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Senior Living Community Management Agreements - Narrative (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2023
USD ($)
property
Jun. 30, 2022
USD ($)
Jun. 30, 2023
USD ($)
community
property
Jun. 30, 2022
USD ($)
community
Dec. 31, 2021
community
unit
Number of Properties | property 376   376    
Property operating expenses $ 286,228 $ 266,066 $ 572,308 $ 534,808  
Disposal Group, Held-for-Sale, Not Discontinued Operations          
Number of Properties | property 4   4    
Five Star          
Property management agreement expense $ 9,890 8,971 $ 19,904 17,903  
Related party transaction capitalized amount 575 697 1,452 1,487  
Five Star | Rehabilitation Services          
Property operating expenses 334 1,736 1,213 3,652  
Five Star | Operating Expense          
Property management agreement expense 9,315 8,274 $ 18,452 16,416  
Senior Living Communities | Five Star | Disposal Group, Held-for-Sale, Not Discontinued Operations          
Number of Properties | community         108
Senior Living Communities | Five Star | Disposal Group, Disposed of by Means Other than Sale, Not Discontinued Operations          
Number of properties transitioned | community         107
Number of property units (units) | unit         7,340
Amounts of transaction   517   $ 1,445  
Senior Living Communities | Affiliated Entity | Five Star          
Number of communities managed | community     119 120  
Senior Living Communities | Affiliated Entity | Third Party Managers          
Number of communities managed | community     111 107  
Property management agreement expense $ 5,357 $ 5,218 $ 10,595 $ 10,326