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Related Person Transactions (Details) (USD $)
In Thousands, unless otherwise specified
 1 Months Ended 3 Months Ended 1 Months Ended 3 Months Ended 3 Months Ended 3 Months Ended 1 Months Ended 3 Months Ended 1 Months Ended 3 Months Ended 1 Months Ended 3 Months Ended
Mar. 31, 2012
state
Mar. 31, 2012
state
Mar. 31, 2011
Jan. 31, 2012
Senior living communities
Property
May 31, 2011
Acquisition
Senior living communities
state
Aug. 31, 2011
Acquisition
Senior living communities
Five States in the southeastern United States
Property
Jul. 31, 2011
Acquisition
Senior living communities
Five States in the southeastern United States
Property
Jun. 30, 2011
Acquisition
Senior living communities
Five States in the southeastern United States
May 31, 2011
Acquisition
Senior living communities
Five States in the southeastern United States
Property
Mar. 31, 2012
Acquisition
Senior living communities
Five States in the southeastern United States
Property
Mar. 31, 2011
Acquisition
Senior living communities
Five States in the southeastern United States
state
Mar. 31, 2012
Five Star
Property
person
Mar. 31, 2011
Five Star
Dec. 31, 2011
Five Star
May 31, 2011
Five Star
Feb. 29, 2012
Five Star
Senior living communities
unit
Mar. 31, 2012
Five Star
Acquisition
Mar. 31, 2012
Five Star
Acquisition
Senior living communities
Property
Jul. 31, 2011
Five Star
Acquisition
Senior living communities
Six states
Property
Mar. 31, 2012
Five Star
Acquisition
Rehabilitation hospitals
Property
Mar. 31, 2012
RMR
agreement
Mar. 31, 2011
RMR
Jun. 30, 2011
AIC
Y
Jun. 30, 2010
AIC
Mar. 31, 2012
AIC
company
Mar. 31, 2011
AIC
Dec. 31, 2011
AIC
Mar. 31, 2012
CommonWealth REIT (CWH)
person
trustee
Sep. 30, 2011
CommonWealth REIT (CWH)
Acquisition
MOB
Property
sqft
state
Nov. 30, 2010
CommonWealth REIT (CWH)
Acquisition
MOB
sqft
Mar. 31, 2012
CommonWealth REIT (CWH)
Acquisition
MOB
Mar. 31, 2010
CommonWealth REIT (CWH)
Acquisition
MOB
Property
Related person transactions                                                                
Number of agreements to avail management and administrative services                                         2                      
Number of Managing Trustees also serving as managing directors (in persons)                       1                               1        
Business management agreement expense                                         $ 6,360 $ 4,818                    
Common shares issued to RMR 20,462                                       20,462                      
Property management agreement expense                       1,068                 1,346 1,024                    
Beneficial ownership of common shares (as a percent)                       100.00%                                        
Number of properties acquired, referred as managed properties                       23                                        
Number of real estate properties leased       23                           188   2                        
Minimum annual rent payable to entity                       195,746                                        
Total rent recognized                       48,811 46,694                                      
Rents receivable                       17,483   17,313                                    
Real estate improvements purchased                       6,318 10,837       6,318                              
Increase or decrease in annual lease rent payable                       512 869       512                              
Costs reimbursed                       22,962                                        
Interest and other income   482 232                 275                                        
Amount agreed to be lent under Bridge Loan Agreement                             80,000                                  
Aggregate principal amount outstanding under Bridge Loan                       38,000                                        
Number of states in which properties are located 38 38     6           5                                   8      
Number of units                               92                                
Investment in common shares                       4,235,000                               250,000        
Number of Independent Trustees also serving as independent trustee of CWH                                                       1        
Percentage of total shares outstanding                       8.80%                                        
Area of real estate properties acquired (in square feet)                                                         1,310,000 2,803,000    
Aggregate purchase price of properties acquired, excluding closing costs               196,594                     478,000                   167,000   470,000  
Equity method investments, ownership percentage                                                 14.30%              
The entity owns less than this percentage of an equity method investment                                                 20.00%              
Equity method investments, carrying value                                                 5,335   5,291          
Earnings and losses recognized related to equity investments   45 37                                           45 37            
Coverage of property insurance                                               500,000                
Number of properties acquired or agreed to be acquired           1 3     2                 9                          
Number of properties agreed to be acquired, referred as leased properties                 5                                       13     27
Number of other companies which are shareholders of equity method investee                                                 3              
Period for which property insurance program was extended (in years)                                             1                  
Total premiums                                                 $ 1,600