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Dispositions of Real Estate and Discontinued Operations - Quality Care Properties, Inc (Details) shares in Millions |  |  | 3 Months Ended | 12 Months Ended |  |
--- | --- | --- | --- | --- | --- | ---
Oct. 31, 2018 | Oct. 31, 2016 USD ($) shares | Dec. 31, 2016 USD ($) | Dec. 31, 2018 USD ($) | Dec. 31, 2017 USD ($) | Dec. 31, 2016 USD ($) | Jun. 30, 2017 USD ($) | Oct. 17, 2016 USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |
Payments of dividends |  |  |  | $ 696,913,000 | $ 694,955,000 | $ 979,542,000 |  |
Stock distribution ratio | 5 | 5 |  |  |  |  |  |
Distribution of QCP, Inc. |  |  |  |  |  | (3,532,763,000) |  |
Gain (loss) on disposition of assets |  | $ 0 |  |  |  |  |  |
Bank line of credit |  |  |  | 80,103,000 | 1,017,076,000 |  |  |
Prepayments of secured debt |  |  | $ 108,000,000 |  |  |  |  |
Loss on extinguishment of debt |  |  |  | $ 44,162,000 | $ 54,227,000 | $ 46,020,000 |  |
QCP |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |
Distribution of QCP, Inc. |  | 3,500,000,000 |  |  |  |  |  |
Mortgage debt | QCP |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |
Aggregate principal amount |  |  |  |  |  |  |  | $ 750,000,000
QCP |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |
Proceeds from issuance of debt |  | 1,750,000,000 |  |  |  |  |  |
Payments of dividends |  | $ 1,690,000,000 |  |  |  |  |  |
Number of shares issued (in shares) | shares |  | 94 |  |  |  |  |  |
QCP | Revolving credit facility |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |
Line of credit facility, maximum borrowing capacity |  | $ 100,000,000 |  |  |  |  | $ 0 |
Bank line of credit |  |  |  |  |  |  | $ 0 |
QCP | Mortgage debt |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |
Interest rate (as a percent) |  |  |  |  |  |  |  | 8.125%
Interest expense |  | 2,000,000 |  |  |  |  |  |
Proceeds from issuance of debt |  | $ 1,000,000,000 |  |  |  |  |  |
QCP | Mortgage debt | LIBOR |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |
Loan, basis spread on variable rate |  | 5.25% |  |  |  |  |  |
QCP | Mortgage debt | Base rate |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |
Loan, basis spread on variable rate |  | 4.25% |  |  |  |  |  |
QCP | Mortgage debt | Minimum |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |
Interest rate (as a percent) |  |  |  |  |  |  |  | 1.00%
Senior Unsecured Debt 6.000% |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |
Interest rate (as a percent) |  |  | 6.00% |  |  | 6.00% |  |
Repayment of senior unsecured notes |  |  | $ 500,000,000 |  |  |  |  |
Loss on extinguishment of debt |  |  | $ 46,000,000 |  |  |  |  |
Senior Unsecured Debt 6.700% |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |
Interest rate (as a percent) |  |  | 6.70% |  |  | 6.70% |  |
Repayment of senior unsecured notes |  |  | $ 600,000,000 |  |  |  |  |

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