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Leases and Management Agreements with Five Star (Tables)
 12 Months Ended
Dec. 31, 2020
Risks and Uncertainties [Abstract]  
Schedule of Assets Leased and Revenues Earned The following is a summary of the assets leased to and revenues earned from Five Star as a tenant as of and for the years ended December 31, 2019 and 2018 compared to all our other assets and revenues from all sources:
 As of December 31, 2019As of December 31, 2018
 
Gross Book Value of Real Estate Assets (1)
% of Total
Gross Book Value of Real Estate Assets (1)
% of Total
Five Star (2)
$2,286,951 27.2 %$2,253,853 26.7 %
All others (3)
6,133,672 72.8 %6,174,791 73.3 %
 $8,420,623 100.0 %$8,428,644 100.0 %
(1)    Represents the gross book value of real estate assets at cost plus certain acquisition costs, before depreciation and purchase price allocations, less impairment write downs, if any. Five Star also manages our managed senior living communities. The gross book value of real estate assets of $1,920,070 as of December 31, 2019 for those managed senior living communities Five Star then managed is included in the "All others" category.
(2)    Includes gross book value of real estate assets of $50,951 classified as held for sale in our consolidated balance sheet as of December 31, 2019.
(3)    Includes gross book value of real estate assets of $213,416 and $3,752 classified as held for sale in our consolidated balance sheets as of December 31, 2019 and 2018, respectively.
 Year EndedYear Ended
 December 31, 2019December 31, 2018
 
Total Revenues(1)
% of Total
Total Revenues (1)
% of Total
Five Star$137,898 13.3 %$212,622 19.0 %
All others902,257 86.7 %904,542 81.0 %
 $1,040,155 100.0 %$1,117,164 100.0 %
(1)    Five Star also manages our managed senior living communities. Our revenues of $433,597 and $416,523 for the years ended December 31, 2019 and 2018, respectively, from those communities are included in the “All others” category.
Schedule of Disaggregation of Revenue
The following table presents residents fees and services revenue disaggregated by type of contract and payer:
Year Ended December 31,
Revenue from contracts with customers:20202019
Basic housing and support services$856,687 $353,699 
Medicare and Medicaid programs173,878 31,324 
Private pay and other third party payer SNF services 174,246 48,574 
Total residents fees and services$1,204,811 $433,597