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Segment Information (Tables)
12 Months Ended
Dec. 31, 2019
Segment Reporting [Abstract]  
Schedule of segment reporting infomration
The following table sets forth selected segment financial data:
 
For the Years Ended December 31,
(in thousands)
2019
 
2018
 
2017
Revenue:
 
 
 
 
 
Independent Living (1)
$
544,558

 
$
599,977

 
$
654,196

Assisted Living and Memory Care (1)
1,815,938

 
1,995,851

 
2,210,688

CCRCs (1)
402,175

 
416,408

 
468,994

Health Care Services (1)
447,260

 
436,975

 
446,262

Management Services (2)
847,157

 
1,082,215

 
966,976

Total revenue
$
4,057,088

 
$
4,531,426

 
$
4,747,116

Segment Operating Income (3):
 
 
 
 
 
Independent Living
$
203,741

 
$
240,609

 
$
271,417

Assisted Living and Memory Care
518,636

 
628,982

 
749,058

CCRCs
72,072

 
92,212

 
106,162

Health Care Services
24,987

 
34,080

 
51,348

Management Services
57,108

 
71,986

 
75,845

Total segment operating income
876,544

 
1,067,869

 
1,253,830

General and administrative (including non-cash stock-based compensation expense)
219,289

 
259,475

 
278,019

Facility lease expense:
 
 
 
 
 
Independent Living
81,680

 
93,496

 
117,131

Assisted Living and Memory Care
157,823

 
178,716

 
185,971

CCRCs
24,248

 
24,856

 
29,464

Corporate and Management Services
5,915

 
6,226

 
7,155

Depreciation and amortization:
 
 
 
 
 
Independent Living
81,745

 
91,899

 
95,226

Assisted Living and Memory Care
222,574

 
261,365

 
290,344

CCRCs
44,163

 
53,551

 
44,294

Health Care Services
2,247

 
3,201

 
3,723

Corporate and Management Services
28,704

 
37,439

 
48,490

Goodwill and asset impairment:
 
 
 
 
 
Independent Living
1,812

 
2,013

 
2,968

Assisted Living and Memory Care
32,229

 
436,892

 
342,788

CCRCs
4,983

 
6,669

 
18,083

Health Care Services
7,578

 
9,055

 
14,599

Corporate and Management Services
2,664

 
35,264

 
31,344

Loss (gain) on facility lease termination and modification, net
3,388

 
162,001

 
14,276

Income (loss) from operations
$
(44,498
)
 
$
(594,249
)
 
$
(270,045
)
 
 
 
 
 
 
Total interest expense:
 
 
 
 
 
Independent Living
$
46,713

 
$
58,783

 
$
55,436

Assisted Living and Memory Care
166,097

 
174,459

 
207,861

CCRCs
27,426

 
26,746

 
27,665

Health Care Services

 

 
892

Corporate and Management Services
8,105

 
20,281

 
34,300

 
$
248,341

 
$
280,269

 
$
326,154

 
 
 
 
 
 
Total capital expenditures for property, plant and equipment, and leasehold intangibles:
 
 
 
 
 
Independent Living
$
78,831

 
$
51,510

 
$
47,309

Assisted Living and Memory Care
157,845

 
125,750

 
119,717

CCRCs
33,535

 
26,615

 
24,297

Health Care Services
484

 
902

 
755

Corporate and Management Services
24,506

 
16,033

 
29,398

 
$
295,201

 
$
220,810

 
$
221,476

 
As of December 31,
(in thousands)
2019
 
2018
Total assets:
 
 
 
Independent Living
$
1,441,652

 
$
1,104,774

Assisted Living and Memory Care
4,157,610

 
3,684,170

CCRCs
742,809

 
707,819

Health Care Services
256,715

 
254,950

Corporate and Management Services
595,647

 
715,547

Total assets
$
7,194,433

 
$
6,467,260


(1)
All revenue is earned from external third parties in the United States.
(2)
Management services segment revenue includes reimbursements for which the Company is the primary obligor of costs incurred on behalf of managed communities.
(3)
Segment operating income is defined as segment revenues less segment facility operating expenses (excluding facility depreciation and amortization) and costs incurred on behalf of managed communities.