Fair Value of Financial Instruments (Tables)

12 Months Ended

Dec. 31, 2020

Fair Value Disclosures [Abstract]

Summary of Fair Value Information of Financial Instruments

The following table summarizes fair value estimates for our financial instruments (in thousands):

	December 31, 2020						December 31, 2019
Asset (Liability)	Book Value			Fair Value			Book Value			Fair Value
Interest and rent receivables	$	46,208		$	45,381		$	31,357		$	30,472
Loans(1)		751,341			756,608			1,704,854			1,742,153
Debt, net		(8,865,458	)		(9,226,564	)		(7,023,679	)		(7,331,816	)

(1) Excludes the $205 million acquisition loan to the new international joint venture and investment in the real estate of three hospitals in Colombia discussed in Note 3 as they are recorded at fair value and discussed below.

Equity Interest in Related Party and Related Loans Measured at Fair Value on Recurring Basis

At December 31, 2020 and 2019, the amounts recorded under the fair value option method were as follows (in thousands):

	As of December 31, 2020				As of December 31, 2019
Asset (Liability)	Fair Value		Original Cost		Fair Value		Original Cost		Asset Type Classification
Mortgage loans	$	136,332	$	136,332	$	115,000	$	115,000	Mortgage loans
Equity investment and other loans		218,775		218,775		—		—	Equity investments/Other loans