Fair Value of Financial Instruments (Tables)

9 Months Ended

Sep. 30, 2021

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):

	As of September 30, 2021						As of December 31, 2020
Asset (Liability)	Book Value			Fair Value			Book Value			Fair Value
Interest and rent receivables	$	64,622		$	64,967		$	46,208		$	45,381
Loans(1)		1,350,394			1,348,187			751,341			756,608
Debt, net		(10,581,023	)		(10,920,597	)		(8,865,458	)		(9,226,564	)

(1) Excludes the $205 million acquisition loan made in May 2020 to our international joint venture (see Note 3 for further details) and the related subsequent investment in the real estate of three hospitals in Colombia, as these assets are accounted for under the fair value option method.

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

At September 30, 2021 and December 31, 2020, the amounts recorded under the fair value option method were as follows (in thousands):

	As of September 30, 2021				As of December 31, 2020
Asset (Liability)	Fair Value		Original Cost		Fair Value		Original Cost		Asset Type Classification
Mortgage loans	$	130,148	$	130,148	$	136,332	$	136,332	Mortgage loans
Equity investment and other loans		222,420		222,420		218,775		218,775	Equity investments/Other loans