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Related Person Transactions - Five Star (Details)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
May. 31, 2016
USD ($)
community
property
Jan. 31, 2015
property
Mar. 31, 2016
USD ($)
community
item
shares
Mar. 31, 2016
USD ($)
community
shares
Mar. 31, 2016
USD ($)
community
property
shares
Mar. 31, 2016
USD ($)
community
shares
Mar. 31, 2015
USD ($)
Dec. 31, 2015
USD ($)
item
community
Apr. 30, 2016
item
Dec. 31, 2001
Five Star                    
Related person transactions                    
Percentage of total shares outstanding     8.60% 8.60% 8.60% 8.60%       100.00%
Investment in common shares | shares     4,235,000 4,235,000 4,235,000 4,235,000        
Number of real estate properties leased | community     177 177 177 177        
Total rental income recognized           $ 48,108 $ 47,691      
Estimated percentage rent payments received           1,473 1,456      
Real estate improvements purchased           5,755 4,060      
Increase or decrease in annual lease rent payable     $ 462 $ 462 $ 462 462 328      
Five Star | Other assets                    
Related person transactions                    
Rents receivable     $ 16,022 $ 16,022 $ 16,022 16,022   $ 17,466    
Five Star | Senior Living Communities                    
Related person transactions                    
Number of properties acquired, referred to as managed properties     60 60       46    
Property management agreement expense           $ 2,804 $ 2,523      
Five Star | Senior Living Communities | TRS | North Carolina                    
Related person transactions                    
Number of living units | item               87    
Five Star | Senior Living Communities | TRS | Alabama                    
Related person transactions                    
Number of living units | item                 163  
Acquisition                    
Related person transactions                    
Number of properties acquired or agreed to be acquired | property         1          
Acquisition | MOBs                    
Related person transactions                    
Number of properties acquired or agreed to be acquired | property   23                
Subsequent event | Five Star | Senior Living Communities | TRS | Georgia                    
Related person transactions                    
Number of private pay independent living units | community 38                  
Purchase price excluding closing costs and working capital adjustments $ 8,400                  
Subsequent event | Acquisition | MOBs                    
Related person transactions                    
Number of properties acquired or agreed to be acquired | property 1                  
Purchase price excluding closing costs and working capital adjustments $ 45,000                  
Subsequent event | Acquisition | Five Star | Georgia                    
Related person transactions                    
Number of private pay independent living units | property 38                  
Subsequent event | Acquisition | Five Star | Senior Living Communities | TRS | Georgia                    
Related person transactions                    
Purchase price excluding closing costs and working capital adjustments $ 8,400