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Shareholders' Equity - Narrative (Details) - USD ($)
$ / shares in Units, $ in Thousands
12 Months Ended
Jan. 12, 2023
Jan. 01, 2020
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Scheduled to vest unvested shares            
Share-based compensation expense     $ 1,733 $ 1,960 $ 1,568  
Distributions to shareholders     $ 9,568 $ 9,540 $ 42,825  
Subsequent Event            
Scheduled to vest unvested shares            
Common distributions declared (in dollars per share) $ 0.01          
Distributions to shareholders $ 2,397          
AlerisLife Inc            
Scheduled to vest unvested shares            
Aggregate shares issued (shares)   16,118,849        
Certain our Officers and Employees of RMR            
Scheduled to vest unvested shares            
Shares purchased from certain of our officers and other employees of RMR LLC (in shares)     133,752 109,384 47,375  
AlerisLife Inc            
Share-based Compensation Arrangement by Share-based Payment Award            
Aggregate market value of shares awarded   $ 59,801        
Share Award Plans            
Share-based Compensation Arrangement by Share-based Payment Award            
Remaining common shares available for issuance (in shares)     2,667,253      
Number of unvested shares (in shares)     1,116,000 845,620 434,550 227,340
Scheduled to vest unvested shares            
2023 (in shares)     374,800      
2024 (in shares)     329,400      
2025 (in shares)     270,400      
2026 (in shares)     141,400      
Estimated future compensation for the unvested shares     $ 2,424      
Weighted average period over which the compensation expense will be recorded     1 year 10 months 24 days      
Officers and Employees | Share Award Plans | RMR            
Share-based Compensation Arrangement by Share-based Payment Award            
Common shares awarded (in shares)     707,000 718,000 360,000  
Aggregate market value of shares awarded     $ 919 $ 2,448 $ 1,357  
Award vesting period     5 years      
Trustees | Share Award Plans | RMR            
Share-based Compensation Arrangement by Share-based Payment Award            
Common shares awarded (in shares)     20,000 20,000 10,000  
Aggregate market value of shares awarded     $ 300 $ 444 $ 176  
Market value of shares awarded to each Trustee     $ 43 $ 74 $ 29