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Debt - Mortgage Debt (Details)
£ in Millions
1 Months Ended 6 Months Ended
Mar. 31, 2017
USD ($)
Jun. 30, 2018
USD ($)
facility
Jun. 30, 2018
GBP (£)
facility
Dec. 31, 2017
USD ($)
Debt Instrument        
Total debt before discount, net   $ 7,353,401,000    
(Discounts), premiums and debt costs, net   (43,429,000)    
Debt instruments, carrying amount   7,309,972,000    
Term loan   222,923,000   $ 228,288,000
Other debt   93,070,000   $ 94,165,000
Debt maturing in 2018        
Debt Instrument        
2018 (nine months)   1,710,000    
Debt maturing in 2019        
Debt Instrument        
2019   676,692,000    
Debt maturing in 2020        
Debt Instrument        
2020   803,609,000    
Debt maturing in 2021        
Debt Instrument        
2021   1,256,183,000    
Debt maturing in 2022        
Debt Instrument        
2022   902,691,000    
Thereafter        
Debt Instrument        
Thereafter   $ 3,712,516,000    
Mortgage Debt        
Debt Instrument        
Number of healthcare facilities used to secure debt | facility   15 15  
Debt instrument, collateral, healthcare facilities carrying value   $ 284,000,000    
Repayments of debt $ 472,000,000      
Total debt before discount, net   135,044,000    
(Discounts), premiums and debt costs, net   5,277,000    
Debt instruments, carrying amount   $ 140,321,000    
Weighted-average interest rate (as a percent)   4.19% 4.19%  
Weighted-average maturity   19 years    
Mortgage Debt | Minimum        
Debt Instrument        
Percentage of stated interest rate   2.25% 2.25%  
Mortgage Debt | Maximum        
Debt Instrument        
Percentage of stated interest rate   5.91% 5.91%  
Mortgage Debt | Debt maturing in 2018        
Debt Instrument        
2018 (nine months)   $ 1,710,000    
Mortgage Debt | Debt maturing in 2019        
Debt Instrument        
2019   3,561,000    
Mortgage Debt | Debt maturing in 2020        
Debt Instrument        
2020   3,609,000    
Mortgage Debt | Debt maturing in 2021        
Debt Instrument        
2021   10,957,000    
Mortgage Debt | Debt maturing in 2022        
Debt Instrument        
2022   2,691,000    
Mortgage Debt | Thereafter        
Debt Instrument        
Thereafter   112,516,000    
Bank Line of Credit        
Debt Instrument        
Total debt before discount, net   545,226,000    
(Discounts), premiums and debt costs, net   0    
Debt instruments, carrying amount   545,226,000    
Bank Line of Credit | Debt maturing in 2018        
Debt Instrument        
2018 (nine months)   0    
Bank Line of Credit | Debt maturing in 2019        
Debt Instrument        
2019   0    
Bank Line of Credit | Debt maturing in 2020        
Debt Instrument        
2020   0    
Bank Line of Credit | Debt maturing in 2021        
Debt Instrument        
2021   545,226,000    
Bank Line of Credit | Debt maturing in 2022        
Debt Instrument        
2022   0    
Bank Line of Credit | Thereafter        
Debt Instrument        
Thereafter   0    
Term loans        
Debt Instrument        
Total debt before discount, net   223,131,000    
(Discounts), premiums and debt costs, net   (208,000)    
Debt instruments, carrying amount   222,923,000    
Term loans | Debt maturing in 2018        
Debt Instrument        
2018 (nine months)   0    
Term loans | Debt maturing in 2019        
Debt Instrument        
2019   223,131,000    
Term loans | Debt maturing in 2020        
Debt Instrument        
2020   0    
Term loans | Debt maturing in 2021        
Debt Instrument        
2021   0    
Term loans | Debt maturing in 2022        
Debt Instrument        
2022   0    
Term loans | Thereafter        
Debt Instrument        
Thereafter   0    
Unsecured Debt        
Debt Instrument        
Repayments of debt   0    
Total debt before discount, net   6,450,000,000    
(Discounts), premiums and debt costs, net   (48,498,000)    
Debt instruments, carrying amount   $ 6,401,502,000    
Weighted-average interest rate (as a percent)   4.20% 4.20%  
Weighted-average maturity   5 years    
Unsecured Debt | Minimum        
Debt Instrument        
Percentage of stated interest rate   2.79% 2.79%  
Unsecured Debt | Maximum        
Debt Instrument        
Percentage of stated interest rate   6.88% 6.88%  
Unsecured Debt | Debt maturing in 2018        
Debt Instrument        
2018 (nine months)   $ 0    
Unsecured Debt | Debt maturing in 2019        
Debt Instrument        
2019   450,000,000    
Unsecured Debt | Debt maturing in 2020        
Debt Instrument        
2020   800,000,000    
Unsecured Debt | Debt maturing in 2021        
Debt Instrument        
2021   700,000,000    
Unsecured Debt | Debt maturing in 2022        
Debt Instrument        
2022   900,000,000    
Unsecured Debt | Thereafter        
Debt Instrument        
Thereafter   3,600,000,000    
2015 Term Loan        
Debt Instrument        
Term loan   223,000,000 £ 169  
Revolving Credit Facility | Bank Line of Credit        
Debt Instrument        
Debt denominated in foreign currency outstanding   $ 112,000,000 £ 85  
Weighted-average interest rate (as a percent)   3.09% 3.09%