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Related Person Transactions (Details) (USD $) In Thousands, except Share data, unless otherwise specified | 3 Months Ended | 6 Months Ended | 3 Months Ended | 6 Months Ended |  |  |  | 3 Months Ended | 6 Months Ended | 3 Months Ended | 5 Months Ended | 6 Months Ended |  | 3 Months Ended | 1 Months Ended | 6 Months Ended | 1 Months Ended | 3 Months Ended
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Jun. 30, 2011 | Jun. 30, 2010 | Jun. 30, 2011 | Jun. 30, 2010 | Jun. 30, 2011 Acquisition Five Star Senior living communities Rockford, Illinois | Jun. 30, 2011 Sale Five Star | Jun. 30, 2011 Five Star | Jun. 30, 2010 Five Star | Jun. 30, 2011 Five Star | Jun. 30, 2010 Five Star | Dec. 31, 2010 Five Star | Jul. 28, 2011 Five Star Senior living communities | Jun. 30, 2011 Five Star Senior living communities | Jun. 30, 2011 Five Star Rehabilitation hospitals | Jun. 30, 2011 RMR | Jun. 30, 2010 RMR | Jun. 30, 2011 RMR | Jun. 30, 2010 RMR | Jun. 30, 2011 AIC | Jun. 30, 2010 AIC | May 31, 2012 AIC | May 31, 2011 AIC | Jun. 30, 2011 AIC | Jun. 30, 2010 AIC | Dec. 31, 2010 AIC | Jul. 31, 2011 Acquisition | Jul. 31, 2011 Acquisition Senior living communities Five States in the Southeast United States | Jun. 30, 2011 Acquisition Senior living communities Five States in the Southeast United States | May 31, 2011 Acquisition Senior living communities Five States in the Southeast United States | Mar. 31, 2011 Acquisition Senior living communities Five States in the Southeast United States | Jun. 30, 2011 Acquisition Senior living communities Five States in the Southeast United States | May 31, 2011 Acquisition Senior living communities Rockford, Illinois | Jun. 30, 2011 Sale | Jun. 30, 2011 Sale Skilled nursing facilities Georgia | Jun. 30, 2011 Sale Assisted living community | Jun. 30, 2011 Sale Assisted living community Pennsylvania
Related person transactions |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Investment in common shares (in shares) |  |  |  |  |  |  | 4,235,000 |  | 4,235,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of total shares outstanding (as a percent) |  |  |  |  |  |  | 8.90% |  | 8.90% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of Managing Trustees also serving as managing directors |  |  |  |  |  |  | 1 |  | 1 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of real estate properties leased |  |  |  |  |  |  |  |  |  |  |  |  | 187 | 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Minimum annual rent payable to entity |  |  |  |  | $ 608 |  |  |  | $ 192,915 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 6,923 |  |  |  |  |
Total rent recognized |  |  |  |  |  |  | 46,789 | 46,220 | 93,483 | 92,310 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Rents receivable |  |  |  |  |  |  | 16,815 |  | 16,815 |  | 16,762 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties agreed to be acquired |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 20 | 3 |  |  |  |  |
Amount outstanding under Bridge Loan |  |  |  |  |  |  |  |  |  |  |  | 24,000 | 9,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of states in which properties are located | 37 |  | 37 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5 |  |  |  |  |  |
Aggregate purchase price of properties acquired, excluding closing costs |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22,725 | 44,671 | 196,594 |  | 304,000 |  | 7,500 |  |  |  |
Number of properties acquired |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 3 | 14 |  |  |  | 1 |  |  |  |
Mortgage loans assumed in real estate acquisition | (48,062) |  | (48,062) | (2,458) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48,062 |  |  |  |  |  |  |  |
Interest and other income | 254 | 243 | 509 | 500 |  |  | 58 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Mortgage loans expected to be assumed in real estate acquisition |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 9,700 |  |  |  |  |  |  |  |  |  |
Number of properties agreed to be acquired, referred as managed properties |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 15 |  |  |  |  |  |  |
Number of properties agreed to be acquired, referred as leased properties |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5 |  |  |  |  |  |  |  |  |
Number of properties acquired, referred as managed properties |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2 |  |  |  |  |  |  |  |  |
Number of units |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 73 |  | 329 |  | 70
Real estate improvements purchased |  |  |  |  |  |  | 4,485 |  | 15,322 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Increase or decrease in annual lease rent payable |  |  |  |  |  | (1,864) | 359 |  | 1,228 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties sold |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 7 | 3 | 1 | 1
Aggregate sale price |  |  |  |  |  | 18,800 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 39,460 |  |  |
Business management agreement expense |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5,572 | 4,187 | 10,390 | 8,405 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property management agreement expense |  |  |  |  |  |  | 25 |  |  |  |  |  |  |  | 1,057 | 551 | 2,081 | 1,104 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Equity method investments, ownership percentage (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 14.29% |  |  |  | 14.29% |  |  |  |  |  |  |  |  |  |  |  |  |
The entity owns less than this percentage of an equity method investment |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 20.00% |  |  |  | 20.00% |  |  |  |  |  |  |  |  |  |  |  |  |
Amount invested in equity investee |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5,209 |  |  |  | 5,209 |  |  |  |  |  |  |  |  |  |  |  |  |
Equity method investments, carrying value |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5,202 |  |  |  | 5,202 |  | 5,076 |  |  |  |  |  |  |  |  |  |  |
Earnings and losses recognized related to equity investments | 46 | (24) | 83 | (52) |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 46 | (24) |  |  | 83 | (52) |  |  |  |  |  |  |  |  |  |  |  |
Total premiums |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 1,170 | $ 275 |  |  |  |  |  |  |  |  |  |  |  |  |  |

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- Definition The amount of debt that an Entity assumes in acquiring a business or in consideration for an asset received in a noncash (or part noncash) acquisition. Noncash is defined as transactions during a period that affect recognized assets or liabilities but that do not result in cash receipts or cash payments in the period. "Part noncash" refers to that portion of the transaction not resulting in cash receipts or cash payments in the period. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=6367179&loc=d3e4332-108586 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 95 -Paragraph 32 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=6367179&loc=d3e4313-108586 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=6367179&loc=d3e4304-108586 + Details
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- Definition The total amount of revenue recognized for the period from operating leases, including minimum lease revenue, contingent revenue, percentage revenue and sublease revenue. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 13 -Paragraph 19 -Subparagraph b -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 840 -SubTopic 20 -Section 25 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6453417&loc=d3e39896-112707 + Details
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