XML 119 R103.htm IDEA: XBRL DOCUMENT
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Segment Information (Details) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2018 USD ($) | Sep. 30, 2018 USD ($) | Jun. 30, 2018 USD ($) | Mar. 31, 2018 USD ($) | Dec. 31, 2017 USD ($) | Sep. 30, 2017 USD ($) | Jun. 30, 2017 USD ($) | Mar. 31, 2017 USD ($) | Dec. 31, 2018 USD ($) segment | Dec. 31, 2017 USD ($) | Dec. 31, 2016 USD ($)
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Number of reportable segments | segment |  |  |  |  |  |  |  |  | 5 |  |
Revenues | $ 1,068,930 | $ 1,120,062 | $ 1,155,200 | $ 1,187,234 | $ 1,165,890 | $ 1,177,988 | $ 1,186,472 | $ 1,216,766 | $ 4,531,426 | $ 4,747,116 | $ 4,976,980
Segment Operating Income |  |  |  |  |  |  |  |  | 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 |  |  |  |  |  |  |  |  | 303,294 | 339,721 | 373,635
Depreciation and amortization |  |  |  |  |  |  |  |  | 447,455 | 482,077 | 520,402
Goodwill and asset impairment | 37,927 | 5,500 | 16,103 | 430,363 | 18,966 | 368,551 | 1,559 | 20,706 | 489,893 | 409,782 | 248,515
Loss on facility lease termination and modification, net | 13,197 | 2,337 | 146,467 | 0 |  |  |  |  | 162,001 | 14,276 | 11,113
Income (loss) from operations | (46,455) | $ 3,626 | $ (137,589) | $ (413,831) | 2,625 | $ (350,970) | $ 30,174 | $ 48,126 | (594,249) | (270,045) | (31,083)
Total interest expense |  |  |  |  |  |  |  |  | 280,269 | 326,154 | 385,617
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  |  |  |  |  |  |  |  | 220,810 | 221,476 | 300,113
Assets | 6,467,260 |  |  |  | 7,675,449 |  |  |  | 6,467,260 | 7,675,449 |
Health Care Services |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Goodwill and asset impairment |  |  |  |  |  |  |  |  | 9,100 | 14,600 |
Operating segments | Independent Living |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Revenues |  |  |  |  |  |  |  |  | 599,977 | 654,196 | 679,503
Segment Operating Income |  |  |  |  |  |  |  |  | 240,609 | 271,417 | 294,530
Facility lease expense |  |  |  |  |  |  |  |  | 93,496 | 117,131 | 120,272
Depreciation and amortization |  |  |  |  |  |  |  |  | 91,899 | 95,226 | 94,049
Goodwill and asset impairment |  |  |  |  |  |  |  |  | 2,013 | 2,968 | 31,384
Total interest expense |  |  |  |  |  |  |  |  | 58,783 | 55,436 | 56,827
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  |  |  |  |  |  |  |  | 51,510 | 47,309 | 59,978
Assets | 1,104,774 |  |  |  | 1,266,076 |  |  |  | 1,104,774 | 1,266,076 |
Operating segments | Assisted Living and Memory Care |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Revenues |  |  |  |  |  |  |  |  | 1,995,851 | 2,210,688 | 2,419,459
Segment Operating Income |  |  |  |  |  |  |  |  | 628,982 | 749,058 | 876,817
Facility lease expense |  |  |  |  |  |  |  |  | 178,716 | 185,971 | 193,670
Depreciation and amortization |  |  |  |  |  |  |  |  | 261,365 | 290,344 | 308,639
Goodwill and asset impairment |  |  |  |  |  |  |  |  | 436,892 | 342,788 | 132,389
Total interest expense |  |  |  |  |  |  |  |  | 174,459 | 207,861 | 249,449
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  |  |  |  |  |  |  |  | 125,750 | 119,717 | 156,732
Assets | 3,684,170 |  |  |  | 4,535,114 |  |  |  | 3,684,170 | 4,535,114 |
Operating segments | CCRCs |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Revenues |  |  |  |  |  |  |  |  | 416,408 | 468,994 | 592,826
Segment Operating Income |  |  |  |  |  |  |  |  | 92,212 | 106,162 | 133,409
Facility lease expense |  |  |  |  |  |  |  |  | 24,856 | 29,464 | 51,727
Depreciation and amortization |  |  |  |  |  |  |  |  | 53,551 | 44,294 | 66,431
Goodwill and asset impairment |  |  |  |  |  |  |  |  | 6,669 | 18,083 | 46,329
Total interest expense |  |  |  |  |  |  |  |  | 26,746 | 27,665 | 39,824
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  |  |  |  |  |  |  |  | 26,615 | 24,297 | 37,800
Assets | 707,819 |  |  |  | 667,234 |  |  |  | 707,819 | 667,234 |
Operating segments | Health Care Services |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Revenues |  |  |  |  |  |  |  |  | 436,975 | 446,262 | 476,833
Segment Operating Income |  |  |  |  |  |  |  |  | 34,080 | 51,348 | 64,463
Facility lease expense |  |  |  |  |  |  |  |  | 0 | 0 | 0
Depreciation and amortization |  |  |  |  |  |  |  |  | 3,201 | 3,723 | 4,075
Goodwill and asset impairment |  |  |  |  |  |  |  |  | 9,055 | 14,599 | 1,596
Total interest expense |  |  |  |  |  |  |  |  | 0 | 892 | 1,461
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  |  |  |  |  |  |  |  | 902 | 755 | 1,576
Assets | 254,950 |  |  |  | 257,257 |  |  |  | 254,950 | 257,257 |
Operating segments | Corporate and Management Services |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Revenues |  |  |  |  |  |  |  |  | 1,082,215 | 966,976 | 808,359
Segment Operating Income |  |  |  |  |  |  |  |  | 71,986 | 75,845 | 70,762
Facility lease expense |  |  |  |  |  |  |  |  | 6,226 | 7,155 | 7,966
Depreciation and amortization |  |  |  |  |  |  |  |  | 37,439 | 48,490 | 47,208
Goodwill and asset impairment |  |  |  |  |  |  |  |  | 35,264 | 31,344 | 36,817
Total interest expense |  |  |  |  |  |  |  |  | 20,281 | 34,300 | 38,056
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  |  |  |  |  |  |  |  | 16,033 | 29,398 | $ 44,027
Assets | $ 715,547 |  |  |  | $ 949,768 |  |  |  | $ 715,547 | $ 949,768 |

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