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Investments in Other Entities - Summarized Balance Sheets and Statements of Income (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2022
Mar. 31, 2021
Dec. 31, 2021
Dec. 31, 2020
Assets        
Cash and cash equivalents $ 237,942   $ 233,097 $ 193,470
Receivables, net 55,280   10,608  
Loan receivable 4,000   4,000  
Total assets [1] 912,331   852,363  
Liabilities and Stockholders’ Deficit        
Current liabilities 160,436   115,371  
Stockholders’ deficit 479,521 $ 349,687 460,490 $ 330,911
Total liabilities, mezzanine equity, and stockholders’ equity 912,331   852,363  
Statement of Operations        
Revenue 263,258 176,058    
Expenses 237,047 154,277    
Net income 12,073 14,458    
LaSalle Medical Associates        
Assets        
Cash and cash equivalents 10,712   6,619  
Restricted cash 698   696  
Receivables, net 6,080   2,269  
Loan receivable 2,250   2,250  
Total assets 19,740   11,834  
Liabilities and Stockholders’ Deficit        
Current liabilities 34,530   32,405  
Stockholders’ deficit (14,790)   (20,571)  
Total liabilities, mezzanine equity, and stockholders’ equity 19,740   $ 11,834  
Statement of Operations        
Revenue 67,566 47,224    
Expenses 61,786 48,776    
Net income $ 5,780 $ (1,552)    
[1] The Company’s consolidated balance sheets include the assets and liabilities of its consolidated VIEs. The consolidated balance sheets include total assets that can be used only to settle obligations of the Company’s consolidated VIEs totaling $585.9 million and $567.0 million as of March 31, 2022 and December 31, 2021, respectively, and total liabilities of the Company’s consolidated VIEs for which creditors do not have recourse to the general credit of the primary beneficiary of $111.0 million and $91.7 million as of March 31, 2022 and December 31, 2021, respectively. The VIE balances do not include $529.6 million of investment in affiliates and $25.2 million of amounts due from affiliates as of March 31, 2022 and $802.8 million of investment in affiliates and $6.6 million of amounts due to affiliates as of December 31, 2021 as these are eliminated upon consolidation and not presented within the consolidated balance sheets. See Note 16 – Variable Interest Entities (VIEs) for further detail.