AlerisLife (ALR) 10-Q/A 5 Aug 21 2021 Q2 Quarterly report (amended) Financial data

Cover Page

Cover Page - shares	6 Months Ended
	Jun. 30, 2021	Aug. 02, 2021
Cover [Abstract]
Document Type	10-Q/A
Document Quarterly Report	true
Document Period End Date	Jun. 30, 2021
Document Transition Report	false
Entity File Number	1-16817
Entity Registrant Name	FIVE STAR SENIOR LIVING INC.
Entity Incorporation, State or Country Code	MD
Entity Tax Identification Number	04-3516029
Entity Address, Address Line One	400 Centre Street
Entity Address, City or Town	Newton
Entity Address, State or Province	MA
Entity Address, Postal Zip Code	02458
City Area Code	617
Local Phone Number	796-8387
Title of 12(b) Security	Common Stock
Trading Symbol	FVE
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		31,759,454
Entity Central Index Key	0001159281
Document Fiscal Year Focus	2021
Document Fiscal Period Focus	Q2
Amendment Flag	false
Current Fiscal Year End Date	--12-31

CONDENSED CONSOLIDATED BALANCE

CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Jun. 30, 2021	Dec. 31, 2020
Current assets:
Cash and cash equivalents	$ 99,270	$ 84,351
Restricted cash and cash equivalents	23,707	23,877
Accounts receivable, net of allowance of $3,496 and $3,149, respectively	9,036	9,104
Due from related person	80,369	96,357
Debt and equity investments, of which $8,614 and $11,125 are restricted, respectively	19,444	19,961
Prepaid expenses and other current assets	20,716	28,658
Total current assets	252,542	262,308
Property and equipment, net	157,636	159,251
Operating lease right-of-use assets	26,277	18,030
Finance lease right-of-use assets	3,929	4,493
Restricted cash and cash equivalents	1,234	1,369
Restricted debt and equity investments	3,945	4,788
Equity investment of an investee, net	11	11
Other long-term assets	6,103	3,956
Total assets	451,677	454,206
Current liabilities:
Accounts payable	21,833	23,454
Accrued expenses and other current liabilities	32,231	41,843
Accrued compensation and benefits	80,720	70,543
Accrued self-insurance obligations	30,921	31,355
Operating lease liabilities	2,201	2,567
Finance lease liabilities	840	808
Due to related persons	4,637	6,585
Mortgage note payable	401	388
Security deposits and current portion of continuing care contracts	318	365
Total current liabilities	174,102	177,908
Long-term liabilities:
Accrued self-insurance obligations	39,286	37,420
Operating lease liabilities	25,832	17,104
Finance lease liabilities	3,494	3,921
Mortgage note payable	6,579	6,783
Other long-term liabilities	410	538
Total long-term liabilities	75,601	65,766
Commitments and contingencies
Shareholders’ equity:
Common stock, par value $0.01: 75,000,000 shares authorized, 31,761,128 and 31,679,207 shares issued and outstanding, respectively	318	317
Additional paid-in-capital	460,737	460,038
Accumulated deficit	(260,129)	(251,139)
Accumulated other comprehensive income	1,048	1,316
Total shareholders’ equity	201,974	210,532
Total liabilities and shareholders' equity	$ 451,677	$ 454,206

CONDENSED CONSOLIDATED BALANC_2

CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) $ in Thousands	Jun. 30, 2021	Dec. 31, 2020
Statement of Financial Position [Abstract]
Accounts receivable, net of allowance	$ 3,496	$ 3,149
Investments, restricted	$ 8,614	$ 11,125
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized (in shares)	75,000,000	75,000,000
Common stock, shares issued (in shares)	31,761,128	31,679,207
Common stock, shares outstanding (in shares)	31,761,128	31,679,207

CONDENSED CONSOLIDATED STATEMEN

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
REVENUES
Total revenues	$ 258,621	$ 285,084	$ 527,721	$ 582,529
Other operating income	2	1,499	7,795	1,499
OPERATING EXPENSES
General and administrative	22,748	23,392	45,139	45,162
Restructuring expenses	15,389	175	15,639	1,270
Depreciation and amortization	2,989	2,703	5,929	5,404
Total operating expenses	270,929	285,239	544,159	574,060
Operating (loss) income	(12,306)	1,344	(8,643)	9,968
Interest, dividend and other income	76	182	160	521
Interest and other expense	(409)	(409)	(872)	(791)
Unrealized gain (loss) on equity investments	398	867	533	(595)
Realized gain on sale of debt and equity investments	97	116	193	95
Loss on termination of leases	0	0	0	(22,899)
Income (loss) before income taxes	(12,144)	2,100	(8,629)	(13,701)
(Provision) benefit for income taxes	(158)	902	(358)	(506)
Net (loss) income	$ (12,302)	$ 3,002	$ (8,987)	$ (14,207)
Weighted average shares outstanding—basic (in shares)	31,552	31,460	31,541	31,454
Weighted average shares outstanding—diluted (in shares)	31,552	31,582	31,541	31,454
Net (loss) income per share—basic (in dollars per share)	$ (0.39)	$ 0.10	$ (0.28)	$ (0.45)
Net (loss) income per share—diluted (in dollars per share)	$ (0.39)	$ 0.10	$ (0.28)	$ (0.45)
Rehabilitation and wellness services
REVENUES
Total revenues	$ 17,453	$ 19,268	$ 37,006	$ 40,652
OPERATING EXPENSES
Cost of revenues	15,668	16,144	31,878	33,645
Senior living
REVENUES
Total revenues	16,378	19,590	33,435	40,587
Management fees
REVENUES
Total revenues	12,927	15,705	26,777	32,756
Total management and operating revenues
REVENUES
Total revenues	46,758	54,563	97,218	113,995
Reimbursed community-level costs incurred on behalf of managed communities
REVENUES
Total revenues	195,271	224,104	408,431	456,120
OPERATING EXPENSES
Cost of revenues	195,271	224,104	408,431	456,120
Other reimbursed expenses
REVENUES
Total revenues	16,592	6,417	22,072	12,414
Senior living wages and benefits
OPERATING EXPENSES
Cost of revenues	9,896	9,705	21,909	19,505
Other senior living operating expenses
OPERATING EXPENSES
Cost of revenues	$ 8,968	$ 9,016	$ 15,234	$ 12,954

CONDENSED CONSOLIDATED STATEM_2

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
Statement of Comprehensive Income [Abstract]
Net (loss) income	$ (12,302)	$ 3,002	$ (8,987)	$ (14,207)
Other comprehensive income (loss):
Unrealized gain (loss) on debt investments, net of tax of $0	44	303	(250)	730
Realized gain on debt investments reclassified and included in net income (loss), net of tax of $0	(18)	(3)	(18)	(13)
Other comprehensive income (loss)	26	300	(268)	717
Comprehensive (loss) income	$ (12,276)	$ 3,302	$ (9,255)	$ (13,490)

CONDENSED CONSOLIDATED STATEM_3

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (Parenthetical) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
Statement of Comprehensive Income [Abstract]
Tax on unrealized gain (loss) on debt investments	$ 0	$ 0	$ 0	$ 0
Tax on realized (gain) loss on debt investments	$ 0	$ 0	$ 0	$ 0

CONDENSED CONSOLIDATED STATEM_4

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY - USD ($) $ in Thousands	Total	Cumulative Effect, Period of Adoption, Adjustment	Common Stock	Additional Paid-in Capital	Accumulated Deficit	Accumulated DeficitCumulative Effect, Period of Adoption, Adjustment	Accumulated Other Comprehensive Income	Accumulated Other Comprehensive IncomeCumulative Effect, Period of Adoption, Adjustment
Beginning balance (in shares) at Dec. 31, 2019			5,154,892
Beginning balance at Dec. 31, 2019	$ 119,981	$ 0	$ 52	$ 362,450	$ (245,184)	$ 1,694	$ 2,663	$ (1,694)
Comprehensive income (loss):
Net (loss) income	(17,209)				(17,209)
Unrealized gain (loss) on debt investments, net of tax	427						427
Realized gain on debt investments reclassified and included in net loss, net of tax	(10)						(10)
Comprehensive (loss) income	(16,792)				(17,209)		417
Issuance of common shares (in shares)			26,387,007
Issuance of common shares	97,340		$ 264	97,076
Grants under share award plan and share based compensation (in shares)			4,000
Grants under share award plan and share-based compensation	81			81
Repurchases and forfeitures under share award plan (in shares)			(3,564)
Repurchases and forfeitures under share award plan	(1)			(1)
Ending balance (in shares) at Mar. 31, 2020			31,542,335
Ending balance at Mar. 31, 2020	200,609		$ 316	459,606	(260,699)		1,386
Beginning balance (in shares) at Dec. 31, 2019			5,154,892
Beginning balance at Dec. 31, 2019	119,981	$ 0	$ 52	362,450	(245,184)	$ 1,694	2,663	$ (1,694)
Comprehensive income (loss):
Net (loss) income	(14,207)
Comprehensive (loss) income	(13,490)
Ending balance (in shares) at Jun. 30, 2020			31,574,499
Ending balance at Jun. 30, 2020	204,106		$ 316	459,801	(257,697)		1,686
Beginning balance (in shares) at Mar. 31, 2020			31,542,335
Beginning balance at Mar. 31, 2020	200,609		$ 316	459,606	(260,699)		1,386
Comprehensive income (loss):
Net (loss) income	3,002				3,002
Unrealized gain (loss) on debt investments, net of tax	303						303
Realized gain on debt investments reclassified and included in net loss, net of tax	(3)						(3)
Comprehensive (loss) income	3,302				3,002		300
Grants under share award plan and share based compensation (in shares)			35,000
Grants under share award plan and share-based compensation	199			199
Repurchases and forfeitures under share award plan (in shares)			(2,836)
Repurchases and forfeitures under share award plan	(4)			(4)
Ending balance (in shares) at Jun. 30, 2020			31,574,499
Ending balance at Jun. 30, 2020	$ 204,106		$ 316	459,801	(257,697)		1,686
Beginning balance (in shares) at Dec. 31, 2020	31,679,207		31,679,207
Beginning balance at Dec. 31, 2020	$ 210,532		$ 317	460,038	(251,139)		1,316
Comprehensive income (loss):
Net (loss) income	3,315				3,315
Unrealized gain (loss) on debt investments, net of tax	(294)						(294)
Comprehensive (loss) income	3,021				3,315		(294)
Grants under share award plan and share-based compensation	76			76
Repurchases and forfeitures under share award plan (in shares)			(2,778)
Repurchases and forfeitures under share award plan	(1)			(1)
Ending balance (in shares) at Mar. 31, 2021			31,676,429
Ending balance at Mar. 31, 2021	$ 213,628		$ 317	460,113	(247,824)		1,022
Beginning balance (in shares) at Dec. 31, 2020	31,679,207		31,679,207
Beginning balance at Dec. 31, 2020	$ 210,532		$ 317	460,038	(251,139)		1,316
Comprehensive income (loss):
Net (loss) income	(8,987)
Comprehensive (loss) income	$ (9,255)
Ending balance (in shares) at Jun. 30, 2021	31,761,128		31,761,128
Ending balance at Jun. 30, 2021	$ 201,974		$ 318	460,737	(260,129)		1,048
Beginning balance (in shares) at Mar. 31, 2021			31,676,429
Beginning balance at Mar. 31, 2021	213,628		$ 317	460,113	(247,824)		1,022
Comprehensive income (loss):
Net (loss) income	(12,302)				(12,302)
Unrealized gain (loss) on debt investments, net of tax	44						44
Realized gain on debt investments reclassified and included in net loss, net of tax	(18)						(18)
Comprehensive (loss) income	(12,276)				(12,302)		26
Grants under share award plan and share based compensation (in shares)			87,500
Grants under share award plan and share-based compensation	638		$ 1	637
Repurchases and forfeitures under share award plan (in shares)			(2,801)
Repurchases and forfeitures under share award plan	$ (16)			(13)	(3)
Ending balance (in shares) at Jun. 30, 2021	31,761,128		31,761,128
Ending balance at Jun. 30, 2021	$ 201,974		$ 318	$ 460,737	$ (260,129)		$ 1,048

CONDENSED CONSOLIDATED STATEM_5

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020
CASH FLOW FROM OPERATING ACTIVITIES:
Net loss	$ (8,987)	$ (14,207)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization	5,929	5,404
Unrealized (gain) loss on equity investments	(533)	595
Realized gain on sale of debt and equity investments	(193)	(95)
Loss on termination of leases	0	22,899
Long-lived asset impairment	890	0
Share-based compensation	700	275
Provision for losses on accounts receivables	760	1,208
Other non-cash expense (income) adjustments, net	321	126
Changes in assets and liabilities:
Accounts receivable	(692)	23,595
Due from related person	15,988	(39,920)
Prepaid expenses and other current assets	5,505	(8,739)
Accounts payable	(1,621)	(14,873)
Accrued expenses and other current liabilities	(9,804)	41,239
Accrued compensation and benefits	10,177	12,658
Due to related persons	(1,948)	(1,655)
Other current and long term liabilities	1,388	11,648
Net cash provided by operating activities	17,880	40,158
CASH FLOW FROM INVESTING ACTIVITIES:
Acquisition of property and equipment	(4,466)	(3,121)
Purchases of debt and equity investments	(231)	(5,092)
Proceeds from sale of property and equipment	0	2,725
Distributions in excess of earnings from Affiliates Insurance Company	0	287
Proceeds from sale of debt and equity investments	2,035	4,851
Net cash used in investing activities	(2,662)	(350)
CASH FLOW FROM FINANCING ACTIVITIES:
Costs related to issuance of common stock	0	(559)
Repayments of mortgage notes payable	(204)	(190)
Repayments of finance lease principal	(397)	0
Targeted SNF distribution funds received on behalf of others	0	4,715
Payment of employee tax obligations on withheld shares	(3)	0
Net cash (used in) provided by financing activities	(604)	3,966
Increase in cash and cash equivalents and restricted cash and cash equivalents	14,614	43,774
Cash and cash equivalents and restricted cash and cash equivalents at beginning of period	109,597	56,979
Cash and cash equivalents and restricted cash and cash equivalents at end of period	124,211	100,753
Reconciliation of cash and cash equivalents and restricted cash and cash equivalents:
Cash and cash equivalents	99,270	76,114
Current restricted cash and cash equivalents	23,707	23,858
Other restricted cash and cash equivalents	1,234	781
Cash and cash equivalents and restricted cash and cash equivalents at end of period	124,211	100,753
Supplemental cash flow information:
Interest paid	403	243
Income taxes paid (refunded), net	364	(93)
Operating lease payments	1,948	1,909
Financing lease payments	570	0
Non-cash investing and financing activities:
Liabilities assumed related to issuance of our common stock	$ 0	$ 51,547

Basis of Presentation and Organ

Basis of Presentation and Organization	6 Months Ended
	Jun. 30, 2021
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Basis of Presentation and Organization	Basis of Presentation and Organization General. The accompanying condensed consolidated financial statements of Five Star Senior Living Inc. and its subsidiaries are unaudited. Certain information and disclosures required by the rules and regulations of the Securities and Exchange Commission, or SEC, and U.S. generally accepted accounting principles, or GAAP, for complete financial statements have been condensed or omitted pursuant to SEC rules and regulations related to interim financial statements. We believe the disclosures made are adequate to make the information presented not misleading. As of June 30, 2021, we managed or operated 252 senior living communities located in 31 states with 27,733 living units, including 243 primarily independent and assisted living communities with 26,778 living units, which include ten continuing care retirement communities, or CCRCs, with 1,547 living units, and nine primarily skilled nursing facilities, or SNFs, with 955 living units. As of June 30, 2021, we managed 228 of these senior living communities (25,482 living units), we owned and operated 20 of these senior living communities (2,099 living units) and we leased and operated four of these senior living communities (152 living units). Our 252 senior living communities, as of June 30, 2021, included 10,979 independent living apartments, 15,270 assisted living suites (which includes 3,247 of our Bridge to Rediscovery memory care units) and 1,484 SNF units. The foregoing numbers exclude living units categorized as out of service. Our rehabilitation and wellness services segment, which is primarily comprised of Five Star Rehabilitation and Wellness Services doing business as Ageility Physical Therapy Solutions, or Ageility, provides a comprehensive suite of rehabilitation, personal fitness, and wellness services at our senior living communities as well as at outpatient clinics located at unaffiliated senior living communities. As of June 30, 2021, we operated ten inpatient rehabilitation and wellness services clinics in senior living communities owned by Diversified Healthcare Trust, or DHC, which are managed by us. As of June 30, 2021, we operated 218 outpatient rehabilitation and wellness services clinics, of which 151 were located at our managed and owned senior living communities and 67 were located within senior living communities not owned or leased by us or managed on behalf of DHC. Strategic Plan . On April 9, 2021, we announced a new strategic plan, or the Strategic Plan, including to: • Reposition our senior living management service offering to focus on larger independent living, assisted living and memory care communities, as well as stand-alone independent living and active adult communities; and exit skilled nursing; • Evolve through an enhanced scalable shared service center to support operations and growth, the development of and delivery of differentiated, customer focused resident experiences, as well as through home health and concierge offerings. We are expanding our Ageility service line by introducing innovative fitness and personal training offerings to complement outpatient therapy, and home health services, including strength training, orthopedic rehabilitation, fall prevention, cognitive or memory enhancement, aquatic therapy, and general personal fitness and wellness programs; and • Diversify with a focus on revenue diversification opportunities, including growing Ageility rehabilitation services and expanding ancillary services to provide choice based, financially flexible resident experience and reach customers outside of our senior living communities. During the three months ended June 30, 2021, we made the following progress with respect to implementation of the Strategic Plan: • We amended our management arrangements with DHC on June 9, 2021, see Note 11 for additional information on the amendments to the management arrangements with DHC, • Closed as of June 30, 2021, 1,473 of the approximately 1,500 SNF living units planned for closure in 26 of the 27 CCRCs, and is in the process of repositioning these SNF living units, • Closed as of June 30, 2021, 27 of the planned 37 Ageility inpatient rehabilitation clinics. • In July 2021, DHC entered into agreements to transition the management of 76 of the 108 transitioning senior living communities, with approximately 5,200 living units, to new operators in 2021. In connection with the repositioning of our senior living management services, we expect to incur restructuring expenses of up to $20,500, approximately $15,000 of which we expect DHC will reimburse. These expenses are expected to include up to $7,500 of retention bonus payments, up to $10,200 of severance, benefits and transition expenses, and up to $2,800 of transaction expenses, of which we expect DHC to reimburse approximately $5,900, $7,500 and $1,600, respectively. We recognized restructuring expenses of $15,389 and $15,639 related to the Strategic Plan for the three and six months ended June 30, 2021, respectively, which was partially offset by $11,531 of other reimbursed expenses related to the amounts to be reimbursed by DHC for both the three and six months ended June 30, 2021. See Note 16 for summary of restructuring expenses and the corresponding liability. See Notes 11, 16 and 17 for more information on the Strategic Plan, the amendments to our management arrangements and our business arrangements with DHC. See Note 17 for summary of further progress made on the repositioning of our senior living management services during July 2021. Reclassifications . We have made reclassifications to the financial statements of prior periods to conform to the current period presentation. These reclassifications had no effect on net income (loss) or shareholders’ equity. The accompanying financial statements should be read in conjunction with the financial statements and notes contained in our Annual Report on Form 10-K for the year ended December 31, 2020, or our Annual Report. In the opinion of our management, all adjustments, which include only normal recurring adjustments considered necessary for a fair presentation, have been included. All intercompany transactions and balances with or among our consolidated subsidiaries have been eliminated. Our operating results for interim periods are not necessarily indicative of the results that may be expected for the full year.

Summary of Significant Accounti

Summary of Significant Accounting Policies	6 Months Ended
	Jun. 30, 2021
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	Summary of Significant Accounting Policies Estimates and Assumptions. The preparation of these financial statements in conformity with GAAP requires us to make estimates and assumptions that may affect the amounts reported in these condensed consolidated financial statements and related notes. Significant estimates in our condensed consolidated financial statements relate to revenue recognition, including contractual allowances, the allowance for doubtful accounts, self-insurance reserves and estimates concerning our provision for income taxes or valuation allowance related to deferred tax assets. Our actual results could differ from our estimates. We periodically review estimates and assumptions and we reflect the effects of changes, if any, in the condensed consolidated financial statements in the period that they are determined. There have been no changes to our significant accounting policies disclosed in our Annual Report, except for the additional disclosure noted below. See summary of significant accounting policies in our Annual Report. Accounting for Costs Associated with Exit or Disposal Activities. A liability for costs associated with exit or disposal activities other than in a business combination, is recognized when the liability is incurred. The liability, recognized under ASC 420, Exit or Disposal Cost Obligations and ASC 712, Compensation — Nonretirement Postemployment - special termination benefits , is measured at fair value, with adjustments for changes in estimated cash flows recognized in earnings. During the three months ended June 30, 2021 costs were incurred related to the Strategic Plan. See Note 16 for summary of restructuring expenses and the corresponding liability. Recently Issued Accounting Pronouncements Not Yet Adopted. In June 2016, the Financial Accounting Standards Board, or FASB, issued Accounting Standards Update, or ASU, No. 2016-13, Financial Instruments-Credit Losses (Topic 326) , which requires a financial asset or a group of financial assets measured at amortized cost basis to be presented at the net amount expected to be collected. This ASU eliminates the probable initial recognition threshold and instead requires reflection of an entity’s current estimate of all expected credit losses. In addition, this ASU amends the current other-than-temporary impairment model for available for sale debt securities. The length of time that the fair value of an available for sale debt security has been below the amortized cost will no longer impact the determination of whether a credit loss exists and credit losses will now be limited to the difference between a security’s amortized cost basis and its fair value. In November 2018, the FASB issued ASU No. 2018-19, Codification Improvements to Topic 326, Financial Instruments-Credit Losses , which amends the transition and effective date for nonpublic entities and smaller reporting companies, such as us, and clarifies that receivables arising from operating leases are not in the scope of this ASU. In November 2019, the FASB issued ASU No. 2019-11, Codification Improvements to Topic 326 , Financial Instruments-Credit Losses , which clarifies guidance around how to report expected recoveries. Entities will apply the provisions of the ASU as a cumulative-effect adjustment to retained earnings as of the beginning of the first reporting period in which the guidance is effective. This ASU is effective for smaller reporting companies for reporting periods beginning after December 15, 2022. We are assessing the potential impact that the adoption of this ASU (and the related clarifying guidance issued by the FASB) will have on our condensed consolidated financial statements. In March 2020, the FASB issued ASU No. 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting , which provides temporary optional expedients and exceptions on contract modifications meeting certain criteria to ease the financial reporting burdens of the expected market transition from the London Inter-bank Offered Rate, or LIBOR, and other interbank offered rates to the alternative reference rates. For a contract that meets the criteria, this ASU generally allows an entity to account for and present modifications as an event that does not require remeasurement at the modification date or reassessment of a previous accounting determination. This ASU was effective upon issuance and can be applied through December 31, 2022. We expect this ASU will not have a material impact on our condensed consolidated financial statements.

Revenue and Other Operating Inc

Revenue and Other Operating Income	6 Months Ended
	Jun. 30, 2021
Revenue from Contract with Customer [Abstract]
Revenue and Other Operating Income	Revenue and Other Operating Income The following tables present revenue from contracts by segment with customers disaggregated by type of payer, as we believe it best depicts how the nature, amount, timing and uncertainty of our revenue and cash flows are affected by economic factors: Three Months Ended June 30, 2021 Senior Living Rehabilitation and Wellness Services (3) Total Private payer $ 16,116 $ 255 $ 16,371 Medicare and Medicaid programs 262 9,811 10,073 Other third-party payer programs — 7,387 7,387 Management fees 12,927 (1) (2) — 12,927 Reimbursed community-level costs incurred on behalf of managed communities 195,271 (1) (2) — 195,271 Other reimbursed expenses 16,592 (1) (4) — 16,592 Total revenues $ 241,168 $ 17,453 $ 258,621 _______________________________________ (1) Represents separate revenue streams earned from DHC; see Note 4 for discussion of Segment Information. (2) (i) We intend to transition 108 senior living communities managed on behalf of DHC with approximately 7,500 living units to new operators in 2021 and (ii) we closed 1,473 SNF units in 26 CCRCs in the three months ended June 30, 2021 and are in the process of repositioning them and expect to close and reposition an additional 59 SNF units in one CCRC during the remainder of 2021 that we will continue to manage for DHC. The management fees we recognized related to these communities and units for the three months ended June 30, 2021 was $4,378. See Notes 1, 11, 16 and 17 for more information. (3) 27 Ageility inpatient rehabilitation clinics were closed in the three months ended June 30, 2021 and we expect to close an additional ten Ageility inpatient rehabilitation clinics during the remainder of 2021. Revenue related to these clinics for the three months ended June 30, 2021 was $2,630. See Notes 1, 16 and 17 for more information. (4) Includes $11,531 of restructuring expenses to be reimbursed by DHC for the three months ended June 30, 2021. Three Months Ended June 30, 2020 Senior Living Rehabilitation and Wellness Services Total Private payer $ 19,293 $ 1,214 $ 20,507 Medicare and Medicaid programs 297 9,564 9,861 Other third-party payer programs — 8,490 8,490 Management fees 15,705 (1) — 15,705 Reimbursed community-level costs incurred on behalf of managed communities 224,104 (1) — 224,104 Other reimbursed expenses 6,417 (1) — 6,417 Total revenues $ 265,816 $ 19,268 $ 285,084 _______________________________________ (1) Represents separate revenue streams earned from DHC. Six Months Ended June 30, 2021 Senior Living Rehabilitation and Wellness Services (3) Total Private payer $ 32,903 $ 512 $ 33,415 Medicare and Medicaid programs 532 21,360 21,892 Other third-party payer programs — 15,134 15,134 Management fees 26,777 (1) (2) — 26,777 Reimbursed community-level costs incurred on behalf of managed communities 408,431 (1) (2) — 408,431 Other reimbursed expenses 22,072 (1) (4) — 22,072 Total revenues $ 490,715 $ 37,006 $ 527,721 _______________________________________ (1) Represents separate revenue streams earned from DHC; see Note 4 for discussion of Segment Information. (2) (i) We intend to transition 108 senior living communities managed on behalf of DHC with approximately 7,500 living units to new operators in 2021 and (ii) we closed 1,473 SNF units in 26 CCRCs in the six months ended June 30, 2021 and are in the process of repositioning them and expect to close and reposition an additional 59 SNF units in one CCRC during the remainder of 2021 that we will continue to manage for DHC. The management fees we recognized related to these communities and units for the six months ended June 30, 2021 was $9,619. See Notes 1, 11, 16 and 17 for more information. (3) 27 Ageility inpatient rehabilitation clinics were closed in the six months ended June 30, 2021 and we expect to close an additional ten Ageility inpatient rehabilitation clinics during the remainder of 2021. Revenue related to these clinics for the six months ended June 30, 2021 was $8,071. See Notes 1, 16 and 17 for more information. (4) Includes $11,531 of restructuring expenses to be reimbursed by DHC for the six months ended June 30, 2021. Six Months Ended June 30, 2020 Senior Living Rehabilitation and Wellness Services Total Private payer $ 39,574 $ 2,111 $ 41,685 Medicare and Medicaid programs 1,013 19,134 20,147 Other third-party payer programs — 19,407 19,407 Management fees 32,756 (1) — 32,756 Reimbursed community-level costs incurred on behalf of managed communities 456,120 (1) — 456,120 Other reimbursed expenses 12,414 (1) — 12,414 Total revenues $ 541,877 $ 40,652 $ 582,529 _______________________________________ (1) Represents separate revenue streams earned from DHC. Other operating income. On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security Act, or CARES Act , was signed into law. Under the CARES Act, the U.S. Department of Health and Human Services, or HHS, established the Provider Relief Fund. The Provider Relief Fund was further supplemented on December 27, 2020 by the Consolidated Appropriations Act , 2021. Retention and use of the funds received under the CARES Act are subject to certain terms and conditions, including certain reporting requirements. Other operating income includes income recognized for funds we have received pursuant to the Provider Relief Fund of the CARES Act for which we have determined that we were in compliance with the terms and conditions of the Provider Relief Fund of the CARES Act . We recognize other operating income in our condensed consolidated statements of operations to the extent we estimate we have COVID-19 incurred losses or related costs for which provisions of the CARES Act is intended to compensate. The amount of income we recognize for these estimated losses and costs is limited to the amount of funds we received during the period in which the estimated losses and costs were recognized or incurred or, if funds were received subsequently, the period in which the funds were received. We recognized other operating income of $2 and $1,499 for the three months ended June 30, 2021 and 2020, respectively, and $7,795 and $1,499 for the six months ended June 30, 2021 and 2020, respectively. See Note 15 for more information.

Segment Information

Segment Information	6 Months Ended
	Jun. 30, 2021
Segment Reporting [Abstract]
Segment Information	Segment Information We do not allocate assets to operating segments and, therefore, no asset information is provided for reportable segments. Certain of our general and administrative expenses incurred at our corporate office are deemed centralized services and allocated amongst operating segments. Centralized services are largely determined by job function and allocated by percentage of total revenue. Results of operations and selected financial information by reportable segment and the reconciliation to the condensed consolidated financial statements are as follows: Three Months Ended June 30, 2021 Senior Living (1) Rehabilitation and Wellness Services (2) Corporate and Other (3) Total Revenues $ 241,168 $ 17,453 $ — $ 258,621 Other operating income 2 — — 2 Operating expenses 232,370 17,517 21,042 270,929 Operating income (loss) 8,800 (64) (21,042) (12,306) Allocated corporate and other costs (11,766) (873) 12,639 — Other (loss) income, net (119) — 281 162 Loss before income taxes (3,085) (937) (8,122) (12,144) Provision for income taxes — — (158) (158) Net loss $ (3,085) $ (937) $ (8,280) $ (12,302) _______________________________________ (1) (i) We intend to transition 108 senior living communities managed on behalf of DHC with approximately 7,500 living units to new operators in 2021 and (ii) we closed 1,473 SNF units in 26 CCRCs in the three months ended June 30, 2021 and are in the process of repositioning them and expect to close and reposition an additional 59 SNF units in one CCRC during the remainder of 2021 that we will continue to manage for DHC. See Notes 1, 11, 16 and 17 for more information. As more fully described in Note 16, the senior living segment recognized $11,531 of restructuring expenses related to the Strategic Plan and $11,531 of other reimbursed expenses in the three months ended June 30, 2021. (2) 27 Ageility inpatient rehabilitation clinics were closed in the three months ended June 30, 2021 and we expect to close an additional ten Ageility inpatient rehabilitation clinics during the remainder of 2021. See Notes 1, 16 and 17 for more information. As more fully described in Note 16, the rehabilitation and wellness services segment recognized $1,720 of restructuring expenses related to the Strategic Plan in the three months ended June 30, 2021. (3) As more fully described in Note 16, Corporate and Other recognized $2,138 of restructuring expenses related to the Strategic Plan in the three months ended June 30, 2021. Three Months Ended June 30, 2020 Senior Living Rehabilitation and Wellness Services Corporate and Other Total Revenues $ 265,816 $ 19,268 $ — $ 285,084 Other operating income — 1,499 — 1,499 Operating expenses 250,719 16,259 18,261 285,239 Operating income (loss) 15,097 4,508 (18,261) 1,344 Allocated corporate and other costs (14,173) (972) 15,145 — Other income (loss), net (82) — 838 756 Income (loss) before income taxes 842 3,536 (2,278) 2,100 Benefit for income taxes — — 902 902 Net income (loss) $ 842 $ 3,536 $ (1,376) $ 3,002 Six Months Ended June 30, 2021 Senior Living (1) Rehabilitation and Wellness Services (2) Corporate and Other (3) Total Revenues $ 490,715 $ 37,006 $ — $ 527,721 Other operating income 7,776 19 — 7,795 Operating expenses 470,327 33,855 39,977 544,159 Operating income (loss) 28,164 3,170 (39,977) (8,643) Allocated corporate and other costs (24,423) (1,851) 26,274 — Other (loss) income, net (241) — 255 14 Income (loss) before income taxes 3,500 1,319 (13,448) (8,629) Provision for income taxes — — (358) (358) Net income (loss) $ 3,500 $ 1,319 $ (13,806) $ (8,987) _______________________________________ (1) (i) We intend to transition 108 senior living communities managed on behalf of DHC with approximately 7,500 living units to new operators in 2021 and (ii) we closed 1,473 SNF units in 26 CCRCs in the six months ended June 30, 2021 and are in the process of repositioning them and expect to close and reposition an additional 59 SNF units in one CCRC during the remainder of 2021 that we will continue to manage for DHC. See Notes 1, 11, 16 and 17 for more information. As more fully described in Note 16, the senior living segment recognized $11,531 of restructuring expenses related to the Strategic Plan and $11,531 of other reimbursed expenses in the six months ended June 30, 2021. (2) 27 Ageility inpatient rehabilitation clinics were closed in the six months ended June 30, 2021 and we expect to close an additional ten Ageility inpatient rehabilitation clinics during the remainder of 2021. See Notes 1, 16 and 17 for more information. As more fully described in Note 16, the rehabilitation and wellness services segment recognized $1,720 of restructuring expenses related to the Strategic Plan in the six months ended June 30, 2021. (3) As more fully described in Note 16, Corporate and Other recognized $2,388 of restructuring expenses related to the Strategic Plan in the six months ended June 30, 2021. Six Months Ended June 30, 2020 Senior Living Rehabilitation and Wellness Services Corporate and Other Total Revenues $ 541,877 $ 40,652 $ — $ 582,529 Other operating income — 1,499 — 1,499 Operating expenses 506,338 33,877 33,845 574,060 Operating income (loss) 35,539 8,274 (33,845) 9,968 Allocated corporate and other costs (29,791) (2,040) 31,831 — Other income (loss), net (41) — (23,628) (23,669) Income (loss) before income taxes 5,707 6,234 (25,642) (13,701) Benefit for income taxes — — (506) (506) Net income (loss) $ 5,707 $ 6,234 $ (26,148) $ (14,207)

Property and Equipment, net

Property and Equipment, net	6 Months Ended
	Jun. 30, 2021
Property, Plant and Equipment [Abstract]
Property and Equipment, net	Property and Equipment, net Property and equipment, net consist of the following: June 30, 2021 December 31, 2020 Land $ 12,155 $ 12,155 Buildings, construction in process and improvements 204,212 202,679 Furniture, fixtures and equipment 62,955 60,713 Property and equipment, at cost 279,322 275,547 Less: accumulated depreciation (121,686) (116,296) Property and equipment, net $ 157,636 $ 159,251 On April 4, 2021, one of the communities that we lease from Healthpeak Properties Inc., or PEAK, had a fire, that caused extensive damage to the community. As a result, we recorded an impairment on certain furniture, fixtures and equipment and building improvements for the three and six months ended June 30, 2021 of $890 which is recorded in other senior living expenses in the statement of operations. We recorded depreciation expense relating to our property and equipment of $2,699 and $2,703 for the three months ended June 30, 2021 and 2020, respectively, and $5,390 and $5,404 for the six months ended June 30, 2021 and 2020, respectively.

Accumulated Other Comprehensive

Accumulated Other Comprehensive Income	6 Months Ended
	Jun. 30, 2021
Equity [Abstract]
Accumulated Other Comprehensive Income	Accumulated Other Comprehensive Income The following tables detail the changes in accumulated other comprehensive income (loss), net of tax, for the six months ended June 30, 2021 and 2020: Six Months Ended June 30, 2021 Equity Investments Accumulated Balance at January 1, 2021 $ (175) $ 1,491 $ 1,316 Unrealized loss on debt investments, net of tax — (250) (250) Realized gain on debt investments reclassified and included in net loss, net of tax — (18) (18) Balance at June 30, 2021 $ (175) $ 1,223 $ 1,048 Six Months Ended June 30, 2020 Equity Investments Accumulated Balance at January 1, 2020 $ (175) $ 2,838 $ 2,663 Cumulative effect adjustment to beginning accumulated deficit and accumulated other comprehensive income in connection with a reclassification of equity investments previously classified as debt investments — (1,694) (1,694) Unrealized gain on debt investments, net of tax — 730 730 Realized gain on debt investments reclassified and included in net income, net of tax — (13) (13) Balance at June 30, 2020 $ (175) $ 1,861 $ 1,686 Accumulated other comprehensive income represents the unrealized gains and losses of our debt investments, net of tax, and our share of other comprehensive income (loss) relating to our former investment in Affiliates Insurance Company which dissolved on February 13, 2020. The cost of debt investments sold and for which realized gains and losses are reclassified and included in net income are determined on a specific identification basis.

Income Taxes

Income Taxes	6 Months Ended
	Jun. 30, 2021
Income Tax Disclosure [Abstract]
Income Taxes	Income Taxes We recognized a provision for income taxes of $158 and $358 for the three and six months ended June 30, 2021, respectively. We recognized a benefit for income taxes of $902 and a provision for income taxes of $506 for the three and six months ended June 30, 2020, respectively. The provision for income taxes for the three and six months ended June 30, 2021 is related to state income taxes. The benefit for income taxes for the three months ended June 30, 2020 is related to a decrease to the annual projections for federal and state income taxes. The provision for income taxes for the six months ended June 30, 2020 is related to federal income taxes, partially offset by a federal alternative minimum tax, or AMT, credit refund benefit and a federal benefit related to lease termination expense, plus state income taxes, including state valuation allowance. See Note 15 for more information regarding the impact of certain provisions of the CARES Act relating to income and other taxes. We previously determined it was more likely than not that a majority of our net deferred tax assets would not be realized and concluded that a valuation allowance was required, which eliminated the majority of our net deferred tax assets recorded in our condensed consolidated balance sheets. In the future, if we believe that we will more likely than not realize the benefit of these deferred tax assets, we will adjust our valuation allowance and recognize an income tax benefit, which may affect our results of operations.

Net (Loss) Income Per Share

Net (Loss) Income Per Share	6 Months Ended
	Jun. 30, 2021
Earnings Per Share [Abstract]
Net (Loss) Income Per Share	Net (Loss) Income Per Share Basic net (loss) income per share is calculated by dividing net (loss) income by the weighted average number of outstanding common shares outstanding during the period. When applicable, net (loss) income per share—diluted reflects the more dilutive earnings per share using the weighted average number of our common shares calculated using the two-class method, or the treasury stock method. The following table provides a reconciliation of the weighted average number of common shares used in the calculation of basic and diluted net (loss) income per share (in thousands): Three Months Ended June 30, Six Months Ended June 30, 2021 2020 2021 2020 Weighted average shares outstanding—basic 31,552 31,460 31,541 31,454 Effect of dilutive securities: unvested share awards — 122 — — Weighted average shares outstanding—diluted (1) 31,552 31,582 31,541 31,454 _______________________________________ (1) For the three months ended June 30, 2021, 150 of our unvested common shares were not included in the calculation of net loss per share—diluted because to do so would have been anti-dilutive. For the six months ended June 30, 2021 and 2020, 141 and 123, respectively, of our unvested common shares were not included in the calculation of the net loss per share—diluted because to do so would have been antidilutive.

Fair Values of Assets and Liabi

Fair Values of Assets and Liabilities	6 Months Ended
	Jun. 30, 2021
Fair Value Disclosures [Abstract]
Fair Values of Assets and Liabilities	Fair Values of Assets and Liabilities Recurring Fair Value Measures The tables below present certain of our assets measured at fair value at June 30, 2021 and December 31, 2020, categorized by the level of input used in the valuation of each asset. As of June 30, 2021 Description Total Quoted Prices in Significant Significant Cash equivalents (1) $ 26,593 $ 26,593 $ — $ — Investments: Equity investments (2) High yield fund (3) 3,226 — 3,226 — International bond fund (4) 2,808 — 2,808 — Financial services industry 1,401 1,401 — — Healthcare 536 536 — — Technology 861 861 — — Other 4,003 4,003 — — Total equity investments 12,835 6,801 6,034 — Debt investments (5) Industrial bonds 530 — 530 — Technology bonds 1,267 — 1,267 — Government bonds 5,823 5,823 — — Energy bonds 477 — 477 — Financial bonds 1,335 — 1,335 — Other 1,122 — 1,122 — Total debt investments 10,554 5,823 4,731 — Total investments 23,389 12,624 10,765 — Total $ 49,982 $ 39,217 $ 10,765 $ — As of December 31, 2020 Description Total Quoted Prices in Significant Significant Cash equivalents (1) $ 26,291 $ 26,291 $ — $ — Investments: Equity investments (2) High yield fund (3) 3,156 — 3,156 — International bond fund (4) 2,818 — 2,818 — Financial services industry 1,348 1,348 — — Healthcare 477 477 — — Technology 765 765 — — Other 3,875 3,875 — — Total equity investments 12,439 6,465 5,974 — Debt investments (5) Industrial bonds 540 — 540 — Technology bonds 1,471 — 1,471 — Government bonds 7,301 7,301 — — Energy bonds 484 — 484 — Financial bonds 1,359 — 1,359 — Other 1,155 — 1,155 — Total debt investments 12,310 7,301 5,009 — Total investments 24,749 13,766 10,983 — Total $ 51,040 $ 40,057 $ 10,983 $ — _______________________________________ (1) Cash equivalents consist of short-term, highly liquid investments and money market funds held primarily for obligations arising from our self-insurance programs. Cash equivalents are reported in our condensed consolidated balance sheets as cash and cash equivalents and current and long-term restricted cash and cash equivalents. Cash equivalents include $22,536 and $22,837 of balances that were restricted at June 30, 2021 and December 31, 2020, respectively. In addition to the cash equivalents of $26,593 and $26,291 at June 30, 2021 and December 31, 2020, respectively, reflected above, there were cash balances of $95,213 and $80,897 and restricted cash balances of $2,405 and $2,409 at June 30, 2021 and December 31, 2020, respectively. (2) The fair value of our equity investments is readily determinable. During the six months ended June 30, 2021 and 2020, we received gross proceeds of $741 and $2,888, respectively, in connection with the sales of equity investments and recorded gross realized gains totaling $175 and $296, respectively, and gross realized losses totaling $0 and $214, respectively. (3) The investment strategy of this fund is to invest principally in fixed income securities. The fund invests in such securities or investment vehicles it considers appropriate to achieve the fund’s investment objective, which is to provide an above average rate of total return while attempting to limit investment risk by investing in a diversified portfolio of primarily fixed income securities issued by companies with below investment grade ratings. There are no unfunded commitments and the investment can be redeemed weekly. (4) The investment strategy of this fund is to invest principally in fixed income securities issued by non-U.S. issuers. The fund invests in such securities or investment vehicles as it considers appropriate to achieve the fund’s investment objective, which is to provide an above average rate of total return while attempting to limit investment risk by investing in a diversified portfolio of U.S. dollar investment-grade fixed income securities. There are no unfunded commitments and the investment can be redeemed weekly. (5) As of June 30, 2021, our debt investments, which are classified as available for sale, had a fair value of $10,554 with an amortized cost of $10,066; the difference between the fair value and amortized cost amounts resulted from unrealized gains of $488, net of unrealized losses of $18. As of December 31, 2020, our debt investments had a fair value of $12,310 with an amortized cost of $11,554; the difference between the fair value and amortized cost amounts resulted from unrealized gains of $756, net of unrealized losses of $4. Debt investments include $6,922 and $8,395 of balances that were restricted as of June 30, 2021 and December 31, 2020, respectively. At June 30, 2021, three debt investments we held, with a fair value of $512, had been in a loss position for less than 12 months and we did not hold any debt investments with a fair value in a loss position for greater than 12 months. We do not believe these investments are impaired primarily because they have not been in a loss position for an extended period of time, the financial conditions of the issuers of these investments remain strong with solid fundamentals as of June 30, 2021, we do not intend to sell the investments and it is not more likely than not that we will be required to sell the investments before recovery, and other factors that support our conclusion that the loss is temporary. During the six months ended June 30, 2021 and 2020, we received gross proceeds of $1,294 and $1,963, respectively, in connection with the sales of debt investments and recorded gross realized gains totaling $18 and $13, respectively. There were no gross realized losses for the six months ended June 30, 2021 and 2020, respectively. We record gains and losses on the sales of these investments using the specific identification method. The amortized cost basis and fair value of available for sale debt securities at June 30, 2021, by contractual maturity, are shown below. Amortized Cost Fair Value Due in one year or less $ 1,270 $ 1,292 Due after one year through five years 4,671 4,896 Due after five years through ten years 4,125 4,366 Total $ 10,066 $ 10,554 Our financial assets (which include cash equivalents and investments) have been valued at the transaction price and subsequently valued, at the end of each reporting period, utilizing third-party pricing services or other market observable data. During the six months ended June 30, 2021, we did not change the type of inputs used to determine the fair value of any of our assets and liabilities that we measure at fair value. The carrying value of accounts receivable and accounts payable approximates fair value as of June 30, 2021 and December 31, 2020. The carrying value and fair value of our mortgage notes payable were $6,980 and $7,901, respectively, as of June 30, 2021 and $7,171 and $8,177, respectively, as of December 31, 2020, and are categorized in Level 3 of the fair value hierarchy. We estimate the fair value of our mortgage note payable by using discounted cash flow analyses and currently prevailing market terms as of the measurement date. Non-Recurring Fair Value Measures We review the carrying value of our long-lived assets, including our right-of-use assets, property and equipment and other intangible assets, for impairment whenever events or changes in circumstances indicate that the carrying value of an asset or asset group may not be recoverable.

Indebtedness

Indebtedness	6 Months Ended
	Jun. 30, 2021
Debt Disclosure [Abstract]
Indebtedness	Indebtedness Our $65,000 secured revolving credit facility, or Credit Facility, is governed by a credit agreement with a syndicate of lenders. The maturity date of our Credit Facility is June 12, 2022, which reflects our exercise in June 2021 of our option to extend the term of the Credit Facility. Our Credit Facility is available for general business purposes, including acquisitions, and provides for the issuance of letters of credit. We are required to pay interest at a rate of LIBOR plus a premium of 250 basis points per annum, or at a base rate, as defined in our Credit Agreement, plus 150 basis points per annum, on borrowings under our Credit Facility; the effective annual interest rate options, as of June 30, 2021, were 2.60% and 4.75%, respectively. We are also required to pay a quarterly commitment fee of 0.35% per annum on the unused portion of the available capacity under our Credit Facility. As of June 30, 2021 and 2020, we had no borrowings outstanding under our Credit Facility. As of June 30, 2021, we had letters of credit issued under the Credit Facility in an aggregate amount of $792 and we had $46,476 available for borrowings under our Credit Facility. We incurred aggregate interest expense related to our Credit Facility of $205 and $275 for the three months ended June 30, 2021 and 2020, respectively, and $458 and $539 for the six months ended June 30, 2021 and 2020, respectively. Our Credit Facility is secured by 11 senior living communities we own with a combined 1,236 living units owned by certain of our subsidiaries that guarantee our obligations under our Credit Facility. Our Credit Facility is also secured by these senior living communities' accounts receivable and related collateral. The amount of available borrowings under our Credit Facility is subject to our having sufficient qualified collateral, which is primarily based on the value and operating performance of the communities securing our obligations under our Credit Facility. Our Credit Facility provides for the acceleration of payment of all amounts outstanding under our Credit Facility upon the occurrence and continuation of certain events of default, including a change of control of us, as defined in our Credit Agreement. Our Credit Agreement contains financial and other covenants, including those that restrict our ability to pay dividends or make other distributions to our shareholders in certain circumstances. At June 30, 2021, we had six irrevocable standby letters of credit outstanding, totaling $27,642. One of these letters of credit in the amount of $26,850, which secures our workers' compensation insurance program, is collateralized by approximately $21,476 of cash equivalents and $5,637 of debt and equity investments. This letter of credit expires in June 2022 and is automatically extended for one-year terms unless notice of nonrenewal is provided prior to the end of the applicable term. At June 30, 2021, the cash equivalents collateralizing this letter of credit are classified as short-term restricted cash and cash equivalents in our condensed consolidated balance sheets, and the debt and equity investments collateralizing this letter of credit are classified as short-term restricted debt and equity investments in our condensed consolidated balance sheets. The remaining five irrevocable standby letters of credit outstanding at June 30, 2021, totaling $792, which are issued under the Credit Facility, secure certain of our other obligations. As of August 4, 2021, these letters of credit were scheduled to mature between September 2021 and June 2022 and are required to be renewed annually. At June 30, 2021, one of our senior living communities was encumbered by a mortgage note. This mortgage note contains standard mortgage covenants. We recorded a discount in connection with the assumption of this mortgage note as part of our acquisition of the senior living community secured by this mortgage in order to record this mortgage note at its then estimated fair value. We amortize this discount as an increase in interest expense until the maturity of this mortgage note. This mortgage note requires payments of principal and interest monthly until maturity. The following table is a summary of this mortgage note as of June 30, 2021: Balance as of Contractual Stated Effective Maturity Date Monthly Lender $ 7,195 (1) 6.20 % 6.70 % September 2032 $ 72 Federal Home Loan Mortgage Corporation _______________________________________ (1) Contractual principal payments excluding unamortized discount $215. We incurred interest expense, net of discount amortization, of $118 and $125 with respect to the mortgage note for the three months ended June 30, 2021 and 2020, respectively, and $240 and $253 for the six months ended June 30, 2021 and 2020, respectively. We believe we were in compliance with all applicable covenants under our Credit Facility and mortgage note as of June 30, 2021.

Leases with DHC and Healthpeak

Leases with DHC and Healthpeak Properties Inc. and Management Agreements with DHC	6 Months Ended
	Jun. 30, 2021
Leases [Abstract]
Leases with DHC and Healthpeak Properties Inc. and Management Agreements with DHC	Leases with DHC and Healthpeak Properties Inc. and Management Agreements with DHC 2020 Restructuring of our Business Arrangements with DHC . Effective as of January 1, 2020: • our five then existing master leases with DHC as well as our then existing management and pooling agreements with DHC were terminated and replaced with new management agreements and a related omnibus agreement; • we issued 10,268,158 of our common shares to DHC and an aggregate of 16,118,849 of our common shares to DHC’s shareholders of record as of December 13, 2019; • as consideration for the share issuances, DHC provided to us $75,000 by assuming certain of our working capital liabilities and through cash payments; we recognized $22,899 in loss on termination of leases, representing the excess of the fair value of the share issuances of $97,899 compared to the consideration of $75,000 paid by DHC. As of March 31, 2020, DHC assumed $51,547 of our working capital liabilities. We received cash of $23,453 from DHC during the six months ended June 30, 2020; and • pursuant to a guaranty agreement dated as of January 1, 2020, made by us in favor of DHC’s applicable subsidiaries, we have guaranteed the payment and performance of each of our applicable subsidiary’s obligations under our applicable management agreements with DHC. We recognized transaction costs of $175 and $1,270 related to the 2020 restructuring of our business arrangements with DHC for the three and six months ended June 30, 2020, respectively. 2021 Amendments to our Management Arrangements with DHC. As part of the implementation of the Strategic Plan, on June 9, 2021, we amended our management arrangements with DHC. See Notes 1, 16 and 17 for additional information on the Strategic Plan. The principal changes to the management arrangements include: • we will cooperate with DHC in transitioning the management of 108 senior living communities with approximately 7,500 living units, to other third party managers without payment of any termination fee to us; • DHC will no longer have the right to sell up to an additional $682,000 of senior living communities managed by us and terminate our management of those communities without payment of a termination fee to us upon sale; • DHC's ability to terminate the management agreement was revised: (i) to not commence until 2025; (ii) the maximum amount of communities that may be terminated was reduced to 10% (from 20%) of the total managed portfolio by revenue per year; and (iii) achieving less than 80% (from 90%) of budgeted earnings before interest, taxes, and depreciation and amortization, or EBITDA, will be required to qualify as a “Non Performing Asset:” DHC will not be obligated to pay any termination fee to us if it exercises these termination rights; • we will continue to manage 120 senior living communities for DHC; • we will close and reposition the 27 skilled nursing units in CCRC communities that we will continue to manage with approximately 1,500 living units; • the incentive fee that we may earn in any calendar year for the senior living communities that we will continue to manage for DHC will no longer be subject to a cap and that any senior living communities that are undergoing a major renovation or repositioning will be excluded from the calculation of the incentive fee and the incentive fee calculation will be reset pursuant to the terms of the management agreements as a result of expected capital projects DHC is planning in the next five years; • The RMR Group LLC, or RMR LLC, assumed control of major community renovation or repositioning activities at the senior living communities that we will continue to manage for DHC; and • the term of our existing management agreements with DHC was extended by two years to December 31, 2036. We and DHC entered into a n amended and restated master management agreement for the senior living communities that we will continue to manage for DHC and interim management agreements for the senior living communities that we and DHC agreed to transition to new operators. These agreements replaced our prior management and omnibus agreements with DHC. In addition, we delivered to DHC a related amended and restated guaranty agreement pursuant to which we will continue to guarantee the payment and performance of each of our applicable subsidiary's obligations under the applicable management agreements. As of June 30, 2021, none of the 108 senior living communities had been transitioned to new operators. In July 2021, DHC entered into agreements to transition 76 senior living communities with approximately 5,200 living units to new operators in 2021. We expect that (1) the transition of management of the 108 senior living communities, (2) the closure and repositioning of the remaining 59 SNF units that we had not yet closed as of June 30, 2021 and the repositioning of 1,473 closed SNF units and (3) the closure of the remaining ten Ageility inpatient clinics will be completed before year end 2021. For the three and six months ended June 30, 2021, we recognized $4,378 and $9,619, respectively, of management fees related to the management of these communities and units. See Note 17 for summary of progress made on the repositioning phase of the Strategic Plan in July 2021. Senior Living Communities Leased from Healthpeak Properties, Inc. As of June 30, 2021, we leased four senior living communities under one lease with PEAK. This lease is a “triple net” lease, which requires that we pay all costs incurred in the operation of the communities, including the cost of insurance and real estate taxes, maintaining the communities, and indemnifying the landlord for any liability which may arise from the operations during the lease term. We recognized rent expense for this lease for actual rent paid plus or minus a straight-line adjustment for scheduled minimum rent increases, which were not material to our condensed consolidated financial statements. The right-of-use asset balance has been decreased for the amount of accrued lease payments, which amounts are not material to our condensed consolidated financial statements. On March 8, 2021, we entered into a second amendment to our master lease with PEAK, pursuant to which we agreed to pay a lease termination fee upon the sale by PEAK of any of the four communities we lease in an amount equal to the difference between: (i) the net present value of the allocated minimum rate payments that would otherwise have been payable with respect to that community for the period beginning on the sale date and ending on April 30, 2023 (discounted at 9%) and (ii) the net present value of the reinvestment returns of the net proceeds from the sale of the community (discounted at 9%), and assuming such net proceeds are reinvested for the period commencing on the sale date and ending on April 30, 2023 at a rate of 5.5%. The aggregate maximum termination fee payable by us with respect to the termination of the four communities is capped at $3,100. On April 4, 2021, one of the communities that we lease from PEAK had a fire that caused extensive damage and the community has been out of service since that date. On June 3, 2021, we entered into an operations transfer agreement to assist with the transfer of the remaining three communities that we lease from PEAK to new operators, subject to regulatory and other approvals. These three communities have 152 living units and had senior living revenues of $1,508 and $3,009 for the three and six months ended June 30, 2021, respectively and lease expense of $546 and $1,085 for the three and six months ended June 30, 2021, respectively. Senior Living Communities Managed for the Account of DHC and its Related Entities . As of June 30, 2021 and 2020, we managed 228 and 241 senior living communities, respectively, for DHC. We earned management fees of $12,109 and $15,135 from the senior living communities we managed for the account of DHC for the three months ended June 30, 2021 and 2020, respectively, and $25,019 and $31,597 for the six months ended June 30, 2021 and 2020, respectively. In addition, we earned fees for our management of capital expenditure projects at the communities we managed for the account of DHC of $715 and $444 for the three months ended June 30, 2021 and 2020, respectively, and $1,549 and $906 for the six months ended June 30, 2021 and 2020, respectively. These amounts are included in management fee revenue in our condensed consolidated statements of operations. We also provide ancillary services to residents at some of the senior living communities we manage for the account of DHC, such as rehabilitation and wellness services. At senior living communities we manage for the account of DHC where we provide rehabilitation and wellness services on an outpatient basis, the residents, third party payers or government programs pay us for those rehabilitation and wellness services. At senior living communities we manage for the account of DHC where we provide inpatient rehabilitation and wellness services, DHC generally pays us for these services and charges for such services are included in amounts charged to residents, third party payers or government programs. We earned revenues of $2,630 and $5,814 for the three months ended June 30, 2021 and 2020, respectively, and $8,071 and $13,871 for the six months ended June 30, 2021 and 2020, respectively, for rehabilitation and wellness services we provided at senior living communities we manage for the account of DHC and that are payable by DHC. These amounts are included in rehabilitation and wellness services in our condensed consolidated statements of operations. We earned management fees of $103 and $126 for the three months ended June 30, 2021 and 2020, respectively, $209 and $253 for the six months ended June 30, 2021 and 2020, respectively, for management services at a part of a senior living community DHC subleases to an affiliate, which amounts are included in management fee revenues in our condensed consolidated statements of operations. In 2020, DHC sold nine senior living communities that we previously managed. Upon completion of these sales, our management agreements with DHC with respect to those communities were terminated. In addition, in 2020, DHC also closed seven additional senior living communities and closed one building in one senior living community. While those closed communities and building are no longer being operated as senior living communities, we continue to manage the related back-office operations for the empty communities. For the three and six months ended June 30, 2020, we recognized $664 and $1,716 of management fees related to these communities. In the three months ended June 30, 2021, we closed 1,473 SNF units and are in the process of repositioning them. We will continue to manage the repositioned units for DHC. For the three months ended June 30, 2021 and 2020, we recognized $458 and $1,364 of management fee revenue related to these closed SNF units, respectively. For the six months ended June 30, 2021 and 2020, we recognized $1,759 and $3,069 of management fee revenue related to these closed SNF units, respectively. Ageility Clinics Leased from DHC. We lease space from DHC at certain of the senior living communities that we manage for DHC. We use this leased space for outpatient rehabilitation and wellness services clinics. We recognized rent expense of $398 and $488 for the three months ended June 30, 2021 and 2020, respectively, and $795 and $782 for the six months ended June 30, 2021 and 2020, respectively, with respect to these leases.

Business Management Agreement w

Business Management Agreement with RMR LLC	6 Months Ended
	Jun. 30, 2021
Management Agreement [Abstract]
Business Management Agreement with RMR LLC	Business Management Agreement with RMR LLC RMR LLC, provides business management services to us pursuant to our business management and shared services agreement. We incurred aggregate fees and certain cost reimbursements payable to RMR LLC of $1,795 and $2,123 for the three months ended June 30, 2021 and 2020, respectively, and $3,599 and $4,474 for the six months ended June 30, 2021 and 2020, respectively. These amounts are included in general and administrative expenses in our condensed consolidated statements of operations. For further information about our relationship with RMR LLC, see our Annual Report.

Related Person Transactions

Related Person Transactions	6 Months Ended
	Jun. 30, 2021
Related Party Transactions [Abstract]
Related Person Transactions	Related Person Transactions We have relationships and historical and continuing transactions with DHC, RMR LLC and others related to them, including other companies to which RMR LLC or its subsidiaries provide management services and some of which have trustees, directors and officers who are also our Directors or officers. The RMR Group Inc., or RMR Inc., is the managing member of RMR LLC. The Chair of our Board and one of our Managing Directors, Adam D. Portnoy, is the sole trustee, an officer and the controlling shareholder of ABP Trust, which is the controlling shareholder of RMR Inc. Mr. Portnoy is also a managing director and the president and chief executive officer of RMR Inc. and an officer and employee of RMR LLC. Jennifer B. Clark, our other Managing Director and our Secretary, also serves as a managing director and the executive vice president, general counsel and secretary of RMR Inc., an officer and employee of RMR LLC and an officer of ABP Trust. Certain of our officers, and DHC’s officers, are also officers and employees of RMR LLC. Some of our Independent Directors also serve as independent trustees or independent directors of other public companies to which RMR LLC or its subsidiaries provide management services. Adam Portnoy serves as the chair of the boards of trustees or boards of directors of several of these public companies and as a managing director or managing trustee of these companies. Other officers of RMR LLC, including Ms. Clark, serve as managing trustees or managing directors of certain of these companies. DHC . DHC is currently our largest shareholder, owning, as of June 30, 2021, 10,691,658 of our common shares, or 33.7% of our outstanding common shares. We manage for the account of DHC a substantial majority of the senior living communities we operate. Adam Portnoy is chair of the board of trustees and a managing trustee of DHC. Jennifer Clark is a former managing trustee and the secretary of DHC. Included in accrued expenses and other current liabilities on our condensed consolidated balance sheets at June 30, 2021 and December 31, 2020 are $19,570 and $30,090, respectively, of expenses we incurred in connection with the senior living communities we manage for DHC. DHC will reimburse us those amounts, and we have included those amounts in due from related person. See Note 11 for more information regarding our relationships, agreements and transactions with DHC and certain parties related to it and us. RMR LLC. We have an agreement with RMR LLC for RMR LLC to provide business management services to us. See Note 12 for more information regarding our relationship with RMR LLC. ABP Trust. ABP Trust and its subsidiaries owned 1,972,783 of our common shares, representing 6.2% of our outstanding common shares, as of June 30, 2021. We lease our headquarters from a subsidiary of ABP Trust. On February 24, 2021, we and the ABP Trust subsidiary renewed the lease through December 31, 2031. The annual lease payment will range from $1,026 to $1,395 over the period of the lease. The lease also provides us with an improvements allowance from ABP Trust not to exceed $2,667. Our rent expense for our headquarters, including utilities and real estate taxes that we pay as additional rent, was $559 and $424 for the three months ended June 30, 2021 and 2020, respectively, and $1,036 and $859 for the six months ended June 30, 2021 and 2020, which is included in general and administrative expenses. As a result of renewing this lease, we increased each of our right-of-use asset and lease liability noted below on our condensed consolidated balance sheets by $9,746 to reflect the terms of the amendment. We recognized a right-of-use asset and lease liability, which amounts were $9,872 and $496 for the lease liability and $9,708 and $452 for the right-of-use asset as of June 30, 2021 and December 31, 2020, respectively, with respect to our headquarters lease, using an incremental borrowing rate of 3.9%. The right-of-use asset has been reduced by the amount of accrued lease payments, which amounts are not material to our condensed consolidated financial statements. For further information about these and other such relationships and certain other related person transactions, see our Annual Report.

Commitments and Contingencies

Commitments and Contingencies	6 Months Ended
	Jun. 30, 2021
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies	Commitments and Contingencies We have been, are currently, and expect in the future to be involved in claims, lawsuits, and regulatory and other government audits, investigations and proceedings arising in the ordinary course of our business, some of which may involve material amounts. Also, the defense and resolution of these claims, lawsuits, and regulatory and other government audits, investigations and proceedings may require us to incur significant expense. Loss contingency provisions are recorded for probable and estimable losses at our best estimate of a loss or, when a best estimate cannot be made, at our estimate of the minimum loss. These estimates are often developed prior to knowing the amount of the ultimate loss, require the application of considerable judgment and are refined as additional information becomes known. Accordingly, we are often initially unable to develop a best estimate of loss and therefore the estimated minimum loss amount, which could be zero, is recorded; then, as information becomes known, the minimum loss amount is updated, as appropriate. We were defendants in two lawsuits filed by former employees in California. The first lawsuit, Lefevre v. Five Star Quality Care, Inc. was filed in San Bernardino County Superior Court in May 2015 and the second lawsuit, Mandviwala v. Five Star Quality Care, Inc. d/b/a Five Star Quality Care - CA, Inc. and FVE Managers, Inc., our wholly owned subsidiary, was filed in Orange County Superior Court in July 2015. The claims asserted against us in the similar, though not identical, complaints included: (i) failure to pay all wages due, (ii) failure to pay overtime, (iii) failure to provide meal and rest breaks, (iv) failure to provide itemized, printed wage statements, (v) failure to keep accurate payroll records and (vi) failure to reimburse business expenses. Both plaintiffs asserted causes of action on behalf of themselves and on behalf of other similarly situated employees, including causes of action pursuant to the California Labor Code Private Attorney General Act, or PAGA. On July 10, 2020, the parties in Lefevre v. Five Star Quality Care, Inc., agreed, without admitting fault, to settle Ms. Lefevre's individual and PAGA claims. The settlement was approved by the court and final judgement on the settlement has been entered. The settlement amount was $3,062, of which $2,400 was allocated to us and $662 was allocated to DHC. The total settlement amount was paid on May 12, 2021. The settlement extinguished the Mandviwala v. Five Star Quality Care, Inc. d/b/a Five Star Quality Care - CA, Inc. and FVE Managers, Inc. lawsuit. We recognized our allocated amount for the settlement as an expense in our condensed consolidated statements of operations during the second quarter of 2020.

COVID-19 Pandemic

COVID-19 Pandemic	6 Months Ended
	Jun. 30, 2021
Unusual or Infrequent Items, or Both [Abstract]
COVID-19 Pandemic	COVID-19 Pandemic On March 11, 2020, the World Health Organization declared the disease caused by the novel coronavirus SARS-CoV-2, or COVID-19, a pandemic, or the Pandemic. The global spread of COVID-19 caused economic disruption worldwide, and although conditions have significantly improved in the United States since the low points experienced, significant uncertainty regarding the Pandemic's ultimate duration, severity and near and long term impacts remain. Governments in affected regions have implemented and may continue to implement, safety precautions, including quarantines, travel restrictions, business closures and other public safety measures. On March 13, 2020, the President of the United States declared the Pandemic a national emergency, effective as of March 1, 2020, or the National Emergency. The National Emergency remains in effect. The Pandemic has significantly disrupted, and it and its aftermath will likely continue to disrupt, our business and the senior living industry as a whole. We cannot predict whether the relief provided by the CARES Act together with any additional funds under the other Provider Relief Fund or other programs that we may receive will be sufficient to offset the financial impact related to the decrease in average occupancy levels and increased PPE costs since the first quarter of 2020. caused by the Pandemic, but to date, they have not been and we expect they will not be. During the Pandemic, we have experienced occupancy declines, increased labor costs and increased costs related to COVID-19 testing, medical and sanitation supplies and certain other costs. Additionally, we have purchased personal protective equipment, or PPE, to be used at our senior living communities and rehabilitation and wellness clinics. At June 30, 2021, $6,535 of PPE for future use was included in prepaid expenses and other current assets in our condensed consolidated balance sheets. PPE that is deployed to senior living communities that we manage on behalf of DHC is reimbursable to us by DHC. For the three and six months ended June 30, 2021, we deployed $2,205 and $3,057, respectively, of PPE to senior living communities that we manage on behalf of DHC. In response to the Pandemic, the CARES Act was enacted on March 27, 2020. The CARES Act, among other things, provides billions of dollars of relief to certain individuals and businesses suffering from the impact of the Pandemic. Under the CARES Act, a Provider Relief Fund was established for allocation by HHS and was further supplemented by the Consolidated Appropriations Act, 2021 on December 27, 2020. The terms and conditions of the Provider Relief Fund require that the funds are utilized to compensate for lost revenues that are attributable to the Pandemic and for eligible costs to prevent, prepare for and respond to the Pandemic that are not covered by other sources. In addition Provider Relief Funds recipients are subject to other terms and conditions, including certain reporting requirements. Any funds not used in accordance with the terms and conditions must be returned to HHS. On April 10, 2020, HHS began to distribute these funds, or the Phase 1 General Distribution , to healthcare providers who received Medicare fee-for-service reimbursement in 2018 and 2019. Each healthcare provider's allocation of the Phase 1 General Distribution was determined based on 2% of a provider's 2018 (or most recent complete tax year) gross receipts, regardless of the provider's payer mix. On June 9, 2020, HHS announced additional distributions from the Provider Relief Fund, or Phase 2 General Distribution , including the Medicaid and Children's Health Insurance Program, or the Medicaid and CHIP Targeted Distribution. HHS stated that it would disburse a payment that, at a minimum, is equal to 2% of reported total revenue from patient care to eligible providers serving Medicaid and CHIP beneficiaries. Providers who had not yet received a disbursement from the Phase 1 General Distribution were eligible for the Medicaid and CHIP Targeted Distribution. Information on future allocations of the Provider Relief Fund are not yet known, though the statute requires that no less than 85% of unobligated balances of the fund and funds recovered from providers after the enactment date be allocated based on financial losses and changes in operating expenses occurring in the third or fourth quarter of calendar year 2020. We recognized other operating income of $2 and $1,499 for the three months ended June 30, 2021 and 2020, respectively, and $7,795 and $1,499 for the six months ended June 30, 2021 and 2020, respectively, related to General Distribution Funds primarily for our senior living communities for which we believe we have met the required terms and conditions. The CARES Act delays the payment of required federal tax deposits for certain payroll taxes, including the employer's share of Old-Age, Survivors, and Disability Insurance Tax, or Social Security, employment taxes, incurred between March 27, 2020 and December 31, 2020. Amounts will be considered timely paid if 50% of the deferred amount is paid by December 31, 2021, and the remainder by December 31, 2022. As of June 30, 2021 and December 31, 2020, we deferred $27,593 of employer payroll taxes, which are included in accrued compensation and benefits in our condensed consolidated balance sheets, of which $22,194 will be reimbursable to us by DHC pursuant to the management agreements and are included in due from related persons in our condensed consolidated balance sheets. The Sequestration Transparency Act of 2012 subjected all Medicare fee-for-service payments to a 2% sequestration reduction, or the 2% Medicare Sequestration. The CARES Act temporarily suspended the 2% Medicare Sequestration for the period from May 1, 2020 to March 31, 2021 which benefited our rehabilitation and wellness services segment and the senior living communities we manage in the form of increased rates for services provided and the management fees we earn from these communities as a result. Increases in rates are recognized in revenue in the period services are provided. On April 14, 2021, President Biden signed into law legislation that further extended the temporary suspension of the 2% Medicare Sequestration until December 31, 2021. The Tax Cuts and Jobs Act of 2017 repealed the AMT and allowed corporations to fully offset regular tax liability with AMT credits. Any remaining AMT credit amount became refundable incrementally from tax years 2018 through 2021. The CARES Act accelerates the refund schedule, permitting corporate taxpayers to claim the refund in full in either tax year 2018 or 2019. We expect to apply an AMT credit refund of $554 for tax year 2019 to our 2021 tax return, as we do not have a federal tax liability to utilize the refund against our the 2020 tax return.

Restructuring Expense

Restructuring Expense	6 Months Ended
	Jun. 30, 2021
Restructuring and Related Activities [Abstract]
Restructuring Expense	Restructuring Expense On April 9, 2021, we announced, as part of the Strategic Plan, the repositioning of the Company's senior living management business to focus on larger independent living, assisted living and memory care communities as well as stand-alone independent living and active adult communities. We expect these transition activities to be completed prior to December 31, 2021. See Notes 1, 11 and 17 for more information on the Strategic Plan and our business arrangements with DHC. During the three months ended June 30, 2021, the following actions were taken pursuant to the repositioning phase of the Strategic Plan, we: • Amended our management arrangements with DHC on June 9, 2021. See Note 11 for additional information regarding the amendments to the management arrangements with DHC, • Closed 1,473 of the approximately 1,500 SNF living units planned for closure in 26 of the 27 CCRCs, • Closed 27 of the planned 37 Ageility inpatient rehabilitation clinics, • Recognized severance and retention costs of $14,544, and • Incurred other costs in connection with the closure of communities and units of $845 A summary of the liabilities incurred combined with a reconciliation of the related components of the Strategic Plan restructuring expense recognized in the three and six months ended June 30, 2021, follows, first by cost component and then by segment, the expenses are aggregated and reported in the line item Restructuring expenses in our condensed consolidated statements of operations: Summary of Liabilities and Expenses as of and for the Three Months Ended June 30, 2021 (1) Type of Expense: Beginning Balance Expenses Incurred Payments Ending Balance Retention bonuses $ — $ 5,605 $ 3,110 $ 2,495 Severance, benefits and transition expenses — 8,939 5,445 3,494 Transaction expenses 250 845 357 738 Total $ 250 $ 15,389 $ 8,912 $ 6,727 _______________________________________ (1) No obligations related to the Strategic Plan were incurred in 2020. Accrued bonuses and other compensation are reported in the condensed consolidated balance sheet as part of Accrued compensation and benefits and accrued transaction expenses are reported as part of Accrued expenses and other current liabilities in the condensed consolidated balance sheet. Summary of Liabilities and Expenses as of and for the Three Months Ended June 30, 2021 (1) By Segment: Beginning Balance Expenses Incurred Payments Ending Balance Senior Living $ — $ 11,531 $ 7,387 $ 4,144 Rehabilitation and Wellness Services — 1,720 1,144 576 Corporate and Other 250 2,138 381 2,007 Total $ 250 $ 15,389 $ 8,912 $ 6,727 _______________________________________ (1) No obligations related to the Strategic Plan were incurred in 2020. Accrued bonuses and other compensation are reported in the condensed consolidated balance sheet as part of Accrued compensation and benefits and accrued transaction expenses are reported as part of Accrued expenses and other current liabilities in the condensed consolidated balance sheet. In addition to the restructuring expenses recorded for the three months ended June 30, 2021, there were transaction expenses of $250 recorded in corporate and other in the three months ended March 31, 2021. In connection with the implementation of the repositioning of other senior living management services, we expect to incur restructuring obligations, recognized under ASC 420, Exit or Disposal Cost Obligations and ASC 712, Compensation — Nonretirement Postemployment Benefits - special termination benefits, of up to $20,500, approximately $15,000 of which we expect DHC will reimburse. These expenses are expected to include up to $7,500 of retention bonus payments, up to $10,200 of severance, benefits and transition expenses, and up to $2,800 of transaction expenses, of which we expect DHC to reimburse approximately $5,900, $7,500 and $1,600, respectively. For the three and six months ended June 30, 2021, we recorded expenses of $15,389 and $15,639, respectively, $11,531 of which we expect to be reimbursed by DHC which is recorded in other reimbursed expenses for both the three and six months ended June 30, 2021.

Subsequent Events

Subsequent Events	6 Months Ended
	Jun. 30, 2021
Subsequent Events [Abstract]
Subsequent Events	Subsequent EventsIn July 2021 we continued to make progress on the Strategic Plan as we transitioned 26 senior living communities (with approximately 1,500 living units) to new operators. In addition, DHC entered into agreements to transition the management of an additional 50 senior living communities (approximately 3,700 living units) to new operators.

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	6 Months Ended
	Jun. 30, 2021
Accounting Policies [Abstract]
Estimates and Assumptions	Estimates and Assumptions. The preparation of these financial statements in conformity with GAAP requires us to make estimates and assumptions that may affect the amounts reported in these condensed consolidated financial statements and related notes. Significant estimates in our condensed consolidated financial statements relate to revenue recognition, including contractual allowances, the allowance for doubtful accounts, self-insurance reserves and estimates concerning our provision for income taxes or valuation allowance related to deferred tax assets. Our actual results could differ from our estimates. We periodically review estimates and assumptions and we reflect the effects of changes, if any, in the condensed consolidated financial statements in the period that they are determined.
Accounting for Costs Associated with Exit or Disposal Activities	Accounting for Costs Associated with Exit or Disposal Activities. A liability for costs associated with exit or disposal activities other than in a business combination, is recognized when the liability is incurred. The liability, recognized under ASC 420, Exit or Disposal Cost Obligations and ASC 712, Compensation — Nonretirement Postemployment - special termination benefits
Recently Issued Accounting Pronouncements Not Yet Adopted	Recently Issued Accounting Pronouncements Not Yet Adopted. In June 2016, the Financial Accounting Standards Board, or FASB, issued Accounting Standards Update, or ASU, No. 2016-13, Financial Instruments-Credit Losses (Topic 326) , which requires a financial asset or a group of financial assets measured at amortized cost basis to be presented at the net amount expected to be collected. This ASU eliminates the probable initial recognition threshold and instead requires reflection of an entity’s current estimate of all expected credit losses. In addition, this ASU amends the current other-than-temporary impairment model for available for sale debt securities. The length of time that the fair value of an available for sale debt security has been below the amortized cost will no longer impact the determination of whether a credit loss exists and credit losses will now be limited to the difference between a security’s amortized cost basis and its fair value. In November 2018, the FASB issued ASU No. 2018-19, Codification Improvements to Topic 326, Financial Instruments-Credit Losses , which amends the transition and effective date for nonpublic entities and smaller reporting companies, such as us, and clarifies that receivables arising from operating leases are not in the scope of this ASU. In November 2019, the FASB issued ASU No. 2019-11, Codification Improvements to Topic 326 , Financial Instruments-Credit Losses , which clarifies guidance around how to report expected recoveries. Entities will apply the provisions of the ASU as a cumulative-effect adjustment to retained earnings as of the beginning of the first reporting period in which the guidance is effective. This ASU is effective for smaller reporting companies for reporting periods beginning after December 15, 2022. We are assessing the potential impact that the adoption of this ASU (and the related clarifying guidance issued by the FASB) will have on our condensed consolidated financial statements. In March 2020, the FASB issued ASU No. 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting , which provides temporary optional expedients and exceptions on contract modifications meeting certain criteria to ease the financial reporting burdens of the expected market transition from the London Inter-bank Offered Rate, or LIBOR, and other interbank offered rates to the alternative reference rates. For a contract that meets the criteria, this ASU generally allows an entity to account for and present modifications as an event that does not require remeasurement at the modification date or reassessment of a previous accounting determination. This ASU was effective upon issuance and can be applied through December 31, 2022. We expect this ASU will not have a material impact on our condensed consolidated financial statements.

Revenue and Other Operating I_2

Revenue and Other Operating Income (Tables)	6 Months Ended
	Jun. 30, 2021
Revenue from Contract with Customer [Abstract]
Schedule of Disaggregation of Revenue	The following tables present revenue from contracts by segment with customers disaggregated by type of payer, as we believe it best depicts how the nature, amount, timing and uncertainty of our revenue and cash flows are affected by economic factors: Three Months Ended June 30, 2021 Senior Living Rehabilitation and Wellness Services (3) Total Private payer $ 16,116 $ 255 $ 16,371 Medicare and Medicaid programs 262 9,811 10,073 Other third-party payer programs — 7,387 7,387 Management fees 12,927 (1) (2) — 12,927 Reimbursed community-level costs incurred on behalf of managed communities 195,271 (1) (2) — 195,271 Other reimbursed expenses 16,592 (1) (4) — 16,592 Total revenues $ 241,168 $ 17,453 $ 258,621 _______________________________________ (1) Represents separate revenue streams earned from DHC; see Note 4 for discussion of Segment Information. (2) (i) We intend to transition 108 senior living communities managed on behalf of DHC with approximately 7,500 living units to new operators in 2021 and (ii) we closed 1,473 SNF units in 26 CCRCs in the three months ended June 30, 2021 and are in the process of repositioning them and expect to close and reposition an additional 59 SNF units in one CCRC during the remainder of 2021 that we will continue to manage for DHC. The management fees we recognized related to these communities and units for the three months ended June 30, 2021 was $4,378. See Notes 1, 11, 16 and 17 for more information. (3) 27 Ageility inpatient rehabilitation clinics were closed in the three months ended June 30, 2021 and we expect to close an additional ten Ageility inpatient rehabilitation clinics during the remainder of 2021. Revenue related to these clinics for the three months ended June 30, 2021 was $2,630. See Notes 1, 16 and 17 for more information. (4) Includes $11,531 of restructuring expenses to be reimbursed by DHC for the three months ended June 30, 2021. Three Months Ended June 30, 2020 Senior Living Rehabilitation and Wellness Services Total Private payer $ 19,293 $ 1,214 $ 20,507 Medicare and Medicaid programs 297 9,564 9,861 Other third-party payer programs — 8,490 8,490 Management fees 15,705 (1) — 15,705 Reimbursed community-level costs incurred on behalf of managed communities 224,104 (1) — 224,104 Other reimbursed expenses 6,417 (1) — 6,417 Total revenues $ 265,816 $ 19,268 $ 285,084 _______________________________________ (1) Represents separate revenue streams earned from DHC. Six Months Ended June 30, 2021 Senior Living Rehabilitation and Wellness Services (3) Total Private payer $ 32,903 $ 512 $ 33,415 Medicare and Medicaid programs 532 21,360 21,892 Other third-party payer programs — 15,134 15,134 Management fees 26,777 (1) (2) — 26,777 Reimbursed community-level costs incurred on behalf of managed communities 408,431 (1) (2) — 408,431 Other reimbursed expenses 22,072 (1) (4) — 22,072 Total revenues $ 490,715 $ 37,006 $ 527,721 _______________________________________ (1) Represents separate revenue streams earned from DHC; see Note 4 for discussion of Segment Information. (2) (i) We intend to transition 108 senior living communities managed on behalf of DHC with approximately 7,500 living units to new operators in 2021 and (ii) we closed 1,473 SNF units in 26 CCRCs in the six months ended June 30, 2021 and are in the process of repositioning them and expect to close and reposition an additional 59 SNF units in one CCRC during the remainder of 2021 that we will continue to manage for DHC. The management fees we recognized related to these communities and units for the six months ended June 30, 2021 was $9,619. See Notes 1, 11, 16 and 17 for more information. (3) 27 Ageility inpatient rehabilitation clinics were closed in the six months ended June 30, 2021 and we expect to close an additional ten Ageility inpatient rehabilitation clinics during the remainder of 2021. Revenue related to these clinics for the six months ended June 30, 2021 was $8,071. See Notes 1, 16 and 17 for more information. (4) Includes $11,531 of restructuring expenses to be reimbursed by DHC for the six months ended June 30, 2021. Six Months Ended June 30, 2020 Senior Living Rehabilitation and Wellness Services Total Private payer $ 39,574 $ 2,111 $ 41,685 Medicare and Medicaid programs 1,013 19,134 20,147 Other third-party payer programs — 19,407 19,407 Management fees 32,756 (1) — 32,756 Reimbursed community-level costs incurred on behalf of managed communities 456,120 (1) — 456,120 Other reimbursed expenses 12,414 (1) — 12,414 Total revenues $ 541,877 $ 40,652 $ 582,529 _______________________________________ (1) Represents separate revenue streams earned from DHC.

Segment Information (Tables)

Segment Information (Tables)	6 Months Ended
	Jun. 30, 2021
Segment Reporting [Abstract]
Schedule of Segment Information	Results of operations and selected financial information by reportable segment and the reconciliation to the condensed consolidated financial statements are as follows: Three Months Ended June 30, 2021 Senior Living (1) Rehabilitation and Wellness Services (2) Corporate and Other (3) Total Revenues $ 241,168 $ 17,453 $ — $ 258,621 Other operating income 2 — — 2 Operating expenses 232,370 17,517 21,042 270,929 Operating income (loss) 8,800 (64) (21,042) (12,306) Allocated corporate and other costs (11,766) (873) 12,639 — Other (loss) income, net (119) — 281 162 Loss before income taxes (3,085) (937) (8,122) (12,144) Provision for income taxes — — (158) (158) Net loss $ (3,085) $ (937) $ (8,280) $ (12,302) _______________________________________ (1) (i) We intend to transition 108 senior living communities managed on behalf of DHC with approximately 7,500 living units to new operators in 2021 and (ii) we closed 1,473 SNF units in 26 CCRCs in the three months ended June 30, 2021 and are in the process of repositioning them and expect to close and reposition an additional 59 SNF units in one CCRC during the remainder of 2021 that we will continue to manage for DHC. See Notes 1, 11, 16 and 17 for more information. As more fully described in Note 16, the senior living segment recognized $11,531 of restructuring expenses related to the Strategic Plan and $11,531 of other reimbursed expenses in the three months ended June 30, 2021. (2) 27 Ageility inpatient rehabilitation clinics were closed in the three months ended June 30, 2021 and we expect to close an additional ten Ageility inpatient rehabilitation clinics during the remainder of 2021. See Notes 1, 16 and 17 for more information. As more fully described in Note 16, the rehabilitation and wellness services segment recognized $1,720 of restructuring expenses related to the Strategic Plan in the three months ended June 30, 2021. (3) As more fully described in Note 16, Corporate and Other recognized $2,138 of restructuring expenses related to the Strategic Plan in the three months ended June 30, 2021. Three Months Ended June 30, 2020 Senior Living Rehabilitation and Wellness Services Corporate and Other Total Revenues $ 265,816 $ 19,268 $ — $ 285,084 Other operating income — 1,499 — 1,499 Operating expenses 250,719 16,259 18,261 285,239 Operating income (loss) 15,097 4,508 (18,261) 1,344 Allocated corporate and other costs (14,173) (972) 15,145 — Other income (loss), net (82) — 838 756 Income (loss) before income taxes 842 3,536 (2,278) 2,100 Benefit for income taxes — — 902 902 Net income (loss) $ 842 $ 3,536 $ (1,376) $ 3,002 Six Months Ended June 30, 2021 Senior Living (1) Rehabilitation and Wellness Services (2) Corporate and Other (3) Total Revenues $ 490,715 $ 37,006 $ — $ 527,721 Other operating income 7,776 19 — 7,795 Operating expenses 470,327 33,855 39,977 544,159 Operating income (loss) 28,164 3,170 (39,977) (8,643) Allocated corporate and other costs (24,423) (1,851) 26,274 — Other (loss) income, net (241) — 255 14 Income (loss) before income taxes 3,500 1,319 (13,448) (8,629) Provision for income taxes — — (358) (358) Net income (loss) $ 3,500 $ 1,319 $ (13,806) $ (8,987) _______________________________________ (1) (i) We intend to transition 108 senior living communities managed on behalf of DHC with approximately 7,500 living units to new operators in 2021 and (ii) we closed 1,473 SNF units in 26 CCRCs in the six months ended June 30, 2021 and are in the process of repositioning them and expect to close and reposition an additional 59 SNF units in one CCRC during the remainder of 2021 that we will continue to manage for DHC. See Notes 1, 11, 16 and 17 for more information. As more fully described in Note 16, the senior living segment recognized $11,531 of restructuring expenses related to the Strategic Plan and $11,531 of other reimbursed expenses in the six months ended June 30, 2021. (2) 27 Ageility inpatient rehabilitation clinics were closed in the six months ended June 30, 2021 and we expect to close an additional ten Ageility inpatient rehabilitation clinics during the remainder of 2021. See Notes 1, 16 and 17 for more information. As more fully described in Note 16, the rehabilitation and wellness services segment recognized $1,720 of restructuring expenses related to the Strategic Plan in the six months ended June 30, 2021. (3) As more fully described in Note 16, Corporate and Other recognized $2,388 of restructuring expenses related to the Strategic Plan in the six months ended June 30, 2021. Six Months Ended June 30, 2020 Senior Living Rehabilitation and Wellness Services Corporate and Other Total Revenues $ 541,877 $ 40,652 $ — $ 582,529 Other operating income — 1,499 — 1,499 Operating expenses 506,338 33,877 33,845 574,060 Operating income (loss) 35,539 8,274 (33,845) 9,968 Allocated corporate and other costs (29,791) (2,040) 31,831 — Other income (loss), net (41) — (23,628) (23,669) Income (loss) before income taxes 5,707 6,234 (25,642) (13,701) Benefit for income taxes — — (506) (506) Net income (loss) $ 5,707 $ 6,234 $ (26,148) $ (14,207)

Property and Equipment, net (Ta

Property and Equipment, net (Tables)	6 Months Ended
	Jun. 30, 2021
Property, Plant and Equipment [Abstract]
Schedule of Property and Equipment, Net	Property and equipment, net consist of the following: June 30, 2021 December 31, 2020 Land $ 12,155 $ 12,155 Buildings, construction in process and improvements 204,212 202,679 Furniture, fixtures and equipment 62,955 60,713 Property and equipment, at cost 279,322 275,547 Less: accumulated depreciation (121,686) (116,296) Property and equipment, net $ 157,636 $ 159,251

Accumulated Other Comprehensi_2

Accumulated Other Comprehensive Income (Tables)	6 Months Ended
	Jun. 30, 2021
Equity [Abstract]
Schedule of Changes in Accumulated Other Comprehensive Income, Net of Tax	The following tables detail the changes in accumulated other comprehensive income (loss), net of tax, for the six months ended June 30, 2021 and 2020: Six Months Ended June 30, 2021 Equity Investments Accumulated Balance at January 1, 2021 $ (175) $ 1,491 $ 1,316 Unrealized loss on debt investments, net of tax — (250) (250) Realized gain on debt investments reclassified and included in net loss, net of tax — (18) (18) Balance at June 30, 2021 $ (175) $ 1,223 $ 1,048 Six Months Ended June 30, 2020 Equity Investments Accumulated Balance at January 1, 2020 $ (175) $ 2,838 $ 2,663 Cumulative effect adjustment to beginning accumulated deficit and accumulated other comprehensive income in connection with a reclassification of equity investments previously classified as debt investments — (1,694) (1,694) Unrealized gain on debt investments, net of tax — 730 730 Realized gain on debt investments reclassified and included in net income, net of tax — (13) (13) Balance at June 30, 2020 $ (175) $ 1,861 $ 1,686

Net (Loss) Income Per Share (Ta

Net (Loss) Income Per Share (Tables)	6 Months Ended
	Jun. 30, 2021
Earnings Per Share [Abstract]
Schedule of Weighted Average Number of Shares	The following table provides a reconciliation of the weighted average number of common shares used in the calculation of basic and diluted net (loss) income per share (in thousands): Three Months Ended June 30, Six Months Ended June 30, 2021 2020 2021 2020 Weighted average shares outstanding—basic 31,552 31,460 31,541 31,454 Effect of dilutive securities: unvested share awards — 122 — — Weighted average shares outstanding—diluted (1) 31,552 31,582 31,541 31,454 _______________________________________ (1) For the three months ended June 30, 2021, 150 of our unvested common shares were not included in the calculation of net loss per share—diluted because to do so would have been anti-dilutive. For the six months ended June 30, 2021 and 2020, 141 and 123, respectively, of our unvested common shares were not included in the calculation of the net loss per share—diluted because to do so would have been antidilutive.

Fair Values of Assets and Lia_2

Fair Values of Assets and Liabilities (Tables)	6 Months Ended
	Jun. 30, 2021
Fair Value Disclosures [Abstract]
Schedule of Assets and Liabilities Measured at Fair Value on a Recurring and Non Recurring Basis, Categorized by the Level of Inputs Used in the Valuation of Each Asset	The tables below present certain of our assets measured at fair value at June 30, 2021 and December 31, 2020, categorized by the level of input used in the valuation of each asset. As of June 30, 2021 Description Total Quoted Prices in Significant Significant Cash equivalents (1) $ 26,593 $ 26,593 $ — $ — Investments: Equity investments (2) High yield fund (3) 3,226 — 3,226 — International bond fund (4) 2,808 — 2,808 — Financial services industry 1,401 1,401 — — Healthcare 536 536 — — Technology 861 861 — — Other 4,003 4,003 — — Total equity investments 12,835 6,801 6,034 — Debt investments (5) Industrial bonds 530 — 530 — Technology bonds 1,267 — 1,267 — Government bonds 5,823 5,823 — — Energy bonds 477 — 477 — Financial bonds 1,335 — 1,335 — Other 1,122 — 1,122 — Total debt investments 10,554 5,823 4,731 — Total investments 23,389 12,624 10,765 — Total $ 49,982 $ 39,217 $ 10,765 $ — As of December 31, 2020 Description Total Quoted Prices in Significant Significant Cash equivalents (1) $ 26,291 $ 26,291 $ — $ — Investments: Equity investments (2) High yield fund (3) 3,156 — 3,156 — International bond fund (4) 2,818 — 2,818 — Financial services industry 1,348 1,348 — — Healthcare 477 477 — — Technology 765 765 — — Other 3,875 3,875 — — Total equity investments 12,439 6,465 5,974 — Debt investments (5) Industrial bonds 540 — 540 — Technology bonds 1,471 — 1,471 — Government bonds 7,301 7,301 — — Energy bonds 484 — 484 — Financial bonds 1,359 — 1,359 — Other 1,155 — 1,155 — Total debt investments 12,310 7,301 5,009 — Total investments 24,749 13,766 10,983 — Total $ 51,040 $ 40,057 $ 10,983 $ — _______________________________________ (1) Cash equivalents consist of short-term, highly liquid investments and money market funds held primarily for obligations arising from our self-insurance programs. Cash equivalents are reported in our condensed consolidated balance sheets as cash and cash equivalents and current and long-term restricted cash and cash equivalents. Cash equivalents include $22,536 and $22,837 of balances that were restricted at June 30, 2021 and December 31, 2020, respectively. In addition to the cash equivalents of $26,593 and $26,291 at June 30, 2021 and December 31, 2020, respectively, reflected above, there were cash balances of $95,213 and $80,897 and restricted cash balances of $2,405 and $2,409 at June 30, 2021 and December 31, 2020, respectively. (2) The fair value of our equity investments is readily determinable. During the six months ended June 30, 2021 and 2020, we received gross proceeds of $741 and $2,888, respectively, in connection with the sales of equity investments and recorded gross realized gains totaling $175 and $296, respectively, and gross realized losses totaling $0 and $214, respectively. (3) The investment strategy of this fund is to invest principally in fixed income securities. The fund invests in such securities or investment vehicles it considers appropriate to achieve the fund’s investment objective, which is to provide an above average rate of total return while attempting to limit investment risk by investing in a diversified portfolio of primarily fixed income securities issued by companies with below investment grade ratings. There are no unfunded commitments and the investment can be redeemed weekly. (4) The investment strategy of this fund is to invest principally in fixed income securities issued by non-U.S. issuers. The fund invests in such securities or investment vehicles as it considers appropriate to achieve the fund’s investment objective, which is to provide an above average rate of total return while attempting to limit investment risk by investing in a diversified portfolio of U.S. dollar investment-grade fixed income securities. There are no unfunded commitments and the investment can be redeemed weekly. (5) As of June 30, 2021, our debt investments, which are classified as available for sale, had a fair value of $10,554 with an amortized cost of $10,066; the difference between the fair value and amortized cost amounts resulted from unrealized gains of $488, net of unrealized losses of $18. As of December 31, 2020, our debt investments had a fair value of $12,310 with an amortized cost of $11,554; the difference between the fair value and amortized cost amounts resulted from unrealized gains of $756, net of unrealized losses of $4. Debt investments include $6,922 and $8,395 of balances that were restricted as of June 30, 2021 and December 31, 2020, respectively. At June 30, 2021, three debt investments we held, with a fair value of $512, had been in a loss position for less than 12 months and we did not hold any debt investments with a fair value in a loss position for greater than 12 months. We do not believe these investments are impaired primarily because they have not been in a loss position for an extended period of time, the financial conditions of the issuers of these investments remain strong with solid fundamentals as of June 30, 2021, we do not intend to sell the investments and it is not more likely than not that we will be required to sell the investments before recovery, and other factors that support our conclusion that the loss is temporary. During the six months ended June 30, 2021 and 2020, we received gross proceeds of $1,294 and $1,963, respectively, in connection with the sales of debt investments and recorded gross realized gains totaling $18 and $13, respectively. There were no gross realized losses for the six months ended June 30, 2021 and 2020, respectively. We record gains and losses on the sales of these investments using the specific identification method.
Schedule of Debt Securities	The amortized cost basis and fair value of available for sale debt securities at June 30, 2021, by contractual maturity, are shown below. Amortized Cost Fair Value Due in one year or less $ 1,270 $ 1,292 Due after one year through five years 4,671 4,896 Due after five years through ten years 4,125 4,366 Total $ 10,066 $ 10,554

Indebtedness (Tables)

Indebtedness (Tables)	6 Months Ended
	Jun. 30, 2021
Debt Disclosure [Abstract]
Schedule of Mortgages	The following table is a summary of this mortgage note as of June 30, 2021: Balance as of Contractual Stated Effective Maturity Date Monthly Lender $ 7,195 (1) 6.20 % 6.70 % September 2032 $ 72 Federal Home Loan Mortgage Corporation _______________________________________ (1) Contractual principal payments excluding unamortized discount $215.

Restructuring Expense (Tables)

Restructuring Expense (Tables)	6 Months Ended
	Jun. 30, 2021
Restructuring and Related Activities [Abstract]
Schedule of Liabilities and Expenses Related to Strategic Plan	A summary of the liabilities incurred combined with a reconciliation of the related components of the Strategic Plan restructuring expense recognized in the three and six months ended June 30, 2021, follows, first by cost component and then by segment, the expenses are aggregated and reported in the line item Restructuring expenses in our condensed consolidated statements of operations: Summary of Liabilities and Expenses as of and for the Three Months Ended June 30, 2021 (1) Type of Expense: Beginning Balance Expenses Incurred Payments Ending Balance Retention bonuses $ — $ 5,605 $ 3,110 $ 2,495 Severance, benefits and transition expenses — 8,939 5,445 3,494 Transaction expenses 250 845 357 738 Total $ 250 $ 15,389 $ 8,912 $ 6,727 _______________________________________ (1) No obligations related to the Strategic Plan were incurred in 2020. Accrued bonuses and other compensation are reported in the condensed consolidated balance sheet as part of Accrued compensation and benefits and accrued transaction expenses are reported as part of Accrued expenses and other current liabilities in the condensed consolidated balance sheet. Summary of Liabilities and Expenses as of and for the Three Months Ended June 30, 2021 (1) By Segment: Beginning Balance Expenses Incurred Payments Ending Balance Senior Living $ — $ 11,531 $ 7,387 $ 4,144 Rehabilitation and Wellness Services — 1,720 1,144 576 Corporate and Other 250 2,138 381 2,007 Total $ 250 $ 15,389 $ 8,912 $ 6,727 _______________________________________ (1) No obligations related to the Strategic Plan were incurred in 2020. Accrued bonuses and other compensation are reported in the condensed consolidated balance sheet as part of Accrued compensation and benefits and accrued transaction expenses are reported as part of Accrued expenses and other current liabilities in the condensed consolidated balance sheet.

Basis of Presentation and Org_2

Basis of Presentation and Organization (Details)

Apr. 09, 2021USD ($)communityliving_unit

Jun. 30, 2021USD ($)

Jun. 30, 2020USD ($)

Jun. 30, 2021USD ($)

Jun. 30, 2020USD ($)

Jul. 31, 2021living_unitcommunity

Jun. 30, 2021state

Jun. 30, 2021living_unit

Jun. 30, 2021property

Jun. 30, 2021community

Jun. 30, 2021facility

Jun. 30, 2021apartment

Jun. 30, 2021suite

Jun. 30, 2021bed

Real Estate Properties [Line Items]

Restructuring expenses

$ 15,389,000

$ 175,000

$ 15,639,000

$ 1,270,000

Revenues

258,621,000

285,084,000

527,721,000

582,529,000

Other reimbursed expenses

Real Estate Properties [Line Items]

Revenues

16,592,000

6,417,000

22,072,000

12,414,000

Strategic Plan

Real Estate Properties [Line Items]

Restructuring expenses

15,389,000

15,639,000

Restructuring and related cost, expected costs

20,500,000

20,500,000

Strategic Plan | Severance, benefits and transition expenses

Real Estate Properties [Line Items]

Restructuring expenses

$ 14,544,000

8,939,000

Restructuring and related cost, expected costs

10,200,000

10,200,000

Strategic Plan | Retention bonuses

Real Estate Properties [Line Items]

Restructuring expenses

5,605,000

Restructuring and related cost, expected costs

7,500,000

7,500,000

Strategic Plan | Transaction expenses

Real Estate Properties [Line Items]

Restructuring expenses

845,000

Restructuring and related cost, expected costs

2,800,000

2,800,000

Diversified Healthcare Trust | Other reimbursed expenses

Real Estate Properties [Line Items]

Revenues

11,531,000

Diversified Healthcare Trust | Strategic Plan

Real Estate Properties [Line Items]

Costs expected to be reimbursed

15,000,000

15,000,000

Diversified Healthcare Trust | Strategic Plan | Other reimbursed expenses

Real Estate Properties [Line Items]

Revenues

11,531,000

11,531,000

Diversified Healthcare Trust | Strategic Plan | Severance, benefits and transition expenses

Real Estate Properties [Line Items]

Costs expected to be reimbursed

7,500,000

7,500,000

Diversified Healthcare Trust | Strategic Plan | Retention bonuses

Real Estate Properties [Line Items]

Costs expected to be reimbursed

5,900,000

5,900,000

Diversified Healthcare Trust | Strategic Plan | Transaction expenses

Real Estate Properties [Line Items]

Costs expected to be reimbursed

1,600,000

1,600,000

Transaction Agreement | Affiliated Entity

Real Estate Properties [Line Items]

Number of properties managed | community

228

Rehabilitation And Wellness | Other reimbursed expenses

Real Estate Properties [Line Items]

Revenues

0

$ 0

0

$ 0

Rehabilitation And Wellness | Strategic Plan

Real Estate Properties [Line Items]

Restructuring expenses

1,720,000

1,720,000

Senior Living Communities

Real Estate Properties [Line Items]

Number of properties operated | property

252

Number of states in which real estate properties are located | state

31

Number of living units in properties operated | living_unit

120

27,733

Number of units in properties managed | living_unit

25,482

Number of properties owned and operated | property

20

Number of living units in properties owned and operated | living_unit

2,099

Number of communities operating | community

4

Number of units in properties leased and operated | living_unit

152

Senior Living Communities | Strategic Plan | Subsequent Event

Real Estate Properties [Line Items]

Number of real estate properties transitioned | community

26

Senior Living Communities | Diversified Healthcare Trust | Strategic Plan

Real Estate Properties [Line Items]

Number of properties operated | community

108

Number of living units in properties operated | living_unit

7,500

Senior Living Communities | Diversified Healthcare Trust | Strategic Plan | Subsequent Event

Real Estate Properties [Line Items]

Number of real estate properties transitioned | living_unit

50

Senior Living Communities | DHC | Diversified Healthcare Trust | Strategic Plan | Subsequent Event

Real Estate Properties [Line Items]

Number of living units in properties operated | living_unit

5,200

Number of real estate properties transitioned | community

76

Independent and Assisted Living Communities

Real Estate Properties [Line Items]

Number of properties operated | property

243

Number of living units in properties operated | living_unit

26,778

Continuing Care Retirement Communities

Real Estate Properties [Line Items]

Number of properties operated | community

10

Number of living units in properties operated | living_unit

1

Number of units in properties managed | living_unit

1,547

Continuing Care Retirement Communities | Strategic Plan

Real Estate Properties [Line Items]

Number of properties operated | community

27

SNF

Real Estate Properties [Line Items]

Number of properties operated

59

9

Number of living units in properties operated | living_unit

955

Number of units in real estate property closed | facility

1,473

SNF | Strategic Plan

Real Estate Properties [Line Items]

Number of living units in properties operated | living_unit

1,500

Independent Living Apartment

Real Estate Properties [Line Items]

Number of living units in properties operated | apartment

10,979

Assisted Living Suites

Real Estate Properties [Line Items]

Number of living units in properties operated | suite

15,270

Rediscovery Memory Care Units

Real Estate Properties [Line Items]

Number of living units in properties operated | bed

3,247

Skilled Nursing Units

Real Estate Properties [Line Items]

Number of living units in properties operated | bed

1,484

Ageility Inpatient Rehabilitation | Strategic Plan

Real Estate Properties [Line Items]

Number of properties operated | community

37

Ageility Inpatient Rehabilitation | Rehabilitation And Wellness

Real Estate Properties [Line Items]

Number of properties operated | living_unit

10

Inpatient Rehabilitation Clinics

Real Estate Properties [Line Items]

Revenues

$ 2,630,000

$ 8,071,000

Inpatient Rehabilitation Clinics | Diversified Healthcare Trust

Real Estate Properties [Line Items]

Number of properties operated | property

10

Outpatient Rehabilitation Clinics | Diversified Healthcare Trust

Real Estate Properties [Line Items]

Number of properties operated | property

218

Number of properties owned and operated | property

151

Number of properties owned or leased | property

67

Revenue and Other Operating I_3

Revenue and Other Operating Income (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2021USD ($)living_unit	Jun. 30, 2020USD ($)	Jun. 30, 2021USD ($)living_unit	Jun. 30, 2020USD ($)	Jun. 30, 2021property	Jun. 30, 2021community	Jun. 30, 2021facility	Apr. 09, 2021communityliving_unit
Disaggregation of Revenue [Line Items]
Revenues	$ 258,621,000	$ 285,084,000	$ 527,721,000	$ 582,529,000
Other operating income	$ 2,000	1,499,000	$ 7,795,000	1,499,000
Senior Living Communities
Disaggregation of Revenue [Line Items]
Number of properties operated | property					252
Number of living units in properties operated | living_unit	27,733		27,733					120
SNF
Disaggregation of Revenue [Line Items]
Number of properties operated	59		59				9
Number of units in real estate property closed | facility							1,473
Number of living units in properties operated | living_unit	955		955
SNF | Strategic Plan
Disaggregation of Revenue [Line Items]
Number of living units in properties operated | living_unit								1,500
Continuing Care Retirement Communities
Disaggregation of Revenue [Line Items]
Number of properties operated | community						10
Number of real estate properties closed | community						26
Number of living units in properties operated | living_unit	1		1
Continuing Care Retirement Communities | Strategic Plan
Disaggregation of Revenue [Line Items]
Number of properties operated | community								27
Ageility Inpatient Rehabilitation
Disaggregation of Revenue [Line Items]
Number of real estate properties closed | community						27
Ageility Inpatient Rehabilitation | Strategic Plan
Disaggregation of Revenue [Line Items]
Number of properties operated | community								37
Inpatient Rehabilitation Clinics
Disaggregation of Revenue [Line Items]
Revenues	$ 2,630,000		$ 8,071,000
Diversified Healthcare Trust | Senior Living Communities | Strategic Plan
Disaggregation of Revenue [Line Items]
Number of properties operated | community						108
Number of living units in properties operated | living_unit	7,500		7,500
Diversified Healthcare Trust | Inpatient Rehabilitation Clinics
Disaggregation of Revenue [Line Items]
Number of properties operated | property					10
Private payer
Disaggregation of Revenue [Line Items]
Revenues	$ 16,371,000	20,507,000	$ 33,415,000	41,685,000
Medicare and Medicaid programs
Disaggregation of Revenue [Line Items]
Revenues	10,073,000	9,861,000	21,892,000	20,147,000
Other third-party payer programs
Disaggregation of Revenue [Line Items]
Revenues	7,387,000	8,490,000	15,134,000	19,407,000
Management fees
Disaggregation of Revenue [Line Items]
Revenues	12,927,000	15,705,000	26,777,000	32,756,000
Management fees | Senior Living Communities | DHC
Disaggregation of Revenue [Line Items]
Revenues	4,378,000	664,000	9,619,000	1,716,000
Management fees | SNF
Disaggregation of Revenue [Line Items]
Revenues	458,000	1,364,000	1,759,000	3,069,000
Reimbursed community-level costs incurred on behalf of managed communities
Disaggregation of Revenue [Line Items]
Revenues	195,271,000	224,104,000	408,431,000	456,120,000
Other reimbursed expenses
Disaggregation of Revenue [Line Items]
Revenues	16,592,000	6,417,000	22,072,000	12,414,000
Other reimbursed expenses | Diversified Healthcare Trust
Disaggregation of Revenue [Line Items]
Revenues			11,531,000
Other reimbursed expenses | Diversified Healthcare Trust | Strategic Plan
Disaggregation of Revenue [Line Items]
Revenues	11,531,000		11,531,000
Total revenues
Disaggregation of Revenue [Line Items]
Revenues	258,621,000	285,084,000	527,721,000	582,529,000
Senior Living | Private payer
Disaggregation of Revenue [Line Items]
Revenues	16,116,000	19,293,000	32,903,000	39,574,000
Senior Living | Medicare and Medicaid programs
Disaggregation of Revenue [Line Items]
Revenues	262,000	297,000	532,000	1,013,000
Senior Living | Other third-party payer programs
Disaggregation of Revenue [Line Items]
Revenues	0	0	0	0
Senior Living | Management fees
Disaggregation of Revenue [Line Items]
Revenues	12,927,000	15,705,000	26,777,000	32,756,000
Senior Living | Reimbursed community-level costs incurred on behalf of managed communities
Disaggregation of Revenue [Line Items]
Revenues	195,271,000	224,104,000	408,431,000	456,120,000
Senior Living | Other reimbursed expenses
Disaggregation of Revenue [Line Items]
Revenues	16,592,000	6,417,000	22,072,000	12,414,000
Senior Living | Total revenues
Disaggregation of Revenue [Line Items]
Revenues	$ 241,168,000	265,816,000	$ 490,715,000	541,877,000
Rehabilitation and Wellness Services | Ageility Inpatient Rehabilitation
Disaggregation of Revenue [Line Items]
Number of properties operated | living_unit	10		10
Rehabilitation and Wellness Services | Private payer
Disaggregation of Revenue [Line Items]
Revenues	$ 255,000	1,214,000	$ 512,000	2,111,000
Rehabilitation and Wellness Services | Medicare and Medicaid programs
Disaggregation of Revenue [Line Items]
Revenues	9,811,000	9,564,000	21,360,000	19,134,000
Rehabilitation and Wellness Services | Other third-party payer programs
Disaggregation of Revenue [Line Items]
Revenues	7,387,000	8,490,000	15,134,000	19,407,000
Rehabilitation and Wellness Services | Management fees
Disaggregation of Revenue [Line Items]
Revenues	0	0	0	0
Rehabilitation and Wellness Services | Reimbursed community-level costs incurred on behalf of managed communities
Disaggregation of Revenue [Line Items]
Revenues	0	0	0	0
Rehabilitation and Wellness Services | Other reimbursed expenses
Disaggregation of Revenue [Line Items]
Revenues	0	0	0	0
Rehabilitation and Wellness Services | Total revenues
Disaggregation of Revenue [Line Items]
Revenues	$ 17,453,000	$ 19,268,000	$ 37,006,000	$ 40,652,000

Segment Information (Details)

Segment Information (Details)	3 Months Ended				6 Months Ended
	Jun. 30, 2021USD ($)living_unit	Mar. 31, 2021USD ($)	Jun. 30, 2020USD ($)	Mar. 31, 2020USD ($)	Jun. 30, 2021USD ($)living_unit	Jun. 30, 2020USD ($)	Jun. 30, 2021property	Jun. 30, 2021community	Jun. 30, 2021facility	Apr. 09, 2021communityliving_unit
Segment Reporting Information [Line Items]
Revenues	$ 258,621,000		$ 285,084,000		$ 527,721,000	$ 582,529,000
Other operating income	2,000		1,499,000		7,795,000	1,499,000
Operating expenses	270,929,000		285,239,000		544,159,000	574,060,000
Operating (loss) income	(12,306,000)		1,344,000		(8,643,000)	9,968,000
Allocated corporate and other costs	0		0		0	0
Other (loss) income, net	162,000		756,000		14,000	(23,669,000)
Income (loss) before income taxes	(12,144,000)		2,100,000		(8,629,000)	(13,701,000)
(Provision) benefit for income taxes	(158,000)		902,000		(358,000)	(506,000)
Net (loss) income	(12,302,000)	$ 3,315,000	3,002,000	$ (17,209,000)	(8,987,000)	(14,207,000)
Restructuring expenses	15,389,000		175,000		15,639,000	1,270,000
Other reimbursed expenses
Segment Reporting Information [Line Items]
Revenues	16,592,000		6,417,000		22,072,000	12,414,000
Strategic Plan
Segment Reporting Information [Line Items]
Restructuring expenses	$ 15,389,000				$ 15,639,000
SNF
Segment Reporting Information [Line Items]
Number of properties operated	59				59				9
Number of living units in properties operated | living_unit	955				955
SNF | Strategic Plan
Segment Reporting Information [Line Items]
Number of living units in properties operated | living_unit										1,500
Continuing Care Retirement Communities
Segment Reporting Information [Line Items]
Number of properties operated | community								10
Number of living units in properties operated | living_unit	1				1
Continuing Care Retirement Communities | Strategic Plan
Segment Reporting Information [Line Items]
Number of properties operated | community										27
Senior Living Communities
Segment Reporting Information [Line Items]
Number of properties operated | property							252
Number of living units in properties operated | living_unit	27,733				27,733					120
Ageility Inpatient Rehabilitation | Strategic Plan
Segment Reporting Information [Line Items]
Number of properties operated | community										37
Diversified Healthcare Trust | Other reimbursed expenses
Segment Reporting Information [Line Items]
Revenues					$ 11,531,000
Diversified Healthcare Trust | Strategic Plan | Other reimbursed expenses
Segment Reporting Information [Line Items]
Revenues	$ 11,531,000				$ 11,531,000
Diversified Healthcare Trust | Senior Living Communities | Strategic Plan
Segment Reporting Information [Line Items]
Number of properties operated | community								108
Number of living units in properties operated | living_unit	7,500				7,500
Senior Living | Other reimbursed expenses
Segment Reporting Information [Line Items]
Revenues	$ 16,592,000		6,417,000		$ 22,072,000	12,414,000
Senior Living | Strategic Plan
Segment Reporting Information [Line Items]
Restructuring expenses	11,531,000				11,531,000
Rehabilitation And Wellness | Other reimbursed expenses
Segment Reporting Information [Line Items]
Revenues	0		0		0	0
Rehabilitation And Wellness | Strategic Plan
Segment Reporting Information [Line Items]
Restructuring expenses	$ 1,720,000				$ 1,720,000
Rehabilitation And Wellness | Ageility Inpatient Rehabilitation
Segment Reporting Information [Line Items]
Number of properties operated | living_unit	10				10
Operating Segments | Senior Living
Segment Reporting Information [Line Items]
Revenues	$ 241,168,000		265,816,000		$ 490,715,000	541,877,000
Other operating income	2,000		0		7,776,000	0
Operating expenses	232,370,000		250,719,000		470,327,000	506,338,000
Operating (loss) income	8,800,000		15,097,000		28,164,000	35,539,000
Allocated corporate and other costs	(11,766,000)		(14,173,000)		(24,423,000)	(29,791,000)
Other (loss) income, net	(119,000)		(82,000)		(241,000)	(41,000)
Income (loss) before income taxes	(3,085,000)		842,000		3,500,000	5,707,000
(Provision) benefit for income taxes	0		0		0	0
Net (loss) income	(3,085,000)		842,000		3,500,000	5,707,000
Operating Segments | Rehabilitation And Wellness
Segment Reporting Information [Line Items]
Revenues	17,453,000		19,268,000		37,006,000	40,652,000
Other operating income	0		1,499,000		19,000	1,499,000
Operating expenses	17,517,000		16,259,000		33,855,000	33,877,000
Operating (loss) income	(64,000)		4,508,000		3,170,000	8,274,000
Allocated corporate and other costs	(873,000)		(972,000)		(1,851,000)	(2,040,000)
Other (loss) income, net	0		0		0	0
Income (loss) before income taxes	(937,000)		3,536,000		1,319,000	6,234,000
(Provision) benefit for income taxes	0		0		0	0
Net (loss) income	(937,000)		3,536,000		1,319,000	6,234,000
Corporate and Other
Segment Reporting Information [Line Items]
Revenues	0		0		0	0
Other operating income	0		0		0	0
Operating expenses	21,042,000		18,261,000		39,977,000	33,845,000
Operating (loss) income	(21,042,000)		(18,261,000)		(39,977,000)	(33,845,000)
Allocated corporate and other costs	12,639,000		15,145,000		26,274,000	31,831,000
Other (loss) income, net	281,000		838,000		255,000	(23,628,000)
Income (loss) before income taxes	(8,122,000)		(2,278,000)		(13,448,000)	(25,642,000)
(Provision) benefit for income taxes	(158,000)		902,000		(358,000)	(506,000)
Net (loss) income	$ (8,280,000)		$ (1,376,000)		$ (13,806,000)	$ (26,148,000)

Property and Equipment, net (De

Property and Equipment, net (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020	Dec. 31, 2020
Property, Plant and Equipment [Line Items]
Property and equipment, at cost	$ 279,322		$ 279,322		$ 275,547
Less: accumulated depreciation	(121,686)		(121,686)		(116,296)
Property and equipment, net	157,636		157,636		159,251
Depreciation expenses	2,699	$ 2,703	5,390	$ 5,404
Land
Property, Plant and Equipment [Line Items]
Property and equipment, at cost	12,155		12,155		12,155
Buildings, construction in process and improvements
Property, Plant and Equipment [Line Items]
Property and equipment, at cost	204,212		204,212		202,679
Long lived asset impairment charges	890		890
Furniture, fixtures and equipment
Property, Plant and Equipment [Line Items]
Property and equipment, at cost	62,955		62,955		$ 60,713
Long lived asset impairment charges	$ 890		$ 890

Accumulated Other Comprehensi_3

Accumulated Other Comprehensive Income (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020
Changes in accumulated other comprehensive income
Beginning balance	$ 210,532	$ 119,981
Unrealized loss on debt investments, net of tax	(250)	730
Realized gain on debt investments reclassified and included in net income (loss), net of tax	(18)	(13)
Ending balance	201,974	204,106
Cumulative Effect, Period of Adoption, Adjustment
Changes in accumulated other comprehensive income
Beginning balance		0
Equity Investment of an Investee
Changes in accumulated other comprehensive income
Beginning balance	(175)	(175)
Unrealized loss on debt investments, net of tax	0	0
Realized gain on debt investments reclassified and included in net income (loss), net of tax	0	0
Ending balance	(175)	(175)
Equity Investment of an Investee | Cumulative Effect, Period of Adoption, Adjustment
Changes in accumulated other comprehensive income
Beginning balance		0
Investments
Changes in accumulated other comprehensive income
Beginning balance	1,491	2,838
Unrealized loss on debt investments, net of tax	(250)	730
Realized gain on debt investments reclassified and included in net income (loss), net of tax	(18)	(13)
Ending balance	1,223	1,861
Investments | Cumulative Effect, Period of Adoption, Adjustment
Changes in accumulated other comprehensive income
Beginning balance		(1,694)
Accumulated Other Comprehensive Income
Changes in accumulated other comprehensive income
Beginning balance	1,316	2,663
Ending balance	$ 1,048	1,686
Accumulated Other Comprehensive Income | Cumulative Effect, Period of Adoption, Adjustment
Changes in accumulated other comprehensive income
Beginning balance		$ (1,694)

Income Taxes (Details)

Income Taxes (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
Income Tax Disclosure [Abstract]
(Provision) benefit for income taxes	$ (158)	$ 902	$ (358)	$ (506)

Net (Loss) Income Per Share (De

Net (Loss) Income Per Share (Details) - shares shares in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
Earnings Per Share [Abstract]
Weighted average shares outstanding—basic (in shares)	31,552	31,460	31,541	31,454
Effect of dilutive securities: unvested share awards (in shares)	0	122	0	0
Weighted average shares outstanding—diluted (in shares)	31,552	31,582	31,541	31,454
Potentially dilutive restricted unvested common shares, not included in diluted EPS calculation (in shares)	150		141	123

Fair Values of Assets and Lia_3

Fair Values of Assets and Liabilities - Recurring Measurements (Details)	6 Months Ended
	Jun. 30, 2021USD ($)security	Jun. 30, 2020USD ($)	Dec. 31, 2020USD ($)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash equivalents	$ 26,593,000		$ 26,291,000
Total equity investments	12,835,000		12,439,000
Total debt investments	10,554,000		12,310,000
Total investments	23,389,000		24,749,000
Total	49,982,000		51,040,000
Restricted cash equivalents	22,536,000		22,837,000
Cash	95,213,000		80,897,000
Restricted cash	2,405,000		2,409,000
Gross proceeds from sale of equity securities	741,000	$ 2,888,000
Gross realized gains recorded on sale of equity securities	175,000	296,000
Gross realized losses recorded on sale of equity securities	0	214,000
Amortized cost of available for sale debt securities	10,066,000		11,554,000
Unrealized gains on available for sale debt securities	488,000		756,000
Unrealized losses on available for sale debt securities	$ 18,000		4,000
Debt investments fair value | security	3,000
Debt Securities unrealized loss position, less than 12 months	$ 512,000
Gross proceeds from sale of available for sale debt securities	1,294,000	1,963,000
Gross realized gains recorded on sale of debt securities	18,000	13,000
Gross realized losses recorded on sale of debt securities	0	$ 0
Mortgage note payable	6,579,000		6,783,000
Carrying Value
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Mortgage note payable	6,980,000		7,171,000
Estimated Fair Value
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Mortgage note payable	7,901,000		8,177,000
High yield fund
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	3,226,000		3,156,000
International bond fund
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	2,808,000		2,818,000
Financial services industry
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	1,401,000		1,348,000
Healthcare
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	536,000		477,000
Technology
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	861,000		765,000
Other
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	4,003,000		3,875,000
Industrial bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	530,000		540,000
Technology bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	1,267,000		1,471,000
Government bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	5,823,000		7,301,000
Energy bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	477,000		484,000
Financial bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	1,335,000		1,359,000
Other
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	1,122,000		1,155,000
Restricted debt securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	6,922,000		8,395,000
Quoted Prices in Active Markets for Identical Assets (Level 1)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash equivalents	26,593,000		26,291,000
Total equity investments	6,801,000		6,465,000
Total debt investments	5,823,000		7,301,000
Total investments	12,624,000		13,766,000
Total	39,217,000		40,057,000
Quoted Prices in Active Markets for Identical Assets (Level 1) | High yield fund
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	0		0
Quoted Prices in Active Markets for Identical Assets (Level 1) | International bond fund
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	0		0
Quoted Prices in Active Markets for Identical Assets (Level 1) | Financial services industry
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	1,401,000		1,348,000
Quoted Prices in Active Markets for Identical Assets (Level 1) | Healthcare
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	536,000		477,000
Quoted Prices in Active Markets for Identical Assets (Level 1) | Technology
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	861,000		765,000
Quoted Prices in Active Markets for Identical Assets (Level 1) | Other
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	4,003,000		3,875,000
Quoted Prices in Active Markets for Identical Assets (Level 1) | Industrial bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	0		0
Quoted Prices in Active Markets for Identical Assets (Level 1) | Technology bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	0		0
Quoted Prices in Active Markets for Identical Assets (Level 1) | Government bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	5,823,000		7,301,000
Quoted Prices in Active Markets for Identical Assets (Level 1) | Energy bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	0		0
Quoted Prices in Active Markets for Identical Assets (Level 1) | Financial bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	0		0
Quoted Prices in Active Markets for Identical Assets (Level 1) | Other
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	0		0
Significant  Other Observable  Inputs (Level 2)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash equivalents	0		0
Total equity investments	6,034,000		5,974,000
Total debt investments	4,731,000		5,009,000
Total investments	10,765,000		10,983,000
Total	10,765,000		10,983,000
Significant  Other Observable  Inputs (Level 2) | High yield fund
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	3,226,000		3,156,000
Significant  Other Observable  Inputs (Level 2) | International bond fund
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	2,808,000		2,818,000
Significant  Other Observable  Inputs (Level 2) | Financial services industry
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	0		0
Significant  Other Observable  Inputs (Level 2) | Healthcare
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	0		0
Significant  Other Observable  Inputs (Level 2) | Technology
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	0		0
Significant  Other Observable  Inputs (Level 2) | Other
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	0		0
Significant  Other Observable  Inputs (Level 2) | Industrial bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	530,000		540,000
Significant  Other Observable  Inputs (Level 2) | Technology bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	1,267,000		1,471,000
Significant  Other Observable  Inputs (Level 2) | Government bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	0		0
Significant  Other Observable  Inputs (Level 2) | Energy bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	477,000		484,000
Significant  Other Observable  Inputs (Level 2) | Financial bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	1,335,000		1,359,000
Significant  Other Observable  Inputs (Level 2) | Other
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	1,122,000		1,155,000
Significant Unobservable  Inputs (Level 3)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash equivalents	0		0
Total equity investments	0		0
Total debt investments	0		0
Total investments	0		0
Total	0		0
Significant Unobservable  Inputs (Level 3) | High yield fund
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	0		0
Significant Unobservable  Inputs (Level 3) | International bond fund
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	0		0
Significant Unobservable  Inputs (Level 3) | Financial services industry
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	0		0
Significant Unobservable  Inputs (Level 3) | Healthcare
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	0		0
Significant Unobservable  Inputs (Level 3) | Technology
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	0		0
Significant Unobservable  Inputs (Level 3) | Other
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total equity investments	0		0
Significant Unobservable  Inputs (Level 3) | Industrial bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	0		0
Significant Unobservable  Inputs (Level 3) | Technology bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	0		0
Significant Unobservable  Inputs (Level 3) | Government bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	0		0
Significant Unobservable  Inputs (Level 3) | Energy bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	0		0
Significant Unobservable  Inputs (Level 3) | Financial bonds
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	0		0
Significant Unobservable  Inputs (Level 3) | Other
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Total debt investments	$ 0		$ 0

Fair Values of Assets and Lia_4

Fair Values of Assets and Liabilities - Debt Securities, Contractual Maturities (Details) - USD ($) $ in Thousands	Jun. 30, 2021	Dec. 31, 2020
Amortized Cost
Due in one year or less	$ 1,270
Due after one year through five years	4,671
Due after five years through ten years	4,125
Total	10,066	$ 11,554
Fair Value
Due in one year or less	1,292
Due after one year through five years	4,896
Due after five years through ten years	4,366
Total	$ 10,554	$ 12,310

Indebtedness - Debt Instruments

Indebtedness - Debt Instruments Summary (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2021USD ($)communityagreementliving_unit	Jun. 30, 2020USD ($)	Jun. 30, 2021USD ($)communityliving_unitagreement	Jun. 30, 2020USD ($)
Debt Instrument [Line Items]
Letters of credit outstanding	$ 27,642,000		$ 27,642,000
Mortgage Notes
Debt Instrument [Line Items]
Interest expense and other associated costs incurred	$ 118,000	$ 125,000	$ 240,000	$ 253,000
Mortgage Notes | Senior Living Communities
Debt Instrument [Line Items]
Number of real estate properties mortgaged | community	1		1
Revolving Credit Facility | Line of Credit
Debt Instrument [Line Items]
Interest expense and other associated costs incurred	$ 205,000	275,000	$ 458,000	539,000
Revolving Credit Facility | Secured Revolving Credit Facility Maturing June 2021 | Senior Living Communities
Debt Instrument [Line Items]
Number of real estate properties securing borrowings on the new credit facility | community			11
Number of units in real estate properties securing borrowings on the new credit facility | living_unit			1,236
Revolving Credit Facility | Secured Revolving Credit Facility Maturing June 2021 | Line of Credit
Debt Instrument [Line Items]
Maximum borrowing capacity	$ 65,000,000		$ 65,000,000
Interest rate at period end	0.35%		0.35%
Debt outstanding	$ 0	$ 0	$ 0	$ 0
Letters of credit outstanding	792,000		792,000
Available for borrowings	$ 46,476,000		$ 46,476,000
Revolving Credit Facility | Secured Revolving Credit Facility Maturing June 2021 | Line of Credit | LIBOR
Debt Instrument [Line Items]
Variable rate			2.50%
Interest rate at period end	2.60%		2.60%
Revolving Credit Facility | Secured Revolving Credit Facility Maturing June 2021 | Line of Credit | Base Rate
Debt Instrument [Line Items]
Variable rate			1.50%
Interest rate at period end	4.75%		4.75%
Standby Letters of Credit
Debt Instrument [Line Items]
Number of irrevocable standby letters of credit agreements | agreement	6		6
Standby Letters of Credit | Workers' Compensation Insurance Program
Debt Instrument [Line Items]
Letter of credit amount securing workers' compensation insurance program	$ 26,850,000		$ 26,850,000
Extension term			1 year
Standby Letters of Credit | Workers' Compensation Insurance Program | Cash Equivalents
Debt Instrument [Line Items]
Collateral securing workers' compensation insurance program	21,476,000		$ 21,476,000
Standby Letters of Credit | Workers' Compensation Insurance Program | Debt and Equity Investments
Debt Instrument [Line Items]
Collateral securing workers' compensation insurance program	$ 5,637,000		$ 5,637,000
Letter of Credit | Other Than Workers Compensation Insurance Program Collateral
Debt Instrument [Line Items]
Number of irrevocable standby letters of credit agreements | living_unit	5		5

Indebtedness - Payments of Prin

Indebtedness - Payments of Principal and Interest (Details) - September 2032 $ in Thousands	6 Months Ended
	Jun. 30, 2021USD ($)
Debt Instrument [Line Items]
Unamortized discount and debt issuance costs	$ 215
Mortgage Notes
Debt Instrument [Line Items]
Debt outstanding	$ 7,195
Contractual Stated Interest Rate	6.20%
Effective Interest Rate	6.70%
Monthly Payment	$ 72

Leases with DHC and Healthpea_2

Leases with DHC and Healthpeak Properties Inc. and Management Agreements with DHC - Narrative (Details) $ in Thousands	Apr. 07, 2021	Mar. 08, 2021USD ($)	Jun. 30, 2021USD ($)	Jun. 30, 2020USD ($)community	Mar. 31, 2020USD ($)	Jun. 30, 2021USD ($)community	Jun. 30, 2020USD ($)community	Dec. 31, 2020communitybuildingliving_unit	Dec. 31, 2019USD ($)leaseshares	Jul. 31, 2021communityliving_unit	Jun. 30, 2021living_unit	Jun. 30, 2021property	Jun. 30, 2021community	Jun. 30, 2021facility	Jun. 30, 2021	Apr. 09, 2021living_unitcommunity
Operating Leased Assets [Line Items]
Additional consideration from share issuances							$ 23,453
Loss on termination of leases			$ 0	$ 0		$ 0	22,899
Decrease in working capital liabilities					$ (51,547)
Revenues			258,621	285,084		527,721	582,529
Net present value of the allocated minimum rate percentage															9.00%
Net proceeds sale of the community discount percentage															9.00%
Net proceeds of reinvested sale rate percentage															5.50%
Management Fee Revenue
Operating Leased Assets [Line Items]
Revenues			12,927	15,705		26,777	32,756
Gain (loss) on termination of lease		$ 3,100
Management Fee Revenue | Rehabilitation And Wellness
Operating Leased Assets [Line Items]
Revenues			0	0		$ 0	0
Healthpeak Properties Inc
Operating Leased Assets [Line Items]
Number of master leases | community						1
SNH | Management Fee Revenue
Operating Leased Assets [Line Items]
Revenues form senior living communities			12,109	15,135		$ 25,019	31,597
DHC
Operating Leased Assets [Line Items]
Termination fees			682,000			682,000
Number of buildings to be sold | building								1
Transaction Agreement | Diversified Healthcare Trust | Strategic Plan
Operating Leased Assets [Line Items]
Management agreement, term of agreement, extension	2 years
Transaction Agreement | SNH
Operating Leased Assets [Line Items]
Number of properties managed | community													228
Transaction Agreement | SNH | Shares Issued
Operating Leased Assets [Line Items]
Additional consideration from share issuances									$ 75,000
Excess fair value of shares issued			97,899			97,899
Transaction Agreement | SNH | Diversified Healthcare Trust | Shares Issued
Operating Leased Assets [Line Items]
Number of shares sold (in shares) | shares									10,268,158
Transaction Agreement | SNH | Diversified Healthcare Trust Shareholders | Shares Issued
Operating Leased Assets [Line Items]
Number of shares sold (in shares) | shares									16,118,849
Other Services Provided to Residents at Managed Communities | SNH
Operating Leased Assets [Line Items]
Rehabilitation service revenue				$ 5,814			$ 13,871
Senior Living Communities | SNH
Operating Leased Assets [Line Items]
Number of properties managed | community				241			241
Senior Living Communities
Operating Leased Assets [Line Items]
Number of properties operated | property												252
Number of living units in properties operated | living_unit											27,733					120
Number of communities operating | community													4
Number of buildings to be sold | building								1
Senior Living Communities | Strategic Plan | Subsequent Event
Operating Leased Assets [Line Items]
Number of real estate properties transitioned | community										26
Senior Living Communities | Diversified Healthcare Trust | Strategic Plan
Operating Leased Assets [Line Items]
Number of properties operated | community													108
Number of living units in properties operated | living_unit											7,500
Management agreement, percentage of communities allowed for termination								20.00%								10.00%
Management agreement, percentage of EBITDA								90.00%								80.00%
Senior Living Communities | Diversified Healthcare Trust | Strategic Plan | Subsequent Event
Operating Leased Assets [Line Items]
Number of real estate properties transitioned | living_unit										50
Senior Living Communities | PEAK
Operating Leased Assets [Line Items]
Revenues			1,508			3,009
Lease expense			546			1,085
Senior Living Communities | PEAK | Subsequent Event
Operating Leased Assets [Line Items]
Number of properties operated | community										3
Number of living units in properties operated | living_unit										152
Senior Living Communities | SNH | Management Fee Revenue
Operating Leased Assets [Line Items]
Revenues form senior living communities			715	$ 444		1,549	$ 906
Senior Living Communities | SNH | Management Fee Revenue | D&R Yonkers LLC
Operating Leased Assets [Line Items]
Revenues form senior living communities			103	126		209	253
Senior Living Communities | DHC
Operating Leased Assets [Line Items]
Lease expense			398	488		795	782
Number of communities sold | community								9
Additional number of communities managed | living_unit								7
Senior Living Communities | DHC | Management Fee Revenue
Operating Leased Assets [Line Items]
Revenues			4,378	664		9,619	1,716
Senior Living Communities | DHC | Diversified Healthcare Trust | Strategic Plan | Subsequent Event
Operating Leased Assets [Line Items]
Number of real estate properties transitioned | community										76
Number of living units in properties operated | living_unit										5,200
Senior Living Communities | Transaction Agreement | SNH
Operating Leased Assets [Line Items]
Number of master leases | lease									5
Related party transaction costs				175			1,270
SNF
Operating Leased Assets [Line Items]
Number of properties operated											59			9
Number of living units in properties operated | living_unit											955
Number of units in real estate property closed | facility														1,473
SNF | Management Fee Revenue
Operating Leased Assets [Line Items]
Revenues			458	$ 1,364		1,759	$ 3,069
SNF | Strategic Plan
Operating Leased Assets [Line Items]
Number of living units in properties operated | living_unit																1,500
Ageility Inpatient Rehabilitation | Rehabilitation And Wellness
Operating Leased Assets [Line Items]
Number of properties operated | living_unit											10
Ageility Inpatient Rehabilitation | Strategic Plan
Operating Leased Assets [Line Items]
Number of properties operated | community																37
Inpatient Rehabilitation Clinics
Operating Leased Assets [Line Items]
Revenues			$ 2,630			$ 8,071
Inpatient Rehabilitation Clinics | Diversified Healthcare Trust
Operating Leased Assets [Line Items]
Number of properties operated | property												10
Continuing Care Retirement Communities
Operating Leased Assets [Line Items]
Number of properties operated | community													10
Number of living units in properties operated | living_unit											1
Continuing Care Retirement Communities | Strategic Plan
Operating Leased Assets [Line Items]
Number of properties operated | community																27

Business Management Agreement_2

Business Management Agreement with RMR LLC - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
Reit Management And Research LLC
Business Management Agreement [Line Items]
Business management fees and costs	$ 1,795	$ 2,123	$ 3,599	$ 4,474

Related Person Transactions (De

Related Person Transactions (Details) - USD ($) $ in Thousands	Feb. 24, 2021	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020	Dec. 31, 2020
Related Party Transaction [Line Items]
Accrued expenses and other current liabilities		$ 32,231		$ 32,231		$ 41,843
Operating lease right-of-use assets		26,277		26,277		18,030
COVID-19
Related Party Transaction [Line Items]
Accrued expenses and other current liabilities		$ 19,570		$ 19,570		30,090
DHC | Affiliated Entity
Related Party Transaction [Line Items]
Number of shares owned (in shares)		10,691,658		10,691,658
Percentage of outstanding common shares owned		33.70%		33.70%
ABP Trust | Affiliated Entity
Related Party Transaction [Line Items]
Number of shares owned (in shares)		1,972,783		1,972,783
Percentage of outstanding common shares owned		6.20%		6.20%
Rent expense		$ 559	$ 424	$ 1,036	$ 859
Leasehold improvements, gross	$ 2,667
Incremental borrowing rate		3.90%		3.90%
ABP Trust | Affiliated Entity | Headquarters
Related Party Transaction [Line Items]
Operating lease, cost				$ 9,746
Lease liability		$ 9,872		9,872		496
Operating lease right-of-use assets		$ 9,708		$ 9,708		$ 452
ABP Trust | Affiliated Entity | Minimum
Related Party Transaction [Line Items]
Rent expense	1,026
ABP Trust | Affiliated Entity | Maximum
Related Party Transaction [Line Items]
Rent expense	$ 1,395

Commitments and Contingencies (

Commitments and Contingencies (Details)	May 12, 2021USD ($)	Jun. 30, 2021USD ($)lawsuit
Loss Contingencies [Line Items]
Litigation settlement expense	$ 3,062,000
Office of the Inspector General
Loss Contingencies [Line Items]
Estimated minimum loss		$ 0
Lefevre v. Five Star Quality Care, Inc.
Loss Contingencies [Line Items]
Number of lawsuits | lawsuit		2
Litigation settlement expense	2,400,000
DHC | Lefevre v. Five Star Quality Care, Inc.
Loss Contingencies [Line Items]
Litigation settlement expense	$ 662,000

COVID-19 Pandemic - Narrative (

COVID-19 Pandemic - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020	Dec. 31, 2020
Unusual or Infrequent Item, or Both [Line Items]
Other operating income	$ 2	$ 1,499	$ 7,795	$ 1,499
COVID-19
Unusual or Infrequent Item, or Both [Line Items]
Payments for protective equipment			6,535
Deferred payroll taxes	27,593		27,593		$ 27,593
Payment of deferred taxes			22,194
AMT amount	554		554
COVID-19 | Senior living
Unusual or Infrequent Item, or Both [Line Items]
Payments for protective equipment	$ 2,205		$ 3,057

Restructuring Expense - Narrati

Restructuring Expense - Narrative (Details)	Apr. 09, 2021USD ($)living_unitcommunity	Jun. 30, 2021USD ($)	Jun. 30, 2020USD ($)	Jun. 30, 2021USD ($)	Jun. 30, 2020USD ($)	Jun. 30, 2021living_unit	Jun. 30, 2021community	Jun. 30, 2021facility
Restructuring Cost and Reserve [Line Items]
Restructuring expenses		$ 15,389,000	$ 175,000	$ 15,639,000	$ 1,270,000
Revenues		258,621,000	285,084,000	527,721,000	582,529,000
Other reimbursed expenses
Restructuring Cost and Reserve [Line Items]
Revenues		16,592,000	6,417,000	22,072,000	12,414,000
Rehabilitation And Wellness | Other reimbursed expenses
Restructuring Cost and Reserve [Line Items]
Revenues		0	$ 0	0	$ 0
Corporate and Other
Restructuring Cost and Reserve [Line Items]
Restructuring expenses				2,388,000
Diversified Healthcare Trust | Other reimbursed expenses
Restructuring Cost and Reserve [Line Items]
Revenues				11,531,000
Strategic Plan
Restructuring Cost and Reserve [Line Items]
Restructuring expenses		15,389,000		15,639,000
Restructuring and related cost, expected costs		20,500,000		20,500,000
Strategic Plan | Rehabilitation And Wellness
Restructuring Cost and Reserve [Line Items]
Restructuring expenses		1,720,000		1,720,000
Strategic Plan | Corporate and Other
Restructuring Cost and Reserve [Line Items]
Restructuring expenses		2,138,000
Strategic Plan | Facility Closing
Restructuring Cost and Reserve [Line Items]
Restructuring expenses	$ 845,000
Strategic Plan | Retention bonuses
Restructuring Cost and Reserve [Line Items]
Restructuring expenses		5,605,000
Restructuring and related cost, expected costs		7,500,000		7,500,000
Strategic Plan | Severance, benefits and transition expenses
Restructuring Cost and Reserve [Line Items]
Restructuring expenses	$ 14,544,000	8,939,000
Restructuring and related cost, expected costs		10,200,000		10,200,000
Strategic Plan | Transaction expenses
Restructuring Cost and Reserve [Line Items]
Restructuring expenses		845,000
Restructuring and related cost, expected costs		2,800,000		2,800,000
Strategic Plan | Diversified Healthcare Trust
Restructuring Cost and Reserve [Line Items]
Costs expected to be reimbursed		15,000,000		15,000,000
Strategic Plan | Diversified Healthcare Trust | Other reimbursed expenses
Restructuring Cost and Reserve [Line Items]
Revenues		11,531,000		11,531,000
Strategic Plan | Diversified Healthcare Trust | Retention bonuses
Restructuring Cost and Reserve [Line Items]
Costs expected to be reimbursed		5,900,000		5,900,000
Strategic Plan | Diversified Healthcare Trust | Severance, benefits and transition expenses
Restructuring Cost and Reserve [Line Items]
Costs expected to be reimbursed		7,500,000		7,500,000
Strategic Plan | Diversified Healthcare Trust | Transaction expenses
Restructuring Cost and Reserve [Line Items]
Costs expected to be reimbursed		$ 1,600,000		$ 1,600,000
SNF
Restructuring Cost and Reserve [Line Items]
Number of units in real estate property closed | facility								1,473
Number of living units in properties operated | living_unit						955
Number of properties operated						59		9
SNF | Strategic Plan
Restructuring Cost and Reserve [Line Items]
Number of living units in properties operated | living_unit	1,500
Continuing Care Retirement Communities
Restructuring Cost and Reserve [Line Items]
Number of living units in properties operated | living_unit						1
Number of real estate properties closed | community							26
Number of properties operated | community							10
Continuing Care Retirement Communities | Strategic Plan
Restructuring Cost and Reserve [Line Items]
Number of properties operated | community	27
Ageility Inpatient Rehabilitation
Restructuring Cost and Reserve [Line Items]
Number of real estate properties closed | community							27
Ageility Inpatient Rehabilitation | Rehabilitation And Wellness
Restructuring Cost and Reserve [Line Items]
Number of properties operated | living_unit						10
Ageility Inpatient Rehabilitation | Strategic Plan
Restructuring Cost and Reserve [Line Items]
Number of properties operated | community	37

Restructuring Expense - Summary

Restructuring Expense - Summary of Liabilities and Expenses (Details) - USD ($) $ in Thousands	Apr. 09, 2021	Jun. 30, 2021	Jun. 30, 2020	Jun. 30, 2021	Jun. 30, 2020
Restructuring Reserve [Roll Forward]
Expenses Incurred		$ 15,389	$ 175	$ 15,639	$ 1,270
Corporate and Other
Restructuring Reserve [Roll Forward]
Expenses Incurred				2,388
Strategic Plan
Restructuring Reserve [Roll Forward]
Beginning Balance		250
Expenses Incurred		15,389		15,639
Payments		8,912
Ending Balance		6,727		6,727
Strategic Plan | Senior living
Restructuring Reserve [Roll Forward]
Beginning Balance		0
Expenses Incurred		11,531		11,531
Payments		7,387
Ending Balance		4,144		4,144
Strategic Plan | Rehabilitation And Wellness
Restructuring Reserve [Roll Forward]
Beginning Balance		0
Expenses Incurred		1,720		1,720
Payments		1,144
Ending Balance		576		576
Strategic Plan | Corporate and Other
Restructuring Reserve [Roll Forward]
Beginning Balance		250
Expenses Incurred		2,138
Payments		381
Ending Balance		2,007		2,007
Strategic Plan | Retention bonuses
Restructuring Reserve [Roll Forward]
Beginning Balance		0
Expenses Incurred		5,605
Payments		3,110
Ending Balance		2,495		2,495
Strategic Plan | Severance, benefits and transition expenses
Restructuring Reserve [Roll Forward]
Beginning Balance		0
Expenses Incurred	$ 14,544	8,939
Payments		5,445
Ending Balance		3,494		3,494
Strategic Plan | Transaction expenses
Restructuring Reserve [Roll Forward]
Beginning Balance		250
Expenses Incurred		845
Payments		357
Ending Balance		738		$ 738
Strategic Plan | Transaction expenses | Corporate and Other
Restructuring Reserve [Roll Forward]
Beginning Balance		$ 250

Subsequent Events (Details)

Subsequent Events (Details) - Subsequent Event - Senior Living Communities - Strategic Plan	Jul. 31, 2021living_unitcommunity
Subsequent Event [Line Items]
Number of real estate properties transitioned | community	26
Number of units in real estate property transitioned	1,500
Diversified Healthcare Trust
Subsequent Event [Line Items]
Number of real estate properties transitioned	50
Number of units in real estate property transitioned	3,700