Revenue

9 Months Ended

Sep. 30, 2019

Revenue from Contract with Customer [Abstract]

Disaggregation of Revenue

The Company disaggregates its revenue from contracts with customers by payor source, as 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 September 30, 2019
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	136,274	$	435,367	$	70,353	$	171	$	642,165
Government reimbursement	600		17,107		19,931		89,157		126,795
Other third-party payor programs	—		—		9,820		22,457		32,277
Total resident fee revenue	$	136,874	$	452,474	$	100,104	$	111,785	$	801,237



	Three Months Ended September 30, 2018
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	143,963	$	464,719	$	73,567	$	159	$	682,408
Government reimbursement	668		18,406		20,901		89,100		129,075
Other third-party payor programs	—		—		9,679		19,017		28,696
Total resident fee revenue	$	144,631	$	483,125	$	104,147	$	108,276	$	840,179

	Nine Months Ended September 30, 2019
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	406,667	$	1,310,867	$	212,978	$	554	$	1,931,066
Government reimbursement	1,852		50,358		61,614		269,428		383,252
Other third-party payor programs	—		—		30,492		67,769		98,261
Total resident fee revenue	$	408,519	$	1,361,225	$	305,084	$	337,751	$	2,412,579

	Nine Months Ended September 30, 2018
(in thousands)	Independent Living		Assisted Living and Memory Care		CCRCs		Health Care Services		Total
Private pay	$	459,875	$	1,482,789	$	217,680	$	585	$	2,160,929
Government reimbursement	2,446		54,643		65,986		272,332		395,407
Other third-party payor programs	—		—		30,346		55,732		86,078
Total resident fee revenue	$	462,321	$	1,537,432	$	314,012	$	328,649	$	2,642,414

The Company has not further disaggregated management fee revenues and revenue for reimbursed costs incurred on behalf of managed communities as the economic factors affecting the nature, timing, amount, and uncertainty of revenue and cash flows do not significantly vary within each respective revenue category.

Contract Balances

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 health care services is generally billed monthly in arrears. 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, deferred liabilities, and other liabilities within the condensed consolidated balance sheets) of $75.8 million and $106.4 million, including $31.6 million and $50.6 million of monthly resident fees billed and received in advance, as of September 30, 2019 and December 31, 2018, respectively. For the nine months ended September 30, 2019 and 2018, the Company recognized $83.7 million and $76.2 million, respectively, of revenue that was included in the deferred revenue balance as of January 1, 2019 and 2018. 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.