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Acquisitions, Dispositions and Other Significant Transactions - Sale of Health Care Services (Details) - USD ($)
$ in Thousands
1 Months Ended 12 Months Ended
Nov. 01, 2021
Jul. 01, 2021
Oct. 31, 2021
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Investment in unconsolidated ventures       $ 67,424 $ 4,898  
Distributions from unconsolidated ventures from cumulative share of net earnings       $ 6,191 $ 766 $ 3,472
Securities Purchase Agreement | HCA Healthcare, Inc. | Health Care Services            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Percentage of ownership sold in transaction   80.00%        
Purchase price   $ 400,000        
Net cash proceeds   312,600        
Cash proceeds   $ 305,800        
Proceeds from post closing working capital adjustment     $ 6,800      
Percentage of ownership after transaction   20.00%   20.00%    
Investment in unconsolidated ventures   $ 100,000        
Gain on sale of equity method investment       $ 286,500    
Distributions from unconsolidated ventures from cumulative share of net earnings $ 35,000