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Debt (Details)
$ in Thousands, £ in Millions
1 Months Ended 6 Months Ended
Feb. 01, 2016
USD ($)
Dec. 01, 2015
USD ($)
Jun. 08, 2015
USD ($)
May 20, 2015
USD ($)
Mar. 01, 2015
USD ($)
Jan. 21, 2015
USD ($)
Jul. 30, 2012
GBP (£)
Jul. 31, 2016
Jun. 30, 2016
USD ($)
Jun. 30, 2016
GBP (£)
item
Jun. 30, 2016
USD ($)
item
Dec. 31, 2015
USD ($)
Jul. 30, 2012
USD ($)
Debt Instrument                          
Bank line of credit                     $ 869,078 $ 397,432  
Senior unsecured notes                     8,626,559 9,120,107  
Total debt before discount, net                     10,736,164    
(Discounts), premiums and debt costs, net                     (73,727)    
Debt instruments, carrying amount                     10,662,437    
Other debt                     93,012 $ 94,445  
Debt maturing in 2016                          
Debt Instrument                          
2016 (six months)                     434,240    
Debt maturing in 2017                          
Debt Instrument                          
2017                     1,515,759    
Debt maturing in 2018                          
Debt Instrument                          
2018                     1,475,661    
Debt maturing in 2019                          
Debt Instrument                          
2019                     747,334    
Debt maturing in 2020                          
Debt Instrument                          
2020                     802,078    
Thereafter                          
Debt Instrument                          
Thereafter                     $ 5,761,092    
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    
Debt instrument, variable rate basis                 LIBOR        
Length of debt instrument extension period                 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        
Bank line of credit                     $ 869,000    
Weighted-average interest rate (as a percent)                   1.85% 1.85%    
Debt instrument, covenant net worth                     $ 9,500,000    
Line of credit, portion denominated in GBP                   £ 275 369,000    
Total debt before discount, net                     869,078    
Debt instruments, carrying amount                     869,078    
Bank Line of Credit | Debt maturing in 2018                          
Debt Instrument                          
2018                     869,078    
Term loans                          
Debt Instrument                          
Term loans, portion denominated in GBP | £                   357      
Total debt before discount, net                     479,130    
(Discounts), premiums and debt costs, net                     (1,240)    
Debt instruments, carrying amount                     477,890    
Term loans | Debt maturing in 2017                          
Debt Instrument                          
2017                     183,868    
Term loans | Debt maturing in 2019                          
Debt Instrument                          
2019                     295,262    
2012 Term Loan                          
Debt Instrument                          
Extension option exercised               1 year          
Debt Instrument, Face Amount             £ 137           $ 184,000
Maturity period of debt instruments             4 years            
2012 Term Loan | GBP LIBOR                          
Debt Instrument                          
Debt instrument, basis spread on variable rate (as a percent)             1.40%            
Unsecured term loan, GBP LIBOR plus 0.975%                          
Debt Instrument                          
Debt Instrument, Face Amount                   £ 220 $ 295,000    
Maturity period of debt instruments                 4 years        
Unsecured term loan, GBP LIBOR plus 0.975% | GBP LIBOR                          
Debt Instrument                          
Debt instrument, basis spread on variable rate (as a percent)                 1.15%        
Senior Unsecured Notes                          
Debt Instrument                          
Weighted-average interest rate (as a percent)                   4.72% 4.72%    
Senior unsecured notes                     $ 8,700,000    
Total debt before discount, net                     8,700,000    
(Discounts), premiums and debt costs, net                     (73,441)    
Debt instruments, carrying amount                     $ 8,626,559    
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 (six months)                     $ 400,000    
Senior Unsecured Notes | Debt maturing in 2017                          
Debt Instrument                          
2017                     750,000    
Senior Unsecured Notes | Debt maturing in 2018                          
Debt Instrument                          
2018                     600,000    
Senior Unsecured Notes | Debt maturing in 2019                          
Debt Instrument                          
2019                     450,000    
Senior Unsecured Notes | Debt maturing in 2020                          
Debt Instrument                          
2020                     800,000    
Senior Unsecured Notes | Thereafter                          
Debt Instrument                          
Thereafter                     $ 5,700,000    
Senior Unsecured, 3.40% notes due 2025                          
Debt Instrument                          
Debt Instrument, Face Amount           $ 600,000              
Debt Instrument, Interest Rate, Stated Percentage (as a percent)           3.40%              
Net proceeds from issuance of senior unsecured notes           $ 591,000              
Senior Unsecured 4.0% notes due 2025                          
Debt Instrument                          
Debt Instrument, Face Amount       $ 750,000                  
Debt Instrument, Interest Rate, Stated Percentage (as a percent)       4.00%                  
Net proceeds from issuance of senior unsecured notes       $ 739,000                  
Senior Unsecured, 4.0% notes due 2022                          
Debt Instrument                          
Debt Instrument, Face Amount   $ 600,000                      
Debt Instrument, Interest Rate, Stated Percentage (as a percent)   4.00%                      
Net proceeds from issuance of senior unsecured notes   $ 594,000                      
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                        
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                
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                    
Mortgage Debt                          
Debt Instrument                          
Weighted-average interest rate (as a percent)                   6.06% 6.06%    
Number of healthcare facilities used to secure debt | item                   40 40    
Debt instrument, collateral, healthcare facilities carrying value                     $ 944,000,000    
Total debt before discount, net                     687,956    
(Discounts), premiums and debt costs, net                     954    
Debt instruments, carrying amount                     $ 688,910    
Weighted-average maturity                 3 years        
Mortgage Debt | Minimum                          
Debt Instrument                          
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                   3.08% 3.08%    
Mortgage Debt | Maximum                          
Debt Instrument                          
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                   8.23% 8.23%    
Mortgage Debt | Debt maturing in 2016                          
Debt Instrument                          
2016 (six months)                     $ 34,240    
Mortgage Debt | Debt maturing in 2017                          
Debt Instrument                          
2017                     581,891    
Mortgage Debt | Debt maturing in 2018                          
Debt Instrument                          
2018                     6,583    
Mortgage Debt | Debt maturing in 2019                          
Debt Instrument                          
2019                     2,072    
Mortgage Debt | Debt maturing in 2020                          
Debt Instrument                          
2020                     2,078    
Mortgage Debt | Thereafter                          
Debt Instrument                          
Thereafter                     61,092    
Non-interest Bearing Life Care Bonds                          
Debt Instrument                          
Other debt                     $ 65,000    
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    
Demand Note                          
Debt Instrument                          
Debt Instrument, Interest Rate, Stated Percentage (as a percent)                   4.50% 4.50%    
Other debt                     $ 28,000