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Related Person Transactions (Details) (USD $)
In Thousands, except Share data, unless otherwise specified
 3 Months Ended 9 Months Ended 1 Months Ended 9 Months Ended 9 Months Ended 3 Months Ended 9 Months Ended 9 Months Ended 0 Months Ended 9 Months Ended 0 Months Ended 1 Months Ended 9 Months Ended 1 Months Ended 0 Months Ended 1 Months Ended 3 Months Ended 9 Months Ended 0 Months Ended 1 Months Ended 3 Months Ended 9 Months Ended 9 Months Ended 0 Months Ended
Sep. 30, 2014
item
property
Sep. 30, 2013
Sep. 30, 2014
property
item
Sep. 30, 2013
May 09, 2014
item
Sep. 30, 2014
TRS
item
Sep. 30, 2014
Senior living communities
item
Dec. 31, 2013
Senior living communities
item
Sep. 30, 2014
Acquisition
Senior living communities
property
item
Jul. 31, 2014
Acquisition
Senior living communities
property
Sep. 30, 2014
Acquisition
Senior living communities
property
item
Jul. 31, 2014
Acquisition
Senior living communities
Subsequent event
item
Sep. 30, 2014
Sale
Senior living communities
property
Sep. 30, 2014
Five Star
item
Sep. 30, 2013
Five Star
Sep. 30, 2014
Five Star
item
Sep. 30, 2013
Five Star
Dec. 31, 2013
Five Star
Dec. 31, 2001
Five Star
Sep. 30, 2014
Five Star
AL Pooling Agreement
item
Sep. 30, 2014
Five Star
IL Pooling Agreement
item
Jul. 10, 2014
Five Star
IL Pooling Agreement
Subsequent event
item
Sep. 30, 2014
Five Star
Second AL Pooling Agreement
item
Jul. 10, 2014
Five Star
Second AL Pooling Agreement
Subsequent event
item
Aug. 31, 2013
Five Star
Senior living communities
property
Jun. 30, 2013
Five Star
Senior living communities
property
Sep. 30, 2014
Five Star
Senior living communities
item
Sep. 30, 2014
Five Star
Acquisition
Senior living communities
New York
item
Jun. 30, 2014
Five Star
Sale
Senior living communities
property
item
Jan. 31, 2014
Five Star
Sale
Senior living communities
property
item
Aug. 31, 2013
Five Star
Sale
Senior living communities
item
Jan. 31, 2014
Five Star
Sale
Senior living communities
Texas
item
Oct. 31, 2014
Five Star
Sale
Senior living communities
Virginia
item
Oct. 31, 2014
Five Star
Sale
Senior living communities
Virginia
Subsequent event
property
item
Oct. 31, 2014
Five Star
Sale
Senior living communities
Arizona
item
property
Oct. 31, 2014
Five Star
Sale
Senior living communities
Arizona
Subsequent event
property
item
May 09, 2014
RMR
May 08, 2014
RMR
Jun. 30, 2014
RMR
item
Sep. 30, 2014
RMR
item
Sep. 30, 2013
RMR
Sep. 30, 2014
RMR
item
Sep. 30, 2013
RMR
May 09, 2014
AIC
Jun. 30, 2014
AIC
Sep. 30, 2014
AIC
Sep. 30, 2013
AIC
Sep. 30, 2014
AIC
Sep. 30, 2013
AIC
May 09, 2014
AIC
Dec. 31, 2013
AIC
Sep. 30, 2014
SIR
Aug. 31, 2014
SIR
Healthcare properties
property
item
sqft
Related person transactions                                                                                                          
Beneficial ownership of common shares (as a percent)                                     100.00%                                                                    
Investment in common shares                           4,235,000   4,235,000                                                                          
Percentage of total shares outstanding                           8.70%   8.70%                                                                          
Number of real estate properties leased                                                     184                                                    
Number of combination leases                           4   4                                                                          
Total rental income recognized                           $ 47,717 $ 49,705 $ 142,842 $ 148,732                                                                        
Rents receivable                           15,907   15,907   17,960                                                                      
Deferred estimated percentage rent                           1,498 1,301 4,317 3,823                                                                        
Real estate improvements purchased                               23,776 22,501                                                                        
Increase or decrease in annual lease rent payable                               1,902 1,800               255       452 210     285   590                                    
Number of properties agreed to be offered for sale 8   8       7 10                                     4                                                    
Sale price of properties under agreement to be sold                                                         4,500 2,400 2,550 2,400 2,850 2,850 5,900 5,900                                 539,000
Debt disposed of from properties sold                                                                                                         30,000
SIR Common shares collectively beneficially owned                                                                                                       22,066,212  
Period for which the Company has agreed not to make Unsolicited Proposals to Acquire                                                                                                       36 months  
Number of properties sold or agreed to be sold                         3                       1       2     36 70 1 177 2                                  
Number of properties agreed to be sold                                                   11       1         2                                    
Increase or decrease in annual lease rent payable as a percentage of net proceeds of the sale                                                 10.00%       10.00% 8.75%     10.00%   10.00%                                    
Number of combination or pooling agreements                           4   4       3                                                                  
Number of communities that include assisted living units                                       20     19 19                                                          
Number of communities that include independent living units                                         2 2                                                              
Number of properties acquired, referred to as managed properties                                                     44                                                    
Property management agreement expense                           2,438 2,290 7,295 6,866                                             2,211 1,678 5,928 4,937                    
Number of living units             552 744 176   176 52                               310 156 36 112     70   177                                  
Number of TRSs to whom property was leased           1                                                                                              
Number of properties acquired or agreed to be acquired     2           1 1 2                                                                                    
Purchase price                 40,430 7,000 47,430                                                                                    
Number of employees 0   0                                                                                                    
Number of agreements to avail management and administrative services                                                                               2   2                      
Number of Managing Trustees also serving as managing trustee of Five Star                           1   1                                                                          
Period before which the written notice is required to be given for cancellation of business management agreement and the property management agreement                                                                         120 days 60 days                              
Number of business days before which the notice is required to be given for termination of property management agreement                                                                           5 days                              
Period for providing transition services under business management agreement and property management agreement                                                                                   120 days                      
Business management agreement expense                                                                               8,077 6,847 22,492 20,088                    
Common shares issued as payment for base business management fee                                                                                   98,449                      
Number of other shareholders in the equity method investee company 4   4   6                                                                                                
Ownership percentage held by the entity and other shareholders                                                                                                   14.30%   36.80%  
Term of property insurance policy                                                                                         1 year                
Total premiums including taxes and fees                                                                                         3,118                
The entity owns less than this percentage of an equity method investment                                                                                           20.00%   20.00%          
Amount invested in equity investee                                                                                           6,034   6,034          
Equity method investments, carrying value                                                                                           6,806   6,806     5,913    
Income recognized arising from equity investments 38 64 59 219                                                                                   38 64 59 219        
Coverage of property insurance                                                                                               500,000          
Number of shares purchased                                                                                       2,857                  
Payments for share purchased                                                                                       825                  
Number of entities to which RMR provides management services                                                                             3     5                      
Premium paid for combined and separate directors' and officers' liability insurance policy                                                                             51                            
Liability insurance policy term                                                                                   2 years                      
Aggregate coverage of combined directors' and officers' liability insurance policy purchased by the related party                                                                               10,000   10,000                      
Additional liability insurance policy term                                                                                   1 year                      
Aggregate additional coverage of combined directors' and officers' liability insurance policy purchased by the related party                                                                               20,000   20,000                      
Non-indemnifiable coverage of combined directors' and officers' liability insurance policy purchased by the related party                                                                                   5,000                      
Premium payable for combined directors' and officers' liability insurance policy                                                                               $ 651   $ 651                      
Number of properties agreed to be acquired                                                                                                         23
Area of real estate properties (in square feet)                                                                                                         2,200,000
Number of states in which properties are located 38   38                                                                                                   12