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Related Person Transactions (Details) (USD $)
In Thousands, except Share data, unless otherwise specified
 1 Months Ended 3 Months Ended 9 Months Ended 0 Months Ended 3 Months Ended 9 Months Ended 9 Months Ended 1 Months Ended 3 Months Ended 9 Months Ended 1 Months Ended 9 Months Ended 1 Months Ended 3 Months Ended 9 Months Ended 1 Months Ended 3 Months Ended 9 Months Ended 1 Months Ended 3 Months Ended 9 Months Ended
Jul. 31, 2012
Oct. 31, 2012
Sep. 30, 2012
item
Sep. 30, 2011
Sep. 30, 2012
item
Sep. 30, 2011
Aug. 31, 2012
Mortgages
item
Sep. 30, 2012
Mortgages
item
Apr. 30, 2012
Mortgages
item
Sep. 30, 2012
Senior living communities
item
May 31, 2011
Acquisition
Senior living communities
item
Sep. 30, 2012
Operations Transfer Agreement
TRS
item
Sep. 30, 2012
Five Star
item
Sep. 30, 2011
Five Star
Sep. 30, 2012
Five Star
item
Sep. 30, 2011
Five Star
Aug. 31, 2012
Five Star
Apr. 30, 2012
Five Star
Dec. 31, 2011
Five Star
May 31, 2011
Five Star
Sep. 30, 2012
Five Star
AL Pooling Agreement
item
Sep. 30, 2012
Five Star
IL Pooling Agreement
item
Sep. 30, 2012
Five Star
Senior living communities
item
Aug. 31, 2012
Five Star
Senior living communities
Jul. 31, 2012
Five Star
Senior living communities
South Carolina
item
May 31, 2012
Five Star
Senior living communities
South Carolina
item
Aug. 31, 2012
Five Star
Senior living communities
Missouri
item
Aug. 31, 2012
Five Star
Senior living communities
New York
item
Feb. 29, 2012
Five Star
Senior living communities
Alabama
item
Sep. 30, 2012
Five Star
Rehabilitation hospitals
item
Sep. 30, 2012
Five Star
Acquisition
Sep. 30, 2012
Five Star
Acquisition
Aug. 31, 2012
Five Star
Acquisition
Senior living communities
Missouri
Aug. 31, 2012
Five Star
Acquisition
Senior living communities
New York
Oct. 31, 2012
Five Star
Operations Transfer Agreement
TRS
item
May 31, 2012
Five Star
Operations Transfer Agreement
TRS
item
Sep. 30, 2012
Five Star
Operations Transfer Agreement
TRS
item
Mar. 31, 2012
RMR
Sep. 30, 2012
RMR
item
Sep. 30, 2011
RMR
Sep. 30, 2012
RMR
item
Sep. 30, 2011
RMR
Jun. 30, 2012
AIC
Sep. 30, 2012
AIC
item
Sep. 30, 2011
AIC
Sep. 30, 2012
AIC
item
Sep. 30, 2011
AIC
Dec. 31, 2011
AIC
Sep. 30, 2012
CommonWealth REIT (CWH)
item
Sep. 30, 2011
CommonWealth REIT (CWH)
Acquisition
MOBs
item
sqft
Mar. 31, 2012
CommonWealth REIT (CWH)
Acquisition
MOBs
Mar. 31, 2010
CommonWealth REIT (CWH)
Acquisition
MOBs
item
Nov. 30, 2010
CommonWealth REIT (CWH)
Acquisition
MOBs
sqft
Sep. 30, 2012
Sunrise Senior Living, Inc.
item
Sep. 30, 2012
Sunrise Senior Living, Inc.
Senior living communities
item
Sep. 30, 2012
Sunrise Senior Living, Inc.
Operations Transfer Agreement
item
Related person transactions                                                                                                                
Number of agreements to avail management and administrative services                                                                             2   2                              
Number of Managing Trustees also serving as managing trustee of CWH                         1   1                                                                   1              
Number of Managing Trustees also serving as President of CWH                                                                                                 1              
Business management agreement expense                                                                             $ 6,745 $ 4,865 $ 19,472 $ 15,241                            
Common shares issued to RMR 13,800,000                                                                         20,462                                    
Property management agreement expense                         1,284 326 3,431 351                                             1,557 1,111 4,328 3,193                            
Beneficial ownership of common shares (as a percent)                         100.00%   100.00%                                                                                  
Number of properties acquired, referred as managed properties                             30                   232 59 87 310 92                                                      
Number of real estate properties leased                   30   10                     188             2                                               2 14  
Number of properties under accelerated lease termination                                                                                                               10
Number of communities under accelerated lease termination                                                                       10                                       8
Number of communities under management operations                                                                     8 10 10                                      
Minimum annual rent payable to entity                             196,704                                                                                  
Total rental income recognized                         49,148 48,392 146,901 141,875                                                                                
Rents receivable                         17,620   17,620       17,313                                                                          
Real estate improvements purchased                             18,249                               4,156 18,249                                                
Increase or decrease in annual lease rent payable                             1,472                               335 1,472                                                
Interest and other income     248 394 957 870             0 187 314 245                                                                                
Amount agreed to be lend under Bridge Loan Agreement                                       80,000                                                                        
Aggregate principal amount outstanding under Bridge Loan                                   38,000                                                                            
Number of states in which properties are located     40   40           6                                                                             8            
Investment in common shares                         4,235,000   4,235,000                                                                   250,000              
Number of Independent Trustees also serving as independent trustee of CWH                                                                                                 1              
Percentage of total shares outstanding                         8.80%   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   68,300                                             37,273 8,059     11,300       11,280 99,000                               167,000 470,000          
Equity method investments, ownership percentage                                                                                       12.50%   12.50%                    
The entity owns less than this percentage of an equity method investment                                                                                       20.00%   20.00%                    
Equity method investments, carrying value                                                                                       5,558   5,558   5,291                
Earnings and losses recognized related to equity investments     115 28 236 111                                                                           115 28 236 111                  
Coverage of property insurance                                                                                           500,000                    
Number of properties agreed to be acquired, referred as leased properties                                                                                                   13   27        
Number of other companies which are shareholders of equity method investee                                                                                       4   4                    
Period for which property insurance program was extended                                                                                     1 year                          
Total premiums including taxes and fees                                                                                           4,438                    
Number of pooling agreement                         3   3           2                                                                      
Number of communities that include assisted living units                                         20                                                                      
Number of communities that include independent living units                                           2                                                                    
Management fees payable under property management agreement as a percentage of gross rents (as a percent)                                 3.00%             5.00%                                                                
Early repayment of debt variable portion             $ 199,197                                                                                                  
Number of Properties released from mortgage as collateral             11                                                                                                  
Number of properties mortgaged             28 56 17