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Leases and Management Agreements with Five Star - Narrative (Details) $ in Thousands |  | 1 Months Ended | 3 Months Ended | 9 Months Ended |  |
--- | --- | --- | --- | --- | --- | ---
Apr. 01, 2019 USD ($) | Sep. 30, 2019 USD ($) community property | Sep. 30, 2019 USD ($) community | Sep. 30, 2018 USD ($) community | Sep. 30, 2019 USD ($) building community property lease_agreement renewal_option | Sep. 30, 2018 USD ($) community | Feb. 01, 2019 USD ($) | Dec. 31, 2018 USD ($)
Line of credit |  | $ 589,000 | $ 589,000 |  | $ 589,000 |  |  | $ 139,000
Senior Living Communities |  |  |  |  |  |  |  |
Monthly minimum rent payable |  | $ 10,815 | $ 10,815 |  | $ 10,815 |  |  |
Payments to acquire assets | $ 49,155 |  |  |  |  |  |  |
Five Star |  |  |  |  |  |  |  |
Investment owned, percentage of total shares outstanding |  | 34.00% | 34.00% |  | 34.00% |  |  |
Percentage of total outstanding share issuances |  | 51.00% | 51.00% |  | 51.00% |  |  |
Total rental income recognized |  |  |  |  | $ 75,000 |  |  |
Monthly minimum rent payable |  |  |  |  |  |  | $ 11,000 |
Payments to acquire assets |  |  |  |  | $ 49,155 |  |  |
Management fees as percentage of gross revenues |  | 5.00% | 5.00% |  | 5.00% |  |  |
Percentage of annual incentive fee |  | 15.00% | 15.00% |  | 15.00% |  |  |
Percentage of gross revenues realized at all communities |  | 1.50% | 1.50% |  | 1.50% |  |  |
Property management agreement, initial term |  |  |  |  | 15 years |  |  |
Number of consecutive renewal terms of agreement | renewal_option |  |  |  |  | 2 |  |  |
Percentage target EBITDA of new management agreement not earned |  |  |  |  | 90.00% |  |  |
Percentage target EBITDA of new Management agreement not earned for all communities |  |  |  |  | 20.00% |  |  |
Line of credit |  | $ 25,000 | $ 25,000 |  | $ 25,000 |  |  |
Interest rate (as a percent) |  | 6.00% | 6.00% |  | 6.00% |  |  |
Annual minimum rent payable |  |  |  | $ 1,177 |  | $ 1,177 |  |
Amount of improvements to communities |  |  |  |  | $ 97,480 |  |  |
Property management agreement, renewal term |  |  |  |  | 5 years |  |  |
SNF |  |  |  |  |  |  |  |
Number of real estate properties sold | property |  | 15 |  |  |  |  |  |
Five Star |  |  |  |  |  |  |  |
Number of communities leased by the Company | community |  | 166 | 166 | 184 | 166 | 184 |  |
Number of leases with related party | lease_agreement |  |  |  |  | 5 |  |  |
Investment owned, percentage of total shares outstanding |  | 8.30% | 8.30% |  | 8.30% |  |  |
Total rental income recognized |  |  | $ 32,738 | $ 51,757 | $ 105,451 | $ 155,207 |  |
Variable rent payment included in rental income |  |  |  |  | 538 |  |  |
Variable rent payment excluded from rental income |  |  |  | 1,386 |  | 4,050 |  |
Receivables |  | $ 17,045 | 17,045 |  | 17,045 |  |  | $ 18,697
Real estate improvements purchased |  |  |  |  |  | 14,749 |  |
Property management agreement expense |  |  | $ 3,832 | $ 3,666 | $ 11,492 | $ 10,694 |  |
Five Star | Rents from significant lessee | Investment |  |  |  |  |  |  |  |
Percentage of rental income |  |  |  |  | 27.00% |  |  |
Five Star | Senior Living Communities |  |  |  |  |  |  |  |
Number of communities managed by related party | community |  | 77 | 77 | 75 | 77 | 75 |  |
Rehabilitation Services | Five Star |  |  |  |  |  |  |  |
Expenses from transactions with related party |  |  | $ 1,478 | $ 1,584 | $ 4,666 | $ 4,944 |  |
Rental income | Five Star | Rents from significant lessee | Investment |  |  |  |  |  |  |  |
Percentage of rental income |  |  | 12.80% |  | 13.40% |  |  |
Maximum | Senior Living Communities |  |  |  |  |  |  |  |
Payments to acquire assets | $ 60,000 |  |  |  |  |  |  |
Disposal Group, Disposed of by Sale, Not Discontinued Operations |  |  |  |  |  |  |  |
Number of real estate properties sold | building |  |  |  |  | 33 |  |  |
Aggregate sale price |  |  |  |  | $ 53,033 |  |  |
Disposal Group, Disposed of by Sale, Not Discontinued Operations | SNF |  |  |  |  |  |  |  |
Number of real estate properties sold | property |  |  |  |  | 18 |  |  |
Aggregate sale price |  |  |  |  | $ 29,500 |  |  |

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