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Debt (Details)
£ in Millions
1 Months Ended 12 Months Ended
Nov. 30, 2016
USD ($)
Sep. 15, 2016
USD ($)
Feb. 01, 2016
USD ($)
Dec. 01, 2015
USD ($)
Jun. 08, 2015
USD ($)
May 20, 2015
USD ($)
Mar. 01, 2015
USD ($)
Jan. 21, 2015
USD ($)
Jan. 12, 2015
GBP (£)
Jul. 30, 2012
GBP (£)
Jan. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Dec. 31, 2016
GBP (£)
item
Dec. 31, 2016
USD ($)
item
Jan. 12, 2015
USD ($)
Debt Instrument                                  
Repayments under bank line of credit                       $ 540,000,000 $ 511,521,000        
Bank line of credit                         397,432,000     $ 899,718,000  
Senior unsecured notes                         9,120,107,000     7,133,538,000  
Total debt before discount, net                               9,159,839,000  
(Discounts), premiums and debt costs, net                               (62,729,000)  
Debt instruments, carrying amount                               9,097,110,000  
Other debt                         $ 94,445,000     92,385,000  
Issuance of mortgage and other debt                           $ 35,445,000      
Debt maturing in 2014                                  
Debt Instrument                                  
2017                               899,100,000  
Debt maturing in 2015                                  
Debt Instrument                                  
2018                               903,359,000  
Debt maturing in 2016                                  
Debt Instrument                                  
2019                               725,715,000  
Debt maturing in 2017                                  
Debt Instrument                                  
2020                               803,907,000  
Debt maturing in 2018                                  
Debt Instrument                                  
2021                               1,211,277,000  
Thereafter                                  
Debt Instrument                                  
Thereafter                               $ 4,616,481,000  
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  
Debt instrument, covenant net worth                               $ 6,500,000,000  
Bank Line of Credit                                  
Debt Instrument                                  
Line of credit facility, maximum borrowing capacity                               2,000,000,000  
Repayments under bank line of credit | £                 £ 220                
Extended debt instrument term - not used in 10Q                       1 year          
Debt instrument, basis spread on variable rate (as a percent)                       1.05%          
Debt instrument, facility fee (as a percent)                       0.20%          
Line of credit facility additional aggregate amount, maximum                       $ 500,000,000          
Bank line of credit                               $ 900,000,000  
Weighted-average interest rate (as a percent)                             1.82% 1.82%  
Line of credit, portion denominated in GBP | £                             £ 372    
Term loans, portion denominated in GBP                               $ 460,000,000  
Total debt before discount, net                               899,718,000  
Debt instruments, carrying amount                               899,718,000  
Bank Line of Credit | Debt maturing in 2015                                  
Debt Instrument                                  
2018                               899,718,000  
Term loans                                  
Debt Instrument                                  
2018 | £                             357    
2021 | £                             £ 357    
Total debt before discount, net                               441,181,000  
(Discounts), premiums and debt costs, net                               (1,119,000)  
Debt instruments, carrying amount                               440,062,000  
Term loans | Debt maturing in 2014                                  
Debt Instrument                                  
2017                               169,305,000  
Term loans | Debt maturing in 2016                                  
Debt Instrument                                  
2019                               271,876,000  
2012 Term Loan                                  
Debt Instrument                                  
Debt instrument, variable rate basis                   GBP LIBOR              
Debt instrument, basis spread on variable rate (as a percent)                   1.40%              
Maturity period of debt instruments                   4 years              
Debt instruments, carrying amount                   £ 137           $ 169,000,000  
2015 Term Loan                                  
Debt Instrument                                  
Debt instrument, variable rate basis                 GBP LIBOR                
Length of debt instrument extension period                 1 year                
Debt instrument, basis spread on variable rate (as a percent)                 1.15%                
Derivative, fixed interest rate (as a percent)                 1.97%               1.97%
Senior unsecured notes                 £ 220               $ 272,000,000
Maturity period of debt instruments                 4 years                
Term of the interest rate swap agreement                 3 years                
Unsecured Debt.                                  
Debt Instrument                                  
Weighted-average interest rate (as a percent)                             4.34% 4.34%  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             4.34% 4.34%  
Total debt before discount, net                               $ 7,200,000,000  
(Discounts), premiums and debt costs, net                               (66,462,000)  
Debt instruments, carrying amount                               $ 7,133,538,000  
Weighted-average maturity                       6 years          
Unsecured Debt. | Minimum                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             2.79% 2.79%  
Unsecured Debt. | Maximum                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             6.88% 6.88%  
Unsecured Debt. | Debt maturing in 2014                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             5.72% 5.72%  
2017                               $ 250,000,000  
Unsecured Debt. | Debt maturing in 2016                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             3.95% 3.95%  
2019                               $ 450,000,000  
Unsecured Debt. | Debt maturing in 2017                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             2.81% 2.81%  
2020                               $ 800,000,000  
Unsecured Debt. | Debt maturing in 2018                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             5.54% 5.54%  
2021                               $ 1,200,000,000  
Unsecured Debt. | Thereafter                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             4.27% 4.27%  
Thereafter                               $ 4,500,000,000  
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, 6.00% notes due in 2017 | Debt maturing in 2017                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             6.00% 6.00%  
Senior Unsecured, 6.70% notes due in 2018                                  
Debt Instrument                                  
Bank line of credit                               $ 0  
Senior Unsecured Debt 6.000 Percent Incepted November 30 2016 [Member]                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent) 6.00%                                
Repayment of senior unsecured notes $ 500,000,000                                
Senior Unsecured Debt 6.700 Percent Incepted November 30 2016 [Member]                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent) 6.70%                                
Repayment of senior unsecured notes $ 600,000,000                                
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 6.30 Percent Incepted September 15 2016[Member]                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)   6.30%                              
Repayment of senior unsecured notes   $ 400,000,000                              
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)                             3.40% 3.40%  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             3.40% 3.40%  
Number of healthcare facilities used to secure debt | item                             36 36  
Debt instrument, collateral, healthcare facilities carrying value                               $ 899,000,000  
Total debt before discount, net                               618,940,000  
(Discounts), premiums and debt costs, net                               4,852,000  
Debt instruments, carrying amount                               $ 623,792,000  
Weighted-average maturity                       6 years          
Mortgage Debt | Minimum                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             3.02% 3.02%  
Mortgage Debt | Maximum                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             7.50% 7.50%  
Mortgage Debt | Debt maturing in 2014                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             3.14% 3.14%  
2017                               $ 479,795,000  
Mortgage Debt | Debt maturing in 2015                                  
Debt Instrument                                  
2018                               3,641,000  
Mortgage Debt | Debt maturing in 2016                                  
Debt Instrument                                  
2019                               $ 3,839,000  
Mortgage Debt | Debt maturing in 2017                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             5.11% 5.11%  
2020                               $ 3,907,000  
Mortgage Debt | Debt maturing in 2018                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             5.38% 5.38%  
2021                               $ 11,277,000  
Mortgage Debt | Thereafter                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             4.13% 4.13%  
Thereafter                               $ 116,481,000  
Other Debt                                  
Debt Instrument                                  
Other debt                               $ 64,000,000  
Number of CCRC issuing non-interest life care bonds | item                             2 2  
Number of facilities with non-interest bearing occupancy fee deposits | item                             3 3  
Life Care Bonds and Demand Notes                                  
Debt Instrument                                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                             4.50% 4.50%  
Net proceeds from issuance of senior unsecured notes                       $ 28,000,000          
Other debt                               $ 92,000,000  
RIDEA II                                  
Debt Instrument                                  
Repayment of senior unsecured notes                     $ 440,000,000