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Business and Property Management Agreements with RMR LLC (Details)
12 Months Ended
Dec. 31, 2020
USD ($)
employee
agreement
lease_agreement
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Jan. 31, 2019
USD ($)
Jan. 31, 2018
USD ($)
Related Party Transaction          
Number of employees | employee 0        
Professional fees $ 13,805,000 $ 13,373,000 $ 11,891,000    
RMR LLC          
Related Party Transaction          
Management agreement incentive fee payable       $ 40,642,000 $ 55,740,000
Business management fees incurred 20,629,000 27,399,000 35,874,000    
Recognized amortization of the liability $ 2,974,000 2,974,000 2,974,000    
Percentage of property management fees payable 3.00%        
Construction supervision fees payable under property management agreement as a percentage of construction costs 5.00%        
Property management and construction supervision fees $ 13,802,000 13,141,000 12,214,000    
Party transaction property management and construction supervision fees capitalized 3,718,000 2,436,000 1,382,000    
Amortization of liability related to property management and construction supervision fees $ 797,000 797,000 797,000    
Period over which transition services will be provided by the related party after termination of the agreement 120 days        
RMR LLC | Operating Expense          
Related Party Transaction          
Property management and construction supervision fees $ 10,084,000 $ 10,705,000 $ 10,832,000    
Senior Living Communities | Five Star          
Related Party Transaction          
Number of consecutive renewal terms of agreement | agreement 2        
Amended Agreement          
Related Party Transaction          
Base management fee payable as a percentage of aggregate book value of real estate assets or transferred assets 0.50%        
Amended Agreement | RMR LLC          
Related Party Transaction          
Base management fee payable as a percentage of average historical cost of real estate investments, excluding transferred assets for investments exceeding specified amount 0.50%        
Base management fee payable as a percentage of average historical cost of real estate investments, excluding transferred assets for investments up to specified amount 0.70%        
Threshold amount of other real estate investments for payment of base management fee $ 250,000,000        
Base management fee payable as a percentage of average market capitalization exceeding specified amount 0.50%        
Threshold amount of average market capitalization for payment of base management fee $ 250,000,000        
Base management fee payable as a percentage of average closing price per share of common shares on NYSE 0.70%        
Incentive management fee payable (as a percent) 12.00%        
Period of measurement 3 years        
Top consecutive trading days 10 days        
Consecutive trading days 30 days        
Management agreement incentive fee payable $ 0        
Incentive management fee cap on common shares 1.50%        
Amended Agreement | RMR LLC | Up C Transaction          
Related Party Transaction          
Number of business days notice for termination of property management agreement for convenience by the related party 60 days        
Window for providing notice of termination of property management agreement for performance by the related party 60 days        
Window for providing notice of termination of property management agreement for change of control by the related party 12 months        
Number of terminated management agreements for convenience before termination fee is incurred | lease_agreement 1        
Number of RMR LLC terminated management agreements for good cause before termination fee is incurred | lease_agreement 1        
Number of terminated management agreements for a performance reason before termination fee is incurred | lease_agreement 1        
Termination fee remaining term assumption 10 years        
Maximum | RMR LLC          
Related Party Transaction          
Threshold amount of real estate investments for payment of base management fee $ 250,000,000        
Base management fee payable, average market capitalization $ 250,000,000        
Maximum | Amended Agreement | RMR LLC | Up C Transaction          
Related Party Transaction          
Termination fee term 20 years        
Minimum | Amended Agreement | RMR LLC | Up C Transaction          
Related Party Transaction          
Termination fee term 19 years        
SNL US REIT Healthcare Index | Maximum | Amended Agreement | RMR LLC          
Related Party Transaction          
Incentive management fee reduction, basis spread 5.00%        
SNL US REIT Healthcare Index | Minimum | Amended Agreement | RMR LLC          
Related Party Transaction          
Incentive management fee reduction, basis spread 2.00%