CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Cash flows from operating activities:
Net income	$ 11,143	$ 31,504
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation and amortization	68,430	72,230
Amortization of debt issuance costs and debt discounts and premiums	1,509	1,652
Straight line rental income	(1,153)	(1,934)
Amortization of acquired real estate leases and other intangible assets	(1,873)	(1,525)
Loss on early extinguishment of debt	25	0
Gain on lease termination	(22,896)	0
Impairment of assets	11,234	6,206
(Gain) loss on sale of properties	(2,782)	122
Gains and losses on equity securities, net	9,943	(22,932)
Other non-cash adjustments	(943)	(943)
Equity in earnings of an investee	0	(404)
Change in assets and liabilities:
Other assets	(39,433)	(5,862)
Accrued interest	5,167	9,059
Other liabilities	17,941	(45,658)
Net cash provided by operating activities	56,312	41,515
Cash flows from investing activities:
Real estate acquisitions and deposits	(2,526)	0
Real estate improvements	(41,045)	(46,237)
Proceeds from sale of properties, net	16,930	2,929
Net cash used in investing activities	(26,641)	(43,308)
Cash flows from financing activities:
Proceeds from borrowings on revolving credit facility	130,500	178,000
Repayments of borrowings on revolving credit facility	(83,000)	(92,000)
Repayment of other debt	(2,466)	(1,309)
Loss on early extinguishment of debt settled in cash	(221)	0
Repurchase of common shares	(21)	0
Distributions to noncontrolling interest	(5,767)	(5,503)
Distributions to shareholders	(35,684)	(92,714)
Net cash provided by (used in) financing activities	3,341	(13,526)
Increase (decrease) in cash and cash equivalents and restricted cash	33,012	(15,319)
Cash and cash equivalents and restricted cash at beginning of period	52,224	70,071
Cash and cash equivalents and restricted cash at end of period	85,236	54,752
Supplemental cash flow information:
Interest paid	35,280	35,034
Income taxes paid	0	31
Non-cash investing activities:
Capitalized interest	306	$ 134
Five Star
Non-cash investing activities:
Transaction Agreement additional consideration	(75,000)
Five Star
Non-cash investing activities:
Five Star Senior Living Inc. common stock	97,896
Shareholders | Five Star
Noncash Financing Activities [Abstract]
Distribution to common shareholders of the right to receive Five Star Senior Living Inc. common stock	$ (59,801)