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Related Person Transactions - Leases with RMR LLC (Details)
$ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
Jan. 29, 2015
USD ($)
ft²
state
property
Jun. 30, 2015
USD ($)
Apr. 30, 2015
USD ($)
Jan. 31, 2015
USD ($)
ft²
property
Sep. 30, 2015
USD ($)
ft²
item
Sep. 30, 2014
USD ($)
Sep. 30, 2015
USD ($)
ft²
property
item
Sep. 30, 2014
USD ($)
Dec. 31, 2014
property
Related person transactions                  
Number of states in which properties are located | item         43   43    
Income (loss) recognized arising from equity investments         $ (24) $ 38 $ 70 $ 59  
Change in net unrealized (loss) gain on investments         $ (7,242) (5,404) (4,407) (6,684)  
RMR LLC                  
Related person transactions                  
Rental revenue from related party             $ 153    
Acquisition                  
Related person transactions                  
Number of properties acquired or agreed to be acquired | property             23    
Acquisition | MOBs                  
Related person transactions                  
Number of properties acquired or agreed to be acquired | property       23     23   2
Purchase price excluding closing costs and working capital adjustments       $ 531,623     $ 531,623    
Area of real estate properties (in square feet) | ft²       2,170,000 2,170,000   2,170,000    
Acquisition | MOBs | SIR                  
Related person transactions                  
Amount from SIR related to working capital activity     $ 8,993            
SIR                  
Related person transactions                  
Debt disposed of from properties sold $ 29,955                
SIR | Acquisition | MOBs                  
Related person transactions                  
Number of properties acquired or agreed to be acquired | property 23                
Purchase price excluding closing costs and working capital adjustments $ 539,000                
Area of real estate properties (in square feet) | ft² 2,170,000                
Number of states in which properties are located | state 12                
AIC                  
Related person transactions                  
Equity method investments, carrying value         $ 6,807   $ 6,807    
Income (loss) recognized arising from equity investments         (24) 59 70 38  
Change in net unrealized (loss) gain on investments         (72) $ (33) (91) $ 17  
Coverage of purchased property insurance   $ 500,000              
Coverage of purchased property insurance for large property   1,000,000              
Coverage of purchased property terror insurance   200,000              
Property insurance premium   $ 4,222              
RMR LLC                  
Related person transactions                  
Aggregate coverage of combined directors' and officers' liability insurance policy purchased by the related party         10,000   10,000    
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         $ 502   $ 502