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Segment Information (Tables)
9 Months Ended
Sep. 30, 2019
Segment Reporting [Abstract]  
Schedule of segment reporting information
The following table sets forth selected segment financial and operating data:
 
Three Months Ended
September 30,
 
Nine Months Ended
September 30,
(in thousands)
2019
 
2018
 
2019
 
2018
Revenue:
 
 
 
 
 
 
 
Independent Living (1)
$
136,874

 
$
144,631

 
$
408,519

 
$
462,321

Assisted Living and Memory Care (1)
452,474

 
483,125

 
1,361,225

 
1,537,432

CCRCs (1)
100,104

 
104,147

 
305,084

 
314,012

Health Care Services (1)
111,785

 
108,276

 
337,751

 
328,649

Management Services (2)
207,712

 
279,883

 
657,871

 
820,082

Total revenue
$
1,008,949

 
$
1,120,062

 
$
3,070,450

 
$
3,462,496

Segment operating income: (3)
 
 
 
 
 
 
 
Independent Living
$
49,414

 
$
57,106

 
$
153,749

 
$
186,662

Assisted Living and Memory Care
116,856

 
144,701

 
390,699

 
490,976

CCRCs
14,472

 
21,809

 
53,956

 
70,291

Health Care Services
4,778

 
9,487

 
22,118

 
28,008

Management Services
13,564

 
18,528

 
44,756

 
54,280

Total segment operating income
199,084

 
251,631

 
665,278

 
830,217

General and administrative expense (including non-cash stock-based compensation expense)
56,409

 
58,796

 
170,296

 
203,138

Facility operating lease expense
67,253

 
70,392

 
203,610

 
232,752

Depreciation and amortization
93,550

 
110,980

 
284,462

 
341,351

Goodwill and asset impairment
2,094

 
5,500

 
6,254

 
451,966

Loss (gain) on facility lease termination and modification, net

 
2,337

 
2,006

 
148,804

Income (loss) from operations
$
(20,222
)
 
$
3,626

 
$
(1,350
)
 
$
(547,794
)

 
As of
(in thousands)
September 30, 2019
 
December 31, 2018
Total assets:
 
 
 
Independent Living
$
1,461,087

 
$
1,104,774

Assisted Living and Memory Care
4,271,885

 
3,684,170

CCRCs
786,825

 
707,819

Health Care Services
273,943

 
254,950

Corporate and Management Services
580,463

 
715,547

Total assets
$
7,374,203

 
$
6,467,260


(1)
All revenue is earned from external third parties in the United States.

(2)
Management services segment revenue includes management fees and reimbursements of costs incurred on behalf of managed communities.

(3)
Segment operating income is defined as segment revenues less segment facility operating expense (excluding depreciation and amortization) and costs incurred on behalf of managed communities.