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Debt - Mortgage Debt (Details)
$ in Thousands, £ in Millions
1 Months Ended
Jul. 03, 2018
GBP (£)
Jun. 30, 2017
GBP (£)
Nov. 30, 2018
USD ($)
Mar. 31, 2017
USD ($)
Dec. 31, 2018
USD ($)
facility
Debt Instrument [Line Items]          
Long-term debt, gross         $ 5,513,437
2015 Term Loan          
Debt Instrument [Line Items]          
Repayments of debt £ 169 £ 51 $ 224,000    
Mortgage debt          
Debt Instrument [Line Items]          
Long-term debt, gross         $ 133,334
Number of healthcare facilities used to secure debt (in facilities) | facility         15
Debt instrument, collateral, healthcare facilities carrying value         $ 278,000
Repayments of debt       $ 472,000