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v3.20.4

Segment Information (Details) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2020 USD ($) | Dec. 31, 2020 USD ($) segment | Dec. 31, 2019 USD ($) | Dec. 31, 2018 USD ($)
Segment Reporting Information [Line Items] |  |  |  |
Number of reportable segments | segment |  | 5 |  |
Revenue |  | $ 3,540,195 | $ 4,057,088 | $ 4,531,426
Segment operating income |  | 797,147 | 876,544 | 1,067,869
General and administrative (including non-cash stock-based compensation expense) |  | 206,575 | 219,289 | 259,475
Facility operating lease expense |  | 224,033 | 269,666 | 303,294
Depreciation and amortization |  | 359,226 | 379,433 | 447,455
Asset impairment |  | 107,308 | 49,266 | 489,893
Loss (gain) on facility lease termination and modification, net |  | (2,303) | 3,388 | 162,001
Income (loss) from operations |  | (97,692) | (44,498) | (594,249)
Total interest expense |  | 208,779 | 248,341 | 280,269
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 181,105 | 295,201 | 220,810
Assets | $ 6,901,758 | 6,901,758 | 7,194,433 |
Independent Living | CARES Act |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Cash made available for Provider Relief Fund | 11,800 |  |  |
Assisted Living and Memory Care | CARES Act |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Cash made available for Provider Relief Fund | 62,600 |  |  |
CCRCs | CARES Act |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Cash made available for Provider Relief Fund | 18,500 |  |  |
Health Care Services | CARES Act |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Cash made available for Provider Relief Fund | 22,900 |  |  |
Operating segments | Independent Living |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenue |  | 524,421 | 544,558 | 599,977
Segment operating income |  | 182,813 | 203,741 | 240,609
Facility operating lease expense |  | 60,445 | 81,680 | 93,496
Depreciation and amortization |  | 70,803 | 81,745 | 91,899
Asset impairment |  | 31,317 | 1,812 | 2,013
Total interest expense |  | 44,682 | 46,713 | 58,783
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 47,889 | 78,831 | 51,510
Assets | 1,419,838 | 1,419,838 | 1,441,652 |
Operating segments | Assisted Living and Memory Care |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenue |  | 1,753,861 | 1,815,938 | 1,995,851
Segment operating income |  | 428,601 | 518,636 | 628,982
Facility operating lease expense |  | 137,900 | 157,823 | 178,716
Depreciation and amortization |  | 224,790 | 222,574 | 261,365
Asset impairment |  | 61,640 | 32,229 | 436,892
Total interest expense |  | 134,015 | 166,097 | 174,459
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 90,354 | 157,845 | 125,750
Assets | 3,787,611 | 3,787,611 | 4,157,610 |
Operating segments | CCRCs |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenue |  | 340,337 | 402,175 | 416,408
Segment operating income |  | 53,180 | 72,072 | 92,212
Facility operating lease expense |  | 20,406 | 24,248 | 24,856
Depreciation and amortization |  | 38,426 | 44,163 | 53,551
Asset impairment |  | 12,413 | 4,983 | 6,669
Total interest expense |  | 19,928 | 27,426 | 26,746
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 18,709 | 33,535 | 26,615
Assets | 738,121 | 738,121 | 742,809 |
Operating segments | Health Care Services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenue |  | 389,697 | 447,260 | 436,975
Segment operating income |  | 1,863 | 24,987 | 34,080
Depreciation and amortization |  | 749 | 2,247 | 3,201
Asset impairment |  | 0 | 7,578 | 9,055
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 515 | 484 | 902
Assets | 233,178 | 233,178 | 256,715 |
Operating segments | Corporate and Management Services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenue |  | 531,879 | 847,157 | 1,082,215
Segment operating income |  | 130,690 | 57,108 | 71,986
Facility operating lease expense |  | 5,282 | 5,915 | 6,226
Depreciation and amortization |  | 24,458 | 28,704 | 37,439
Asset impairment |  | 1,938 | 2,664 | 35,264
Total interest expense |  | 10,154 | 8,105 | 20,281
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 23,638 | 24,506 | $ 16,033
Assets | $ 723,010 | $ 723,010 | $ 595,647 |

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