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Business and Property Management Agreements with RMR LLC (Details)
12 Months Ended
Dec. 31, 2019
USD ($)
day
lease_agreement
management_agreement
employee
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Related Party Transaction [Line Items]      
Number of employees | employee 0    
Professional fees $ 13,373,000 $ 11,891,000 $ 9,993,000
RMR LLC      
Related Party Transaction [Line Items]      
Management agreement incentive fee payable $ 40,642,000 55,740,000  
Percentage of property management fees payable 3.00%    
Construction supervision fees payable under property management agreement as a percentage of construction costs 5.00%    
Business management fees incurred $ 27,399,000 35,874,000 38,638,000
Recognized amortization of the liability 2,974,000 2,974,000 2,974,000
Property management and construction supervision fees 13,141,000 12,214,000 10,919,000
Amortization of liability related to property management and construction supervision fees $ 797,000 $ 797,000 $ 798,000
Period over which transition services will be provided by the related party after termination of the agreement 120 days    
Senior Living Communities | Five Star      
Related Party Transaction [Line Items]      
Number of consecutive renewal terms of agreement | management_agreement 2    
Amended Agreement      
Related Party Transaction [Line Items]      
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 [Line Items]      
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 | day 10    
Consecutive trading days | day 30    
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 [Line Items]      
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 [Line Items]      
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 [Line Items]      
Termination fee term 20 years    
Minimum | Amended Agreement | RMR LLC | Up C Transaction      
Related Party Transaction [Line Items]      
Termination fee term 19 years    
SNL US REIT Healthcare Index | Maximum | Amended Agreement | RMR LLC      
Related Party Transaction [Line Items]      
Incentive management fee reduction, basis spread 500.00%    
SNL US REIT Healthcare Index | Minimum | Amended Agreement | RMR LLC      
Related Party Transaction [Line Items]      
Incentive management fee reduction, basis spread 200.00%