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Segment Information | 12 Months Ended
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Dec. 31, 2020
Segment Reporting [Abstract] |
Segment Information | Segment Information The Company has five reportable segments: Independent Living; Assisted Living and Memory Care; CCRCs; Health Care Services; and Management Services. Operating segments are defined as components of an enterprise that engage in business activities from which it may earn revenues and incur expenses; for which separate financial information is available; and whose operating results are regularly reviewed by the chief operating decision maker to assess the performance of the individual segment and make decisions about resources to be allocated to the segment. Independent Living. The Company's Independent Living segment includes owned or leased communities are primarily designed for middle to upper income seniors who desire to live in a residential setting that feels like home, without the efforts of ownership. The majority of the Company's independent living communities consist of both independent and assisted living units in a single community, which allows residents to age-in-place by providing them with a broad continuum of senior independent and assisted living services to accommodate their changing needs. Assisted Living and Memory Care. The Company's Assisted Living and Memory Care segment includes owned or leased communities that offer housing and 24-hour assistance with ADLs for mid-acuity and frail elderly residents. The Company's assisted living and memory care communities include both freestanding, multi-story communities, as well as smaller, freestanding, single story communities. The Company also provides memory care services at freestanding memory care communities that are specially designed for residents with Alzheimer's disease and other dementias. CCRCs. The Company's CCRCs segment includes large owned or leased communities that offer a variety of living arrangements and services to accommodate a broad spectrum of physical ability and healthcare needs. Most of the Company's CCRCs have independent living, assisted living, memory care, and skilled nursing available on one campus or within the immediate area. Health Care Services. The Company's Health Care Services segment includes the home health, hospice, and outpatient therapy services provided to residents of many of its communities and to seniors living outside its communities. The Health Care Services segment does not include the skilled nursing and inpatient healthcare services provided in the Company's skilled nursing units, which are included in the Company's CCRCs segment. Management Services. The Company's Management Services segment includes communities operated by the Company pursuant to management agreements. In some of the cases, the controlling financial interest in the community is held by third parties and, in other cases, the community is owned in a venture structure in which the Company has an ownership interest. Under the management agreements for these communities, the Company receives management fees as well as reimbursed expenses, which represent the reimbursement of expenses it incurs on behalf of the owners. The accounting policies of the Company's reportable segments are the same as those described in the summary of significant accounting policies in Note 2. The following table sets forth selected segment financial data:
| For the Years Ended December 31,
(in thousands) | 2020 |  | 2019 |  | 2018
Revenue and other operating income: |  |  |  |  |
Independent Living (1)(2) | $ | 524,421 |  |  | $ | 544,558 |  |  | $ | 599,977 |
Assisted Living and Memory Care (1)(2) | 1,753,861 |  |  | 1,815,938 |  |  | 1,995,851 |
CCRCs (1)(2) | 340,337 |  |  | 402,175 |  |  | 416,408 |
Health Care Services (1)(2) | 389,697 |  |  | 447,260 |  |  | 436,975 |
Management Services (3) | 531,879 |  |  | 847,157 |  |  | 1,082,215 |
Total revenue and other operating income | $ | 3,540,195 |  |  | $ | 4,057,088 |  |  | $ | 4,531,426 |
Segment operating income:(4) |  |  |  |  |
Independent Living | $ | 182,813 |  |  | $ | 203,741 |  |  | $ | 240,609 |
Assisted Living and Memory Care | 428,601 |  |  | 518,636 |  |  | 628,982 |
CCRCs | 53,180 |  |  | 72,072 |  |  | 92,212 |
Health Care Services | 1,863 |  |  | 24,987 |  |  | 34,080 |
Management Services | 130,690 |  |  | 57,108 |  |  | 71,986 |
Total 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: |  |  |  |  |
Independent Living | 60,445 |  |  | 81,680 |  |  | 93,496 |
Assisted Living and Memory Care | 137,900 |  |  | 157,823 |  |  | 178,716 |
CCRCs | 20,406 |  |  | 24,248 |  |  | 24,856 |
Corporate and Management Services | 5,282 |  |  | 5,915 |  |  | 6,226 |
Depreciation and amortization: |  |  |  |  |
Independent Living | 70,803 |  |  | 81,745 |  |  | 91,899 |
Assisted Living and Memory Care | 224,790 |  |  | 222,574 |  |  | 261,365 |
CCRCs | 38,426 |  |  | 44,163 |  |  | 53,551 |
Health Care Services | 749 |  |  | 2,247 |  |  | 3,201 |
Corporate and Management Services | 24,458 |  |  | 28,704 |  |  | 37,439 |
| For the Years Ended December 31,
(in thousands) | 2020 |  | 2019 |  | 2018
Asset impairment: |  |  |  |  |
Independent Living | 31,317 |  |  | 1,812 |  |  | 2,013 |
Assisted Living and Memory Care | 61,640 |  |  | 32,229 |  |  | 436,892 |
CCRCs | 12,413 |  |  | 4,983 |  |  | 6,669 |
Health Care Services | — |  |  | 7,578 |  |  | 9,055 |
Corporate and Management Services | 1,938 |  |  | 2,664 |  |  | 35,264 |
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: |  |  |  |  |
Independent Living | $ | 44,682 |  |  | $ | 46,713 |  |  | $ | 58,783 |
Assisted Living and Memory Care | 134,015 |  |  | 166,097 |  |  | 174,459 |
CCRCs | 19,928 |  |  | 27,426 |  |  | 26,746 |
Corporate and Management Services | 10,154 |  |  | 8,105 |  |  | 20,281 |
| $ | 208,779 |  |  | $ | 248,341 |  |  | $ | 280,269 |
Total capital expenditures for property, plant and equipment, and leasehold intangibles: |  |  |  |  |
Independent Living | $ | 47,889 |  |  | $ | 78,831 |  |  | $ | 51,510 |
Assisted Living and Memory Care | 90,354 |  |  | 157,845 |  |  | 125,750 |
CCRCs | 18,709 |  |  | 33,535 |  |  | 26,615 |
Health Care Services | 515 |  |  | 484 |  |  | 902 |
Corporate and Management Services | 23,638 |  |  | 24,506 |  |  | 16,033 |
| $ | 181,105 |  |  | $ | 295,201 |  |  | $ | 220,810 |
| As of December 31,
(in thousands) | 2020 |  | 2019
Total assets: |  |  |
Independent Living | $ | 1,419,838 |  |  | $ | 1,441,652 |
Assisted Living and Memory Care | 3,787,611 |  |  | 4,157,610 |
CCRCs | 738,121 |  |  | 742,809 |
Health Care Services | 233,178 |  |  | 256,715 |
Corporate and Management Services | 723,010 |  |  | 595,647 |
Total assets | $ | 6,901,758 |  |  | $ | 7,194,433 |
(1)All revenue is earned from external third parties in the United States. (2)The Independent Living, Assisted Living and Memory Care, CCRCs, and Health Care Services segments include $11.8 million, $62.6 million, $18.5 million, and $22.9 million, respectively, for the year ended December 31, 2020 of other operating income recognized for grants pursuant to the Provider Relief Fund described in Note 3 and other government sources. Allocations to the applicable segment generally reflect the segment's receipt and acceptance of the amounts or the segment's proportional utilization of the grant. (3)Management services segment revenue includes reimbursements for which the Company is the primary obligor of costs incurred on behalf of managed communities. (4)Segment operating income is defined as segment revenues less segment facility operating expenses (excluding facility depreciation and amortization) and costs incurred on behalf of managed communities.

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- Definition The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 31 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8924-108599 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 34 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8981-108599 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8721-108599 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 40 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e9031-108599 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (f) -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8933-108599 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (e) -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8933-108599 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 26 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8844-108599 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 41 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e9038-108599 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (d) -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8933-108599 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8736-108599 Reference 11: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 42 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e9054-108599 Reference 12: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 15 -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8657-108599 Reference 13: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=120311839&loc=d3e8721-108599 Reference 14: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -URI http://asc.fasb.org/topic&trid=2134510 + Details
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