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Segment Information (Tables) | 12 Months Ended
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Dec. 31, 2018
Segment Reporting [Abstract] |
Schedule of segment reporting infomration | The following table sets forth selected segment financial and operating data:
| For the Years Ended December 31,
(in thousands) | 2018 |  | 2017 |  | 2016
Revenue: |  |  |  |  |
Independent Living (1) | $ | 599,977 |  |  | $ | 654,196 |  |  | $ | 679,503 |
Assisted Living and Memory Care (1) | 1,995,851 |  |  | 2,210,688 |  |  | 2,419,459 |
CCRCs (1) | 416,408 |  |  | 468,994 |  |  | 592,826 |
Health Care Services (1) | 436,975 |  |  | 446,262 |  |  | 476,833 |
Management Services (2) | 1,082,215 |  |  | 966,976 |  |  | 808,359 |
| $ | 4,531,426 |  |  | $ | 4,747,116 |  |  | $ | 4,976,980 |
Segment Operating Income (3): |  |  |  |  |  |  |  |
Independent Living | $ | 240,609 |  |  | $ | 271,417 |  |  | $ | 294,530 |
Assisted Living and Memory Care | 628,982 |  |  | 749,058 |  |  | 876,817 |
CCRCs | 92,212 |  |  | 106,162 |  |  | 133,409 |
Health Care Services | 34,080 |  |  | 51,348 |  |  | 64,463 |
Management Services | 71,986 |  |  | 75,845 |  |  | 70,762 |
| 1,067,869 |  |  | 1,253,830 |  |  | 1,439,981 |
General and administrative (including non-cash stock-based compensation expense) | 250,495 |  |  | 255,446 |  |  | 313,409 |
Transaction costs | 8,980 |  |  | 22,573 |  |  | 3,990 |
Facility lease expense: |  |  |  |  |  |  |  |
Independent Living | 93,496 |  |  | 117,131 |  |  | 120,272 |
Assisted Living and Memory Care | 178,716 |  |  | 185,971 |  |  | 193,670 |
CCRCs | 24,856 |  |  | 29,464 |  |  | 51,727 |
Health Care Services | — |  |  | — |  |  | — |
Corporate and Management Services | 6,226 |  |  | 7,155 |  |  | 7,966 |
Depreciation and amortization: |  |  |  |  |  |  |  |
Independent Living | 91,899 |  |  | 95,226 |  |  | 94,049 |
Assisted Living and Memory Care | 261,365 |  |  | 290,344 |  |  | 308,639 |
CCRCs | 53,551 |  |  | 44,294 |  |  | 66,431 |
Health Care Services | 3,201 |  |  | 3,723 |  |  | 4,075 |
Corporate and Management Services | 37,439 |  |  | 48,490 |  |  | 47,208 |
Goodwill and asset impairment: |  |  |  |  |
Independent Living | 2,013 |  |  | 2,968 |  |  | 31,384 |
Assisted Living and Memory Care | 436,892 |  |  | 342,788 |  |  | 132,389 |
CCRCs | 6,669 |  |  | 18,083 |  |  | 46,329 |
Health Care Services | 9,055 |  |  | 14,599 |  |  | 1,596 |
Corporate and Management Services | 35,264 |  |  | 31,344 |  |  | 36,817 |
Loss on facility lease termination and modification, net | 162,001 |  |  | 14,276 |  |  | 11,113 |
Income (loss) from operations | $ | (594,249 | ) |  | $ | (270,045 | ) |  | $ | (31,083 | )
Total interest expense: |  |  |  |  |  |  |  |
Independent Living | $ | 58,783 |  |  | $ | 55,436 |  |  | $ | 56,827 |
Assisted Living and Memory Care | 174,459 |  |  | 207,861 |  |  | 249,449 |
CCRCs | 26,746 |  |  | 27,665 |  |  | 39,824 |
Health Care Services | — |  |  | 892 |  |  | 1,461 |
Corporate and Management Services | 20,281 |  |  | 34,300 |  |  | 38,056 |
| $ | 280,269 |  |  | $ | 326,154 |  |  | $ | 385,617 |
Total capital expenditures for property, plant and equipment, and leasehold intangibles: |  |  |  |  |  |  |  |
Independent Living | $ | 51,510 |  |  | $ | 47,309 |  |  | $ | 59,978 |
Assisted Living and Memory Care | 125,750 |  |  | 119,717 |  |  | 156,732 |
CCRCs | 26,615 |  |  | 24,297 |  |  | 37,800 |
Health Care Services | 902 |  |  | 755 |  |  | 1,576 |
Corporate and Management Services | 16,033 |  |  | 29,398 |  |  | 44,027 |
| $ | 220,810 |  |  | $ | 221,476 |  |  | $ | 300,113 |
| As of December 31,
(in thousands) | 2018 |  | 2017
Total assets: |  |  |
Independent Living | $ | 1,104,774 |  |  | $ | 1,266,076 |
Assisted Living and Memory Care | 3,684,170 |  |  | 4,535,114 |
CCRCs | 707,819 |  |  | 667,234 |
Health Care Services | 254,950 |  |  | 257,257 |
Corporate and Management Services | 715,547 |  |  | 949,768 |
| $ | 6,467,260 |  |  | $ | 7,675,449 |
(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 depreciation and amortization) and costs incurred on behalf of managed communities.

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- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8736-108599 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8813-108599 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=108376223&loc=d3e13816-109267 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8721-108599 Reference 5: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8906-108599 + Details
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