Carrying amount of healthcare facilities which are secured by mortgage debt.

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Number of healthcare facilities which are secured by mortgage debt.

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Amount, before unamortized (discount) premium and debt issuance costs, of long-term debt. Includes, but is not limited to, notes payable, bonds payable, commercial loans, mortgage loans, convertible debt, subordinated debt and other types of debt.

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Contractual interest rate for funds borrowed, under the debt agreement.

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Amount, after accumulated amortization, of debt discount (premium).

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Weighted average interest rate of debt outstanding.

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Including the current and noncurrent portions, carrying value as of the balance sheet date of loans from a bank with maturities initially due after one year or beyond the normal operating cycle if longer.

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Amount, after unamortized (discount) premium and debt issuance costs, of long-term debt. Includes, but not limited to, notes payable, bonds payable, debentures, mortgage loans and commercial paper. Excludes capital lease obligations.

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Amount of long-term debt payable, sinking fund requirements, and other securities issued that are redeemable by holder at fixed or determinable prices and dates maturing after the fifth fiscal year following the latest fiscal year. Excludes interim and annual periods when interim periods are reported on a rolling approach, from latest balance sheet date.

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Amount of long-term debt payable, sinking fund requirements, and other securities issued that are redeemable by holder at fixed or determinable prices and dates maturing in the fifth fiscal year following the latest fiscal year. Excludes interim and annual periods when interim periods are reported on a rolling approach, from latest balance sheet date.

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Amount of long-term debt payable, sinking fund requirements, and other securities issued that are redeemable by holder at fixed or determinable prices and dates maturing in the fourth fiscal year following the latest fiscal year. Excludes interim and annual periods when interim periods are reported on a rolling approach, from latest balance sheet date.

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Amount of long-term debt payable, sinking fund requirements, and other securities issued that are redeemable by holder at fixed or determinable prices and dates maturing in the third fiscal year following the latest fiscal year. Excludes interim and annual periods when interim periods are reported on a rolling approach, from latest balance sheet date.

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Amount of long-term debt payable, sinking fund requirements, and other securities issued that are redeemable by holder at fixed or determinable prices and dates maturing in the remainder of the fiscal year following the latest fiscal year. Excludes interim and annual periods when interim periods are reported on a rolling approach, from latest balance sheet date.

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The carrying amount as of the balance sheet date for the aggregate of other miscellaneous borrowings owed by the reporting entity.

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The cash outflow during the period from the repayment of aggregate short-term and long-term debt. Excludes payment of capital lease obligations.

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No definition available.

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Debt - Mortgage Debt (Details) $ in Thousands, £ in Millions	1 Months Ended	3 Months Ended
	Mar. 31, 2017 USD ($)	Mar. 31, 2018 USD ($) facility	Mar. 31, 2018 GBP (£) facility	Dec. 31, 2017 USD ($)
Debt Instrument
Term loan		$ 236,878		$ 228,288
Total debt before discount, net		7,917,236
(Discounts), premiums and debt costs, net		(45,501)
Debt instruments, carrying amount		7,871,735
Other debt		93,856		$ 94,165
Debt maturing in 2018
Debt Instrument
2018 (nine months)		2,649
Debt maturing in 2019
Debt Instrument
2019		690,875
Debt maturing in 2020
Debt Instrument
2020		803,758
Debt maturing in 2021
Debt Instrument
2021		1,803,474
Debt maturing in 2022
Debt Instrument
2022		902,861
Thereafter
Debt Instrument
Thereafter		3,713,619
2015 Term Loan
Debt Instrument
Term loan		237,000	£ 169
Bank Line of Credit
Debt Instrument
Total debt before discount, net		1,092,357
(Discounts), premiums and debt costs, net		0
Debt instruments, carrying amount		1,092,357
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		1,092,357
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		237,175
(Discounts), premiums and debt costs, net		(297)
Debt instruments, carrying amount		236,878
Term loans \| Debt maturing in 2018
Debt Instrument
2018 (nine months)		0
Term loans \| Debt maturing in 2019
Debt Instrument
2019		237,175
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
Total debt before discount, net		6,450,000
(Discounts), premiums and debt costs, net		(51,024)
Debt instruments, carrying amount		$ 6,398,976
Weighted-average interest rate (as a percent)		4.20%	4.20%
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 2018
Debt Instrument
2018 (nine months)		$ 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		700,000
Unsecured Debt \| Debt maturing in 2022
Debt Instrument
2022		900,000
Unsecured Debt \| Thereafter
Debt Instrument
Thereafter		$ 3,600,000
Mortgage Debt
Debt Instrument
Number of healthcare facilities used to secure debt \| facility		16	16
Debt instrument, collateral, healthcare facilities carrying value		$ 296,000
Repayments of debt	$ 472,000
Total debt before discount, net		137,704
(Discounts), premiums and debt costs, net		5,820
Debt instruments, carrying amount		$ 143,524
Weighted-average interest rate (as a percent)		4.18%	4.18%
Weighted-average maturity		20 years
Mortgage Debt \| Minimum
Debt Instrument
Percentage of stated interest rate		1.95%	1.95%
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)		$ 2,649
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 \| Debt maturing in 2022
Debt Instrument
2022		2,861
Mortgage Debt \| Thereafter
Debt Instrument
Thereafter		$ 113,619