XML 59 R46.htm IDEA: XBRL DOCUMENT v3.10.0.1
Debt - Additional Information (Detail)
$ in Thousands
3 Months Ended 9 Months Ended
Aug. 31, 2018
Hospital
Aug. 03, 2018
EUR (€)
Oct. 07, 2017
USD ($)
Sep. 29, 2017
USD ($)
Sep. 07, 2017
USD ($)
Mar. 30, 2017
EUR (€)
Mar. 04, 2017
EUR (€)
Feb. 01, 2017
USD ($)
Sep. 30, 2017
USD ($)
Sep. 30, 2018
Sep. 30, 2017
USD ($)
Mar. 24, 2017
EUR (€)
Feb. 01, 2017
EUR (€)
Debt Instrument [Line Items]                          
Payments of term debt                     $ 688,221    
Debt refinancing charge                 $ 4,414   $ 18,794    
5.750% Senior Unsecured Notes Due 2020 [Member]                          
Debt Instrument [Line Items]                          
Senior notes, redemption date             Mar. 04, 2017            
Amount of senior unsecured debt redeemed | €             € 200,000,000            
Senior unsecured notes, interest rate             5.75%            
Senior unsecured notes, redemption description                   On March 4, 2017, we redeemed the €200 million aggregate principal amount of our 5.750% Senior Unsecured Notes due 2020.      
3.325% Senior Unsecured Notes Due 2025 [Member]                          
Debt Instrument [Line Items]                          
Senior unsecured notes, interest rate                   3.325% [1]   3.325%  
Senior unsecured notes face amount | €                       € 500,000,000  
5.000% Senior Unsecured Notes Due 2027 [Member]                          
Debt Instrument [Line Items]                          
Senior unsecured notes, interest rate         5.00%         5.00%      
Senior unsecured notes face amount         $ 1,400,000                
6.375% Senior Unsecured Notes Due 2022 [Member]                          
Debt Instrument [Line Items]                          
Senior unsecured notes, interest rate     6.375%                    
Payments of term debt     $ 350,000                    
Unsecured Revolving Credit Facility [Member]                          
Debt Instrument [Line Items]                          
Amount of senior unsecured debt               $ 1,300,000          
Term Loan [Member]                          
Debt Instrument [Line Items]                          
Amount of senior unsecured debt               200,000         € 200,000,000
Decrease in unsecured debt from previous facility               $ 50,000          
Prepaid and extinguished term loans       $ 12,900   € 200,000,000              
Term Loan [Member] | J P Morgan Chase Bank [Member]                          
Debt Instrument [Line Items]                          
Prepaid and extinguished term loans         1,000,000                
Cancellation fees         $ 5,200                
Primotop Holdings S.a.r.l. [Member] | Germany [Member] | Acute Care Hospital [Member]                          
Debt Instrument [Line Items]                          
Proceeds from issuance of new secured debt | €   € 655,000,000                      
Primotop Holdings S.a.r.l. [Member] | Germany [Member] | Acute Care Hospital [Member] | Secured Debt [Member]                          
Debt Instrument [Line Items]                          
Number of facilities acquired | Hospital 71                        
Debt instrument term 7 years                        
Debt instrument swapped fixed rate 2.30%                        
[1] These notes are Euro-denominated and reflect the exchange rate at September 30, 2018 and December 31, 2017, respectively.