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Debt - Mortgage Debt (Details)
$ in Thousands
1 Months Ended
Mar. 31, 2017
USD ($)
Dec. 31, 2017
USD ($)
facility
Debt Instrument [Line Items]    
Long-term debt, gross   $ 7,834,317
Mortgage Debt    
Debt Instrument [Line Items]    
Long-term debt, gross   $ 138,567
Number of healthcare facilities used to secure debt | facility   16
Debt instrument, collateral, healthcare facilities carrying value   $ 299,000
Repayments of debt $ 472,000