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Segment Information (Tables)
 12 Months Ended
Dec. 31, 2020
Segment Reporting [Abstract]  
Schedule of segment reporting infomration
The following table sets forth selected segment financial data:
For the Years Ended December 31,
(in thousands)202020192018
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 $240,609 
Assisted Living and Memory Care428,601 518,636 628,982 
CCRCs53,180 72,072 92,212 
Health Care Services1,863 24,987 34,080 
Management Services130,690 57,108 71,986 
Total segment operating income797,147 876,544 1,067,869 
General and administrative (including non-cash stock-based compensation expense)206,575 219,289 259,475 
Facility operating lease expense:
Independent Living60,445 81,680 93,496 
Assisted Living and Memory Care137,900 157,823 178,716 
CCRCs20,406 24,248 24,856 
Corporate and Management Services5,282 5,915 6,226 
Depreciation and amortization:
Independent Living70,803 81,745 91,899 
Assisted Living and Memory Care224,790 222,574 261,365 
CCRCs38,426 44,163 53,551 
Health Care Services749 2,247 3,201 
Corporate and Management Services24,458 28,704 37,439 
For the Years Ended December 31,
(in thousands)202020192018
Asset impairment:
Independent Living31,317 1,812 2,013 
Assisted Living and Memory Care61,640 32,229 436,892 
CCRCs12,413 4,983 6,669 
Health Care Services— 7,578 9,055 
Corporate and Management Services1,938 2,664 35,264 
Loss (gain) on facility lease termination and modification, net(2,303)3,388 162,001 
Income (loss) from operations$(97,692)$(44,498)$(594,249)
Total interest expense:
Independent Living$44,682 $46,713 $58,783 
Assisted Living and Memory Care134,015 166,097 174,459 
CCRCs19,928 27,426 26,746 
Corporate and Management Services10,154 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 Care90,354 157,845 125,750 
CCRCs18,709 33,535 26,615 
Health Care Services515 484 902 
Corporate and Management Services23,638 24,506 16,033 
$181,105 $295,201 $220,810 

As of December 31,
(in thousands)20202019
Total assets:
Independent Living$1,419,838 $1,441,652 
Assisted Living and Memory Care3,787,611 4,157,610 
CCRCs738,121 742,809 
Health Care Services233,178 256,715 
Corporate and Management Services723,010 595,647 
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.