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Segment Reporting (Details)
$ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2017
USD ($)
Sep. 30, 2017
USD ($)
Jun. 30, 2017
USD ($)
Mar. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Sep. 30, 2016
USD ($)
Jun. 30, 2016
USD ($)
Mar. 31, 2016
USD ($)
Dec. 31, 2017
USD ($)
segment
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Segment reporting                      
Number of operating segments | segment                 4    
Number of reportable segments | segment                 3    
Revenues:                      
Rental income                 $ 681,022 $ 666,200 $ 630,899
Residents fees and services                 393,797 391,822 367,874
Total revenues $ 278,566 $ 266,679 $ 265,013 $ 264,561 $ 274,296 $ 263,983 $ 261,367 $ 258,375 1,074,819 1,058,022 998,773
Expenses:                      
Property operating expenses                 413,430 399,790 377,579
Depreciation and amortization                 276,861 287,831 257,783
General and administrative                 103,702 46,559 42,830
Acquisition and certain other transaction related costs                 547 2,085 6,853
Impairment of assets                 5,082 18,674 194
Total expenses                 799,622 754,939 685,239
Operating income                 275,197 303,083 313,534
Dividend income                 2,637 2,108 2,773
Interest and other income                 406 430 379
Interest expense                 (165,019) (167,574) (150,881)
Loss on distribution to common shareholders of The RMR Group Inc. common stock                 0 0 (38,437)
Loss on early extinguishment of debt                 (7,627) (526) (1,894)
Income from continuing operations before income tax expense and equity in earnings of an investee                 105,594 137,521 125,474
Income tax expense                 (454) (424) (574)
Equity in earnings of an investee                 608 137 20
Income before gain on sale of properties 65,000 $ 34,414 $ 16,042 $ 32,155 42,885 $ 27,903 $ 39,233 $ 31,272 105,748 137,234 123,968
Income from continuing operations                 105,748 137,234 124,920
Gain on sale of properties                 46,055 4,061 0
Loss from discontinued operations                 0 0 (350)
Loss on impairment of assets from discontinued operations                 0 0 (602)
Net income (loss)                 151,803 141,295 123,968
Net income attributable to noncontrolling interest                 (4,193) 0 0
Net income attributable to common shareholders                 147,610 141,295 123,968
Total assets 7,294,019       7,227,754       7,294,019 7,227,754 7,160,090
Triple Net Leased Senior Living Communities                      
Revenues:                      
Rental income                 280,641 275,697 256,035
Residents fees and services                 0 0 0
Total revenues                 280,641 275,697 256,035
Expenses:                      
Property operating expenses                 0 833 0
Depreciation and amortization                 81,976 78,361 70,417
General and administrative                 0 0 0
Acquisition and certain other transaction related costs                 0 0 0
Impairment of assets                 0 6,583 194
Total expenses                 81,976 85,777 70,611
Operating income                 198,665 189,920 185,424
Dividend income                 0 0 0
Interest and other income                 0 0 0
Interest expense                 (8,855) (24,795) (25,015)
Loss on distribution to common shareholders of The RMR Group Inc. common stock                     0
Loss on early extinguishment of debt                 (7,294) (467) (6)
Income from continuing operations before income tax expense and equity in earnings of an investee                 182,516 164,658 160,403
Income tax expense                 0 0 0
Equity in earnings of an investee                 0 0 0
Income before gain on sale of properties                 182,516 164,658  
Income from continuing operations                     160,403
Gain on sale of properties                 45,901 4,061  
Loss from discontinued operations                     0
Loss on impairment of assets from discontinued operations                     0
Net income (loss)                 228,417 168,719 160,403
Net income attributable to noncontrolling interest                 0    
Net income attributable to common shareholders                 228,417    
Total assets 2,251,756       2,289,045       2,251,756 2,289,045 2,251,212
Managed Senior Living Communities                      
Revenues:                      
Rental income                 0 0 0
Residents fees and services                 393,797 391,822 367,874
Total revenues                 393,797 391,822 367,874
Expenses:                      
Property operating expenses                 300,500 293,195 278,242
Depreciation and amortization                 62,266 81,482 60,600
General and administrative                 0 0 0
Acquisition and certain other transaction related costs                 0 0 0
Impairment of assets                 0 2,174 0
Total expenses                 362,766 376,851 338,842
Operating income                 31,031 14,971 29,032
Dividend income                 0 0 0
Interest and other income                 0 0 0
Interest expense                 (4,685) (8,540) (9,973)
Loss on distribution to common shareholders of The RMR Group Inc. common stock                     0
Loss on early extinguishment of debt                 0 (59) (34)
Income from continuing operations before income tax expense and equity in earnings of an investee                 26,346 6,372 19,025
Income tax expense                 0 0 0
Equity in earnings of an investee                 0 0 0
Income before gain on sale of properties                 26,346 6,372  
Income from continuing operations                     19,025
Gain on sale of properties                 0 0  
Loss from discontinued operations                     0
Loss on impairment of assets from discontinued operations                     0
Net income (loss)                 26,346 6,372 19,025
Net income attributable to noncontrolling interest                 0    
Net income attributable to common shareholders                 26,346    
Total assets 1,273,757       1,260,032       1,273,757 1,260,032 1,260,425
MOBs                      
Revenues:                      
Rental income                 382,127 372,233 356,586
Residents fees and services                 0 0 0
Total revenues                 382,127 372,233 356,586
Expenses:                      
Property operating expenses                 112,930 105,762 99,337
Depreciation and amortization                 128,827 124,196 122,974
General and administrative                 0 0 0
Acquisition and certain other transaction related costs                 0 0 0
Impairment of assets                 0 7,122 0
Total expenses                 241,757 237,080 222,311
Operating income                 140,370 135,153 134,275
Dividend income                 0 0 0
Interest and other income                 0 0 0
Interest expense                 (24,919) (13,852) (6,214)
Loss on distribution to common shareholders of The RMR Group Inc. common stock                     0
Loss on early extinguishment of debt                 (59) 0 (250)
Income from continuing operations before income tax expense and equity in earnings of an investee                 115,392 121,301 127,811
Income tax expense                 0 0 0
Equity in earnings of an investee                 0 0 0
Income before gain on sale of properties                 115,392 121,301  
Income from continuing operations                     127,811
Gain on sale of properties                 0 0  
Loss from discontinued operations                     (350)
Loss on impairment of assets from discontinued operations                     (602)
Net income (loss)                 115,392 121,301 126,859
Net income attributable to noncontrolling interest                 (4,193)    
Net income attributable to common shareholders                 111,199    
Total assets 3,367,485       3,333,141       3,367,485 3,333,141 3,362,214
All Other Operations                      
Revenues:                      
Rental income                 18,254 18,270 18,278
Residents fees and services                 0 0 0
Total revenues                 18,254 18,270 18,278
Expenses:                      
Property operating expenses                 0 0 0
Depreciation and amortization                 3,792 3,792 3,792
General and administrative                 103,702 46,559 42,830
Acquisition and certain other transaction related costs                 547 2,085 6,853
Impairment of assets                 5,082 2,795 0
Total expenses                 113,123 55,231 53,475
Operating income                 (94,869) (36,961) (35,197)
Dividend income                 2,637 2,108 2,773
Interest and other income                 406 430 379
Interest expense                 (126,560) (120,387) (109,679)
Loss on distribution to common shareholders of The RMR Group Inc. common stock                     (38,437)
Loss on early extinguishment of debt                 (274) 0 (1,604)
Income from continuing operations before income tax expense and equity in earnings of an investee                 (218,660) (154,810) (181,765)
Income tax expense                 (454) (424) (574)
Equity in earnings of an investee                 608 137 20
Income before gain on sale of properties                 (218,506) (155,097)  
Income from continuing operations                     (182,319)
Gain on sale of properties                 154 0  
Loss from discontinued operations                     0
Loss on impairment of assets from discontinued operations                     0
Net income (loss)                 (218,352) (155,097) (182,319)
Net income attributable to noncontrolling interest                 0    
Net income attributable to common shareholders                 (218,352)    
Total assets $ 401,021       $ 345,536       $ 401,021 $ 345,536 $ 286,239