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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 |

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- Definition Number of healthcare facilities which are secured by mortgage debt. + References No definition available. + Details
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- Definition 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. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 470 -SubTopic 20 -Section 50 -Paragraph 4 -Subparagraph (b)(1) -URI http://asc.fasb.org/extlink&oid=109500613&loc=SL6031897-161870 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03(16)) -URI http://asc.fasb.org/extlink&oid=6879938&loc=d3e572229-122910 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(22)) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03(16)) -URI http://asc.fasb.org/extlink&oid=6876686&loc=d3e534808-122878 + Details
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- Definition 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. + References No definition available. + Details
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- Definition The cash outflow during the period from the repayment of aggregate short-term and long-term debt. Excludes payment of capital lease obligations. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3291-108585 + Details
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- Details
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- Details
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