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Leases and Management Agreements with Five Star (Details)
$ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended
Nov. 09, 2017
USD ($)
property
Aug. 31, 2017
USD ($)
Jun. 30, 2016
USD ($)
pooling_agreement
community
Sep. 30, 2017
USD ($)
community
Sep. 30, 2016
USD ($)
community
Sep. 30, 2017
USD ($)
lease_agreement
community
Sep. 30, 2016
USD ($)
community
Jun. 30, 2017
community
Dec. 31, 2016
USD ($)
May 31, 2015
Five Star                    
Number of communities leased by the Company | community       185 183 185 183      
Number of leases with related party | lease_agreement           5        
Total rental income recognized       $ 51,333 $ 50,417 $ 153,441 $ 146,758      
Related party transaction, annual rents due       1,353 1,367 4,190 4,228      
Rents receivable       17,120   17,120     $ 18,320  
Real estate improvements purchased           30,698 15,306      
Increase or decrease in annual lease rent payable           2,464 1,228      
Number of communities included in expansion and development project | community               2    
Related party transaction, annual rent increase percentage in addition to rate applicable on outstanding borrowings               2.00%    
Property management agreement expense       $ 3,414 3,070 $ 10,531 $ 8,689      
Number of pre-existing management agreements terminated | pooling_agreement     3              
Number of pre-existing management agreements | pooling_agreement     4              
Related party transaction, property management agreement, number of communities subject to reset of annual minimum return | community     10              
Five Star | Rents from significant lessee | Revenues                    
% of Total (as a percent)       19.20%   19.30%        
Five Star | Rents from significant lessee | Investment                    
% of Total (as a percent)           27.50%        
Five Star | A L Pooling Agreements                    
Related party transaction, property management agreement, management fees as percentage of gross revenues     5.00%             3.00%
Related party transaction property management agreement, payment of capital expenditure as percentage of the funded amount     3.00%              
Related party transaction, property management agreement, incentive fee as percentage of annual net operating income after realization of specified percentage of annual return     20.00%             35.00%
Five Star | A L Pooling Agreements | Minimum                    
Related party transaction, property management agreement, management fees as percentage of gross revenues     3.00%              
Five Star | A L Pooling Agreements | Maximum                    
Related party transaction, property management agreement, management fees as percentage of gross revenues     5.00%              
Five Star | Senior Living Communities                    
Number of communities managed by related party | community           68 63      
Number of separate management agreements | pooling_agreement     10              
Five Star | Senior Living Communities | Four States                    
Number of properties acquired | community     7              
Real estate aggregate purchase price     $ 112,350              
Acquisition | Land Parce | Delaware                    
Increase or decrease in annual lease rent payable   $ 33                
Purchase price excluding closing costs   $ 750                
Subsequent Event | Five Star | A L Pooling Agreements                    
Related party transaction, annual rent increase percentage in addition to rate applicable on outstanding borrowings 2.00%                  
Related party transaction, property management agreement, management fees as percentage of gross revenues 5.00%                  
Related party transaction property management agreement, payment of capital expenditure as percentage of the funded amount 3.00%                  
Related party transaction, property management agreement, incentive fee as percentage of annual net operating income after realization of specified percentage of annual return 20.00%                  
Property management agreement, annual return as percentage of invested capital 7.00%                  
Subsequent Event | Scenario, Plan | Acquisition | Senior Living Communities                    
Purchase price excluding closing costs $ 104,000                  
Number of properties acquired | property 6                  
Debt assumed in an acquisition $ 33,696                  
Subsequent Event | Scenario, Plan | Acquisition | Five Star | Senior Living Communities                    
Purchase price excluding closing costs $ 104,000                  
Number of properties acquired | property 6                  
Rehabilitation Services | Five Star                    
Expenses from transactions with related party       $ 1,884 $ 1,866 $ 5,713 $ 5,755