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v3.22.0.1

Segment Information (Details) $ in Thousands |  | 12 Months Ended
--- | --- | ---
Jul. 01, 2021 | Dec. 31, 2021 USD ($) segment | Dec. 31, 2020 USD ($) | Dec. 31, 2019 USD ($)
Segment Reporting Information [Line Items] |  |  |  |
Number of reportable segments | segment |  | 3 |  |
Revenue |  | $ 2,758,259 | $ 3,540,195 | $ 4,057,088
Segment operating income |  | 500,951 | 797,147 | 876,544
General and administrative expense (including non-cash stock-based compensation expense) |  | 184,916 | 206,575 | 219,289
Facility operating lease expense |  | 174,358 | 224,033 | 269,666
Depreciation and amortization |  | 337,613 | 359,226 | 379,433
Asset impairment |  | 23,003 | 107,308 | 49,266
Loss (gain) on facility operating lease termination, net |  | (2,003) | (2,303) | 3,388
Income (loss) from operations |  | (216,936) | (97,692) | (44,498)
Total interest expense |  | 195,140 | 208,779 | 248,341
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 182,718 | 181,105 | 295,201
Assets |  | 6,410,467 | 6,901,758 |
Equity in earnings (loss) of unconsolidated ventures |  | 10,394 | (2,107) | (4,544)
CARES Act |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Cash made available for Provider Relief Fund |  | $ 12,368 | 115,749 |
Health Care Services | Securities Purchase Agreement | HCA Healthcare, Inc. |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Percentage of ownership sold in transaction | 80.00% |  |  |
Percentage of ownership after transaction | 20.00% | 20.00% |  |
Operating segments | Independent Living |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenue |  | $ 477,050 | 524,421 | 544,558
Segment operating income |  | 146,108 | 182,813 | 203,741
Facility operating lease expense |  | 42,162 | 60,445 | 81,680
Depreciation and amortization |  | 74,922 | 70,803 | 81,745
Asset impairment |  | 3,483 | 31,317 | 1,812
Total interest expense |  | 45,209 | 44,682 | 46,713
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 36,992 | 47,889 | 78,831
Assets |  | 1,349,341 | 1,419,838 |
Operating segments | Independent Living | CARES Act |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Cash made available for Provider Relief Fund |  | 1,512 | 11,823 |
Operating segments | Assisted Living and Memory Care |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenue |  | 1,595,684 | 1,753,861 | 1,815,938
Segment operating income |  | 294,320 | 428,601 | 518,636
Facility operating lease expense |  | 111,117 | 137,900 | 157,823
Depreciation and amortization |  | 200,677 | 224,790 | 222,574
Asset impairment |  | 14,384 | 61,640 | 32,229
Total interest expense |  | 121,785 | 134,015 | 166,097
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 105,177 | 90,354 | 157,845
Assets |  | 3,601,144 | 3,787,611 |
Operating segments | Assisted Living and Memory Care | CARES Act |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Cash made available for Provider Relief Fund |  | 5,963 | 62,585 |
Operating segments | CCRCs |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenue |  | 306,213 | 340,337 | 402,175
Segment operating income |  | 34,109 | 53,180 | 72,072
Facility operating lease expense |  | 15,932 | 20,406 | 24,248
Depreciation and amortization |  | 37,891 | 38,426 | 44,163
Asset impairment |  | 4,790 | 12,413 | 4,983
Total interest expense |  | 18,756 | 19,928 | 27,426
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 19,086 | 18,709 | 33,535
Assets |  | 693,386 | 738,121 |
Operating segments | CCRCs | CARES Act |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Cash made available for Provider Relief Fund |  | 1,788 | 18,454 |
Operating segments | Corporate and All Other |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenue |  | 202,043 | 531,879 | 847,157
Segment operating income |  | 20,598 | 130,690 | 57,108
Facility operating lease expense |  | 5,147 | 5,282 | 5,915
Depreciation and amortization |  | 23,783 | 24,458 | 28,704
Asset impairment |  | 0 | 0 | 7,578
Total interest expense |  | 9,390 | 10,154 | 8,105
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 21,463 | 23,638 | 24,506
Assets |  | 766,596 | 723,010 |
Equity in earnings (loss) of unconsolidated ventures |  | 17,200 | 67,200 | 329,900
Operating segments | Health Care Services |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Revenue |  | 177,269 | 389,697 | 447,260
Segment operating income |  | 5,816 | 1,863 | 24,987
Depreciation and amortization |  | 340 | 749 | 2,247
Asset impairment |  | 346 | 1,938 | 2,664
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 0 | 515 | $ 484
Assets |  | 0 | 233,178 |
Operating segments | Health Care Services | CARES Act |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Cash made available for Provider Relief Fund |  | $ 3,105 | $ 22,887 |

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