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Debt - Mortgage Debt (Details)
$ in Thousands, £ in Millions
1 Months Ended 3 Months Ended 6 Months Ended
Jul. 31, 2017
USD ($)
Mar. 31, 2017
USD ($)
Sep. 30, 2017
USD ($)
Jun. 30, 2017
USD ($)
facility
Jun. 30, 2017
GBP (£)
facility
Dec. 31, 2016
USD ($)
property
Debt Instrument            
Total debt before discount, net       $ 7,445,960    
(Discounts), premiums and debt costs, net       (55,435)    
Debt instruments, carrying amount       7,390,525    
Other debt       94,801   $ 92,385
Debt maturing in 2017            
Debt Instrument            
2017       1,685    
Debt maturing in 2018            
Debt Instrument            
2018       139,823    
Debt maturing in 2019            
Debt Instrument            
2019       673,096    
Debt maturing in 2020            
Debt Instrument            
2020       803,758    
Debt maturing in 2021            
Debt Instrument            
2021       1,211,117    
Thereafter            
Debt Instrument            
Thereafter       4,616,481    
Bank Line of Credit            
Debt Instrument            
Total debt before discount, net       136,311    
Debt instruments, carrying amount       $ 136,311    
Line of credit, portion denominated in GBP | £         £ 105  
Weighted-average interest rate (as a percent)       1.63% 1.63%  
Bank Line of Credit | Debt maturing in 2018            
Debt Instrument            
2018       $ 136,311    
Term loans            
Debt Instrument            
Total debt before discount, net       219,396    
(Discounts), premiums and debt costs, net       (564)    
Debt instruments, carrying amount       218,832    
Term loans, portion denominated in GBP | £         £ 169  
Term loans | Debt maturing in 2019            
Debt Instrument            
2019       219,396    
Unsecured Debt            
Debt Instrument            
Total debt before discount, net       6,950,000    
(Discounts), premiums and debt costs, net       (60,955)    
Debt instruments, carrying amount       $ 6,889,045    
Weighted-average interest rate (as a percent)       4.29% 4.29%  
Weighted-average maturity       6 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 2017            
Debt Instrument            
2017       $ 0    
Unsecured Debt | Debt maturing in 2019            
Debt Instrument            
2019       450,000    
Unsecured Debt | Debt maturing in 2020            
Debt Instrument            
2020       800,000    
Unsecured Debt | Debt maturing in 2021            
Debt Instrument            
2021       1,200,000    
Unsecured Debt | Thereafter            
Debt Instrument            
Thereafter       $ 4,500,000    
Mortgage Debt            
Debt Instrument            
Number of healthcare facilities used to secure debt | facility       16 16  
Debt instrument, collateral, healthcare facilities carrying value       $ 306,000    
Cash distribution   $ 472,000        
Total debt before discount, net       140,253    
(Discounts), premiums and debt costs, net       6,084    
Debt instruments, carrying amount       $ 146,337    
Weighted-average interest rate (as a percent)       4.23% 4.23%  
Weighted-average maturity       20 years    
Mortgage Debt | Minimum            
Debt Instrument            
Percentage of stated interest rate       2.99% 2.99%  
Mortgage Debt | Maximum            
Debt Instrument            
Percentage of stated interest rate       5.91% 5.91%  
Mortgage Debt | Debt maturing in 2017            
Debt Instrument            
2017       $ 1,685    
Mortgage Debt | Debt maturing in 2018            
Debt Instrument            
2018       3,512    
Mortgage Debt | Debt maturing in 2019            
Debt Instrument            
2019       3,700    
Mortgage Debt | Debt maturing in 2020            
Debt Instrument            
2020       3,758    
Mortgage Debt | Debt maturing in 2021            
Debt Instrument            
2021       11,117    
Mortgage Debt | Thereafter            
Debt Instrument            
Thereafter       116,481    
Life Care Bonds and Demand Notes            
Debt Instrument            
Other debt       $ 95,000    
Senior housing triple-net            
Debt Instrument            
Number of properties classified as held for sale | property           64
Senior Notes | Subsequent event | 5.375% Senior Notes due 2021            
Debt Instrument            
Percentage of stated interest rate 5.375%          
Amount of debt repurchased $ 500,000          
Loss on debt extinguishment     $ 54,000