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Revenue (Tables) | 12 Months Ended
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Dec. 31, 2020
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. Resident fee revenue by payor source and reportable segment is as follows:
| Year Ended December 31, 2020
(in thousands) | Independent Living |  | Assisted Living and Memory Care |  | CCRCs |  | Health Care Services |  | Total
Private pay | $ | 510,254 |  |  | $ | 1,622,117 |  |  | $ | 235,018 |  |  | $ | 906 |  |  | $ | 2,368,295 |
Government reimbursement | 2,344 |  |  | 69,159 |  |  | 59,614 |  |  | 287,512 |  |  | 418,629 |
Other third-party payor programs | — |  |  | — |  |  | 27,251 |  |  | 78,392 |  |  | 105,643 |
Total resident fee revenue | $ | 512,598 |  |  | $ | 1,691,276 |  |  | $ | 321,883 |  |  | $ | 366,810 |  |  | $ | 2,892,567 |
| Year Ended December 31, 2019
(in thousands) | Independent Living |  | Assisted Living and Memory Care |  | CCRCs |  | Health Care Services |  | Total
Private pay | $ | 542,112 |  |  | $ | 1,748,364 |  |  | $ | 281,197 |  |  | $ | 753 |  |  | $ | 2,572,426 |
Government reimbursement | 2,446 |  |  | 67,574 |  |  | 81,054 |  |  | 357,963 |  |  | 509,037 |
Other third-party payor programs | — |  |  | — |  |  | 39,924 |  |  | 88,544 |  |  | 128,468 |
Total resident fee revenue | $ | 544,558 |  |  | $ | 1,815,938 |  |  | $ | 402,175 |  |  | $ | 447,260 |  |  | $ | 3,209,931 |
| Year Ended December 31, 2018
(in thousands) | Independent Living |  | Assisted Living and Memory Care |  | CCRCs |  | Health Care Services |  | Total
Private pay | $ | 596,852 |  |  | $ | 1,923,676 |  |  | $ | 288,682 |  |  | $ | 693 |  |  | $ | 2,809,903 |
Government reimbursement | 3,125 |  |  | 72,175 |  |  | 87,028 |  |  | 359,881 |  |  | 522,209 |
Other third-party payor programs | — |  |  | — |  |  | 40,698 |  |  | 76,401 |  |  | 117,099 |
Total resident fee revenue | $ | 599,977 |  |  | $ | 1,995,851 |  |  | $ | 416,408 |  |  | $ | 436,975 |  |  | $ | 3,449,211 |
Accounts Receivable, Allowance for Credit Loss | The following table presents the changes in allowance for credit losses on accounts receivable for the periods indicated:
|  | For the Years Ended December 31,
(in millions) |  | 2020 |  | 2019 |  | 2018
Balance at beginning of period |  | $ | 7.8 |  |  | $ | 7.9 |  |  | $ | 9.8 |
Provision within facility operating expense |  | 16.7 |  |  | 15.2 |  |  | 17.6 |
Write-offs |  | (16.2) |  |  | (19.5) |  |  | (22.3) |
Recoveries and other |  | 1.5 |  |  | 4.2 |  |  | 2.8 |
Balance at end of period |  | $ | 9.8 |  |  | $ | 7.8 |  |  | $ | 7.9 |

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- Definition Tabular disclosure of allowance for credit loss on accounts receivable. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 326 -SubTopic 20 -Section 50 -Paragraph 13 -URI http://asc.fasb.org/extlink&oid=121599337&loc=SL82919249-210447 + Details
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- Definition Tabular disclosure of disaggregation of revenue into categories depicting how nature, amount, timing, and uncertainty of revenue and cash flows are affected by economic factor. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=121604090&loc=SL49130545-203045 + Details
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