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Revenue
6 Months Ended
Jun. 30, 2020
Revenue from Contract with Customer [Abstract]  
Revenue Revenue

Disaggregation of Revenue

The Company disaggregates its revenue from contracts with customers by payor source. 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 June 30, 2020
(in thousands)
Independent Living
 
Assisted Living and Memory Care
 
CCRCs
 
Health Care Services
 
Total
Private pay
$
129,678

 
$
414,276

 
$
59,980

 
$
258

 
$
604,192

Government reimbursement
600

 
17,880

 
13,744

 
70,566

 
102,790

Other third-party payor programs

 

 
5,301

 
19,346

 
24,647

Total resident fee revenue
$
130,278

 
$
432,156

 
$
79,025

 
$
90,170

 
$
731,629

 
 
 
 
 
 
 
 
 
 
 
Three Months Ended June 30, 2019
(in thousands)
Independent Living
 
Assisted Living and Memory Care
 
CCRCs
 
Health Care Services
 
Total
Private pay
$
135,348

 
$
433,589

 
$
71,092

 
$
193

 
$
640,222

Government reimbursement
603

 
16,636

 
20,196

 
91,614

 
129,049

Other third-party payor programs

 

 
9,965

 
22,627

 
32,592

Total resident fee revenue
$
135,951

 
$
450,225

 
$
101,253

 
$
114,434

 
$
801,863

 
 
 
 
 
 
 
 
 
 
 
Six Months Ended June 30, 2020
(in thousands)
Independent Living
 
Assisted Living and Memory Care
 
CCRCs
 
Health Care Services
 
Total
Private pay
$
264,968

 
$
854,889

 
$
124,683

 
$
428

 
$
1,244,968

Government reimbursement
1,172

 
34,746

 
33,149

 
144,255

 
213,322

Other third-party payor programs

 

 
15,740

 
40,306

 
56,046

Total resident fee revenue
$
266,140

 
$
889,635

 
$
173,572

 
$
184,989

 
$
1,514,336

 
 
 
 
 
 
 
 
 
 
 
Six Months Ended June 30, 2019
(in thousands)
Independent Living
 
Assisted Living and Memory Care
 
CCRCs
 
Health Care Services
 
Total
Private pay
$
270,393

 
$
875,500

 
$
142,625

 
$
383

 
$
1,288,901

Government reimbursement
1,252

 
33,251

 
41,683

 
180,271

 
256,457

Other third-party payor programs

 

 
20,672

 
45,312

 
65,984

Total resident fee revenue
$
271,645

 
$
908,751

 
$
204,980

 
$
225,966

 
$
1,611,342


Contract Balances

The payment terms and conditions within the Company's revenue-generating contracts vary by contract type and payor source, although terms generally include payment to be made within 30 days.

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 healthcare services is generally billed monthly in arrears. A portion of the Company's reimbursement from Medicare for certain healthcare services is billed near the start of each period of care, and cash is generally received before all services are rendered. The amount of revenue recognized for periods of care which are incomplete at period end is based on the Company's historical average percentage of days complete on each period of care and any unearned amounts are deferred and recognized when the service is performed. 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 and other liabilities within the condensed consolidated balance sheets) of $154.7 million and $72.5 million, including $34.7 million and $38.9 million of monthly resident fees billed and received in advance, as of June 30, 2020 and December 31, 2019, respectively. Such amount of total deferred revenue as of June 30, 2020 also included $85.0 million received in April 2020 under a temporary expansion of the Accelerated and Advance Payment Program administered by the Centers for Medicare & Medicaid Services ("CMS"). Such amount of advance receipts is anticipated to either be recognized as revenue and retained by the Company during the recoupment period from August to November 2020 as services are provided or refunded by the Company at the conclusion of such period. Refer to Note 3 for additional information on such program. For the six months ended June 30, 2020 and 2019, the Company recognized $55.2 million and $72.7 million, respectively, of revenue that was included in the deferred revenue balance as of January 1, 2020 and 2019. 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.

For both the three months ended June 30, 2020 and 2019, the Company recognized $3.6 million and for both the six months ended June 30, 2020 and 2019, the Company recognized $7.6 million and $7.1 million, respectively, of charges within facility operating expense within the condensed consolidated statements of operations for additions to the allowance for credit losses.