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v3.22.4

Segment Information (Details) $ in Thousands |  | 12 Months Ended |
--- | --- | --- | ---
Jul. 01, 2021 | Dec. 31, 2022 USD ($) segment | Dec. 31, 2021 USD ($) | Dec. 31, 2020 USD ($) | Jan. 01, 2021 USD ($)
Segment Reporting Information [Line Items] |  |  |  |  |
Number of reportable segments | segment |  | 3 |  |  |
Revenue |  | $ 2,825,379 | $ 2,758,259 | $ 3,540,195 |
Segment operating income |  | 594,413 | 500,951 | 797,147 |
General and administrative expense (including non-cash stock-based compensation expense) |  | 168,594 | 184,916 | 206,575 |
Facility operating lease expense |  | 165,294 | 174,358 | 224,033 |
Depreciation and amortization |  | 347,444 | 337,613 | 359,226 |
Asset impairment |  | 29,618 | 23,003 | 107,308 |
Loss (gain) on sale of communities, net |  | (73,850) | 0 | 0 |
Loss (gain) on facility operating lease termination, net |  | 0 | (2,003) | (2,303) |
Income (loss) from operations |  | (42,687) | (216,936) | (97,692) |
Total interest expense |  | 204,717 | 195,140 | 208,779 |
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 200,009 | 182,718 | 181,105 |
Assets |  | 5,937,062 | 6,410,467 |  |
Equity in earnings (loss) of unconsolidated ventures |  | (10,782) | 10,394 | (2,107) |
Goodwill |  | 27,321 | 27,321 |  | $ 154,100
CARES Act |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Cash made available for Provider Relief Fund |  | 80,469 | 12,368 | 115,749 |
Independent Living |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Goodwill |  | $ 27,300 | 27,300 | 27,300 |
Health Care Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Goodwill |  |  |  |  | $ 126,800
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 |  | $ 518,699 | 477,050 | 524,421 |
Segment operating income |  | 158,950 | 146,108 | 182,813 |
Facility operating lease expense |  | 39,700 | 42,162 | 60,445 |
Depreciation and amortization |  | 79,521 | 74,922 | 70,803 |
Asset impairment |  | 10,893 | 3,483 | 31,317 |
Total interest expense |  | 48,788 | 45,209 | 44,682 |
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 44,857 | 36,992 | 47,889 |
Assets |  | 1,267,825 | 1,349,341 |  |
Operating segments | Independent Living | CARES Act |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Cash made available for Provider Relief Fund |  | 10,906 | 1,512 | 11,823 |
Operating segments | Assisted Living and Memory Care |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenue |  | 1,815,722 | 1,595,684 | 1,753,861 |
Segment operating income |  | 379,958 | 294,320 | 428,601 |
Facility operating lease expense |  | 106,961 | 111,117 | 137,900 |
Depreciation and amortization |  | 207,344 | 200,677 | 224,790 |
Asset impairment |  | 11,613 | 14,384 | 61,640 |
Total interest expense |  | 133,139 | 121,785 | 134,015 |
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 111,978 | 105,177 | 90,354 |
Assets |  | 3,329,516 | 3,601,144 |  |
Operating segments | Assisted Living and Memory Care | CARES Act |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Cash made available for Provider Relief Fund |  | 60,630 | 5,963 | 62,585 |
Operating segments | CCRCs |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenue |  | 331,577 | 306,213 | 340,337 |
Segment operating income |  | 43,485 | 34,109 | 53,180 |
Facility operating lease expense |  | 13,883 | 15,932 | 20,406 |
Depreciation and amortization |  | 38,039 | 37,891 | 38,426 |
Asset impairment |  | 5,970 | 4,790 | 12,413 |
Total interest expense |  | 21,251 | 18,756 | 19,928 |
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 20,467 | 19,086 | 18,709 |
Assets |  | 664,502 | 693,386 |  |
Operating segments | CCRCs | CARES Act |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Cash made available for Provider Relief Fund |  | 8,933 | 1,788 | 18,454 |
Operating segments | Corporate and All Other |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenue |  | 159,381 | 202,043 | 531,879 |
Segment operating income |  | 12,020 | 20,598 | 130,690 |
Facility operating lease expense |  | 4,750 | 5,147 | 5,282 |
Depreciation and amortization |  | 22,540 | 23,783 | 24,458 |
Asset impairment |  | 1,142 | 346 | 1,938 |
Total interest expense |  | 1,539 | 9,390 | 10,154 |
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 22,707 | 21,463 | 23,638 |
Assets |  | 675,219 | 766,596 |  |
Equity in earnings (loss) of unconsolidated ventures |  | 4,200 | 17,200 | 67,200 |
Operating segments | Health Care Services |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenue |  | 0 | 177,269 | 389,697 |
Segment operating income |  | 0 | 5,816 | 1,863 |
Depreciation and amortization |  | 0 | 340 | 749 |
Total capital expenditures for property, plant and equipment, and leasehold intangibles |  | 0 | 0 | 515 |
Operating segments | Health Care Services | CARES Act |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Cash made available for Provider Relief Fund |  | $ 0 | $ 3,105 | $ 22,887 |

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