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Revenue (Tables) | 12 Months Ended
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Dec. 31, 2021
Revenue from Contract with Customer [Abstract] |
Disaggregation of Revenue | Resident fee revenue by payor source and reportable segment is as follows.
| Year Ended December 31, 2021
(in thousands) | Independent Living |  | Assisted Living and Memory Care |  | CCRCs |  | Health Care Services |  | Total
Private pay | $ | 473,740 |  |  | $ | 1,521,588 |  |  | $ | 212,981 |  |  | $ | 601 |  |  | $ | 2,208,910 |
Government reimbursement | 1,798 |  |  | 68,133 |  |  | 57,362 |  |  | 134,083 |  |  | 261,376 |
Other third-party payor programs | — |  |  | — |  |  | 34,082 |  |  | 39,480 |  |  | 73,562 |
Total resident fee revenue | $ | 475,538 |  |  | $ | 1,589,721 |  |  | $ | 304,425 |  |  | $ | 174,164 |  |  | $ | 2,543,848 |
| 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 |
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) |  | 2021 |  | 2020 |  | 2019
Balance at beginning of period |  | $ | 9.8 |  |  | $ | 7.8 |  |  | $ | 7.9 |
Provision within facility operating expense |  | 21.6 |  |  | 16.7 |  |  | 15.2 |
Write-offs |  | (19.2) |  |  | (16.2) |  |  | (19.5) |
Recoveries and other |  | 1.1 |  |  | 1.5 |  |  | 4.2 |
Balance at end of period |  | $ | 13.3 |  |  | $ | 9.8 |  |  | $ | 7.8 |

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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=123351226&loc=SL49130545-203045 + Details
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