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Investments - Balance of Investments (Details)
$ in Thousands
9 Months Ended
Sep. 30, 2016
USD ($)
Investments [Roll Forward]  
Balance December 31, 2015 $ 56,863
Other comprehensive loss (456)
Net income (loss) (1,203)
Distributions (5,933)
Consolidation of equity investment (1,220)
Balance September 30, 2016 48,051
HealthSpring  
Investments [Roll Forward]  
Balance December 31, 2015 1,291
Other comprehensive loss 0
Net income (loss) 14
Distributions (85)
Consolidation of equity investment (1,220)
Balance September 30, 2016 0
Digital Realty Joint Venture  
Investments [Roll Forward]  
Balance December 31, 2015 55,572
Other comprehensive loss (456)
Net income (loss) (1,217)
Distributions (5,848)
Consolidation of equity investment 0
Balance September 30, 2016 $ 48,051