to an amount that is not greater than the cash payments on the financing lease liability over the term of the lease.

Refer to the Company’s revenue recognition policy for discussion of the accounting policy for residency agreements, which include the lease of an asset.

Recently Adopted Accounting Pronouncements

In February 2016, the FASB issued ASU 2016-02, Leases ("ASU 2016-02"). ASU 2016-02 amends the existing accounting principles for the recognition, measurement, presentation and disclosure of leases for both lessees and lessors. ASU 2016-02 requires a lessee to recognize a right-of-use asset and a lease liability on the condensed consolidated balance sheet for most leases. Additionally, ASU 2016-02 makes targeted changes to lessor accounting, including changes to align certain aspects with the revenue recognition model, and requires enhanced disclosure of lease arrangements. In July 2018, the FASB issued ASU 2018-11, Leases, Targeted Improvements ("ASU 2018-11"). ASU 2018-11 provides entities with a transition method option to not restate comparative periods presented, but to recognize a cumulative-effect adjustment to the opening balance of retained earnings in the period of adoption. In addition, ASU 2018-11 provides entities with a practical expedient allowing lessors to not separate nonlease components from the associated lease components when certain criteria are met. The Company adopted these lease accounting standards effective January 1, 2019 and utilized the modified retrospective transition method with no adjustments to comparative periods presented. Additionally, the Company elected the package of practical expedients within ASU 2016-02 that allows an entity to not reassess, as of January 1, 2019, its prior conclusions on whether an existing contract contains a lease, lease classification for existing leases, and whether costs incurred for existing leases qualify as initial direct costs.

The Company's adoption of ASU 2016-02 resulted in the recognition of operating lease liabilities of $1.6 billion and right-of-use assets of $1.3 billion on the condensed consolidated balance sheet for its existing community, office, and equipment operating leases based on the remaining present value of the minimum lease payments as of January 1, 2019. The future minimum rental payments recognized on the condensed consolidated balance sheet included fixed payments (including in-substance fixed payments) and variable payments estimated utilizing the index or rate as of January 1, 2019. Such right-of-use asset amounts were recognized based upon the amount of the recognized lease liabilities, adjusted for accrued lease payments, intangible assets, and the recognition of right-of-use asset impairments. As of December 31, 2018, the Company had a net liability of $231.4 million

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recognized on its condensed consolidated balance sheet for accrued lease payments and intangible assets for operating leases. Additionally, $58.1 million of previously unrecognized right-of-use asset impairments were recognized as a cumulative effect adjustment to beginning accumulated deficit as of January 1, 2019. As a result of the Company’s election of the package of practical expedients within ASU 2016-02, there were no changes to the classification of the Company’s existing operating, capital and financing leases as of January 1, 2019 and there were no changes to the amounts recognized on its condensed consolidated balance sheet for its existing capital and financing leases as of January 1, 2019.

Subsequent to the adoption of ASU 2016-02, lessors are required to separately recognize and measure the lease component of a contract with a customer utilizing the provisions of ASC 842 and the nonlease components utilizing the provisions of ASC 606. To separately account for the components, the transaction price is allocated among the components based upon the estimated stand alone selling prices of the components. Additionally, certain components of a contract which were previously included within the lease element recognized in accordance with ASC 840, Leases ("ASC 840") prior to the adoption of ASU 2016-02 (such as common area maintenance services, other basic services, and executory costs) are recognized as nonlease components subject to the provisions of ASC 606 subsequent to the adoption of ASU 2016-02. However, entities are permitted to elect the practical expedient under ASU 2018-11 allowing lessors to not separate nonlease components from the associated lease components when certain criteria are met. Entities that elect to utilize the lease/nonlease component combination practical expedient under ASU 2018-11 upon initial application of ASC 842 are required to apply the practical expedient to all new and existing transactions within a class of underlying assets that qualify for the expedient as of the initial application date.

For the year ended December 31, 2018, the Company recognized revenue for housing services under independent living, assisted living, and memory care residency agreements in accordance with the provisions of the former lease accounting standard, ASC 840, and the Company recognized revenue for assistance with activities of daily living, memory care services, healthcare, and personalized health services under independent living, assisted living, and memory care residency agreements in accordance with the provisions of ASC 606.

Upon adoption of ASU 2016-02 and ASU 2018-11, the Company elected the lessor practical expedient within ASU 2018-11 and recognizes, measures, presents, and discloses the revenue for housing services under the Company's senior living residency agreements based upon the predominant component, either the lease or nonlease component, of the contracts rather than allocating the consideration and separately accounting for it under ASC 842 and ASC 606.

The Company has concluded that the nonlease components of the Company’s independent living, assisted living, and memory care residency agreements are the predominant component of the contract for the Company’s existing agreements as of January 1, 2019. As a result of the Company's election of the package of practical expedients within ASU 2016-02, the Company continued to recognize revenue for existing contracts as of December 31, 2018 over the lease term. In addition, ASU 2016-02 has changed the definition of initial direct costs of a lease, with the initial direct costs that are initially deferred and recognized over the term of the lease limited to costs that are both incremental and direct. The Company concluded that the contract origination costs recognized on the condensed consolidated balance sheet as of December 31, 2018 were in excess of the initial direct costs that would have been deferred under the provisions of ASU 2016-02. As a result of the Company’s election of the package of practical expedients, the contract origination costs recognized on the condensed consolidated balance sheet as of December 31, 2018 continued to be amortized during 2019 over the lease term. Additionally, the Company concluded that certain costs previously deferred upon new contract origination are recognized within facility operating expense in 2019 as incurred.

In addition to the previously unrecognized right-of-use asset impairment of $58.1 million, the Company recognized cumulative effect adjustments to beginning accumulated deficit as of January 1, 2019 for the impact of the adoption of accounting standards by its equity method investees and the deferred tax impact of these adjustments. The recognition of the right-of-use assets and corresponding liabilities and the removal of the deferred tax position related to these leases as of December 31, 2018 had a $0.3 million impact on the Company's net deferred tax position. A deferred tax asset of $14.1 million and an increase to the valuation allowance of $13.8 million was recorded against accumulated deficit reflecting the tax impact of the previously unrecognized right-of-use asset impairments.

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The adoption of the new accounting standards resulted in the following adjustments to the Company's condensed consolidated balance sheet as of January 1, 2019:

(in millions)
Assets
Prepaid expenses and other current assets, net	$	67
Property, plant and equipment and leasehold intangibles, net	(11		)
Operating lease right-of-use assets	1,329
Investment in unconsolidated ventures	(2		)
Other intangible assets, net	(5		)
Other assets, net	(73		)
Total assets	$	1,305
Liabilities and Equity
Refundable fees and deferred revenue	$	43
Operating lease obligations	1,618
Deferred liabilities	(257		)
Other liabilities	(43		)
Total liabilities	1,361
Total equity	(56		)
Total liabilities and equity	$	1,305

Recently Issued Accounting Pronouncements Not Yet Adopted

In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit Losses: Measurement of Credit Losses on Financial Instruments ("ASU 2016-13"). ASU 2016-13 replaces the current incurred loss impairment methodology for credit losses with a methodology that reflects expected credit losses and requires consideration of a broader range of reasonable and supportable information to inform credit loss estimates. The Company will be required to use a forward-looking expected credit loss model for accounts receivable and other financial instruments. ASU 2016-13 is effective for fiscal years and interim periods within those fiscal years, beginning after December 15, 2019, with early adoption permitted for fiscal years beginning after December 15, 2018. The Company plans to adopt ASU 2016-13 effective January 1, 2020 and will recognize any cumulative effect of the adoption as an adjustment to beginning retained earnings with no adjustments to comparative periods presented. The Company does not expect the impact of the adoption of ASU 2016-13 to have a material effect to its consolidated financial statements and disclosures.

3.  Earnings Per Share

Basic earnings per share ("EPS") is calculated by dividing net income (loss) by the weighted average number of shares of common stock outstanding. Diluted EPS includes the components of basic EPS and also gives effect to dilutive common stock equivalents. Under the treasury stock method, diluted EPS reflects the potential dilution that could occur if securities or other instruments that are convertible into common stock were exercised or could result in the issuance of common stock. Potentially dilutive common stock equivalents include unvested restricted stock, unvested and vested restricted stock units, and convertible debt instruments and warrants.

During the three and nine months ended September 30, 2019 and 2018, the Company reported a consolidated net loss. As a result of the net loss, unvested restricted stock, restricted stock units, and convertible debt instruments and warrants were antidilutive for each period and were not included in the computation of diluted weighted average shares. The weighted average restricted stock and restricted stock units excluded from the calculations of diluted net loss per share were 7.6 million and 6.2 million for the three months ended September 30, 2019 and 2018, respectively, and 7.6 million and 6.5 million for the nine months ended September 30, 2019 and 2018, respectively.

For the nine months ended September 30, 2018, the calculation of diluted weighted average shares excludes the impact of conversion of the principal amount of $316.3 million of the Company's 2.75% convertible senior notes which were repaid in cash at their maturity on June 15, 2018. In addition, the calculation of diluted weighted average shares excludes the impact of the exercise of warrants to acquire the Company's common stock. As of September 30, 2018, the number of shares issuable upon exercise of the warrants was approximately 9.2 million. During the three months ended March 31, 2019, the option to exercise the remaining outstanding warrants expired unexercised.

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4.  Acquisitions, Dispositions and Other Significant Transactions

During the period from January 1, 2018 through September 30, 2019, the Company disposed of 30 owned communities. The Company also entered into agreements with Ventas, Inc. ("Ventas") and Welltower Inc. ("Welltower") and continued to execute on the transactions with HCP, Inc. (now known as Healthpeak Properties, Inc.) ("HCP") announced in 2017, which together restructured a significant portion of the Company's triple-net lease obligations with the Company's largest lessors. As a result of such transactions, as well as other lease expirations and terminations, the Company's triple-net lease obligations on 97 communities were terminated during the period from January 1, 2018 to September 30, 2019. During this period, the Company also sold its ownership interests in five unconsolidated ventures and acquired six communities that the Company previously leased or managed. As of September 30, 2019, the Company owned 336 communities, leased 335 communities, managed 17 communities on behalf of unconsolidated ventures, and managed 106 communities on behalf of third parties.

The following table sets forth, for the periods indicated, the amounts included within the Company's condensed consolidated financial statements for the 127 communities that it disposed through sales and lease terminations during the period from January 1, 2018 to September 30, 2019 through the respective disposition dates (of which 77 communities were disposed through sales and lease terminations during the period from July 1, 2018 to September 30, 2019):

	Three Months Ended September 30,				Nine Months Ended September 30,
(in thousands)	2019		2018		2019		2018
Resident fees
Independent Living	$	—	$	14,099	$	—	$	74,970
Assisted Living and Memory Care	103		45,496		12,385		223,763
CCRCs	—		4,401		—		15,106
Senior housing resident fees	$	103	$	63,996	$	12,385	$	313,839
Facility operating expense
Independent Living	$	—	$	8,588	$	—	$	44,256
Assisted Living and Memory Care	103		35,182		10,204		160,606
CCRCs	—		3,785		—		13,701
Senior housing facility operating expense	$	103	$	47,555	$	10,204	$	218,563
Cash facility lease payments	$	—	$	13,111	$	1,451	$	80,046

2019 Completed and Planned Dispositions of Owned Communities

During the nine months ended September 30, 2019, the Company completed the sale of eight owned communities for cash proceeds of $44.1 million, net of transaction costs, and recognized a net gain on sale of assets of $0.9 million for the nine months ended September 30, 2019.

As of September 30, 2019, six communities were classified as held for sale, resulting in $60.4 million being recorded as assets held for sale and $30.8 million of mortgage debt being included in the current portion of long-term debt within the condensed consolidated balance sheet with respect to such communities. The closings of the transactions are, or will be subject to the satisfaction of various closing conditions, including (where applicable) the receipt of regulatory approvals. There can be no assurance that the transactions will close or, if they do, when the actual closings will occur.

2018 Completed Dispositions of Owned Communities

During the year ended December 31, 2018, the Company completed the sale of 22 owned communities for cash proceeds of $380.7 million, net of transaction costs, and recognized a net gain on sale of assets of $188.6 million. The Company utilized a portion of the cash proceeds from the asset sales to repay approximately $174.0 million of associated mortgage debt and debt prepayment penalties. These dispositions included the sale of three communities during the three months ended March 31, 2018 for which the Company received cash proceeds of $12.8 million, net of transaction costs, and recognized a net gain on sale of assets of $1.9 million.

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2018 Welltower Lease and RIDEA Venture Restructuring

In June 2018, the Company entered into definitive agreements with Welltower to terminate its triple-net lease obligations on 37 communities and to sell the Company's 20% equity interest in its Welltower RIDEA venture to Welltower. During the three months ended June 30, 2018, the Company paid Welltower an aggregate lease termination fee of $58.0 million, recognized a $22.6 million loss on lease termination, received net proceeds of $33.5 million for the sale of equity interest, and recognized a $14.7 million gain on sale of the RIDEA venture. The Company also elected not to renew two master leases with Welltower which matured on September 30, 2018 (11 communities). In addition, the parties separately agreed to allow the Company to terminate leases with respect to, and to remove from the remaining Welltower leased portfolio, a number of communities with annual aggregate base rent up to $5.0 million upon Welltower's sale of such communities, and the Company would receive a corresponding 6.25% rent credit on Welltower's disposition proceeds.

2018 Ventas Lease Portfolio Restructuring

In April 2018, the Company and Ventas entered into a Master Lease and Security Agreement (the "Ventas Master Lease") in connection with the restructuring of a portfolio of 128 communities that it leased from Ventas. The Company estimated the fair value of each of the elements of the restructuring transactions. The fair value of the future lease payments was based upon historical and forecasted community cash flows and market data, including an implied management fee rate of 5% of revenue and a market supported lease coverage ratio (Level 3 inputs). The Company recognized a $125.7 million non-cash loss on lease modification during the three months ended June 30, 2018, primarily for the extensions of the triple-net lease obligations for communities with lease terms that were unfavorable to the Company given current market conditions on the amendment date in exchange for modifications to the change of control provisions and financial covenant provisions of the community leases.

Pursuant to the Ventas Master Lease, the Company has exercised its right to direct Ventas to market for sale 28 communities. Ventas is obligated to use commercially reasonable, diligent efforts to sell such communities on or before December 31, 2020 (subject to extension for regulatory purposes); provided, that Ventas' obligation to sell any such community is subject to Ventas' receiving a purchase price in excess of a mutually agreed upon minimum sale price and to certain other customary closing conditions. Upon any such sale, such communities will be removed from the Ventas Master Lease, and the annual minimum rent under the Ventas Master Lease will be reduced by the amount of the net sale proceeds received by Ventas multiplied by 6.25%. During the three months ended June 30, 2019, five of such communities were sold by Ventas and removed from the Ventas Master Lease, and the annual minimum rent under the Ventas Master Lease was prospectively reduced by $1.5 million.

2017 HCP Master Lease Transaction and RIDEA Ventures Restructuring

Pursuant to transactions the Company entered into with HCP in November 2017, during the three months ended June 30, 2018, the Company acquired five communities from HCP, two of which the Company formerly leased, for an aggregate purchase price of $242.8 million, and during the three months ended March 31, 2018, the Company acquired one community for an aggregate purchase price of $32.1 million.

During the year ended December 31, 2018, leases with respect to 33 communities were terminated, and such communities were removed from the Company's master lease with HCP. Sixteen of such community leases were terminated in the nine months ended September 30, 2018. During the three and nine months ended September 30, 2018, the Company derecognized $60.9 million and $147.8 million, respectively, of the carrying value of the assets under financing leases and $67.3 million and $160.8 million, respectively, carrying value of financing lease obligations and recognized a $6.1 million and $12.6 million, respectively, non-cash gain on sale of assets for six communities which were previously subject to sale-leaseback transactions. Additionally, the Company recognized a $0.1 million non-cash loss and a $1.8 million non-cash gain on lease termination for seven communities under operating and capital leases during the three and nine months ended September 30, 2018, respectively.

During the three months ended March 31, 2018, HCP acquired the Company's 10% ownership interest in a RIDEA venture with HCP for $62.3 million, and the Company recognized a $41.7 million gain on sale.

Management agreements for 35 communities with former unconsolidated ventures with HCP have been terminated by HCP since November of 2017. The Company has recognized a $9.3 million non-cash management contract termination gain, of which $0.6 million was recognized during the three months ended September 30, 2018 and $0.8 million and $5.6 million were recognized during the nine months ended September 30, 2019 and 2018, respectively.

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5.  Fair Value Measurements

Marketable Securities

As of September 30, 2019, marketable securities of $49.8 million are stated at fair value based on valuation provided by third-party pricing services and are classified within Level 2 of the valuation hierarchy.

Debt

The Company had outstanding long-term debt with a carrying value of approximately $3.6 billion as of both September 30, 2019 and December 31, 2018. Fair value of the long-term debt approximates carrying value in all periods presented. The Company's fair value of long-term debt disclosure is classified within Level 2 of the valuation hierarchy.

Goodwill and Asset Impairment Expense

The following is a summary of goodwill and asset impairment expense.

	Three Months Ended September 30,				Nine Months Ended September 30,
(in millions)	2019		2018		2019		2018
Goodwill	$	—	$	—	$	—	$	351.7
Property, plant and equipment and leasehold intangibles, net	0.8		2.5		2.0		50.2
Investment in unconsolidated ventures	—		—		—		33.4
Other intangible assets, net	—		—		2.6		1.7
Assets held for sale	1.3		3.0		1.3		15.0
Other assets, net	$	—	—		$	0.4	—
Goodwill and asset impairment	$	2.1	$	5.5	$	6.3	$	452.0

Goodwill

During the three months ended March 31, 2018, the Company identified qualitative indicators of impairment, including a significant decline in the Company's stock price and market capitalization for a sustained period during the three months ended March 31, 2018. Based upon the Company's qualitative assessment, the Company performed a quantitative goodwill impairment test as of March 31, 2018, which included a comparison of the estimated fair value of each reporting unit to which the goodwill has been assigned with the reporting unit's carrying value. Based on the results of the Company's quantitative goodwill impairment test, the Company recorded a non-cash impairment charge of $351.7 million to goodwill and asset impairment within the Assisted Living and Memory Care operating segment for the three months ended March 31, 2018. See Note 2 for more information regarding the Company's policy for goodwill.

Property, Plant and Equipment and Leasehold Intangibles

During the three and nine months ended September 30, 2018, the Company evaluated property, plant and equipment and leasehold intangibles for impairment and identified properties with a carrying value of the assets in excess of the estimated future undiscounted net cash flows expected to be generated by the assets primarily due to an expectation that certain communities will be disposed of prior to their previously intended holding periods. As a result of this change in intent, the Company compared the estimated fair value of the assets to their carrying value for these identified properties and recorded an impairment charge for the excess of carrying value over estimated fair value. The estimates of fair values of the property, plant and equipment of these communities were determined based on valuations provided by third-party pricing services and are classified within Level 3 of the valuation hierarchy. The Company recorded property, plant and equipment and leasehold intangibles non-cash impairment charges in its operating results of $2.5 million and $50.2 million for the three and nine months ended September 30, 2018, respectively, primarily within the Assisted Living and Memory Care segment.

Investment in Unconsolidated Ventures

The Company evaluates realization of its investment in ventures accounted for using the equity method if circumstances indicate that the Company's investment is other than temporarily impaired. During the three months ended March 31, 2018, the Company

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recorded non-cash impairment charges related to investments in unconsolidated ventures of $33.4 million. The impairment charges reflect the amount by which the carrying values of the investments exceeded their estimated fair value (using Level 3 inputs).

Right-of-Use Assets

The Company's adoption of ASU 2016-02 resulted in the recognition of the right-of-use assets for the operating leases for 25 communities to be recognized on the condensed consolidated balance sheet as of January 1, 2019 at the estimated fair value of $56.6 million and $58.1 million of previously unrecognized right-of-use asset impairments were recognized as a cumulative effect adjustment to accumulated deficit as the Company determined that the long-lived assets of such communities were not recoverable as of such date. The fair value of the right-of-use assets was estimated utilizing a discounted cash flow approach based upon historical and projected community cash flows and market data, including management fees and a market supported lease coverage ratio (Level 3 inputs). The Company corroborated the estimated management fee rates and lease coverage ratios used in these estimates with lease coverage ratios observable from recent market transactions. The estimated future cash flows were discounted at a rate that is consistent with a weighted average cost of capital from a market participant perspective. See Note 2 for more information regarding the recognition of right-of-use assets for operating leases upon the adoption of ASU 2016-02.

6.  Stock-Based Compensation

Grants of restricted shares under the Company's 2014 Omnibus Incentive Plan were as follows:

(in thousands, except for per share amounts)	Shares Granted	Weighted Average Grant Date Fair Value		Total Value
Three months ended March 31, 2019	4,047	$	7.87	$	31,857
Three months ended June 30, 2019	142	$	6.51	$	922
Three months ended September 30, 2019	136	$	7.55	$	1,028

7.  Goodwill and Other Intangible Assets, Net

The Company's Independent Living and Health Care Services segments had a carrying value of goodwill of $27.3 million and $126.8 million, respectively, as of both September 30, 2019 and December 31, 2018.

Goodwill is tested for impairment annually with a test date of October 1 and sooner if indicators of impairment are present. The Company determined no impairment was necessary for the three and nine months ended September 30, 2019. Factors the Company considers important in its analysis, which could trigger an impairment of such assets, include significant underperformance relative to historical or projected future operating results, significant negative industry or economic trends, a significant decline in the Company's stock price for a sustained period and a decline in its market capitalization below net book value. A change in anticipated operating results or the other metrics indicated above could necessitate further analysis of potential impairment at an interval prior to the Company's annual measurement date. Refer to Note 5 for information on impairment expense for goodwill in 2018.

Other intangible assets as of September 30, 2019 and December 31, 2018 are summarized in the following tables:

	September 30, 2019
(in thousands)	Gross Carrying Amount		Accumulated Amortization			Net
Health care licenses	$	42,776	$	—		$	42,776
Trade names	27,800		(27,800		)	—
Total	$	70,576	$	(27,800	)	$	42,776

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	December 31, 2018
(in thousands)	Gross Carrying Amount		Accumulated Amortization			Net
Community purchase options	$	4,738	$	—		$	4,738
Health care licenses	42,323		—			42,323
Trade names	27,800		(26,295		)	1,505
Management contracts	9,610		(6,704		)	2,906
Total	$	84,471	$	(32,999	)	$	51,472

Amortization expense related to definite-lived intangible assets for the three months ended September 30, 2019 and 2018 was $0.2 million and $0.6 million, respectively, and for the nine months ended September 30, 2019 and 2018 was $1.8 million and $2.3 million, respectively. The Company recognized $2.6 million of non-cash impairment charges on management contract intangible assets during the nine months ended September 30, 2019 for the termination of management contracts.

8.  Property, Plant and Equipment and Leasehold Intangibles, Net

As of September 30, 2019 and December 31, 2018, net property, plant and equipment and leasehold intangibles, which include assets under financing leases, consisted of the following:

(in thousands)	September 30, 2019			December 31, 2018
Land	$	454,790		$	455,623
Buildings and improvements	4,812,422			4,749,877
Furniture and equipment	849,573			805,190
Resident and leasehold operating intangibles	319,049			477,827
Construction in progress	80,788			57,636
Assets under financing leases and leasehold improvements	1,832,524			1,776,649
Property, plant and equipment and leasehold intangibles	8,349,146			8,322,802
Accumulated depreciation and amortization	(3,163,465		)	(3,047,375		)
Property, plant and equipment and leasehold intangibles, net	$	5,185,681		$	5,275,427

Assets under financing leases and leasehold improvements includes $0.6 billion and $0.7 billion of financing lease right-of-use assets, net of accumulated amortization, as of September 30, 2019 and December 31, 2018, respectively. Refer to Note 10 for further information on the Company’s financing leases.

The Company recognized depreciation and amortization expense on its property, plant and equipment and leasehold intangibles of $93.3 million and $110.4 million for the three months ended September 30, 2019 and 2018, respectively, and $282.6 million and $339.0 million for the nine months ended September 30, 2019 and 2018, respectively.

Long-lived assets with definite useful lives are depreciated or amortized on a straight-line basis over their estimated useful lives (or, in certain cases, the shorter of their estimated useful lives or the lease term) and are tested for impairment whenever indicators of impairment arise. Refer to Note 5 for additional information on impairment expense for property, plant and equipment and leasehold intangibles.

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9.  Debt

Long-term debt as of September 30, 2019 and December 31, 2018 consists of the following:

(in thousands)	September 30, 2019		December 31, 2018
Mortgage notes payable due 2020 through 2047; weighted average interest rate of 4.77% for the nine months ended September 30, 2019, less debt discount and deferred financing costs of $17.7 million and $18.6 million as of September 30, 2019 and December 31, 2018, respectively (weighted average interest rate of 4.75% in 2018)	$	3,513,386	$	3,579,931
Other notes payable, weighted average interest rate of 5.79% for the nine months ended September 30, 2019 (weighted average interest rate of 5.85% in 2018) and maturity dates ranging from 2020 to 2021	58,835		60,249
Total long-term debt	3,572,221		3,640,180
Current portion	343,615		294,426
Total long-term debt, less current portion	$	3,228,606	$	3,345,754

As of September 30, 2019 and December 31, 2018, the current portion of long-term debt within the Company's condensed consolidated financial statements includes $30.8 million and $31.2 million, respectively, of mortgage notes payable secured by assets held for sale. This debt is expected to be repaid with the proceeds from the sales. Refer to Note 4 for more information about the Company's assets held for sale.

Credit Facilities

On December 5, 2018, the Company entered into a Fifth Amended and Restated Credit Agreement with Capital One, National Association, as administrative agent, lender and swingline lender and the other lenders from time to time parties thereto (the "Amended Agreement"). The Amended Agreement amended and restated in its entirety the Company's Fourth Amended and Restated Credit Agreement dated as of December 19, 2014 (the "Original Agreement"). The Amended Agreement provides commitments for a $250 million revolving credit facility with a $60 million sublimit for letters of credit and a $50 million swingline feature. The Company has a one-time right under the Amended Agreement to increase commitments on the revolving credit facility by an additional $100 million, subject to obtaining commitments for the amount of such increase from acceptable lenders. The Amended Agreement provides the Company a one-time right to reduce the amount of the revolving credit commitments, and the Company may terminate the revolving credit facility at any time, in each case without payment of a premium or penalty. The Amended Agreement extended the maturity date of the Original Agreement from January 3, 2020 to January 3, 2024 and decreased the interest rate payable on drawn amounts. Amounts drawn under the facility will continue to bear interest at 90-day LIBOR plus an applicable margin; however, the Amended Agreement reduced the applicable margin from a range of 2.50% to 3.50% to a range of 2.25% to 3.25%. The applicable margin varies based on the percentage of the total commitment drawn, with a 2.25% margin at utilization equal to or lower than 35%, a 2.75% margin at utilization greater than 35% but less than or equal to 50%, and a 3.25% margin at utilization greater than 50%. A quarterly commitment fee continues to be payable on the unused portion of the facility at 0.25% per annum when the outstanding amount of obligations (including revolving credit and swingline loans and letter of credit obligations) is greater than or equal to 50% of the revolving credit commitment amount or 0.35% per annum when such outstanding amount is less than 50% of the revolving credit commitment amount.

The credit facility is secured by first priority mortgages on certain of the Company's communities. In addition, the Amended Agreement permits the Company to pledge the equity interests in subsidiaries that own other communities and grant negative pledges in connection therewith (rather than mortgaging such communities), provided that not more than 10% of the borrowing base may result from communities subject to negative pledges. Availability under the revolving credit facility will vary from time to time based on borrowing base calculations related to the appraised value and performance of the communities securing the credit facility and the Company’s consolidated fixed charge coverage ratio. During the third quarter of 2019, the Company added three communities to the borrowing base and entered into an amendment to the Amended Agreement that provides for availability calculations to be made at additional consolidated fixed charge coverage ratio thresholds.

The Amended Agreement contains typical affirmative and negative covenants, including financial covenants with respect to minimum consolidated fixed charge coverage and minimum consolidated tangible net worth. Amounts drawn on the credit facility may be used for general corporate purposes.

As of September 30, 2019, no borrowings were outstanding on the revolving credit facility, $41.2 million of letters of credit were outstanding, and the revolving credit facility had $164.2 million of availability. The Company also had a separate unsecured letter

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of credit facility of up to $47.5 million as of September 30, 2019. Letters of credit totaling $47.5 million had been issued under the separate facility as of that date.

2019 Financings

On May 7, 2019, the Company obtained $111.1 million of debt secured by the non-recourse first mortgages on 14 communities. Sixty percent of the principal amount bears interest at a fixed rate of 4.52%, and the remaining forty percent of the principal amount bears interest at a variable rate equal to the 30-day LIBOR plus a margin of 223 basis points. The debt matures in June 2029. The $111.1 million of proceeds from the financing along with cash on hand were utilized to repay $155.5 million of outstanding mortgage debt maturing in 2019.

On August 29, 2019, the Company obtained $160.3 million of debt secured by the non-recourse first mortgages on five communities. Seventy-five percent of the principal amount bears interest at a fixed rate of 3.35%, and the remaining twenty-five percent of the principal amount bears interest at a variable rate equal to the 30-day LIBOR plus a margin of 217 basis points. The debt matures in September 2029. The $160.3 million of proceeds from the financing were utilized to repay $139.2 million of outstanding mortgage debt maturing in 2020 and 2023.

Financial Covenants

Certain of the Company’s debt documents contain restrictions and financial covenants, such as those requiring the Company to maintain prescribed minimum net worth and stockholders’ equity levels and debt service ratios, and requiring the Company not to exceed prescribed leverage ratios, in each case on a consolidated, portfolio-wide, multi-community, single-community, and/or entity basis. In addition, the Company’s debt documents generally contain non-financial covenants, such as those requiring the Company to comply with Medicare or Medicaid provider requirements.

The Company’s failure to comply with applicable covenants could constitute an event of default under the applicable debt documents. Many of the Company’s debt documents contain cross-default provisions so that a default under one of these instruments could cause a default under other debt and lease documents (including documents with other lenders and lessors). Furthermore, the Company’s debt is secured by its communities and, in certain cases, a guaranty by the Company and/or one or more of its subsidiaries.

As of September 30, 2019, the Company is in compliance with the financial covenants of its debt agreements.

10.  Leases

As of September 30, 2019, the Company operated 335 communities under long-term leases (244 operating leases and 91 financing leases). The substantial majority of the Company's lease arrangements are structured as master leases. Under a master lease, numerous communities are leased through an indivisible lease. The Company typically guarantees the performance and lease payment obligations of its subsidiary lessees under the master leases. Due to the nature of such master leases, it is difficult to restructure the composition of such leased portfolios or economic terms of the leases without the consent of the applicable landlord. In addition, an event of default related to an individual property or limited number of properties within a master lease portfolio may result in a default on the entire master lease portfolio.

The leases relating to these communities are generally fixed rate leases with annual escalators that are either fixed or based upon changes in the consumer price index or the leased property revenue. The Company is responsible for all operating costs, including repairs, property taxes, and insurance. As of September 30, 2019, the weighted-average remaining lease term of the Company’s operating and financing leases was 7.1 years and 8.5 years, respectively. The leases generally provide for renewal or extension options from 5 to 20 years and in some instances, purchase options.

The community leases contain other customary terms, which may include assignment and change of control restrictions, maintenance and capital expenditure obligations, termination provisions and financial covenants, such as those requiring the Company to maintain prescribed minimum net worth and stockholders’ equity levels and lease coverage ratios, and not to exceed prescribed leverage ratios, in each case on a consolidated, portfolio-wide, multi-community, single-community and/or entity basis. In addition, the Company’s lease documents generally contain non-financial covenants, such as those requiring the Company to comply with Medicare or Medicaid provider requirements.

The Company’s failure to comply with applicable covenants could constitute an event of default under the applicable lease documents. Many of the Company’s debt and lease documents contain cross-default provisions so that a default under one of these instruments could cause a default under other debt and lease documents (including documents with other lenders and lessors).

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Certain leases contain cure provisions, which generally allow the Company to post an additional lease security deposit if the required covenant is not met. Furthermore, the Company’s leases are secured by its communities and, in certain cases, a guaranty by the Company and/or one or more of its subsidiaries.

As of September 30, 2019, the Company is in compliance with the financial covenants of its long-term leases.

A summary of operating and financing lease expense (including the respective presentation on the condensed consolidated statements of operations) and cash flows from leasing transactions is as follows:

Operating Leases (in thousands)	Three Months Ended September 30, 2019			Nine Months Ended September 30, 2019
Facility operating expense	$	4,532		$	13,761
Facility lease expense	67,253			203,610
Operating lease expense	71,785			217,371
Operating lease expense adjustment	4,814			13,626
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements	(11,043		)	(12,043		)
Operating cash flows from operating leases	$	65,556		$	218,954
Non-cash recognition of right-of-use assets obtained in exchange for new operating lease obligations	$	22,375		$	26,356

Financing Leases (in thousands)	Three Months Ended September 30, 2019		Nine Months Ended September 30, 2019
Depreciation and amortization	$	11,675	$	35,030
Interest expense: financing lease obligations	16,567		49,959
Financing lease expense	$	28,242	$	84,989
Operating cash flows from financing leases	$	16,567	$	49,959
Financing cash flows from financing leases	5,549		16,502
Total cash flows from financing leases	$	22,116	$	66,461

As of September 30, 2019, the weighted-average discount rate of the Company’s operating and financing leases was 8.6% and 7.8%, respectively. As the Company's community leases do not contain an implicit rate, the Company utilized its incremental borrowing rate based on information available on January 1, 2019 to determine the present value of lease payments for operating leases that commenced prior to that date.

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The aggregate amounts of future minimum lease payments, including community, office, and equipment leases recognized on the condensed consolidated balance sheet as of September 30, 2019 are as follows (in thousands):

Year Ending December 31,	Operating Leases			Financing Leases
2019 (three months)	$	77,495		$	22,052
2020	312,861			89,090
2021	298,025			90,330
2022	294,696			91,719
2023	290,698			93,190
Thereafter	806,856			429,663
Total lease payments	2,080,631			816,044
Purchase option liability and non-cash gain on future sale of property	—			575,791
Imputed interest and variable lease payments	(572,238		)	(533,798		)
Total lease obligations	$	1,508,393		$	858,037

The aggregate amounts of future minimum operating lease payments, including community, office, and equipment leases not recognized on the condensed consolidated balance sheet under ASC 840 as of December 31, 2018 are as follows (in thousands):

Year Ending December 31,	Operating Leases
2019	$	310,340
2020	307,493
2021	290,661
2022	291,114
2023	285,723
Thereafter	786,647
Total lease payments	$	2,271,978

11.  Litigation

The Company has been and is currently involved in litigation and claims, including putative class action claims from time to time, incidental to the conduct of its business which are generally comparable to other companies in the senior living and healthcare industries. Certain claims and lawsuits allege large damage amounts and may require significant costs to defend and resolve. As a result, the Company maintains general liability and professional liability insurance policies in amounts and with coverage and deductibles the Company believes are adequate, based on the nature and risks of its business, historical experience and industry standards. The Company's current policies provide for deductibles for each claim. Accordingly, the Company is, in effect, self-insured for claims that are less than the deductible amounts and for claims or portions of claims that are not covered by such policies.

Similarly, the senior living and healthcare industries are continuously subject to scrutiny by governmental regulators, which could result in reviews, audits, investigations, enforcement activities or litigation related to regulatory compliance matters. In addition, as a result of the Company's participation in the Medicare and Medicaid programs, the Company is subject to various governmental reviews, audits and investigations, including but not limited to audits under various government programs, such as the Recovery Audit Contractors (RAC), Zone Program Integrity Contractors (ZPIC), and Unified Program Integrity Contractors (UPIC) programs. The costs to respond to and defend such reviews, audits, and investigations may be significant, and an adverse determination could result in citations, sanctions and other criminal or civil fines and penalties, the refund of overpayments, payment suspensions, termination of participation in Medicare and Medicaid programs, and/or damage to the Company's business reputation.

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12.  Supplemental Disclosure of Cash Flow Information

	Nine Months Ended September 30,
(in thousands)	2019			2018
Supplemental Disclosure of Cash Flow Information:
Interest paid	$	185,722		$	198,133
Income taxes paid, net of refunds	1,909			1,542
Capital expenditures, net of related payables
Capital expenditures - non-development, net	$	180,187		$	130,692
Capital expenditures - development, net	18,677			20,084
Capital expenditures - non-development - reimbursable	12,043			1,764
Capital expenditures - development - reimbursable	—			1,709
Trade accounts payable	(4,522		)	15,100
Net cash paid	$	206,385		$	169,349
Acquisition of assets, net of related payables and cash received:
Property, plant and equipment and leasehold intangibles, net	$	—		$	237,563
Other intangible assets, net	453			(4,345		)
Financing lease obligations	—			36,120
Other liabilities	—			2,433
Net cash paid	$	453		$	271,771
Proceeds from sale of assets, net:
Prepaid expenses and other assets, net	$	(5,298	)	$	(3,006	)
Assets held for sale	(41,882		)	(18,758		)
Property, plant and equipment and leasehold intangibles, net	(647		)	(91,778		)
Investments in unconsolidated ventures	(156		)	(58,179		)
Financing lease obligations	—			93,514
Refundable fees and deferred revenue	—			8,345
Other liabilities	(2,724		)	2,690
Loss (gain) on sale of assets, net	(2,723		)	(64,740		)
Net cash received	$	(53,430	)	$	(131,912	)
Lease termination and modification, net:
Prepaid expenses and other assets, net	$	—		$	(2,040	)
Property, plant and equipment and leasehold intangibles, net	—			(81,320		)
Financing lease obligations	—			58,099
Deferred liabilities	—			67,950
Loss (gain) on sale of assets, net	—			(5,761		)
Loss (gain) on facility lease termination and modification, net	—			22,260
Net cash paid (1)	$	—		$	59,188
Supplemental Schedule of Non-cash Operating, Investing and Financing Activities:
Assets designated as held for sale:
Prepaid expenses and other assets, net	$	(5	)	$	(281	)
Assets held for sale	9,169			162,157
Property, plant and equipment and leasehold intangibles, net	(9,164		)	(161,876		)
Net	$	—		$	—

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Lease termination and modification, net:
Prepaid expenses and other assets, net	$	(648	)	$	(4,783	)
Property, plant and equipment and leasehold intangibles, net	(1,666		)	(106,264		)
Financing lease obligations	—			112,267
Operating lease right-of-use assets	(8,644		)	—
Operating lease obligations	9,289			—
Deferred liabilities	—			(122,304		)
Other liabilities	(337		)	625
Loss (gain) on sale of assets, net	—			(6,085		)
Loss (gain) on facility lease termination and modification, net	2,006			126,544
Net	$	—		$	—

(1) The net cash paid to terminate community leases is presented within the condensed consolidated statement of cash flows based upon the lease classification of the terminated leases. Net cash paid of $46.6 million for the termination of operating leases is presented within net cash provided by (used in) operating activities and net cash paid of $12.5 million for the termination of capital leases is presented within net cash provided by (used in) financing activities for the nine months ended September 30, 2018.

During the three months ended June 30, 2019, the Company and its joint venture partner contributed cash in an aggregate amount of $13.3 million to a consolidated joint venture which owns three senior housing communities. The Company obtained a $6.6 million promissory note receivable from its joint venture partner secured by a 50% equity interest in the joint venture in a non-cash exchange for the Company funding the $13.3 million aggregate contribution in cash.

	Nine Months Ended September 30,
(in thousands)	2019			2018
Notes receivable:
Other assets, net	$	6,566		$	—
Noncontrolling interest	(6,566		)	—
Net	$	—		$	—

Refer to Note 2 for a schedule of the non-cash adjustments to the Company's condensed consolidated balance sheet as of January 1, 2019 as a result of the adoption of new accounting standards and Note 10 for a schedule of the non-cash recognition of right-of-use assets obtained in exchange for new operating lease obligations.

Restricted cash consists principally of escrow deposits for real estate taxes, property insurance, and capital expenditures required by certain lenders under mortgage debt agreements and deposits as security for self-insured retention risk under workers' compensation programs and property insurance programs. The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the condensed consolidated balance sheets that sums to the total of the same such amounts shown in the condensed consolidated statements of cash flows.

(in thousands)	September 30, 2019		December 31, 2018
Reconciliation of cash, cash equivalents, and restricted cash:
Cash and cash equivalents	$	241,391	$	398,267
Restricted cash	33,305		27,683
Long-term restricted cash	40,663		24,268
Total cash, cash equivalents, and restricted cash shown in the condensed consolidated statements of cash flows	$	315,359	$	450,218

13.  Income Taxes

The difference between the Company's effective tax rate for the three and nine months ended September 30, 2019 and September 30, 2018 was primarily due to the non-deductible impairment of goodwill that occurred in the three months ended March 31, 2018

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and the adjustment from stock-based compensation, which was greater in the nine months ended September 30, 2018 compared to the nine months ended September 30, 2019.

The Company recorded an aggregate deferred federal, state, and local tax benefit of $19.4 million and $39.0 million for the three and nine months ended September 30, 2019, respectively. The benefit includes $19.4 million and $40.7 million as a result of the operating losses for the three and nine months ended September 30, 2019, respectively. The benefit was reduced by a $1.7 million reduction in the deferred tax asset related to employee stock compensation for the nine months ended September 30, 2019. The benefit for the three and nine months ended September 30, 2019 is offset by increases in the valuation allowance of $17.8 million and $37.7 million, respectively. The change in the valuation allowance for the three and nine months ended September 30, 2019 is the result of the anticipated reversal of future tax liabilities offset by future tax deductions. The Company recorded an aggregate deferred federal, state, and local tax benefit of $15.4 million and $71.3 million as a result of the operating loss for the three and nine months ended September 30, 2018, respectively. The benefit for the three months ended September 30, 2018 includes a benefit from a decrease in the valuation allowance of $2.7 million. The benefit for the nine months ended September 30, 2018 was offset by an increase in the valuation allowance of $52.2 million.

The Company evaluates its deferred tax assets each quarter to determine if a valuation allowance is required based on whether it is more likely than not that some portion of the deferred tax asset would not be realized. The Company's valuation allowance as of September 30, 2019 and December 31, 2018 was $387.9 million and $336.4 million, respectively.

The increase in the valuation allowance during the nine months ended September 30, 2019 is comprised of multiple components. The increase includes $13.8 million resulting from the adoption of ASC 842 and the related addition of future timing differences recorded in the three months ended March 31, 2019. An additional $39.4 million of allowance was established against the current operating loss incurred during the nine months ended September 30, 2019. Offsetting the increases was a decrease of $1.7 million of allowance as a result of removal of future timing differences related to employee stock compensation recorded in the three months ended March 31, 2019.

On December 22, 2017, the President signed the Tax Cuts and Jobs Act ("Tax Act") into law. The Tax Act limits the annual deductibility of a corporation's net interest expense unless it elects to be exempt from such deductibility limitation under the real property trade or business exception. The Company elected the real property trade or business exception with the 2018 tax return. As such, the Company is required to apply the alternative depreciation system ("ADS") to all current and future residential real property and qualified improvement property assets. This change impacts the current and future tax depreciation deductions and impacted the Company's valuation allowance accordingly. Additional information that may affect the Company's provisional amounts would include further clarification and guidance on how the Internal Revenue Service will implement tax reform and further clarification and guidance on how state taxing authorities will implement tax reform and the related effect on the Company's state and local income tax returns, state and local net operating losses, and corresponding valuation allowances.

The Company recorded interest charges related to its tax contingency reserve for cash tax positions for the three and nine months ended September 30, 2019 and 2018 which are included in income tax expense or benefit for the period. As of September 30, 2019, tax returns for years 2014 through 2018 are subject to future examination by tax authorities. In addition, the net operating losses from prior years are subject to adjustment under examination.

14.  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 tables below.

	Three Months Ended September 30, 2019
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	136,274	$	435,367	$	70,353	$	171	$	642,165
Government reimbursement	600		17,107		19,931		89,157		126,795
Other third-party payor programs	—		—		9,820		22,457		32,277
Total resident fee revenue	$	136,874	$	452,474	$	100,104	$	111,785	$	801,237

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	Three Months Ended September 30, 2018
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	143,963	$	464,719	$	73,567	$	159	$	682,408
Government reimbursement	668		18,406		20,901		89,100		129,075
Other third-party payor programs	—		—		9,679		19,017		28,696
Total resident fee revenue	$	144,631	$	483,125	$	104,147	$	108,276	$	840,179
	Nine Months Ended September 30, 2019
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	406,667	$	1,310,867	$	212,978	$	554	$	1,931,066
Government reimbursement	1,852		50,358		61,614		269,428		383,252
Other third-party payor programs	—		—		30,492		67,769		98,261
Total resident fee revenue	$	408,519	$	1,361,225	$	305,084	$	337,751	$	2,412,579
	Nine Months Ended September 30, 2018
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	459,875	$	1,482,789	$	217,680	$	585	$	2,160,929
Government reimbursement	2,446		54,643		65,986		272,332		395,407
Other third-party payor programs	—		—		30,346		55,732		86,078
Total resident fee revenue	$	462,321	$	1,537,432	$	314,012	$	328,649	$	2,642,414

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 health care 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 $75.8 million and $106.4 million, including $31.6 million and $50.6 million of monthly resident fees billed and received in advance, as of September 30, 2019 and December 31, 2018, respectively. For the nine months ended September 30, 2019 and 2018, the Company recognized $83.7 million and $76.2 million, respectively, of revenue that was included in the deferred revenue balance as of January 1, 2019 and 2018. The Company applies the practical expedient in ASC 606-10-50-14 and does not disclose amounts for remaining performance obligations that have original expected durations of one year or less.

15.  Segment Information

The Company has five reportable segments: Independent Living; Assisted Living and Memory Care; CCRCs; Health Care Services; and Management Services. Operating segments are defined as components of an enterprise that engage in business activities from which it may earn revenues and incur expenses; for which separate financial information is available; and whose operating results are regularly reviewed by the chief operating decision maker to assess the performance of the individual segment and make decisions about resources to be allocated to the segment.

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Independent Living. The Company's Independent Living segment includes owned or leased communities that are primarily designed for middle to upper income seniors who desire an upscale residential environment providing the highest quality of service. The majority of the Company's independent living communities consist of both independent and assisted living units in a single community, which allows residents to age-in-place by providing them with a continuum of senior independent and assisted living services.

Assisted Living and Memory Care. The Company's Assisted Living and Memory Care segment includes owned or leased communities that offer housing and 24-hour assistance with activities of daily life to mid-acuity frail and elderly residents. Assisted living and memory care communities include both freestanding, multi-story communities and freestanding, single story communities. The Company also provides memory care services at freestanding memory care communities that are specially designed for residents with Alzheimer's and other dementias.

CCRCs. The Company's CCRCs segment includes large owned or leased communities that offer a variety of living arrangements and services to accommodate all levels of physical ability and health. Most of the Company's CCRCs have independent living, assisted living and skilled nursing available on one campus or within the immediate market, and some also include memory care and Alzheimer's services.

Health Care Services. The Company's Health Care Services segment includes the home health, hospice, and outpatient therapy services, as well as education and wellness programs, provided to residents of many of the Company's communities and to seniors living outside of the Company's communities. The Health Care Services segment does not include the skilled nursing and inpatient healthcare services provided in the Company's skilled nursing units, which are included in the Company's CCRCs segment.

Management Services. The Company's Management Services segment includes communities operated by the Company pursuant to management agreements. In some of the cases, the controlling financial interest in the community is held by third parties and, in other cases, the community is owned in a venture structure in which the Company has an ownership interest. Under the management agreements for these communities, the Company receives management fees as well as reimbursed expenses, which represent the reimbursement of expenses it incurs on behalf of the owners.

The accounting policies of the Company's reportable segments are the same as those described in the summary of significant accounting policies in Note 2.

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

	Three Months Ended September 30,					Nine Months Ended September 30,
(in thousands)	2019			2018		2019			2018
Revenue:
Independent Living (1)	$	136,874		$	144,631	$	408,519		$	462,321
Assisted Living and Memory Care (1)	452,474			483,125		1,361,225			1,537,432
CCRCs (1)	100,104			104,147		305,084			314,012
Health Care Services (1)	111,785			108,276		337,751			328,649
Management Services (2)	207,712			279,883		657,871			820,082
Total revenue	$	1,008,949		$	1,120,062	$	3,070,450		$	3,462,496
Segment operating income: (3)
Independent Living	$	49,414		$	57,106	$	153,749		$	186,662
Assisted Living and Memory Care	116,856			144,701		390,699			490,976
CCRCs	14,472			21,809		53,956			70,291
Health Care Services	4,778			9,487		22,118			28,008
Management Services	13,564			18,528		44,756			54,280
Total segment operating income	199,084			251,631		665,278			830,217
General and administrative expense (including non-cash stock-based compensation expense)	56,409			58,796		170,296			203,138
Facility operating lease expense	67,253			70,392		203,610			232,752
Depreciation and amortization	93,550			110,980		284,462			341,351
Goodwill and asset impairment	2,094			5,500		6,254			451,966
Loss (gain) on facility lease termination and modification, net	—			2,337		2,006			148,804
Income (loss) from operations	$	(20,222	)	$	3,626	$	(1,350	)	$	(547,794	)

	As of
(in thousands)	September 30, 2019		December 31, 2018
Total assets:
Independent Living	$	1,461,087	$	1,104,774
Assisted Living and Memory Care	4,271,885		3,684,170
CCRCs	786,825		707,819
Health Care Services	273,943		254,950
Corporate and Management Services	580,463		715,547
Total assets	$	7,374,203	$	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.

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16.  Subsequent Events

CCRC Venture and HCP Master Lease Transactions

On October 1, 2019, the Company entered into definitive agreements, including a Master Transactions and Cooperation Agreement (the “MTCA”) and an Equity Interest Purchase Agreement (the “Purchase Agreement”), providing for a multi-part transaction with HCP. The parties subsequently amended the agreements to include one additional entry fee CCRC community as part of the sale of the Company's interest in the CCRC Venture (rather than removing the CCRC from the CCRC Venture for joint marketing and sale). The components of the multi-part transaction include:

• CCRC Venture Transaction. Pursuant to the Purchase Agreement, HCP has agreed to acquire the Company's 51% ownership interest in its unconsolidated entry fee CCRC venture with HCP (the “CCRC Venture”), which will hold 14 entry fee CCRCs after giving effect to the internal restructuring described below, for a total purchase price equal to 51% of the equity value of the CCRC Venture, which is measured as $1.06 billion less portfolio debt, subject to a net working capital adjustment. Pursuant to the Purchase Agreement, the parties have agreed to use commercially reasonable efforts to obtain certain governmental approvals and consummate an internal restructuring for the purposes of moving two entry fee CCRCs into a new unconsolidated venture on substantially the same terms as the CCRC Venture and to accommodate the sale of such two communities at a future date. Pursuant to the MTCA, the parties have agreed to terminate the Company’s existing management agreements with 14 entry fee CCRCs, and HCP has agreed to pay the Company a $100 million management agreement termination fee, immediately following the closing of the sale of the Company’s ownership interest in the CCRC Venture. Upon termination of the management agreements, the Company will transition operations of the entry fee CCRCs to a new operator in accordance with the terms of the MTCA. The Company expects its cash proceeds from the sale of its ownership interest to be approximately $291 million net of portfolio debt, subject to the net working capital adjustment. The disposition of the ownership interest in the CCRC Venture is anticipated to also result in the Company recording a gain on sale of assets for accounting purposes.

• Master Lease Transactions. Pursuant to the MTCA, the parties have agreed to amend and restate the Company’s existing master lease with HCP pursuant to which the Company will continue to lease 25 communities from HCP, and the Company has agreed to pay $405.5 million to acquire 18 communities that it currently leases from HCP and to reduce its annual rent under the amended and restated master lease, upon which time the 18 communities will be removed from the master lease. In addition, HCP has agreed to transition one leased community to a successor operator. With respect to the continuing 24 communities, the Company’s amended and restated master lease with HCP will have an initial term to expire on December 31, 2027, subject to two extension options at the Company's election for ten years each, which must be exercised with respect to the entire pool of leased communities. Pursuant to the amended and restated master lease, the initial base rent for the 24 communities will be approximately $41.8 million and is subject to an escalator of 2.4% per annum on April 1st of each year. Under the terms of the master lease, HCP has agreed to make available up to $35 million for capital expenditures for a five-year period related to the 24 communities at an initial lease rate of 7.0%.

The MTCA and Purchase Agreement contain certain customary representations and warranties made by each party. The Company and HCP have also agreed to certain customary covenants, including that the parties will use commercially reasonable efforts to obtain certain required lender consents and governmental approvals, subject to certain limitations. The parties’ obligations to consummate the transactions contemplated by the MTCA and Purchase Agreement are subject to the satisfaction or waiver of certain conditions, including completion of the internal restructuring, the prior or concurrent closing of the transactions contemplated by the Purchase Agreement, which shall occur no later than December 31, 2020, and the receipt of governmental approvals. The Purchase Agreement may be terminated by either party under certain circumstances, including a material breach by the other party of its obligations under the Purchase Agreement that is not cured within the applicable period or the failure of the closing of the Purchase Agreement to occur on or prior to December 31, 2020.

The Company expects to fund its acquisition of the 18 communities with the proceeds from the sale of its interest in the CCRC Venture and non-recourse mortgage financing on the acquired communities. The Company expects the sale of its 51% ownership interest in the CCRC Venture, the terminations of its management agreements on 14 entry fee CCRCs, and its acquisition of the 18 currently leased communities to occur in the first quarter of 2020, and the sales of the two entry fee CCRCs to occur over the next 12 to 18 months; however, there can be no assurance that the transactions will close or, if they do, when the actual closings will occur.

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Item 2.  Management's Discussion and Analysis of Financial Condition and Results of Operations

SAFE HARBOR STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995

Certain statements in this Quarterly Report on Form 10-Q may constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements are subject to various risks and uncertainties and include all statements that are not historical statements of fact and those regarding our intent, belief or expectations. Forward-looking statements are generally identifiable by use of forward-looking terminology such as "may," "will," "should," "could," "would," "potential," "intend," "expect," "endeavor," "seek," "anticipate," "estimate," "believe," "project," "predict," "continue," "plan," "target" or other similar words or expressions. These forward-looking statements are based on certain assumptions and expectations, and our ability to predict results or the actual effect of future plans or strategies is inherently uncertain. Although we believe that expectations reflected in any forward-looking statements are based on reasonable assumptions, we can give no assurance that our assumptions or expectations will be attained and actual results and performance could differ materially from those projected. Factors which could have a material adverse effect on our operations and future prospects or which could cause events or circumstances to differ from the forward-looking statements include, but are not limited to, events which adversely affect the ability of seniors to afford resident fees and entrance fees, including downturns in the economy, national or local housing markets, consumer confidence or the equity markets and unemployment among family members; changes in reimbursement rates, methods or timing under governmental reimbursement programs including the Medicare and Medicaid programs; the impact of ongoing healthcare reform efforts; the effects of continued new senior housing construction and development, oversupply and increased competition; disruptions in the financial markets that affect our ability to obtain financing or extend or refinance debt as it matures and our financing costs; the risks associated with current global economic conditions and general economic factors such as inflation, the consumer price index, commodity costs, fuel and other energy costs, interest rates and tax rates; our ability to generate sufficient cash flow to cover required interest and long-term lease payments and to fund our planned capital projects; the effect of our indebtedness and long-term leases on our liquidity; the effect of our non-compliance with any of our debt or lease agreements (including the financial covenants contained therein), including the risk of lenders or lessors declaring a cross default in the event of our non-compliance with any such agreements and the risk of loss of our property securing leases and indebtedness due to any resulting lease terminations and foreclosure actions; the effect of our borrowing base calculations and our consolidated fixed charge coverage ratio on availability under our revolving credit facility; increased competition for or a shortage of personnel, wage pressures resulting from increased competition, low unemployment levels, minimum wage increases and changes in overtime laws, and union activity; failure to maintain the security and functionality of our information systems or to prevent a cybersecurity attack or breach; our ability to complete pending or expected disposition, acquisition, or other transactions on agreed upon terms or at all, including in respect of the satisfaction of closing conditions, the risk that regulatory approvals are not obtained or are subject to unanticipated conditions, and uncertainties as to the timing of closing, and our ability to identify and pursue any such opportunities in the future; our ability to obtain additional capital on terms acceptable to us; our ability to complete our capital expenditures in accordance with our plans; our ability to identify and pursue development, investment and acquisition opportunities and our ability to successfully integrate acquisitions; competition for the acquisition of assets; delays in obtaining regulatory approvals; risks associated with the lifecare benefits offered to residents of certain of our entrance fee CCRCs; terminations, early or otherwise, or non-renewal of management agreements; conditions of housing markets, regulatory changes and acts of nature in geographic areas where we are concentrated; terminations of our resident agreements and vacancies in the living spaces we lease; departures of key officers and potential disruption caused by changes in management; risks related to the implementation of our strategy, including initiatives undertaken to execute on our strategic priorities and their effect on our results; actions of activist stockholders, including a proxy contest; market conditions and capital allocation decisions that may influence our determination from time to time whether to purchase any shares under our existing share repurchase program and our ability to fund any repurchases; our ability to maintain consistent quality control; a decrease in the overall demand for senior housing; environmental contamination at any of our communities; failure to comply with existing environmental laws; an adverse determination or resolution of complaints filed against us; the cost and difficulty of complying with increasing and evolving regulation; costs to respond to, and adverse determinations resulting from, government reviews, audits and investigations; unanticipated costs to comply with legislative or regulatory developments; as well as other risks detailed from time to time in our filings with the Securities and Exchange Commission, including those set forth under "Item 1A. Risk Factors" contained in our Annual Report on Form 10-K for the year ended December 31, 2018 and Part II, "Item 1A. Risk Factors" and elsewhere in this Quarterly Report on Form 10-Q. When considering forward-looking statements, you should keep in mind the risk factors and other cautionary statements in such SEC filings. Readers are cautioned not to place undue reliance on any of these forward-looking statements, which reflect management's views as of the date of this Quarterly Report on Form 10-Q. We cannot guarantee future results, levels of activity, performance or achievements, and, except as required by law, we expressly disclaim any obligation to release publicly any updates or revisions to any forward-looking statements contained in this Quarterly Report on Form 10-Q to reflect any change in our expectations with regard thereto or change in events, conditions or circumstances on which any statement is based.

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Overview

As of September 30, 2019, we are the largest operator of senior living communities in the United States based on total capacity, with 794 communities in 45 states and the ability to serve approximately 75,000 residents. We offer our residents access to a full continuum of services across the most attractive sectors of the senior living industry. We operate and manage independent living, assisted living, memory care, and continuing care retirement communities ("CCRCs"). We also offer a range of home health, hospice, and outpatient therapy services to residents of many of our communities and to seniors living outside of our communities.

Our goal is to be the first choice in senior living by being the nation’s most trusted and effective senior living provider and employer. With our range of community and service offerings, we believe that we are positioned to take advantage of favorable demographic trends over time. Our community and service offerings combine housing with hospitality and healthcare services. Our senior living communities offer residents a supportive home-like setting, assistance with activities of daily living such as eating, bathing, dressing, toileting, and transferring/walking and, in certain communities, licensed skilled nursing services. We also provide home health, hospice, and outpatient therapy services to residents of many of our communities and to seniors living outside of our communities. By providing residents with a range of service options as their needs change, we provide greater continuity of care, enabling seniors to age-in-place, which we believe enables them to maintain residency with us for a longer period of time. The ability of residents to age-in-place is also beneficial to our residents and their families who are concerned with care decisions for their elderly relatives.

Community Portfolio

As of September 30, 2019, we owned 336 communities (31,226 units), leased 335 communities (24,036 units), managed 17 communities (7,308 units) on behalf of unconsolidated ventures, and managed 106 communities (12,860 units) on behalf of third parties. During the next 12 months, we expect to close on the dispositions of six owned communities (1,087 units) classified as held for sale as of September 30, 2019, which resulted in $60.4 million being recorded as assets held for sale and $30.8 million of mortgage debt being included in the current portion of long-term debt within the condensed consolidated balance sheet with respect to such communities. This debt is expected to be repaid with the proceeds from the sales. We continue to market several other communities as part of our real estate strategy announced in 2018. During the next approximately 12 months we also anticipate terminations of certain of our management arrangements with the CCRC Venture and with third parties as we transition to new operators our interim management on formerly leased communities and our management on certain former unconsolidated ventures in which we sold our interest. Additionally, in the three months ended September 30, 2019, we provided notice of our intent to exercise the purchase option with respect to eight leased communities (336 units) and expect the purchase to close in the three months ending March 31, 2020. The closings of the various pending and expected transactions are, or will be subject to the satisfaction of various closing conditions, including (where applicable) the receipt of regulatory approvals. However, there can be no assurance that the transactions will close or, if they do, when the actual closings will occur.

CCRC Venture and HCP Master Lease Transactions

On October 1, 2019, we entered into definitive agreements, including a Master Transactions and Cooperation Agreement (the “MTCA”) and an Equity Interest Purchase Agreement (the “Purchase Agreement”), providing for a multi-part transaction with HCP, Inc. (now known as Healthpeak Properties, Inc.) (“HCP”). The parties subsequently amended the agreement to include on additional entry fee CCRC community as part of the sale of our interest in the CCRC Venture (rather than removing the CCRC from the CCRC Venture for joint marketing and sale). The components of the multi-part transaction include:

• CCRC Venture Transaction. Pursuant to the Purchase Agreement, HCP has agreed to acquire our 51% ownership interest in our unconsolidated entry fee CCRC venture with HCP (the “CCRC Venture”), which will hold 14 entry fee CCRCs (6,383 units) after giving effect to the internal restructuring described below, for a total purchase price equal to 51% of the equity value of the CCRC Venture, which is measured as $1.06 billion less portfolio debt, subject to a net working capital adjustment. Pursuant to the Purchase Agreement, the parties have agreed to use commercially reasonable efforts to obtain certain governmental approvals and consummate an internal restructuring for the purposes of moving two entry fee CCRCs (889 units) into a new unconsolidated venture on substantially the same terms as the CCRC Venture and to accommodate the sale of such two communities at a future date. Pursuant to the MTCA, the parties have agreed to terminate our existing management agreements with 14 entry fee CCRCs, and HCP has agreed to pay us a $100 million management agreement termination fee, immediately following the closing of the sale of our ownership interest in the CCRC Venture. Upon termination of the management agreements, we will transition operations of the entry fee CCRCs to a new operator in accordance with the terms of the MTCA. We expect our cash proceeds from the sale of our ownership interest to be approximately $291 million net of portfolio debt, subject to the net working capital adjustment.

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• Master Lease Transactions. Pursuant to the MTCA, the parties have agreed to amend and restate our existing master lease with HCP pursuant to which we will continue to lease 25 communities (2,711 units) from HCP, and we have agreed to pay $405.5 million to acquire 18 communities (2,014 units) that we currently lease from HCP and to reduce our annual rent under the amended and restated master lease, upon which time the 18 communities will be removed from the master lease. In addition, HCP has agreed to transition one leased community (159 units) to a successor operator. With respect to the continuing 24 communities (2,552 units), the amended and restated master lease with HCP will have an initial term to expire on December 31, 2027, subject to two extension options at our election for ten years each, which must be exercised with respect to the entire pool of leased communities. Pursuant to the amended and restated master lease, the initial base rent for the 24 communities will be approximately $41.8 million and is subject to an escalator of 2.4% per annum on April 1st of each year. Under the terms of the master lease, HCP will agree to make available up to $35 million for capital expenditures for a five-year period related to the 24 communities at an initial lease rate of 7.0%.

The MTCA and Purchase Agreement contain certain customary representations and warranties made by each party. The Company and HCP have also agreed to certain customary covenants, including that we will use commercially reasonable efforts to obtain certain required lender consents and governmental approvals, subject to certain limitations. The parties’ obligations to consummate the transactions contemplated by the MTCA and Purchase Agreement are subject to the satisfaction or waiver of certain conditions, including completion of the internal restructuring, the prior or concurrent closing of the transactions contemplated by the Purchase Agreement, which shall occur no later than December 31, 2020, and the receipt of governmental approvals. The Purchase Agreement may be terminated by either party under certain circumstances, including a material breach by the other party of its obligations under the Purchase Agreement that is not cured within the applicable period or the failure of the closing of the Purchase Agreement to occur on or prior to December 31, 2020.

We anticipate that the expected sale of our interest in the CCRC Venture will utilize a portion of our carryforward tax losses to shield the expected significant taxable investment gain on such transaction.

We expect the sale of our 51% ownership interest in the CCRC Venture, the terminations of our management agreements on 14 entry fee CCRCs, and our acquisition of the 18 currently leased communities to occur in the first quarter of 2020, and the sales of the two entry fee CCRCs to occur over the next 12 to 18 months; however, there can be no assurance that the transactions will close or, if they do, when the actual closings will occur. Subsequent to these transactions, we will have exited substantially all of our unconsolidated venture interests and entry fee CCRC operations. We expect to evaluate using a portion of the net proceeds for opportunistic share repurchases and elective debt pay downs.

Completed Transactions and Impact of Dispositions on Results of Operations

During 2017 and 2018 we undertook an initiative to optimize our community portfolio under which we disposed of owned and leased communities and restructured leases. Further, in 2018 we evaluated our owned-community portfolio for opportunities to monetize select high-value communities. As a result of these initiatives, lease restructuring, expiration and termination activity, and other transactions, during the period of January 1, 2018 to September 30, 2019 we disposed of an aggregate of 30 owned communities (2,534 units) and our triple-net lease obligations on an aggregate of 97 communities (9,636 units) were terminated. During this period we also sold our ownership interests in five unconsolidated ventures and acquired six communities that we previously leased or managed. We agreed to manage a number of formerly leased communities on an interim basis until the communities have been transitioned to new managers, and during such interim periods those communities are reported in the Management Services segment.

Summaries of the significant transactions impacting the periods presented, and the impacts of dispositions of owned and leased communities on our results of operations, are included below. See Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations contained in our Annual Report on Form 10-K for the year ended December 31, 2018 for more details regarding the terms of such transactions, including transactions we entered into with Ventas, Inc. ("Ventas"), Welltower Inc. ("Welltower") and HCP during 2017 and 2018, which together restructured a significant portion of our triple-net lease obligations with our largest lessors.

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Summaries of Completed Transactions

• Dispositions of Owned Communities. During the year ended December 31, 2018, we completed the sale of 22 owned communities (1,819 units) for cash proceeds of $380.7 million, net of transaction costs. These dispositions included the sale of three communities during the nine months ended September 30, 2018 for cash proceeds of $12.8 million, net of associated debt and transaction costs, and for which we recognized a net gain on sale of assets of $1.9 million. During the nine months ended September 30, 2019, we completed the sale of eight owned communities (715 units) for cash proceeds of $39.0 million, net of associated debt and transaction costs, and for which we recognized a net gain on sale of assets of $0.9 million for the nine months ended September 30, 2019.

• Welltower. Pursuant to transactions we entered into with Welltower in June 2018, our triple-net lease obligations on 37 communities (4,095 units) were terminated effective June 30, 2018. We paid Welltower an aggregate lease termination fee of $58.0 million, and we recognized a $22.6 million loss on lease termination during the three months ended June 30, 2018. In addition, effective June 30, 2018, we sold our 20% equity interest in our Welltower RIDEA venture to Welltower for net proceeds of $33.5 million and for which we recognized a $14.7 million gain on sale during the three months ended June 30, 2018. We also elected not to renew two master leases with Welltower which matured on September 30, 2018 (11 communities; 1,128 units). In addition, the parties separately agreed to allow us to terminate leases with respect to, and to remove from the remaining Welltower leased portfolio, a number of communities with annual aggregate base rent up to $5.0 million upon Welltower's sale of such communities, and we would receive a corresponding 6.25% rent credit on Welltower's disposition proceeds.

• Ventas. During the three months ended June 30, 2018, we recognized a $125.7 million non-cash loss on lease modification in connection with our restructuring a portfolio of 128 communities that we leased from Ventas into a Master Lease and Security Agreement (the "Ventas Master Lease"), primarily for the extension of the triple-net lease obligations for communities with lease terms that were unfavorable to us given market conditions on the amendment date in exchange for modifications to the change of control provisions and financial covenant provisions of the community leases. Pursuant to the Ventas Master Lease, we have exercised our right to direct Ventas to market for sale 28 communities. Ventas is obligated to use commercially reasonable, diligent efforts to sell such communities on or before December 31, 2020 (subject to extension for regulatory purposes); provided, that Ventas' obligation to sell any such community is subject to Ventas' receiving a purchase price in excess of a mutually agreed upon minimum sale price and to certain other customary closing conditions. Upon any such sale, such communities will be removed from the Ventas Master Lease, and the annual minimum rent under the Ventas Master Lease will be reduced by the amount of the net sale proceeds received by Ventas multiplied by 6.25%. During the three months ended June 30, 2019, five (306 units) of the 28 communities identified were sold by Ventas and removed from the Ventas Master Lease, and the annual minimum rent was prospectively reduced by $1.5 million.

• HCP. Pursuant to transactions we entered into with HCP in November 2017, during the three months ended June 30, 2018, we acquired five communities (858 units) from HCP, two of which we formerly leased, for an aggregate purchase price of $242.8 million, and during the three months ended March 31, 2018, we acquired one community (137 units) for an aggregate purchase price of $32.1 million. During the year ended December 31, 2018 leases with respect to 33 communities (3,123 units) were terminated, and such communities were removed from our master lease with HCP. In addition, during the three months ended March 31, 2018, HCP acquired our 10% ownership interest in our RIDEA venture with HCP for $62.3 million and for which we recognized a $41.7 million gain on sale. Management agreements for 35 communities with former unconsolidated ventures with HCP have been terminated by HCP since November 2017. We have recognized a $9.3 million non-cash management contract termination gain, of which $0.6 million was recognized during the three months ended September 30, 2018 and $0.8 million and $5.6 million was recognized during the nine months ended September 30, 2019 and 2018, respectively.

• Blackstone. During the three months ended September 30, 2018, leases for two communities owned by a former unconsolidated venture with affiliates of Blackstone Real Estate Advisors VIII L.P. were terminated, and we sold our 15% equity interest in the venture consisting of 64 communities.

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Summary of Financial Impact of Completed Dispositions

The following table sets forth, for the three months ended September 30, 2018, the amounts included within our consolidated financial data for the 77 communities that we disposed through sales and lease terminations during the period from July 1, 2018 to June 30, 2019 through the respective disposition dates. We did not dispose of any communities during the three months ended September 30, 2019.

	Three Months Ended September 30, 2018
(in thousands)	Actual Results		Amounts Attributable to Completed Dispositions		Actual Results Less Amounts Attributable to Completed Dispositions
Resident fees
Independent Living	$	144,631	$	14,099	$	130,532
Assisted Living and Memory Care	483,125		45,496		437,629
CCRCs	104,147		4,401		99,746
Senior housing resident fees	$	731,903	$	63,996	$	667,907
Facility operating expense
Independent Living	$	87,525	$	8,588	$	78,937
Assisted Living and Memory Care	338,424		35,182		303,242
CCRCs	82,338		3,785		78,553
Senior housing facility operating expense	$	508,287	$	47,555	$	460,732
Cash facility lease payments	$	105,530	$	13,111	$	92,419

The following tables set forth, for the periods indicated, the amounts included within our consolidated financial data for the 127 communities that we disposed through sales and lease terminations during the period from January 1, 2018 to June 30, 2019 through the respective disposition dates.

	Nine Months Ended September 30, 2019
(in thousands)	Actual Results		Amounts Attributable to Completed Dispositions		Actual Results Less Amounts Attributable to Completed Dispositions
Resident fees
Independent Living	$	408,519	$	—	$	408,519
Assisted Living and Memory Care	1,361,225		12,385		1,348,840
CCRCs	305,084		—		305,084
Senior housing resident fees	$	2,074,828	$	12,385	$	2,062,443
Facility operating expense
Independent Living	$	254,770	$	—	$	254,770
Assisted Living and Memory Care	970,526		10,204		960,322
CCRCs	251,128		—		251,128
Senior housing facility operating expense	$	1,476,424	$	10,204	$	1,466,220
Cash facility lease payments	$	283,697	$	1,451	$	282,246

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	Nine Months Ended September 30, 2018
(in thousands)	Actual Results		Amounts Attributable to Completed Dispositions		Actual Results Less Amounts Attributable to Completed Dispositions
Resident fees
Independent Living	$	462,321	$	74,970	$	387,351
Assisted Living and Memory Care	1,537,432		223,763		1,313,669
CCRCs	314,012		15,106		298,906
Senior housing resident fees	$	2,313,765	$	313,839	$	1,999,926
Facility operating expense
Independent Living	$	275,659	$	44,256	$	231,403
Assisted Living and Memory Care	1,046,456		160,606		885,850
CCRCs	243,721		13,701		230,020
Senior housing facility operating expense	$	1,565,836	$	218,563	$	1,347,273
Cash facility lease payments	$	361,013	$	80,046	$	280,967

The following table sets forth the number of communities and units in our senior housing segments disposed through sales and lease terminations during the nine months ended September 30, 2019 and twelve months ended December 31, 2018:

	Nine Months Ended September 30,	Twelve Months Ended December 31,
	2019	2018
Number of communities
Independent Living	—	17
Assisted Living and Memory Care	16	91
CCRCs	—	3
Total	16	111
Total units
Independent Living	—	2,864
Assisted Living and Memory Care	1,322	7,437
CCRCs	—	547
Total	1,322	10,848

Other Recent Developments

Impact of New Lease Accounting Standard

We adopted the new lease accounting standard (ASC 842) effective January 1, 2019. Adoption of the new lease standard and its application to residency agreements and costs related thereto resulted in the recognition of additional non-cash resident fees and facility operating expense for the three and nine months ended September 30, 2019. The result was a non-cash net impact to net income (loss) and Adjusted EBITDA of negative $6.0 million and $19.0 million for the three and nine months ended September 30, 2019, respectively. For the full year 2019, we expect the non-cash net impact of adoption of the new lease standard and application to our residency agreements and costs related thereto to be approximately negative $27 million to net income (loss) and Adjusted EBITDA. Adoption of the new lease standard had no impact on the amount of net cash provided by (used in) operating activities and Adjusted Free Cash Flow for the three and nine months ended September 30, 2019 and is not expected to have any impact on such measures for the full year.

Increased Competitive Pressures

During and since 2016 we have experienced an elevated rate of competitive new openings, with significant new competition opening in several of our markets, which has adversely affected our occupancy, revenues, results of operations, and cash flow. We

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expect the elevated rate of competitive new openings and pressures on our occupancy and rate growth to continue through 2019. Such increased level of new openings and oversupply, as well as lower levels of unemployment, generally have also contributed to increased competition for community leadership and personnel and wage pressures. We continue to address new competition by focusing on operations with the objective to ensure high customer satisfaction, retain key leadership, and actively engage district and regional management in community operations; enhancing our local and national marketing and public relations efforts; and evaluating current community position relative to competition and repositioning if necessary (e.g., services, amenities, programming and price). We also continue to invest above industry to improve the total rewards program and performance management, training, and development program for our community leaders and staff.

Planned Capital Expenditures

During 2018 we completed an intensive review of our community-level capital expenditure needs with a focus on ensuring that our communities are in appropriate physical condition to support our strategy and determining what additional investments are needed to protect the value of our community portfolio. As a result of that review, we have budgeted to make significant additional near-term investments in our communities, a portion of which will be reimbursed by our lessors. In the aggregate, we expect our full-year 2019 non-development capital expenditures, net of anticipated lessor reimbursements, to be approximately $250 million. For 2019, this includes an increase of approximately $75 million in our community-level capital expenditures relative to 2018, primarily attributable to major building infrastructure projects. We anticipate that our 2019 capital expenditures will be funded from cash on hand, cash flows from operations, and, if necessary, amounts drawn on our secured credit facility. We expect that our 2020 community-level capital expenditures will continue to be elevated relative to 2018, but lower than 2019.

Program Max Initiative

During the nine months ended September 30, 2019, we made continued progress on our Program Max initiative under which we expand, renovate, redevelop, and reposition certain of our existing communities where economically advantageous. During such period, we invested $18.7 million on Program Max projects. We currently have 15 Program Max projects that have been approved, most of which have begun construction and are expected to generate 28 net new units.

Tax Reform

On December 22, 2017, the President signed the Tax Cuts and Jobs Act ("Tax Act") into law. The Tax Act limits the annual deductibility of a corporation's net interest expense unless it elects to be exempt from such deductibility limitation under the real property trade or business exception. The Company elected the real property trade or business exception with the 2018 tax return. As such, the Company is required to apply the alternative depreciation system ("ADS") to all current and future residential real property and qualified improvement property assets. This change impacts the current and future tax depreciation deductions and impacted the Company's valuation allowance accordingly. Additional information that may affect the Company's provisional amounts would include further clarification and guidance on how the Internal Revenue Service will implement tax reform and further clarification and guidance on how state taxing authorities will implement tax reform and the related effect on the Company's state and local income tax returns, state and local net operating losses, and corresponding valuation allowances.

Results of Operations

As of September 30, 2019 our total operations included 794 communities with a capacity to serve approximately 75,000 residents. As of that date we owned 336 communities (31,226 units), leased 335 communities (24,036 units), managed 17 communities (7,308 units) on behalf of unconsolidated ventures, and managed 106 communities (12,860 units) on behalf of third parties. The following discussion should be read in conjunction with our condensed consolidated financial statements and the related notes, which are included in Part I, Item 1 of this Quarterly Report on Form 10-Q. The results of operations for any particular period are not necessarily indicative of results for any future period. Transactions completed during the period of January 1, 2018 to September 30, 2019 significantly affect the comparability of our results of operations, and summaries of such transactions and their impact on our results of operations are above under "Completed Transactions and Impact of Dispositions on Results of Operations."

This section uses the operating measures defined below. Our adoption and application of the new lease accounting standard has impacted our results for the three and nine months ended September 30, 2019, and will impact our results for the remaining 2019 periods, due to our recognition of additional resident fee revenue and facility operating expense, which is non-cash and is non-recurring in future years. To aid in comparability between periods, presentations of our results on a same community basis and RevPAR and RevPOR exclude the impact of the lease accounting standard.

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• Operating results and data presented on a same community basis reflect results and data of the same store communities (utilizing our methodology for determining same store communities which generally excludes assets held for sale, acquisitions and dispositions since the beginning of the prior year, and certain communities that have undergone or are undergoing expansion, redevelopment, and repositioning projects) and, for the 2019 period, exclude the additional resident fee revenue and facility operating expense recognized as a result of application of the new lease accounting standard under ASC 842.

• RevPAR, or average monthly senior housing resident fee revenue per available unit, is defined as resident fee revenue for the corresponding portfolio for the period (excluding Health Care Services segment revenue and entrance fee amortization, and, for the 2019 period, the additional resident fee revenue recognized as a result of the application of the new lease accounting standard under ASC 842), divided by the weighted average number of available units in the corresponding portfolio for the period, divided by the number of months in the period.

• RevPOR, or average monthly senior housing resident fee revenue per occupied unit, is defined as resident fee revenue for the corresponding portfolio for the period (excluding Health Care Services segment revenue and entrance fee amortization, and, for the 2019 period, the additional resident fee revenue recognized as a result of the application of the new lease accounting standard under ASC 842), divided by the weighted average number of occupied units in the corresponding portfolio for the period, divided by the number of months in the period.

This section includes the non-GAAP performance measure Adjusted EBITDA. See "Non-GAAP Financial Measures" below for our definition of the measure and other important information regarding such measure, including reconciliations to the most comparable GAAP measures. During the first quarter of 2019, we modified our definition of Adjusted EBITDA to exclude transaction and organizational restructuring costs, and amounts for all periods herein reflect application of the modified definition.

Comparison of Three Months Ended September 30, 2019 and 2018

Summary Operating Results

The following table summarizes our overall operating results for the three months ended September 30, 2019 and 2018.

	Three Months Ended September 30,						Increase (Decrease)
(in thousands)	2019			2018			Amount			Percent
Total revenue	$	1,008,949		$	1,120,062		$	(111,113	)	(9.9	)%
Facility operating expense	615,717			607,076			8,641			1.4	%
Net income (loss)	(78,508		)	(37,140		)	41,368			111.4	%
Adjusted EBITDA	80,447			128,122			(47,675		)	(37.2	)%

The decrease in total revenue was primarily attributable to the disposition of 77 communities through sales of owned communities and lease terminations since the beginning of the prior year period, which resulted in $63.9 million less in resident fees during the three months ended September 30, 2019 compared to the prior year period. The decrease in resident fees was partially offset by a 1.8% increase in same community RevPAR, comprised of a 2.8% increase in same community RevPOR and an 80 basis points decrease in same community weighted average occupancy. Additionally, management services revenue, including management fees and reimbursed costs incurred on behalf of managed communities, decreased $72.2 million primarily due to terminations of management agreements subsequent to the beginning of the prior year period.

The increase in facility operating expense was primarily attributable to a 7.0% increase in same community facility operating expense, which was primarily due to an increase in labor expense attributable to wage rate increases, an increase in employee benefit expense, and an increase in advertising, property remediation, and insurance costs during the period. The increase was partially offset by the disposition of communities since the beginning of the prior year period, which resulted in $47.5 million less in facility operating expense during the three months ended September 30, 2019 compared to the prior year period.

In addition to the foregoing factors, we recognized additional resident fee revenue and additional facility operating expense of approximately $8.0 million and $14.0 million, respectively, during the three months ended September 30, 2019 as a result of the application of the new lease accounting standard effective January 1, 2019. Same community resident fee revenue and facility operating expense excludes approximately $7.3 million and $12.8 million, respectively, of such additional revenue and expenses.

The increase in net loss was primarily attributable to the revenue and facility operating expense factors noted above, a $9.3 million decrease in net gain on sale of assets, and a $16.0 million decrease in benefit for income taxes.

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The decrease in Adjusted EBITDA was primarily attributable to the revenue and facility operating expense factors noted above.

Operating Results - Senior Housing Segments

The following table summarizes the operating results and data of our three senior housing segments (Independent Living, Assisted Living and Memory Care, and CCRCs) on a combined basis for the three months ended September 30, 2019 and 2018, including operating results and data on a same community basis. See management's discussion and analysis of the operating results on an individual segment basis on the following pages.

(in thousands, except communities, units, occupancy, RevPAR, and RevPOR)	Three Months Ended September 30,						Increase (Decrease)
	2019			2018			Amount			Percent
Resident fees	$	689,452		$	731,903		$	(42,451	)	(5.8	)%
Facility operating expense	$	508,710		$	508,287		$	423		0.1	%
Number of communities (period end)	671			729			(58		)	(8.0	)%
Number of units (period end)	55,262			60,009			(4,747		)	(7.9	)%
Total average units	55,258			61,370			(6,112		)	(10.0	)%
RevPAR	$	4,109		$	3,973		$	136		3.4	%
Occupancy rate (weighted average)	84.2		%	84.2		%	—			n/a
RevPOR	$	4,880		$	4,718		$	162		3.4	%
Same Community Operating Results and Data
Resident fees	$	629,159		$	618,129		$	11,030		1.8	%
Facility operating expense	$	450,181		$	420,846		$	29,335		7.0	%
Number of communities	644			644			—			—
Total average units	50,761			50,773			(12		)	—
RevPAR	$	4,129		$	4,056		$	73		1.8	%
Occupancy rate (weighted average)	84.5		%	85.3		%	(80		) bps	n/a
RevPOR	$	4,886		$	4,755		$	131		2.8	%

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Independent Living Segment

The following table summarizes the operating results and data for our Independent Living segment for the three months ended September 30, 2019 and 2018, including operating results and data on a same community basis.

(in thousands, except communities, units, occupancy, RevPAR, and RevPOR)	Three Months Ended September 30,						Increase (Decrease)
	2019			2018			Amount			Percent
Resident fees	$	136,874		$	144,631		$	(7,757	)	(5.4	)%
Facility operating expense	$	87,460		$	87,525		$	(65	)	(0.1	)%
Number of communities (period end)	68			75			(7		)	(9.3	)%
Number of units (period end)	12,511			13,550			(1,039		)	(7.7	)%
Total average units	12,511			13,553			(1,042		)	(7.7	)%
RevPAR	$	3,581		$	3,557		$	24		0.7	%
Occupancy rate (weighted average)	89.1		%	89.5		%	(40		) bps	n/a
RevPOR	$	4,018		$	3,973		$	45		1.1	%
Same Community Operating Results and Data
Resident fees	$	118,981		$	115,887		$	3,094		2.7	%
Facility operating expense	$	73,088		$	68,964		$	4,124		6.0	%
Number of communities	62			62			—			—
Total average units	11,068			11,074			(6		)	(0.1	)%
RevPAR	$	3,583		$	3,488		$	95		2.7	%
Occupancy rate (weighted average)	89.9		%	89.9		%	—			n/a
RevPOR	$	3,987		$	3,879		$	108		2.8	%

The decrease in the segment’s resident fees was primarily attributable to the disposition of seven communities since the beginning of the prior year period, which resulted in $14.1 million less in resident fees during the three months ended September 30, 2019 compared to the prior year period. The decrease in resident fees was partially offset by the increase in the segment’s same community RevPAR, comprised of a 2.8% increase in same community RevPOR and consistent weighted average occupancy of 89.9%. The increase in the segment’s same community RevPOR was primarily the result of in-place rent increases.

The decrease in the segment’s facility operating expense was primarily attributable to the disposition of communities since the beginning of the prior year period, which resulted in $8.6 million less in facility operating expense during the three months ended September 30, 2019 compared to the prior year period. The decrease in facility operating expense was partially offset by an increase in the segment’s same community facility operating expense, including an increase in labor expense arising from wage rate increases, an increase in employee benefit expense, and an increase in advertising, property remediation, and insurance costs during the period.

In addition to the foregoing factors, we recognized additional resident fee revenue and additional facility operating expense for this segment of approximately $2.5 million and $3.4 million, respectively, during the three months ended September 30, 2019 as a result of the application of the new lease accounting standard effective January 1, 2019. Same community resident fee revenue and facility operating expense for this segment excludes approximately $2.2 million and $3.0 million, respectively, of such additional revenue and expenses.

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Assisted Living and Memory Care Segment

The following table summarizes the operating results and data for our Assisted Living and Memory Care segment for the three months ended September 30, 2019 and 2018, including operating results and data on a same community basis.

(in thousands, except communities, units, occupancy, RevPAR, and RevPOR)	Three Months Ended September 30,						Increase (Decrease)
	2019			2018			Amount			Percent
Resident fees	$	452,474		$	483,125		$	(30,651	)	(6.3	)%
Facility operating expense	$	335,618		$	338,424		$	(2,806	)	(0.8	)%
Number of communities (period end)	577			627			(50		)	(8.0	)%
Number of units (period end)	36,177			39,725			(3,548		)	(8.9	)%
Total average units	36,173			40,933			(4,760		)	(11.6	)%
RevPAR	$	4,127		$	3,934		$	193		4.9	%
Occupancy rate (weighted average)	83.2		%	82.7		%	50		bps	n/a
RevPOR	$	4,962		$	4,755		$	207		4.4	%
Same Community Operating Results and Data
Resident fees	$	433,108		$	424,091		$	9,017		2.1	%
Facility operating expense	$	313,833		$	291,617		$	22,216		7.6	%
Number of communities	563			563			—			—
Total average units	34,852			34,857			(5		)	—
RevPAR	$	4,142		$	4,056		$	86		2.1	%
Occupancy rate (weighted average)	83.3		%	84.0		%	(70		) bps	n/a
RevPOR	$	4,975		$	4,826		$	149		3.1	%

The decrease in the segment’s resident fees was primarily attributable to the disposition of 68 communities since the beginning of the prior year period, which resulted in $45.4 million less in resident fees during the three months ended September 30, 2019 compared to the prior year period. The decrease in resident fees was partially offset by the increase in the segment’s same community RevPAR, comprised of a 3.1% increase in same community RevPOR and a 70 basis points decrease in same community weighted average occupancy. The increase in the segment’s same community RevPOR was primarily the result of in-place rent increases. The decrease in the segment’s same community weighted average occupancy reflects the impact of new competition in our markets.

The decrease in the segment’s facility operating expense was primarily attributable to the disposition of communities since the beginning of the prior year period, which resulted in $35.1 million less in facility operating expense during the three months ended September 30, 2019 compared to the prior year period. The decrease in facility operating expense was partially offset by an increase in the segment’s same community facility operating expense, including an increase in labor expense arising from wage rate increases, an increase in employee benefit expense, and an increase in advertising, property remediation, and insurance costs during the period.

In addition to the foregoing factors, we recognized additional resident fee revenue and additional facility operating expense for this segment of approximately $4.6 million and $9.1 million, respectively, during the three months ended September 30, 2019 as a result of the application of the new lease accounting standard effective January 1, 2019. Same community resident fee revenue and facility operating expense for this segment excludes approximately $4.4 million and $8.6 million, respectively, of such additional revenue and expenses.

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CCRCs Segment

The following table summarizes the operating results and data for our CCRCs segment for the three months ended September 30, 2019 and 2018, including operating results and data on a same community basis.

(in thousands, except communities, units, occupancy, RevPAR, and RevPOR)	Three Months Ended September 30,						Increase (Decrease)
	2019			2018			Amount			Percent
Resident fees	$	100,104		$	104,147		$	(4,043	)	(3.9	)%
Facility operating expense	$	85,632		$	82,338		$	3,294		4.0	%
Number of communities (period end)	26			27			(1		)	(3.7	)%
Number of units (period end)	6,574			6,734			(160		)	(2.4	)%
Total average units	6,574			6,884			(310		)	(4.5	)%
RevPAR	$	5,012		$	5,024		$	(12	)	(0.2	)%
Occupancy rate (weighted average)	80.4		%	82.6		%	(220		) bps	n/a
RevPOR	$	6,234		$	6,082		$	152		2.5	%
Same Community Operating Results and Data
Resident fees	$	77,070		$	78,151		$	(1,081	)	(1.4	)%
Facility operating expense	$	63,260		$	60,265		$	2,995		5.0	%
Number of communities	19			19			—			—
Total average units	4,841			4,842			(1		)	—
RevPAR	$	5,279		$	5,354		$	(75	)	(1.4	)%
Occupancy rate (weighted average)	81.1		%	83.7		%	(260		) bps	n/a
RevPOR	$	6,509		$	6,397		$	112		1.8	%

The decrease in the segment’s resident fees was primarily attributable to the disposition of two communities since the beginning of the prior year period, which resulted in $4.4 million less in resident fees during the three months ended September 30, 2019 compared to the prior year period. Additionally, there was a decrease in the segment’s same community RevPAR, comprised of a 260 basis points decrease in same community weighted average occupancy and a 1.8% increase in same community RevPOR. The decrease in the segment’s same community weighted average occupancy reflects the impact of new competition in our markets. The increase in the segment’s same community RevPOR was primarily the result of in-place rent increases.

The increase in the segment's facility operating expense was primarily attributable to an increase in the segment’s same community facility operating expense, including an increase in labor expense arising from wage rate increases, an increase in employee benefit expense, and an increase in advertising, property remediation, and insurance costs during the period. The increase in facility operating expense was partially offset by the disposition of communities since the beginning of the prior year period, which resulted in $3.8 million less in facility operating expense during the three months ended September 30, 2019 compared to the prior year period.

In addition to the foregoing factors, we recognized additional resident fee revenue and additional facility operating expense for this segment of approximately $0.9 million and $1.5 million, respectively, during the three months ended September 30, 2019 as a result of the application of the new lease accounting standard effective January 1, 2019. Same community resident fee revenue and facility operating expense for this segment excludes approximately $0.7 million and $1.2 million, respectively, of such additional revenue and expenses.

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Operating Results - Health Care Services Segment

The following table summarizes the operating results and data for our Health Care Services segment for the three months ended September 30, 2019 and 2018.

(in thousands, except census and treatment codes)	Three Months Ended September 30,				Increase (Decrease)
	2019		2018		Amount		Percent
Resident fees	$	111,785	$	108,276	$	3,509	3.2	%
Facility operating expense	$	107,007	$	98,789	$	8,218	8.3	%
Home health average daily census	15,357		14,890		467		3.1	%
Hospice average daily census	1,642		1,411		231		16.4	%
Outpatient therapy treatment codes	171,578		168,569		3,009		1.8	%

The increase in the segment’s resident fees was primarily attributable to an increase in volume for hospice services and an increase in home health average daily census, partially offset by sales force turnover and customer relations issues related to the centralized intake initiative.

The increase in the segment’s facility operating expense was primarily attributable to an increase in labor costs arising from wage rate increases and the expansion of our hospice services. In addition, there was an increase in employee benefit expense.

On October 31, 2019, the Centers for Medicare and Medicaid Services (“CMS”) issued a final rule that included routine updates to home health payment rates and sets forth the implementation of the Patient-Driven Grouping Model (“PDGM”), an alternate home health case-mix adjustment methodology with a 30-day unit of payment that will be effective beginning January 1, 2020.  The final rule also will phase out requests for anticipated payment ("RAP") over 2020 with the full elimination of RAPs in 2021. We are currently in the process of preparing for the implementation of PDGM effective January 1, 2020 and are evaluating the impact of the final rule on our home health operations.

Operating Results - Management Services Segment

The following table summarizes the operating results and data for our Management Services segment for the three months ended September 30, 2019 and 2018.

(in thousands, except communities, units, and occupancy)	Three Months Ended September 30,						Increase (Decrease)
	2019			2018			Amount			Percent
Management fees	$	13,564		$	18,528		$	(4,964	)	(26.8	)%
Reimbursed costs incurred on behalf of managed communities	$	194,148		$	261,355		$	(67,207	)	(25.7	)%
Number of communities (period end)	123			232			(109		)	(47.0	)%
Number of units (period end)	20,168			32,511			(12,343		)	(38.0	)%
Total average units	20,730			32,471			(11,741		)	(36.2	)%
Occupancy rate (weighted average)	83.4		%	84.0		%	(60		) bps	n/a

The decrease in management fees was primarily attributable to the transition of management arrangements on 117 net communities since the beginning of the prior year period, generally for interim management arrangements on formerly leased or owned communities and management arrangements on certain former unconsolidated ventures in which we sold our interest. Management fees of $13.6 million for the three months ended September 30, 2019 include $0.5 million of management fees attributable to communities for which our management agreements were terminated during such period and approximately $8 million of management fees attributable to communities that we expect the terminations of our management agreements to occur in the next approximately 12 months, including management agreements on communities owned by the CCRC Venture, interim management arrangements on formerly leased communities, and management arrangements on certain former unconsolidated ventures in which we sold our interest. Pursuant to the MTCA with HCP, HCP has agreed to pay us $100 million immediately following the closing of the sale of our ownership interest in the CCRC Venture, which is expected to close in the first quarter of 2020.

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The decrease in reimbursed costs incurred on behalf of managed communities was primarily attributable to terminations of management agreements subsequent to the beginning of the prior year period.

Operating Results - Other Income and Expense Items

The following table summarizes other income and expense items in our operating results for the three months ended September 30, 2019 and 2018.

(in thousands)	Three Months Ended September 30,						Increase (Decrease)
	2019			2018			Amount			Percent
General and administrative expense	$	56,409		$	58,796		$	(2,387	)	(4.1	)%
Facility operating lease expense	67,253			70,392			(3,139		)	(4.5	)%
Depreciation and amortization	93,550			110,980			(17,430		)	(15.7	)%
Goodwill and asset impairment	2,094			5,500			(3,406		)	(61.9	)%
Loss (gain) on facility lease termination and modification, net	—			2,337			(2,337		)	(100.0	)%
Costs incurred on behalf of managed communities	194,148			261,355			(67,207		)	(25.7	)%
Interest income	2,162			1,654			508			30.7	%
Interest expense	(62,078		)	(68,626		)	(6,548		)	9.5	%
Debt modification and extinguishment costs	(2,455		)	(33		)	2,422			NM
Equity in earnings (loss) of unconsolidated ventures	(2,057		)	(1,340		)	717			(53.5	)%
Gain (loss) on sale of assets, net	579			9,833			(9,254		)	(94.1	)%
Other non-operating income (loss)	3,763			(17		)	3,780			NM
Benefit (provision) for income taxes	1,800			17,763			(15,963		)	(89.9	)%

General and Administrative Expense. The decrease in general and administrative expense was primarily attributable to a reduction in our corporate headcount, as we scaled our general and administrative costs in connection with community dispositions. The decrease was partially offset by a $0.7 million increase in transactional and organizational restructuring costs compared to the prior period, to $3.9 million for the three months ended September 30, 2019. The increase was due to $3.4 of transaction costs related to stockholder relations advisory matters incurred during the three months ended September 30, 2019. Transaction costs include those directly related to acquisition, disposition, financing and leasing activity, our assessment of options and alternatives to enhance stockholder value, and stockholder relations advisory matters, and are primarily comprised of legal, finance, consulting, professional fees and other third party costs. Organizational restructuring costs include those related to our efforts to reduce general and administrative expense and our senior leadership changes, including severance and retention costs. For the full year 2019, we expect transaction costs related to stockholder relations advisory matters to be approximately $5.5 million, of which $3.4 million was incurred for the three months ended September 30, 2019.

Facility Operating Lease Expense. The decrease in facility operating lease expense was primarily due to lease termination activity since the beginning of the prior year quarter.

Depreciation and Amortization. The decrease in depreciation and amortization expense was primarily due to disposition activity through sales and lease terminations since the beginning of the prior year quarter.

Goodwill and Asset Impairment. During the current year period, we recorded $2.1 million of non-cash impairment charges, primarily for assets held for sale and property, plant and equipment and leasehold intangibles for certain communities. During the prior year period, we recorded $5.5 million of non-cash impairment charges. The prior year period impairment charges primarily consisted of a $3.0 million decrease in the estimated selling prices of assets held for sale and a $2.5 million impairment of property, plant and equipment and leasehold intangibles for certain communities, primarily in the Assisted Living and Memory Care segment. See Note 5 to the condensed consolidated financial statements contained in Part I, Item 1 of this Quarterly Report on Form 10-Q for more information about the impairment charges.

Costs Incurred on Behalf of Managed Communities. The decrease in costs incurred on behalf of managed communities was primarily due to terminations of management agreements subsequent to the beginning of the prior year period.

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Interest Expense. The decrease in interest expense was primarily due to financing lease termination activity and a decrease in interest expense on long-term debt, reflecting the impact of the repayment of debt since the beginning of the prior year period and lower interest rates.

Gain (Loss) on Sale of Assets, Net. The decrease in gain on sale of assets, net was primarily due to gains recognized for the termination of financing leases during the prior year period.

Benefit (Provision) for Income Taxes. The difference between our effective tax rate for the three months ended September 30, 2019 and 2018 was primarily due to an increase in the full year valuation allowance projected in 2019 as compared to 2018.

We recorded an aggregate deferred federal, state, and local tax benefit of $19.4 million as a result of the operating loss for the three months ended September 30, 2019, offset by an increase in the valuation allowance of $17.8 million. The change in the valuation allowance for the three months ended September 30, 2019 resulted from anticipated reversal of future tax liabilities offset by future tax deductions. We recorded an aggregate deferred federal, state, and local tax benefit of $15.4 million as a result of the operating loss for the three months ended September 30, 2018, and we reduced our valuation allowance in the quarter by $2.7 million.

We evaluate our deferred tax assets each quarter to determine if a valuation allowance is required based on whether it is more likely than not that some portion of the deferred tax asset would not be realized. Our valuation allowance as of September 30, 2019 and December 31, 2018 was $387.9 million and $336.4 million, respectively.

We recorded interest charges related to our tax contingency reserve for cash tax positions for the three months ended September 30, 2019 and 2018 which are included in provision for income tax for the period. Tax returns for years 2014 through 2018 are subject to future examination by tax authorities. In addition, the net operating losses from prior years are subject to adjustment under examination.

Operating Results - Unconsolidated Ventures

The Company’s proportionate share of Adjusted EBITDA of unconsolidated ventures was $9.8 million for the three months ended September 30, 2019, which represented a decrease of 13.1% from the three months ended September 30, 2018 primarily attributable to the sale of our interest in two unconsolidated ventures since the beginning of the prior year quarter. Upon completion of the dispositions pursuant to the multi-part transaction with HCP announced October 1, 2019 we will have eliminated substantially all of our unconsolidated venture interests. See above under "CCRC Venture and HCP Master Lease Transactions" for more details regarding the terms and expected timing of such dispositions.

Comparison of Nine Months Ended September 30, 2019 and 2018

Summary Operating Results

The following table summarizes our overall operating results for the nine months ended September 30, 2019 and 2018.

	Nine Months Ended September 30,						Increase (Decrease)
(in thousands)	2019			2018			Amount			Percent
Total revenue	$	3,070,450		$	3,462,496		$	(392,046	)	(11.3	)%
Facility operating expense	1,792,057			1,866,477			(74,420		)	(4.0	)%
Net income (loss)	(177,169		)	(659,883		)	(482,714		)	(73.2	)%
Adjusted EBITDA	301,066			422,495			(121,429		)	(28.7	)%

The decrease in total revenue was primarily attributable to the disposition of 127 communities through sales of owned communities and lease terminations since the beginning of the prior year period, which resulted in $301.5 million less in resident fees during the nine months ended September 30, 2019 compared to the prior year period. The decrease in resident fees was partially offset by a 1.8% increase in same community RevPAR, comprised of a 3.1% increase in same community RevPOR and a 100 basis points decrease in same community weighted average occupancy. Additionally, management services revenue, including management fees and reimbursed costs incurred on behalf of managed communities, decreased $162.2 million primarily due to terminations of management agreements subsequent to the beginning of the prior year period.

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The decrease in facility operating expense was primarily attributable to the disposition of communities since the beginning of the prior year period, which resulted in $208.4 million less in facility operating expense during the nine months ended September 30, 2019 compared to the prior year period. The decrease was partially offset by a 5.6% increase in same community facility operating expense, which was primarily due to an increase in labor expense arising from wage rate increases, an increase in employee benefit expense, and an increase in advertising and insurance costs during the period.

In addition to the foregoing factors, we recognized additional resident fee revenue and additional facility operating expense of approximately $16.0 million and $35.0 million, respectively, during the nine months ended September 30, 2019 as a result of the application of the new lease accounting standard effective January 1, 2019. Same community resident fee revenue and facility operating expense excludes approximately $14.6 million and $32.0 million, respectively, of such additional revenue and expenses.

The improvement to net income (loss) was primarily attributable to decreases in goodwill and asset impairment expense and in loss on facility lease termination and modification compared to the prior period, offset by a decrease in net gain on sale of assets and the revenue and facility operating expense factors noted above. Goodwill and asset impairment expense was $6.3 million for the nine months ended September 30, 2019 compared to $452.0 million for the prior year period. We recognized a loss on lease termination and modification of $148.8 million for the nine months ended September 30, 2018 primarily as a result of agreements with Ventas and Welltower. Net gain on sale of assets was $2.7 million for the nine months ended September 30, 2019 compared to a net gain on sale of assets of $76.6 million for the prior year period.

The decrease in Adjusted EBITDA was primarily attributable to the revenue and facility operating expense factors noted above, offset by lower general and administrative expenses (excluding non-cash stock-based compensation expense and transaction and organizational restructuring costs) of $10.1 million and lower cash facility operating lease payments of $33.4 million.

Operating Results - Senior Housing Segments

The following table summarizes the operating results and data of our three senior housing segments (Independent Living, Assisted Living and Memory Care, and CCRCs) on a combined basis for the nine months ended September 30, 2019 and 2018 including operating results and data on a same community basis. See management's discussion and analysis of the operating results on an individual segment basis on the following pages.

(in thousands, except communities, units, occupancy, RevPAR, and RevPOR)	Nine Months Ended September 30,						Increase (Decrease)
	2019			2018			Amount			Percent
Resident fees	$	2,074,828		$	2,313,765		$	(238,937	)	(10.3	)%
Facility operating expense	$	1,476,424		$	1,565,836		$	(89,412	)	(5.7	)%
Number of communities (period end)	671			729			(58		)	(8.0	)%
Number of units (period end)	55,262			60,009			(4,747		)	(7.9	)%
Total average units	55,728			64,757			(9,029		)	(13.9	)%
RevPAR	$	4,103		$	3,968		$	135		3.4	%
Occupancy rate (weighted average)	83.7		%	84.3		%	(60		) bps	n/a
RevPOR	$	4,900		$	4,709		$	191		4.1	%
Same Community Operating Results and Data
Resident fees	$	1,890,071		$	1,856,594		$	33,477		1.8	%
Facility operating expense	$	1,306,364		$	1,237,417		$	68,947		5.6	%
Number of communities	644			644			—			—
Total average units	50,753			50,777			(24		)	—
RevPAR	$	4,135		$	4,060		$	75		1.8	%
Occupancy rate (weighted average)	84.2		%	85.2		%	(100		) bps	n/a
RevPOR	$	4,913		$	4,764		$	149		3.1	%

46

Independent Living Segment

The following table summarizes the operating results and data for our Independent Living segment for the nine months ended September 30, 2019 and 2018, including operating results and data on a same community basis.

(in thousands, except communities, units, occupancy, RevPAR, and RevPOR)	Nine Months Ended September 30,						Increase (Decrease)
	2019			2018			Amount			Percent
Resident fees	$	408,519		$	462,321		$	(53,802	)	(11.6	)%
Facility operating expense	$	254,770		$	275,659		$	(20,889	)	(7.6	)%
Number of communities (period end)	68			75			(7		)	(9.3	)%
Number of units (period end)	12,511			13,550			(1,039		)	(7.7	)%
Total average units	12,460			14,561			(2,101		)	(14.4	)%
RevPAR	$	3,592		$	3,528		$	64		1.8	%
Occupancy rate (weighted average)	89.3		%	88.4		%	90		bps	n/a
RevPOR	$	4,021		$	3,991		$	30		0.8	%
Same Community Operating Results and Data
Resident fees	$	356,724		$	346,239		$	10,485		3.0	%
Facility operating expense	$	214,817		$	204,369		$	10,448		5.1	%
Number of communities	62			62			—			—
Total average units	11,058			11,078			(20		)	(0.2	)%
RevPAR	$	3,585		$	3,473		$	112		3.2	%
Occupancy rate (weighted average)	89.8		%	89.2		%	60		bps	n/a
RevPOR	$	3,991		$	3,891		$	100		2.6	%

The decrease in the segment’s resident fees was primarily attributable to the disposition of 17 communities since the beginning of the prior year period, which resulted in $75.0 million less in resident fees during the nine months ended September 30, 2019 compared to the prior year period. The decrease in resident fees was partially offset by the increase in the segment’s same community RevPAR, comprised of a 2.6% increase in same community RevPOR and a 60 basis points increase in same community weighted average occupancy. The increase in the segment’s same community RevPOR was primarily the result of in-place rent increases. Additionally, the decrease in resident fees was partially offset by $2.9 million of additional revenue for one community acquired subsequent to the beginning of the prior year period.

The decrease in the segment’s facility operating expense was primarily attributable to the disposition of communities since the beginning of the prior year period, which resulted in $44.3 million less in facility operating expense during the nine months ended September 30, 2019 compared to the prior year period. The decrease in facility operating expense was partially offset by an increase in the segment’s same community facility operating expense including an increase in labor expense arising from wage rate increases, an increase in employee benefit expense, an increase in advertising costs, and an increase in insurance costs during the period. Additionally, the decrease in facility operating expense was partially offset by $2.1 million of additional facility operating expense for one community acquired subsequent to the beginning of the prior year period.

In addition to the foregoing factors, we recognized additional resident fee revenue and additional facility operating expense for this segment of approximately $5.8 million and $9.2 million, respectively, during the nine months ended September 30, 2019 as a result of the application of the new lease accounting standard effective January 1, 2019. Same community resident fee revenue and facility operating expense for this segment excludes approximately $5.1 million and $8.1 million, respectively, of such additional revenue and expenses.

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Assisted Living and Memory Care Segment

The following table summarizes the operating results and data for our Assisted Living and Memory Care segment for the nine months ended September 30, 2019 and 2018, including operating results and data on a same community basis.

(in thousands, except communities, units, occupancy, RevPAR, and RevPOR)	Nine Months Ended September 30,						Increase (Decrease)
	2019			2018			Amount			Percent
Resident fees	$	1,361,225		$	1,537,432		$	(176,207	)	(11.5	)%
Facility operating expense	$	970,526		$	1,046,456		$	(75,930	)	(7.3	)%
Number of communities (period end)	577			627			(50		)	(8.0	)%
Number of units (period end)	36,177			39,725			(3,548		)	(8.9	)%
Total average units	36,701			43,369			(6,668		)	(15.4	)%
RevPAR	$	4,096		$	3,939		$	157		4.0	%
Occupancy rate (weighted average)	82.3		%	83.0		%	(70		) bps	n/a
RevPOR	$	4,979		$	4,743		$	236		5.0	%
Same Community Operating Results and Data
Resident fees	$	1,297,455		$	1,275,442		$	22,013		1.7	%
Facility operating expense	$	904,693		$	855,773		$	48,920		5.7	%
Number of communities	563			563			—			—
Total average units	34,854			34,857			(3		)	—
RevPAR	$	4,136		$	4,066		$	70		1.7	%
Occupancy rate (weighted average)	82.7		%	84.1		%	(140		) bps	n/a
RevPOR	$	5,004		$	4,833		$	171		3.5	%

The decrease in the segment’s resident fees was primarily attributable to the disposition of 107 communities since the beginning of the prior year period, which resulted in $211.4 million less in resident fees during the nine months ended September 30, 2019 compared to the prior year period. The decrease in resident fees was partially offset by the increase in the segment’s same community RevPAR, comprised of a 3.5% increase in same community RevPOR and a 140 basis points decrease in same community weighted average occupancy. The increase in the segment’s same community RevPOR was primarily the result of in-place rent increases. The decrease in the segment’s same community weighted average occupancy reflects the impact of new competition in our markets. Additionally, the decrease in resident fees was partially offset by $2.7 million of additional revenue for two communities acquired subsequent to the beginning of the prior year period.

The decrease in the segment’s facility operating expense was primarily attributable to the disposition of communities since the beginning of the prior year period, which resulted in $150.4 million less in facility operating expense during the nine months ended September 30, 2019 compared to the prior year period. The decrease in facility operating expense was partially offset by an increase in the segment’s same community facility operating expense, including an increase in labor expense arising from wage rate increases, an increase in employee benefit expense, and an increase in advertising and insurance costs during the period. Additionally, the decrease in facility operating expense was partially offset by $1.6 million of additional facility operating expense for two communities acquired subsequent to the beginning of the prior year period.

In addition to the foregoing factors, we recognized additional resident fee revenue and additional facility operating expense for this segment of approximately $8.3 million and $21.9 million, respectively, during the nine months ended September 30, 2019 as a result of the application of the new lease accounting standard effective January 1, 2019. Same community resident fee revenue and facility operating expense for this segment excludes approximately $7.8 million and $20.7 million, respectively, of such additional revenue and expenses.

48

CCRCs Segment

The following table summarizes the operating results and data for our CCRCs segment for the nine months ended September 30, 2019 and 2018, including operating results and data on a same community basis.

(in thousands, except communities, units, occupancy, RevPAR, and RevPOR)	Nine Months Ended September 30,						Increase (Decrease)
	2019			2018			Amount			Percent
Resident fees	$	305,084		$	314,012		$	(8,928	)	(2.8	)%
Facility operating expense	$	251,128		$	243,721		$	7,407		3.0	%
Number of communities (period end)	26			27			(1		)	(3.7	)%
Number of units (period end)	6,574			6,734			(160		)	(2.4	)%
Total average units	6,567			6,827			(260		)	(3.8	)%
RevPAR	$	5,108		$	5,091		$	17		0.3	%
Occupancy rate (weighted average)	81.3		%	83.2		%	(190		) bps	n/a
RevPOR	$	6,284		$	6,119		$	165		2.7	%
Same Community Operating Results and Data
Resident fees	$	235,892		$	234,913		$	979		0.4	%
Facility operating expense	$	186,854		$	177,275		$	9,579		5.4	%
Number of communities	19			19			—			—
Total average units	4,841			4,842			(1		)	—
RevPAR	$	5,387		$	5,366		$	21		0.4	%
Occupancy rate (weighted average)	82.1		%	83.9		%	(180		) bps	n/a
RevPOR	$	6,560		$	6,393		$	167		2.6	%

The decrease in the segment’s resident fees was primarily attributable to the disposition of three communities since the beginning of the prior year period, which resulted in $15.1 million less in resident fees during the nine months ended September 30, 2019 compared to the prior year period. The decrease in resident fees was partially offset by the increase in the segment’s same community RevPAR, comprised of a 2.6% increase in same community RevPOR and a 180 basis points decrease in same community weighted average occupancy. The increase in the segment’s same community RevPOR was primarily the result of in-place rent increases. The decrease in the segment’s same community weighted average occupancy reflects the impact of new competition in our markets. Additionally, the decrease in resident fees was partially offset by $4.3 million of additional revenue for one community acquired subsequent to the beginning of the prior year period.

The increase in the segment's facility operating expense was primarily attributable to an increase in the segment’s same community facility operating expense, including an increase in labor expense arising from wage rate increases and an increase in employee benefit expense. Additionally, there was $2.8 million of additional facility operating expense for one community acquired subsequent to the beginning of the prior year period. The increase in facility operating expense was partially offset by the disposition of communities since the beginning of the prior year period, which resulted in $13.7 million less in facility operating expense during the nine months ended September 30, 2019 compared to the prior year period.

In addition to the foregoing factors, we recognized additional resident fee revenue and additional facility operating expense for this segment of approximately $2.0 million and $4.0 million, respectively, during the nine months ended September 30, 2019 as a result of the application of the new lease accounting standard effective January 1, 2019. Same community resident fee revenue and facility operating expense for this segment excludes approximately $1.6 million and $3.1 million, respectively, of such additional revenue and expenses.

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Operating Results - Health Care Services Segment

The following table summarizes the operating results and data for our Health Care Services segment for the nine months ended September 30, 2019 and 2018.

(in thousands, except census and treatment codes)	Nine Months Ended September 30,				Increase (Decrease)
	2019		2018		Amount			Percent
Resident fees	$	337,751	$	328,649	$	9,102		2.8	%
Facility operating expense	$	315,633	$	300,641	$	14,992		5.0	%
Home health average daily census	15,740		15,206		534			3.5	%
Hospice average daily census	1,538		1,350		188			13.9	%
Outpatient therapy treatment codes	500,045		511,804		(11,759		)	(2.3	)%

The increase in the segment’s resident fees was primarily attributable to an increase in volume for hospice services and an increase in home health average daily census, partially offset by sales force turnover, customer relations issues related to the centralized intake initiative, unfavorable case-mix, and community dispositions.

The increase in the segment’s facility operating expense was primarily attributable to an increase in labor costs arising from wage rate increases and the expansion of our hospice services. In addition, there was an increase in employee benefit expense.

Operating Results - Management Services Segment

The following table summarizes the operating results and data for our Management Services segment for the nine months ended September 30, 2019 and 2018.

(in thousands, except communities, units, and occupancy)	Nine Months Ended September 30,						Increase (Decrease)
	2019			2018			Amount			Percent
Management fees	$	44,756		$	54,280		$	(9,524	)	(17.5	)%
Reimbursed costs incurred on behalf of managed communities	$	613,115		$	765,802		$(152,687)			(19.9	)%
Number of communities (period end)	123			232			(109		)	(47.0	)%
Number of units (period end)	20,168			32,511			(12,343		)	(38.0	)%
Total average units	22,747			32,197			(9,450		)	(29.4	)%
Occupancy rate (weighted average)	83.0		%	83.9		%	(90		) bps	n/a

The decrease in management fees was primarily attributable to the transition of management arrangements on 106 net communities since the beginning of the prior year period, generally for interim management arrangements on formerly leased or owned communities and management arrangements on certain former unconsolidated ventures in which we sold our interest. Management fees of $44.8 million for the nine months ended September 30, 2019 include $6.0 million of management fees attributable to communities for which our management agreements were terminated during such period and approximately $24 million of management fees attributable to communities that we expect the terminations of our management agreements to occur in the next approximately 12 months, including management agreements on communities owned by the CCRC Venture, interim management arrangements on formerly leased communities, and management arrangements on certain former unconsolidated ventures in which we sold our interest. Pursuant to the MTCA with HCP, HCP has agreed to pay us $100 million immediately following the closing of the sale of our ownership interest in the CCRC Venture, which is expected to close in the first quarter of 2020.

The decrease in reimbursed costs incurred on behalf of managed communities was primarily attributable to terminations of management agreements subsequent to the beginning of the prior year period.

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Operating Results - Other Income and Expense Items

The following table summarizes other income and expense items in our operating results for the nine months ended September 30, 2019 and 2018.

(in thousands)	Nine Months Ended September 30,						Increase (Decrease)
	2019			2018			Amount			Percent
General and administrative expense	$	170,296		$	203,138		$	(32,842	)	(16.2	)%
Facility operating lease expense	203,610			232,752			(29,142		)	(12.5	)%
Depreciation and amortization	284,462			341,351			(56,889		)	(16.7	)%
Goodwill and asset impairment	6,254			451,966			(445,712		)	(98.6	)%
Loss (gain) on facility lease termination and modification, net	2,006			148,804			(146,798		)	(98.7	)%
Costs incurred on behalf of managed communities	613,115			765,802			(152,687		)	(19.9	)%
Interest income	8,059			7,578			481			6.3	%
Interest expense	(188,271		)	(215,067		)	(26,796		)	(12.5	)%
Debt modification and extinguishment costs	(5,194		)	(77		)	5,117			NM
Equity in earnings (loss) of unconsolidated ventures	(3,574		)	(6,907		)	(3,333		)	(48.3	)%
Gain (loss) on sale of assets, net	2,723			76,586			(73,863		)	(96.4	)%
Other non-operating income (loss)	9,950			8,074			1,876			23.2	%
Benefit (provision) for income taxes	488			17,724			(17,236		)	(97.2	)%

General and Administrative Expense. The decrease in general and administrative expense was primarily attributable to a decrease in transaction and organizational restructuring costs and a reduction in our corporate associate headcount since the beginning of the prior year period as we scaled our general and administrative costs in connection with community dispositions. Transaction and organizational restructuring costs decreased $20.4 million compared to the prior period, to $5.0 million for the nine months ended September 30, 2019. Transaction costs include those directly related to acquisition, disposition, financing and leasing activity, our assessment of options and alternatives to enhance stockholder value, and stockholder relations advisory matters, and are primarily comprised of legal, finance, consulting, professional fees and other third party costs. Organizational restructuring costs include those related to our efforts to reduce general and administrative expense and our senior leadership changes, including severance and retention costs. For the full year 2019, we expect transaction costs related to stockholder advisory matters to be approximately $5.5 million, of which $3.5 million was incurred for the nine months ended September 30, 2019.

Facility Operating Lease Expense. The decrease in facility operating lease expense was primarily due to lease termination activity since the beginning of the prior year.

Depreciation and Amortization. The decrease in depreciation and amortization expense was primarily due to disposition activity through sales and lease terminations since the beginning of the prior year.

Goodwill and Asset Impairment. During the current year period, we recorded $6.3 million of non-cash impairment charges, primarily for management contract intangible assets associated with terminated contracts and property, plant and equipment and leasehold intangibles for certain communities, primarily within the Assisted Living and Memory Care segment. During the prior year period, we recorded $452.0 million of non-cash impairment charges. The prior year period impairment charges primarily consisted of $351.7 million of goodwill impairment within the Assisted Living and Memory Care segment, $50.2 million of impairment of property, plant and equipment and leasehold intangibles for certain communities, primarily in the Assisted Living and Memory Care segment, $33.4 million of impairment of our investments in unconsolidated ventures, and $15.0 million for assets held for sale. See Note 5 to the condensed consolidated financial statements contained in Part I, Item 1 of this Quarterly Report on Form 10-Q for more information about the impairment charges.

Loss (Gain) on Facility Lease Termination and Modification, Net. During the current year period, we recorded a $2.0 million loss on facility lease termination and modification, net for the termination of leases for eight communities. The decrease in loss on facility lease termination and modification, net was primarily due to a $125.7 million loss on the restructuring of community leases with Ventas and a $24.9 million loss on lease termination activity with Welltower, which was partially offset by a $1.8 million gain on lease termination activity with HCP, during the nine months ended September 30, 2018.

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Costs Incurred on Behalf of Managed Communities. The decrease in costs incurred on behalf of managed communities was primarily due to terminations of management agreements subsequent to the beginning of the prior year period.

Interest Expense. The decrease in interest expense was primarily due to financing lease termination activity and a decrease in interest expense on long-term debt, reflecting the impact of the repayment of debt since the beginning of the prior year period and lower interest rates.

Debt Modification and Extinguishment Costs. The increase in debt modification and extinguishment costs was primarily due to an increase debt modification activity compared to the prior year period.

Equity in Earnings (Loss) of Unconsolidated Ventures. The decrease in equity in loss of unconsolidated ventures was primarily due to the sale of investments in unconsolidated ventures since the beginning of the prior year period.

Gain (Loss) on Sale of Assets, Net. The decrease in gain on sale of assets, net was primarily due to a $59.1 million gain on sale of our investments in unconsolidated ventures and a $12.6 million gain on sale of six communities during the prior year period.

Benefit (Provision) for Income Taxes. The difference between our effective tax rate for the nine months ended September 30, 2019 and 2018 was primarily due to the non-deductible impairment of goodwill that occurred in the nine months ended September 30, 2018 and the adjustment from stock-based compensation which was greater in the nine months ended September 30, 2018 compared to the nine months ended September 30, 2019.

We recorded an aggregate deferred federal, state, and local tax benefit of $40.7 million as a result of the operating loss for the nine months ended September 30, 2019, offset by an increase in the valuation allowance of $39.4 million. The change in the valuation allowance for the nine months ended September 30, 2019 resulted from anticipated reversal of future tax liabilities offset by future tax deductions. We recorded an aggregate deferred federal, state, and local tax benefit of $71.3 million as a result of the operating loss for the nine months ended September 30, 2018, which was offset by an increase in the valuation allowance of $52.2 million.

We evaluate our deferred tax assets each quarter to determine if a valuation allowance is required based on whether it is more likely than not that some portion of the deferred tax asset would not be realized. Our valuation allowance as of September 30, 2019 and December 31, 2018 was $387.9 million and $336.4 million, respectively.

We recorded interest charges related to our tax contingency reserve for cash tax positions for the three months ended September 30, 2019 and 2018 which are included in provision for income tax for the period. Tax returns for years 2014 through 2018 are subject to future examination by tax authorities. In addition, the net operating losses from prior years are subject to adjustment under examination.

Operating Results - Unconsolidated Ventures

The Company’s proportionate share of Adjusted EBITDA of unconsolidated ventures was $32.0 million for the nine months ended September 30, 2019, which represented a decrease of 24.1% from the nine months ended September 30, 2018 primarily attributable to the sale of our interest in five unconsolidated ventures since the beginning of the prior year period.

Liquidity and Capital Resources

This section includes the non-GAAP liquidity measure Adjusted Free Cash Flow. See "Non-GAAP Financial Measures" below for our definition of the measure and other important information regarding such measure, including reconciliations to the most comparable GAAP measures. During the first quarter of 2019, we modified our definition of Adjusted Free Cash Flow to no longer adjust net cash provided by (used in) operating activities for changes in working capital items other than prepaid insurance premiums financed with notes payable and lease liability for lease termination and modification. Amounts for all periods herein reflect application of the modified definition.

52

Liquidity and Indebtedness

The following is a summary of cash flows from operating, investing, and financing activities, as reflected in the consolidated statements of cash flows, and our Adjusted Free Cash Flow and proportionate share of Adjusted Free Cash Flow of unconsolidated ventures:

	Nine Months Ended September 30,						Increase (Decrease)
(in thousands)	2019			2018			Amount			Percent
Net cash provided by (used in) operating activities	$	128,330		$	170,508		$	(42,178	)	(24.7	)%
Net cash provided by (used in) investing activities	(150,355		)	(13,027		)	137,328			NM
Net cash provided by (used in) financing activities	(112,834		)	(239,929		)	(127,095		)	(53.0	)%
Net increase (decrease) in cash, cash equivalents, and restricted cash	(134,859		)	(82,448		)	52,411			63.6	%
Cash, cash equivalents, and restricted cash at beginning of period	450,218			282,546			167,672			59.3	%
Cash, cash equivalents, and restricted cash at end of period	$	315,359		$	200,098		$	115,261		57.6	%
Adjusted Free Cash Flow	$	(76,915	)	$	37,110		$	(114,025	)	NM
Brookdale's proportionate share of Adjusted Free Cash Flow of unconsolidated ventures	18,280			20,004			(1,724		)	(8.6	)%

The decrease in net cash provided by operating activities was attributable primarily to the impact of disposition activity, through sales and lease terminations, since the beginning of the prior year period and an increase in same community facility operating expense. These changes were partially offset by $46.6 million of cash paid to terminate community operating leases during the prior year period.

The increase in net cash used in investing activities was primarily attributable to a $189.3 million decrease in proceeds from sales of marketable securities, purchases of $137.8 million of marketable securities during the current year period, a $78.5 million decrease in net proceeds from the sale of assets, and a $37.0 million increase in cash paid for capital expenditures. These changes were partially offset by $271.3 million of cash paid for the acquisition of communities during the prior year period and a $32.5 million increase in cash proceeds from notes receivable.

The decrease in net cash used in financing activities was primarily attributable to a $97.8 million decrease in repayment of debt and financing lease obligations compared to the prior year period, including the impact of our cash settlement of the aggregate principal amount of the $316.3 million of 2.75% convertible senior notes during June 2018, a $38.6 million increase in debt proceeds compared to the prior year period, and $12.5 million of cash paid to terminate community financing leases during the prior year period. These changes were partially offset by $18.4 million of cash paid during the current year period for share repurchases.

The decrease in Adjusted Free Cash Flow was primarily attributable to a $49.5 million increase in non-development capital expenditures, net, and an increase in same community facility operating expense. These changes were partially offset by the impact of disposition activity, through sales and lease terminations, since the beginning of the prior year period. The decrease in our proportionate share of Adjusted Free Cash Flow of unconsolidated ventures was primarily attributable to the sale of our interest in five unconsolidated ventures since the beginning of the prior year.

Our principal sources of liquidity have historically been from:

• cash balances on hand, cash equivalents, and marketable securities;

• cash flows from operations;

• proceeds from our credit facilities;

• funds generated through unconsolidated venture arrangements;

• proceeds from mortgage financing, refinancing of various assets, or sale-leaseback transactions;

• funds raised in the debt or equity markets; and

• proceeds from the disposition of assets.

53

Over the longer-term, we expect to continue to fund our business through these principal sources of liquidity.

Our liquidity requirements have historically arisen from:

• working capital;

• operating costs such as employee compensation and related benefits, severance costs, general and administrative expense, and supply costs;

• debt service and lease payments;

• acquisition consideration, lease termination and restructuring costs, and transaction and integration costs;

• capital expenditures and improvements, including the expansion, renovation, redevelopment, and repositioning of our current communities, and the development of new communities;

• cash collateral required to be posted in connection with our financial instruments and insurance programs;

• purchases of common stock under our share repurchase authorizations;

• other corporate initiatives (including integration, information systems, branding, and other strategic projects); and

• prior to 2009, dividend payments.

Over the near-term, we expect that our liquidity requirements will primarily arise from:

• working capital;

• operating costs such as employee compensation and related benefits, general and administrative expense, and supply costs;

• debt service and lease payments;

• acquisition consideration, including the acquisition of 18 communities pursuant to agreements with HCP and the acquisition of certain leased communities under purchase option provisions;

• transaction costs and expansion of our healthcare services;

• capital expenditures and improvements, including the expansion, renovation, redevelopment, and repositioning of our existing communities;

• cash collateral required to be posted in connection with our financial instruments and insurance programs;

• purchases of common stock under our share repurchase authorization; and

• other corporate initiatives (including information systems and other strategic projects).

We are highly leveraged and have significant debt and lease obligations. As of September 30, 2019, we had two principal corporate-level debt obligations: our secured credit facility providing commitments of $250.0 million and our separate unsecured facility providing for up to $47.5 million of letters of credit.

As of September 30, 2019, we had $3.6 billion of debt outstanding, excluding lease obligations, at a weighted-average interest rate of 4.66%. As of such date, 95.5% or $3.4 billion, of our total debt obligations represented non-recourse property-level mortgage financings, $88.6 million of letters of credit had been issued under our secured credit facility and separate unsecured letter of credit facility, and no balance was drawn on our secured credit facility. As of September 30, 2019, the current portion of long-term debt was $343.6 million, including $30.8 million of mortgage debt related to six communities classified as held for sale as of September 30, 2019. As of September 30, 2019, $1.1 billion of our long-term debt is variable rate debt subject to interest rate cap agreements. The remaining $102.9 million of our long-term variable rate debt is not subject to any interest rate cap agreements.

As of September 30, 2019, we had $1.5 billion and $858.0 million of operating and financing lease obligations, respectively. For the twelve months ending September 30, 2020 we will be required to make approximately $312.4 million and $89.0 million of cash payments in connection with our existing operating and financing leases, respectively.

In connection with the multi-part transaction with HCP entered into in October 2019, we agreed to acquire 18 communities for an aggregate purchase price of $405.5 million in 2020, which we expect to close during the three months ended March 31, 2020. We expect to fund the acquisition with non-recourse mortgage financing on the acquired communities and a portion of the proceeds from the sale of our interest in the CCRC Venture.

Additionally, in the three months ended September 30, 2019, we provided notice of our intent to exercise the purchase option with respect to eight of our leased communities (336 units) and expect the purchase to close in the three months ending March 31, 2020. We expect to fund the acquisitions with the proceeds from non-recourse mortgage financing on the acquired communities and cash on hand.

Total liquidity of $455.4 million as of September 30, 2019 included $241.4 million of unrestricted cash and cash equivalents (excluding restricted cash and lease security deposits of $122.6 million in the aggregate), $49.8 million of marketable securities,

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and $164.2 million of availability on our secured credit facility. Total liquidity as of September 30, 2019 decreased $137.1 million from total liquidity of $592.5 million as of December 31, 2018. The decrease was primarily attributable to the negative $76.9 million of Adjusted Free Cash Flow, repayment of debt of $387.7 million during the period, $18.4 million paid for share repurchases, an increase in restricted cash deposits on our insurance programs as we replaced letters of credit as collateral with restricted cash, and a lower amount available on the secured credit facility. These decreases were partially offset by proceeds from debt of $318.5 million, net cash proceeds of $53.4 million from asset sales, and cash proceeds of $34.1 million from notes receivable during the current period.

As of September 30, 2019, our current liabilities exceeded current assets by $429.6 million. Our current liabilities include $251.5 million of operating and financing lease obligations recognized on our condensed consolidated balance sheet, including $188.6 million for the current portion of operating lease obligations recognized on our condensed consolidated balance sheet as a result of the application of ASC 842. Additionally, due to the nature of our business, it is not unusual to operate in the position of negative working capital because we collect revenues much more quickly, often in advance, than we are required to pay obligations, and we have historically refinanced or extended maturities of debt obligations as they become current liabilities. Our operations generally result in a very low level of current assets primarily stemming from our deployment of cash to pay down long-term liabilities, to fund capital expenditures, and to pursue transaction opportunities.

Capital Expenditures

Our capital expenditures are comprised of community-level, corporate, and development capital expenditures. Community-level capital expenditures include recurring expenditures (routine maintenance of communities over $1,500 per occurrence, including for unit turnovers (subject to a $500 floor)) and community renovations, apartment upgrades, and other major building infrastructure projects. Corporate capital expenditures include those for information technology systems and equipment, the expansion of our support platform and healthcare services programs, and the remediation or replacement of assets as a result of casualty losses. Development capital expenditures include community expansions and major community redevelopment and repositioning projects, including our Program Max initiative, and the development of new communities.

Through our Program Max initiative, we intend to expand, renovate, redevelop, and reposition certain of our communities where economically advantageous. Certain of our communities may benefit from additions and expansions or from adding a new level of service for residents to meet the evolving needs of our customers. These Program Max projects include converting space from one level of care to another, reconfiguration of existing units, the addition of services that are not currently present, or physical plant modifications. We currently have 15 Program Max projects that have been approved, most of which have begun construction and are expected to generate 28 net new units.

Following Hurricane Irma in 2017, legislation was adopted in the State of Florida in March 2018 that requires skilled nursing homes and assisted living and memory care communities in Florida to obtain generators and fuel necessary to sustain operations and maintain comfortable temperatures in the event of a power outage. Our impacted Florida communities must be in compliance as of January 1, 2019, which has been extended in certain circumstances. To comply with this legislation, we made approximately $12.1 million and $4.5 million in capital expenditures in 2018 and the nine months ended September 30, 2019, respectively. We expect to incur approximately $0.5 million of additional capital expenditures in the remainder of 2019 to comply with this legislation.

The following table summarizes our capital expenditures for the nine months ended September 30, 2019 for our consolidated business:

(in millions)	Nine Months Ended September 30, 2019
Community-level capital expenditures, net (1)	$	158.5
Corporate (2)	21.7
Non-development capital expenditures, net (3)	180.2
Development capital expenditures, net	18.7
Total capital expenditures, net	$	198.9

(1) Reflects the amount invested, net of lessor reimbursements of $12.0 million.

(2) Includes $10.5 million of remediation costs at our communities resulting from hurricanes and for the acquisition of emergency power generators at our impacted Florida communities.

(3) Amount is included in Adjusted Free Cash Flow.

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During 2018 we completed an intensive review of our community-level capital expenditure needs with a focus on ensuring that our communities are in appropriate physical condition to support our strategy and determining what additional investments are needed to protect the value of our community portfolio. As a result of that review, we have budgeted to make significant additional near-term investments in our communities, a portion of which will be reimbursed by our lessors. In the aggregate, we expect our full-year 2019 non-development capital expenditures, net of anticipated lessor reimbursements, to be approximately $250 million. For 2019, this includes an increase of approximately $75 million in our community-level capital expenditures relative to 2018, primarily attributable to major building infrastructure projects. We also expect our full-year 2019 development capital expenditures, net of anticipated lessor reimbursements, to be approximately $30 million. We anticipate that our 2019 capital expenditures will be funded from cash on hand, cash flows from operations, and, if necessary, amounts drawn on our secured credit facility. With this additional investment in our communities, we expect our Adjusted Free Cash Flow to be negative for 2019. In addition, we expect that our 2020 community-level capital expenditures will continue to be elevated relative to 2018, but lower than 2019.

Execution on our strategy, including completing our capital expenditure plans and pursuing expansion of our healthcare services, may require additional capital. We expect to continue to assess our financing alternatives periodically and access the capital markets opportunistically. If our existing resources are insufficient to satisfy our liquidity requirements, we may need to sell additional equity or debt securities. Any such sale of additional equity securities will dilute the percentage ownership of our existing stockholders, and we cannot be certain that additional public or private financing will be available in amounts or on terms acceptable to us, if at all. Any newly issued equity securities may have rights, preferences or privileges senior to those of our common stock. If we are unable to raise additional funds or obtain them on terms acceptable to us, we may have to forgo, delay or abandon our plans.

We currently estimate that our existing cash flows from operations, together with cash on hand, amounts available under our secured credit facility and proceeds from anticipated dispositions of owned communities and financings and refinancings of various assets, will be sufficient to fund our liquidity needs for at least the next 12 months, assuming a relatively stable macroeconomic environment.

Our actual liquidity and capital funding requirements depend on numerous factors, including our operating results, our actual level of capital expenditures, general economic conditions, and the cost of capital. Volatility in the credit and financial markets may have an adverse impact on our liquidity by making it more difficult for us to obtain financing or refinancing. Shortfalls in cash flows from operating results or other principal sources of liquidity may have an adverse impact on our ability to maintain capital spending levels, to execute on our strategy or to pursue lease restructuring, development, or acquisitions that we may identify. In order to continue some of these activities at historical or planned levels, we may incur additional indebtedness or lease financing to provide additional funding. There can be no assurance that any such additional financing will be available or on terms that are acceptable to us.

Credit Facilities

On December 5, 2018, we entered into a Fifth Amended and Restated Credit Agreement with Capital One, National Association, as administrative agent, lender and swingline lender and the other lenders from time to time parties thereto (the "Amended Agreement"). The Amended Agreement amended and restated in its entirety our Fourth Amended and Restated Credit Agreement dated as of December 19, 2014 (the "Original Agreement"). The Amended Agreement provides commitments for a $250 million revolving credit facility with a $60 million sublimit for letters of credit and a $50 million swingline feature. We have a one-time right under the Amended Agreement to increase commitments on the revolving credit facility by an additional $100 million, subject to obtaining commitments for the amount of such increase from acceptable lenders. The Amended Agreement provides us a one-time right to reduce the amount of the revolving credit commitments, and we may terminate the revolving credit facility at any time, in each case without payment of a premium or penalty. The Amended Agreement extended the maturity date of the Original Agreement from January 3, 2020 to January 3, 2024 and decreased the interest rate payable on drawn amounts. Amounts drawn under the facility will continue to bear interest at 90-day LIBOR plus an applicable margin; however, the Amended Agreement reduced the applicable margin from a range of 2.50% to 3.50% to a range of 2.25% to 3.25%. The applicable margin varies based on the percentage of the total commitment drawn, with a 2.25% margin at utilization equal to or lower than 35%, a 2.75% margin at utilization greater than 35% but less than or equal to 50%, and a 3.25% margin at utilization greater than 50%. A quarterly commitment fee continues to be payable on the unused portion of the facility at 0.25% per annum when the outstanding amount of obligations (including revolving credit and swingline loans and letter of credit obligations) is greater than or equal to 50% of the revolving credit commitment amount or 0.35% per annum when such outstanding amount is less than 50% of the revolving credit commitment amount.

The credit facility is secured by first priority mortgages on certain of our communities. In addition, the Amended Agreement permits us to pledge the equity interests in subsidiaries that own other communities and grant negative pledges in connection

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therewith (rather than mortgaging such communities), provided that not more than 10% of the borrowing base may result from communities subject to negative pledges. Availability under the revolving credit facility will vary from time to time based on borrowing base calculations related to the appraised value and performance of the communities securing the credit facility and our consolidated fixed charge coverage ratio. During the third quarter of 2019, we added three communities to the borrowing base and entered into an amendment to the Amended Agreement that provides for availability calculations to be made at additional consolidated fixed charge coverage ratio thresholds.

The Amended Agreement contains typical affirmative and negative covenants, including financial covenants with respect to minimum consolidated fixed charge coverage and minimum consolidated tangible net worth. Amounts drawn on the credit facility may be used for general corporate purposes.

As of September 30, 2019, no borrowings were outstanding on the revolving credit facility, $41.2 million of letters of credit were outstanding, and the revolving credit facility had $164.2 million of availability. We also had a separate unsecured credit facility providing for up to $47.5 million of letters of credit as of September 30, 2019 under which $47.5 million of letters of credit had been issued as of that date.

Long-Term Leases

As of September 30, 2019, we operated 335 communities under long-term leases (244 operating leases and 91 financing leases). The substantial majority of our lease arrangements are structured as master leases. Under a master lease, numerous communities are leased through an indivisible lease. We typically guarantee the performance and lease payment obligations of our subsidiary lessees under the master leases. Due to the nature of such master leases, it is difficult to restructure the composition of our leased portfolios or economic terms of the leases without the consent of the applicable landlord. In addition, an event of default related to an individual property or limited number of properties within a master lease portfolio may result in a default on the entire master lease portfolio.

The leases relating to these communities are generally fixed rate leases with annual escalators that are either fixed or tied to changes in the consumer price index or the leased property revenue. We are responsible for all operating costs, including repairs, property taxes, and insurance. As of September 30, 2019, the weighted-average remaining lease term of our operating and financing leases was 7.1 and 8.5 years, respectively. The lease terms generally provide for renewal or extension options from 5 to 20 years and in some instances, purchase options.

The community leases contain other customary terms, which may include assignment and change of control restrictions, maintenance and capital expenditure obligations, termination provisions, and financial covenants, such as those requiring us to maintain prescribed minimum net worth and stockholders' equity levels and lease coverage ratios, and not to exceed prescribed leverage ratios as further described below. In addition, our lease documents generally contain non-financial covenants, such as those requiring us to comply with Medicare or Medicaid provider requirements. Certain leases contain cure provisions, which generally allow us to post an additional lease security deposit if the required covenant is not met.

In addition, certain of our master leases and management agreements contain radius restrictions, which limit our ability to own, develop or acquire new communities within a specified distance from certain existing communities covered by such agreements. These radius restrictions could negatively affect our ability to expand or develop or acquire senior housing communities and operating companies.

For the three and nine months ended September 30, 2019, our cash lease payments for our operating leases were $76.6 million and $231.0 million, respectively, and for our financing leases were $22.1 million and $66.5 million, respectively. For the twelve months ending September 30, 2020, we will be required to make approximately $312.4 million and $89.0 million of cash lease payments in connection with our existing operating and financing leases, respectively. Our capital expenditure plans for 2019 include required minimum spend of approximately $12 million for capital expenditures under certain of our community leases, and thereafter we are required to spend an average of approximately $20 million per year under the initial lease terms of such leases.

Debt and Lease Covenants

Certain of our debt and lease documents contain restrictions and financial covenants, such as those requiring us to maintain prescribed minimum net worth and stockholders’ equity levels and debt service and lease coverage ratios, and requiring us not to exceed prescribed leverage ratios, in each case on a consolidated, portfolio-wide, multi-community, single-community and/or entity basis. Net worth is generally calculated as stockholders' equity as calculated in accordance with GAAP, and in certain circumstances, reduced by intangible assets or liabilities or increased by deferred gains from sale-leaseback transactions and

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deferred entrance fee revenue. The debt service and lease coverage ratios are generally calculated as revenues less operating expenses, including an implied management fee and a reserve for capital expenditures, divided by the debt (principal and interest) or annual lease payments. In addition, our debt and lease documents generally contain non-financial covenants, such as those requiring us to comply with Medicare or Medicaid provider requirements.

Our failure to comply with applicable covenants could constitute an event of default under the applicable debt or lease documents. Many of our debt and lease documents contain cross-default provisions so that a default under one of these instruments could cause a default under other debt and lease documents (including documents with other lenders and lessors).

Furthermore, our debt and leases are secured by our communities and, in certain cases, a guaranty by us and/or one or more of our subsidiaries. Therefore, if an event of default has occurred under any of our debt or lease documents, subject to cure provisions in certain instances, the respective lender or lessor would have the right to declare all the related outstanding amounts of indebtedness or cash lease obligations immediately due and payable, to foreclose on our mortgaged communities, to terminate our leasehold interests, to foreclose on other collateral securing the indebtedness and leases, to discontinue our operation of leased communities, and/or to pursue other remedies available to such lender or lessor. Further, an event of default could trigger cross-default provisions in our other debt and lease documents (including documents with other lenders or lessors). We cannot provide assurance that we would be able to pay the debt or lease obligations if they became due upon acceleration following an event of default.

As of September 30, 2019, we are in compliance with the financial covenants of our debt agreements and long-term leases.

Contractual Commitments

Significant ongoing commitments consist primarily of leases, debt, purchase commitments, and certain other long-term liabilities. For a summary and complete presentation and description of our ongoing commitments and contractual obligations, see the "Contractual Commitments" section of Management's Discussion and Analysis of Financial Condition and Results of Operations in our Annual Report on Form 10-K for the year ended December 31, 2018 filed with the SEC on February 14, 2019. There have been no material changes outside the ordinary course of business in our contractual commitments during the nine months ended September 30, 2019.

Off-Balance Sheet Arrangements

As of September 30, 2019, we do not have an interest in any off-balance sheet arrangements as defined in Item 303(a)(4) of Regulation S-K that have or are reasonably likely to have a current or future effect on our financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures, or capital resources that is material to investors.

We own an interest in certain unconsolidated ventures. Except in limited circumstances, our risk of loss is limited to our investment in each venture. The equity method of accounting has been applied in the accompanying financial statements with respect to our investment in unconsolidated ventures.

Non-GAAP Financial Measures

This Quarterly Report on Form 10-Q contains the financial measures Adjusted EBITDA and Adjusted Free Cash Flow, which are not calculated in accordance with GAAP. Presentations of these non-GAAP financial measures are intended to aid investors in better understanding the factors and trends affecting our performance and liquidity. However, investors should not consider these non-GAAP financial measures as a substitute for financial measures determined in accordance with GAAP, including net income (loss), income (loss) from operations, or net cash provided by (used in) operating activities. We caution investors that amounts presented in accordance with our definitions of these non-GAAP financial measures may not be comparable to similar measures disclosed by other companies because not all companies calculate non-GAAP measures in the same manner. We urge investors to review the reconciliations included below of these non-GAAP financial measures from the most comparable financial measures determined in accordance with GAAP.

Adjusted EBITDA

Adjusted EBITDA is a non-GAAP performance measure that we define as net income (loss) excluding: benefit/provision for income taxes, non-operating income/expense items, and depreciation and amortization; and further adjusted to exclude income/expense associated with non-cash, non-operational, transactional, cost reduction, or organizational restructuring items that management does not consider as part of our underlying core operating performance and that management believes impact the comparability of performance between periods. For the periods presented herein, such other items include non-cash impairment

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charges, gain/loss on facility lease termination and modification, operating lease expense adjustment, amortization of deferred gain, change in future service obligation, non-cash stock-based compensation expense, and transaction and organizational restructuring costs. Transaction costs include those directly related to acquisition, disposition, financing, and leasing activity, our assessment of options and alternatives to enhance stockholder value, and stockholder relations advisory matters, and are primarily comprised of legal, finance, consulting, professional fees, and other third party costs. Organizational restructuring costs include those related to our efforts to reduce general and administrative expense and our senior leadership changes, including severance and retention costs. During the first quarter of 2019, we modified our definition of Adjusted EBITDA to exclude transaction and organizational restructuring costs, and amounts for all periods herein reflect application of the modified definition.

Our proportionate share of Adjusted EBITDA of unconsolidated ventures is calculated based on our equity ownership percentage and in a manner consistent with our definition of Adjusted EBITDA for our consolidated entities. Our investments in unconsolidated ventures are accounted for under the equity method of accounting and, therefore, our proportionate share of Adjusted EBITDA of unconsolidated ventures does not represent our equity in earnings or loss of unconsolidated ventures on our condensed consolidated statements of operations.

We believe that presentation of Adjusted EBITDA as a performance measure is useful to investors because (i) it is one of the metrics used by our management for budgeting and other planning purposes, to review our historic and prospective core operating performance, and to make day-to-day operating decisions; (ii) it provides an assessment of operational factors that management can impact in the short-term, namely revenues and the controllable cost structure of the organization, by eliminating items related to our financing and capital structure and other items that management does not consider as part of our underlying core operating performance and that management believes impact the comparability of performance between periods; and (iii) we believe that this measure is used by research analysts and investors to evaluate our operating results and to value companies in our industry. We believe that presentation of our proportionate share of Adjusted EBITDA of unconsolidated ventures is useful to investors for similar reasons with respect to the unconsolidated ventures.

Adjusted EBITDA has material limitations as a performance measure, including: (i) excluded interest and income tax are necessary to operate our business under our current financing and capital structure; (ii) excluded depreciation, amortization, and impairment charges may represent the wear and tear and/or reduction in value of our communities, goodwill, and other assets and may be indicative of future needs for capital expenditures; and (iii) we may incur income/expense similar to those for which adjustments are made, such as gain/loss on sale of assets or facility lease termination and modification, debt modification and extinguishment costs, non-cash stock-based compensation expense, and transaction and other costs, and such income/expense may significantly affect our operating results.

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The table below reconciles our Adjusted EBITDA from our net income (loss).

	Three Months Ended September 30,						Nine Months Ended September 30,
(in thousands)	2019			2018			2019			2018
Net income (loss)	$	(78,508	)	$	(37,140	)	$	(177,169	)	$	(659,883	)
Provision (benefit) for income taxes	(1,800		)	(17,763		)	(488		)	(17,724		)
Equity in (earnings) loss of unconsolidated ventures	2,057			1,340			3,574			6,907
Debt modification and extinguishment costs	2,455			33			5,194			77
Loss (gain) on sale of assets, net	(579		)	(9,833		)	(2,723		)	(76,586		)
Other non-operating (income) loss	(3,763		)	17			(9,950		)	(8,074		)
Interest expense	62,078			68,626			188,271			215,067
Interest income	(2,162		)	(1,654		)	(8,059		)	(7,578		)
Income (loss) from operations	(20,222		)	3,626			(1,350		)	(547,794		)
Depreciation and amortization	93,550			110,980			284,462			341,351
Goodwill and asset impairment	2,094			5,500			6,254			451,966
Loss (gain) on facility lease termination and modification, net	—			2,337			2,006			148,804
Operating lease expense adjustment	(4,814		)	(2,487		)	(13,626		)	(14,656		)
Amortization of deferred gain	—			(1,090		)	—			(3,269		)
Non-cash stock-based compensation expense	5,929			6,035			18,315			20,710
Transaction and organizational restructuring costs	3,910			3,221			5,005			25,383
Adjusted EBITDA (1)	$	80,447		$	128,122		$	301,066		$	422,495

(1) Adoption of the new lease accounting standard effective January 1, 2019 will have a non-recurring impact on our full-year 2019 Adjusted EBITDA. Adjusted EBITDA for the three and nine months ended September 30, 2019 includes a negative net impact of approximately $6.0 million and $19.0 million, respectively, from the application of the new lease accounting standard.

The table below reconciles our proportionate share of Adjusted EBITDA of unconsolidated ventures from net income (loss) of such unconsolidated ventures. For purposes of this presentation, amounts for each line item represent the aggregate amounts of such line items for all of our unconsolidated ventures.

	Three Months Ended September 30,						Nine Months Ended September 30,
(in thousands)	2019			2018			2019			2018
Net income (loss)	$	(4,156	)	$	(6,674	)	$	(7,189	)	$	(42,753	)
Provision (benefit) for income taxes	18			64			65			507
Debt modification and extinguishment costs	—			13			21			131
Loss (gain) on sale of assets, net	23			—			—			2,837
Other non-operating (income) loss	78			(5		)	78			(1,875		)
Interest expense	7,042			12,849			21,770			62,858
Interest income	(897		)	(830		)	(2,574		)	(2,416		)
Income (loss) from operations	2,108			5,417			12,171			19,289
Depreciation and amortization	17,108			22,135			50,937			123,257
Asset impairment	—			63			302			336
Operating lease expense adjustment	—			—			—			8
Adjusted EBITDA of unconsolidated ventures	$	19,216		$	27,615		$	63,410		$	142,890
Brookdale's proportionate share of Adjusted EBITDA of unconsolidated ventures	$	9,800		$	11,280		$	31,997		$	42,140

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Adjusted Free Cash Flow

Adjusted Free Cash Flow is a non-GAAP liquidity measure that we define as net cash provided by (used in) operating activities before: distributions from unconsolidated ventures from cumulative share of net earnings, changes in prepaid insurance premiums financed with notes payable, changes in operating lease liability for lease termination and modification, cash paid/received for gain/loss on facility lease termination and modification, and lessor capital expenditure reimbursements under operating leases; plus: property insurance proceeds and proceeds from refundable entrance fees, net of refunds; less: Non-Development Capital Expenditures and payment of financing lease obligations. Non-Development Capital Expenditures is comprised of corporate and community-level capital expenditures, including those related to maintenance, renovations, upgrades and other major building infrastructure projects for our communities and is presented net of lessor reimbursements. Non-Development Capital Expenditures does not include capital expenditures for community expansions and major community redevelopment and repositioning projects, including our Program Max initiative, and the development of new communities. During the first quarter of 2019, we modified our definition of Adjusted Free Cash Flow to no longer adjust net cash provided by (used in) operating activities for changes in working capital items other than prepaid insurance premiums financed with notes payable and lease liability for lease termination and modification, and amounts for all periods herein reflect application of the modified definition.

Our proportionate share of Adjusted Free Cash Flow of unconsolidated ventures is calculated based on our equity ownership percentage and in a manner consistent with our definition of Adjusted Free Cash Flow for our consolidated entities. Our investments in our unconsolidated ventures are accounted for under the equity method of accounting and, therefore, our proportionate share of Adjusted Free Cash Flow of unconsolidated ventures does not represent cash available to our consolidated business except to the extent it is distributed to us.

We believe that presentation of Adjusted Free Cash flow as a liquidity measure is useful to investors because (i) it is one of the metrics used by our management for budgeting and other planning purposes, to review our historic and prospective sources of operating liquidity, and to review our ability to service our outstanding indebtedness, pay dividends to stockholders, engage in share repurchases, and make capital expenditures, including development capital expenditures; (ii) it is used as a metric in our performance-based compensation programs; and (iii) it provides an indicator to management to determine if adjustments to current spending decisions are needed. We believe that presentation of our proportionate share of Adjusted Free Cash Flow of unconsolidated ventures is useful to investors for similar reasons with respect to the unconsolidated ventures and, to the extent such cash is not distributed to us, it generally represents cash used or to be used by the ventures for the repayment of debt, investing in expansions or acquisitions, reserve requirements, or other corporate uses by such ventures, and such uses reduce our potential need to make capital contributions to the ventures of our proportionate share of cash needed for such items.

Adjusted Free Cash Flow has material limitations as a liquidity measure, including: (i) it does not represent cash available for dividends, share repurchases, or discretionary expenditures since certain non-discretionary expenditures, including mandatory debt principal payments, are not reflected in this measure; (ii) the cash portion of non-recurring charges related to gain/loss on facility lease termination and modification generally represent charges/gains that may significantly affect our liquidity; and (iii) the impact of timing of cash expenditures, including the timing of Non-Development Capital Expenditures, limits the usefulness of the measure for short-term comparisons. In addition, our proportionate share of Adjusted Free Cash Flow of unconsolidated ventures has material limitations as a liquidity measure because it does not represent cash available directly for use by our consolidated business except to the extent actually distributed to us, and we do not have control, or we share control in determining, the timing and amount of distributions from our unconsolidated ventures and, therefore, we may never receive such cash.

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The table below reconciles our Adjusted Free Cash Flow from our net cash provided by (used in) operating activities.

	Three Months Ended September 30,						Nine Months Ended September 30,
(in thousands)	2019			2018			2019			2018
Net cash provided by (used in) operating activities	$	69,211		$	71,924		$	128,330		$	170,508
Net cash provided by (used in) investing activities	(70,056		)	(24,539		)	(150,355		)	(13,027		)
Net cash provided by (used in) financing activities	(8,755		)	(37,949		)	(112,834		)	(239,929		)
Net increase (decrease) in cash, cash equivalents, and restricted cash	$	(9,600	)	$	9,436		$	(134,859	)	$	(82,448	)
Net cash provided by (used in) operating activities	$	69,211		$	71,924		$	128,330		$	170,508
Distributions from unconsolidated ventures from cumulative share of net earnings	(858		)	(1,012		)	(2,388		)	(2,159		)
Changes in prepaid insurance premiums financed with notes payable	(6,215		)	(6,181		)	5,875			6,244
Changes in operating lease liability related to lease termination	—			—			—			33,596
Cash paid for loss on facility operating lease termination and modification, net	—			—			—			13,044
Changes in assets and liabilities for lessor capital expenditure reimbursements under operating leases	(11,043		)	—			(12,043		)	—
Non-development capital expenditures, net	(59,121		)	(41,275		)	(180,187		)	(130,692		)
Property insurance proceeds	—			—			—			156
Payment of financing lease obligations	(5,549		)	(13,370		)	(16,502		)	(53,271		)
Proceeds from refundable entrance fees, net of refunds	—			(368		)	—			(316		)
Adjusted Free Cash Flow	$	(13,575	)	$	9,718		$	(76,915	)	$	37,110

(1) The calculation of Adjusted Free Cash Flow includes transaction costs of $3.9 million and $5.0 million for the three and nine months ended September 30, 2019, respectively, and transaction and organizational restructuring costs of $3.2 million and $25.4 million for the three and nine months ended September 30, 2018, respectively.

The table below reconciles our proportionate share of Adjusted Free Cash Flow of unconsolidated ventures from net cash provided by (used in) operating activities of such unconsolidated ventures. For purposes of this presentation, amounts for each line item represent the aggregate amounts of such line items for all of our unconsolidated ventures.

	Three Months Ended September 30,						Nine Months Ended September 30,
(in thousands)	2019			2018			2019			2018
Net cash provided by (used in) operating activities	$	29,397		$	24,497		$	84,778		$	122,269
Net cash provided by (used in) investing activities	(12,097		)	(14,623		)	(29,527		)	(45,011		)
Net cash provided by (used in) financing activities	(14,538		)	(9,702		)	(39,775		)	(62,361		)
Net increase (decrease) in cash, cash equivalents, and restricted cash	$	2,762		$	172		$	15,476		$	14,897
Net cash provided by (used in) operating activities	$	29,397		$	24,497		$	84,778		$	122,269
Non-development capital expenditures, net	(11,993		)	(14,822		)	(29,674		)	(53,750		)
Property insurance proceeds	—			—			—			1,535
Proceeds from refundable entrance fees, net of refunds	(5,763		)	(2,500		)	(19,396		)	(12,535		)
Adjusted Free Cash Flow of unconsolidated ventures	$	11,641		$	7,175		$	35,708		$	57,519
Brookdale's proportionate share of Adjusted Free Cash Flow of unconsolidated ventures	$	5,938		$	4,618		$	18,280		$	20,004

62

Item 3.  Quantitative and Qualitative Disclosures About Market Risk

We are subject to market risks from changes in interest rates charged on our credit facilities and other variable-rate indebtedness. The impact on earnings and the value of our long-term debt are subject to change as a result of movements in market rates and prices. As of September 30, 2019, we had approximately $2.3 billion of long-term fixed rate debt and $1.2 billion of long-term variable rate debt. For the nine months ended September 30, 2019, our total fixed-rate debt and variable-rate debt outstanding had a weighted-average interest rate of 4.78%.

In the normal course of business, we enter into certain interest rate cap agreements with major financial institutions to effectively manage our risk above certain interest rates on variable rate debt. As of September 30, 2019, $1.1 billion, or 31.7%, of our long-term debt is variable rate debt subject to interest rate cap agreements and $102.9 million, or 2.9%, of our long-term debt is variable rate debt not subject to any interest rate cap agreements. Our outstanding variable rate debt is indexed to LIBOR, and accordingly our annual interest expense related to variable rate debt is directly affected by movements in LIBOR. After consideration of hedging instruments currently in place, increases in LIBOR of 100, 200, and 500 basis points would have resulted in additional annual interest expense of $12.6 million, $24.8 million, and $36.2 million, respectively. Certain of the Company's variable debt instruments include springing provisions that obligate the Company to acquire additional interest rate caps in the event that LIBOR increases above certain levels, and the implementation of those provisions would result in additional mitigation of interest costs.

Item 4.  Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Our management, under the supervision of and with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as such term is defined under Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended) as of the end of the period covered by this report. Based on such evaluation, our Chief Executive Officer and Chief Financial Officer each concluded that, as of September 30, 2019, our disclosure controls and procedures were effective.

Changes in Internal Control over Financial Reporting

There has not been any change in our internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the quarter ended September 30, 2019 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

PART II.  OTHER INFORMATION

Item 1.  Legal Proceedings

The information contained in Note 11 to the Condensed Consolidated Financial Statements contained in Part I, Item 1 of this Quarterly Report on Form 10-Q is incorporated herein by this reference.

Item 1A.  Risk Factors

There have been no material changes to the risk factors set forth in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2018.

63

Item 2.  Unregistered Sales of Equity Securities and Use of Proceeds

(a) Not applicable.

(b) Not applicable.

(c) The following table contains information regarding purchases of our common stock made during the quarter ended September 30, 2019 by or on behalf of the Company or any ''affiliated purchaser,'' as defined by Rule 10b-18(a)(3) of the Exchange Act:

Period	Total Number of Shares Purchased (1)	Average Price Paid per Share		Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs	Approximate Dollar Value of Shares that May Yet Be Purchased Under the Plans or Programs ($ in thousands) (2)
7/1/2019 - 7/31/2019	—	$	—	—	$	67,703
8/1/2019 - 8/31/2019	16,631	8.23		—	67,703
9/1/2019 - 9/30/2019	—	—		—	67,703
Total	16,631	$	8.23	—

(1) Consists of 16,631 shares withheld to satisfy tax liabilities due upon the vesting of restricted stock during August 2019. The average price paid per share for such share withholding is based on the closing price per share on the vesting date of the restricted stock or, if such date is not a trading day, the trading day immediately prior to such vesting date.

(2) On November 1, 2016, the Company announced that its Board of Directors had approved a share repurchase program that authorizes the Company to purchase up to $100.0 million in the aggregate of its common stock. The share repurchase program is intended to be implemented through purchases made from time to time using a variety of methods, which may include open market purchases, privately negotiated transactions or block trades, or by any combination of such methods, in accordance with applicable insider trading and other securities laws and regulations. The size, scope and timing of any purchases will be based on business, market and other conditions and factors, including price, regulatory and contractual requirements, and capital availability. The repurchase program does not obligate the Company to acquire any particular amount of common stock and the program may be suspended, modified or discontinued at any time at the Company's discretion without prior notice. Shares of stock repurchased under the program will be held as treasury shares. As of September 30, 2019, approximately $67.7 million remained available under the repurchase program.

64

Item 6.  Exhibits

Exhibit No.	Description
3.1	Amended and Restated Certificate of Incorporation of the Company, as amended.
3.2	Amended and Restated Bylaws of the Company dated October 29, 2019 (incorporated by reference to Exhibit 3.3 to the Company's Current Report on Form 8-K filed on October 29, 2019 (File No. 001-32641)).
4.1	Form of Certificate for common stock (incorporated by reference to Exhibit 4.1 to the Company's Registration Statement on Form S-1 (Amendment No. 3) filed on November 7, 2005 (File No. 333-127372)).
10.1	First Amendment to Fifth Amended and Restated Credit Agreement and Other Credit Documents dated August 16, 2019 by and among the Company as Guarantor, certain subsidiaries of the Company as Borrowers, Capital One, National Association, as Administrative Agent, Lender and Swingline Lender, and the other Lenders party thereto.
10.2	Amendment No. 3 to Master Lease and Security Agreement by and between certain affiliates of the Company named therein as Tenant and certain affiliates of Ventas, Inc. named therein as landlord.
10.3	Amendment No. 4 to Master Lease and Security Agreement by and between certain affiliates of the Company named therein as Tenant and certain affiliates of Ventas, Inc. named therein as landlord.†
31.1	Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2	Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32	Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101.SCH	Inline XBRL Taxonomy Extension Schema Document.
101.CAL	Inline XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF	Inline XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB	Inline XBRL Taxonomy Extension Label Linkbase Document.
101.PRE	Inline XBRL Taxonomy Extension Presentation Linkbase Document.
104	The cover page from the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 2019, formatted in Inline XBRL (included in Exhibit 101).

† Certain portions of this exhibit have been omitted pursuant to Item 601(b)(10)(iv) of Regulation S-K.

65

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

BROOKDALE SENIOR LIVING INC.
(Registrant)
By:	/s/ Steven E. Swain
Name:	Steven E. Swain
Title:	Executive Vice President and Chief Financial Officer (Principal Financial Officer)
Date:	November 5, 2019

66

EX-3.1

Exhibit 3.1

Restated Electronically for SEC filing purposes only

AMENDED AND RESTATED

CERTIFICATE OF INCORPORATION

OF

BROOKDALE SENIOR LIVING INC.

The undersigned, Deborah C. Paskin, certifies that she is the Secretary of Brookdale Senior Living Inc., a corporation organized and existing under the laws of the State of Delaware (the “Corporation”), and does hereby further certify as follows:

(1) The name of the Corporation is Brookdale Senior Living Inc.

(2) The name under which the Corporation was originally incorporated was Brookdale Senior Living Inc. and the original Certificate of Incorporation of the Corporation was filed with the Secretary of State of the State of Delaware on June 28, 2005.

(3) This Restated Certificate of Incorporation was duly adopted in accordance with the provisions of Sections 228, 242 and 245 of the General Corporation Law of the State of Delaware.

(4) The text of the Restated Certificate of Incorporation of the Corporation as amended hereby is restated to read in its entirety, as follows:

ARTICLE ONE

The name of the corporation is Brookdale Senior Living Inc. (the “Corporation”).

ARTICLE TWO

The address of the Corporation’s registered office in the State of Delaware is 251 Little Falls Road, in the City of Wilmington, County of New Castle 19808. The name of its registered agent at such address is Corporation Service Company.

ARTICLE THREE

The nature of the business or purposes to be conducted or promoted is to engage in any lawful act or activity for which corporations may be organized under the General Corporation Law

of the State of Delaware, as the same may be amended and supplemented from time to time, or any successor thereto (“Delaware Corporation Law”).

ARTICLE FOUR

PART A. AUTHORIZED SHARES

1.    NUMBER OF AUTHORIZED SHARES. The total number of shares of Capital Stock (as defined below) which the Corporation has authority to issue is 450,000,000 shares, consisting of:

a.    400,000,000 shares of Common Stock, par value $0.01 per share (the “Common Stock”); and

b.    50,000,000 shares of Preferred Stock, par value $0.01 per share (the “Preferred Stock”).

Shares of Common Stock and Preferred Stock will have the rights, preferences and limitations separately set forth below. As used in this certificate of incorporation of the Corporation, as amended and restated from time to time (this “Certificate of Incorporation”), “Capital Stock” means all classes or series of stock of the Corporation, including, without limitation, Common Stock and Preferred Stock.

2.    REGISTRATION OF TRANSFERS. The Corporation will keep at its principal office (or such other place as the Corporation reasonably designates) a register for the registration of shares of Capital Stock. Upon the surrender at such place of any certificate representing shares of Capital Stock, the Corporation will, at the request of the registered holder of such certificate, execute and deliver a new certificate or certificates in exchange therefor representing in the aggregate the number of shares of the class represented by the surrendered certificate, and the Corporation forthwith will cancel such surrendered certificate. Each such new certificate will be registered in such name and will represent such number of shares of such class as is requested by the holder of the surrendered certificate and will be substantially identical in form to the surrendered certificate. The issuance of new certificates will be made without charge to the holders of the surrendered certificates for any issuance tax in respect thereof or other cost incurred by the Corporation in connection with such issuance.

3.    REPLACEMENT. Upon receipt of evidence reasonably satisfactory to the Corporation (an affidavit of the registered holder being satisfactory) of the ownership and the loss, theft, destruction or mutilation of any certificate evidencing one or more shares of Capital Stock, and in the case of any such loss, theft or destruction, upon receipt of indemnity reasonably satisfactory to the Corporation (provided that if the holder is a financial institution or other institutional investor then its own agreement will be satisfactory) or, in the case of any such mutilation upon surrender of such certificate, the Corporation will (at its expense) execute and deliver in lieu of such certificate a new certificate of like kind representing the number of shares of such class represented by such

lost, stolen, destroyed or mutilated certificate and dated the date of such lost, stolen, destroyed or mutilated certificate.

PART B. PREFERRED STOCK

Shares of Preferred Stock may be issued from time to time in one or more classes or series. The board of directors of the Corporation (the “Board of Directors”) is hereby authorized to provide for the issuance of all or any shares of Preferred Stock, and to fix for each class or series thereof such voting powers, full or limited or no voting powers, and such designations, preferences and relative, participating, optional or other special rights and such qualifications, limitations or restrictions thereof, as shall be stated and expressed in the resolution or resolutions adopted by the Board of Directors providing for the issuance of such class or series, including, without limitation, the authority to provide that any such class or series may be (i) subject to redemption at such time or times and at such price or prices; (ii) entitled to receive dividends (which may be cumulative or non-cumulative) at such rates, on such conditions, and at such times, and payable in preference to, or in such relation to, the dividends payable on any other class or classes or any other series; (iii) entitled to such rights upon the dissolution of, or upon any distribution of the assets of, the Corporation; or (iv) convertible into, or exchangeable for, shares of any other class or classes of Capital Stock, or of any other series of the same or any other class or classes of Capital Stock, of the Corporation at such price or prices or at such rates of exchange and with such adjustments; in the case of each of the foregoing, all as may be stated in such resolution or resolutions.

PART C. COMMON STOCK

All shares of Common Stock will be identical in all respects and will entitle the holders of such shares to the same rights and privileges, subject to the same qualifications, limitations and restrictions. The holders of Common Stock will be entitled to vote in the election of directors and on all other matters submitted to a vote of the Corporation’s stockholders, with each holder of Common Stock being entitled to one vote for each share of Common Stock held by such holder.

ARTICLE FIVE

The Corporation is to have perpetual existence.

ARTICLE SIX

In furtherance and not in limitation of the powers conferred by statute, the Board of Directors is expressly authorized to make, amend, alter or repeal the bylaws of the Corporation, as amended and restated from time to time (the “Bylaws”). The affirmative vote of at least a majority of the whole Board of Directors shall be required to adopt, amend, alter or repeal the Bylaws. The Bylaws also may be adopted, amended, altered or repealed by the affirmative vote of the holders of at least sixty-six and two-thirds percent (66.67%) of the voting power of the then issued and outstanding shares of Capital Stock that are entitled to vote generally in the election of directors (the “Voting Shares”).

ARTICLE SEVEN

PART A. MEETINGS OF STOCKHOLDERS; ETC.

Meetings of stockholders may be held within or without the State of Delaware, as the Bylaws may provide. Unless otherwise required by law, special meetings of stockholders, for any purpose or purposes, may be called by either (i) the Chairman of the Board of Directors, if there is one, (ii) the Chief Executive Officer, if there is one, or (iii) the Board of Directors. The ability of the stockholders to call or cause a special meeting of stockholders to be called is hereby specifically denied. The books of the Corporation may be kept outside the State of Delaware at such place or places as may be designated from time to time by the Board of Directors or in the Bylaws.

PART B. ACTION BY WRITTEN CONSENT

No action required or permitted by the Delaware Corporation Law to be taken at a stockholders’ meeting may be taken without a meeting or without prior notice.

ARTICLE EIGHT

No director shall be personally liable to the Corporation or any of its stockholders for monetary damages for breach of fiduciary duty as a director, except for liability (i) for any breach of the director’s duty of loyalty to the Corporation or its stockholders, (ii) for acts or omissions not in good faith or which involve intentional misconduct or a knowing violation of law, (iii) pursuant to Section 174 of the Delaware Corporation Law or (iv) for any transaction from which the director derived an improper personal benefit. Any repeal or modification of this Article EIGHT by the stockholders of the Corporation shall not adversely affect any right or protection of a director of the Corporation existing at the time of such repeal or modification with respect to acts or omissions occurring prior to such repeal or modification.

ARTICLE NINE

The Corporation shall indemnify its directors and officers to the fullest extent authorized or permitted by law, as now or hereafter in effect, and such right to indemnification shall continue as to a person who has ceased to be a director or officer of the Corporation and shall inure to the benefit of such person’s heirs, executors and personal and legal representatives; provided, however, that except for proceedings to enforce rights to indemnification, the Corporation shall not be obligated to indemnify any director or officer (or such person’s heirs, executors or personal or legal representatives) in connection with a proceeding (or part thereof) initiated by such person unless such proceeding (or part thereof) was authorized or consented to by the Board of Directors. The right to indemnification conferred by this Article NINE shall include the right to be paid by the Corporation the expenses incurred in defending or otherwise participating in any proceeding in advance of its final disposition. The Corporation may, to the extent authorized from time to time by the Board of Directors, provide rights to indemnification and to the advancement of expenses to employees and agents of the Corporation similar to those conferred in this Article NINE to directors and officers of the Corporation. The indemnification and advancement of expenses

provided for herein shall not be deemed exclusive of any other rights to which those seeking indemnification or advancement of expenses may be entitled under any bylaw, agreement, vote of stockholders or disinterested directors, or otherwise. Any repeal or modification of this Article NINE shall not adversely affect any rights to indemnification and to the advancement of expenses of a director or officer of the Corporation existing at the time of such repeal or modification with respect to any acts or omissions occurring prior to such repeal or modification.

ARTICLE TEN

The Corporation shall have the power to purchase and maintain insurance on behalf of any person who is or was or has agreed to become a director, officer, employee or agent of the Corporation against any liability asserted against him or her and incurred by him or her or on his or her behalf in such capacity, or arising out of his or her status as such, whether or not the Corporation would have the power to indemnify him or her against such liability.

ARTICLE ELEVEN

The number of directors which constitute the whole Board of Directors shall be not less than three (3) or more than nine (9). The exact number of directors which shall constitute the whole Board of Directors shall be determined from time to time by a resolution adopted by a majority of the Board of Directors then in office. Until the election of directors at the 2021 annual meeting of stockholders (the “2021 Annual Meeting”), the directors shall be divided into three classes, designated Class I, Class II and Class III. Each class shall consist, as nearly as may be possible, of one-third of the total number of directors constituting the entire Board of Directors. Each director elected at or prior to the 2018 annual meeting of stockholders shall be elected for a term expiring on the date of the third annual meeting of stockholders following the annual meeting at which the director was elected. Each director elected at the 2019 annual meeting of stockholders shall be elected for a one-year term expiring at the 2020 Annual Meeting. Each director elected at the 2020 annual meeting of stockholders shall be elected for a one-year term expiring at the 2021 Annual Meeting. At the 2021 Annual Meeting and each annual meeting of stockholders thereafter, all directors shall be elected for a one-year term expiring at the next annual meeting of stockholders. Prior to the 2021 Annual Meeting, if the number of directors is changed, any increase or decrease shall be apportioned among the classes so as to maintain the number of directors in each class as nearly equal as possible, and any additional director of any class elected to fill a vacancy resulting from an increase in such class shall hold office for a term that shall coincide with the remaining term of that class. In no case will a decrease in the number of directors shorten the term of any incumbent director. Directors need not be stockholders. Except as otherwise provided in the Bylaws, the directors shall be elected at the annual meeting of the stockholders, and each director elected shall hold office until the annual meeting of stockholders at which that director’s term expires and until such director’s successor is duly elected and qualified, or until such director’s death or retirement or until such director resigns or is removed in the manner hereinafter provided. Such election shall be by written ballot. Any director or the whole Board of Directors may be removed from office at any time with the affirmative vote of the holders of a majority of the voting power of the then issued and outstanding Voting Shares: (i) but, until the 2021 Annual Meeting, only for cause, and (ii) beginning at the 2021 Annual Meeting, with or without cause.

ARTICLE TWELVE

The Corporation expressly elects not to be governed by Section 203 of the Delaware Corporation Law.

ARTICLE THIRTEEN

The Corporation reserves the right to amend, alter, change or repeal any provision contained in this Amended and Restated Certificate of Incorporation in the manner now or hereafter prescribed herein and by the laws of the State of Delaware, and all rights conferred upon stockholders herein are granted subject to this reservation.

[Remainder of page left blank intentionally]

IN WITNESS WHEREOF, the Corporation has caused this Amended and Restated Certificate of Incorporation to be signed on this 30^th day of September, 2005.

BROOKDALE SENIOR LIVING INC.

By:    /s/ Deborah C. Paskin                

Name:    Deborah C. Paskin

Title:    Secretary

EX-10.1

Exhibit 10.1

FIRST AMENDMENT TO

FIFTH AMENDED AND RESTATED CREDIT AGREEMENT

AND OTHER CREDIT DOCUMENTS

THIS FIRST AMENDMENT TO FIFTH AMENDED AND RESTATED CREDIT AGREEMENT AND OTHER CREDIT DOCUMENTS (this “Amendment”) is entered into as of August 16, 2019 (the “Effective Date”), by and among CAPITAL ONE, NATIONAL ASSOCIATION, a national banking association(in its individual capacity, “CONA” and in its capacity as agent for the Lenders, together with its successors, “Administrative Agent”), the lender parties other than CONA who are or hereafter become parties to the below-defined Credit Agreement (together with CONA, individually, each a “Lender”, and collectively, the “Lenders”, as the context may require), THE PARTIES LISTED ON SCHEDULE I ATTACHED HERETO (each, a “Borrower” and collectively, the “Borrowers”), and BROOKDALE SENIOR LIVING INC., a Delaware corporation (“Guarantor”).

RECITALS:

A.Borrowers (other than the hereafter defined Joined Borrowers), Administrative Agent and Lenders entered into that certain Fifth Amended and Restated Credit Agreement dated as of December 5, 2018 (the “Credit Agreement”), pursuant to which the Lenders agreed to make the loan described therein (the “Loan”) to Borrowers.

B.BKD Goodlettsville PropCo, LLC a Delaware limited liability company, became a “Borrower” under the Credit Agreement pursuant to that certain Joinder Agreement dated as of February 6, 2019 (the “Goodlettsville Joined Borrower”).

C.Emeritol Lo Coeur D’Alene LLC, Emeritol Highland Hills LLC, and Emeritol Ridge Wind LLC, each a Delaware limited liability company, became “Borrowers” under the Credit Agreement pursuant to that certain Joinder Agreement dated as of July 24, 2019 (the “Idaho Joined Borrowers” and together with the Goodlettsville Joined Borrower, collectively, the “Joined Borrowers”).

D.Guarantor is liable for the payment of certain (a) obligations under the Loan pursuant to that certain Guaranty dated December 5, 2018, and executed by Guarantor in favor of Administrative Agent for the benefit of the Lenders (the “Guaranty”), and (b) costs and expenses related to the existence of hazardous materials affecting the property securing the Loan pursuant to that certain Hazardous Materials Indemnity Agreement dated December 5, 2018, and executed by Guarantor in favor of Administrative Agent for the benefit of the Lenders (the “Environmental Indemnity”).

E.Borrowers have requested that Administrative Agent and Lenders amend certain provisions and definitions in the Credit Agreement with respect to the calculation of the Availability Amount and certain terms of the Credit Agreement, and Administrative Agent and Lenders have agreed to such requests upon the terms and conditions set forth herein.

Page 1

NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Administrative Agent, Lenders, Borrowers and Guarantor hereby agree as follows:

1.Defined Terms. Capitalized terms used but not otherwise defined in this Amendment shall have the meanings ascribed to such terms in the Credit Agreement (as modified hereby).

2.Recitals. All of the Recitals stated above are true and accurate and by this reference are incorporated into and made a part of the body of this Amendment.

3.Borrowing Base Calculations; Amendments to Definitions.

(a)The following definitions in Section 1.01 of the Credit Agreement are deleted in their entirety and replaced with the following:

“Borrowing Base Amount” means, as of any Determination Date, an amount equal to (a) the FCCR Multiplier as of such date, multiplied by (b) the lesser of (x) the sum of the Mortgaged Assets Borrowing Base Amount and the Pledged Assets Borrowing Base Amount, and (y) the Availability Amount for all Borrowing Base Assets that are Performing Assets as of such date; provided, however, that in no event may the Borrowing Base Amount derived from Pledged Borrowing Base Assets, as of any date, exceed an amount equal to (i) the Mortgaged Assets Borrowing Base Amount as of such date multiplied by (ii) ten percent (10%); and further provided, that for any period in which the Consolidated Fixed Charge Coverage Ratio does not satisfy the requirements of Section 6.12(a), the FCCR Multiplier shall be zero (0).

“Mortgaged Assets Collateral Value” means an amount equal to (a) the Collateral Value as of such date for each Mortgaged Borrowing Base Asset, multiplied by (b) seventy percent (70%).

“Pledged Asset Collateral Value” means an amount equal to (a) the Collateral Value as of such date for each Pledged Borrowing Base Asset, multiplied by (b) sixty percent (60%).

(b)The following new definition is inserted into Section 1.01 of the Credit Agreement, to be placed in alphabetical order therein:

“FCCR Multiplier” means the applicable percentage set forth below, determined in accordance with the Consolidated Fixed Charge Coverage Ratio set forth in the Compliance Certificate most recently delivered to Administrative Agent in accordance with Section 6.02(a):

Page 2

If Consolidated Fixed Charge Coverage Ratio is:	Then FCCR Multiplier is:
>=1.20x	100.00%
1.19x	97.86%
1.18x	95.71%
1.17x	93.57%
1.16x	91.43%
1.15x	89.29%
1.14x	87.14%
1.13x	85.00%
1.12x	82.86%
1.11x	80.71%
1.10x	78.57%
1.09x	76.43%
1.08x	74.29%
1.07x	72.14%
1.06x	70.00%
1.05x	67.86%
1.04x	65.71%
1.03x	63.57%
1.02x	61.43%
1.01x	59.29%
>=1.00x	57.14%

4.Financial Covenants. Section 6.12(a) of the Credit Agreement is deleted in its entirety and replaced with the following:

(a)Consolidated Fixed Charge Coverage Ratio. The Consolidated Fixed Charge Coverage Ratio for any period of four consecutive calendar quarters ending on the last day of any calendar quarter, shall be equal to or greater than the required Consolidated Fixed Charge Coverage Ratio for the time periods set forth below:

Time Period	Required Consolidated Fixed Charge Coverage Ratio
Effective Date - June 30, 2021	1.00 to 1.00
July 1, 2021 - December 31, 2022	1.05 to 1.00
January 1, 2023 and thereafter	1.10 to 1.00

5.Acknowledgement Regarding any Supported QFCs. A new Section 10.27 is hereby added to the Credit Agreement to read in its entirety as follows:

10.27Acknowledgement Regarding any Supported QFCs. To the extent that the Credit Documents provide support, through a guarantee or otherwise, for Secured Rate Contracts or any other agreement or instrument that is a QFC (such support, “QFC Credit Support” and each such QFC a “Supported QFC”), each party hereto acknowledges and agrees as follows with respect to the resolution power of the Federal Deposit Insurance

Page 3

Corporation under the Federal Deposit Insurance Act and Title II of the Dodd-Frank Wall Street Reform and Consumer Protection Act (together with the regulations promulgated thereunder, the “U.S. Special Resolution Regimes”) in respect of such Supported QFC and QFC Credit Support (with the provisions below applicable notwithstanding that the Credit Documents and any Supported QFC may in fact be stated to be governed by the laws of the State of Illinois and/or of the United States or any other state of the United States):

(a)In the event a QFC Covered Entity that is party to a Supported QFC (each, a “QFC Covered Party”) becomes subject to a proceeding under a U.S. Special Resolution Regime, the transfer of such Supported QFC and the benefit of such QFC Credit Support (and any interest and obligation in or under such Supported QFC and such QFC Credit Support, and any rights in property securing such Supported QFC or such QFC Credit Support) from such QFC Covered Party will be effective to the same extent as the transfer would be effective under the U.S. Special Resolution Regime if the Supported QFC and such QFC Credit Support (and any such interest, obligation and rights in property) were governed by the laws of the United States or a state of the United States. In the event a QFC Covered Party or a BHC Act Affiliate of a QFC Covered Party becomes subject to a proceeding under a U.S. Special Resolution Regime, Default Rights under the Credit Documents that might otherwise apply to such Supported QFC or any QFC Credit Support that may be exercised against such QFC Covered Party are permitted to be exercised to no greater extent than such Default Rights could be exercised under the U.S. Special Resolution Regime if the Supported QFC and the Credit Documents were governed by the laws of the United States or a state of the United States. Without limitation of the foregoing, it is understood and agreed that rights and remedies of the parties with respect to a Defaulting Lender shall in no event affect the rights of any QFC Covered Party with respect to a Supported QFC or any QFC Credit Support.

(b)As used in this Section 10.27, the following terms have the following meanings:

(i)“BHC Act Affiliate” of a party means an “affiliate” (as such term is defined under, and interpreted in accordance with, 12 U.S.C. 1841(k)) of such party.

(ii)“QFC Covered Entity” means any of the following:

(1)a “covered entity” as that term is defined in, and interpreted in accordance with, 12 C.F.R. § 252.82(b);

(2)a “covered bank” as that term is defined in, and interpreted in accordance with, 12 C.F.R. § 47.3(b); or

(3)a “covered FSI” as that term is defined in, and interpreted in accordance with, 12 C.F.R. § 382.2(b).

Page 4

(iii)“Default Right” has the meaning assigned to that term in, and interpreted in accordance with, 12 C.F.R. § § 252.81, 47.2 or 382.1 as applicable.

(iv)“QFC” has the meaning assigned to the term “qualified financial contract” in, and shall be interpreted in accordance with, 12 U.S.C. 5390(c)(8)(D).

6.Additional Modifications to the Credit Agreement. The Credit Agreement is modified as follows:

(a)Schedule 2.01(a) is deleted and replaced with Schedule 2.01(a) attached hereto.

(b)Part D of Schedule 5.13 (Material Contracts; Contracts Subject to Assignment of Claims Act) is deleted and replaced with the following Part D:

D.Assignment of Claims Act

BREA Sun City West LLC, BREA Palmer Ranch LLC, Brookdale Place at Kenwood, LLC, BKD Goodlettsville PropCo, LLC, BKD Sterling House of Bowling Green, LLC, BKD Sterling House of Waxahachie, LLC, BLC Wellington-Colonial Heights, LLC, BREA Reno LLC, Emerihrt Creekview, LLC, AH Ohio-Columbus Owner, LLC, AH Illinois Owner, LLC, Summerville I, LLC, Emeritol Lo Coeur D’Alene LLC, Emeritol Highland Hills LLC, and Emeritol Ridge Wind LLC participate in Medicare, Medicaid and/or TriCare, all of which are subject to the Federal Assignment of Claims Act.

(c)Schedule 5.19 is deleted and replaced with Schedule 5.19 attached hereto.

7.Ratification by Borrowers. The Borrowers hereby (a) renew, ratify and confirm the indebtedness evidenced by the Notes and the other Credit Documents, as modified hereby; (b) acknowledge that the liens and security interests created and evidenced by the Security Documents and other Credit Documents are valid, subsisting and enforceable in accordance with their terms, as modified hereby; (c) acknowledge that as of the Effective Date there are no offsets, claims or defenses to the indebtedness evidenced by the Notes and the other Credit Documents, as modified hereby; (d) acknowledge and agree that Borrowers are, and shall remain, liable for the prompt and timely payment and performance of the indebtedness evidenced by the Notes and the other Credit Documents, as modified hereby; (e) agree that the Credit Documents are and remain in full force and effect, except as expressly modified hereby; and (f) represent and warrant that, after giving effect to the terms and conditions of this Amendment, there are no uncured Events of Default under the Credit Documents and, to each Borrower’s actual knowledge, no event, condition or state of facts exists or has occurred and remains uncured that, with the giving of notice or passage of time or both, would constitute an Event of Default under the Credit Documents.

8.Ratification by Guarantor. Guarantor joins in the execution and delivery of this

Page 5

Amendment to (a) evidence its consent to, and agreement with, the terms and conditions of this Amendment and the transactions contemplated hereby; (b) renew, ratify and confirm all the terms, covenants and agreements contained in the Guaranty and the Environmental Indemnity; (c) stipulate and agree that all references in the Guaranty and Environmental Indemnity to (i) the “Loan” shall refer to the Loan, as amended by this Amendment, (ii) the “Credit Agreement” shall refer to the Credit Agreement, as amended by this Amendment, (iii) the “Credit Documents” or any of them shall refer to the Credit Documents as amended by this Amendment, and (iv) any other term, provision or document shall refer to such term, provision or document as amended by this Amendment; and (d) renew, ratify, represent and confirm that (i) each of the Guaranty and Environmental Indemnity is and remains the valid, subsisting and enforceable agreement of Guarantor, enforceable against Guarantor in accordance with its terms, (ii) as of the date hereof there are no offsets, claims or defenses to the Guaranty or Environmental Indemnity, by reason of this Amendment, the transactions contemplated hereby or otherwise, (iii) all representations and warranties of Guarantor in the Guaranty and Environmental Indemnity remain true and correct in all material respects as of the date hereof, (iv) Guarantor has paid and performed all covenants and obligations required to be paid and performed by Guarantor as of the date hereof, and (v) after giving effect to the terms and conditions of this Amendment, no uncured Event of Default exists under the Credit Documents and, to Guarantor’s actual knowledge, no event, condition or state of facts exists or has occurred and remains uncured which, with the giving of notice or passage of time or both, would constitute an Event of Default.

9.Modification of other Credit Documents. All references in the other Credit Documents to the “Credit Agreement” shall mean the Credit Agreement as modified hereby.

10.Continued Validity; No Waiver. Except as expressly provided in this Amendment, all terms, conditions, representations, warranties, and covenants contained in the Credit Agreement and the other Credit Documents shall remain in full force and effect, and are hereby ratified, confirmed and acknowledged by the Borrowers. The execution, delivery and effectiveness of this Amendment shall not, except as expressly provided herein, operate as a waiver of any right, power or remedy of any Lender or the Administrative Agent under any of the Credit Documents, nor constitute a waiver of any provision of any of the Credit Documents.

11.Representations and Warranties. The Borrowers hereby represent and warrant to Administrative Agent and Lenders that (a) (after giving effect to the terms and conditions of this Amendment), no Event of Default exists, (b) all of the representations and warranties set forth in the Credit Agreement (after giving effect to the terms and conditions of this Amendment), are true and correct in all material respects on and as of the date of this Amendment as if made on or as of such date, and (c) the execution, delivery and performance of this Amendment (i) have been authorized by all requisite corporate, partnership, limited liability company and trust action and (ii) do not and will not violate or conflict with, result in a breach of or require any consent under the articles or certificate of incorporation, bylaws, partnership agreement, trust agreement or other organizational documents of Borrowers and their partners and/or members, any applicable laws or any material agreement binding on Borrowers or any of their properties.

12.Fees and Expenses. Borrowers agree to pay all reasonable fees and expenses

Page 6

incurred by Administrative Agent and Lenders in connection with the drafting and negotiation of this Amendment, and the transactions contemplated hereby, including, without limitation, (a) a modification fee in the amount of $125,000.00 (representing five hundredths of one percent (0.05%) of the Aggregate Revolving Loan Commitment Amount as of the Effective Date), (b) fees and cost of third-party consultants, accountants or professionals retained by Administrative Agent and Lenders, and (c) reasonable attorneys’ fees and expenses.

13.Construction. This Amendment and the rights and obligations of the parties hereunder shall be construed and interpreted in accordance with and governed by, the laws of the State of Illinois and any applicable laws of the United States of America.

14.Binding Effect. This Amendment shall be binding upon and inure to the benefit of and be enforceable by the parties hereto and their respective successors and assigns; provided, however, that Borrowers shall not assign or transfer its rights or obligations hereunder without the prior written consent of the Lender.

15.Counterparts. This Amendment may be executed in several counterparts, each of which shall be fully effective as an original, and all of which together shall constitute one and the same instrument.

16.NO ORAL AGREEMENTS. THIS AMENDMENT AND THE OTHER CREDIT DOCUMENTS REPRESENT THE FINAL AGREEMENT BETWEEN THE PARTIES AND MAY NOT BE CONTRADICTED BY EVIDENCE OF PRIOR, CONTEMPORANEOUS OR SUBSEQUENT ORAL AGREEMENTS OF THE PARTIES. THERE ARE NO UNWRITTEN ORAL AGREEMENTS BETWEEN THE PARTIES.

[REMAINDER OF PAGE INTENTIONALLY BLANK]

Page 7

ADMINISTRATIVE AGENT: CAPITAL ONE, NATIONAL ASSOCIATION,

as Administrative Agent

By: /s/ Carleen Malfettone

Name: Carleen Malfettone

Title: Duly Authorized Signatory

LENDERS:CAPITAL ONE, NATIONAL ASSOCIATION,

as a Lender and Swingline Lender

By: /s/ Carleen Malfettone

Name: Carleen Malfettone

Title: Duly Authorized Signatory

[Signatures Continued on Next Page]

BANK OF AMERICA, N.A.

By: /s/ Joseph L. Corah

Name: Joseph L. Corah

Title: Director

[Signatures Continued on Next Page]

FIRST TENNESSEE BANK, NA

By: /s/ Cathy Wind        

Name: Cathy Wind

Title: SVP

[Signatures Continued on Next Page]

GOLDMAN SACHS BANK USA

By: /s/ Jamie Minieri

Name: Jamie Minieri

Title: Authorized Signatory

[Signatures Continued on Next Page]

MORGAN STANLEY SENIOR FUNDING, INC.

By: /s/ Emanuel Ma

Name: Emanuel Ma

Title: Vice President

[Signatures Continued on Next Page]

PNC BANK, NATIONAL ASSOCIATION

By: /s/ Siobhan Grillon

Name: Siobhan Grillion

Title: Assistant Vice President

[Signatures Continued on Next Page]

WELLS FARGO BANK, NATIONAL ASSOCIATION

By: /s/ Darin Mullis

Name: Darin Mullis

Title: Managing Director

[Signatures Continued on Next Page]

BORROWERS: BLC WELLINGTON-COLONIAL HEIGHTS, LLC,

BKD STERLING HOUSE OF WAXAHACHIE, LLC,

BKD STERLING HOUSE OF BOWLING GREEN, LLC,

BROOKDALE PLACE AT KENWOOD, LLC,

BREA RENO LLC,

BREA SUN CITY WEST LLC,

BREA PALMER RANCH LLC,

EMERIHRT CREEKVIEW LLC,

AH NORTH CAROLINA OWNER, LLC,

SUMMERVILLE I LLC,

BKD WEST MELBOURNE PROPCO, LLC,

BKD PATRIOT HEIGHTS, LLC,

BKD SHORELINE, LLC,

AH OHIO-COLUMBUS OWNER, LLC,

AH ILLINOIS OWNER, LLC,

BKD CLARE BRIDGE OF BROOKFIELD, LLC,

BKD GOODLETTSVILLE PROPCO, LLC,

EMERITOL LO COEUR D’ALENE LLC,

EMERITOL HIGHLAND HILLS LLC,

EMERITOL RIDGE WIND LLC,

each a Delaware limited liability company

By: /s/ George T. Hicks

Name:George T. Hicks

Title:Executive Vice President

GUARANTOR:BROOKDALE SENIOR LIVING INC.,

a Delaware corporation

By: /s/ George T. Hicks

Name:George T. Hicks

Title:Executive Vice President

SCHEDULE I

SCHEDULE OF BORROWERS

Borrower	State of Organization
BLC Wellington-Colonial Heights, LLC	DE
BKD Sterling House of Waxahachie, LLC	DE
BKD Sterling House of Bowling Green, LLC	DE
Brookdale Place at Kenwood, LLC	DE
BREA Reno LLC	DE
BREA Sun City West LLC	DE
BREA Palmer Ranch LLC	DE
Emerihrt Creekview LLC	DE
AH North Carolina Owner, LLC	DE
Summerville I LLC	DE
BKD West Melbourne PropCo, LLC	DE
BKD Patriot Heights, LLC	DE
BKD Shoreline, LLC	DE
AH Ohio-Columbus Owner, LLC	DE
AH Illinois Owner, LLC	DE
BKD Clare Bridge of Brookfield, LLC	DE
BKD Goodlettsville PropCo, LLC	DE
Emeritol Lo Coeur D’Alene LLC	DE
Emeritol Highland Hills LLC	DE
Emeritol Ridge Wind LLC	DE

Schedule 2.01(a)

LENDERS AND REVOLVING LOAN COMMITMENTS

Lender	Revolving Loan Commitment*	Pro Rata Share of Commitment
Capital One, National Association	$117,500,000.00	47.000000000%
Bank of America, N.A.	$22,500,000.00	9.000000000%
First Tennessee Bank National Association	$15,000,000.00	6.000000000%
Goldman Sachs Bank USA	$22,500,000.00	9.000000000%
Morgan Stanley Senior Funding, Inc.	$22,500,000.00	9.000000000%
PNC Bank, National Association	$25,000,000.00	10.000000000%
Wells Fargo Bank, N.A.	$25,000,000.00	10.000000000%
Total:	$250,000,000.00	100.000000000%

* Subject to Section 2.01(a)(ii) and (iii)

Schedule 5.19

COVERED ENTITIES UNDER HIPAA

BREA Sun City West LLC

BKD Patriot Heights, LLC

BKD Clare Bridge of Brookfield, LLC

BKD Shoreline, LLC

Brookdale Place at Kenwood, LLC

Emeritol Lo Coeur D’Alene LLC

Emeritol Highland Hills LLC

Emeritol Ridge Wind LLC

EX-10.2

Exhibit 10.2

AMENDMENT NO. 3 TO MASTER LEASE AND SECURITY AGREEMENT

(May 2019 Sale of OH/IN Facilities)

THIS AMENDMENT NO. 3 TO MASTER LEASE AND SECURITY AGREEMENT (hereinafter, this “Amendment”) is to be effective as of May 1, 2019 (the “Amendment Date”), by and between each of the signatories hereto identified as Landlord (individually and collectively, “Landlord”), and each of the signatories hereto identified as Tenant (individually and collectively, “Tenant”).

RECITALS

A.Landlord and Tenant are parties to that certain Master Lease and Security Agreement dated as of April 26, 2018, as amended by that certain Amendment No. 1 to Master Lease and Security Agreement effective as of September 1, 2018 and that certain Amendment No. 2 to Master Lease and Security Agreement dated as of April 22, 2019 (as the same has been amended and as it may be hereafter amended, amended and restated, supplemented, replaced or extended from time to time, the “Master Lease”), pursuant to which, among other things, Tenant leases from Landlord the Facilities identified on Exhibit A attached hereto (the “Subject Facilities”), each as more fully identified in the Lease; and

B.Each Landlord identified on Exhibit A hereto, each of whom leases to each Tenant identified on Exhibit A hereto a portion of the Subject Facilities, has entered into a Purchase and Sale Agreement dated March 28, 2019, as amended by that certain First Amendment to Purchase and Sale Agreement dated April 10, 2019 (as so amended, and as may be further amended, modified, supplemented or replaced, the “PSA”), to sell the Subject Facilities to a third party buyer (“Buyer”) pursuant to a closing to occur on May 1, 2019 (the “Closing Date”); and

C.On the Closing Date, Tenant will cease to operate the Subject Facilities and will transition the operation of each of the Subject Facilities to the Buyer or its designee pursuant to the terms of that certain Operations Transfer Agreement between Tenant and Buyer dated as of May 1, 2019; and

D.Upon the closing of the transactions contemplated by the PSA and the OTA, the Subject Facilities shall be removed from the Master Lease and deleted from the definition of “Premises” thereunder pursuant to the terms of the Master Lease including, but not limited to, Section 7.4.12 and Exhibit L thereof; and

E.Landlord and Tenant wish to amend the Master Lease to, among other things, reduce the Minimum Rent as of the Closing Date pursuant to the terms of Exhibit L of the Master Lease, all as set forth herein.

NOW, THEREFORE, in consideration of the foregoing Recitals, which by this reference are incorporated herein, and of other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Landlord and Tenant agree as follows:

1.Capitalized Terms. All capitalized terms used herein and not defined herein shall have the meanings ascribed thereto in the Master Lease.

2.Amendments to Master Lease.

2.1.    Removal of Subject Facilities. Effective as of the Amendment Date, Landlord and Tenant: (a) agree and consent to the removal of the Subject Facilities from the Master Lease pursuant to the terms of the OTA, PSA and Section 7.4.12 of the Master Lease, and (b) agree and acknowledge that the Subject Facilities are deleted from the definition of “Premises” thereunder pursuant to the terms of Section 7.4.12 of the Master Lease.

2.2.    Reduction in Minimum Rent. From and after the Closing Date, and without further action of the parties, (i) the annual Minimum Rent under the Master Lease as of the Closing Date shall be decreased by $1,476,420.00 (being the aggregate Sale Facility Rent Reduction for the Subject Facilities), resulting in total annual Minimum Rent immediately following such reduction of $162,552,117.00, and (ii) $790,791.00 of Minimum Rent previously allocated to the Subject Facilities shall be re-allocated to the remaining Facilities in accordance with the terms of Exhibit L of the Master Lease

2.3.    Reduction in Security Deposit. Subject to the reconciliation set forth in Section 2.4 below, the parties acknowledge and agree that as of the Amendment Date, Landlord has refunded Tenant $374,168.00 of the Security Deposit (as defined in the Brookdale Guaranty), which amount represents the proportionate share of the Security Deposit attributable to the Subject Facilities.

2.4.    Reconciliation. Within thirty (30) days after the Amendment Date, representatives of Landlord and Tenant shall, in good faith, finalize any required corrections or modifications to the reduction in the Security Deposit amounts set forth in Section 2.3 above, to be determined in accordance with the provisions of the Brookdale Guaranty (the “Final Reduction Amount”). Throughout the 30-day period leading up to the Final Reduction Amount, each party shall cooperate with the other party in good faith in connection with the preparation and finalization of the Final Reduction Amount. After approval of the Final Reduction Amount by both parties, the party determined to owe cash or other consideration to the other party, as applicable, as a result of such Final Reduction Amount shall promptly pay such cash to the other party, by wire transfer of immediately available funds or otherwise remit such consideration to the other party (including a reduction of any letter of credit, as applicable) and the parties shall enter into a written instrument to memorialize the Final Reduction Amount if different than the amount set forth above.

3.Miscellaneous.

3.1.    Integrated Agreement; Modifications; Waivers. This Amendment, and the Master Lease as amended hereby, constitute the entire agreement between the parties hereto with respect to the subject matter hereof and supersedes any and all prior representations, understandings and agreements, whether written or oral, with respect to such subject matter. Each of the parties hereto acknowledges that it has not relied upon, in entering into this Amendment, any representation, warranty, promise or condition not specifically set forth in this Amendment.

3.2.    Sealed Writing. The parties acknowledge and agree that the Master Lease, as amended by this Amendment, is intended to be a sealed instrument and to comply with Virginia Code Sections 55-2 and 11-3, and shall be interpreted as if the words “this deed of Lease” were included in the body of the Master Lease.

3.3.    Effect of Amendment. Except as expressly modified in this Amendment, the Master Lease shall remain in full force and effect and is expressly ratified and confirmed by the parties hereto, and Tenant shall lease the Facilities (as modified by this Amendment) from Landlord on the terms

set forth in the Master Lease (as modified by this Amendment). In the event of any inconsistencies between the terms of this Amendment and any terms of the Master Lease with respect to the subject matter hereof, the terms of this Amendment shall control.

3.4.    Counterparts. This Amendment may be executed and delivered (including by facsimile or Portable Document Format (pdf) transmission) in counterparts, all of which executed counterparts shall together constitute a single document. Signature pages may be detached from the counterparts and attached to a single copy of this document to physically form one document. Any such facsimile documents and signatures shall have the same force and effect as manually-signed originals and shall be binding on the parties hereto.

[Signature Pages to Follow]

IN WITNESS WHEREOF, this Amendment has been executed by Landlord and Tenant as of the date first written above.

TENANT:

BLC-THE HALLMARK, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BLC-KENWOOD OF LAKE VIEW, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BROOKDALE SENIOR LIVING COMMUNITIES, INC. a Delaware corporation (f/k/a Alterra Healthcare Corporation and Alternative Living Services, Inc.)

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

ACKNOWLEDGEMENT

STATE OF Tennessee    )

) :ss.:

COUNTY OF Williamson)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared Brookdale Senior Living Communities, Inc., a Delaware corporation (“Company”), by H. Todd Kaestner, its EVP, which Company executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Brentwood, Tennessee, this 30th day of April, 2019.

(SEAL)    /s/ Carla Lockridge                

Notary Public

Print Name:    Carla Lockridge            

My commission expires: 19 April 2020        

Acting in the County of: Williamson        

BLC-GABLES AT FARMINGTON, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BLC-DEVONSHIRE OF HOFFMAN ESTATES, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BLC-THE BERKSHIRE OF CASTLETON, L.P., a Delaware limited partnership

By: BLC-The Berkshire of Castleton, LLC, a Delaware

limited liability company, its General Partner

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BLC-SPRINGS AT EAST MESA, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BLC-RIVER BAY CLUB, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BLC-WOODSIDE TERRACE, L.P., a Delaware limited partnership

By: BLC-Woodside Terrace, LLC, a Delaware

limited liability company, its general partner

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BLC-ATRIUM AT SAN JOSE, L.P., a Delaware limited partnership

By: BLC-Atrium at San Jose, LLC, a Delaware

limited liability company, its general partner

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BLC-BROOKDALE PLACE OF SAN MARCOS, L.P., a Delaware limited partnership

By: BLC-Brookdale Place of San Marcos, LLC, a

Delaware limited liability company, its general

partner

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BLC-PONCE DE LEON, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BLC-PARK PLACE, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BLC-HAWTHORNE LAKES, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BLC-THE WILLOWS, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BLC-BRENDENWOOD, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BLC-CHATFIELD, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BROOKDALE LIVING COMMUNITIES OF FLORIDA, INC. a Delaware corporation

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BROOKDALE LIVING COMMUNITIES OF ILLINOIS-DNC, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

BROOKDALE LIVING COMMUNITIES OF ILLINOIS-GV, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

SW ASSISTED LIVING, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

SUMMERVILLE AT FAIRWOOD MANOR, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

SUMMERVILLE AT HERITAGE PLACE, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name:H. Todd Kaestner

Title:Executive Vice President

SUMMERVILLE 5 LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name: H. Todd Kaestner

Title: Executive Vice President

SUMMERVILLE 4 LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name: H. Todd Kaestner

Title: Executive Vice President

SUMMERVILLE 14 LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name: H. Todd Kaestner

Title: Executive Vice President

SUMMERVILLE 15 LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name: H. Todd Kaestner

Title: Executive Vice President

SUMMERVILLE 16 LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name: H. Todd Kaestner

Title: Executive Vice President

SUMMERVILLE 17 LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name: H. Todd Kaestner

Title: Executive Vice President

SUMMERVILLE AT RIDGEWOOD GARDENS LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name: H. Todd Kaestner

Title: Executive Vice President

ALS PROPERTIES TENANT I, LLC,

a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name: H. Todd Kaestner

Title: Executive Vice President

ACKNOWLEDGEMENT

STATE OF Tennessee    )

) :ss.:

COUNTY OF Williamson)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared ALS Properties Tenant I, LLC, a Delaware limited liability company (“Company”), by H. Todd Kaestner, its EVP, which Company executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Brentwood, Tennessee, this 30th day of April, 2019.

(SEAL)    /s/ Carla Lockridge                

Notary Public

Print Name:    Carla Lockridge            

My commission expires: 19 April 2020        

Acting in the County of: Williamson        

ALS PROPERTIES TENANT II, LLC, a Delaware limited liability company

By:/s/ H. Todd Kaestner

Name: H. Todd Kaestner

Title: Executive Vice President

ALS LEASING, INC., a Delaware corporation

By:/s/ H. Todd Kaestner

Name: H. Todd Kaestner

Title: Executive Vice President

ACKNOWLEDGEMENT

STATE OF Tennessee    )

) :ss.:

COUNTY OF Williamson)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared ALS Leasing, Inc., a Delaware corporation (“Company”), by H. Todd Kaestner, its EVP, which Company executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Brentwood, Tennessee, this 30th day of April, 2019.

(SEAL)    /s/ Carla Lockridge                

Notary Public

Print Name:    Carla Lockridge            

My commission expires: 19 April 2020        

Acting in the County of: Williamson        

ASSISTED LIVING PROPERTIES, INC., a Kansas corporation

By:/s/ H. Todd Kaestner

Name: H. Todd Kaestner

Title: Executive Vice President

LANDLORD:

VENTAS REALTY, LIMITED PARTNERSHIP, a Delaware limited partnership

By: Ventas, Inc., a Delaware corporation, its general partner

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

PSLT-ALS PROPERTIES I, LLC, a Delaware limited liability company

By: PSLT-ALS Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

ACKNOWLEDGEMENT

STATE OF Illinois)

) :ss.:

COUNTY OF Cook)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared Ventas Provident, LLC, a Delaware limited liability company (“Company”), the sole member of PSLT GP, LLC, the general partner of PSLT OP, L.P., the sole member of PSLT-ALS Properties Holdings, LLC, the sole member of PSLT-ALS Properties I, LLC, by Christian N. Cummings, its President, which Company executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Chicago, Illinois, this 29th day of April, 2019.

(SEAL)    /s/ Theresa M. Kwasinski                

Notary Public

Print Name:    Theresa M. Kwasinski        

My commission expires: 8/5/2022        

Acting in the County of: Cook            

PSLT-ALS PROPERTIES II, LLC, a Delaware limited liability company

By: PSLT-ALS Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

PSLT-ALS PROPERTIES IV, LLC, a Delaware limited liability company

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

PSLT-ALS PROPERTIES III, LLC, a Delaware limited liability company

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

ACKNOWLEDGEMENT

STATE OF Illinois)

) :ss.:

COUNTY OF Cook)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared PSLT-ALS PROPERTIES III, LLC, a Delaware limited liability company (“Company”), which Company executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Chicago, Illinois, this 29th day of April, 2019.

(SEAL)    /s/ Theresa M. Kwasinski                

Notary Public

Print Name:    Theresa M. Kwasinski        

My commission expires: 8/5/2022        

Acting in the County of: Cook            

BROOKDALE LIVING COMMUNITIES OF ILLINOIS-2960, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

BROOKDALE LIVING COMMUNITIES OF ILLINOIS-HV, LLC, a Delaware limited liability company

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:Manager

RIVER OAKS PARTNERS, an Illinois general partnership

By: Brookdale Holdings, LLC, its managing partner

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

BROOKDALE LIVING COMMUNITIES OF MINNESOTA, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

BROOKDALE LIVING COMMUNITIES OF CONNECTICUT, LLC, a Delaware limited liability company

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

PSLT-BLC PROPERTIES HOLDINGS, LLC, a Delaware limited liability company

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

THE PONDS OF PEMBROKE LIMITED PARTNERSHIP, an Illinois general partnership

By: Brookdale Holdings, LLC, its general partner

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

BROOKDALE LIVING COMMUNITIES OF ARIZONA-EM, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

BROOKDALE LIVING COMMUNITIES OF MASSACHUSETTS-RB, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

BROOKDALE LIVING COMMUNITIES OF CALIFORNIA-RC, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

BROOKDALE LIVING COMMUNITIES OF CALIFORNIA, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

BLC OF CALIFORNIA-SAN MARCOS, L.P., a Delaware limited partnership

By: Brookdale Living Communities of California-San Marcos, LLC, its general partner

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

BROOKDALE LIVING COMMUNITIES OF WASHINGTON-PP, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

BROOKDALE LIVING COMMUNITIES OF ILLINOIS-II, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

BROOKDALE LIVING COMMUNITIES OF NEW JERSEY, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

BROOKDALE LIVING COMMUNITIES OF FLORIDA-CL, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

NATIONWIDE HEALTH PROPERTIES, LLC, a Delaware limited liability company

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

ACKNOWLEDGEMENT

STATE OF Illinois)

) :ss.:

COUNTY OF Cook)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared Nationwide Health Properties, LLC, a Delaware limited liability company (“Company”), by Christian N. Cummings, its President, which Company executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Chicago, Illinois, this 29th day of April, 2019.

(SEAL)    /s/ Theresa M. Kwasinski                

Notary Public

Print Name:    Theresa M. Kwasinski        

My commission expires: 8/5/2022        

Acting in the County of: Cook            

2010 UNION LIMITED PARTNERSHIP, a Washington limited partnership

By: Nationwide Health Properties, LLC, its general partner

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

NH TEXAS PROPERTIES LIMITED PARTNERSHIP, a Texas limited partnership

By: MLD Texas Corporation, its general partner

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

MLD PROPERTIES, INC., a Delaware corporation

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

JER/NHP SENIOR LIVING ACQUISITION, LLC, a Delaware limited liability company

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

ACKNOWLEDGEMENT

STATE OF Illinois)

) :ss.:

COUNTY OF Cook)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared JER/NHP Senior Living Acquisition, LLC, a Delaware limited liability company (“Company”), by Christian N. Cummings, its President, which Company executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Chicago, Illinois, this 29th day of April, 2019.

(SEAL)    /s/ Theresa M. Kwasinski                

Notary Public

Print Name:    Theresa M. Kwasinski        

My commission expires: 8/5/2022        

Acting in the County of: Cook            

JER/NHP SENIOR LIVING KANSAS, INC., a Kansas corporation

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

JER/NHP SENIOR LIVING TEXAS, L.P., a Texas limited partnership

By: JER/NHP Management Texas, LLC, its general partner

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

MLD PROPERTIES LIMITED PARTNERSHIP, a Delaware limited partnership

By: MLD Properties II, Inc., its general partner

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

NHP MCCLAIN, LLC, a Delaware limited liability company

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

ACKNOWLEDGEMENT

STATE OF Illinois)

) :ss.:

COUNTY OF Cook)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared NHP MCCLAIN, LLC, a Delaware limited liability company (“Company”), by Christian N. Cummings, its President, which Company executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Chicago, Illinois, this 29th day of April, 2019.

(SEAL)    /s/ Theresa M. Kwasinski                

Notary Public

Print Name:    Theresa M. Kwasinski        

My commission expires: 8/5/2022        

Acting in the County of: Cook            

VENTAS FAIRWOOD, LLC, a Delaware limited liability company

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

VENTAS FRAMINGHAM, LLC, a Delaware limited liability company

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

VENTAS WHITEHALL ESTATES, LLC, a Delaware limited liability company

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

VTR-EMRTS HOLDINGS, LLC, a Delaware limited liability company

By:/s/ Christian N. Cummings

Name:Christian N. Cummings

Title:President

CONSENT AND REAFFIRMATION OF GUARANTOR

THIS CONSENT AND REAFFIRMATION OF GUARANTOR (this “Reaffirmation”) is entered into concurrently with and is attached to and hereby made a part of Amendment No. 3 to Lease dated as of April 30, 2019 (the “Lease Amendment”) between Landlord and Tenant (both, as defined therein).

BROOKDALE SENIOR LIVING INC., a Delaware corporation (“Guarantor”) executed and delivered that certain Guaranty dated as of April 26, 2018 (the “Guaranty”), pursuant to which Guarantor guarantied for the benefit of Landlord, the obligations of Tenant under the Lease.

FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Guarantor hereby acknowledges, reaffirms and agrees:

1.Capitalized terms used but not defined in this Reaffirmation shall have the same meanings for purposes of this Reaffirmation as provided in or for purposes of the Lease Amendment.

2.Guarantor hereby (i) acknowledges and consents to the Lease Amendment, (ii) reaffirms its obligations under the Guaranty with respect to the Lease as amended by the Lease Amendment, and (iii) confirms that the Guaranty remains in full force and effect.

3.Although Guarantor has been informed of the terms of the Lease Amendment, Guarantor understands and agrees that Landlord has no duty to so notify it or to seek this or any future acknowledgment, consent or reaffirmation, and nothing contained herein shall create or imply any such duty as to any transactions, past or future.

Guarantor has executed this Consent and Reaffirmation of Guarantor effective as of the Amendment Date.

GUARANTOR:

BROOKDALE SENIOR LIVING INC.,

a Delaware corporation

By:/s/ H. Todd Kaestner            

Name:H. Todd Kaestner            

Title:Executive Vice President        

Exhibit A

Subject Properties

Subject Facility	Address	Landlord	Tenant
Marion (IN)	2452 West Kem Road, Marion, IN, 46952	PSLT-ALS Properties I, LLC	ALS Properties Tenant I, LLC
Marion (OH)	308 Barks Road East, Marion, OH, 43302	JER/NHP Senior Living Acquisition, LLC	Assisted Living Properties, Inc.
Castleton	8480 Craig Street, Indianapolis, IN, 46250	PSLT-BLC Properties Holdings, LLC	BLC-The Berkshire of Castleton, L.P.
Evansville	6521 Greendale Drive, Evansville, IN, 47711	PSLT-ALS Properties III, LLC	ALS Properties Tenant I, LLC
Portage	3444 Swanson Road, Portage, IN, 46368	PSLT-ALS Properties I, LLC	ALS Properties Tenant I, LLC

EX-10.3

Exhibit 10.3

Information identified by "[***]" has been excluded from this exhibit pursuant to Item 601(b)(10) of Regulation S-K because it is both not material would likely cause competitive harm to the registrant if publicly disclosed.

AMENDMENT NO. 4 TO MASTER LEASE AND SECURITY AGREEMENT

(Update of Amendment No. 2 to Master Lease and Security Agreement)

THIS AMENDMENT NO. 4 TO MASTER LEASE AND SECURITY AGREEMENT (hereinafter, this “Amendment”) is to be effective as of September 26, 2019 (the “Amendment Date”), by and between each of the signatories hereto identified as Landlord (individually and collectively, “Landlord”), and each of the signatories hereto identified as Tenant (individually and collectively, “Tenant”).

RECITALS

A.Landlord and Tenant are parties to that certain Master Lease and Security Agreement dated as of April 26, 2018, as amended by that certain Amendment No. 1 to Master Lease and Security Agreement effective as of September 1, 2018, that certain Amendment No. 2 to Master Lease and Security Agreement dated as of April 22, 2019 (“Amendment No. 2”) and that certain Amendment No. 3 to Master Lease and Security Agreement dated as of May 1, 2019 (as the same has been amended and as it may be hereafter amended, amended and restated, supplemented, replaced or extended from time to time, the “Master Lease”); and

B.Landlord and Tenant wish to amend the Master Lease by amending and restating Exhibit A to Amendment No. 2 as set forth herein.

NOW, THEREFORE, in consideration of the foregoing Recitals, which by this reference are incorporated herein, and of other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Landlord and Tenant agree as follows:

1.Capitalized Terms. All capitalized terms used herein and not defined herein shall have the meanings ascribed thereto in the Master Lease.

2.Amendments to Amendment No. 2. Exhibit A to Amendment No. 2 is hereby amended and restated by replacing such Exhibit with Exhibit A attached hereto.

3.Miscellaneous.

3.1.    Integrated Agreement; Modifications; Waivers. This Amendment, and the Master Lease as amended hereby, constitute the entire agreement between the parties hereto with respect to the subject matter hereof and supersedes any and all prior representations, understandings and agreements, whether written or oral, with respect to such subject matter. Each of the parties hereto acknowledges that it has not relied upon, in entering into this Amendment, any representation, warranty, promise or condition not specifically set forth in this Amendment.

3.2.    Sealed Writing. The parties acknowledge and agree that the Master Lease, as amended by this Amendment, is intended to be a sealed instrument and to comply with Virginia Code Sections

55-2 and 11-3, and shall be interpreted as if the words “this deed of Lease” were included in the body of the Master Lease.

3.3.    Effect of Amendment. Except as expressly modified in this Amendment, the Master Lease shall remain in full force and effect and is expressly ratified and confirmed by the parties hereto, and Tenant shall lease the Facilities (as modified by this Amendment) from Landlord on the terms set forth in the Master Lease (as modified by this Amendment). In the event of any inconsistencies between the terms of this Amendment and any terms of the Master Lease with respect to the subject matter hereof, the terms of this Amendment shall control.

3.4.    Counterparts. This Amendment may be executed and delivered (including by facsimile or Portable Document Format (pdf) transmission) in counterparts, all of which executed counterparts shall together constitute a single document. Signature pages may be detached from the counterparts and attached to a single copy of this document to physically form one document. Any such facsimile documents and signatures shall have the same force and effect as manually-signed originals and shall be binding on the parties hereto.

[Signature Pages to Follow]

IN WITNESS WHEREOF, this Amendment has been executed by Landlord and Tenant as of the date first written above.

TENANT:

BLC-THE HALLMARK, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BLC-KENWOOD OF LAKE VIEW, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BROOKDALE SENIOR LIVING COMMUNITIES, INC. a Delaware corporation (f/k/a Alterra Healthcare Corporation and Alternative Living Services, Inc.)

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

ACKNOWLEDGEMENT

STATE OF WISCONSIN)

) :ss.:

COUNTY OF MILWAUKEE)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared Brookdale Senior Living Communities, Inc., a Delaware corporation (“Company”), by Eric Hoaglund, its V.P., which Company executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Milwaukee, WIS, this 26th day of SEPT, 2019.

(SEAL)    /s/ Tara L. Fox                    

Notary Public

Print Name:    Tara L. Fox            

My commission expires: 11/6/2020        

Acting in the County of: Milwaukee        

BLC-GABLES AT FARMINGTON, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BLC-DEVONSHIRE OF HOFFMAN ESTATES, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BLC-SPRINGS AT EAST MESA, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BLC-RIVER BAY CLUB, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BLC-WOODSIDE TERRACE, L.P., a Delaware limited partnership

By: BLC-Woodside Terrace, LLC, a Delaware limited liability company, its general partner

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BLC-ATRIUM AT SAN JOSE, L.P., a Delaware limited partnership

By: BLC-Atrium at San Jose, LLC, a Delaware

limited liability company, its general partner

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BLC-BROOKDALE PLACE OF SAN MARCOS, L.P., a Delaware limited partnership

By: BLC-Brookdale Place of San Marcos, LLC, a

Delaware limited liability company, its general

partner

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BLC-PONCE DE LEON, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BLC-PARK PLACE, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BLC-HAWTHORNE LAKES, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BLC-THE WILLOWS, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BLC-BRENDENWOOD, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BLC-CHATFIELD, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BROOKDALE LIVING COMMUNITIES OF FLORIDA, INC. a Delaware corporation

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BROOKDALE LIVING COMMUNITIES OF ILLINOIS-DNC, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

BROOKDALE LIVING COMMUNITIES OF ILLINOIS-GV, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

SW ASSISTED LIVING, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

SUMMERVILLE AT FAIRWOOD MANOR, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

SUMMERVILLE AT HERITAGE PLACE, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

SUMMERVILLE 5 LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

SUMMERVILLE 4 LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

SUMMERVILLE 14 LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

SUMMERVILLE 15 LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

SUMMERVILLE 16 LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

SUMMERVILLE 17 LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

SUMMERVILLE AT RIDGEWOOD GARDENS LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

ALS PROPERTIES TENANT I, LLC,

a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

ACKNOWLEDGEMENT

STATE OF WISCONSIN)

) :ss.:

COUNTY OF MILWAUKEE)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared ALS Properties Tenant I, LLC, a Delaware corporation (“Company”), by Eric Hoaglund, its V.P., which Company executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Milwaukee, WIS, this 26th day of SEPT, 2019.

(SEAL)    /s/ Tara L. Fox                    

Notary Public

Print Name:    Tara L. Fox            

My commission expires: 11/6/2020        

Acting in the County of: Milwaukee        

ALS PROPERTIES TENANT II, LLC, a Delaware limited liability company

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

ALS LEASING, INC., a Delaware corporation

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

ACKNOWLEDGEMENT

STATE OF WISCONSIN)

) :ss.:

COUNTY OF MILWAUKEE)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared ALS Leasing, Inc., a Delaware corporation (“Company”), by Eric Hoaglund, its V.P., which Company

executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Milwaukee, WIS, this 26th day of SEPT, 2019.

(SEAL)    /s/ Tara L. Fox                    

Notary Public

Print Name:    Tara L. Fox            

My commission expires: 11/6/2020        

Acting in the County of: Milwaukee        

ASSISTED LIVING PROPERTIES, INC., a Kansas corporation

By:/s/ Eric W. Hoaglund

Name:Eric W. Hoaglund

Title:Vice President

LANDLORD:

VENTAS REALTY, LIMITED PARTNERSHIP, a Delaware limited partnership

By: Ventas, Inc., a Delaware corporation, its general partner

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Senior Vice President and Chief Tax Officer

PSLT-ALS PROPERTIES I, LLC, a Delaware limited liability company

By: PSLT-ALS Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

ACKNOWLEDGEMENT

STATE OF Kentucky)

) :ss.:

COUNTY OF Jefferson)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared Ventas Provident, LLC, a Delaware limited liability company (“Company”), the sole member of PSLT GP, LLC, the general partner of PSLT OP, L.P., the sole member of PSLT-ALS Properties Holdings, LLC, the sole member of PSLT-ALS Properties I, LLC, by Brian K. Wood, its Vice President & Treasurer, which Company executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Louisville, Kentucky, this 25 day of September, 2019.

(SEAL)    /s/ Adrienne Riley                

Notary Public

Print Name:    Adrienne Riley            

My commission expires: 01/17/2021        

Acting in the County of: Jefferson        

PSLT-ALS PROPERTIES II, LLC, a Delaware limited liability company

By: PSLT-ALS Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

PSLT-ALS PROPERTIES IV, LLC, a Delaware limited liability company

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

PSLT-ALS PROPERTIES III, LLC, a Delaware limited liability company

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

ACKNOWLEDGEMENT

STATE OF Kentucky)

) :ss.:

COUNTY OF Jefferson)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared PSLT-ALS PROPERTIES III, LLC, a Delaware limited liability company (“Company”), which Company executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Louisville, Kentucky, this 25 day of September, 2019.

(SEAL)    /s/ Adrienne Riley                

Notary Public

Print Name:    Adrienne Riley            

My commission expires: 01/17/2021        

Acting in the County of: Jefferson        

BROOKDALE LIVING COMMUNITIES OF ILLINOIS-2960, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

BROOKDALE LIVING COMMUNITIES OF ILLINOIS-HV, LLC, a Delaware limited liability company

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Manager

RIVER OAKS PARTNERS, an Illinois general partnership

By: Brookdale Holdings, LLC, its managing partner

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

BROOKDALE LIVING COMMUNITIES OF MINNESOTA, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

BROOKDALE LIVING COMMUNITIES OF CONNECTICUT, LLC, a Delaware limited liability company

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

PSLT-BLC PROPERTIES HOLDINGS, LLC, a Delaware limited liability company

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

THE PONDS OF PEMBROKE LIMITED PARTNERSHIP, an Illinois general partnership

By: Brookdale Holdings, LLC, its general partner

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

BROOKDALE LIVING COMMUNITIES OF ARIZONA-EM, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

BROOKDALE LIVING COMMUNITIES OF MASSACHUSETTS-RB, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

BROOKDALE LIVING COMMUNITIES OF CALIFORNIA-RC, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

BROOKDALE LIVING COMMUNITIES OF CALIFORNIA, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

BLC OF CALIFORNIA-SAN MARCOS, L.P., a Delaware limited partnership

By: Brookdale Living Communities of California-San Marcos, LLC, its general partner

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

BROOKDALE LIVING COMMUNITIES OF WASHINGTON-PP, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

BROOKDALE LIVING COMMUNITIES OF ILLINOIS-II, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

BROOKDALE LIVING COMMUNITIES OF NEW JERSEY, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

BROOKDALE LIVING COMMUNITIES OF FLORIDA-CL, LLC, a Delaware limited liability company

By: PSLT-BLC Properties Holdings, LLC, its sole member

By: PSLT OP, L.P., its sole member

By: PSLT GP, LLC, its general partner

By: Ventas Provident, LLC, its sole member

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

NATIONWIDE HEALTH PROPERTIES, LLC, a Delaware limited liability company

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

ACKNOWLEDGEMENT

STATE OF Kentucky)

) :ss.:

COUNTY OF Jefferson)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared Nationwide Health Properties, LLC, a Delaware limited liability company (“Company”), by Brian K. Wood, its Vice President & Treasurer, which Company executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Louisville, Kentucky, this 25 day of September, 2019.

(SEAL)    /s/ Adrienne Riley                

Notary Public

Print Name:    Adrienne Riley            

My commission expires: 01/17/2021        

Acting in the County of: Jefferson        

2010 UNION LIMITED PARTNERSHIP, a Washington limited partnership

By: Nationwide Health Properties, LLC, its general partner

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

NH TEXAS PROPERTIES LIMITED PARTNERSHIP, a Texas limited partnership

By: MLD Texas Corporation, its general partner

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

MLD PROPERTIES, INC., a Delaware corporation

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

JER/NHP SENIOR LIVING ACQUISITION, LLC, a Delaware limited liability company

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

ACKNOWLEDGEMENT

STATE OF Kentucky)

) :ss.:

COUNTY OF Jefferson)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared JER/NHP Senior Living Acquisition, LLC, a Delaware limited liability company (“Company”), by Brian K. Wood, its Vice President & Treasurer, which Company executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Louisville, Kentucky, this 25 day of September, 2019.

(SEAL)    /s/ Adrienne Riley                

Notary Public

Print Name:    Adrienne Riley            

My commission expires: 01/17/2021        

Acting in the County of: Jefferson        

JER/NHP SENIOR LIVING KANSAS, INC., a Kansas corporation

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

JER/NHP SENIOR LIVING TEXAS, L.P., a Texas limited partnership

By: JER/NHP Management Texas, LLC, its general partner

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

MLD PROPERTIES LIMITED PARTNERSHIP, a Delaware limited partnership

By: MLD Properties II, Inc., its general partner

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

NHP MCCLAIN, LLC, a Delaware limited liability company

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

ACKNOWLEDGEMENT

STATE OF Kentucky)

) :ss.:

COUNTY OF Jefferson)

Before me, the undersigned, a Notary Public in and for said County and State, personally appeared NHP MCCLAIN, LLC, a Delaware limited liability company (“Company”), by Brian K. Wood, its Vice President & Treasurer, which Company executed the foregoing instrument, who acknowledged that she/he did sign the foregoing instrument for and on behalf of the Company, being thereunto duly authorized and that the same is her/his free act and deed individually and in said capacity and the free and deed of the Company.

IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Louisville, Kentucky, this 25 day of September, 2019.

(SEAL)    /s/ Adrienne Riley                

Notary Public

Print Name:    Adrienne Riley            

My commission expires: 01/17/2021        

Acting in the County of: Jefferson        

VENTAS FAIRWOOD, LLC, a Delaware limited liability company

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

VENTAS FRAMINGHAM, LLC, a Delaware limited liability company

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

VENTAS WHITEHALL ESTATES, LLC, a Delaware limited liability company

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

VTR-EMRTS HOLDINGS, LLC, a Delaware limited liability company

By:/s/ Brian K. Wood

Name:Brian K. Wood

Title:Vice President & Treasurer

CONSENT AND REAFFIRMATION OF GUARANTOR

THIS CONSENT AND REAFFIRMATION OF GUARANTOR (this “Reaffirmation”) is entered into concurrently with and is attached to and hereby made a part of Amendment No. 4 to Lease dated as of September 26, 2019 (the “Lease Amendment”) between Landlord and Tenant (both, as defined therein).

BROOKDALE SENIOR LIVING INC., a Delaware corporation (“Guarantor”) executed and delivered that certain Guaranty dated as of April 26, 2018 (the “Guaranty”), pursuant to which Guarantor guarantied for the benefit of Landlord, the obligations of Tenant under the Lease.

FOR VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Guarantor hereby acknowledges, reaffirms and agrees:

1.Capitalized terms used but not defined in this Reaffirmation shall have the same meanings for purposes of this Reaffirmation as provided in or for purposes of the Lease Amendment.

2.Guarantor hereby (i) acknowledges and consents to the Lease Amendment, (ii) reaffirms its obligations under the Guaranty with respect to the Lease as amended by the Lease Amendment, and (iii) confirms that the Guaranty remains in full force and effect.

3.Although Guarantor has been informed of the terms of the Lease Amendment, Guarantor understands and agrees that Landlord has no duty to so notify it or to seek this or any future acknowledgment, consent or reaffirmation, and nothing contained herein shall create or imply any such duty as to any transactions, past or future.

Guarantor has executed this Consent and Reaffirmation of Guarantor effective as of the Amendment Date.

GUARANTOR:

BROOKDALE SENIOR LIVING INC.,

a Delaware corporation

By:/s/ Eric W. Hoaglund            

Name:Eric W. Hoaglund            

Title:Vice President            

Exhibit A

Requested Landlord Funded Upgrade Expenditures (Subject Properties)

[***]

EX-31.1

EXHIBIT 31.1

CERTIFICATION OF CHIEF EXECUTIVE OFFICER

PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Lucinda M. Baier, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of Brookdale Senior Living Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

Date:	November 5, 2019	/s/ Lucinda M. Baier
		Lucinda M. Baier
		President and Chief Executive Officer

EX-31.2

EXHIBIT 31.2

CERTIFICATION OF CHIEF FINANCIAL OFFICER

PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Steven E. Swain, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q of Brookdale Senior Living Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

5. The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

Date:	November 5, 2019	/s/ Steven E. Swain
		Steven E. Swain
		Executive Vice President and Chief Financial Officer

EX-32

EXHIBIT 32

CERTIFICATION OF CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL

OFFICER PURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTED

PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report on Form 10-Q of Brookdale Senior Living Inc. (the “Company”) for the period ended September 30, 2019, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), Lucinda M. Baier, as President and Chief Executive Officer of the Company, and Steven E. Swain, as Executive Vice President and Chief Financial Officer of the Company, each hereby certifies, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:

(1)The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2)The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/s/ Lucinda M. Baier

Name: Lucinda M. Baier

Title: President and Chief Executive Officer

Date: November 5, 2019

/s/ Steven E. Swain

Name: Steven E. Swain

Title: Executive Vice President and Chief Financial Officer

Date: November 5, 2019

XML

Subsequent Event

9 Months Ended

Sep. 30, 2019

Subsequent Events [Abstract]

Subsequent Event

Subsequent Events

CCRC Venture and HCP Master Lease Transactions

On October 1, 2019, the Company entered into definitive agreements, including a Master Transactions and Cooperation Agreement (the “MTCA”) and an Equity Interest Purchase Agreement (the “Purchase Agreement”), providing for a multi-part transaction with HCP. The parties subsequently amended the agreements to include one additional entry fee CCRC community as part of the sale of the Company's interest in the CCRC Venture (rather than removing the CCRC from the CCRC Venture for joint marketing and sale). The components of the multi-part transaction include:

• CCRC Venture Transaction. Pursuant to the Purchase Agreement, HCP has agreed to acquire the Company's 51% ownership interest in its unconsolidated entry fee CCRC venture with HCP (the “CCRC Venture”), which will hold 14 entry fee CCRCs after giving effect to the internal restructuring described below, for a total purchase price equal to 51% of the equity value of the CCRC Venture, which is measured as $1.06 billion less portfolio debt, subject to a net working capital adjustment. Pursuant to the Purchase Agreement, the parties have agreed to use commercially reasonable efforts to obtain certain governmental approvals and consummate an internal restructuring for the purposes of moving two entry fee CCRCs into a new unconsolidated venture on substantially the same terms as the CCRC Venture and to accommodate the sale of such two communities at a future date. Pursuant to the MTCA, the parties have agreed to terminate the Company’s existing management agreements with 14 entry fee CCRCs, and HCP has agreed to pay the Company a $100 million management agreement termination fee, immediately following the closing of the sale of the Company’s ownership interest in the CCRC Venture. Upon termination of the management agreements, the Company will transition operations of the entry fee CCRCs to a new operator in accordance with the terms of the MTCA. The Company expects its cash proceeds from the sale of its ownership interest to be approximately $291 million net of portfolio debt, subject to the net working capital adjustment. The disposition of the ownership interest in the CCRC Venture is anticipated to also result in the Company recording a gain on sale of assets for accounting purposes.

• Master Lease Transactions. Pursuant to the MTCA, the parties have agreed to amend and restate the Company’s existing master lease with HCP pursuant to which the Company will continue to lease 25 communities from HCP, and the Company has agreed to pay $405.5 million to acquire 18 communities that it currently leases from HCP and to reduce its annual rent under the amended and restated master lease, upon which time the 18 communities will be removed from the master lease. In addition, HCP has agreed to transition one leased community to a successor operator. With respect to the continuing 24 communities, the Company’s amended and restated master lease with HCP will have an initial term to expire on December 31, 2027, subject to two extension options at the Company's election for ten years each, which must be exercised with respect to the entire pool of leased communities. Pursuant to the amended and restated master lease, the initial base rent for the 24 communities will be approximately $41.8 million and is subject to an escalator of 2.4% per annum on April 1st of each year. Under the terms of the master lease, HCP has agreed to make available up to $35 million for capital expenditures for a five-year period related to the 24 communities at an initial lease rate of 7.0%.

The MTCA and Purchase Agreement contain certain customary representations and warranties made by each party. The Company and HCP have also agreed to certain customary covenants, including that the parties will use commercially reasonable efforts to obtain certain required lender consents and governmental approvals, subject to certain limitations. The parties’ obligations to consummate the transactions contemplated by the MTCA and Purchase Agreement are subject to the satisfaction or waiver of certain conditions, including completion of the internal restructuring, the prior or concurrent closing of the transactions contemplated by the Purchase Agreement, which shall occur no later than December 31, 2020, and the receipt of governmental approvals. The Purchase Agreement may be terminated by either party under certain circumstances, including a material breach by the other party of its obligations under the Purchase Agreement that is not cured within the applicable period or the failure of the closing of the Purchase Agreement to occur on or prior to December 31, 2020.

The Company expects to fund its acquisition of the 18 communities with the proceeds from the sale of its interest in the CCRC Venture and non-recourse mortgage financing on the acquired communities. The Company expects the sale of its 51% ownership interest in the CCRC Venture, the terminations of its management agreements on 14 entry fee CCRCs, and its acquisition of the 18 currently leased communities to occur in the first quarter of 2020, and the sales of the two entry fee CCRCs to occur over the next 12 to 18 months; however, there can be no assurance that the transactions will close or, if they do, when the actual closings will occur.

XML

Fair Value Measurements (Tables)

9 Months Ended

Sep. 30, 2019

Fair Value Disclosures [Abstract]

Fair Value Measurements, Nonrecurring

The following is a summary of goodwill and asset impairment expense.

	Three Months Ended September 30,				Nine Months Ended September 30,
(in millions)	2019		2018		2019		2018
Goodwill	$	—	$	—	$	—	$	351.7
Property, plant and equipment and leasehold intangibles, net	0.8		2.5		2.0		50.2
Investment in unconsolidated ventures	—		—		—		33.4
Other intangible assets, net	—		—		2.6		1.7
Assets held for sale	1.3		3.0		1.3		15.0
Other assets, net	$	—	—		$	0.4	—
Goodwill and asset impairment	$	2.1	$	5.5	$	6.3	$	452.0

XML

Supplemental Disclosure of Cash Flow Information - Cash and Restricted Cash (Details) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018	Sep. 30, 2018	Dec. 31, 2017
Supplemental Cash Flow Elements [Abstract]
Cash and cash equivalents	$ 241,391	$ 398,267
Restricted cash	33,305	27,683
Long-term restricted cash	40,663	24,268
Total cash, cash equivalents, and restricted cash shown in the condensed consolidated statements of cash flows	$ 315,359	$ 450,218	$ 200,098	$ 282,546

XML

Segment Information (Details) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019 USD ($)	Sep. 30, 2018 USD ($)	Sep. 30, 2019 USD ($) segment	Sep. 30, 2018 USD ($)	Dec. 31, 2018 USD ($)
Segment Reporting Information [Line Items]
Number of reportable segments | segment			5
Revenue	$ 1,008,949	$ 1,120,062	$ 3,070,450	$ 3,462,496
Segment Operating Income	199,084	251,631	665,278	830,217
General and administrative expense (including non-cash stock-based compensation expense)	56,409	58,796	170,296	203,138
Facility lease expense	67,253	70,392	203,610	232,752
Depreciation and amortization	93,550	110,980	284,462	341,351
Goodwill and asset impairment	2,094	5,500	6,254	451,966
Loss (gain) on facility lease termination and modification, net	0	2,337	2,006	148,804
Income (loss) from operations	(20,222)	3,626	(1,350)	(547,794)
Total assets	7,374,203		7,374,203		$ 6,467,260
Operating Segments | Independent Living
Segment Reporting Information [Line Items]
Revenue	136,874	144,631	408,519	462,321
Segment Operating Income	49,414	57,106	153,749	186,662
Total assets	1,461,087		1,461,087		1,104,774
Operating Segments | Assisted Living and Memory Care
Segment Reporting Information [Line Items]
Revenue	452,474	483,125	1,361,225	1,537,432
Segment Operating Income	116,856	144,701	390,699	490,976
Total assets	4,271,885		4,271,885		3,684,170
Operating Segments | CCRCs Rental
Segment Reporting Information [Line Items]
Revenue	100,104	104,147	305,084	314,012
Segment Operating Income	14,472	21,809	53,956	70,291
Total assets	786,825		786,825		707,819
Operating Segments | Health Care Services
Segment Reporting Information [Line Items]
Revenue	111,785	108,276	337,751	328,649
Segment Operating Income	4,778	9,487	22,118	28,008
Total assets	273,943		273,943		254,950
Operating Segments | Management Services
Segment Reporting Information [Line Items]
Revenue	207,712	279,883	657,871	820,082
Segment Operating Income	13,564	$ 18,528	44,756	$ 54,280
Total assets	$ 580,463		$ 580,463		$ 715,547

XML

Stock-Based Compensation (Details) - Unvested Restricted Stock - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended
	Sep. 30, 2019	Jun. 30, 2019	Mar. 31, 2019
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Restricted Shares Granted (in shares)	136	142	4,047
Value Per Share (in dollars per share)	$ 7.55	$ 6.51	$ 7.87
Total value of restricted shares granted	$ 1,028	$ 922	$ 31,857

XML

Acquisitions, Dispositions and Other Significant Transactions - Ventas Lease Portfolio Restructuring (Details) $ in Thousands	1 Months Ended	3 Months Ended			9 Months Ended
	Apr. 30, 2018	Sep. 30, 2019 USD ($) lease	Jun. 30, 2019 USD ($) community	Sep. 30, 2018 USD ($)	Sep. 30, 2019 USD ($) lease community	Sep. 30, 2018 USD ($)	Apr. 01, 2018 community
Business Acquisition [Line Items]
Number of communities leased | lease		244			244
Loss on facility lease termination and modification, net | $		$ 0		$ (2,337)	$ (2,006)	$ (148,804)
Ventas, Inc | Master Lease And Security Agreement
Business Acquisition [Line Items]
Number of communities leased | community							128
Management percent fee	5.00%
Loss on facility lease termination and modification, net | $				$ 125,700
Number of communities exercised to market for sale | community					28
Option to terminate, rent reduction percentage							6.25%
Number of communities exercised to market for sale and sold | community			5
Reduction of rent for terminating communities | $			$ 1,500

XML

Debt - 2019 Financings (Details)	Aug. 29, 2019 USD ($) community	May 07, 2019 USD ($) community
Mortgage notes payable
Debt Instrument [Line Items]
Percentage of principal bearing fixed rate	75.00%	60.00%
Fixed rate	3.35%	4.52%
Percentage of principal bearing variable rate	25.00%	40.00%
Mortgage notes payable | Non-Recourse Supplemental Loan
Debt Instrument [Line Items]
Face amount	$ 160,300,000	$ 111,100,000
Mortgage notes payable | Mortgage Debt Due 2019
Debt Instrument [Line Items]
Extinguishment of debt	$ 139,200,000	$ 155,500,000
Secured debt | Non-Recourse First Mortgages
Debt Instrument [Line Items]
Number of communities securing debt | community	5	14
LIBOR | Mortgage notes payable
Debt Instrument [Line Items]
Basis spread on variable rate basis	217.00%	223.00%

XML

Label	Element	Value
Retained Earnings [Member]
Cumulative Effect of New Accounting Principle in Period of Adoption	us-gaap_CumulativeEffectOfNewAccountingPrincipleInPeriodOfAdoption	$ (55,885,000)
Cumulative Effect of New Accounting Principle in Period of Adoption	us-gaap_CumulativeEffectOfNewAccountingPrincipleInPeriodOfAdoption	0
Cumulative Effect of New Accounting Principle in Period of Adoption	us-gaap_CumulativeEffectOfNewAccountingPrincipleInPeriodOfAdoption	0
Cumulative Effect of New Accounting Principle in Period of Adoption	us-gaap_CumulativeEffectOfNewAccountingPrincipleInPeriodOfAdoption	$ 0

XML

Summary of Significant Accounting Policies

9 Months Ended

Sep. 30, 2019

Accounting Policies [Abstract]

Summary of Significant Accounting Policies

Summary of Significant Accounting Policies

Basis of Presentation

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States ("GAAP") and pursuant to the rules and regulations of the Securities and Exchange Commission ("SEC") for quarterly reports on Form 10-Q. In the opinion of management, these financial statements include all adjustments, which are of a normal and recurring nature, necessary to present fairly the financial position, results of operations, and cash flows of the Company for all periods presented. Certain information and footnote disclosures included in annual financial statements have been condensed or omitted. The Company believes that the disclosures included are adequate and provide a fair presentation of interim period results. Interim financial statements are not necessarily indicative of the financial position or operating results for an entire year. These interim financial statements should be read in conjunction with the audited financial statements and the notes thereto included in the Company's Annual Report on Form 10-K for the year ended December 31, 2018 filed with the SEC on February 14, 2019. Certain prior period amounts have been reclassified to conform to the current financial statement presentation, with no effect on the Company's condensed consolidated financial position or results of operations.

Except for the changes for the impact of the recently adopted accounting pronouncements discussed in this Note, the Company has consistently applied its accounting policies to all periods presented in these condensed consolidated financial statements.

Principles of Consolidation

The condensed consolidated financial statements include the accounts of Brookdale and its consolidated subsidiaries. All intercompany balances and transactions have been eliminated upon consolidation. Investments in affiliated companies that the Company does not control, but has the ability to exercise significant influence over governance and operations, are accounted for by the equity method. The ownership interest of consolidated entities not wholly-owned by the Company are presented as noncontrolling interests in the accompanying condensed consolidated financial statements. Noncontrolling interest represents the share of consolidated entities owned by third parties. Noncontrolling interest is adjusted for the noncontrolling holder's share of additional contributions, distributions, and the proportionate share of the net income or loss of each respective entity.

Revenue Recognition

Resident Fees

Resident fee revenue is reported at the amount that reflects the consideration the Company expects to receive in exchange for the services provided. These amounts are due from residents or third-party payors and include variable consideration for retroactive adjustments, if any, under reimbursement programs. Performance obligations are determined based on the nature of the services provided. Resident fee revenue is recognized as performance obligations are satisfied.

Under the Company's senior living residency agreements, which are generally for a contractual term of 30 days to one year, the Company provides senior living services to residents for a stated daily or monthly fee. The Company has elected the lessor practical expedient within Accounting Standards Codification ("ASC") 842, Leases ("ASC 842") and recognizes, measures, presents, and discloses the revenue for services under the Company's senior living residency agreements based upon the predominant component, either the lease or nonlease component, of the contracts. The Company has determined that the services included under the Company’s independent living, assisted living, and memory care residency agreements have the same timing and pattern of transfer. The Company recognizes revenue under ASC 606, Revenue Recognition from Contracts with Customers ("ASC 606") for its

independent living, assisted living, and memory care residency agreements for which it has estimated that the nonlease components of such residency agreements are the predominant component of the contract.

The Company enters into contracts to provide home health, hospice, and outpatient therapy services. Each service provided under the contract is capable of being distinct, and thus, the services are considered individual and separate performance obligations. The performance obligations are satisfied and revenue is recognized as services are provided.

The Company receives payment for services under various third-party payor programs which include Medicare, Medicaid, and other third-party payors. Settlements with third-party payors for retroactive adjustments due to audits, reviews, or investigations are included in the determination of the estimated transaction price for providing services. The Company estimates the transaction price based on the terms of the contract with the payor, correspondence with the payor and historical payment trends, and retroactive adjustments that differ from the Company's estimates are recognized in the period when final settlements are determined.

Management Services

The Company manages certain communities under contracts which provide periodic management fee payments to the Company. Management fees are generally determined by an agreed upon percentage of gross revenues (as defined in the management agreement). Certain management contracts also provide for an annual incentive fee to be paid to the Company upon achievement of certain metrics identified in the contract. The Company recognizes revenue for community management services in accordance with the provisions of ASC 606. Although there are various management and operational activities performed by the Company under the contracts, the Company has determined that all community operations management activities are a single performance obligation, which is satisfied over time as the services are rendered. The Company estimates the amount of incentive fee revenue expected to be earned, if any, during the annual contract period and revenue is recognized as services are provided. The Company’s estimate of the transaction price for management services also includes the amount of reimbursement due from the owners of the communities for services provided and related costs incurred. Such revenue is included in "reimbursed costs incurred on behalf of managed communities" on the condensed consolidated statements of operations. The related costs are included in "costs incurred on behalf of managed communities" on the condensed consolidated statements of operations.

Gain (Loss) on Sale of Assets

The Company regularly enters into real estate transactions which may include the disposal of certain communities, including the associated real estate. The Company recognizes income from real estate sales under ASC 610-20, Other Income - Gains and Losses from Derecognition of Nonfinancial Assets ("ASC 610-20"). Under ASC 610-20, income is recognized when the transfer of control occurs and the Company applies the five-step model for recognition to determine the amount and timing of income to recognize for all real estate sales.

The Company accounts for the sale of equity method investments under ASC 860, Transfers and Servicing ("ASC 860"). Under

ASC 860, income is recognized when the transfer of control of the equity interest occurs and the Company has no continuing involvement with the transferred financial assets.

Income Taxes

Income taxes are accounted for under the asset and liability approach which requires recognition of deferred tax assets and liabilities for the differences between the financial reporting and tax basis of assets and liabilities. A valuation allowance reduces deferred tax assets when it is more likely than not that some portion or all of the deferred tax assets will not be realized.

Fair Value of Financial Instruments

ASC 820, Fair Value Measurement establishes a three-level valuation hierarchy for disclosure of fair value measurements. The valuation hierarchy is based upon the transparency of inputs to the valuation of an asset or liability as of the measurement date. Categorization within the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement. The three levels are defined as follows:

Level 1 – Inputs to the valuation methodology are quoted prices (unadjusted) for identical assets or liabilities in active markets.

Level 2 – Inputs to the valuation methodology include quoted prices for similar assets and liabilities in active markets, and inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the financial instrument.

Level 3 – Inputs to the valuation methodology are unobservable and significant to the fair value measurement.

Cash and cash equivalents and restricted cash are reflected in the accompanying condensed consolidated balance sheets at amounts considered by management to reasonably approximate fair value due to the short maturity.

Goodwill

The Company tests goodwill for impairment annually as of October 1 or whenever indicators of impairment arise. Factors the Company considers important in its analysis of whether an indicator of impairment exists include a significant decline in the Company's stock price or market capitalization for a sustained period since the last testing date, significant underperformance relative to historical or projected future operating results and significant negative industry or economic trends. The Company first assesses qualitative factors to determine whether it is necessary to perform a quantitative goodwill impairment test. The quantitative goodwill impairment test is based upon a comparison of the estimated fair value of the reporting unit to which the goodwill has been assigned with the reporting unit's carrying value. The Company is not required to calculate the fair value of a reporting unit unless the Company determines, based on a qualitative assessment, that it is more likely than not that its fair value of a reporting unit is less than its carrying value. The fair values used in the quantitative goodwill impairment test are estimated using Level 3 inputs based upon discounted future cash flow projections for the reporting unit. These cash flow projections are based upon a number of estimates and assumptions such as revenue and expense growth rates, capitalization rates, and discount rates. The Company also considers market based measures such as earnings multiples in its analysis of estimated fair values of its reporting units. If the quantitative goodwill impairment test results in a reporting unit's carrying value exceeding its estimated fair value, an impairment charge will be recorded based on the difference. The impairment charge is limited to the amount of goodwill allocated to the reporting unit.

Long-lived Asset Impairment

Long-lived assets (including right-of-use assets) are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of long-lived assets held for use are assessed by a comparison of the carrying amount of the asset to the estimated future undiscounted net cash flows expected to be generated by the asset, calculated utilizing the lowest level of identifiable cash flows. If estimated future undiscounted net cash flows are less than the carrying amount of the asset then the fair value of the asset is estimated. The impairment expense is determined by comparing the estimated fair value of the asset to its carrying value, with any amount in excess of fair value recognized as an expense in the current period. Undiscounted cash flow projections and estimates of fair value amounts are based on a number of assumptions such as revenue and expense growth rates, estimated holding periods and estimated capitalization rates (Level 3).

Self-Insurance Liability Accruals

The Company is subject to various legal proceedings and claims that arise in the ordinary course of its business. Although the Company maintains general liability and professional liability insurance policies for its owned, leased, and managed communities under a master insurance program, the Company's current policies provide for deductibles for each and every claim. As a result, the Company is, in effect, self-insured for claims that are less than the deductible amounts. In addition, the Company maintains a high deductible workers compensation program and a self-insured employee medical program.

The Company reviews the adequacy of its accruals related to these liabilities on an ongoing basis, using historical claims, actuarial valuations, third-party administrator estimates, consultants, advice from legal counsel, and industry data, and adjusts accruals periodically. Estimated costs related to these self-insurance programs are accrued based on known claims and projected claims incurred but not yet reported. Subsequent changes in actual experience are monitored, and estimates are updated as information becomes available.

Lease Accounting

The following is the Company's lease accounting policy under ASC 842 subsequent to the adoption. Refer to Recently Adopted Accounting Pronouncements in this Note 2 for significant changes that resulted from the adoption effective January 1, 2019. The Company, as lessee, recognizes a right-of-use asset and a lease liability on the Company’s condensed consolidated balance sheet for its community, office, and equipment leases. As of the commencement date of a lease, a lease liability and corresponding right-of-use asset is established on the Company’s condensed consolidated balance sheet at the present value of future minimum lease payments. The Company's community leases generally contain fixed annual rent escalators or annual rent escalators based on an index, such as the consumer price index. The future minimum lease payments recognized on the condensed consolidated balance sheet include fixed payments (including in-substance fixed payments) and variable payments estimated utilizing the index or rate on the lease commencement date. The Company recognizes lease expense as incurred for additional variable payments. For the Company’s leases that do not contain an implicit rate, the Company utilizes its estimated incremental borrowing rate in determining the present value of lease payments based on information available at commencement of the lease, which reflects the fixed rate

at which the Company could borrow a similar amount for the same term on a collateralized basis. Leases with an initial term of 12 months or less are not recorded on the Company’s condensed consolidated balance sheet and instead are recognized as lease expense as incurred.

The Company, as lessee, makes a determination with respect to each of its community, office, and equipment leases as to whether each should be accounted for as an operating lease or financing lease in accordance with the provisions of ASC 842. The classification criteria is based on estimates regarding the fair value of the leased asset, minimum lease payments, effective cost of funds, the economic life of the asset, and certain other terms in the lease agreements.

For operating leases, payments made under operating lease arrangements are accounted for in the Company's condensed consolidated statements of operations as operating lease expense for actual rent paid, generally plus or minus a straight-line adjustment for estimated minimum lease escalators if applicable. The right-of-use asset is generally reduced each period by an amount equal to the difference between the operating lease expense and the amount of expense on the lease liability utilizing the effective interest method. Subsequent to the impairment of an operating lease right-of-use asset, the Company recognizes operating lease expense consisting of the reduction of the right-of-use asset on a straight-line basis over the remaining lease term and the amount of expense on the lease liability utilizing the effective interest method.

For financing leases, the Company recognizes interest expense on the lease liability utilizing the effective interest method. Additionally, the right-of-use asset is generally amortized to depreciation and amortization expense on a straight-line basis over the lease term unless the lease contains an option to purchase the underlying asset that the Company is reasonably certain to exercise in which case the asset is depreciated over the useful life of the underlying asset.

For transactions in which an owned community is sold and leased back from the buyer (sale-leaseback transactions), the Company recognizes an asset sale and lease accounting is applied if the Company has transferred control of the community. For such transactions, the Company removes the transferred assets from the condensed consolidated balance sheet and a gain or loss on the sale is recognized for the difference between the carrying value of the asset and the transaction price for the sale transaction. For sale‑leaseback transactions in which the Company has not transferred control of the underlying asset, the Company does not recognize an asset sale or derecognize the underlying asset until control is transferred. For such transactions, the Company continues to depreciate the asset over its useful life. Additionally, the Company accounts for any amounts received as a financing lease liability and the Company recognizes interest expense on the financing lease liability utilizing the effective interest method with the interest expense limited to an amount that is not greater than the cash payments on the financing lease liability over the term of the lease.

Refer to the Company’s revenue recognition policy for discussion of the accounting policy for residency agreements, which include the lease of an asset.

Recently Adopted Accounting Pronouncements

In February 2016, the FASB issued ASU 2016-02, Leases ("ASU 2016-02"). ASU 2016-02 amends the existing accounting principles for the recognition, measurement, presentation and disclosure of leases for both lessees and lessors. ASU 2016-02 requires a lessee to recognize a right-of-use asset and a lease liability on the condensed consolidated balance sheet for most leases. Additionally, ASU 2016-02 makes targeted changes to lessor accounting, including changes to align certain aspects with the revenue recognition model, and requires enhanced disclosure of lease arrangements. In July 2018, the FASB issued ASU 2018-11, Leases, Targeted Improvements ("ASU 2018-11"). ASU 2018-11 provides entities with a transition method option to not restate comparative periods presented, but to recognize a cumulative-effect adjustment to the opening balance of retained earnings in the period of adoption. In addition, ASU 2018-11 provides entities with a practical expedient allowing lessors to not separate nonlease components from the associated lease components when certain criteria are met. The Company adopted these lease accounting standards effective January 1, 2019 and utilized the modified retrospective transition method with no adjustments to comparative periods presented. Additionally, the Company elected the package of practical expedients within ASU 2016-02 that allows an entity to not reassess, as of January 1, 2019, its prior conclusions on whether an existing contract contains a lease, lease classification for existing leases, and whether costs incurred for existing leases qualify as initial direct costs.

The Company's adoption of ASU 2016-02 resulted in the recognition of operating lease liabilities of $1.6 billion and right-of-use assets of $1.3 billion on the condensed consolidated balance sheet for its existing community, office, and equipment operating leases based on the remaining present value of the minimum lease payments as of January 1, 2019. The future minimum rental payments recognized on the condensed consolidated balance sheet included fixed payments (including in-substance fixed payments) and variable payments estimated utilizing the index or rate as of January 1, 2019. Such right-of-use asset amounts were recognized based upon the amount of the recognized lease liabilities, adjusted for accrued lease payments, intangible assets, and the recognition of right-of-use asset impairments. As of December 31, 2018, the Company had a net liability of $231.4 million

recognized on its condensed consolidated balance sheet for accrued lease payments and intangible assets for operating leases. Additionally, $58.1 million of previously unrecognized right-of-use asset impairments were recognized as a cumulative effect adjustment to beginning accumulated deficit as of January 1, 2019. As a result of the Company’s election of the package of practical expedients within ASU 2016-02, there were no changes to the classification of the Company’s existing operating, capital and financing leases as of January 1, 2019 and there were no changes to the amounts recognized on its condensed consolidated balance sheet for its existing capital and financing leases as of January 1, 2019.

Subsequent to the adoption of ASU 2016-02, lessors are required to separately recognize and measure the lease component of a contract with a customer utilizing the provisions of ASC 842 and the nonlease components utilizing the provisions of ASC 606. To separately account for the components, the transaction price is allocated among the components based upon the estimated stand alone selling prices of the components. Additionally, certain components of a contract which were previously included within the lease element recognized in accordance with ASC 840, Leases ("ASC 840") prior to the adoption of ASU 2016-02 (such as common area maintenance services, other basic services, and executory costs) are recognized as nonlease components subject to the provisions of ASC 606 subsequent to the adoption of ASU 2016-02. However, entities are permitted to elect the practical expedient under ASU 2018-11 allowing lessors to not separate nonlease components from the associated lease components when certain criteria are met. Entities that elect to utilize the lease/nonlease component combination practical expedient under ASU 2018-11 upon initial application of ASC 842 are required to apply the practical expedient to all new and existing transactions within a class of underlying assets that qualify for the expedient as of the initial application date.

For the year ended December 31, 2018, the Company recognized revenue for housing services under independent living, assisted living, and memory care residency agreements in accordance with the provisions of the former lease accounting standard, ASC 840, and the Company recognized revenue for assistance with activities of daily living, memory care services, healthcare, and personalized health services under independent living, assisted living, and memory care residency agreements in accordance with the provisions of ASC 606.

Upon adoption of ASU 2016-02 and ASU 2018-11, the Company elected the lessor practical expedient within ASU 2018-11 and recognizes, measures, presents, and discloses the revenue for housing services under the Company's senior living residency agreements based upon the predominant component, either the lease or nonlease component, of the contracts rather than allocating the consideration and separately accounting for it under ASC 842 and ASC 606.

The Company has concluded that the nonlease components of the Company’s independent living, assisted living, and memory care residency agreements are the predominant component of the contract for the Company’s existing agreements as of January 1, 2019. As a result of the Company's election of the package of practical expedients within ASU 2016-02, the Company continued to recognize revenue for existing contracts as of December 31, 2018 over the lease term. In addition, ASU 2016-02 has changed the definition of initial direct costs of a lease, with the initial direct costs that are initially deferred and recognized over the term of the lease limited to costs that are both incremental and direct. The Company concluded that the contract origination costs recognized on the condensed consolidated balance sheet as of December 31, 2018 were in excess of the initial direct costs that would have been deferred under the provisions of ASU 2016-02. As a result of the Company’s election of the package of practical expedients, the contract origination costs recognized on the condensed consolidated balance sheet as of December 31, 2018 continued to be amortized during 2019 over the lease term. Additionally, the Company concluded that certain costs previously deferred upon new contract origination are recognized within facility operating expense in 2019 as incurred.

In addition to the previously unrecognized right-of-use asset impairment of $58.1 million, the Company recognized cumulative effect adjustments to beginning accumulated deficit as of January 1, 2019 for the impact of the adoption of accounting standards by its equity method investees and the deferred tax impact of these adjustments. The recognition of the right-of-use assets and corresponding liabilities and the removal of the deferred tax position related to these leases as of December 31, 2018 had a $0.3 million impact on the Company's net deferred tax position. A deferred tax asset of $14.1 million and an increase to the valuation allowance of $13.8 million was recorded against accumulated deficit reflecting the tax impact of the previously unrecognized right-of-use asset impairments.

The adoption of the new accounting standards resulted in the following adjustments to the Company's condensed consolidated balance sheet as of January 1, 2019:

(in millions)
Assets
Prepaid expenses and other current assets, net	$	67
Property, plant and equipment and leasehold intangibles, net	(11		)
Operating lease right-of-use assets	1,329
Investment in unconsolidated ventures	(2		)
Other intangible assets, net	(5		)
Other assets, net	(73		)
Total assets	$	1,305
Liabilities and Equity
Refundable fees and deferred revenue	$	43
Operating lease obligations	1,618
Deferred liabilities	(257		)
Other liabilities	(43		)
Total liabilities	1,361
Total equity	(56		)
Total liabilities and equity	$	1,305

Recently Issued Accounting Pronouncements Not Yet Adopted

In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit Losses: Measurement of Credit Losses on Financial Instruments ("ASU 2016-13"). ASU 2016-13 replaces the current incurred loss impairment methodology for credit losses with a methodology that reflects expected credit losses and requires consideration of a broader range of reasonable and supportable information to inform credit loss estimates. The Company will be required to use a forward-looking expected credit loss model for accounts receivable and other financial instruments. ASU 2016-13 is effective for fiscal years and interim periods within those fiscal years, beginning after December 15, 2019, with early adoption permitted for fiscal years beginning after December 15, 2018. The Company plans to adopt ASU 2016-13 effective January 1, 2020 and will recognize any cumulative effect of the adoption as an adjustment to beginning retained earnings with no adjustments to comparative periods presented. The Company does not expect the impact of the adoption of ASU 2016-13 to have a material effect to its consolidated financial statements and disclosures.

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Leases - Maturity ASC 840 (Details) $ in Thousands	Dec. 31, 2018 USD ($)
Leases [Abstract]
2019	$ 310,340
2020	307,493
2021	290,661
2022	291,114
2023	285,723
Thereafter	786,647
Total lease payments	$ 2,271,978

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Cover Page - shares	9 Months Ended
	Sep. 30, 2019	Nov. 01, 2019
Cover page.
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Sep. 30, 2019
Document Transition Report	false
Entity File Number	001-32641
Entity Registrant Name	BROOKDALE SENIOR LIVING INC.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	20-3068069
Entity Address, Address Line One	111 Westwood Place,
Entity Address, Address Line Two	Suite 400,
Entity Address, City or Town	Brentwood,
Entity Address, State or Province	TN
Entity Address, Postal Zip Code	37027
City Area Code	615
Local Phone Number	221-2250
Title of 12(b) Security	Common Stock, $0.01 Par Value Per Share
Entity Trading Symbol	BKD
Security Exchange Name	NYSE
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		185,594,591
Entity Central Index Key	0001332349
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2019
Document Fiscal Period Focus	Q3
Amendment Flag	false

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CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Parenthetical) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Income Statement [Abstract]
Depreciation and amortization	$ 86,213	$ 101,527	$ 261,110	$ 310,011
Non-cash stock-based compensation expense	$ 5,929	$ 6,035	$ 18,315	$ 20,710

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Summary of Significant Accounting Policies (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2019	Jan. 01, 2019	Dec. 31, 2018
Revenue Recognition [Abstract]
Term of residency agreements- minimum	30 days
Term of residency agreements - maximum	1 year
New Accounting Pronouncements and Changes in Accounting Principles [Abstract]
Total lease obligations	$ 1,508,393
Operating lease right-of-use assets	1,221,578		$ 0
Change in valuation allowance	$ 387,900		336,400
ASU 2016-02
New Accounting Pronouncements and Changes in Accounting Principles [Abstract]
Total lease obligations		$ 1,618,000
Operating lease right-of-use assets		1,329,000
Operating lease assets (liabilities)			(231,400)
Cumulative effect change in accounting principle		58,100
Deferred tax assets		14,100	$ 300
Change in valuation allowance		13,800
ASU 2016-02, Impairment Loss
New Accounting Pronouncements and Changes in Accounting Principles [Abstract]
Cumulative effect change in accounting principle		$ 58,100

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Leases (Tables)

9 Months Ended

Sep. 30, 2019

Leases [Abstract]

Lease Costs

A summary of operating and financing lease expense (including the respective presentation on the condensed consolidated statements of operations) and cash flows from leasing transactions is as follows:

Operating Leases (in thousands)	Three Months Ended September 30, 2019			Nine Months Ended September 30, 2019
Facility operating expense	$	4,532		$	13,761
Facility lease expense	67,253			203,610
Operating lease expense	71,785			217,371
Operating lease expense adjustment	4,814			13,626
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements	(11,043		)	(12,043		)
Operating cash flows from operating leases	$	65,556		$	218,954
Non-cash recognition of right-of-use assets obtained in exchange for new operating lease obligations	$	22,375		$	26,356

Financing Leases (in thousands)	Three Months Ended September 30, 2019		Nine Months Ended September 30, 2019
Depreciation and amortization	$	11,675	$	35,030
Interest expense: financing lease obligations	16,567		49,959
Financing lease expense	$	28,242	$	84,989
Operating cash flows from financing leases	$	16,567	$	49,959
Financing cash flows from financing leases	5,549		16,502
Total cash flows from financing leases	$	22,116	$	66,461

Finance Lease, Liability, Maturity

The aggregate amounts of future minimum lease payments, including community, office, and equipment leases recognized on the condensed consolidated balance sheet as of September 30, 2019 are as follows (in thousands):

Year Ending December 31,	Operating Leases			Financing Leases
2019 (three months)	$	77,495		$	22,052
2020	312,861			89,090
2021	298,025			90,330
2022	294,696			91,719
2023	290,698			93,190
Thereafter	806,856			429,663
Total lease payments	2,080,631			816,044
Purchase option liability and non-cash gain on future sale of property	—			575,791
Imputed interest and variable lease payments	(572,238		)	(533,798		)
Total lease obligations	$	1,508,393		$	858,037

Lessee, Operating Lease, Liability, Maturity

The aggregate amounts of future minimum lease payments, including community, office, and equipment leases recognized on the condensed consolidated balance sheet as of September 30, 2019 are as follows (in thousands):

Year Ending December 31,	Operating Leases			Financing Leases
2019 (three months)	$	77,495		$	22,052
2020	312,861			89,090
2021	298,025			90,330
2022	294,696			91,719
2023	290,698			93,190
Thereafter	806,856			429,663
Total lease payments	2,080,631			816,044
Purchase option liability and non-cash gain on future sale of property	—			575,791
Imputed interest and variable lease payments	(572,238		)	(533,798		)
Total lease obligations	$	1,508,393		$	858,037

Schedule of Future Minimum Rental Payments for Operating Leases

The aggregate amounts of future minimum operating lease payments, including community, office, and equipment leases not recognized on the condensed consolidated balance sheet under ASC 840 as of December 31, 2018 are as follows (in thousands):

Year Ending December 31,	Operating Leases
2019	$	310,340
2020	307,493
2021	290,661
2022	291,114
2023	285,723
Thereafter	786,647
Total lease payments	$	2,271,978

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Supplemental Disclosure of Cash Flow Information

9 Months Ended

Sep. 30, 2019

Supplemental Cash Flow Elements [Abstract]

Supplemental Disclosure of Cash Flow Information

 Supplemental Disclosure of Cash Flow Information

	Nine Months Ended September 30,
(in thousands)	2019			2018
Supplemental Disclosure of Cash Flow Information:
Interest paid	$	185,722		$	198,133
Income taxes paid, net of refunds	1,909			1,542
Capital expenditures, net of related payables
Capital expenditures - non-development, net	$	180,187		$	130,692
Capital expenditures - development, net	18,677			20,084
Capital expenditures - non-development - reimbursable	12,043			1,764
Capital expenditures - development - reimbursable	—			1,709
Trade accounts payable	(4,522		)	15,100
Net cash paid	$	206,385		$	169,349
Acquisition of assets, net of related payables and cash received:
Property, plant and equipment and leasehold intangibles, net	$	—		$	237,563
Other intangible assets, net	453			(4,345		)
Financing lease obligations	—			36,120
Other liabilities	—			2,433
Net cash paid	$	453		$	271,771
Proceeds from sale of assets, net:
Prepaid expenses and other assets, net	$	(5,298	)	$	(3,006	)
Assets held for sale	(41,882		)	(18,758		)
Property, plant and equipment and leasehold intangibles, net	(647		)	(91,778		)
Investments in unconsolidated ventures	(156		)	(58,179		)
Financing lease obligations	—			93,514
Refundable fees and deferred revenue	—			8,345
Other liabilities	(2,724		)	2,690
Loss (gain) on sale of assets, net	(2,723		)	(64,740		)
Net cash received	$	(53,430	)	$	(131,912	)
Lease termination and modification, net:
Prepaid expenses and other assets, net	$	—		$	(2,040	)
Property, plant and equipment and leasehold intangibles, net	—			(81,320		)
Financing lease obligations	—			58,099
Deferred liabilities	—			67,950
Loss (gain) on sale of assets, net	—			(5,761		)
Loss (gain) on facility lease termination and modification, net	—			22,260
Net cash paid (1)	$	—		$	59,188
Supplemental Schedule of Non-cash Operating, Investing and Financing Activities:
Assets designated as held for sale:
Prepaid expenses and other assets, net	$	(5	)	$	(281	)
Assets held for sale	9,169			162,157
Property, plant and equipment and leasehold intangibles, net	(9,164		)	(161,876		)
Net	$	—		$	—

Lease termination and modification, net:
Prepaid expenses and other assets, net	$	(648	)	$	(4,783	)
Property, plant and equipment and leasehold intangibles, net	(1,666		)	(106,264		)
Financing lease obligations	—			112,267
Operating lease right-of-use assets	(8,644		)	—
Operating lease obligations	9,289			—
Deferred liabilities	—			(122,304		)
Other liabilities	(337		)	625
Loss (gain) on sale of assets, net	—			(6,085		)
Loss (gain) on facility lease termination and modification, net	2,006			126,544
Net	$	—		$	—

(1) The net cash paid to terminate community leases is presented within the condensed consolidated statement of cash flows based upon the lease classification of the terminated leases. Net cash paid of $46.6 million for the termination of operating leases is presented within net cash provided by (used in) operating activities and net cash paid of $12.5 million for the termination of capital leases is presented within net cash provided by (used in) financing activities for the nine months ended September 30, 2018.

During the three months ended June 30, 2019, the Company and its joint venture partner contributed cash in an aggregate amount of $13.3 million to a consolidated joint venture which owns three senior housing communities. The Company obtained a $6.6 million promissory note receivable from its joint venture partner secured by a 50% equity interest in the joint venture in a non-cash exchange for the Company funding the $13.3 million aggregate contribution in cash.

	Nine Months Ended September 30,
(in thousands)	2019			2018
Notes receivable:
Other assets, net	$	6,566		$	—
Noncontrolling interest	(6,566		)	—
Net	$	—		$	—

Refer to Note 2 for a schedule of the non-cash adjustments to the Company's condensed consolidated balance sheet as of January 1, 2019 as a result of the adoption of new accounting standards and Note 10 for a schedule of the non-cash recognition of right-of-use assets obtained in exchange for new operating lease obligations.

Restricted cash consists principally of escrow deposits for real estate taxes, property insurance, and capital expenditures required by certain lenders under mortgage debt agreements and deposits as security for self-insured retention risk under workers' compensation programs and property insurance programs. The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the condensed consolidated balance sheets that sums to the total of the same such amounts shown in the condensed consolidated statements of cash flows.

(in thousands)	September 30, 2019		December 31, 2018
Reconciliation of cash, cash equivalents, and restricted cash:
Cash and cash equivalents	$	241,391	$	398,267
Restricted cash	33,305		27,683
Long-term restricted cash	40,663		24,268
Total cash, cash equivalents, and restricted cash shown in the condensed consolidated statements of cash flows	$	315,359	$	450,218

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Acquisitions, Dispositions and Other Significant Transactions

9 Months Ended

Sep. 30, 2019

Business Combinations [Abstract]

Acquisitions, Dispositions and Other Significant Transactions

Acquisitions, Dispositions and Other Significant Transactions

During the period from January 1, 2018 through September 30, 2019, the Company disposed of 30 owned communities. The Company also entered into agreements with Ventas, Inc. ("Ventas") and Welltower Inc. ("Welltower") and continued to execute on the transactions with HCP, Inc. (now known as Healthpeak Properties, Inc.) ("HCP") announced in 2017, which together restructured a significant portion of the Company's triple-net lease obligations with the Company's largest lessors. As a result of such transactions, as well as other lease expirations and terminations, the Company's triple-net lease obligations on 97 communities were terminated during the period from January 1, 2018 to September 30, 2019. During this period, the Company also sold its ownership interests in five unconsolidated ventures and acquired six communities that the Company previously leased or managed. As of September 30, 2019, the Company owned 336 communities, leased 335 communities, managed 17 communities on behalf of unconsolidated ventures, and managed 106 communities on behalf of third parties.

The following table sets forth, for the periods indicated, the amounts included within the Company's condensed consolidated financial statements for the 127 communities that it disposed through sales and lease terminations during the period from January 1, 2018 to September 30, 2019 through the respective disposition dates (of which 77 communities were disposed through sales and lease terminations during the period from July 1, 2018 to September 30, 2019):

	Three Months Ended September 30,				Nine Months Ended September 30,
(in thousands)	2019		2018		2019		2018
Resident fees
Independent Living	$	—	$	14,099	$	—	$	74,970
Assisted Living and Memory Care	103		45,496		12,385		223,763
CCRCs	—		4,401		—		15,106
Senior housing resident fees	$	103	$	63,996	$	12,385	$	313,839
Facility operating expense
Independent Living	$	—	$	8,588	$	—	$	44,256
Assisted Living and Memory Care	103		35,182		10,204		160,606
CCRCs	—		3,785		—		13,701
Senior housing facility operating expense	$	103	$	47,555	$	10,204	$	218,563
Cash facility lease payments	$	—	$	13,111	$	1,451	$	80,046

2019 Completed and Planned Dispositions of Owned Communities

During the nine months ended September 30, 2019, the Company completed the sale of eight owned communities for cash proceeds of $44.1 million, net of transaction costs, and recognized a net gain on sale of assets of $0.9 million for the nine months ended September 30, 2019.

As of September 30, 2019, six communities were classified as held for sale, resulting in $60.4 million being recorded as assets held for sale and $30.8 million of mortgage debt being included in the current portion of long-term debt within the condensed consolidated balance sheet with respect to such communities. The closings of the transactions are, or will be subject to the satisfaction of various closing conditions, including (where applicable) the receipt of regulatory approvals. There can be no assurance that the transactions will close or, if they do, when the actual closings will occur.

2018 Completed Dispositions of Owned Communities

During the year ended December 31, 2018, the Company completed the sale of 22 owned communities for cash proceeds of $380.7 million, net of transaction costs, and recognized a net gain on sale of assets of $188.6 million. The Company utilized a portion of the cash proceeds from the asset sales to repay approximately $174.0 million of associated mortgage debt and debt prepayment penalties. These dispositions included the sale of three communities during the three months ended March 31, 2018 for which the Company received cash proceeds of $12.8 million, net of transaction costs, and recognized a net gain on sale of assets of $1.9 million.

2018 Welltower Lease and RIDEA Venture Restructuring

In June 2018, the Company entered into definitive agreements with Welltower to terminate its triple-net lease obligations on 37 communities and to sell the Company's 20% equity interest in its Welltower RIDEA venture to Welltower. During the three months ended June 30, 2018, the Company paid Welltower an aggregate lease termination fee of $58.0 million, recognized a $22.6 million loss on lease termination, received net proceeds of $33.5 million for the sale of equity interest, and recognized a $14.7 million gain on sale of the RIDEA venture. The Company also elected not to renew two master leases with Welltower which matured on September 30, 2018 (11 communities). In addition, the parties separately agreed to allow the Company to terminate leases with respect to, and to remove from the remaining Welltower leased portfolio, a number of communities with annual aggregate base rent up to $5.0 million upon Welltower's sale of such communities, and the Company would receive a corresponding 6.25% rent credit on Welltower's disposition proceeds.

2018 Ventas Lease Portfolio Restructuring

In April 2018, the Company and Ventas entered into a Master Lease and Security Agreement (the "Ventas Master Lease") in connection with the restructuring of a portfolio of 128 communities that it leased from Ventas. The Company estimated the fair value of each of the elements of the restructuring transactions. The fair value of the future lease payments was based upon historical and forecasted community cash flows and market data, including an implied management fee rate of 5% of revenue and a market supported lease coverage ratio (Level 3 inputs). The Company recognized a $125.7 million non-cash loss on lease modification during the three months ended June 30, 2018, primarily for the extensions of the triple-net lease obligations for communities with lease terms that were unfavorable to the Company given current market conditions on the amendment date in exchange for modifications to the change of control provisions and financial covenant provisions of the community leases.

Pursuant to the Ventas Master Lease, the Company has exercised its right to direct Ventas to market for sale 28 communities. Ventas is obligated to use commercially reasonable, diligent efforts to sell such communities on or before December 31, 2020 (subject to extension for regulatory purposes); provided, that Ventas' obligation to sell any such community is subject to Ventas' receiving a purchase price in excess of a mutually agreed upon minimum sale price and to certain other customary closing conditions. Upon any such sale, such communities will be removed from the Ventas Master Lease, and the annual minimum rent under the Ventas Master Lease will be reduced by the amount of the net sale proceeds received by Ventas multiplied by 6.25%. During the three months ended June 30, 2019, five of such communities were sold by Ventas and removed from the Ventas Master Lease, and the annual minimum rent under the Ventas Master Lease was prospectively reduced by $1.5 million.

2017 HCP Master Lease Transaction and RIDEA Ventures Restructuring

Pursuant to transactions the Company entered into with HCP in November 2017, during the three months ended June 30, 2018, the Company acquired five communities from HCP, two of which the Company formerly leased, for an aggregate purchase price of $242.8 million, and during the three months ended March 31, 2018, the Company acquired one community for an aggregate purchase price of $32.1 million.

During the year ended December 31, 2018, leases with respect to 33 communities were terminated, and such communities were removed from the Company's master lease with HCP. Sixteen of such community leases were terminated in the nine months ended September 30, 2018. During the three and nine months ended September 30, 2018, the Company derecognized $60.9 million and $147.8 million, respectively, of the carrying value of the assets under financing leases and $67.3 million and $160.8 million, respectively, carrying value of financing lease obligations and recognized a $6.1 million and $12.6 million, respectively, non-cash gain on sale of assets for six communities which were previously subject to sale-leaseback transactions. Additionally, the Company recognized a $0.1 million non-cash loss and a $1.8 million non-cash gain on lease termination for seven communities under operating and capital leases during the three and nine months ended September 30, 2018, respectively.

During the three months ended March 31, 2018, HCP acquired the Company's 10% ownership interest in a RIDEA venture with HCP for $62.3 million, and the Company recognized a $41.7 million gain on sale.

Management agreements for 35 communities with former unconsolidated ventures with HCP have been terminated by HCP since November of 2017. The Company has recognized a $9.3 million non-cash management contract termination gain, of which $0.6 million was recognized during the three months ended September 30, 2018 and $0.8 million and $5.6 million were recognized during the nine months ended September 30, 2019 and 2018, respectively.

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Property, Plant and Equipment and Leasehold Intangibles, Net

9 Months Ended

Sep. 30, 2019

Property, Plant and Equipment [Abstract]

Property, Plant and Equipment and Leasehold Intangibles, Net

Property, Plant and Equipment and Leasehold Intangibles, Net

As of September 30, 2019 and December 31, 2018, net property, plant and equipment and leasehold intangibles, which include assets under financing leases, consisted of the following:

(in thousands)	September 30, 2019			December 31, 2018
Land	$	454,790		$	455,623
Buildings and improvements	4,812,422			4,749,877
Furniture and equipment	849,573			805,190
Resident and leasehold operating intangibles	319,049			477,827
Construction in progress	80,788			57,636
Assets under financing leases and leasehold improvements	1,832,524			1,776,649
Property, plant and equipment and leasehold intangibles	8,349,146			8,322,802
Accumulated depreciation and amortization	(3,163,465		)	(3,047,375		)
Property, plant and equipment and leasehold intangibles, net	$	5,185,681		$	5,275,427

Assets under financing leases and leasehold improvements includes $0.6 billion and $0.7 billion of financing lease right-of-use assets, net of accumulated amortization, as of September 30, 2019 and December 31, 2018, respectively. Refer to Note 10 for further information on the Company’s financing leases.

The Company recognized depreciation and amortization expense on its property, plant and equipment and leasehold intangibles of $93.3 million and $110.4 million for the three months ended September 30, 2019 and 2018, respectively, and $282.6 million and $339.0 million for the nine months ended September 30, 2019 and 2018, respectively.

Long-lived assets with definite useful lives are depreciated or amortized on a straight-line basis over their estimated useful lives (or, in certain cases, the shorter of their estimated useful lives or the lease term) and are tested for impairment whenever indicators of impairment arise. Refer to Note 5 for additional information on impairment expense for property, plant and equipment and leasehold intangibles.

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CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Revenue
Revenue	$ 1,008,949	$ 1,120,062	$ 3,070,450	$ 3,462,496
Expense
General and administrative expense (including non-cash stock-based compensation expense of $5,929, $6,035, $18,315, and $20,710, respectively)	56,409	58,796	170,296	203,138
Facility operating lease expense	67,253	70,392	203,610	232,752
Depreciation and amortization	93,550	110,980	284,462	341,351
Goodwill and asset impairment	2,094	5,500	6,254	451,966
Loss (gain) on facility lease termination and modification, net	0	2,337	2,006	148,804
Total operating expense	1,029,171	1,116,436	3,071,800	4,010,290
Income (loss) from operations	(20,222)	3,626	(1,350)	(547,794)
Interest income	2,162	1,654	8,059	7,578
Interest expense:
Debt	(44,344)	(46,891)	(135,180)	(141,585)
Financing lease obligations	(16,567)	(20,896)	(49,959)	(66,216)
Amortization of deferred financing costs and debt discount	(1,130)	(829)	(2,920)	(7,113)
Change in fair value of derivatives	(37)	(10)	(212)	(153)
Debt modification and extinguishment costs	(2,455)	(33)	(5,194)	(77)
Equity in earnings (loss) of unconsolidated ventures	(2,057)	(1,340)	(3,574)	(6,907)
Gain (loss) on sale of assets, net	579	9,833	2,723	76,586
Other non-operating income (loss)	3,763	(17)	9,950	8,074
Income (loss) before income taxes	(80,308)	(54,903)	(177,657)	(677,607)
Benefit (provision) for income taxes	1,800	17,763	488	17,724
Net income (loss)	(78,508)	(37,140)	(177,169)	(659,883)
Net (income) loss attributable to noncontrolling interest	50	19	646	86
Net income (loss) attributable to Brookdale Senior Living Inc. common stockholders	$ (78,458)	$ (37,121)	$ (176,523)	$ (659,797)
Basic and diluted net income (loss) per share attributable to Brookdale Senior Living Inc. common stockholders (in dollars per share)	$ (0.42)	$ (0.20)	$ (0.95)	$ (3.52)
Weighted average shares used in computing basic and diluted net income (loss) per share (in shares)	185,516	187,675	186,130	187,383
Resident fees
Revenue
Revenue	$ 801,237	$ 840,179	$ 2,412,579	$ 2,642,414
Management fees
Revenue
Revenue	13,564	18,528	44,756	54,280
Reimbursed costs incurred on behalf of managed communities
Revenue
Revenue	194,148	261,355	613,115	765,802
Expense
Costs of services	194,148	261,355	613,115	765,802
Facility operating expense
Expense
Costs of services	$ 615,717	$ 607,076	$ 1,792,057	$ 1,866,477

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Debt - Credit Facilities (Details)		3 Months Ended
	Dec. 05, 2018 USD ($)	Sep. 30, 2019 USD ($) community
Credit Facilities [Line Items]
Number of communities added to borrowing base and agreement during period | community		3
Fifth Amended and Restated Credit Agreement | Line of Credit
Credit Facilities [Line Items]
Percentage of loan availability from pledged assets that cannot exceed availability from mortgaged assets	10.00%
Letters of credit issued		$ 47,500,000
Fifth Amended and Restated Credit Agreement | Line of Credit | Applicable Margin, Less Than Or Equal To 35% Utilization
Credit Facilities [Line Items]
Percentage of utilization	35.00%
Fifth Amended and Restated Credit Agreement | Line of Credit | Applicable Margin, Greater Than 50% Utilization
Credit Facilities [Line Items]
Percentage of utilization	50.00%
Fifth Amended and Restated Credit Agreement | Line of Credit | Unused Commitment Fee, Outstanding Debt Percentage Greater Than Or Equal To 50%
Credit Facilities [Line Items]
Quarterly commitment fee	0.25%
Outstanding debt percentage	50.00%
Fifth Amended and Restated Credit Agreement | Line of Credit | Unused Commitment Fee, Outstanding Debt Percentage Less Than 50%
Credit Facilities [Line Items]
Quarterly commitment fee	0.35%
Outstanding debt percentage	50.00%
Fifth Amended and Restated Credit Agreement | Line of Credit | Minimum | Applicable Margin, Greater Than 35% But Less Than Or Equal To 50% Utilization
Credit Facilities [Line Items]
Percentage of utilization	35.00%
Fifth Amended and Restated Credit Agreement | Line of Credit | Maximum | Applicable Margin, Greater Than 35% But Less Than Or Equal To 50% Utilization
Credit Facilities [Line Items]
Percentage of utilization	50.00%
Fifth Amended and Restated Credit Agreement | Line of Credit | LIBOR | Applicable Margin, Less Than Or Equal To 35% Utilization
Credit Facilities [Line Items]
Basis spread on variable rate basis	2.25%
Fifth Amended and Restated Credit Agreement | Line of Credit | LIBOR | Applicable Margin, Greater Than 35% But Less Than Or Equal To 50% Utilization
Credit Facilities [Line Items]
Basis spread on variable rate basis	2.75%
Fifth Amended and Restated Credit Agreement | Line of Credit | LIBOR | Applicable Margin, Greater Than 50% Utilization
Credit Facilities [Line Items]
Basis spread on variable rate basis	3.25%
Fifth Amended and Restated Credit Agreement | Line of Credit | LIBOR | Minimum
Credit Facilities [Line Items]
Basis spread on variable rate basis	2.25%
Fifth Amended and Restated Credit Agreement | Line of Credit | LIBOR | Maximum
Credit Facilities [Line Items]
Basis spread on variable rate basis	3.25%
Fourth Amended and Restated Credit Agreement | Line of Credit
Credit Facilities [Line Items]
Line of credit		0
Fourth Amended and Restated Credit Agreement | Line of Credit | LIBOR | Minimum
Credit Facilities [Line Items]
Basis spread on variable rate basis	2.50%
Fourth Amended and Restated Credit Agreement | Line of Credit | LIBOR | Maximum
Credit Facilities [Line Items]
Basis spread on variable rate basis	3.50%
Revolving Credit Facility | Fifth Amended and Restated Credit Agreement | Line of Credit
Credit Facilities [Line Items]
Credit facility, maximum borrowing capacity	$ 250,000,000
Line of credit facility, remaining borrowing capacity		164,200,000
Letter of credit sublimit | Fifth Amended and Restated Credit Agreement | Line of Credit
Credit Facilities [Line Items]
Credit facility, maximum borrowing capacity	60,000,000
Letters of credit issued		41,200,000
Swingline Line of Credit | Fifth Amended and Restated Credit Agreement | Line of Credit
Credit Facilities [Line Items]
Credit facility, maximum borrowing capacity	50,000,000
Option to increase maximum borrowing capacity | Fifth Amended and Restated Credit Agreement | Line of Credit
Credit Facilities [Line Items]
Credit facility, maximum borrowing capacity	$ 100,000,000
Letter of Credit | Fifth Amended and Restated Credit Agreement | Line of Credit
Credit Facilities [Line Items]
Credit facility, maximum borrowing capacity		$ 47,500,000

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Leases - Maturity ASC 842 (Details) $ in Thousands	Sep. 30, 2019 USD ($)
Operating Leases
2019	$ 77,495
2020	312,861
2021	298,025
2022	294,696
2023	290,698
Thereafter	806,856
Total lease payments	2,080,631
Imputed interest and variable lease payments	(572,238)
Total lease obligations	1,508,393
Financing Leases
2019	22,052
2020	89,090
2021	90,330
2022	91,719
2023	93,190
Thereafter	429,663
Total lease payments	816,044
Purchase option liability and non-cash gain on future sale of property	575,791
Imputed interest and variable lease payments	(533,798)
Total lease obligations	$ 858,037

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Description of Business

9 Months Ended

Sep. 30, 2019

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Description of Business

Description of Business

Brookdale Senior Living Inc. ("Brookdale" or the "Company") is an operator of senior living communities throughout the United States. The Company is committed to providing senior living solutions primarily within properties that are designed, purpose-built, and operated to provide quality service, care, and living accommodations for residents. The Company operates and manages independent living, assisted living, memory care, and continuing care retirement communities ("CCRCs"). The Company also offers a range of home health, hospice, and outpatient therapy services to residents of many of its communities and to seniors living outside of its communities.

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Summary of Significant Accounting Policies - Balance Sheet Adoption Effect (Details) - USD ($) $ in Thousands	Sep. 30, 2019	Jun. 30, 2019	Jan. 01, 2019	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Dec. 31, 2017
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Prepaid expenses and other current assets, net	$ 102,949			$ 106,189
Property, plant and equipment and leasehold intangibles, net	5,185,681			5,275,427
Operating lease right-of-use assets	1,221,578			0
Investment in unconsolidated ventures	23,211			27,528
Other intangible assets, net	42,776			51,472
Other assets, net	77,663			160,418
Total assets	7,374,203			6,467,260
Refundable fees and deferred revenue	81,034			62,494
Total lease obligations	1,508,393
Deferred liabilities	7,066			262,761
Other liabilities	154,885			197,289
Total liabilities	6,580,407			5,448,847
Total equity	793,796	$ 866,204		1,018,413	$ 889,848	$ 920,657	$ 1,530,291
Total liabilities and equity	$ 7,374,203			$ 6,467,260
ASU 2016-02
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Prepaid expenses and other current assets, net			$ 67,000
Property, plant and equipment and leasehold intangibles, net			(11,000)
Operating lease right-of-use assets			1,329,000
Investment in unconsolidated ventures			(2,000)
Other intangible assets, net			(5,000)
Other assets, net			(73,000)
Total assets			1,305,000
Refundable fees and deferred revenue			43,000
Total lease obligations			1,618,000
Deferred liabilities			(257,000)
Other liabilities			(43,000)
Total liabilities			1,361,000
Total equity			(56,000)
Total liabilities and equity			$ 1,305,000

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Supplemental Disclosure of Cash Flow Information (Tables)

9 Months Ended

Sep. 30, 2019

Supplemental Cash Flow Elements [Abstract]

Supplemental cash flow information

	Nine Months Ended September 30,
(in thousands)	2019			2018
Supplemental Disclosure of Cash Flow Information:
Interest paid	$	185,722		$	198,133
Income taxes paid, net of refunds	1,909			1,542
Capital expenditures, net of related payables
Capital expenditures - non-development, net	$	180,187		$	130,692
Capital expenditures - development, net	18,677			20,084
Capital expenditures - non-development - reimbursable	12,043			1,764
Capital expenditures - development - reimbursable	—			1,709
Trade accounts payable	(4,522		)	15,100
Net cash paid	$	206,385		$	169,349
Acquisition of assets, net of related payables and cash received:
Property, plant and equipment and leasehold intangibles, net	$	—		$	237,563
Other intangible assets, net	453			(4,345		)
Financing lease obligations	—			36,120
Other liabilities	—			2,433
Net cash paid	$	453		$	271,771
Proceeds from sale of assets, net:
Prepaid expenses and other assets, net	$	(5,298	)	$	(3,006	)
Assets held for sale	(41,882		)	(18,758		)
Property, plant and equipment and leasehold intangibles, net	(647		)	(91,778		)
Investments in unconsolidated ventures	(156		)	(58,179		)
Financing lease obligations	—			93,514
Refundable fees and deferred revenue	—			8,345
Other liabilities	(2,724		)	2,690
Loss (gain) on sale of assets, net	(2,723		)	(64,740		)
Net cash received	$	(53,430	)	$	(131,912	)
Lease termination and modification, net:
Prepaid expenses and other assets, net	$	—		$	(2,040	)
Property, plant and equipment and leasehold intangibles, net	—			(81,320		)
Financing lease obligations	—			58,099
Deferred liabilities	—			67,950
Loss (gain) on sale of assets, net	—			(5,761		)
Loss (gain) on facility lease termination and modification, net	—			22,260
Net cash paid (1)	$	—		$	59,188
Supplemental Schedule of Non-cash Operating, Investing and Financing Activities:
Assets designated as held for sale:
Prepaid expenses and other assets, net	$	(5	)	$	(281	)
Assets held for sale	9,169			162,157
Property, plant and equipment and leasehold intangibles, net	(9,164		)	(161,876		)
Net	$	—		$	—

Lease termination and modification, net:
Prepaid expenses and other assets, net	$	(648	)	$	(4,783	)
Property, plant and equipment and leasehold intangibles, net	(1,666		)	(106,264		)
Financing lease obligations	—			112,267
Operating lease right-of-use assets	(8,644		)	—
Operating lease obligations	9,289			—
Deferred liabilities	—			(122,304		)
Other liabilities	(337		)	625
Loss (gain) on sale of assets, net	—			(6,085		)
Loss (gain) on facility lease termination and modification, net	2,006			126,544
Net	$	—		$	—

(1) The net cash paid to terminate community leases is presented within the condensed consolidated statement of cash flows based upon the lease classification of the terminated leases. Net cash paid of $46.6 million for the termination of operating leases is presented within net cash provided by (used in) operating activities and net cash paid of $12.5 million for the termination of capital leases is presented within net cash provided by (used in) financing activities for the nine months ended September 30, 2018.

During the three months ended June 30, 2019, the Company and its joint venture partner contributed cash in an aggregate amount of $13.3 million to a consolidated joint venture which owns three senior housing communities. The Company obtained a $6.6 million promissory note receivable from its joint venture partner secured by a 50% equity interest in the joint venture in a non-cash exchange for the Company funding the $13.3 million aggregate contribution in cash.

	Nine Months Ended September 30,
(in thousands)	2019			2018
Notes receivable:
Other assets, net	$	6,566		$	—
Noncontrolling interest	(6,566		)	—
Net	$	—		$	—

Refer to Note 2 for a schedule of the non-cash adjustments to the Company's condensed consolidated balance sheet as of January 1, 2019 as a result of the adoption of new accounting standards and Note 10 for a schedule of the non-cash recognition of right-of-use assets obtained in exchange for new operating lease obligations.

Restricted cash consists principally of escrow deposits for real estate taxes, property insurance, and capital expenditures required by certain lenders under mortgage debt agreements and deposits as security for self-insured retention risk under workers' compensation programs and property insurance programs. The following table provides a reconciliation of cash, cash equivalents, and restricted cash reported within the condensed consolidated balance sheets that sums to the total of the same such amounts shown in the condensed consolidated statements of cash flows.

(in thousands)	September 30, 2019		December 31, 2018
Reconciliation of cash, cash equivalents, and restricted cash:
Cash and cash equivalents	$	241,391	$	398,267
Restricted cash	33,305		27,683
Long-term restricted cash	40,663		24,268
Total cash, cash equivalents, and restricted cash shown in the condensed consolidated statements of cash flows	$	315,359	$	450,218

Schedule of notes receivable

	Nine Months Ended September 30,
(in thousands)	2019			2018
Notes receivable:
Other assets, net	$	6,566		$	—
Noncontrolling interest	(6,566		)	—
Net	$	—		$	—

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Earnings Per Share

9 Months Ended

Sep. 30, 2019

Earnings Per Share [Abstract]

Earnings Per Share

Earnings Per Share

Basic earnings per share ("EPS") is calculated by dividing net income (loss) by the weighted average number of shares of common stock outstanding. Diluted EPS includes the components of basic EPS and also gives effect to dilutive common stock equivalents. Under the treasury stock method, diluted EPS reflects the potential dilution that could occur if securities or other instruments that are convertible into common stock were exercised or could result in the issuance of common stock. Potentially dilutive common stock equivalents include unvested restricted stock, unvested and vested restricted stock units, and convertible debt instruments and warrants.

During the three and nine months ended September 30, 2019 and 2018, the Company reported a consolidated net loss. As a result of the net loss, unvested restricted stock, restricted stock units, and convertible debt instruments and warrants were antidilutive for each period and were not included in the computation of diluted weighted average shares. The weighted average restricted stock and restricted stock units excluded from the calculations of diluted net loss per share were 7.6 million and 6.2 million for the three months ended September 30, 2019 and 2018, respectively, and 7.6 million and 6.5 million for the nine months ended September 30, 2019 and 2018, respectively.

For the nine months ended September 30, 2018, the calculation of diluted weighted average shares excludes the impact of conversion of the principal amount of $316.3 million of the Company's 2.75% convertible senior notes which were repaid in cash at their maturity on June 15, 2018. In addition, the calculation of diluted weighted average shares excludes the impact of the exercise of warrants to acquire the Company's common stock. As of September 30, 2018, the number of shares issuable upon exercise of the warrants was approximately 9.2 million. During the three months ended March 31, 2019, the option to exercise the remaining outstanding warrants expired unexercised.

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Goodwill and Other Intangible Assets, Net

9 Months Ended

Sep. 30, 2019

Goodwill and Intangible Assets Disclosure [Abstract]

Goodwill and Other Intangible Assets, Net

Goodwill and Other Intangible Assets, Net

The Company's Independent Living and Health Care Services segments had a carrying value of goodwill of $27.3 million and $126.8 million, respectively, as of both September 30, 2019 and December 31, 2018.

Goodwill is tested for impairment annually with a test date of October 1 and sooner if indicators of impairment are present. The Company determined no impairment was necessary for the three and nine months ended September 30, 2019. Factors the Company considers important in its analysis, which could trigger an impairment of such assets, include significant underperformance relative to historical or projected future operating results, significant negative industry or economic trends, a significant decline in the Company's stock price for a sustained period and a decline in its market capitalization below net book value. A change in anticipated operating results or the other metrics indicated above could necessitate further analysis of potential impairment at an interval prior to the Company's annual measurement date. Refer to Note 5 for information on impairment expense for goodwill in 2018.

Other intangible assets as of September 30, 2019 and December 31, 2018 are summarized in the following tables:

	September 30, 2019
(in thousands)	Gross Carrying Amount		Accumulated Amortization			Net
Health care licenses	$	42,776	$	—		$	42,776
Trade names	27,800		(27,800		)	—
Total	$	70,576	$	(27,800	)	$	42,776

	December 31, 2018
(in thousands)	Gross Carrying Amount		Accumulated Amortization			Net
Community purchase options	$	4,738	$	—		$	4,738
Health care licenses	42,323		—			42,323
Trade names	27,800		(26,295		)	1,505
Management contracts	9,610		(6,704		)	2,906
Total	$	84,471	$	(32,999	)	$	51,472

Amortization expense related to definite-lived intangible assets for the three months ended September 30, 2019 and 2018 was $0.2 million and $0.6 million, respectively, and for the nine months ended September 30, 2019 and 2018 was $1.8 million and $2.3 million, respectively. The Company recognized $2.6 million of non-cash impairment charges on management contract intangible assets during the nine months ended September 30, 2019 for the termination of management contracts.

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Litigation

9 Months Ended

Sep. 30, 2019

Litigation [Abstract]

Litigation

Litigation

The Company has been and is currently involved in litigation and claims, including putative class action claims from time to time, incidental to the conduct of its business which are generally comparable to other companies in the senior living and healthcare industries. Certain claims and lawsuits allege large damage amounts and may require significant costs to defend and resolve. As a result, the Company maintains general liability and professional liability insurance policies in amounts and with coverage and deductibles the Company believes are adequate, based on the nature and risks of its business, historical experience and industry standards. The Company's current policies provide for deductibles for each claim. Accordingly, the Company is, in effect, self-insured for claims that are less than the deductible amounts and for claims or portions of claims that are not covered by such policies.

Similarly, the senior living and healthcare industries are continuously subject to scrutiny by governmental regulators, which could result in reviews, audits, investigations, enforcement activities or litigation related to regulatory compliance matters. In addition, as a result of the Company's participation in the Medicare and Medicaid programs, the Company is subject to various governmental reviews, audits and investigations, including but not limited to audits under various government programs, such as the Recovery Audit Contractors (RAC), Zone Program Integrity Contractors (ZPIC), and Unified Program Integrity Contractors (UPIC) programs. The costs to respond to and defend such reviews, audits, and investigations may be significant, and an adverse determination could result in citations, sanctions and other criminal or civil fines and penalties, the refund of overpayments, payment suspensions, termination of participation in Medicare and Medicaid programs, and/or damage to the Company's business reputation.

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Segment Information

9 Months Ended

Sep. 30, 2019

Segment Reporting [Abstract]

Segment Information

Segment Information

The Company has five reportable segments: Independent Living; Assisted Living and Memory Care; CCRCs; Health Care Services; and Management Services. Operating segments are defined as components of an enterprise that engage in business activities from which it may earn revenues and incur expenses; for which separate financial information is available; and whose operating results are regularly reviewed by the chief operating decision maker to assess the performance of the individual segment and make decisions about resources to be allocated to the segment.

Independent Living. The Company's Independent Living segment includes owned or leased communities that are primarily designed for middle to upper income seniors who desire an upscale residential environment providing the highest quality of service. The majority of the Company's independent living communities consist of both independent and assisted living units in a single community, which allows residents to age-in-place by providing them with a continuum of senior independent and assisted living services.

Assisted Living and Memory Care. The Company's Assisted Living and Memory Care segment includes owned or leased communities that offer housing and 24-hour assistance with activities of daily life to mid-acuity frail and elderly residents. Assisted living and memory care communities include both freestanding, multi-story communities and freestanding, single story communities. The Company also provides memory care services at freestanding memory care communities that are specially designed for residents with Alzheimer's and other dementias.

CCRCs. The Company's CCRCs segment includes large owned or leased communities that offer a variety of living arrangements and services to accommodate all levels of physical ability and health. Most of the Company's CCRCs have independent living, assisted living and skilled nursing available on one campus or within the immediate market, and some also include memory care and Alzheimer's services.

Health Care Services. The Company's Health Care Services segment includes the home health, hospice, and outpatient therapy services, as well as education and wellness programs, provided to residents of many of the Company's communities and to seniors living outside of the Company's communities. The Health Care Services segment does not include the skilled nursing and inpatient healthcare services provided in the Company's skilled nursing units, which are included in the Company's CCRCs segment.

Management Services. The Company's Management Services segment includes communities operated by the Company pursuant to management agreements. In some of the cases, the controlling financial interest in the community is held by third parties and, in other cases, the community is owned in a venture structure in which the Company has an ownership interest. Under the management agreements for these communities, the Company receives management fees as well as reimbursed expenses, which represent the reimbursement of expenses it incurs on behalf of the owners.

The accounting policies of the Company's reportable segments are the same as those described in the summary of significant accounting policies in Note 2.

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

	Three Months Ended September 30,					Nine Months Ended September 30,
(in thousands)	2019			2018		2019			2018
Revenue:
Independent Living (1)	$	136,874		$	144,631	$	408,519		$	462,321
Assisted Living and Memory Care (1)	452,474			483,125		1,361,225			1,537,432
CCRCs (1)	100,104			104,147		305,084			314,012
Health Care Services (1)	111,785			108,276		337,751			328,649
Management Services (2)	207,712			279,883		657,871			820,082
Total revenue	$	1,008,949		$	1,120,062	$	3,070,450		$	3,462,496
Segment operating income: (3)
Independent Living	$	49,414		$	57,106	$	153,749		$	186,662
Assisted Living and Memory Care	116,856			144,701		390,699			490,976
CCRCs	14,472			21,809		53,956			70,291
Health Care Services	4,778			9,487		22,118			28,008
Management Services	13,564			18,528		44,756			54,280
Total segment operating income	199,084			251,631		665,278			830,217
General and administrative expense (including non-cash stock-based compensation expense)	56,409			58,796		170,296			203,138
Facility operating lease expense	67,253			70,392		203,610			232,752
Depreciation and amortization	93,550			110,980		284,462			341,351
Goodwill and asset impairment	2,094			5,500		6,254			451,966
Loss (gain) on facility lease termination and modification, net	—			2,337		2,006			148,804
Income (loss) from operations	$	(20,222	)	$	3,626	$	(1,350	)	$	(547,794	)

	As of
(in thousands)	September 30, 2019		December 31, 2018
Total assets:
Independent Living	$	1,461,087	$	1,104,774
Assisted Living and Memory Care	4,271,885		3,684,170
CCRCs	786,825		707,819
Health Care Services	273,943		254,950
Corporate and Management Services	580,463		715,547
Total assets	$	7,374,203	$	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.

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Acquisitions, Dispositions and Other Significant Transactions (Tables)

9 Months Ended

Sep. 30, 2019

Business Combinations [Abstract]

Schedule of Disposal Groups

The following table sets forth, for the periods indicated, the amounts included within the Company's condensed consolidated financial statements for the 127 communities that it disposed through sales and lease terminations during the period from January 1, 2018 to September 30, 2019 through the respective disposition dates (of which 77 communities were disposed through sales and lease terminations during the period from July 1, 2018 to September 30, 2019):

	Three Months Ended September 30,				Nine Months Ended September 30,
(in thousands)	2019		2018		2019		2018
Resident fees
Independent Living	$	—	$	14,099	$	—	$	74,970
Assisted Living and Memory Care	103		45,496		12,385		223,763
CCRCs	—		4,401		—		15,106
Senior housing resident fees	$	103	$	63,996	$	12,385	$	313,839
Facility operating expense
Independent Living	$	—	$	8,588	$	—	$	44,256
Assisted Living and Memory Care	103		35,182		10,204		160,606
CCRCs	—		3,785		—		13,701
Senior housing facility operating expense	$	103	$	47,555	$	10,204	$	218,563
Cash facility lease payments	$	—	$	13,111	$	1,451	$	80,046

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Supplemental Disclosure of Cash Flow Information - Notes Receivable (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018
Supplemental Cash Flow Elements [Abstract]
Other assets, net	$ 6,566	$ 0
Noncontrolling interest	(6,566)	0
Net	$ 0	$ 0

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Revenue - Additional Information (Details) - USD ($) $ in Millions	9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Dec. 31, 2018
Disaggregation of Revenue [Line Items]
Monthly resident fees	$ 31.6		$ 50.6
Revenue recognized	83.7	$ 76.2
Deferred Revenue and Credits
Disaggregation of Revenue [Line Items]
Contract with customer, liability	$ 75.8		$ 106.4

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Goodwill and Other Intangible Assets, Net - Additional Information (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018	Dec. 31, 2018
Goodwill [Line Items]
Goodwill	$ 154,131		$ 154,131		$ 154,131
Amortization expense related to definite-lived intangible assets	200	$ 600	1,800	$ 2,300
Independent Living
Goodwill [Line Items]
Goodwill	$ 27,300		27,300
Health Care Services
Goodwill [Line Items]
Goodwill					$ 126,800
Management contracts
Goodwill [Line Items]
Non-cash impairment charges			$ 2,600

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Acquisitions, Dispositions and Other Significant Transactions - HCP Master Lease Transaction and RIDEA Ventures Restructuring (Details) $ in Thousands	1 Months Ended		3 Months Ended				9 Months Ended		12 Months Ended
	Dec. 31, 2017 USD ($)	Nov. 30, 2017 USD ($)	Sep. 30, 2019 USD ($)	Mar. 31, 2019 community	Sep. 30, 2018 USD ($) community	Mar. 31, 2018 USD ($) community	Sep. 30, 2019 USD ($)	Sep. 30, 2018 USD ($) community	Dec. 31, 2018 community
Business Acquisition [Line Items]
Number of communities disposed through termination of lease | community								16
Gain (loss) on sale of assets, net			$ 579		$ 9,833		$ 2,723	$ 76,586
Gain (loss) on facility lease termination and modification, net			$ 0		(2,337)		(2,006)	(148,804)
Non-cash management contract termination gain							640	5,649
35 Communities Disposed Of Through Management Agreement | RIDEA Ventures Restructuring
Business Acquisition [Line Items]
Number of communities disposed of | community				35
Non-cash management contract termination gain		$ 9,300			$ 600		$ 800	$ 5,600
Variable Interest Entity, Not Primary Beneficiary, Real Estate Company | RIDEA Ventures Restructuring
Business Acquisition [Line Items]
Proceeds from divestiture of interest in joint venture	$ 32,100					$ 62,300
Gain (loss) on sale of assets, net						$ 41,700
Percentage ownership						10.00%
HCP, Inc. | RIDEA Ventures Restructuring
Business Acquisition [Line Items]
Number of communities acquired | community					5	1
Number of communities formerly leases | community					2
Payments to acquire interest in joint venture					$ 242,800
HCP, Inc. | Master Lease Transactions
Business Acquisition [Line Items]
Number of communities | community					7			7
HCP, Inc. | 33 Communities Disposed Of Through Lease Terminations | Master Lease Transactions
Business Acquisition [Line Items]
Number of communities disposed of | community									33
Assets under leases					$ 60,900			$ 147,800
Financing lease obligations, carrying value					67,300			160,800
Gain (loss) on sale of assets, net					6,100			$ 12,600
Number of communities previously subject to sale leaseback transactions | community								6
HCP, Inc. | 7 Communities Operating Under Operating and Capital Leases | Master Lease Transactions
Business Acquisition [Line Items]
Gain (loss) on facility lease termination and modification, net					$ (100)			$ 1,800

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CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018
Current assets
Cash and cash equivalents	$ 241,391	$ 398,267
Marketable securities	49,790	14,855
Restricted cash	33,305	27,683
Accounts receivable, net	140,661	133,905
Assets held for sale	60,404	93,117
Prepaid expenses and other current assets, net	102,949	106,189
Total current assets	628,500	774,016
Property, plant and equipment and leasehold intangibles, net	5,185,681	5,275,427
Operating lease right-of-use assets	1,221,578	0
Restricted cash	40,663	24,268
Investment in unconsolidated ventures	23,211	27,528
Goodwill	154,131	154,131
Other intangible assets, net	42,776	51,472
Other assets, net	77,663	160,418
Total assets	7,374,203	6,467,260
Current liabilities
Current portion of long-term debt	343,615	294,426
Current portion of financing lease obligations	62,839
Current portion of financing lease obligations		23,135
Current portion of operating lease obligations	188,635	0
Trade accounts payable	106,109	95,049
Accrued expenses	275,828	298,227
Refundable fees and deferred revenue	81,034	62,494
Total current liabilities	1,058,060	773,331
Long-term debt, less current portion	3,228,606	3,345,754
Financing lease obligations, less current portion	795,198
Financing lease obligations, less current portion		851,341
Operating lease obligations, less current portion	1,319,758	0
Deferred liabilities	7,066	262,761
Deferred tax liability	16,834	18,371
Other liabilities	154,885	197,289
Total liabilities	6,580,407	5,448,847
Preferred stock, $0.01 par value, 50,000,000 shares authorized at September 30, 2019 and December 31, 2018; no shares issued and outstanding	0	0
Common stock, $0.01 par value, 400,000,000 shares authorized at September 30, 2019 and December 31, 2018; 199,743,898 and 196,815,254 shares issued and 193,073,421 and 192,356,051 shares outstanding (including 7,490,129 and 5,756,435 unvested restricted shares), respectively	1,997	1,968
Additional paid-in-capital	4,167,146	4,151,147
Treasury stock, at cost; 6,670,477 and 4,459,203 shares at September 30, 2019 and December 31, 2018, respectively	(79,097)	(64,940)
Accumulated deficit	(3,301,680)	(3,069,272)
Total Brookdale Senior Living Inc. stockholders' equity	788,366	1,018,903
Noncontrolling interest	5,430	(490)
Total equity	793,796	1,018,413
Total liabilities and equity	$ 7,374,203	$ 6,467,260

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CONDENSED CONSOLIDATED STATEMENTS OF EQUITY - USD ($) $ in Thousands	Total	Common Stock	Additional Paid-In- Capital	Treasury Stock	Accumulated Deficit	Noncontrolling Interest
Balances at beginning of period at Dec. 31, 2017	$ 1,530,291	$ 1,913	$ 4,126,549	$ (56,440)	$ (2,541,294)	$ (437)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	(659,883)				(659,797)	(86)
Compensation expense related to restricted stock grants			20,710
Issuance of common stock under Associate Stock Purchase Plan		1	1,146
Restricted stock, net		29	(29)
Shares withheld for employee taxes		(4)	(2,840)
Purchase of treasury stock				0
Noncontrolling interest contribution						0
Other, net			147		280
Balances at end of period at Sep. 30, 2018	889,848	$ 1,939	4,145,683	(56,440)	(3,200,811)	(523)
Balances at beginning of period (in shares) at Dec. 31, 2017		191,276,000
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock under Associate Stock Purchase Plan (in shares)		153,000
Restricted stock, net (in shares)		2,910,000
Shares withheld for employee taxes (in shares)		(410,000)
Purchase of treasury stock (in shares)		0
Balances at end of period (in shares) at Sep. 30, 2018		193,929,000
Balances at beginning of period at Jun. 30, 2018	920,657	$ 1,938	4,139,353	(56,440)	(3,163,690)	(504)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	(37,140)				(37,121)	(19)
Compensation expense related to restricted stock grants			6,035
Issuance of common stock under Associate Stock Purchase Plan		0	377
Restricted stock, net		1	(1)
Shares withheld for employee taxes		0	(129)
Purchase of treasury stock				0
Noncontrolling interest contribution						0
Other, net			48		0
Balances at end of period at Sep. 30, 2018	889,848	$ 1,939	4,145,683	(56,440)	(3,200,811)	(523)
Balances at beginning of period (in shares) at Jun. 30, 2018		193,798,000
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock under Associate Stock Purchase Plan (in shares)		42,000
Restricted stock, net (in shares)		105,000
Shares withheld for employee taxes (in shares)		(16,000)
Purchase of treasury stock (in shares)		0
Balances at end of period (in shares) at Sep. 30, 2018		193,929,000
Balances at beginning of period at Dec. 31, 2018	1,018,413	$ 1,968	4,151,147	(64,940)	(3,069,272)	(490)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	(177,169)				(176,523)	(646)
Compensation expense related to restricted stock grants			18,315
Issuance of common stock under Associate Stock Purchase Plan		2	878
Restricted stock, net		31	(31)
Shares withheld for employee taxes		(4)	(3,238)
Purchase of treasury stock				(14,157)
Noncontrolling interest contribution						6,566
Other, net			75		0
Balances at end of period at Sep. 30, 2019	$ 793,796	$ 1,997	4,167,146	(79,097)	(3,301,680)	5,430
Balances at beginning of period (in shares) at Dec. 31, 2018	192,356,051	192,356,000
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock under Associate Stock Purchase Plan (in shares)		137,000
Restricted stock, net (in shares)		3,258,000
Shares withheld for employee taxes (in shares)		(467,000)
Purchase of treasury stock (in shares)		(2,211,000)
Balances at end of period (in shares) at Sep. 30, 2019	193,073,421	193,073,000
Balances at beginning of period at Jun. 30, 2019	$ 866,204	$ 1,998	4,161,045	(79,097)	(3,223,222)	5,480
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	(78,508)				(78,458)	(50)
Compensation expense related to restricted stock grants			5,929
Issuance of common stock under Associate Stock Purchase Plan		0	281
Restricted stock, net		(1)	1
Shares withheld for employee taxes		0	(137)
Purchase of treasury stock				0
Noncontrolling interest contribution						0
Other, net			27		0
Balances at end of period at Sep. 30, 2019	$ 793,796	$ 1,997	$ 4,167,146	$ (79,097)	$ (3,301,680)	$ 5,430
Balances at beginning of period (in shares) at Jun. 30, 2019		193,111,000
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock under Associate Stock Purchase Plan (in shares)		41,000
Restricted stock, net (in shares)		(62,000)
Shares withheld for employee taxes (in shares)		(17,000)
Purchase of treasury stock (in shares)		0
Balances at end of period (in shares) at Sep. 30, 2019	193,073,421	193,073,000

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Supplemental Disclosure of Cash Flow Information (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Supplemental Cash Flow Information [Abstract]
Interest paid			$ 185,722	$ 198,133
Income taxes paid, net of refunds			1,909	1,542
Net cash paid			206,385	169,349
Prepaid expenses and other assets, net			50,387	28,118
Loss (gain) on sale of assets, net	$ (579)	$ (9,833)	(2,723)	(76,586)
Loss (gain) on facility lease termination and modification, net	$ 0	$ 2,337	2,006	148,804
Net cash paid			0	12,548
Additions to property, plant and equipment and leasehold improvements
Supplemental Cash Flow Information [Abstract]
Net cash paid			206,385	169,349
Trade accounts payable			(4,522)	15,100
Acquisition of assets, net of related payables and cash received
Supplemental Cash Flow Information [Abstract]
Property, plant and equipment and leasehold intangibles, net			0	237,563
Other intangible assets, net			453	(4,345)
Financing lease obligations			0	36,120
Other liabilities			0	2,433
Net cash paid			453	271,771
Proceeds from sale of assets, net
Supplemental Cash Flow Information [Abstract]
Financing lease obligations			0	93,514
Prepaid expenses and other assets, net			(5,298)	(3,006)
Assets held for sale			(41,882)	(18,758)
Property, plant and equipment and leasehold intangibles, net			(647)	(91,778)
Investments in unconsolidated ventures			(156)	(58,179)
Refundable fees and deferred revenue			0	8,345
Other liabilities			(2,724)	2,690
Loss (gain) on sale of assets, net			(2,723)	(64,740)
Net cash received			(53,430)	(131,912)
Lease termination And modification, net
Supplemental Cash Flow Information [Abstract]
Prepaid expenses and other assets, net			0	(2,040)
Property, plant and equipment and leasehold intangibles, net			0	(81,320)
Financing lease obligations			0	58,099
Loss (gain) on sale of assets, net			0	(5,761)
Deferred liabilities			0	67,950
Loss (gain) on facility lease termination and modification, net			0	22,260
Net cash paid			0	59,188
Assets designated as held for sale
Supplemental Cash Flow Information [Abstract]
Prepaid expenses and other assets, net			5	281
Assets held for sale			(9,169)	(162,157)
Property, plant and equipment and leasehold intangibles, net			(9,164)	(161,876)
Net			0	0
Noncash lease termination and modification, net
Supplemental Cash Flow Information [Abstract]
Prepaid expenses and other assets, net			648	4,783
Property, plant and equipment and leasehold intangibles, net			1,666	106,264
Financing lease obligations			0	112,267
Other liabilities			337	(625)
Loss (gain) on sale of assets, net			0	(6,085)
Operating lease right-of-use assets			(8,644)	0
Operating lease obligations			9,289	0
Deferred liabilities			0	(122,304)
Loss (gain) on facility lease termination and modification, net			2,006	126,544
Net			0	0
Non-development | Additions to property, plant and equipment and leasehold improvements
Supplemental Cash Flow Information [Abstract]
Net cash paid			180,187	130,692
Development | Additions to property, plant and equipment and leasehold improvements
Supplemental Cash Flow Information [Abstract]
Net cash paid			18,677	20,084
Non-development - reimbursable | Additions to property, plant and equipment and leasehold improvements
Supplemental Cash Flow Information [Abstract]
Net cash paid			12,043	1,764
Development - reimbursable | Additions to property, plant and equipment and leasehold improvements
Supplemental Cash Flow Information [Abstract]
Net cash paid			$ 0	$ 1,709

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Debt - Schedule of Debt (Details) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018
Long-Term Debt, Capital and Financing Leases and Financing Obligations [Line Items]
Total long-term debt	$ 3,572,221	$ 3,640,180
Current portion	343,615	294,426
Total long-term debt, less current portion	3,228,606	3,345,754
Mortgage notes payable
Long-Term Debt, Capital and Financing Leases and Financing Obligations [Line Items]
Total long-term debt	3,513,386	3,579,931
Unamortized debt discount	$ 17,700	$ 18,600
Weighted average interest rate	4.77%	4.75%
Other notes payable
Long-Term Debt, Capital and Financing Leases and Financing Obligations [Line Items]
Total long-term debt	$ 58,835	$ 60,249
Weighted average interest rate	5.79%	5.85%

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Leases (Details)	9 Months Ended
	Sep. 30, 2019 lease community
Leases [Abstract]
Operating and financing leases, number of communities | community	335
Operating leases, number of communities	244
Financing leases, number of communities	91
Operating lease, weighted average remaining lease term	7 years 1 month 6 days
Finance lease, weighted average remaining lease term	8 years 6 months
Operating lease, weighted average discount rate, percent	8.60%
Finance lease, weighted average discount rate, percent	7.80%
Minimum
Lessee, Lease, Description [Line Items]
Finance and operating lease, renewal term	5 years
Maximum
Lessee, Lease, Description [Line Items]
Finance and operating lease, renewal term	20 years

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Fair Value Measurements

9 Months Ended

Sep. 30, 2019

Fair Value Disclosures [Abstract]

Fair Value Measurements

 Fair Value Measurements

Marketable Securities

As of September 30, 2019, marketable securities of $49.8 million are stated at fair value based on valuation provided by third-party pricing services and are classified within Level 2 of the valuation hierarchy.

Debt

The Company had outstanding long-term debt with a carrying value of approximately $3.6 billion as of both September 30, 2019 and December 31, 2018. Fair value of the long-term debt approximates carrying value in all periods presented. The Company's fair value of long-term debt disclosure is classified within Level 2 of the valuation hierarchy.

Goodwill and Asset Impairment Expense

The following is a summary of goodwill and asset impairment expense.

	Three Months Ended September 30,				Nine Months Ended September 30,
(in millions)	2019		2018		2019		2018
Goodwill	$	—	$	—	$	—	$	351.7
Property, plant and equipment and leasehold intangibles, net	0.8		2.5		2.0		50.2
Investment in unconsolidated ventures	—		—		—		33.4
Other intangible assets, net	—		—		2.6		1.7
Assets held for sale	1.3		3.0		1.3		15.0
Other assets, net	$	—	—		$	0.4	—
Goodwill and asset impairment	$	2.1	$	5.5	$	6.3	$	452.0

Goodwill

During the three months ended March 31, 2018, the Company identified qualitative indicators of impairment, including a significant decline in the Company's stock price and market capitalization for a sustained period during the three months ended March 31, 2018. Based upon the Company's qualitative assessment, the Company performed a quantitative goodwill impairment test as of March 31, 2018, which included a comparison of the estimated fair value of each reporting unit to which the goodwill has been assigned with the reporting unit's carrying value. Based on the results of the Company's quantitative goodwill impairment test, the Company recorded a non-cash impairment charge of $351.7 million to goodwill and asset impairment within the Assisted Living and Memory Care operating segment for the three months ended March 31, 2018. See Note 2 for more information regarding the Company's policy for goodwill.

Property, Plant and Equipment and Leasehold Intangibles

During the three and nine months ended September 30, 2018, the Company evaluated property, plant and equipment and leasehold intangibles for impairment and identified properties with a carrying value of the assets in excess of the estimated future undiscounted net cash flows expected to be generated by the assets primarily due to an expectation that certain communities will be disposed of prior to their previously intended holding periods. As a result of this change in intent, the Company compared the estimated fair value of the assets to their carrying value for these identified properties and recorded an impairment charge for the excess of carrying value over estimated fair value. The estimates of fair values of the property, plant and equipment of these communities were determined based on valuations provided by third-party pricing services and are classified within Level 3 of the valuation hierarchy. The Company recorded property, plant and equipment and leasehold intangibles non-cash impairment charges in its operating results of $2.5 million and $50.2 million for the three and nine months ended September 30, 2018, respectively, primarily within the Assisted Living and Memory Care segment.

Investment in Unconsolidated Ventures

The Company evaluates realization of its investment in ventures accounted for using the equity method if circumstances indicate that the Company's investment is other than temporarily impaired. During the three months ended March 31, 2018, the Company

recorded non-cash impairment charges related to investments in unconsolidated ventures of $33.4 million. The impairment charges reflect the amount by which the carrying values of the investments exceeded their estimated fair value (using Level 3 inputs).

Right-of-Use Assets

The Company's adoption of ASU 2016-02 resulted in the recognition of the right-of-use assets for the operating leases for 25 communities to be recognized on the condensed consolidated balance sheet as of January 1, 2019 at the estimated fair value of $56.6 million and $58.1 million of previously unrecognized right-of-use asset impairments were recognized as a cumulative effect adjustment to accumulated deficit as the Company determined that the long-lived assets of such communities were not recoverable as of such date. The fair value of the right-of-use assets was estimated utilizing a discounted cash flow approach based upon historical and projected community cash flows and market data, including management fees and a market supported lease coverage ratio (Level 3 inputs). The Company corroborated the estimated management fee rates and lease coverage ratios used in these estimates with lease coverage ratios observable from recent market transactions. The estimated future cash flows were discounted at a rate that is consistent with a weighted average cost of capital from a market participant perspective. See Note 2 for more information regarding the recognition of right-of-use assets for operating leases upon the adoption of ASU 2016-02.

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Debt

9 Months Ended

Sep. 30, 2019

Debt Disclosure [Abstract]

Debt

Debt

Long-term debt as of September 30, 2019 and December 31, 2018 consists of the following:

(in thousands)	September 30, 2019		December 31, 2018
Mortgage notes payable due 2020 through 2047; weighted average interest rate of 4.77% for the nine months ended September 30, 2019, less debt discount and deferred financing costs of $17.7 million and $18.6 million as of September 30, 2019 and December 31, 2018, respectively (weighted average interest rate of 4.75% in 2018)	$	3,513,386	$	3,579,931
Other notes payable, weighted average interest rate of 5.79% for the nine months ended September 30, 2019 (weighted average interest rate of 5.85% in 2018) and maturity dates ranging from 2020 to 2021	58,835		60,249
Total long-term debt	3,572,221		3,640,180
Current portion	343,615		294,426
Total long-term debt, less current portion	$	3,228,606	$	3,345,754

As of September 30, 2019 and December 31, 2018, the current portion of long-term debt within the Company's condensed consolidated financial statements includes $30.8 million and $31.2 million, respectively, of mortgage notes payable secured by assets held for sale. This debt is expected to be repaid with the proceeds from the sales. Refer to Note 4 for more information about the Company's assets held for sale.

Credit Facilities

On December 5, 2018, the Company entered into a Fifth Amended and Restated Credit Agreement with Capital One, National Association, as administrative agent, lender and swingline lender and the other lenders from time to time parties thereto (the "Amended Agreement"). The Amended Agreement amended and restated in its entirety the Company's Fourth Amended and Restated Credit Agreement dated as of December 19, 2014 (the "Original Agreement"). The Amended Agreement provides commitments for a $250 million revolving credit facility with a $60 million sublimit for letters of credit and a $50 million swingline feature. The Company has a one-time right under the Amended Agreement to increase commitments on the revolving credit facility by an additional $100 million, subject to obtaining commitments for the amount of such increase from acceptable lenders. The Amended Agreement provides the Company a one-time right to reduce the amount of the revolving credit commitments, and the Company may terminate the revolving credit facility at any time, in each case without payment of a premium or penalty. The Amended Agreement extended the maturity date of the Original Agreement from January 3, 2020 to January 3, 2024 and decreased the interest rate payable on drawn amounts. Amounts drawn under the facility will continue to bear interest at 90-day LIBOR plus an applicable margin; however, the Amended Agreement reduced the applicable margin from a range of 2.50% to 3.50% to a range of 2.25% to 3.25%. The applicable margin varies based on the percentage of the total commitment drawn, with a 2.25% margin at utilization equal to or lower than 35%, a 2.75% margin at utilization greater than 35% but less than or equal to 50%, and a 3.25% margin at utilization greater than 50%. A quarterly commitment fee continues to be payable on the unused portion of the facility at 0.25% per annum when the outstanding amount of obligations (including revolving credit and swingline loans and letter of credit obligations) is greater than or equal to 50% of the revolving credit commitment amount or 0.35% per annum when such outstanding amount is less than 50% of the revolving credit commitment amount.

The credit facility is secured by first priority mortgages on certain of the Company's communities. In addition, the Amended Agreement permits the Company to pledge the equity interests in subsidiaries that own other communities and grant negative pledges in connection therewith (rather than mortgaging such communities), provided that not more than 10% of the borrowing base may result from communities subject to negative pledges. Availability under the revolving credit facility will vary from time to time based on borrowing base calculations related to the appraised value and performance of the communities securing the credit facility and the Company’s consolidated fixed charge coverage ratio. During the third quarter of 2019, the Company added three communities to the borrowing base and entered into an amendment to the Amended Agreement that provides for availability calculations to be made at additional consolidated fixed charge coverage ratio thresholds.

The Amended Agreement contains typical affirmative and negative covenants, including financial covenants with respect to minimum consolidated fixed charge coverage and minimum consolidated tangible net worth. Amounts drawn on the credit facility may be used for general corporate purposes.

As of September 30, 2019, no borrowings were outstanding on the revolving credit facility, $41.2 million of letters of credit were outstanding, and the revolving credit facility had $164.2 million of availability. The Company also had a separate unsecured letter

of credit facility of up to $47.5 million as of September 30, 2019. Letters of credit totaling $47.5 million had been issued under the separate facility as of that date.

2019 Financings

On May 7, 2019, the Company obtained $111.1 million of debt secured by the non-recourse first mortgages on 14 communities. Sixty percent of the principal amount bears interest at a fixed rate of 4.52%, and the remaining forty percent of the principal amount bears interest at a variable rate equal to the 30-day LIBOR plus a margin of 223 basis points. The debt matures in June 2029. The $111.1 million of proceeds from the financing along with cash on hand were utilized to repay $155.5 million of outstanding mortgage debt maturing in 2019.

On August 29, 2019, the Company obtained $160.3 million of debt secured by the non-recourse first mortgages on five communities. Seventy-five percent of the principal amount bears interest at a fixed rate of 3.35%, and the remaining twenty-five percent of the principal amount bears interest at a variable rate equal to the 30-day LIBOR plus a margin of 217 basis points. The debt matures in September 2029. The $160.3 million of proceeds from the financing were utilized to repay $139.2 million of outstanding mortgage debt maturing in 2020 and 2023.

Financial Covenants

Certain of the Company’s debt documents contain restrictions and financial covenants, such as those requiring the Company to maintain prescribed minimum net worth and stockholders’ equity levels and debt service ratios, and requiring the Company not to exceed prescribed leverage ratios, in each case on a consolidated, portfolio-wide, multi-community, single-community, and/or entity basis. In addition, the Company’s debt documents generally contain non-financial covenants, such as those requiring the Company to comply with Medicare or Medicaid provider requirements.

The Company’s failure to comply with applicable covenants could constitute an event of default under the applicable debt documents. Many of the Company’s debt documents contain cross-default provisions so that a default under one of these instruments could cause a default under other debt and lease documents (including documents with other lenders and lessors). Furthermore, the Company’s debt is secured by its communities and, in certain cases, a guaranty by the Company and/or one or more of its subsidiaries.

As of September 30, 2019, the Company is in compliance with the financial covenants of its debt agreements.

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Segment Information (Tables)

9 Months Ended

Sep. 30, 2019

Segment Reporting [Abstract]

Schedule of segment reporting information

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

	Three Months Ended September 30,					Nine Months Ended September 30,
(in thousands)	2019			2018		2019			2018
Revenue:
Independent Living (1)	$	136,874		$	144,631	$	408,519		$	462,321
Assisted Living and Memory Care (1)	452,474			483,125		1,361,225			1,537,432
CCRCs (1)	100,104			104,147		305,084			314,012
Health Care Services (1)	111,785			108,276		337,751			328,649
Management Services (2)	207,712			279,883		657,871			820,082
Total revenue	$	1,008,949		$	1,120,062	$	3,070,450		$	3,462,496
Segment operating income: (3)
Independent Living	$	49,414		$	57,106	$	153,749		$	186,662
Assisted Living and Memory Care	116,856			144,701		390,699			490,976
CCRCs	14,472			21,809		53,956			70,291
Health Care Services	4,778			9,487		22,118			28,008
Management Services	13,564			18,528		44,756			54,280
Total segment operating income	199,084			251,631		665,278			830,217
General and administrative expense (including non-cash stock-based compensation expense)	56,409			58,796		170,296			203,138
Facility operating lease expense	67,253			70,392		203,610			232,752
Depreciation and amortization	93,550			110,980		284,462			341,351
Goodwill and asset impairment	2,094			5,500		6,254			451,966
Loss (gain) on facility lease termination and modification, net	—			2,337		2,006			148,804
Income (loss) from operations	$	(20,222	)	$	3,626	$	(1,350	)	$	(547,794	)

	As of
(in thousands)	September 30, 2019		December 31, 2018
Total assets:
Independent Living	$	1,461,087	$	1,104,774
Assisted Living and Memory Care	4,271,885		3,684,170
CCRCs	786,825		707,819
Health Care Services	273,943		254,950
Corporate and Management Services	580,463		715,547
Total assets	$	7,374,203	$	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.

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Debt (Tables)

9 Months Ended

Sep. 30, 2019

Debt Disclosure [Abstract]

Schedule of debt

Long-term debt as of September 30, 2019 and December 31, 2018 consists of the following:

(in thousands)	September 30, 2019		December 31, 2018
Mortgage notes payable due 2020 through 2047; weighted average interest rate of 4.77% for the nine months ended September 30, 2019, less debt discount and deferred financing costs of $17.7 million and $18.6 million as of September 30, 2019 and December 31, 2018, respectively (weighted average interest rate of 4.75% in 2018)	$	3,513,386	$	3,579,931
Other notes payable, weighted average interest rate of 5.79% for the nine months ended September 30, 2019 (weighted average interest rate of 5.85% in 2018) and maturity dates ranging from 2020 to 2021	58,835		60,249
Total long-term debt	3,572,221		3,640,180
Current portion	343,615		294,426
Total long-term debt, less current portion	$	3,228,606	$	3,345,754

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Acquisitions, Dispositions and Other Significant Transactions - Additional Information (Details) $ in Thousands	3 Months Ended			9 Months Ended		12 Months Ended	15 Months Ended	21 Months Ended
	Sep. 30, 2019 USD ($) community	Sep. 30, 2018 USD ($)	Mar. 31, 2018 USD ($) community	Sep. 30, 2019 USD ($) community	Sep. 30, 2018 USD ($)	Dec. 31, 2018 USD ($) community	Sep. 30, 2019 USD ($) community	Sep. 30, 2019 USD ($) community
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of unconsolidated joint ventures, interest sold								5
Number of communities, acquired, previously leased or managed								6
Operating and financing leases, number of communities	335			335			335	335
Number of communities disposed through sales or termination of lease							77
Gain (loss) on sale of assets, net | $	$ 579	$ 9,833		$ 2,723	$ 76,586
Assets held for sale | $	60,404			$ 60,404		$ 93,117	$ 60,404	$ 60,404
Communities Disposed Of Through Sale
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of communities disposed of				30
Communities Disposed Of Through Lease Terminations
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of communities disposed of								97
127 Communities Disposed Of By Sales And Lease Terminations
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of communities disposed of								127
Sale of 3 communities
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of communities disposed of			3
Net cash proceeds | $			$ 12,800
Mortgage notes payable
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Payment for debt extinguishment or debt prepayment cost | $						$ 174,000
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of communities disposed of						22
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | Eight Communities
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of communities disposed of				8
Net cash proceeds | $				$ 44,100
Gain (loss) on sale of assets, net | $				$ 900
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | Six Communities Held For Sale
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of communities classified as held for sale				6
Assets held for sale | $	60,400			$ 60,400			60,400	$ 60,400
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | Sale Of 22 Communities
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Net cash proceeds | $						$ 380,700
Gain (loss) on sale of assets, net | $			$ 1,900			188,600
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | Mortgage notes payable
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Mortgage debt | $	30,800			30,800		$ 31,200	30,800	30,800
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | Mortgage notes payable | Six Communities Held For Sale
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Mortgage debt | $	$ 30,800			$ 30,800			$ 30,800	$ 30,800
Current Property Ownership Status
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of communities owned	336			336			336	336
Operating and financing leases, number of communities	335			335			335	335
Number of communities managed				17
Number of communities managed by third party	106			106			106	106

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Stock-Based Compensation (Tables)

9 Months Ended

Sep. 30, 2019

Share-based Payment Arrangement [Abstract]

Current year grants of restricted shares

Grants of restricted shares under the Company's 2014 Omnibus Incentive Plan were as follows:

(in thousands, except for per share amounts)	Shares Granted	Weighted Average Grant Date Fair Value		Total Value
Three months ended March 31, 2019	4,047	$	7.87	$	31,857
Three months ended June 30, 2019	142	$	6.51	$	922
Three months ended September 30, 2019	136	$	7.55	$	1,028

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Income Taxes

9 Months Ended

Sep. 30, 2019

Income Tax Disclosure [Abstract]

Income Taxes

Income Taxes

The difference between the Company's effective tax rate for the three and nine months ended September 30, 2019 and September 30, 2018 was primarily due to the non-deductible impairment of goodwill that occurred in the three months ended March 31, 2018

and the adjustment from stock-based compensation, which was greater in the nine months ended September 30, 2018 compared to the nine months ended September 30, 2019.

The Company recorded an aggregate deferred federal, state, and local tax benefit of $19.4 million and $39.0 million for the three and nine months ended September 30, 2019, respectively. The benefit includes $19.4 million and $40.7 million as a result of the operating losses for the three and nine months ended September 30, 2019, respectively. The benefit was reduced by a $1.7 million reduction in the deferred tax asset related to employee stock compensation for the nine months ended September 30, 2019. The benefit for the three and nine months ended September 30, 2019 is offset by increases in the valuation allowance of $17.8 million and $37.7 million, respectively. The change in the valuation allowance for the three and nine months ended September 30, 2019 is the result of the anticipated reversal of future tax liabilities offset by future tax deductions. The Company recorded an aggregate deferred federal, state, and local tax benefit of $15.4 million and $71.3 million as a result of the operating loss for the three and nine months ended September 30, 2018, respectively. The benefit for the three months ended September 30, 2018 includes a benefit from a decrease in the valuation allowance of $2.7 million. The benefit for the nine months ended September 30, 2018 was offset by an increase in the valuation allowance of $52.2 million.

The Company evaluates its deferred tax assets each quarter to determine if a valuation allowance is required based on whether it is more likely than not that some portion of the deferred tax asset would not be realized. The Company's valuation allowance as of September 30, 2019 and December 31, 2018 was $387.9 million and $336.4 million, respectively.

The increase in the valuation allowance during the nine months ended September 30, 2019 is comprised of multiple components. The increase includes $13.8 million resulting from the adoption of ASC 842 and the related addition of future timing differences recorded in the three months ended March 31, 2019. An additional $39.4 million of allowance was established against the current operating loss incurred during the nine months ended September 30, 2019. Offsetting the increases was a decrease of $1.7 million of allowance as a result of removal of future timing differences related to employee stock compensation recorded in the three months ended March 31, 2019.

On December 22, 2017, the President signed the Tax Cuts and Jobs Act ("Tax Act") into law. The Tax Act limits the annual deductibility of a corporation's net interest expense unless it elects to be exempt from such deductibility limitation under the real property trade or business exception. The Company elected the real property trade or business exception with the 2018 tax return. As such, the Company is required to apply the alternative depreciation system ("ADS") to all current and future residential real property and qualified improvement property assets. This change impacts the current and future tax depreciation deductions and impacted the Company's valuation allowance accordingly. Additional information that may affect the Company's provisional amounts would include further clarification and guidance on how the Internal Revenue Service will implement tax reform and further clarification and guidance on how state taxing authorities will implement tax reform and the related effect on the Company's state and local income tax returns, state and local net operating losses, and corresponding valuation allowances.

The Company recorded interest charges related to its tax contingency reserve for cash tax positions for the three and nine months ended September 30, 2019 and 2018 which are included in income tax expense or benefit for the period. As of September 30, 2019, tax returns for years 2014 through 2018 are subject to future examination by tax authorities. In addition, the net operating losses from prior years are subject to adjustment under examination.

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Summary of Significant Accounting Policies (Policies)

9 Months Ended

Sep. 30, 2019

Accounting Policies [Abstract]

Basis of Presentation

Basis of Presentation

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States ("GAAP") and pursuant to the rules and regulations of the Securities and Exchange Commission ("SEC") for quarterly reports on Form 10-Q. In the opinion of management, these financial statements include all adjustments, which are of a normal and recurring nature, necessary to present fairly the financial position, results of operations, and cash flows of the Company for all periods presented. Certain information and footnote disclosures included in annual financial statements have been condensed or omitted. The Company believes that the disclosures included are adequate and provide a fair presentation of interim period results. Interim financial statements are not necessarily indicative of the financial position or operating results for an entire year. These interim financial statements should be read in conjunction with the audited financial statements and the notes thereto included in the Company's Annual Report on Form 10-K for the year ended December 31, 2018 filed with the SEC on February 14, 2019. Certain prior period amounts have been reclassified to conform to the current financial statement presentation, with no effect on the Company's condensed consolidated financial position or results of operations.

Except for the changes for the impact of the recently adopted accounting pronouncements discussed in this Note, the Company has consistently applied its accounting policies to all periods presented in these condensed consolidated financial statements.

Principles of Consolidation

Principles of Consolidation

The condensed consolidated financial statements include the accounts of Brookdale and its consolidated subsidiaries. All intercompany balances and transactions have been eliminated upon consolidation. Investments in affiliated companies that the Company does not control, but has the ability to exercise significant influence over governance and operations, are accounted for by the equity method. The ownership interest of consolidated entities not wholly-owned by the Company are presented as noncontrolling interests in the accompanying condensed consolidated financial statements. Noncontrolling interest represents the share of consolidated entities owned by third parties. Noncontrolling interest is adjusted for the noncontrolling holder's share of additional contributions, distributions, and the proportionate share of the net income or loss of each respective entity.

Revenue Recognition

Revenue Recognition

Resident Fees

Resident fee revenue is reported at the amount that reflects the consideration the Company expects to receive in exchange for the services provided. These amounts are due from residents or third-party payors and include variable consideration for retroactive adjustments, if any, under reimbursement programs. Performance obligations are determined based on the nature of the services provided. Resident fee revenue is recognized as performance obligations are satisfied.

Under the Company's senior living residency agreements, which are generally for a contractual term of 30 days to one year, the Company provides senior living services to residents for a stated daily or monthly fee. The Company has elected the lessor practical expedient within Accounting Standards Codification ("ASC") 842, Leases ("ASC 842") and recognizes, measures, presents, and discloses the revenue for services under the Company's senior living residency agreements based upon the predominant component, either the lease or nonlease component, of the contracts. The Company has determined that the services included under the Company’s independent living, assisted living, and memory care residency agreements have the same timing and pattern of transfer. The Company recognizes revenue under ASC 606, Revenue Recognition from Contracts with Customers ("ASC 606") for its

independent living, assisted living, and memory care residency agreements for which it has estimated that the nonlease components of such residency agreements are the predominant component of the contract.

The Company enters into contracts to provide home health, hospice, and outpatient therapy services. Each service provided under the contract is capable of being distinct, and thus, the services are considered individual and separate performance obligations. The performance obligations are satisfied and revenue is recognized as services are provided.

The Company receives payment for services under various third-party payor programs which include Medicare, Medicaid, and other third-party payors. Settlements with third-party payors for retroactive adjustments due to audits, reviews, or investigations are included in the determination of the estimated transaction price for providing services. The Company estimates the transaction price based on the terms of the contract with the payor, correspondence with the payor and historical payment trends, and retroactive adjustments that differ from the Company's estimates are recognized in the period when final settlements are determined.

Management Services

The Company manages certain communities under contracts which provide periodic management fee payments to the Company. Management fees are generally determined by an agreed upon percentage of gross revenues (as defined in the management agreement). Certain management contracts also provide for an annual incentive fee to be paid to the Company upon achievement of certain metrics identified in the contract. The Company recognizes revenue for community management services in accordance with the provisions of ASC 606. Although there are various management and operational activities performed by the Company under the contracts, the Company has determined that all community operations management activities are a single performance obligation, which is satisfied over time as the services are rendered. The Company estimates the amount of incentive fee revenue expected to be earned, if any, during the annual contract period and revenue is recognized as services are provided. The Company’s estimate of the transaction price for management services also includes the amount of reimbursement due from the owners of the communities for services provided and related costs incurred. Such revenue is included in "reimbursed costs incurred on behalf of managed communities" on the condensed consolidated statements of operations. The related costs are included in "costs incurred on behalf of managed communities" on the condensed consolidated statements of operations.

Gain (Loss) on Sale of Assets

Gain (Loss) on Sale of Assets

The Company regularly enters into real estate transactions which may include the disposal of certain communities, including the associated real estate. The Company recognizes income from real estate sales under ASC 610-20, Other Income - Gains and Losses from Derecognition of Nonfinancial Assets ("ASC 610-20"). Under ASC 610-20, income is recognized when the transfer of control occurs and the Company applies the five-step model for recognition to determine the amount and timing of income to recognize for all real estate sales.

The Company accounts for the sale of equity method investments under ASC 860, Transfers and Servicing ("ASC 860"). Under

ASC 860, income is recognized when the transfer of control of the equity interest occurs and the Company has no continuing involvement with the transferred financial assets.

Income Taxes

Income Taxes

Income taxes are accounted for under the asset and liability approach which requires recognition of deferred tax assets and liabilities for the differences between the financial reporting and tax basis of assets and liabilities. A valuation allowance reduces deferred tax assets when it is more likely than not that some portion or all of the deferred tax assets will not be realized.

Fair Value of Financial Instruments

Fair Value of Financial Instruments

ASC 820, Fair Value Measurement establishes a three-level valuation hierarchy for disclosure of fair value measurements. The valuation hierarchy is based upon the transparency of inputs to the valuation of an asset or liability as of the measurement date. Categorization within the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement. The three levels are defined as follows:

Level 1 – Inputs to the valuation methodology are quoted prices (unadjusted) for identical assets or liabilities in active markets.

Level 2 – Inputs to the valuation methodology include quoted prices for similar assets and liabilities in active markets, and inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the financial instrument.

Level 3 – Inputs to the valuation methodology are unobservable and significant to the fair value measurement.

Cash and cash equivalents and restricted cash are reflected in the accompanying condensed consolidated balance sheets at amounts considered by management to reasonably approximate fair value due to the short maturity.

Goodwill and Long-lived Asset Impairment

Goodwill

The Company tests goodwill for impairment annually as of October 1 or whenever indicators of impairment arise. Factors the Company considers important in its analysis of whether an indicator of impairment exists include a significant decline in the Company's stock price or market capitalization for a sustained period since the last testing date, significant underperformance relative to historical or projected future operating results and significant negative industry or economic trends. The Company first assesses qualitative factors to determine whether it is necessary to perform a quantitative goodwill impairment test. The quantitative goodwill impairment test is based upon a comparison of the estimated fair value of the reporting unit to which the goodwill has been assigned with the reporting unit's carrying value. The Company is not required to calculate the fair value of a reporting unit unless the Company determines, based on a qualitative assessment, that it is more likely than not that its fair value of a reporting unit is less than its carrying value. The fair values used in the quantitative goodwill impairment test are estimated using Level 3 inputs based upon discounted future cash flow projections for the reporting unit. These cash flow projections are based upon a number of estimates and assumptions such as revenue and expense growth rates, capitalization rates, and discount rates. The Company also considers market based measures such as earnings multiples in its analysis of estimated fair values of its reporting units. If the quantitative goodwill impairment test results in a reporting unit's carrying value exceeding its estimated fair value, an impairment charge will be recorded based on the difference. The impairment charge is limited to the amount of goodwill allocated to the reporting unit.

Long-lived Asset Impairment

Long-lived assets (including right-of-use assets) are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of long-lived assets held for use are assessed by a comparison of the carrying amount of the asset to the estimated future undiscounted net cash flows expected to be generated by the asset, calculated utilizing the lowest level of identifiable cash flows. If estimated future undiscounted net cash flows are less than the carrying amount of the asset then the fair value of the asset is estimated. The impairment expense is determined by comparing the estimated fair value of the asset to its carrying value, with any amount in excess of fair value recognized as an expense in the current period. Undiscounted cash flow projections and estimates of fair value amounts are based on a number of assumptions such as revenue and expense growth rates, estimated holding periods and estimated capitalization rates (Level 3).

Self-Insurance Liability Accruals

Self-Insurance Liability Accruals

The Company is subject to various legal proceedings and claims that arise in the ordinary course of its business. Although the Company maintains general liability and professional liability insurance policies for its owned, leased, and managed communities under a master insurance program, the Company's current policies provide for deductibles for each and every claim. As a result, the Company is, in effect, self-insured for claims that are less than the deductible amounts. In addition, the Company maintains a high deductible workers compensation program and a self-insured employee medical program.

The Company reviews the adequacy of its accruals related to these liabilities on an ongoing basis, using historical claims, actuarial valuations, third-party administrator estimates, consultants, advice from legal counsel, and industry data, and adjusts accruals periodically. Estimated costs related to these self-insurance programs are accrued based on known claims and projected claims incurred but not yet reported.

Lease Accounting

Lease Accounting

The following is the Company's lease accounting policy under ASC 842 subsequent to the adoption. Refer to Recently Adopted Accounting Pronouncements in this Note 2 for significant changes that resulted from the adoption effective January 1, 2019. The Company, as lessee, recognizes a right-of-use asset and a lease liability on the Company’s condensed consolidated balance sheet for its community, office, and equipment leases. As of the commencement date of a lease, a lease liability and corresponding right-of-use asset is established on the Company’s condensed consolidated balance sheet at the present value of future minimum lease payments. The Company's community leases generally contain fixed annual rent escalators or annual rent escalators based on an index, such as the consumer price index. The future minimum lease payments recognized on the condensed consolidated balance sheet include fixed payments (including in-substance fixed payments) and variable payments estimated utilizing the index or rate on the lease commencement date. The Company recognizes lease expense as incurred for additional variable payments. For the Company’s leases that do not contain an implicit rate, the Company utilizes its estimated incremental borrowing rate in determining the present value of lease payments based on information available at commencement of the lease, which reflects the fixed rate

at which the Company could borrow a similar amount for the same term on a collateralized basis. Leases with an initial term of 12 months or less are not recorded on the Company’s condensed consolidated balance sheet and instead are recognized as lease expense as incurred.

The Company, as lessee, makes a determination with respect to each of its community, office, and equipment leases as to whether each should be accounted for as an operating lease or financing lease in accordance with the provisions of ASC 842. The classification criteria is based on estimates regarding the fair value of the leased asset, minimum lease payments, effective cost of funds, the economic life of the asset, and certain other terms in the lease agreements.

For operating leases, payments made under operating lease arrangements are accounted for in the Company's condensed consolidated statements of operations as operating lease expense for actual rent paid, generally plus or minus a straight-line adjustment for estimated minimum lease escalators if applicable. The right-of-use asset is generally reduced each period by an amount equal to the difference between the operating lease expense and the amount of expense on the lease liability utilizing the effective interest method. Subsequent to the impairment of an operating lease right-of-use asset, the Company recognizes operating lease expense consisting of the reduction of the right-of-use asset on a straight-line basis over the remaining lease term and the amount of expense on the lease liability utilizing the effective interest method.

For financing leases, the Company recognizes interest expense on the lease liability utilizing the effective interest method. Additionally, the right-of-use asset is generally amortized to depreciation and amortization expense on a straight-line basis over the lease term unless the lease contains an option to purchase the underlying asset that the Company is reasonably certain to exercise in which case the asset is depreciated over the useful life of the underlying asset.

For transactions in which an owned community is sold and leased back from the buyer (sale-leaseback transactions), the Company recognizes an asset sale and lease accounting is applied if the Company has transferred control of the community. For such transactions, the Company removes the transferred assets from the condensed consolidated balance sheet and a gain or loss on the sale is recognized for the difference between the carrying value of the asset and the transaction price for the sale transaction. For sale‑leaseback transactions in which the Company has not transferred control of the underlying asset, the Company does not recognize an asset sale or derecognize the underlying asset until control is transferred. For such transactions, the Company continues to depreciate the asset over its useful life. Additionally, the Company accounts for any amounts received as a financing lease liability and the Company recognizes interest expense on the financing lease liability utilizing the effective interest method with the interest expense limited to an amount that is not greater than the cash payments on the financing lease liability over the term of the lease.

Refer to the Company’s revenue recognition policy for discussion of the accounting policy for residency agreements, which include the lease of an asset.

Recently Adopted Accounting Pronouncements/Recently Issued Accounting Pronouncements Not Yet Adopted

Recently Adopted Accounting Pronouncements

In February 2016, the FASB issued ASU 2016-02, Leases ("ASU 2016-02"). ASU 2016-02 amends the existing accounting principles for the recognition, measurement, presentation and disclosure of leases for both lessees and lessors. ASU 2016-02 requires a lessee to recognize a right-of-use asset and a lease liability on the condensed consolidated balance sheet for most leases. Additionally, ASU 2016-02 makes targeted changes to lessor accounting, including changes to align certain aspects with the revenue recognition model, and requires enhanced disclosure of lease arrangements. In July 2018, the FASB issued ASU 2018-11, Leases, Targeted Improvements ("ASU 2018-11"). ASU 2018-11 provides entities with a transition method option to not restate comparative periods presented, but to recognize a cumulative-effect adjustment to the opening balance of retained earnings in the period of adoption. In addition, ASU 2018-11 provides entities with a practical expedient allowing lessors to not separate nonlease components from the associated lease components when certain criteria are met. The Company adopted these lease accounting standards effective January 1, 2019 and utilized the modified retrospective transition method with no adjustments to comparative periods presented. Additionally, the Company elected the package of practical expedients within ASU 2016-02 that allows an entity to not reassess, as of January 1, 2019, its prior conclusions on whether an existing contract contains a lease, lease classification for existing leases, and whether costs incurred for existing leases qualify as initial direct costs.

The Company's adoption of ASU 2016-02 resulted in the recognition of operating lease liabilities of $1.6 billion and right-of-use assets of $1.3 billion on the condensed consolidated balance sheet for its existing community, office, and equipment operating leases based on the remaining present value of the minimum lease payments as of January 1, 2019. The future minimum rental payments recognized on the condensed consolidated balance sheet included fixed payments (including in-substance fixed payments) and variable payments estimated utilizing the index or rate as of January 1, 2019. Such right-of-use asset amounts were recognized based upon the amount of the recognized lease liabilities, adjusted for accrued lease payments, intangible assets, and the recognition of right-of-use asset impairments. As of December 31, 2018, the Company had a net liability of $231.4 million

recognized on its condensed consolidated balance sheet for accrued lease payments and intangible assets for operating leases. Additionally, $58.1 million of previously unrecognized right-of-use asset impairments were recognized as a cumulative effect adjustment to beginning accumulated deficit as of January 1, 2019. As a result of the Company’s election of the package of practical expedients within ASU 2016-02, there were no changes to the classification of the Company’s existing operating, capital and financing leases as of January 1, 2019 and there were no changes to the amounts recognized on its condensed consolidated balance sheet for its existing capital and financing leases as of January 1, 2019.

Subsequent to the adoption of ASU 2016-02, lessors are required to separately recognize and measure the lease component of a contract with a customer utilizing the provisions of ASC 842 and the nonlease components utilizing the provisions of ASC 606. To separately account for the components, the transaction price is allocated among the components based upon the estimated stand alone selling prices of the components. Additionally, certain components of a contract which were previously included within the lease element recognized in accordance with ASC 840, Leases ("ASC 840") prior to the adoption of ASU 2016-02 (such as common area maintenance services, other basic services, and executory costs) are recognized as nonlease components subject to the provisions of ASC 606 subsequent to the adoption of ASU 2016-02. However, entities are permitted to elect the practical expedient under ASU 2018-11 allowing lessors to not separate nonlease components from the associated lease components when certain criteria are met. Entities that elect to utilize the lease/nonlease component combination practical expedient under ASU 2018-11 upon initial application of ASC 842 are required to apply the practical expedient to all new and existing transactions within a class of underlying assets that qualify for the expedient as of the initial application date.

For the year ended December 31, 2018, the Company recognized revenue for housing services under independent living, assisted living, and memory care residency agreements in accordance with the provisions of the former lease accounting standard, ASC 840, and the Company recognized revenue for assistance with activities of daily living, memory care services, healthcare, and personalized health services under independent living, assisted living, and memory care residency agreements in accordance with the provisions of ASC 606.

Upon adoption of ASU 2016-02 and ASU 2018-11, the Company elected the lessor practical expedient within ASU 2018-11 and recognizes, measures, presents, and discloses the revenue for housing services under the Company's senior living residency agreements based upon the predominant component, either the lease or nonlease component, of the contracts rather than allocating the consideration and separately accounting for it under ASC 842 and ASC 606.

The Company has concluded that the nonlease components of the Company’s independent living, assisted living, and memory care residency agreements are the predominant component of the contract for the Company’s existing agreements as of January 1, 2019. As a result of the Company's election of the package of practical expedients within ASU 2016-02, the Company continued to recognize revenue for existing contracts as of December 31, 2018 over the lease term. In addition, ASU 2016-02 has changed the definition of initial direct costs of a lease, with the initial direct costs that are initially deferred and recognized over the term of the lease limited to costs that are both incremental and direct. The Company concluded that the contract origination costs recognized on the condensed consolidated balance sheet as of December 31, 2018 were in excess of the initial direct costs that would have been deferred under the provisions of ASU 2016-02. As a result of the Company’s election of the package of practical expedients, the contract origination costs recognized on the condensed consolidated balance sheet as of December 31, 2018 continued to be amortized during 2019 over the lease term. Additionally, the Company concluded that certain costs previously deferred upon new contract origination are recognized within facility operating expense in 2019 as incurred.

In addition to the previously unrecognized right-of-use asset impairment of $58.1 million, the Company recognized cumulative effect adjustments to beginning accumulated deficit as of January 1, 2019 for the impact of the adoption of accounting standards by its equity method investees and the deferred tax impact of these adjustments. The recognition of the right-of-use assets and corresponding liabilities and the removal of the deferred tax position related to these leases as of December 31, 2018 had a $0.3 million impact on the Company's net deferred tax position. A deferred tax asset of $14.1 million and an increase to the valuation allowance of $13.8 million was recorded against accumulated deficit reflecting the tax impact of the previously unrecognized right-of-use asset impairments.

The adoption of the new accounting standards resulted in the following adjustments to the Company's condensed consolidated balance sheet as of January 1, 2019:

(in millions)
Assets
Prepaid expenses and other current assets, net	$	67
Property, plant and equipment and leasehold intangibles, net	(11		)
Operating lease right-of-use assets	1,329
Investment in unconsolidated ventures	(2		)
Other intangible assets, net	(5		)
Other assets, net	(73		)
Total assets	$	1,305
Liabilities and Equity
Refundable fees and deferred revenue	$	43
Operating lease obligations	1,618
Deferred liabilities	(257		)
Other liabilities	(43		)
Total liabilities	1,361
Total equity	(56		)
Total liabilities and equity	$	1,305

Recently Issued Accounting Pronouncements Not Yet Adopted

In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit Losses: Measurement of Credit Losses on Financial Instruments ("ASU 2016-13"). ASU 2016-13 replaces the current incurred loss impairment methodology for credit losses with a methodology that reflects expected credit losses and requires consideration of a broader range of reasonable and supportable information to inform credit loss estimates. The Company will be required to use a forward-looking expected credit loss model for accounts receivable and other financial instruments. ASU 2016-13 is effective for fiscal years and interim periods within those fiscal years, beginning after December 15, 2019, with early adoption permitted for fiscal years beginning after December 15, 2018. The Company plans to adopt ASU 2016-13 effective January 1, 2020 and will recognize any cumulative effect of the adoption as an adjustment to beginning retained earnings with no adjustments to comparative periods presented. The Company does not expect the impact of the adoption of ASU 2016-13 to have a material effect to its consolidated financial statements and disclosures.

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Fair Value Measurements - Goodwill and Asset Impairment (Details) - USD ($) $ in Thousands	3 Months Ended			9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Mar. 31, 2018	Sep. 30, 2019	Sep. 30, 2018
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Property, plant and equipment and leasehold intangibles, net		$ 2,500			$ 50,200
Goodwill and asset impairment	$ 2,094	5,500		$ 6,254	451,966
Nonrecurring
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Goodwill	0	0		0	351,700
Property, plant and equipment and leasehold intangibles, net	800	2,500		2,000	50,200
Investment in unconsolidated ventures	0	0	$ 33,400	0	33,400
Other intangible assets, net	0	0		2,600	1,700
Assets held for sale	1,300	3,000		1,300	15,000
Other assets, net	0	0		400	0
Goodwill and asset impairment	$ 2,100	$ 5,500		$ 6,300	$ 452,000

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Acquisitions, Dispositions and Other Significant Transactions - Welltower Lease and RIDA Venture Restructuring (Details) $ in Thousands	1 Months Ended	3 Months Ended			9 Months Ended
	Jun. 30, 2018 USD ($) community	Sep. 30, 2019 USD ($)	Sep. 30, 2018 USD ($) lease community	Jun. 30, 2018 USD ($)	Sep. 30, 2019 USD ($)	Sep. 30, 2018 USD ($) lease community
Business Acquisition [Line Items]
Payments for lease termination					$ 0	$ 12,548
Loss on facility lease termination and modification, net		$ 0	$ (2,337)		$ (2,006)	$ (148,804)
Master leases not renewed, number of communities | community			11			11
Welltower Lease Transactions
Business Acquisition [Line Items]
Number Of Leases Not Renewed | lease			2			2
Welltower Inc. | Welltower Lease Transactions
Business Acquisition [Line Items]
Payments for lease termination				$ 58,000
Loss on facility lease termination and modification, net				22,600
Proceeds from sale of equity method investment				33,500
Gain on sale of equity method investment				$ 14,700
Potential lease terminations, rent credit percentage	6.25%
Welltower Inc. | Welltower Lease Transactions | Maximum
Business Acquisition [Line Items]
Operating leases, rent expense	$ 5,000
Welltower RIDEA
Business Acquisition [Line Items]
Percentage ownership	20.00%			20.00%
37 Communities Disposed Of Through Lease Terminations | Welltower Lease Transactions
Business Acquisition [Line Items]
Number of communities disposed of | community	37

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Property, Plant and Equipment and Leasehold Intangibles, Net (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018	Dec. 31, 2018
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles gross	$ 8,349,146		$ 8,349,146		$ 8,322,802
Accumulated depreciation and amortization	(3,163,465)		(3,163,465)		(3,047,375)
Property, plant and equipment and leasehold intangibles, net	5,185,681		5,185,681		5,275,427
Finance lease, right-of-use asset	600,000		600,000		700,000
Depreciation and amortization expense	93,300	$ 110,400	282,600	$ 339,000
Land
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles gross	454,790		454,790		455,623
Buildings and improvements
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles gross	4,812,422		4,812,422		4,749,877
Furniture and equipment
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles gross	849,573		849,573		805,190
Resident and leasehold operating intangibles
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles gross	319,049		319,049		477,827
Construction in progress
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles gross	80,788		80,788		57,636
Assets under financing leases and leasehold improvements
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles gross	$ 1,832,524		$ 1,832,524		$ 1,776,649

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Income Taxes (Details) - USD ($) $ in Millions	3 Months Ended			9 Months Ended
	Sep. 30, 2019	Mar. 31, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018	Dec. 31, 2018
Valuation Allowance [Line Items]
Gross deferred federal, state and local tax benefit	$ 19.4			$ 39.0
Deferred federal, state and local tax benefit	19.4			40.7
Deferred tax assets, tax deferred expense, employee compensation	(1.7)	$ (1.7)		(1.7)
Change in valuation allowance	17.8			37.7
Valuation allowance	$ 387.9			387.9		$ 336.4
Federal and State
Valuation Allowance [Line Items]
Deferred federal, state and local tax benefit			$ 15.4		$ 71.3
Change in valuation allowance			$ (2.7)	$ 39.4	$ 52.2
ASC 842
Valuation Allowance [Line Items]
Change in valuation allowance		$ 13.8

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Subsequent Event (Details) $ in Millions	Oct. 01, 2019 USD ($) community entry_fee extension_option
Subsequent Event
Subsequent Event [Line Items]
Number of additional entry fee | entry_fee	1
Number of communities, acquired, previously leased or managed	18
CCRC Ventures, LLC | CCRCs | Subsequent Event
Subsequent Event [Line Items]
Business acquisition, percentage of voting interests acquired	51.00%
Number of entry fee | entry_fee	14
Payments to acquire interest in joint venture | $	$ 1,060.0
Number of communities to be sold at a future date	2
Number of entry fee, sales | entry_fee	2
CCRC Ventures, LLC | CCRCs | Minimum | Subsequent Event
Subsequent Event [Line Items]
Number of entry fee, sales, period	12 months
CCRC Ventures, LLC | CCRCs | Maximum | Subsequent Event
Subsequent Event [Line Items]
Number of entry fee, sales, period	18 months
HCP, Inc. | CCRCs | Subsequent Event
Subsequent Event [Line Items]
Business acquisition, percentage of voting interests acquired	51.00%
Payments (proceeds) for management agreement termination fee | $	$ 100.0
Proceeds from divestiture of business | $	$ 291.0
Master Lease Transactions | Subsequent Event
Subsequent Event [Line Items]
Number of continuing communities	24
Operating leases, rent expense | $	$ 41.8
Operating leases, rent expense, annual escalator rate	2.40%
Operating lease, initial lease rate	7.00%
Master Lease Transactions | HCP, Inc.
Subsequent Event [Line Items]
Operating lease, capital expenditures, period	5 years
Master Lease Transactions | HCP, Inc. | Subsequent Event
Subsequent Event [Line Items]
Payments to acquire interest in joint venture | $	$ 405.5
Number of communities leased	25
Number of communities, acquired, previously leased or managed	18
Number of leases communities transferred to successor operator	1
Number of continuing communities	24
Lessee, operating lease, number of extensions | extension_option	2
Lessee, operating lease, number of extensions, term	10 years
Operating lease, capital expenditures, availability | $	$ 35.0

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Revenue

9 Months Ended

Sep. 30, 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 tables below.

	Three Months Ended September 30, 2019
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	136,274	$	435,367	$	70,353	$	171	$	642,165
Government reimbursement	600		17,107		19,931		89,157		126,795
Other third-party payor programs	—		—		9,820		22,457		32,277
Total resident fee revenue	$	136,874	$	452,474	$	100,104	$	111,785	$	801,237

	Three Months Ended September 30, 2018
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	143,963	$	464,719	$	73,567	$	159	$	682,408
Government reimbursement	668		18,406		20,901		89,100		129,075
Other third-party payor programs	—		—		9,679		19,017		28,696
Total resident fee revenue	$	144,631	$	483,125	$	104,147	$	108,276	$	840,179
	Nine Months Ended September 30, 2019
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	406,667	$	1,310,867	$	212,978	$	554	$	1,931,066
Government reimbursement	1,852		50,358		61,614		269,428		383,252
Other third-party payor programs	—		—		30,492		67,769		98,261
Total resident fee revenue	$	408,519	$	1,361,225	$	305,084	$	337,751	$	2,412,579
	Nine Months Ended September 30, 2018
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	459,875	$	1,482,789	$	217,680	$	585	$	2,160,929
Government reimbursement	2,446		54,643		65,986		272,332		395,407
Other third-party payor programs	—		—		30,346		55,732		86,078
Total resident fee revenue	$	462,321	$	1,537,432	$	314,012	$	328,649	$	2,642,414

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 health care 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 $75.8 million and $106.4 million, including $31.6 million and $50.6 million of monthly resident fees billed and received in advance, as of September 30, 2019 and December 31, 2018, respectively. For the nine months ended September 30, 2019 and 2018, the Company recognized $83.7 million and $76.2 million, respectively, of revenue that was included in the deferred revenue balance as of January 1, 2019 and 2018. The Company applies the practical expedient in ASC 606-10-50-14 and does not disclose amounts for remaining performance obligations that have original expected durations of one year or less.

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Summary of Significant Accounting Policies (Tables)

9 Months Ended

Sep. 30, 2019

Accounting Policies [Abstract]

Schedule of change in accounting principles

The adoption of the new accounting standards resulted in the following adjustments to the Company's condensed consolidated balance sheet as of January 1, 2019:

(in millions)
Assets
Prepaid expenses and other current assets, net	$	67
Property, plant and equipment and leasehold intangibles, net	(11		)
Operating lease right-of-use assets	1,329
Investment in unconsolidated ventures	(2		)
Other intangible assets, net	(5		)
Other assets, net	(73		)
Total assets	$	1,305
Liabilities and Equity
Refundable fees and deferred revenue	$	43
Operating lease obligations	1,618
Deferred liabilities	(257		)
Other liabilities	(43		)
Total liabilities	1,361
Total equity	(56		)
Total liabilities and equity	$	1,305

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Goodwill and Other Intangible Assets, Net (Tables)

9 Months Ended

Sep. 30, 2019

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of definite-lived intangible assets

Other intangible assets as of September 30, 2019 and December 31, 2018 are summarized in the following tables:

	September 30, 2019
(in thousands)	Gross Carrying Amount		Accumulated Amortization			Net
Health care licenses	$	42,776	$	—		$	42,776
Trade names	27,800		(27,800		)	—
Total	$	70,576	$	(27,800	)	$	42,776

	December 31, 2018
(in thousands)	Gross Carrying Amount		Accumulated Amortization			Net
Community purchase options	$	4,738	$	—		$	4,738
Health care licenses	42,323		—			42,323
Trade names	27,800		(26,295		)	1,505
Management contracts	9,610		(6,704		)	2,906
Total	$	84,471	$	(32,999	)	$	51,472

Schedule of indefinite-lived intangible assets

ther intangible assets as of September 30, 2019 and December 31, 2018 are summarized in the following tables:

	September 30, 2019
(in thousands)	Gross Carrying Amount		Accumulated Amortization			Net
Health care licenses	$	42,776	$	—		$	42,776
Trade names	27,800		(27,800		)	—
Total	$	70,576	$	(27,800	)	$	42,776

	December 31, 2018
(in thousands)	Gross Carrying Amount		Accumulated Amortization			Net
Community purchase options	$	4,738	$	—		$	4,738
Health care licenses	42,323		—			42,323
Trade names	27,800		(26,295		)	1,505
Management contracts	9,610		(6,704		)	2,906
Total	$	84,471	$	(32,999	)	$	51,472

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Goodwill and Other Intangible Assets, Net - Intangible Assets (Details) - USD ($) $ in Thousands	Sep. 30, 2019	Dec. 31, 2018
Finite-Lived Intangible Assets, Net [Abstract]
Accumulated Amortization	$ (27,800)	$ (32,999)
Intangible assets, gross carrying amount	70,576	84,471
Intangible assets, net	42,776	51,472
Community purchase options
Indefinite-lived Intangible Assets (Excluding Goodwill) [Abstract]
Indefinite lived assets, gross carrying amount		4,738
Health care licenses
Indefinite-lived Intangible Assets (Excluding Goodwill) [Abstract]
Indefinite lived assets, gross carrying amount	42,776	42,323
Trade names
Finite-Lived Intangible Assets, Net [Abstract]
Finite lived assets, gross carrying amount	27,800	27,800
Accumulated Amortization	(27,800)	(26,295)
Finite lived assets, net	$ 0	1,505
Management contracts
Finite-Lived Intangible Assets, Net [Abstract]
Finite lived assets, gross carrying amount		9,610
Accumulated Amortization		(6,704)
Finite lived assets, net		$ 2,906

XML

Fair Value Measurements - Additional Information (Details) $ in Thousands		3 Months Ended		9 Months Ended
	Jan. 01, 2019 USD ($) community	Sep. 30, 2018 USD ($)	Mar. 31, 2018 USD ($)	Sep. 30, 2018 USD ($)	Sep. 30, 2019 USD ($)	Dec. 31, 2018 USD ($)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Marketable securities					$ 49,790	$ 14,855
Debt					3,572,221	$ 3,640,180
Property, plant and equipment and leasehold intangibles, net		$ 2,500		$ 50,200
ASU 2016-02
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Operating lease right-of-use asset, number of communities impaired | community	25
Operating lease right-of-use assets	$ 56,600
Cumulative effect change in accounting principle	$ 58,100
Assisted Living and Memory Care
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Goodwill impairment			$ 351,700
Level 2
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Marketable securities					$ 49,800

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Acquisitions, Dispositions and Other Significant Transactions - Revenue of Disposal Groups (Details) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Resident fees	$ 1,008,949	$ 1,120,062	$ 3,070,450	$ 3,462,496
Communities Disposed Of Through Sale And Lease Terminations
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Resident fees	103	63,996	12,385	313,839
Facility operating expense	103	47,555	10,204	218,563
Cash facility lease payments	0	13,111	1,451	80,046
Communities Disposed Of Through Sale And Lease Terminations | Independent Living
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Resident fees	0	14,099	0	74,970
Facility operating expense	0	8,588	0	44,256
Communities Disposed Of Through Sale And Lease Terminations | Assisted Living and Memory Care
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Resident fees	103	45,496	12,385	223,763
Facility operating expense	103	35,182	10,204	160,606
Communities Disposed Of Through Sale And Lease Terminations | CCRCs
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Resident fees	0	4,401	0	15,106
Facility operating expense	$ 0	$ 3,785	$ 0	$ 13,701

XML

Revenue - Disaggregation of Revenue (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Disaggregation of Revenue [Line Items]
Revenue	$ 1,008,949	$ 1,120,062	$ 3,070,450	$ 3,462,496
Private pay
Disaggregation of Revenue [Line Items]
Revenue	642,165	682,408	1,931,066	2,160,929
Government reimbursement
Disaggregation of Revenue [Line Items]
Revenue	126,795	129,075	383,252	395,407
Other third-party payor programs
Disaggregation of Revenue [Line Items]
Revenue	32,277	28,696	98,261	86,078
Total resident fee revenue
Disaggregation of Revenue [Line Items]
Revenue	801,237	840,179	2,412,579	2,642,414
Independent Living | Private pay
Disaggregation of Revenue [Line Items]
Revenue	136,274	143,963	406,667	459,875
Independent Living | Government reimbursement
Disaggregation of Revenue [Line Items]
Revenue	600	668	1,852	2,446
Independent Living | Other third-party payor programs
Disaggregation of Revenue [Line Items]
Revenue	0	0	0	0
Independent Living | Total resident fee revenue
Disaggregation of Revenue [Line Items]
Revenue	136,874	144,631	408,519	462,321
Assisted Living and Memory Care | Private pay
Disaggregation of Revenue [Line Items]
Revenue	435,367	464,719	1,310,867	1,482,789
Assisted Living and Memory Care | Government reimbursement
Disaggregation of Revenue [Line Items]
Revenue	17,107	18,406	50,358	54,643
Assisted Living and Memory Care | Other third-party payor programs
Disaggregation of Revenue [Line Items]
Revenue	0	0	0	0
Assisted Living and Memory Care | Total resident fee revenue
Disaggregation of Revenue [Line Items]
Revenue	452,474	483,125	1,361,225	1,537,432
CCRCs | Private pay
Disaggregation of Revenue [Line Items]
Revenue	70,353	73,567	212,978	217,680
CCRCs | Government reimbursement
Disaggregation of Revenue [Line Items]
Revenue	19,931	20,901	61,614	65,986
CCRCs | Other third-party payor programs
Disaggregation of Revenue [Line Items]
Revenue	9,820	9,679	30,492	30,346
CCRCs | Total resident fee revenue
Disaggregation of Revenue [Line Items]
Revenue	100,104	104,147	305,084	314,012
Health Care Services | Private pay
Disaggregation of Revenue [Line Items]
Revenue	171	159	554	585
Health Care Services | Government reimbursement
Disaggregation of Revenue [Line Items]
Revenue	89,157	89,100	269,428	272,332
Health Care Services | Other third-party payor programs
Disaggregation of Revenue [Line Items]
Revenue	22,457	19,017	67,769	55,732
Health Care Services | Total resident fee revenue
Disaggregation of Revenue [Line Items]
Revenue	$ 111,785	$ 108,276	$ 337,751	$ 328,649

XML

Debt - Debt (Details) - USD ($) $ in Millions	Sep. 30, 2019	Dec. 31, 2018
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | Mortgage notes payable
Debt Instrument [Line Items]
Mortgage debt	$ 30.8	$ 31.2

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Leases - Lease Costs (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Leases [Abstract]
Facility operating expense	$ 4,532		$ 13,761
Facility lease expense	67,253	$ 70,392	203,610	$ 232,752
Operating lease expense	71,785		217,371
Operating lease expense adjustment	4,814		13,626
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements	(11,043)		(12,043)
Operating cash flows from operating leases	65,556		218,954
Non-cash recognition of right-of-use assets obtained in exchange for new operating lease obligations	22,375		26,356
Depreciation and amortization	11,675		35,030
Interest expense: financing lease obligations	16,567	$ 20,896	49,959	$ 66,216
Financing lease expense	28,242		84,989
Operating cash flows from financing leases	16,567		49,959
Financing cash flows from financing leases	5,549		16,502
Total cash flows from financing leases	$ 22,116		$ 66,461

XML

CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares	Sep. 30, 2019	Dec. 31, 2018
Equity, Number of Shares, Par Value and Other Disclosures [Abstract]
Preferred stock, par value (in dollars per share)	$ 0.01	$ 0.01
Preferred stock, shares authorized (in shares)	50,000,000	50,000,000
Preferred stock, shares issued (in shares)	0	0
Preferred stock, shares outstanding (in shares)	0	0
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized (in shares)	400,000,000	400,000,000
Common stock, shares issued (in shares)	199,743,898	196,815,254
Common stock, shares outstanding (in shares)	193,073,421	192,356,051
Treasury stock, shares (in shares)	6,670,477	4,459,203
Unvested Restricted Stock
Equity, Number of Shares, Par Value and Other Disclosures [Abstract]
Common stock, shares outstanding (in shares)	7,490,129	5,756,435

XML

Supplemental Disclosure of Cash Flow Information - Additional Information (Details) $ in Thousands	3 Months Ended	9 Months Ended
	Jun. 30, 2019 USD ($) community	Sep. 30, 2019 USD ($)	Sep. 30, 2018 USD ($)
Related Party Transaction [Line Items]
Net cash paid for termination of operating leases		$ 0	$ 33,596
Joint Venture
Related Party Transaction [Line Items]
Payments to acquire interest in joint venture	$ 13,300
Number of communities owned | community	3
Percentage ownership	50.00%
Promissory Note | Joint Venture
Related Party Transaction [Line Items]
Notes receivable	$ 6,600
Lease termination And modification, net
Related Party Transaction [Line Items]
Net cash paid for termination of operating leases		46,600
Payments (proceeds) for termination of capital and financing leases, financing activities		$ 12,500

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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018
Cash Flows from Operating Activities
Net income (loss)	$ (177,169)	$ (659,883)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Debt modification and extinguishment costs	5,194	77
Depreciation and amortization, net	287,382	348,464
Goodwill and asset impairment	6,254	451,966
Equity in (earnings) loss of unconsolidated ventures	3,574	6,907
Distributions from unconsolidated ventures from cumulative share of net earnings	2,388	2,159
Amortization of deferred gain	0	(3,269)
Amortization of entrance fees	(1,172)	(1,220)
Proceeds from deferred entrance fee revenue	2,902	2,507
Deferred income tax (benefit) provision	(1,216)	(19,180)
Operating lease expense adjustment	(13,626)	(14,656)
Change in fair value of derivatives	212	153
Loss (gain) on sale of assets, net	(2,723)	(76,586)
Loss (gain) on facility lease termination and modification, net	2,006	135,760
Non-cash stock-based compensation expense	18,315	20,710
Non-cash interest expense on financing lease obligations	0	9,151
Non-cash management contract termination gain	(640)	(5,649)
Other	(7,173)	(154)
Changes in operating assets and liabilities:
Accounts receivable, net	(6,756)	(1,127)
Prepaid expenses and other assets, net	50,387	28,118
Prepaid insurance premiums financed with notes payable	(5,875)	(6,244)
Trade accounts payable and accrued expenses	(21,970)	(9,661)
Refundable fees and deferred revenue	(24,007)	(4,239)
Operating lease assets and liabilities for lessor capital expenditure reimbursements	12,043	0
Operating lease assets and liabilities for lease termination	0	(33,596)
Net cash provided by (used in) operating activities	128,330	170,508
Cash Flows from Investing Activities
Change in lease security deposits and lease acquisition deposits, net	(430)	(664)
Purchase of marketable securities	(137,786)	0
Sale of marketable securities	104,000	293,273
Capital expenditures, net of related payables	(206,385)	(169,349)
Acquisition of assets, net of related payables and cash received	(453)	(271,771)
Investment in unconsolidated ventures	(4,294)	(8,946)
Distributions received from unconsolidated ventures	7,454	10,782
Proceeds from sale of assets, net	53,430	131,912
Proceeds from notes receivable	34,109	1,580
Property insurance proceeds	0	156
Net cash provided by (used in) investing activities	(150,355)	(13,027)
Cash Flows from Financing Activities
Proceeds from debt	318,491	279,919
Repayment of debt and financing lease obligations	(404,152)	(501,946)
Proceeds from line of credit	0	200,000
Repayment of line of credit	0	(200,000)
Purchase of treasury stock, net of related payables	(18,401)	0
Payment of financing costs, net of related payables	(6,357)	(3,341)
Proceeds from refundable entrance fees, net of refunds	0	(316)
Payments for lease termination	0	(12,548)
Payments of employee taxes for withheld shares	(3,242)	(2,844)
Other	827	1,147
Net cash provided by (used in) financing activities	(112,834)	(239,929)
Net increase (decrease) in cash, cash equivalents, and restricted cash	(134,859)	(82,448)
Cash, cash equivalents, and restricted cash at beginning of period	450,218	282,546
Cash, cash equivalents, and restricted cash at end of period	$ 315,359	$ 200,098

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Stock-Based Compensation

9 Months Ended

Sep. 30, 2019

Share-based Payment Arrangement [Abstract]

Stock-Based Compensation

Stock-Based Compensation

Grants of restricted shares under the Company's 2014 Omnibus Incentive Plan were as follows:

(in thousands, except for per share amounts)	Shares Granted	Weighted Average Grant Date Fair Value		Total Value
Three months ended March 31, 2019	4,047	$	7.87	$	31,857
Three months ended June 30, 2019	142	$	6.51	$	922
Three months ended September 30, 2019	136	$	7.55	$	1,028

XML

Leases

9 Months Ended

Sep. 30, 2019

Leases [Abstract]

Leases

Leases

As of September 30, 2019, the Company operated 335 communities under long-term leases (244 operating leases and 91 financing leases). The substantial majority of the Company's lease arrangements are structured as master leases. Under a master lease, numerous communities are leased through an indivisible lease. The Company typically guarantees the performance and lease payment obligations of its subsidiary lessees under the master leases. Due to the nature of such master leases, it is difficult to restructure the composition of such leased portfolios or economic terms of the leases without the consent of the applicable landlord. In addition, an event of default related to an individual property or limited number of properties within a master lease portfolio may result in a default on the entire master lease portfolio.

The leases relating to these communities are generally fixed rate leases with annual escalators that are either fixed or based upon changes in the consumer price index or the leased property revenue. The Company is responsible for all operating costs, including repairs, property taxes, and insurance. As of September 30, 2019, the weighted-average remaining lease term of the Company’s operating and financing leases was 7.1 years and 8.5 years, respectively. The leases generally provide for renewal or extension options from 5 to 20 years and in some instances, purchase options.

The community leases contain other customary terms, which may include assignment and change of control restrictions, maintenance and capital expenditure obligations, termination provisions and financial covenants, such as those requiring the Company to maintain prescribed minimum net worth and stockholders’ equity levels and lease coverage ratios, and not to exceed prescribed leverage ratios, in each case on a consolidated, portfolio-wide, multi-community, single-community and/or entity basis. In addition, the Company’s lease documents generally contain non-financial covenants, such as those requiring the Company to comply with Medicare or Medicaid provider requirements.

The Company’s failure to comply with applicable covenants could constitute an event of default under the applicable lease documents. Many of the Company’s debt and lease documents contain cross-default provisions so that a default under one of these instruments could cause a default under other debt and lease documents (including documents with other lenders and lessors).

Certain leases contain cure provisions, which generally allow the Company to post an additional lease security deposit if the required covenant is not met. Furthermore, the Company’s leases are secured by its communities and, in certain cases, a guaranty by the Company and/or one or more of its subsidiaries.

As of September 30, 2019, the Company is in compliance with the financial covenants of its long-term leases.

A summary of operating and financing lease expense (including the respective presentation on the condensed consolidated statements of operations) and cash flows from leasing transactions is as follows:

Operating Leases (in thousands)	Three Months Ended September 30, 2019			Nine Months Ended September 30, 2019
Facility operating expense	$	4,532		$	13,761
Facility lease expense	67,253			203,610
Operating lease expense	71,785			217,371
Operating lease expense adjustment	4,814			13,626
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements	(11,043		)	(12,043		)
Operating cash flows from operating leases	$	65,556		$	218,954
Non-cash recognition of right-of-use assets obtained in exchange for new operating lease obligations	$	22,375		$	26,356

Financing Leases (in thousands)	Three Months Ended September 30, 2019		Nine Months Ended September 30, 2019
Depreciation and amortization	$	11,675	$	35,030
Interest expense: financing lease obligations	16,567		49,959
Financing lease expense	$	28,242	$	84,989
Operating cash flows from financing leases	$	16,567	$	49,959
Financing cash flows from financing leases	5,549		16,502
Total cash flows from financing leases	$	22,116	$	66,461

As of September 30, 2019, the weighted-average discount rate of the Company’s operating and financing leases was 8.6% and 7.8%, respectively. As the Company's community leases do not contain an implicit rate, the Company utilized its incremental borrowing rate based on information available on January 1, 2019 to determine the present value of lease payments for operating leases that commenced prior to that date.

The aggregate amounts of future minimum lease payments, including community, office, and equipment leases recognized on the condensed consolidated balance sheet as of September 30, 2019 are as follows (in thousands):

Year Ending December 31,	Operating Leases			Financing Leases
2019 (three months)	$	77,495		$	22,052
2020	312,861			89,090
2021	298,025			90,330
2022	294,696			91,719
2023	290,698			93,190
Thereafter	806,856			429,663
Total lease payments	2,080,631			816,044
Purchase option liability and non-cash gain on future sale of property	—			575,791
Imputed interest and variable lease payments	(572,238		)	(533,798		)
Total lease obligations	$	1,508,393		$	858,037

The aggregate amounts of future minimum operating lease payments, including community, office, and equipment leases not recognized on the condensed consolidated balance sheet under ASC 840 as of December 31, 2018 are as follows (in thousands):

Year Ending December 31,	Operating Leases
2019	$	310,340
2020	307,493
2021	290,661
2022	291,114
2023	285,723
Thereafter	786,647
Total lease payments	$	2,271,978

Leases

Leases

As of September 30, 2019, the Company operated 335 communities under long-term leases (244 operating leases and 91 financing leases). The substantial majority of the Company's lease arrangements are structured as master leases. Under a master lease, numerous communities are leased through an indivisible lease. The Company typically guarantees the performance and lease payment obligations of its subsidiary lessees under the master leases. Due to the nature of such master leases, it is difficult to restructure the composition of such leased portfolios or economic terms of the leases without the consent of the applicable landlord. In addition, an event of default related to an individual property or limited number of properties within a master lease portfolio may result in a default on the entire master lease portfolio.

The leases relating to these communities are generally fixed rate leases with annual escalators that are either fixed or based upon changes in the consumer price index or the leased property revenue. The Company is responsible for all operating costs, including repairs, property taxes, and insurance. As of September 30, 2019, the weighted-average remaining lease term of the Company’s operating and financing leases was 7.1 years and 8.5 years, respectively. The leases generally provide for renewal or extension options from 5 to 20 years and in some instances, purchase options.

The community leases contain other customary terms, which may include assignment and change of control restrictions, maintenance and capital expenditure obligations, termination provisions and financial covenants, such as those requiring the Company to maintain prescribed minimum net worth and stockholders’ equity levels and lease coverage ratios, and not to exceed prescribed leverage ratios, in each case on a consolidated, portfolio-wide, multi-community, single-community and/or entity basis. In addition, the Company’s lease documents generally contain non-financial covenants, such as those requiring the Company to comply with Medicare or Medicaid provider requirements.

The Company’s failure to comply with applicable covenants could constitute an event of default under the applicable lease documents. Many of the Company’s debt and lease documents contain cross-default provisions so that a default under one of these instruments could cause a default under other debt and lease documents (including documents with other lenders and lessors).

Certain leases contain cure provisions, which generally allow the Company to post an additional lease security deposit if the required covenant is not met. Furthermore, the Company’s leases are secured by its communities and, in certain cases, a guaranty by the Company and/or one or more of its subsidiaries.

As of September 30, 2019, the Company is in compliance with the financial covenants of its long-term leases.

A summary of operating and financing lease expense (including the respective presentation on the condensed consolidated statements of operations) and cash flows from leasing transactions is as follows:

Operating Leases (in thousands)	Three Months Ended September 30, 2019			Nine Months Ended September 30, 2019
Facility operating expense	$	4,532		$	13,761
Facility lease expense	67,253			203,610
Operating lease expense	71,785			217,371
Operating lease expense adjustment	4,814			13,626
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements	(11,043		)	(12,043		)
Operating cash flows from operating leases	$	65,556		$	218,954
Non-cash recognition of right-of-use assets obtained in exchange for new operating lease obligations	$	22,375		$	26,356

Financing Leases (in thousands)	Three Months Ended September 30, 2019		Nine Months Ended September 30, 2019
Depreciation and amortization	$	11,675	$	35,030
Interest expense: financing lease obligations	16,567		49,959
Financing lease expense	$	28,242	$	84,989
Operating cash flows from financing leases	$	16,567	$	49,959
Financing cash flows from financing leases	5,549		16,502
Total cash flows from financing leases	$	22,116	$	66,461

As of September 30, 2019, the weighted-average discount rate of the Company’s operating and financing leases was 8.6% and 7.8%, respectively. As the Company's community leases do not contain an implicit rate, the Company utilized its incremental borrowing rate based on information available on January 1, 2019 to determine the present value of lease payments for operating leases that commenced prior to that date.

The aggregate amounts of future minimum lease payments, including community, office, and equipment leases recognized on the condensed consolidated balance sheet as of September 30, 2019 are as follows (in thousands):

Year Ending December 31,	Operating Leases			Financing Leases
2019 (three months)	$	77,495		$	22,052
2020	312,861			89,090
2021	298,025			90,330
2022	294,696			91,719
2023	290,698			93,190
Thereafter	806,856			429,663
Total lease payments	2,080,631			816,044
Purchase option liability and non-cash gain on future sale of property	—			575,791
Imputed interest and variable lease payments	(572,238		)	(533,798		)
Total lease obligations	$	1,508,393		$	858,037

The aggregate amounts of future minimum operating lease payments, including community, office, and equipment leases not recognized on the condensed consolidated balance sheet under ASC 840 as of December 31, 2018 are as follows (in thousands):

Year Ending December 31,	Operating Leases
2019	$	310,340
2020	307,493
2021	290,661
2022	291,114
2023	285,723
Thereafter	786,647
Total lease payments	$	2,271,978

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Earnings Per Share (Details) - USD ($) shares in Millions, $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018	Jun. 15, 2018
Unvested Restricted Stock
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities (shares)	7.6	6.2	7.6	6.5
Warrant
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities (shares)				9.2
Convertible Senior Notes Due June 2018 | Convertible notes payable
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Principal					$ 316.3
Interest rate					2.75%

XML

Revenue (Tables)

9 Months Ended

Sep. 30, 2019

Revenue from Contract with Customer [Abstract]

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 tables below.

	Three Months Ended September 30, 2019
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	136,274	$	435,367	$	70,353	$	171	$	642,165
Government reimbursement	600		17,107		19,931		89,157		126,795
Other third-party payor programs	—		—		9,820		22,457		32,277
Total resident fee revenue	$	136,874	$	452,474	$	100,104	$	111,785	$	801,237

	Three Months Ended September 30, 2018
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	143,963	$	464,719	$	73,567	$	159	$	682,408
Government reimbursement	668		18,406		20,901		89,100		129,075
Other third-party payor programs	—		—		9,679		19,017		28,696
Total resident fee revenue	$	144,631	$	483,125	$	104,147	$	108,276	$	840,179
	Nine Months Ended September 30, 2019
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	406,667	$	1,310,867	$	212,978	$	554	$	1,931,066
Government reimbursement	1,852		50,358		61,614		269,428		383,252
Other third-party payor programs	—		—		30,492		67,769		98,261
Total resident fee revenue	$	408,519	$	1,361,225	$	305,084	$	337,751	$	2,412,579
	Nine Months Ended September 30, 2018
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	459,875	$	1,482,789	$	217,680	$	585	$	2,160,929
Government reimbursement	2,446		54,643		65,986		272,332		395,407
Other third-party payor programs	—		—		30,346		55,732		86,078
Total resident fee revenue	$	462,321	$	1,537,432	$	314,012	$	328,649	$	2,642,414

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Property, Plant and Equipment and Leasehold Intangibles, Net (Tables)

9 Months Ended

Sep. 30, 2019

Property, Plant and Equipment [Abstract]

Property, plant and equipment and leasehold intangibles, net

As of September 30, 2019 and December 31, 2018, net property, plant and equipment and leasehold intangibles, which include assets under financing leases, consisted of the following:

(in thousands)	September 30, 2019			December 31, 2018
Land	$	454,790		$	455,623
Buildings and improvements	4,812,422			4,749,877
Furniture and equipment	849,573			805,190
Resident and leasehold operating intangibles	319,049			477,827
Construction in progress	80,788			57,636
Assets under financing leases and leasehold improvements	1,832,524			1,776,649
Property, plant and equipment and leasehold intangibles	8,349,146			8,322,802
Accumulated depreciation and amortization	(3,163,465		)	(3,047,375		)
Property, plant and equipment and leasehold intangibles, net	$	5,185,681		$	5,275,427