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Leases and Management Agreements with Five Star - Schedule of Assets Leased and Revenues Earned (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Concentration Risk      
Gross Book Value of Real Estate Assets $ 7,410,730 $ 7,461,586  
Total revenues $ 1,632,026 1,040,155 $ 1,117,164
Real Estate Investment Property At Cost | Rents from significant lessee      
Concentration Risk      
Gross Book Value of Real Estate Assets   $ 8,420,623 $ 8,428,644
Concentration of credit risk (as a percent)   100.00% 100.00%
Revenue | Senior Living Communities      
Concentration Risk      
Total revenues   $ 433,597 $ 416,523
Revenue | Rents from significant lessee      
Concentration Risk      
Concentration of credit risk (as a percent)   100.00% 100.00%
Total revenues   $ 1,040,155 $ 1,117,164
Five Star | Real Estate Investment Property At Cost | Rents from significant lessee      
Concentration Risk      
Gross Book Value of Real Estate Assets   $ 2,286,951 $ 2,253,853
Concentration of credit risk (as a percent)   27.20% 26.70%
Five Star | Real Estate Investment Property At Cost | Rents from significant lessee | Discontinued Operations, Held-for-sale      
Concentration Risk      
Gross Book Value of Real Estate Assets   $ 50,951  
Five Star | Real Estate Investment Property At Cost | Rents from significant lessee | Senior Living Communities      
Concentration Risk      
Gross Book Value of Real Estate Assets   $ 1,920,070  
Five Star | Revenue | Rents from significant lessee      
Concentration Risk      
Concentration of credit risk (as a percent)   13.30% 19.00%
Total revenues   $ 137,898 $ 212,622
All others | Real Estate Investment Property At Cost | Rents from significant lessee      
Concentration Risk      
Gross Book Value of Real Estate Assets   $ 6,133,672 $ 6,174,791
Concentration of credit risk (as a percent)   72.80% 73.30%
All others | Real Estate Investment Property At Cost | Rents from significant lessee | Discontinued Operations, Held-for-sale      
Concentration Risk      
Gross Book Value of Real Estate Assets   $ 213,416 $ 3,752
All others | Revenue | Rents from significant lessee      
Concentration Risk      
Concentration of credit risk (as a percent)   86.70% 81.00%
Total revenues   $ 902,257 $ 904,542