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Debt (Details)
£ in Millions
9 Months Ended
May. 20, 2015
USD ($)
Mar. 01, 2015
USD ($)
Jan. 21, 2015
USD ($)
Jan. 12, 2015
GBP (£)
Aug. 14, 2014
USD ($)
Jun. 14, 2014
USD ($)
Feb. 21, 2014
USD ($)
Feb. 01, 2014
USD ($)
Sep. 30, 2015
USD ($)
Sep. 30, 2015
GBP (£)
item
Sep. 30, 2015
USD ($)
item
Dec. 31, 2014
USD ($)
Debt Instrument                        
Bank line of credit                     $ 1,000,824,000 $ 838,516,000
Debt instruments, carrying amount                     11,050,319,000  
Repayments of Lines of Credit                 $ 102,063,000      
Senior unsecured notes                     8,568,729,000 7,626,194,000
2015 (Nine months)                     7,542,000  
2016                     1,386,722,000  
2017                     1,331,891,000  
2018                     1,607,407,000  
2019                     785,328,000  
Thereafter                     5,963,170,000  
Total debt before discount, net                     11,082,060,000  
Discounts, net                     (31,741,000)  
Other debt                     $ 94,561,000 $ 97,022,000
Number of CCRC issuing non-interest life care bonds | item                   2 2  
Number of facilities with non-interest bearing occupancy fee deposits | item                   2 2  
Interest-rate swap contracts                        
Debt Instrument                        
Term of the interest rate swap agreement       3 years                
Line of Credit and Term Loan                        
Debt Instrument                        
Debt instrument, covenant debt to assets (as a percent)                   60.00% 60.00%  
Debt instrument, covenant secured debt to assets (as a percent)                   30.00% 30.00%  
Debt instrument, covenant unsecured debt to unencumbered assets (as a percent)                   60.00% 60.00%  
Debt instrument, covenant minimum fixed charge coverage ratio                   1.5 1.5  
Bank Line of Credit                        
Debt Instrument                        
Line of credit facility, maximum borrowing capacity                     $ 2,000,000,000  
Length of debt instrument extension period                 1 year      
Debt instrument, variable rate basis                 LIBOR      
Debt instrument, basis spread on variable rate (as a percent)                 0.925%      
Debt instrument, facility fee (as a percent)                 0.15%      
Line of credit facility additional aggregate amount, maximum                 $ 500,000,000      
Bank line of credit                   £ 1,000 1,000,000,000  
Line of credit, portion denominated in GBP                   £ 242 $ 366,000,000  
Weighted-average interest rate (as a percent)                   1.52% 1.52%  
Debt instruments, carrying amount                     $ 1,000,824,000  
Repayments of Lines of Credit | £       £ 220                
Debt instrument, covenant net worth                     9,500,000,000  
2018                     1,000,824,000  
Total debt before discount, net                     1,000,824,000  
Term loans                        
Debt Instrument                        
Debt instruments, carrying amount                   £ 357 540,784,000  
2016                     207,528,000  
2019                     333,256,000  
Total debt before discount, net                     540,784,000  
2015 Term Loan [Member]                        
Debt Instrument                        
Length of debt instrument extension period       1 year                
Debt instrument, variable rate basis       GBP LIBOR                
Debt instrument, basis spread on variable rate (as a percent)       0.975%                
Debt instruments, carrying amount       £ 220             $ 333,000,000  
Maturity period of debt instruments       4 years                
Derivative, fixed interest rate (as a percent)       1.79%                
Senior Unsecured Notes                        
Debt Instrument                        
Weighted-average interest rate (as a percent)                   4.71% 4.71%  
Debt instruments, carrying amount                     $ 8,568,729,000  
Senior unsecured notes                     8,600,000,000  
Weighted-average maturity                 6 years      
2016                     900,000,000  
2017                     750,000,000  
2018                     600,000,000  
2019                     450,000,000  
Thereafter                     5,900,000,000  
Total debt before discount, net                     8,600,000,000  
Discounts, net                     $ (31,271,000)  
Senior Unsecured Notes | Minimum                        
Debt Instrument                        
Debt Instrument, Interest Rate, Stated Percentage                   2.79% 2.79%  
Senior Unsecured Notes | Maximum                        
Debt Instrument                        
Debt Instrument, Interest Rate, Stated Percentage                   6.88% 6.88%  
Senior Unsecured, 3.40% notes due 2025                        
Debt Instrument                        
Debt Instrument, Face Amount     $ 600,000,000                  
Debt Instrument, Interest Rate, Stated Percentage     3.40%                  
Proceeds from Issuance of Long-term Debt     $ 591,000,000                  
Senior Unsecured 4.0% notes due 2025                        
Debt Instrument                        
Debt Instrument, Face Amount $ 750,000,000                      
Debt Instrument, Interest Rate, Stated Percentage 4.00%                      
Proceeds from Issuance of Long-term Debt $ 739,000,000                      
Senior Unsecured, 3.875% notes due 2024                        
Debt Instrument                        
Debt Instrument, Face Amount         $ 800,000,000              
Debt Instrument, Interest Rate, Stated Percentage         3.875%              
Proceeds from Issuance of Long-term Debt         $ 792,000,000              
Senior Unsecured, 4.20% notes due 2024                        
Debt Instrument                        
Debt Instrument, Face Amount             $ 350,000,000          
Debt Instrument, Interest Rate, Stated Percentage             4.20%          
Proceeds from Issuance of Long-term Debt             $ 346,000,000          
Senior unsecured notes, 2.7%                        
Debt Instrument                        
Debt Instrument, Interest Rate, Stated Percentage               2.70%        
Repayments of Senior Debt               $ 400,000,000        
Senior Unsecured Debt 6.0 Percent Incepted March 1, 2015                        
Debt Instrument                        
Debt Instrument, Interest Rate, Stated Percentage   6.00%                    
Repayments of Senior Debt   $ 200,000,000                    
Senior Unsecured Debt 7.07 Percent Incepted June 8, 2015 [Member]                        
Debt Instrument                        
Debt Instrument, Interest Rate, Stated Percentage                   7.07% 7.07%  
Repayments of Senior Debt                 $ 200,000,000      
Senior Unsecured Debt 6.0 Percent Incepted June 14, 2014                        
Debt Instrument                        
Debt Instrument, Interest Rate, Stated Percentage           6.00%            
Repayments of Senior Debt           $ 62,000,000            
Senior Unsecured Debt LIBOR [Member]                        
Debt Instrument                        
Repayments of Senior Debt           $ 25,000,000            
Mortgage Debt                        
Debt Instrument                        
Weighted-average interest rate (as a percent)                   6.21% 6.21%  
Debt instruments, carrying amount                     $ 939,982,000  
Number of healthcare facilities used to secure debt | item                   63 63  
Debt instrument, collateral, healthcare facilities carrying value                     $ 1,200,000,000  
Weighted-average maturity                 3 years      
2015 (Nine months)                     7,542,000  
2016                     279,194,000  
2017                     581,891,000  
2018                     6,583,000  
2019                     2,072,000  
Thereafter                     63,170,000  
Total debt before discount, net                     940,452,000  
Discounts, net                     $ (470,000)  
Mortgage Debt | Minimum                        
Debt Instrument                        
Debt Instrument, Interest Rate, Stated Percentage                   3.16% 3.16%  
Mortgage Debt | Maximum                        
Debt Instrument                        
Debt Instrument, Interest Rate, Stated Percentage                   8.35% 8.35%  
Demand Note                        
Debt Instrument                        
Debt Instrument, Interest Rate, Stated Percentage                   4.50% 4.50%  
Other debt                     $ 28,000,000  
Non-interest Bearing Life Care Bonds                        
Debt Instrument                        
Other debt                     $ 67,000,000