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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The portion of the outstanding balance of the debt that is denominated in a foreign currency.

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This element represents weighted average maturity of 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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Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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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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No definition available.

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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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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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Debt - Mortgage Debt (Details) £ in Millions	3 Months Ended
Debt - Mortgage Debt (Details) £ in Millions	Mar. 31, 2019 USD ($) facility	Mar. 31, 2019 GBP (£) facility	Dec. 31, 2018 USD ($)
Debt Instrument
2019 (nine months)	$ 2,686,000
2020	803,609,000
2021	287,457,000
2022	902,691,000
2023	802,811,000
Thereafter	2,909,705,000
Total debt before discount, net	5,708,959,000
(Discounts), premiums and debt costs, net	(34,312,000)
Debt instruments, carrying amount	5,674,647,000
Other debt	89,223,000		$ 90,785,000
Bank Line of Credit
Debt Instrument
2019 (nine months)	0
2020	0
2021	276,500,000
2022	0
2023	0
Thereafter	0
Total debt before discount, net	276,500,000
(Discounts), premiums and debt costs, net	0
Debt instruments, carrying amount	$ 276,500,000
Term loans
Debt Instrument
Weighted-average interest rate (as a percent)	4.03%	4.03%
Weighted-average maturity	5 years
Term loans \| Minimum
Debt Instrument
Percentage of stated interest rate	2.79%	2.79%
Term loans \| Maximum
Debt Instrument
Percentage of stated interest rate	6.87%	6.87%
Senior Unsecured Note
Debt Instrument
Repayments of debt	$ 0
2019 (nine months)	0
2020	800,000,000
2021	0
2022	900,000,000
2023	800,000,000
Thereafter	2,800,000,000
Total debt before discount, net	5,300,000,000
(Discounts), premiums and debt costs, net	(39,378,000)
Debt instruments, carrying amount	$ 5,260,622,000
Mortgage Debt
Debt Instrument
Number of healthcare facilities used to secure debt \| facility	15	15
Debt instrument, collateral, healthcare facilities carrying value	$ 276,000,000
2019 (nine months)	2,686,000
2020	3,609,000
2021	10,957,000
2022	2,691,000
2023	2,811,000
Thereafter	109,705,000
Total debt before discount, net	132,459,000
(Discounts), premiums and debt costs, net	5,066,000
Debt instruments, carrying amount	$ 137,525,000
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	2.47%	2.47%
Mortgage Debt \| Maximum
Debt Instrument
Percentage of stated interest rate	5.91%	5.91%
Revolving Credit Facility \| Bank Line of Credit
Debt Instrument
Debt denominated in foreign currency outstanding	$ 72,000,000	£ 55
Weighted-average interest rate (as a percent)	3.20%	3.20%