Sonida Senior Living (SNDA) 10-Q 7 Nov 18 2018 Q3 Quarterly report Financial data

Document and Entity Information

Document and Entity Information - shares	9 Months Ended
	Sep. 30, 2018	Nov. 01, 2018
Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Sep. 30, 2018
Document Fiscal Year Focus	2,018
Document Fiscal Period Focus	Q3
Trading Symbol	CSU
Entity Registrant Name	CAPITAL SENIOR LIVING CORP
Entity Central Index Key	1,043,000
Current Fiscal Year End Date	--12-31
Entity Filer Category	Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Common Stock, Shares Outstanding		31,275,825

Consolidated Balance Sheets

Consolidated Balance Sheets - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017
Current assets:
Cash and cash equivalents	$ 9,245	$ 17,646
Restricted cash	13,473	13,378
Accounts receivable, net	12,129	12,307
Property tax and insurance deposits	12,451	14,386
Prepaid expenses and other	4,647	6,332
Total current assets	51,945	64,049
Property and equipment, net	1,070,951	1,099,786
Other assets, net	16,817	18,836
Total assets	1,139,713	1,182,671
Current liabilities:
Accounts payable	9,006	7,801
Accrued expenses	37,678	40,751
Current portion of notes payable, net of deferred loan costs	18,016	19,728
Current portion of deferred income	14,342	13,840
Current portion of capital lease and financing obligations	3,347	3,106
Federal and state income taxes payable	299	383
Customer deposits	1,298	1,394
Total current liabilities	83,986	87,003
Deferred income	8,621	10,033
Capital lease and financing obligations, net of current portion	46,510	48,805
Deferred taxes	1,941	1,941
Other long-term liabilities	12,916	16,250
Notes payable, net of deferred loan costs and current portion	926,008	938,206
Commitments and contingencies
Shareholders’ equity:
Preferred stock, $.01 par value: Authorized shares - 15,000; no shares issued or outstanding
Common stock, $.01 par value: Authorized shares - 65,000; issued and outstanding shares - 31,262 and 30,505 in 2018 and 2017, respectively	318	310
Additional paid-in capital	186,054	179,459
Retained deficit	(123,211)	(95,906)
Treasury stock, at cost – 494 shares in 2018 and 2017	(3,430)	(3,430)
Total shareholders’ equity	59,731	80,433
Total liabilities and shareholders’ equity	$ 1,139,713	$ 1,182,671

Consolidated Balance Sheets (Pa

Consolidated Balance Sheets (Parenthetical) - $ / shares	Sep. 30, 2018	Dec. 31, 2017
Statement Of Financial Position [Abstract]
Preferred stock, par value	$ 0.01	$ 0.01
Preferred stock, shares authorized	15,000,000	15,000,000
Preferred stock, shares issued	0	0
Preferred stock, shares outstanding	0	0
Common stock, par value	$ 0.01	$ 0.01
Common stock, shares authorized	65,000,000	65,000,000
Common stock, shares issued	31,262,000	30,505,000
Common stock, shares outstanding	31,262,000	30,505,000
Treasury stock, shares	494,000	494,000

Consolidated Statements of Oper

Consolidated Statements of Operations and Comprehensive Loss - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Revenues:
Resident revenue	$ 115,650	$ 117,318	$ 344,920	$ 350,026
Type of Revenue [Extensible List]	us-gaap:HealthCareResidentServiceMember	us-gaap:HealthCareResidentServiceMember	us-gaap:HealthCareResidentServiceMember	us-gaap:HealthCareResidentServiceMember
Expenses:
Operating expenses (exclusive of facility lease expense and depreciation and amortization expense shown below)	$ 76,195	$ 74,636	$ 220,863	$ 220,703
General and administrative expenses	5,589	5,361	17,323	17,678
Facility lease expense	14,077	13,943	42,515	42,498
Loss on facility lease termination				12,858
Stock-based compensation expense	2,095	1,962	6,603	5,833
Depreciation and amortization expense	15,998	16,903	46,891	50,862
Total expenses	113,954	112,805	334,195	350,432
Income (Loss) from operations	1,696	4,513	10,725	(406)
Other income (expense):
Interest income	42	19	117	51
Interest expense	(12,705)	(12,531)	(37,771)	(36,940)
Gain (Loss) on disposition of assets, net	7	(1)	10	(126)
Other income		1	2	6
Loss before provision for income taxes	(10,960)	(7,999)	(26,917)	(37,415)
Provision for income taxes	(129)	(133)	(388)	(394)
Net loss	$ (11,089)	$ (8,132)	$ (27,305)	$ (37,809)
Per share data:
Basic net loss per share	$ (0.37)	$ (0.28)	$ (0.92)	$ (1.28)
Diluted net loss per share	$ (0.37)	$ (0.28)	$ (0.92)	$ (1.28)
Weighted average shares outstanding — basic	29,877	29,512	29,779	29,427
Weighted average shares outstanding — diluted	29,877	29,512	29,779	29,427
Comprehensive loss	$ (11,089)	$ (8,132)	$ (27,305)	$ (37,809)

Consolidated Statements of Cash

Consolidated Statements of Cash Flows - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017
Operating Activities
Net loss	$ (27,305)	$ (37,809)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization	46,891	50,862
Amortization of deferred financing charges	1,281	1,216
Amortization of deferred lease costs and lease intangibles	638	647
Amortization of lease incentives	(1,426)	(950)
Deferred income	(712)	(899)
Lease incentives		5,159
Loss on facility lease termination		12,858
(Gain) Loss on disposition of assets, net	(10)	126
Provision for bad debts	2,254	1,355
Stock-based compensation expense	6,603	5,833
Changes in operating assets and liabilities:
Accounts receivable	(2,076)	(3,834)
Property tax and insurance deposits	1,935	1,753
Prepaid expenses and other	1,685	2,387
Other assets	1,267	5,149
Accounts payable	1,205	(1,076)
Accrued expenses	(3,073)	(2,400)
Other liabilities	(1,908)	3,649
Federal and state income taxes receivable/payable	(84)	(108)
Deferred resident revenue	(198)	(1,520)
Customer deposits	(96)	(117)
Net cash provided by operating activities	26,871	42,281
Investing Activities
Capital expenditures	(17,954)	(30,165)
Cash paid for acquisitions		(85,000)
Proceeds from disposition of assets	22	16
Net cash used in investing activities	(17,932)	(115,149)
Financing Activities
Proceeds from notes payable	1,740	66,584
Repayments of notes payable	(16,844)	(15,414)
Cash payments for capital lease and financing obligations	(2,054)	(2,117)
Deferred financing charges paid	(87)	(950)
Net cash (used in) provided by financing activities	(17,245)	48,103
Decrease in cash and cash equivalents	(8,306)	(24,765)
Cash and cash equivalents and restricted cash at beginning of period	31,024	47,323
Cash and cash equivalents and restricted cash at end of period	22,718	22,558
Cash paid during the period for:
Interest	36,345	35,108
Income taxes	$ 546	$ 534

Basis of Presentation

Basis of Presentation	9 Months Ended
	Sep. 30, 2018
Organization Consolidation And Presentation Of Financial Statements [Abstract]
Basis of Presentation	1. BASIS OF PRESENTATION Capital Senior Living Corporation, a Delaware corporation (together with its subsidiaries, the “Company”), is one of the largest operators of senior housing communities in the United States in terms of resident capacity. The Company owns, operates, and manages senior housing communities throughout the United States. As of September 30, 2018, the Company operated 129 senior housing communities in 23 states with an aggregate capacity of approximately 16,500 residents, including 83 senior housing communities that the Company owned and 46 senior housing communities that the Company leased. The accompanying consolidated financial statements include the financial statements of Capital Senior Living Corporation and its wholly owned subsidiaries. All material intercompany balances and transactions have been eliminated in consolidation. The accompanying Consolidated Balance Sheet, as of December 31, 2017, has been derived from audited consolidated financial statements of the Company for the year ended December 31, 2017, and the accompanying unaudited consolidated financial statements, as of and for the three and nine month periods ended September 30, 2018 and 2017, have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission. Certain information and note disclosures normally included in the annual financial statements prepared in accordance with accounting principles generally accepted in the United States have not been included pursuant to those rules and regulations. For further information, refer to the financial statements and notes thereto for the year ended December 31, 2017, included in the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission on March 2, 2018. In the opinion of the Company, the accompanying consolidated financial statements contain all adjustments (all of which were normal recurring accruals) necessary to present fairly the Company’s financial position as of September 30, 2018, results of operations for the three and nine month periods ended September 30, 2018 and 2017, and cash flows for the nine month periods ended September 30, 2018 and 2017. The results of operations for the three and nine month periods ended September 30, 2018, are not necessarily indicative of the results for the year ending December 31, 2018.

Summary of Significant Accounti

Summary of Significant Accounting Policies	9 Months Ended
	Sep. 30, 2018
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Cash and Cash Equivalents and Restricted Cash The Company considers all highly liquid investments with original maturities of three months or less at the date of acquisition to be cash equivalents. The Company has deposits in banks that exceed Federal Deposit Insurance Corporation insurance limits. Management believes that credit risk related to these deposits is minimal. Restricted cash consists of deposits required by certain lenders as collateral pursuant to letters of credit. The deposits must remain so long as the letters of credit are outstanding which are subject to renewal annually. The following table sets forth our cash and cash equivalents and restricted cash (in thousands): Nine Months Ended September 30, 2018 2017 Cash and cash equivalents $ 9,245 $ 9,186 Restricted cash 13,473 13,372 $ 22,718 $ 22,558 Revenue Recognition Resident revenue consists of fees for basic housing and certain support services and fees associated with additional housing and expanded support requirements such as assisted living care, memory care, and ancillary services. Basic housing and certain support services revenue is recorded when services are rendered and amounts billed are Residency agreements are generally short term in nature with durations of one year or less and are typically terminable by either party, under certain circumstances, upon providing 30 days’ notice, unless state law provides otherwise, with resident fees billed monthly in advance. Revenue for certain ancillary services is recognized as services are provided, and includes fees for services such as medication management, daily living activities, beautician/barber, laundry, television, guest meals, pets, and parking which are generally billed monthly in arrears and totaled approximately $1.2 million and $3.6 million, respectively, for the three and nine months ended September 30, 2018, and $1.2 million and $3.8 million, respectively, for the three and nine months ended September 30, 2017, as a component of resident revenue within the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company's senior housing communities have residency agreements which generally require the resident to pay a community fee prior to moving into the community and are recorded initially by the Company as deferred revenue. At each of September 30, 2018 and December 31, 2017, the Company had contract liabilities for deferred community fees totaling approximately $1.3 million, which are included as a component of deferred income within current liabilities of the Company’s Consolidated Balance Sheets. The Company recognized community fees as a component of resident revenue within the Company’s Consolidated Statements of Operations and Comprehensive Loss of approximately $0.7 million and $2.1 million, respectively, during the three and nine months ended September 30, 2018, and $0.9 million and $2.8 million, respectively, for the three and nine months ended September 30, 2017. Lease Accounting The Company determines whether to account for its leases as operating, capital or financing leases depending on the underlying terms of each lease agreement. This determination of classification is complex and requires significant judgment relating to certain information including the estimated fair value and remaining economic life of the community, the Company’s cost of funds, minimum lease payments and other lease terms. As of September 30, 2018, the Company leased 46 senior housing communities, 44 of which the Company classified as operating leases and two of which the Company classified as capital lease and financing obligations. The Company incurs lease acquisition costs and amortizes these costs over the term of the respective lease agreement. Certain leases entered into by the Company qualified as sale/leaseback transactions, and as such, any related gains have been deferred and are being amortized over the respective lease term. Facility lease expense in the Company’s Consolidated Statements of Operations and Comprehensive Loss includes rent expense plus amortization expense relating to leasehold acquisition costs offset by the amortization of deferred gains and lease incentives. There are various financial covenants and other restrictions in the Company’s lease agreements. The Company was in compliance with all of its lease covenants at September 30, 2018 and December 31, 2017. Credit Risk and Allowance for Doubtful Accounts The Company’s resident receivables are generally due within 30 days from the date billed. Accounts receivable are reported net of an allowance for doubtful accounts of $6.2 million and $4.9 million at September 30, 2018, and December 31, 2017, respectively, and represent the Company’s estimate of the amount that ultimately will be collected. The adequacy of the Company’s allowance for doubtful accounts is reviewed on an ongoing basis, using historical payment trends, write-off experience, analyses of receivable portfolios by payor source and aging of receivables, as well as a review of specific accounts, and adjustments are made to the allowance as necessary. Credit losses on resident receivables have historically been within management’s estimates, and management believes that the allowance for doubtful accounts adequately provides for expected losses. Employee Health and Dental Benefits, Workers’ Compensation, and Insurance Reserves The Company offers certain full-time employees an option to participate in its health and dental plans. The Company is self-insured up to certain limits and is insured if claims in excess of these limits are incurred. The cost of employee health and dental benefits, net of employee contributions, is shared between the corporate office and the senior housing communities based on the respective number of plan participants. Funds collected are used to pay the actual program costs including estimated annual claims, third-party administrative fees, network provider fees, communication costs, and other related administrative costs incurred by the plans. Claims are paid as they are submitted to the Company’s third-party administrator. The Company records a liability for outstanding claims and claims that have been incurred but not yet reported. This liability is based on the historical claim reporting lag and payment trends of health insurance claims. Management believes that the liability for outstanding losses and expenses is adequate to cover the ultimate cost of losses and expenses incurred at September 30, 2018; however, actual claims and expenses may differ. Any subsequent changes in estimates are recorded in the period in which they are determined. The Company uses a combination of insurance and self-insurance for workers’ compensation. Determining the reserve for workers’ compensation losses and costs that the Company has incurred as of the end of a reporting period involves significant judgments based on projected future events including potential settlements for pending claims, known incidents which may result in claims, estimates of incurred but not yet reported claims, changes in insurance premiums, estimated litigation costs and other factors. The Company regularly adjusts these estimates to reflect changes in the foregoing factors. However, since this reserve is based on estimates, the actual expenses incurred may differ from the amounts reserved. Any subsequent changes in estimates are recorded in the period in which they are determined. Income Taxes Income taxes are computed using the asset and liability method and current income taxes are recorded based on amounts refundable or payable in the current year. The effective tax rates for the three and nine months ended September 30, 2018 and 2017 differ from the statutory tax rates due to state income taxes, permanent tax differences, and changes in the deferred tax asset valuation allowance. The Company is impacted by the Texas Margin Tax (“TMT”), which effectively imposes tax on modified gross revenues for communities within the State of Texas. During each of the three and nine months ended September 30, 2018 and 2017, the Company consolidated 38 Texas communities, and the TMT increased the overall provision for income taxes. Deferred income taxes are recorded based on the estimated future tax effects of loss carryforwards and temporary differences between financial statement carrying amounts of existing assets and liabilities and their respective tax basis. Deferred tax assets and liabilities are measured using enacted tax rates that are expected to apply to taxable income in the years in which we expect those carryforwards and temporary differences to be recovered or settled. Management regularly evaluates the future realization of deferred tax assets and provides a valuation allowance, if considered necessary, based on such evaluation. As part of the evaluation, management has evaluated taxable income in carryback years, future reversals of taxable temporary differences, feasible tax planning strategies, and future expectations of income. Based upon this analysis, an adjustment to the valuation allowance of $2.7 million and $3.1 million was recorded during the third quarters of fiscal 2018 and 2017, respectively. Adjustments to the valuation allowance for the nine months ended September 30, 2018 and 2017 were $6.3 million and $19.1 million, respectively. The valuation allowance reduces the Company’s net deferred tax assets to the amount that is “more likely than not” (i.e., a greater than 50% likelihood) to be realized and resulted in net reductions of $43.0 million and $36.7 million to the Company’s deferred tax assets at September 30, 2018 and December 31, 2017, respectively. However, in the event that we were to determine that it would be more likely than not that the Company would realize the benefit of deferred tax assets in the future in excess of their net recorded amounts, adjustments to deferred tax assets would increase net income in the period such determination was made . The Company completed an analysis determining its best estimate for provisional tax adjustments based on the revised tax legislation associated with the Tax Cuts and Jobs Act (“TCJA”), which was enacted on December 22, 2017. Additionally, the Securities and Exchange Commission issued Staff Accounting Bulletin 118 (“SAB 118”), to address the accounting and reporting of the TCJA. SAB 118 allows companies to take a reasonable period, which should not extend beyond one year from enactment of the TCJA, to measure and recognize the effects of the new tax law. The Company is continuing to analyze certain aspects of the TCJA and refine its tax calculations and estimates, which could potentially affect the measurement of these balances or potentially give rise to new deferred tax amounts. The Company evaluates uncertain tax positions through consideration of accounting and reporting guidance on criteria, measurement, derecognition, classification, interest and penalties, accounting in interim periods, disclosure, and transition that is intended to provide better financial statement comparability among different companies. The Company is required to recognize a tax benefit in its financial statements for an uncertain tax position only if management’s assessment is that such position is “more likely than not” to be upheld on audit based only on the technical merits of the tax position. The Company’s policy is to recognize interest related to unrecognized tax benefits as interest expense and penalties as income tax expense. The Company is generally no longer subject to federal and state income tax audits for tax years prior to 2014. Net Loss Per Share Basic net loss per common share is computed by dividing net loss by the weighted average number of common shares outstanding for the period. Potentially dilutive securities consist of unvested restricted shares and shares that could be issued under outstanding stock options. Potentially dilutive securities are excluded from the computation of net loss per common share if their effect is antidilutive. The following table sets forth the computation of basic and diluted net loss per share (in thousands, except for per share amounts): Three Months Ended September 30, Nine Months Ended September 30, 2018 2017 2018 2017 Net loss $ (11,089 ) $ (8,132 ) $ (27,305 ) $ (37,809 ) Net loss allocated to unvested restricted shares — — — — Undistributed net loss allocated to common shares $ (11,089 ) $ (8,132 ) $ (27,305 ) $ (37,809 ) Weighted average shares outstanding – basic 29,877 29,512 29,779 29,427 Effects of dilutive securities: Employee equity compensation plans — — — — Weighted average shares outstanding – diluted 29,877 29,512 29,779 29,427 Basic net loss per share – common shareholders $ (0.37 ) $ (0.28 ) $ (0.92 ) $ (1.28 ) Diluted net loss per share – common shareholders $ (0.37 ) $ (0.28 ) $ (0.92 ) $ (1.28 ) Awards of unvested restricted stock representing approximately 1,367,000 and 957,000 shares were outstanding for the three months ended September 30, 2018 and 2017, respectively, and awards of unvested restricted stock representing approximately 1,339,000 and 884,000 shares were outstanding for the nine months ended September 30, 2018 and 2017, respectively, and were antidilutive for each period as a result of the net loss reported by the Company for such periods. Accordingly, such shares were not included in the calculation of diluted weighted average shares outstanding. Treasury Stock The Company accounts for treasury stock under the cost method and includes treasury stock as a component of stockholders’ equity. All shares acquired by the Company have been purchased in open-market transactions. There were no repurchases of the Company’s common stock during the nine months ended September 30, 2018 or fiscal 2017. Recently Issued Accounting Guidance In January 2017, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2017-01, Business Combinations – Clarifying the Definition of a Business In November 2016, the FASB issued ASU 2016-18, Statement of Cash Flows (Topic 230): Restricted Cash (a consensus of the FASB Emerging Issues Task Force). In August 2016, the FASB issued ASU 2016-15, Classification of Certain Cash Receipts and Cash Payments. In February 2016, the FASB issued ASU 2016-02, Leases In May 2014, the FASB issued ASU 2014-09, Revenue from Contracts with Customers (Topic 606) Reclassifications Certain reclassifications have been made to prior period amounts to conform to current period presentation.

Acquisitions

Acquisitions	9 Months Ended
	Sep. 30, 2018
Business Combinations [Abstract]
Acquisitions	3. ACQUISITIONS Fiscal 2017 Effective January 31, 2017 (the “Closing Date”), the Company acquired the underlying real estate through an asset acquisition associated with four of the senior housing communities previously leased from Ventas, Inc. (“Ventas”) for an acquisition price of $85.0 million (the “Four Property Lease Transaction”). The Company obtained interest only, bridge financing from Berkadia Commercial Mortgage LLC (“Berkadia”) for $65.0 million of the acquisition price with an initial variable interest rate of LIBOR plus 4.0% and a 36-month term, with the balance of the acquisition price paid from the Company’s existing cash resources. Additionally, the Company agreed to continue paying $2.3 million of the annual rents associated with the four communities acquired over the remaining lease term of the seven communities remaining in the Ventas lease portfolio. As such, the total additional lease payments to be paid over the remaining lease term were discounted back to the Closing Date utilizing a credit-adjusted risk-free rate to determine the fair value of the lease termination financing obligation of $16.0 million. The fair value of the four communities acquired was determined to approximate $88.1 million. The fair values of the property, plant, and equipment of the acquired communities were determined utilizing a direct capitalization method considering facility net operating income and market capitalization rates. These fair value measurements were based on current market conditions as of the acquisition date and are considered Level 3 measurements (fair value measurements using significant unobservable inputs) within the fair value hierarchy of ASC 820-10, Fair Value Measurement As a result of this acquisition, the Company recorded additions to property and equipment of approximately $88.1 million within the Company’s Consolidated Balance Sheets which will be depreciated or amortized over the estimated useful lives.

Debt Transactions

Debt Transactions	9 Months Ended
	Sep. 30, 2018
Debt Disclosure [Abstract]
Debt Transactions	4. DEBT TRANSACTIONS Effective June 29, 2018, the Company extended its mortgage loan with Berkadia Commercial Mortgage LLC (“Berkadia”) on one of its senior living communities located in Canton, Ohio. The maturity date was extended to October 10, 2021 with an initial variable interest rate of LIBOR plus 5.0% with principal amortized over 25 years. In conjunction with the extension, the Company incurred an extension fee of approximately $41,500 which will be amortized over the new loan term. Effective May 31, 2018, the Company renewed certain insurance policies and entered into a finance agreement totaling approximately $1.7 million. The finance agreement has a fixed interest rate of 3.64% with the principal being repaid over an 11-month term. The Company previously issued standby letters of credit with Wells Fargo Bank (“Wells Fargo”), totaling approximately $3.9 million, for the benefit of Hartford Financial Services (“Hartford”) in connection with the administration of workers’ compensation. The Company previously issued standby letters of credit with JP Morgan Chase Bank (“Chase”), totaling approximately $6.7 million, for the benefit of Welltower, Inc. (“Welltower”), in connection with certain leases between Welltower and the Company. The Company previously issued standby letters of credit with Chase, totaling approximately $2.9 million, for the benefit of HCP, Inc. (“HCP”) in connection with certain leases between HCP and the Company. The senior housing communities owned by the Company and encumbered by mortgage debt are provided as collateral under their respective loan agreements. At September 30, 2018 and December 31, 2017, these communities carried a total net book value of approximately $976.9 million and $1.0 billion, respectively, with total mortgage loans outstanding, excluding deferred loan costs, of approximately $950.3 million and $963.1 million, respectively. In connection with the Company’s loan commitments described above, the Company incurred financing charges that were deferred and amortized over the terms of the respective notes. At September 30, 2018 and December 31, 2017, the Company had gross deferred loan costs of approximately $14.1 million and $14.0 million, respectively. Accumulated amortization was approximately $5.9 million and $4.6 million at September 30, 2018 and December 31, 2017, respectively. The Company was in compliance with all aspects of its outstanding indebtedness at September 30, 2018, and December 31, 2017.

Equity

Equity	9 Months Ended
	Sep. 30, 2018
Equity [Abstract]
Equity	5. EQUITY Preferred Stock The Company is authorized to issue preferred stock in series and to fix and state the voting powers and such designations, preferences and relative participating, optional or other special rights of the shares of each such series and the qualifications, limitations and restrictions thereof. Such action may be taken by the Company’s board of directors without stockholder approval. The rights, preferences and privileges of holders of common stock are subject to the rights of the holders of preferred stock. No preferred stock was outstanding as of September 30, 2018 or December 31, 2017. Share Repurchases On January 22, 2009, the Company’s board of directors approved a share repurchase program that authorized the Company to purchase up to $10.0 million of the Company’s common stock. Purchases may be made from time to time using a variety of methods, which may include open market purchases, privately negotiated transactions or block trades, or by any combination of such methods, in accordance with applicable insider trading and other securities laws and regulations. The size, scope and timing of any purchases will be based on business, market and other conditions and factors, including price, regulatory and contractual requirements or consents, and capital availability. The repurchase program does not obligate the Company to acquire any particular amount of common stock and the share repurchase authorization has no stated expiration date. Shares of stock repurchased under the program will be held as treasury shares. Pursuant to this authorization, during fiscal 2009, the Company purchased 349,800 shares at an average cost of $2.67 per share for a total cost to the Company of approximately $0.9 million. On January 14, 2016, the Company announced that its board of directors approved a continuation of the share repurchase program. Pursuant to this authorization, during the first quarter of fiscal 2016, the Company purchased 144,315 shares of its common stock at an average cost of $17.29 per share for a total cost to the Company of approximately $2.5 million. All such purchases were made in open market transactions. The Company has not purchased any additional shares of its common stock pursuant to the Company’s share repurchase program during the nine months ended September 30, 2018 or fiscal 2017.

Stock-Based Compensation

Stock-Based Compensation	9 Months Ended
	Sep. 30, 2018
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]
Stock-Based Compensation	6. STOCK-BASED COMPENSATION The Company recognizes compensation expense for share-based stock awards to certain employees and directors, including grants of employee stock options and awards of restricted stock, in the Company’s Consolidated Statements of Operations and Comprehensive Loss based on their fair values. On May 8, 2007, the Company’s stockholders approved the 2007 Omnibus Stock and Incentive Plan for Capital Senior Living Corporation (as amended, the “2007 Plan”), which provides for, among other things, the grant of restricted stock awards, restricted stock units and stock options to purchase shares of the Company’s common stock. The 2007 Plan authorizes the Company to issue up to 4.6 million shares of common stock and the Company has reserved shares of common stock for future issuance pursuant to awards under the 2007 Plan. Effective May 8, 2007, the 1997 Omnibus Stock and Incentive Plan (as amended, the “1997 Plan”) was terminated and no additional shares will be granted under the 1997 Plan. Stock Options Although the Company has not granted stock options in recent years, the Company has historically granted stock options to attract, retain and provide incentives for employees, officers and directors and to more closely align stockholder interests with those of our employees and directors. The Company’s stock options generally vest over a period of one to five years and the related expense is amortized on a straight-line basis over the vesting period. No stock options were outstanding at September 30, 2018. Restricted Stock The Company may grant restricted stock awards and units to employees, officers, and directors in order to attract, retain, and provide incentives for such individuals and to more closely align stockholder and employee interests. For restricted stock awards and units without performance and market-based vesting conditions, the Company records compensation expense for the entire award on a straight-line basis over the requisite service period, which is generally a period of one to four years, unless the award is subject to certain accelerated vesting requirements. Restricted stock awards are considered outstanding at the time of grant since the holders thereof are entitled to dividends, upon vesting, and voting rights. For restricted stock awards with performance and market-based vesting conditions, total compensation expense is recognized over the requisite service period for each separately vesting tranche of the award as if the award is, in substance, multiple awards once the performance target is deemed probable of achievement. Performance goals are evaluated periodically, and if such goals are not ultimately met or it is not probable the goals will be achieved, no compensation expense is recognized and any previously recognized compensation expense is reversed for performance-based awards. The Company recognizes compensation expense of a restricted stock award over its respective vesting or performance period based on the fair value of the award on the grant date, net of actual forfeitures. A summary of the Company’s restricted stock awards activity and related information for the nine month period ended September 30, 2018 is presented below: Outstanding at Beginning of Period Granted Vested Cancelled Outstanding at End of Period Shares 964,484 814,571 (354,361 ) (57,712 ) 1,366,982 The restricted stock outstanding at September 30, 2018 had an intrinsic value of approximately $12.9 million. During the nine months ended September 30, 2018, the Company awarded 814,571 shares of restricted common stock to certain employees and directors of the Company, of which 237,840 shares were subject to performance and market-based vesting conditions. The average market value of the common stock on the date of grant was $11.12. These awards of restricted stock vest over a one to four-year period and had an intrinsic value of approximately $9.1 million on the date of grant. Additionally, during the nine months ended September 30, 2018, the Company awarded 67,356 restricted stock units to certain directors of the Company with an average market value of $10.69 on the date of grant. These awards of restricted stock units vest over a one-year period and had an intrinsic value of approximately $0.7 million on the date of grant. Unrecognized stock-based compensation expense was $11.5 million as of September 30, 2018. If all awards granted are earned, the Company expects this expense to be recognized over a one to three-year period for performance and market-based stock awards and a one to four-year period for nonperformance-based stock awards and units.

Contingencies

Contingencies	9 Months Ended
	Sep. 30, 2018
Commitments And Contingencies Disclosure [Abstract]
Contingencies	7. CONTINGENCIES The Company has claims incurred in the normal course of its business. Most of these claims are believed by management to be covered by insurance, subject to normal reservations of rights by the insurance companies and possibly subject to certain exclusions in the applicable insurance policies. Whether or not covered by insurance, these claims, in the opinion of management, based on advice of legal counsel, should not have a material effect on the consolidated financial statements of the Company if determined adversely to the Company. The Company had two of its senior housing communities located in southeast Texas impacted by Hurricane Harvey during the third quarter of fiscal 2017. We maintain insurance coverage on these communities which includes damage caused by flooding. The insurance claim for this incident required a deductible of $100,000 that was expensed as a component of operating expenses in the Company’s Consolidated Statement of Operations and Comprehensive Loss in the third quarter of fiscal 2017. Physical repairs have been substantially completed to restore the communities to their condition prior to the incident and these communities reopened and began accepting residents in July 2018. Through September 30, 2018, we have incurred approximately $6.6 million in clean-up and physical repair costs which we believe most are probable of being recovered through insurance proceeds. In addition to the repairs of physical damage to the buildings, the Company’s insurance coverage includes loss of business income (“Business Interruption”). Business Interruption includes reimbursement for lost revenue as well as incremental expenses incurred as a result of the hurricane. The Company received payments from our insurance underwriters totaling approximately $3.2 million and $7.3 million, respectively, during the three and nine months ended September 30, 2018, of which approximately $1.3 million and $4.5 million, respectively, related to Business Interruption and has been included as a reduction to operating expenses in the Company’s Consolidated Statements of Operations and Comprehensive Loss. In July 2018, the Company received notifications from the Internal Revenue Service (“IRS”) pursuant to the Affordable Care Act (“ACA”) that the Company may be liable for an Employer Shared Responsibility Payment (“ESRP”) in the amount of approximately $2.1 million for the year ended December 31, 2015. The ESRP is applicable to employers that had 50 or more full-time equivalent employees, did not offer minimum essential coverage (“MEC”) to at least 70% of full-time employees and their dependents, or did offer MEC to at least 70% of full-time employees and their dependents which did not meet the affordable or minimum value criteria and had one or more full-time employees certified as being allowed the premium tax credit (“PTC”).The IRS determines the amount of the proposed ESRP from information returns completed by employers and from income tax returns completed by employees. Based upon the Company’s initial review of the notifications provided by the IRS, the Company has preliminarily concluded it would be liable for approximately $0.2 million of the ESRP assessments which has been accrued within employee benefit reserves. The Company has formally responded to the IRS and provided information that it believes will support a revision to the initial ESRP assessments. However, no assurances can be given that the IRS will agree with the Company’s preliminary conclusions. In the event that the IRS does not revise its initial ESRP assessments, the Company may request an appeal.

Fair Value of Financial Instrum

Fair Value of Financial Instruments	9 Months Ended
	Sep. 30, 2018
Fair Value Disclosures [Abstract]
Fair Value of Financial Instruments	8. FAIR VALUE OF FINANCIAL INSTRUMENTS The carrying amounts and fair values of financial instruments at September 30, 2018 and December 31, 2017, are as follows (in thousands): September 30, 2018 December 31, 2017 Carrying Amount Fair Value Carrying Amount Fair Value Cash and cash equivalents $ 9,245 $ 9,245 $ 17,646 $ 17,646 Restricted cash 13,473 13,473 13,378 13,378 Notes payable, excluding deferred loan costs 952,227 855,503 967,332 929,000 The following methods and assumptions were used in estimating the Company’s fair value disclosures for financial instruments: Cash and cash equivalents and Restricted cash: The carrying amounts reported in the Company’s Consolidated Balance Sheets for cash and cash equivalents and restricted cash approximate fair value, which represent level 1 inputs as defined in the accounting standards codification. Notes payable: The fair value of notes payable is estimated using discounted cash flow analysis, based on current incremental borrowing rates for similar types of borrowing arrangements, which represent level 2 inputs as defined in the accounting standards codification. The estimated fair value of these assets and liabilities could be affected by market changes and this effect could be material.

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	9 Months Ended
	Sep. 30, 2018
Accounting Policies [Abstract]
Cash and Cash Equivalents and Restricted Cash	Cash and Cash Equivalents and Restricted Cash The Company considers all highly liquid investments with original maturities of three months or less at the date of acquisition to be cash equivalents. The Company has deposits in banks that exceed Federal Deposit Insurance Corporation insurance limits. Management believes that credit risk related to these deposits is minimal. Restricted cash consists of deposits required by certain lenders as collateral pursuant to letters of credit. The deposits must remain so long as the letters of credit are outstanding which are subject to renewal annually. The following table sets forth our cash and cash equivalents and restricted cash (in thousands): Nine Months Ended September 30, 2018 2017 Cash and cash equivalents $ 9,245 $ 9,186 Restricted cash 13,473 13,372 $ 22,718 $ 22,558
Revenue Recognition	Revenue Recognition Resident revenue consists of fees for basic housing and certain support services and fees associated with additional housing and expanded support requirements such as assisted living care, memory care, and ancillary services. Basic housing and certain support services revenue is recorded when services are rendered and amounts billed are Residency agreements are generally short term in nature with durations of one year or less and are typically terminable by either party, under certain circumstances, upon providing 30 days’ notice, unless state law provides otherwise, with resident fees billed monthly in advance. Revenue for certain ancillary services is recognized as services are provided, and includes fees for services such as medication management, daily living activities, beautician/barber, laundry, television, guest meals, pets, and parking which are generally billed monthly in arrears and totaled approximately $1.2 million and $3.6 million, respectively, for the three and nine months ended September 30, 2018, and $1.2 million and $3.8 million, respectively, for the three and nine months ended September 30, 2017, as a component of resident revenue within the Company’s Consolidated Statements of Operations and Comprehensive Loss. The Company's senior housing communities have residency agreements which generally require the resident to pay a community fee prior to moving into the community and are recorded initially by the Company as deferred revenue. At each of September 30, 2018 and December 31, 2017, the Company had contract liabilities for deferred community fees totaling approximately $1.3 million, which are included as a component of deferred income within current liabilities of the Company’s Consolidated Balance Sheets. The Company recognized community fees as a component of resident revenue within the Company’s Consolidated Statements of Operations and Comprehensive Loss of approximately $0.7 million and $2.1 million, respectively, during the three and nine months ended September 30, 2018, and $0.9 million and $2.8 million, respectively, for the three and nine months ended September 30, 2017.
Lease Accounting	Lease Accounting The Company determines whether to account for its leases as operating, capital or financing leases depending on the underlying terms of each lease agreement. This determination of classification is complex and requires significant judgment relating to certain information including the estimated fair value and remaining economic life of the community, the Company’s cost of funds, minimum lease payments and other lease terms. As of September 30, 2018, the Company leased 46 senior housing communities, 44 of which the Company classified as operating leases and two of which the Company classified as capital lease and financing obligations. The Company incurs lease acquisition costs and amortizes these costs over the term of the respective lease agreement. Certain leases entered into by the Company qualified as sale/leaseback transactions, and as such, any related gains have been deferred and are being amortized over the respective lease term. Facility lease expense in the Company’s Consolidated Statements of Operations and Comprehensive Loss includes rent expense plus amortization expense relating to leasehold acquisition costs offset by the amortization of deferred gains and lease incentives. There are various financial covenants and other restrictions in the Company’s lease agreements. The Company was in compliance with all of its lease covenants at September 30, 2018 and December 31, 2017.
Credit Risk And Allowance For Doubtful Accounts	Credit Risk and Allowance for Doubtful Accounts The Company’s resident receivables are generally due within 30 days from the date billed. Accounts receivable are reported net of an allowance for doubtful accounts of $6.2 million and $4.9 million at September 30, 2018, and December 31, 2017, respectively, and represent the Company’s estimate of the amount that ultimately will be collected. The adequacy of the Company’s allowance for doubtful accounts is reviewed on an ongoing basis, using historical payment trends, write-off experience, analyses of receivable portfolios by payor source and aging of receivables, as well as a review of specific accounts, and adjustments are made to the allowance as necessary. Credit losses on resident receivables have historically been within management’s estimates, and management believes that the allowance for doubtful accounts adequately provides for expected losses.
Employee Health and Dental Benefits, Workers' Compensation, and Insurance Reserves	Employee Health and Dental Benefits, Workers’ Compensation, and Insurance Reserves The Company offers certain full-time employees an option to participate in its health and dental plans. The Company is self-insured up to certain limits and is insured if claims in excess of these limits are incurred. The cost of employee health and dental benefits, net of employee contributions, is shared between the corporate office and the senior housing communities based on the respective number of plan participants. Funds collected are used to pay the actual program costs including estimated annual claims, third-party administrative fees, network provider fees, communication costs, and other related administrative costs incurred by the plans. Claims are paid as they are submitted to the Company’s third-party administrator. The Company records a liability for outstanding claims and claims that have been incurred but not yet reported. This liability is based on the historical claim reporting lag and payment trends of health insurance claims. Management believes that the liability for outstanding losses and expenses is adequate to cover the ultimate cost of losses and expenses incurred at September 30, 2018; however, actual claims and expenses may differ. Any subsequent changes in estimates are recorded in the period in which they are determined. The Company uses a combination of insurance and self-insurance for workers’ compensation. Determining the reserve for workers’ compensation losses and costs that the Company has incurred as of the end of a reporting period involves significant judgments based on projected future events including potential settlements for pending claims, known incidents which may result in claims, estimates of incurred but not yet reported claims, changes in insurance premiums, estimated litigation costs and other factors. The Company regularly adjusts these estimates to reflect changes in the foregoing factors. However, since this reserve is based on estimates, the actual expenses incurred may differ from the amounts reserved. Any subsequent changes in estimates are recorded in the period in which they are determined.
Income Taxes	Income Taxes Income taxes are computed using the asset and liability method and current income taxes are recorded based on amounts refundable or payable in the current year. The effective tax rates for the three and nine months ended September 30, 2018 and 2017 differ from the statutory tax rates due to state income taxes, permanent tax differences, and changes in the deferred tax asset valuation allowance. The Company is impacted by the Texas Margin Tax (“TMT”), which effectively imposes tax on modified gross revenues for communities within the State of Texas. During each of the three and nine months ended September 30, 2018 and 2017, the Company consolidated 38 Texas communities, and the TMT increased the overall provision for income taxes. Deferred income taxes are recorded based on the estimated future tax effects of loss carryforwards and temporary differences between financial statement carrying amounts of existing assets and liabilities and their respective tax basis. Deferred tax assets and liabilities are measured using enacted tax rates that are expected to apply to taxable income in the years in which we expect those carryforwards and temporary differences to be recovered or settled. Management regularly evaluates the future realization of deferred tax assets and provides a valuation allowance, if considered necessary, based on such evaluation. As part of the evaluation, management has evaluated taxable income in carryback years, future reversals of taxable temporary differences, feasible tax planning strategies, and future expectations of income. Based upon this analysis, an adjustment to the valuation allowance of $2.7 million and $3.1 million was recorded during the third quarters of fiscal 2018 and 2017, respectively. Adjustments to the valuation allowance for the nine months ended September 30, 2018 and 2017 were $6.3 million and $19.1 million, respectively. The valuation allowance reduces the Company’s net deferred tax assets to the amount that is “more likely than not” (i.e., a greater than 50% likelihood) to be realized and resulted in net reductions of $43.0 million and $36.7 million to the Company’s deferred tax assets at September 30, 2018 and December 31, 2017, respectively. However, in the event that we were to determine that it would be more likely than not that the Company would realize the benefit of deferred tax assets in the future in excess of their net recorded amounts, adjustments to deferred tax assets would increase net income in the period such determination was made . The Company completed an analysis determining its best estimate for provisional tax adjustments based on the revised tax legislation associated with the Tax Cuts and Jobs Act (“TCJA”), which was enacted on December 22, 2017. Additionally, the Securities and Exchange Commission issued Staff Accounting Bulletin 118 (“SAB 118”), to address the accounting and reporting of the TCJA. SAB 118 allows companies to take a reasonable period, which should not extend beyond one year from enactment of the TCJA, to measure and recognize the effects of the new tax law. The Company is continuing to analyze certain aspects of the TCJA and refine its tax calculations and estimates, which could potentially affect the measurement of these balances or potentially give rise to new deferred tax amounts. The Company evaluates uncertain tax positions through consideration of accounting and reporting guidance on criteria, measurement, derecognition, classification, interest and penalties, accounting in interim periods, disclosure, and transition that is intended to provide better financial statement comparability among different companies. The Company is required to recognize a tax benefit in its financial statements for an uncertain tax position only if management’s assessment is that such position is “more likely than not” to be upheld on audit based only on the technical merits of the tax position. The Company’s policy is to recognize interest related to unrecognized tax benefits as interest expense and penalties as income tax expense. The Company is generally no longer subject to federal and state income tax audits for tax years prior to 2014.
Net Loss Per Share	Net Loss Per Share Basic net loss per common share is computed by dividing net loss by the weighted average number of common shares outstanding for the period. Potentially dilutive securities consist of unvested restricted shares and shares that could be issued under outstanding stock options. Potentially dilutive securities are excluded from the computation of net loss per common share if their effect is antidilutive. The following table sets forth the computation of basic and diluted net loss per share (in thousands, except for per share amounts): Three Months Ended September 30, Nine Months Ended September 30, 2018 2017 2018 2017 Net loss $ (11,089 ) $ (8,132 ) $ (27,305 ) $ (37,809 ) Net loss allocated to unvested restricted shares — — — — Undistributed net loss allocated to common shares $ (11,089 ) $ (8,132 ) $ (27,305 ) $ (37,809 ) Weighted average shares outstanding – basic 29,877 29,512 29,779 29,427 Effects of dilutive securities: Employee equity compensation plans — — — — Weighted average shares outstanding – diluted 29,877 29,512 29,779 29,427 Basic net loss per share – common shareholders $ (0.37 ) $ (0.28 ) $ (0.92 ) $ (1.28 ) Diluted net loss per share – common shareholders $ (0.37 ) $ (0.28 ) $ (0.92 ) $ (1.28 ) Awards of unvested restricted stock representing approximately 1,367,000 and 957,000 shares were outstanding for the three months ended September 30, 2018 and 2017, respectively, and awards of unvested restricted stock representing approximately 1,339,000 and 884,000 shares were outstanding for the nine months ended September 30, 2018 and 2017, respectively, and were antidilutive for each period as a result of the net loss reported by the Company for such periods. Accordingly, such shares were not included in the calculation of diluted weighted average shares outstanding.
Treasury Stock	Treasury Stock The Company accounts for treasury stock under the cost method and includes treasury stock as a component of stockholders’ equity. All shares acquired by the Company have been purchased in open-market transactions. There were no repurchases of the Company’s common stock during the nine months ended September 30, 2018 or fiscal 2017.
Recently Issued Accounting Guidance	Recently Issued Accounting Guidance In January 2017, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2017-01, Business Combinations – Clarifying the Definition of a Business In November 2016, the FASB issued ASU 2016-18, Statement of Cash Flows (Topic 230): Restricted Cash (a consensus of the FASB Emerging Issues Task Force). In August 2016, the FASB issued ASU 2016-15, Classification of Certain Cash Receipts and Cash Payments. In February 2016, the FASB issued ASU 2016-02, Leases In May 2014, the FASB issued ASU 2014-09, Revenue from Contracts with Customers (Topic 606)
Reclassifications	Reclassifications Certain reclassifications have been made to prior period amounts to conform to current period presentation.

Summary of Significant Accoun_3

Summary of Significant Accounting Policies (Tables)	9 Months Ended
	Sep. 30, 2018
Accounting Policies [Abstract]
Schedule of Cash and Cash Equivalents and Restricted Cash	The following table sets forth our cash and cash equivalents and restricted cash (in thousands): Nine Months Ended September 30, 2018 2017 Cash and cash equivalents $ 9,245 $ 9,186 Restricted cash 13,473 13,372 $ 22,718 $ 22,558
Computation of Basic and Diluted Net Loss Per Share	The following table sets forth the computation of basic and diluted net loss per share (in thousands, except for per share amounts): Three Months Ended September 30, Nine Months Ended September 30, 2018 2017 2018 2017 Net loss $ (11,089 ) $ (8,132 ) $ (27,305 ) $ (37,809 ) Net loss allocated to unvested restricted shares — — — — Undistributed net loss allocated to common shares $ (11,089 ) $ (8,132 ) $ (27,305 ) $ (37,809 ) Weighted average shares outstanding – basic 29,877 29,512 29,779 29,427 Effects of dilutive securities: Employee equity compensation plans — — — — Weighted average shares outstanding – diluted 29,877 29,512 29,779 29,427 Basic net loss per share – common shareholders $ (0.37 ) $ (0.28 ) $ (0.92 ) $ (1.28 ) Diluted net loss per share – common shareholders $ (0.37 ) $ (0.28 ) $ (0.92 ) $ (1.28 )

Stock-Based Compensation (Table

Stock-Based Compensation (Tables)	9 Months Ended
	Sep. 30, 2018
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]
Restricted Common Stock Awards Activity and Related Information	A summary of the Company’s restricted stock awards activity and related information for the nine month period ended September 30, 2018 is presented below: Outstanding at Beginning of Period Granted Vested Cancelled Outstanding at End of Period Shares 964,484 814,571 (354,361 ) (57,712 ) 1,366,982

Fair Value of Financial Instr_2

Fair Value of Financial Instruments (Tables)	9 Months Ended
	Sep. 30, 2018
Fair Value Disclosures [Abstract]
Carrying Amounts and Fair Values of Financial Instruments	The carrying amounts and fair values of financial instruments at September 30, 2018 and December 31, 2017, are as follows (in thousands): September 30, 2018 December 31, 2017 Carrying Amount Fair Value Carrying Amount Fair Value Cash and cash equivalents $ 9,245 $ 9,245 $ 17,646 $ 17,646 Restricted cash 13,473 13,473 13,378 13,378 Notes payable, excluding deferred loan costs 952,227 855,503 967,332 929,000

Basis of Presentation - Additio

Basis of Presentation - Additional Information (Detail)	Sep. 30, 2018CommunityStateResident
Organization Consolidation And Presentation Of Financial Statements [Abstract]
Senior housing communities operated by company	129
Number of states in which senior housing communities operated | State	23
Aggregate capacity of residents in company operated senior housing communities | Resident	16,500
Senior housing communities owned by company	83
Senior housing communities on lease by company	46

Summary of Significant Accoun_4

Summary of Significant Accounting Policies - Schedule of Cash and Cash Equivalents and Restricted Cash (Detail) - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017	Sep. 30, 2017	Dec. 31, 2016
Accounting Policies [Abstract]
Cash and cash equivalents	$ 9,245	$ 17,646	$ 9,186
Restricted cash	13,473	13,378	13,372
Total Cash and cash equivalents and Restricted cash	$ 22,718	$ 31,024	$ 22,558	$ 47,323

Summary of Significant Accoun_5

Summary of Significant Accounting Policies - Additional Information (Detail) $ in Thousands	3 Months Ended			9 Months Ended		12 Months Ended
	Sep. 30, 2018USD ($)Communityshares	Sep. 30, 2017USD ($)Communityshares	Mar. 31, 2016shares	Sep. 30, 2018USD ($)Communityshares	Sep. 30, 2017USD ($)Communityshares	Dec. 31, 2017USD ($)shares	Dec. 31, 2009shares
Accounting Policies [Line Items]
Resident revenue	$ 115,650	$ 117,318		$ 344,920	$ 350,026
Contract liabilities for deferred resident fees recognized into revenue	3,800			3,900
Contract liabilities for deferred resident fees included as deferred income				3,700		$ 3,900
Contract liabilities for deferred community fees included in current liabilities	$ 1,300			$ 1,300		1,300
Senior housing communities on lease by company | Community	46			46
Communities on operating lease | Community	44			44
Senior housing communities on capital lease and financing obligations | Community	2			2
Resident receivables due period				30 days
Allowance for doubtful accounts	$ 6,200			$ 6,200		$ 4,900
Adjustments to valuation allowance	$ 2,700	$ 3,100		$ 6,300	$ 19,100
Uncertain tax position maximum percentage				50.00%
Outstanding unvested restricted stock | shares	1,367,000	957,000		1,339,000	884,000
Repurchase of common stock | shares			144,315	0		0	349,800
Valuation Allowance, Operating Loss Carryforwards [Member]
Accounting Policies [Line Items]
Deferred tax assets valuation allowance	$ 43,000			$ 43,000		$ 36,700
Texas [Member]
Accounting Policies [Line Items]
Number of communities consolidated | Community	38	38		38	38
Rental and Other Services [Member]
Accounting Policies [Line Items]
Resident revenue	$ 113,800	$ 115,200		$ 339,200	$ 343,400
Ancillary Services [Member]
Accounting Policies [Line Items]
Resident revenue	1,200	1,200		3,600	3,800
Community Fees [Member]
Accounting Policies [Line Items]
Resident revenue	$ 700	$ 900		$ 2,100	$ 2,800
Maximum [Member]
Accounting Policies [Line Items]
Residency agreements duration period				1 year

Summary of Significant Accoun_6

Summary of Significant Accounting Policies - Computation of Basic and Diluted Net Loss Per Share (Detail) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Accounting Policies [Abstract]
Net loss	$ (11,089)	$ (8,132)	$ (27,305)	$ (37,809)
Net loss allocated to unvested restricted shares	0	0	0	0
Undistributed net loss allocated to common shares	$ (11,089)	$ (8,132)	$ (27,305)	$ (37,809)
Weighted average shares outstanding – basic	29,877	29,512	29,779	29,427
Effects of dilutive securities:
Employee equity compensation plans	0	0	0	0
Weighted average shares outstanding – diluted	29,877	29,512	29,779	29,427
Basic net loss per share – common shareholders	$ (0.37)	$ (0.28)	$ (0.92)	$ (1.28)
Diluted net loss per share – common shareholders	$ (0.37)	$ (0.28)	$ (0.92)	$ (1.28)

Acquisitions - Additional Infor

Acquisitions - Additional Information (Detail) - Ventas [Member] $ in Millions	Jan. 31, 2017USD ($)Community	Mar. 31, 2017USD ($)
Business Acquisition [Line Items]
Acquisition cost	$ 85
Number of acquisition closed | Community	4
Payments for rent	$ 2.3
Number of remaining lease communities | Community	7
Lease termination obligation	$ 16
Estimated fair value of the acquired entities	88.1
Business acquisition, aggregate consideration	101
Loss on facility lease termination		$ 12.9
Transaction cost related to acquisition	0.4
Additions to property and equipment		$ 88.1
Bridge Loan [Member]
Business Acquisition [Line Items]
Acquisition cost	$ 65
Initial variable interest rate	4.00%
Bridge loan period	36 months
Minimum [Member]
Business Acquisition [Line Items]
Long term fixed interest rate	7.25%
Maximum [Member]
Business Acquisition [Line Items]
Long term fixed interest rate	8.50%

Debt Transactions - Additional

Debt Transactions - Additional Information (Detail)	Jun. 29, 2018USD ($)Community	May 31, 2018USD ($)	Jun. 30, 2018	Sep. 30, 2018USD ($)Community	Dec. 31, 2017USD ($)
Debt Instrument [Line Items]
Senior housing communities operated by company | Community				129
Deferred financing cost				$ 14,100,000	$ 14,000,000
Net book value of housing communities				976,900,000	1,000,000,000
Mortgage debt				950,300,000	963,100,000
Accumulated amortization				5,900,000	$ 4,600,000
Hartford Financial Services [Member]
Debt Instrument [Line Items]
Letters of credit remain outstanding				3,900,000
Welltower, Inc. [Member]
Debt Instrument [Line Items]
Letters of credit remain outstanding				6,700,000
HCP, Inc. [Member]
Debt Instrument [Line Items]
Letters of credit remain outstanding				$ 2,900,000
3.64%,11-Month Term Financing Agreement [Member]
Debt Instrument [Line Items]
Insurance finance agreement, outstanding amount		$ 1,700,000
Debt instrument, fixed interest rate		3.64%
Debt instrument, repayment term		11 months
Berkadia Commercial Mortgage LLC [Member] | Variable Interest Rate LIBOR Plus 5.0% Loan [Member]
Debt Instrument [Line Items]
Senior housing communities operated by company | Community	1
Debt instrument maturity date	Oct. 10, 2021
Acquisition price at a variable rate			LIBOR plus 5.0%
Debt instrument variable interest rate	5.00%
Deferred financing cost	$ 41,500
Deferred financing costs amortization period	25 years

Equity - Additional Information

Equity - Additional Information (Detail) - USD ($)	3 Months Ended	9 Months Ended	12 Months Ended
	Mar. 31, 2016	Sep. 30, 2018	Dec. 31, 2017	Dec. 31, 2009	Jan. 22, 2009
Equity [Abstract]
Preferred stock, shares outstanding		0	0
Authorization for purchase of company's common stock					$ 10,000,000
Purchase common stock shares	144,315	0	0	349,800
Average cost of per share	$ 17.29			$ 2.67
Purchase common stock value	$ 2,500,000			$ 900,000

Stock-Based Compensation - Addi

Stock-Based Compensation - Additional Information (Detail) - USD ($)	May 08, 2007	Sep. 30, 2018
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock options vesting period, Minimum		1 year
Stock options vesting period, Maximum		5 years
Number of stock options outstanding		0
Period of recognition for compensation expense, Minimum		1 year
Period of recognition for compensation expense, Maximum		4 years
Unrecognized stock based compensation expense, net of estimated forfeitures		$ 11,500,000
Restricted Stock [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Compensation expense recognized		0
Restricted stock outstanding, intrinsic value		$ 12,900,000
Restricted common stock, Granted		814,571
Performance and market based restricted stock, Granted		237,840
Average market value of common stock awarded to certain employees and directors of company		$ 11.12
Restricted stock award vesting period, Minimum		1 year
Restricted stock award vesting period, Maximum		4 years
Restricted stock outstanding		$ 9,100,000
Restricted Stock [Member] | Directors [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Restricted common stock, Granted		67,356
Average market value of common stock awarded to certain employees and directors of company		$ 10.69
Restricted stock outstanding		$ 700,000
Restricted stock award vesting period		1 year
Performance and Market Based Stock Awards [Member] | Minimum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected period of expenses		1 year
Performance and Market Based Stock Awards [Member] | Maximum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected period of expenses		3 years
Nonperformance Based Stock Awards [Member] | Minimum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected period of expenses		1 year
Nonperformance Based Stock Awards [Member] | Maximum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected period of expenses		4 years
2007 Omnibus Stock and Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Authorized shares of common stock	4,600,000
1997 Omnibus Stock and Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of additional shares granted under the plan	0

Stock-Based Compensation - Rest

Stock-Based Compensation - Restricted Stock Awards Activity and Related Information (Detail) - Restricted Stock [Member]	9 Months Ended
	Sep. 30, 2018shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Shares, Outstanding at Beginning of Period	964,484
Shares, Granted	814,571
Shares, Vested	(354,361)
Shares, Cancelled	(57,712)
Shares, Outstanding End of Period	1,366,982

Contingencies - Additional Info

Contingencies - Additional Information (Detail)	Sep. 30, 2018USD ($)Community	Sep. 30, 2018USD ($)Community	Sep. 30, 2017USD ($)Community	Sep. 30, 2018USD ($)Community	Dec. 31, 2015USD ($)
Loss Contingencies [Line Items]
Senior housing communities owned by company | Community	83	83		83
Hurricane related expenses deductible for insurance claim			$ 100,000
Clean-up and physical repair costs	$ 6,600,000
Payments received from insurance underwriters		$ 3,200,000		$ 7,300,000
Business interruption insurance recoveries		1,300,000		$ 4,500,000
Condition for employer shared responsibility payment				The ESRP is applicable to employers that had 50 or more full-time equivalent employees, did not offer minimum essential coverage (“MEC”) to at least 70% of full-time employees and their dependents, or did offer MEC to at least 70% of full-time employees and their dependents which did not meet the affordable or minimum value criteria and had one or more full-time employees certified as being allowed the premium tax credit (“PTC”).
Internal Revenue Service [Member]
Loss Contingencies [Line Items]
Employer shared responsibility payment contingent liability					$ 2,100,000
Internal Revenue Service [Member] | ESRP Penalties [Member]
Loss Contingencies [Line Items]
Employer Shared Responsibility Payment accrued in employee benefit reserves	$ 200,000	$ 200,000		$ 200,000
Texas [Member]
Loss Contingencies [Line Items]
Senior housing communities owned by company | Community			2

Fair Value of Financial Instr_3

Fair Value of Financial Instruments - Carrying Amounts and Fair Values of Financial Instruments (Detail) - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017	Sep. 30, 2017
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Restricted cash	$ 13,473	$ 13,378	$ 13,372
Carrying Amount [Member]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Cash and cash equivalents	9,245	17,646
Restricted cash	13,473	13,378
Notes payable, excluding deferred loan costs	952,227	967,332
Fair Value [Member]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Cash and cash equivalents	9,245	17,646
Restricted cash	13,473	13,378
Notes payable, excluding deferred loan costs	$ 855,503	$ 929,000