Reconciliation of Revenue from Segments to Consolidated [Table Text Block] |
Segment revenues by major payor source were as follows: | | | | | | | | | | | | | | | | | | | | | | | | | | | | Year Ended December 31, 2017 | | | | Transitional and Skilled Services | | Assisted and Independent Living Services | | Home Health and Hospice Services | | All Other | | Total Revenue | | Revenue % | | Medicaid | | $ | 603,104 |
| | $ | 30,469 |
| | $ | 11,230 |
| | $ | — |
| | $ | 644,803 |
| | 34.9 | % | | Medicare | | 417,870 |
| | — |
| | 98,014 |
| | — |
| | 515,884 |
| | 27.9 |
| | Medicaid-skilled | | 102,875 |
| | — |
| | — |
| | — |
| | 102,875 |
| | 5.6 |
| | Subtotal | | 1,123,849 |
| | 30,469 |
| | 109,244 |
| | — |
| | 1,263,562 |
| | 68.4 |
| | Managed care | | 281,563 |
| | — |
| | 21,823 |
| | — |
| | 303,386 |
| | 16.4 |
| | Private and other | | 139,798 |
| | 106,177 |
| | 11,336 |
| | 25,058 |
| (1) | 282,369 |
| | 15.2 |
| | Total revenue | | $ | 1,545,210 |
| | $ | 136,646 |
| | $ | 142,403 |
| | $ | 25,058 |
| | $ | 1,849,317 |
| | 100.0 | % | | (1) Private and other payors also includes revenue from all payors generated in other ancillary services for the year ended December 31, 2017. |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | Year Ended December 31, 2016 | | | | Transitional and Skilled Services | | Assisted and Independent Living Services | | Home Health and Hospice Services | | All Other | | Total Revenue | | Revenue % | | Medicaid | | $ | 521,063 |
| | $ | 26,397 |
| | $ | 10,498 |
| | $ | — |
| | $ | 557,958 |
| | 33.7 | % | | Medicare | | 396,519 |
| | — |
| | 80,500 |
| | — |
| | 477,019 |
| | 28.8 |
| | Medicaid-skilled | | 87,517 |
| | — |
| | — |
| | — |
| | 87,517 |
| | 5.3 |
| | Subtotal | | 1,005,099 |
| | 26,397 |
| | 90,998 |
| | — |
| | 1,122,494 |
| | 67.8 |
| | Managed care | | 247,844 |
| | — |
| | 17,664 |
| | — |
| | 265,508 |
| | 16.0 |
| | Private and other | | 121,860 |
| | 97,239 |
| | 7,151 |
| | 40,612 |
| (1) | 266,862 |
| | 16.2 |
| | Total revenue | | $ | 1,374,803 |
| | $ | 123,636 |
| | $ | 115,813 |
| | $ | 40,612 |
| | $ | 1,654,864 |
| | 100.0 | % | | (1) Private and other payors also includes revenue from all payors generated in other ancillary services and urgent care centers for the year ended December 31, 2016. |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | Year Ended December 31, 2015 | | | | Transitional and Skilled Services | | Assisted and Independent Living Services | | Home Health and Hospice Services | | All Other | | Total Revenue | | Revenue % | | Medicaid | | $ | 430,368 |
| | $ | 19,642 |
| | $ | 8,946 |
| | $ | — |
| | $ | 458,956 |
| | 34.2 | % | | Medicare | | 332,429 |
| | — |
| | 63,074 |
| | — |
| | 395,503 |
| | 29.5 |
| | Medicaid-skilled | | 71,905 |
| | — |
| | — |
| | — |
| | 71,905 |
| | 5.4 |
| | Subtotal | | 834,702 |
| | 19,642 |
| | 72,020 |
| | — |
| | 926,364 |
| | 69.1 |
| | Managed care | | 194,743 |
| | — |
| | 12,027 |
| | — |
| | 206,770 |
| | 15.4 |
| | Private and other | | 96,943 |
| | 68,487 |
| | 6,309 |
| | 36,953 |
| (1) | 208,692 |
| | 15.5 |
| | Total revenue | | $ | 1,126,388 |
| | $ | 88,129 |
| | $ | 90,356 |
| | $ | 36,953 |
| | $ | 1,341,826 |
| | 100.0 | % | | (1) Private and other payors also includes revenue from all payors generated in other ancillary services and urgent care centers for the year ended December 31, 2015. |
|
Schedule of Segment Reporting Information, by Segment [Table Text Block] |
The following table sets forth selected financial data consolidated by business segment: | | | | | | | | | | | | | | | | | | | | | | | | | | | | Year Ended December 31, 2017 | | | Transitional and Skilled Services(3) | | Assisted and Independent Living Services(3) | | Home Health and Hospice Services | | All Other | | Elimination | | Total | Revenue from external customers | | $ | 1,545,210 |
| | $ | 136,646 |
| | $ | 142,403 |
| | $ | 25,058 |
| | $ | — |
| | $ | 1,849,317 |
| Intersegment revenue (1) | | 3,023 |
| | — |
| | — |
| | 3,035 |
| | (6,058 | ) | | — |
| Total revenue | | $ | 1,548,233 |
| | $ | 136,646 |
| | $ | 142,403 |
| | $ | 28,093 |
| | $ | (6,058 | ) | | $ | 1,849,317 |
| Segment income (loss) (2) | | $ | 140,272 |
| | $ | 16,736 |
| | $ | 19,717 |
| | $ | (95,440 | ) | | $ | — |
| | $ | 81,285 |
| Interest expense, net of interest income | |
| |
| |
| |
| | | | $ | (12,007 | ) | Income before provision for income taxes | |
| |
| |
| |
| | | | $ | 69,278 |
| Depreciation and amortization | | $ | 29,928 |
| | $ | 6,334 |
| | $ | 945 |
| | $ | 7,265 |
| | $ | — |
| | $ | 44,472 |
| | | | | | | | | | | | | |
(1) Intersegment revenue represents services provided at the Company's operating subsidiaries to the Company's other business lines. (2) Segment income (loss) includes depreciation and amortization expense and excludes general and administrative expense and interest expense for transitional and skilled services, assisted and independent living services and home health and hospice businesses. General and administrative expense is included in the "All Other" category. (3) The Company's campuses represent facilities that offer skilled nursing, assisted and/or independent living services. Revenue and expenses related to skilled nursing, assisted and independent living services have been allocated and recorded in the respective reportable segment. | | | | | | | | | | | | | | | | | | | | | | | | | | | | Year Ended December 31, 2016 | | | Transitional and Skilled Services(3) | | Assisted and Independent Living Services(3) | | Home Health and Hospice Services | | All Other | | Elimination | | Total | Revenue from external customers | | $ | 1,374,803 |
| | $ | 123,636 |
| | $ | 115,813 |
| | $ | 40,612 |
| | $ | — |
| | $ | 1,654,864 |
| Intersegment revenue (1) | | 2,929 |
| | — |
| | — |
| | 2,184 |
| | (5,113 | ) | | — |
| Total revenue | | $ | 1,377,732 |
| | $ | 123,636 |
| | $ | 115,813 |
| | $ | 42,796 |
| | $ | (5,113 | ) | | $ | 1,654,864 |
| Segment income (loss) (2) | | $ | 118,118 |
| | $ | 11,701 |
| | $ | 16,571 |
| | $ | (54,543 | ) | | $ | — |
| | $ | 91,847 |
| Interest expense, net of interest income | | | | | | | | | | | | $ | (6,029 | ) | Income before provision for income taxes | | | | | | | | | | | | $ | 85,818 |
| Depreciation and amortization | | $ | 26,298 |
| | $ | 4,157 |
| | $ | 924 |
| | $ | 7,303 |
| | $ | — |
| | $ | 38,682 |
| | | | | | | | | | | | | |
(1) Intersegment revenue represents services provided at the Company's operating subsidiaries to the Company's other business lines. (2) Segment income (loss) includes depreciation and amortization expense and excludes general and administrative expense and interest expense for transitional and skilled services, assisted and independent living services and home health and hospice businesses. General and administrative expense is included in the "All Other" category. (3) The Company's campuses represent facilities that offer skilled nursing, assisted and/or independent living services. Revenue and expenses related to skilled nursing, assisted and independent living services have been allocated and recorded in the respective reportable segment.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | Year Ended December 31, 2015 | | | Transitional and Skilled Services(3) | | Assisted and Independent Living Services(3) | | Home Health and Hospice Services | | All Other | | Elimination | | Total | Revenue from external customers | | $ | 1,126,388 |
| | $ | 88,129 |
| | $ | 90,356 |
| | $ | 36,953 |
| | $ | — |
| | $ | 1,341,826 |
| Intersegment revenue (1) | | 2,447 |
| | — |
| | — |
| | 881 |
| | (3,328 | ) | | — |
| Total revenue | | $ | 1,128,835 |
| | $ | 88,129 |
| | $ | 90,356 |
| | $ | 37,834 |
| | $ | (3,328 | ) | | $ | 1,341,826 |
| Segment income (loss) (2) | | $ | 136,744 |
| | $ | 11,463 |
| | $ | 13,584 |
| | $ | (68,709 | ) | | $ | — |
| | $ | 93,082 |
| Interest expense, net of interest income | |
| |
| |
| |
| | | | $ | (1,983 | ) | Income before provision for income taxes | |
| |
| |
| |
| | | | $ | 91,099 |
| Depreciation and amortization | | $ | 18,008 |
| | $ | 3,338 |
| | $ | 980 |
| | $ | 5,785 |
| | $ | — |
| | $ | 28,111 |
| | | | | | | | | | | | | |
(1) Intersegment revenue represents services provided at the Company's operating subsidiaries to the Company's other business lines. (2) Segment income (loss) includes depreciation and amortization expense and excludes general and administrative expense and interest expense for transitional and skilled services, assisted and independent living services and home health and hospice businesses. General and administrative expense is included in the "All Other" category. (3) The Company's campuses represent facilities that offer skilled nursing, assisted and/or independent living services. Revenue and expenses related to skilled nursing, assisted and independent living services have been allocated and recorded in the respective reportable segment.
|