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Leases and Management Agreements with Five Star - Narrative (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Apr. 01, 2019
USD ($)
Mar. 31, 2020
USD ($)
renewal_option
community
shares
Mar. 31, 2019
USD ($)
community
Dec. 31, 2019
community
shares
Jan. 01, 2020
shares
Feb. 01, 2019
USD ($)
Common shares of beneficial interest, shares issued (in shares) | shares   237,893,725   237,897,163    
Gain on lease termination   $ 22,896 $ 0      
Senior Living Communities            
Payments to acquire assets $ 49,155          
Five Star            
Total rental income recognized   $ 75,000        
Monthly minimum rent payable           $ 11,000
Management fees as percentage of gross revenues   5.00%        
Percentage of annual incentive fee   15.00%        
Percentage of gross revenues realized at all communities   1.50%        
Number of consecutive renewal terms of agreement | renewal_option   2        
Related Party Transaction, Property Management Agreement, Renewal Term   5 years        
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%        
Amount of improvements to communities     22,579      
Five Star            
Annual rent plus percentage   4.00%        
Annual rent as a percentage     $ 538      
Five Star | Senior Living Communities            
Number of communities managed by related party | community   244 76      
Five Star            
Common shares of beneficial interest, shares issued (in shares) | shares         10,268,158  
Five Star | Shareholders            
Common shares of beneficial interest, shares issued (in shares) | shares         16,118,849  
Five Star            
Number of communities leased by the company | community       166    
Number of communities managed by related party | community       78    
Total rental income recognized     $ 39,313      
Investment owned, percentage of total shares outstanding   33.90%        
Property management agreement expense   $ 16,588 $ 3,789      
Five Star | Rental income | Rents from significant lessee | Investment            
Percentage of rental income     14.80%      
Five Star | Rental Property Concentration | Rents from significant lessee | Investment            
Percentage of rental income     26.50%      
Five Star | Rehabilitation Services            
Expenses from transactions with related party   $ 8,057 $ 1,675