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Debt (Details)
£ in Millions
3 Months Ended
Feb. 01, 2016
USD ($)
Dec. 01, 2015
USD ($)
Jun. 08, 2015
USD ($)
May. 20, 2015
USD ($)
Mar. 01, 2015
USD ($)
Jan. 21, 2015
USD ($)
Mar. 31, 2016
USD ($)
Mar. 31, 2016
GBP (£)
item
Mar. 31, 2016
USD ($)
item
Jan. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Debt Instrument                      
Bank line of credit                 $ 810,313,000   $ 397,432,000
Senior unsecured notes                 8,623,376,000   9,120,107,000
Total debt before discount, net                 10,918,709,000    
Discounts, net                 (77,994,000)    
Debt instruments, carrying amount                 10,840,715,000    
Other debt                 95,229,000   $ 94,445,000
Debt maturing in 2016                      
Debt Instrument                      
2016 (Nine months)                 838,430,000    
Debt maturing in 2017                      
Debt Instrument                      
2017                 1,331,891,000    
Debt maturing in 2018                      
Debt Instrument                      
2018                 1,416,896,000    
Debt maturing in 2019                      
Debt Instrument                      
2019                 768,322,000    
Debt maturing in 2020                      
Debt Instrument                      
2020                 802,078,000    
Thereafter                      
Debt Instrument                      
Thereafter                 $ 5,761,092,000    
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    
Debt instrument, variable rate basis             LIBOR        
Length of debt instrument extension period             1 year        
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                 $ 810,000,000    
Weighted-average interest rate (as a percent)               1.68% 1.68%    
Debt instrument, covenant net worth                 $ 9,500,000,000    
Line of credit, portion denominated in GBP               £ 275 395,000,000    
Total debt before discount, net                 810,313,000    
Debt instruments, carrying amount                 810,313,000    
Bank Line of Credit | Debt maturing in 2018                      
Debt Instrument                      
2018                 810,313,000    
Term loans                      
Debt Instrument                      
2016 (Nine months) | £               £ 357      
2019                   $ 357,000,000  
Total debt before discount, net                 513,188,000    
Discounts, net                 (1,451,000)    
Debt instruments, carrying amount                 511,737,000    
Term loans | Debt maturing in 2016                      
Debt Instrument                      
2016 (Nine months)                 196,938,000    
Term loans | Debt maturing in 2019                      
Debt Instrument                      
2019                 $ 316,250,000    
Senior Unsecured Notes                      
Debt Instrument                      
Weighted-average interest rate (as a percent)               4.72% 4.72%    
Senior unsecured notes                 $ 8,700,000,000    
Total debt before discount, net                 8,700,000,000    
Discounts, net                 (76,624,000)    
Debt instruments, carrying amount                 $ 8,623,376,000    
Weighted-average maturity             6 years        
Senior Unsecured Notes | Minimum                      
Debt Instrument                      
Debt Instrument, Interest Rate, Stated Percentage (as a percent)               2.79% 2.79%    
Senior Unsecured Notes | Maximum                      
Debt Instrument                      
Debt Instrument, Interest Rate, Stated Percentage (as a percent)               6.88% 6.88%    
Senior Unsecured Notes | Debt maturing in 2016                      
Debt Instrument                      
2016 (Nine months)                 $ 400,000,000    
Senior Unsecured Notes | Debt maturing in 2017                      
Debt Instrument                      
2017                 750,000,000    
Senior Unsecured Notes | Debt maturing in 2018                      
Debt Instrument                      
2018                 600,000,000    
Senior Unsecured Notes | Debt maturing in 2019                      
Debt Instrument                      
2019                 450,000,000    
Senior Unsecured Notes | Debt maturing in 2020                      
Debt Instrument                      
2020                 800,000,000    
Senior Unsecured Notes | Thereafter                      
Debt Instrument                      
Thereafter                 $ 5,700,000,000    
Senior Unsecured, 3.40% notes due 2025                      
Debt Instrument                      
Debt Instrument, Face Amount           $ 600,000,000          
Debt Instrument, Interest Rate, Stated Percentage (as a percent)           3.40%          
Net proceeds from issuance of senior unsecured notes           $ 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 (as a percent)       4.00%              
Net proceeds from issuance of senior unsecured notes       $ 739,000,000              
Senior Unsecured, 4.0% notes due 2022                      
Debt Instrument                      
Debt Instrument, Face Amount   $ 600,000,000                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)   4.00%                  
Net proceeds from issuance of senior unsecured notes   $ 594,000,000                  
Senior Unsecured Debt 3.75 Percent Incepted February 1 2016 [Member]                      
Debt Instrument                      
Debt Instrument, Interest Rate, Stated Percentage (as a percent) 3.75%                    
Repayment of senior unsecured notes $ 500,000,000                    
Senior Unsecured Debt 6.0 Percent Incepted March 1, 2015                      
Debt Instrument                      
Debt Instrument, Interest Rate, Stated Percentage (as a percent)         6.00%            
Repayment of senior unsecured notes         $ 200,000,000            
Senior Unsecured Debt 7.07 Percent Incepted June 8, 2015 [Member]                      
Debt Instrument                      
Debt Instrument, Interest Rate, Stated Percentage (as a percent)     7.072%                
Repayment of senior unsecured notes     $ 200,000,000                
Mortgage Debt                      
Debt Instrument                      
Weighted-average interest rate (as a percent)               6.22% 6.22%    
Number of healthcare facilities used to secure debt | item               56 56    
Debt instrument, collateral, healthcare facilities carrying value                 $ 1,100,000,000    
Total debt before discount, net                 895,208,000    
Discounts, net                 81,000    
Debt instruments, carrying amount                 $ 895,289,000    
Weighted-average maturity             2 years        
Mortgage Debt | Minimum                      
Debt Instrument                      
Debt Instrument, Interest Rate, Stated Percentage (as a percent)               3.11% 3.11%    
Mortgage Debt | Maximum                      
Debt Instrument                      
Debt Instrument, Interest Rate, Stated Percentage (as a percent)               8.35% 8.35%    
Mortgage Debt | Debt maturing in 2016                      
Debt Instrument                      
2016 (Nine months)                 $ 241,492,000    
Mortgage Debt | Debt maturing in 2017                      
Debt Instrument                      
2017                 581,891,000    
Mortgage Debt | Debt maturing in 2018                      
Debt Instrument                      
2018                 6,583,000    
Mortgage Debt | Debt maturing in 2019                      
Debt Instrument                      
2019                 2,072,000    
Mortgage Debt | Debt maturing in 2020                      
Debt Instrument                      
2020                 2,078,000    
Mortgage Debt | Thereafter                      
Debt Instrument                      
Thereafter                 61,092,000    
Non-interest Bearing Life Care Bonds                      
Debt Instrument                      
Other debt                 $ 67,000,000    
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    
Demand Note                      
Debt Instrument                      
Debt Instrument, Interest Rate, Stated Percentage (as a percent)               4.50% 4.50%    
Other debt                 $ 28,000,000