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Segment Information (Tables)
 12 Months Ended
Dec. 31, 2021
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)202120202019
Revenue and other operating income:
Independent Living (1)(2)
$477,050 $524,421 $544,558 
Assisted Living and Memory Care (1)(2)
1,595,684 1,753,861 1,815,938 
CCRCs (1)(2)
306,213 340,337 402,175 
All Other (3)
202,043 531,879 847,157 
Health Care Services (1)(2)
177,269 389,697 447,260 
Total revenue and other operating income$2,758,259 $3,540,195 $4,057,088 
Segment operating income:(4)
Independent Living$146,108 $182,813 $203,741 
Assisted Living and Memory Care294,320 428,601 518,636 
CCRCs34,109 53,180 72,072 
All Other20,598 130,690 57,108 
Health Care Services5,816 1,863 24,987 
Total segment operating income500,951 797,147 876,544 
General and administrative expense (including non-cash stock-based compensation expense)184,916 206,575 219,289 
Facility operating lease expense:
Independent Living42,162 60,445 81,680 
Assisted Living and Memory Care111,117 137,900 157,823 
CCRCs15,932 20,406 24,248 
Corporate and All Other5,147 5,282 5,915 
Depreciation and amortization:
Independent Living74,922 70,803 81,745 
Assisted Living and Memory Care200,677 224,790 222,574 
CCRCs37,891 38,426 44,163 
Corporate and All Other23,783 24,458 28,704 
Health Care Services340 749 2,247 
Asset impairment:
Independent Living3,483 31,317 1,812 
Assisted Living and Memory Care14,384 61,640 32,229 
CCRCs4,790 12,413 4,983 
Corporate and All other346 1,938 2,664 
Health Care Services— — 7,578 
Loss (gain) on facility operating lease termination, net(2,003)(2,303)3,388 
Income (loss) from operations$(216,936)$(97,692)$(44,498)
Total interest expense:
Independent Living$45,209 $44,682 $46,713 
Assisted Living and Memory Care121,785 134,015 166,097 
CCRCs18,756 19,928 27,426 
Corporate and All Other9,390 10,154 8,105 
$195,140 $208,779 $248,341 
Total capital expenditures for property, plant and equipment, and leasehold intangibles:
Independent Living$36,992 $47,889 $78,831 
Assisted Living and Memory Care105,177 90,354 157,845 
CCRCs19,086 18,709 33,535 
Corporate and All Other21,463 23,638 24,506 
Health Care Services— 515 484 
$182,718 $181,105 $295,201 

As of December 31,
(in thousands)20212020
Total assets:
Independent Living$1,349,341 $1,419,838 
Assisted Living and Memory Care3,601,144 3,787,611 
CCRCs693,386 738,121 
Corporate and All Other766,596 723,010 
Health Care Services— 233,178 
Total assets$6,410,467 $6,901,758 

(1)All revenue and other operating income is earned from external third parties in the United States.
(2)Includes other operating income recognized for the credits or grants pursuant to the employee retention credit, Provider Relief Fund, and other government sources, as described in Note 3. Allocations to the applicable segment generally reflect the credits earned by the segment, the segment’s receipt and acceptance of the grant, or the segment’s proportional utilization of the grant. Other operating income by segment is as follows.
For the Years Ended December 31,
(in thousands)20212020
Independent Living1,512 $11,823 
Assisted Living and Memory Care5,963 62,585 
CCRCs1,788 18,454 
Health Care Services3,105 22,887 
Total other operating income$12,368 $115,749 
(3)All Other revenue and other operating income includes management fees and reimbursements of costs incurred on behalf of managed communities. For the years ended December 31, 2021, 2020, and 2019, revenue and other operating income includes $17.2 million, $67.2 million, and $329.9 million of revenue earned from unconsolidated ventures in which the Company had or has an ownership interest.
(4)Segment operating income is defined as segment revenues and other operating income less segment facility operating expenses (excluding facility depreciation and amortization) and costs incurred on behalf of managed communities.