Investments in Other Entities — Summarized Balance Sheets and Statements of Income (Details) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Assets
Cash and cash equivalents		$ 288,027	$ 233,097	$ 193,470
Receivables, net		52,629	10,608
Loans receivable		996	0
Total assets	[1]	963,905	852,363
Liabilities and stockholders’ deficit
Current liabilities		147,329	115,371
Stockholders’ deficit		555,013	460,490	330,911	$ 192,335
Total liabilities, mezzanine equity, and stockholders’ equity		963,905	852,363
Statements of Operations
Revenues		1,144,163	773,915	687,180
Expenses		1,039,898	675,736	606,677
Income from operations		104,265	98,179	80,503
Other income (expense)		3,944	(3,750)	1,077
Net income		50,531	49,294	122,320
LaSalle Medical Associates
Assets
Cash and cash equivalents		15,671	6,619
Receivables, net		5,064	2,269
Prepaid assets		5,032	0
Loans receivable		2,250	2,250
Restricted cash		700	696
Total assets		28,717	11,834
Liabilities and stockholders’ deficit
Current liabilities		30,331	32,405
Stockholders’ deficit		(1,614)	(20,571)
Total liabilities, mezzanine equity, and stockholders’ equity		28,717	11,834
Statements of Operations
Revenues		253,469	204,061	186,964
Expenses		239,884	220,132	185,724
Income from operations		13,585	(16,071)	1,240
Other income (expense)		(44)	0	8
Net income		$ 13,541	$ (16,071)	$ 1,248

[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 $505.8 million and $567.0 million as of December 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 $129.7 million and $91.7 million as of December 31, 2022 and December 31, 2021, respectively. These VIE balances do not include $304.8 million of investment in affiliates and $30.3 million of amounts due from affiliates as of December 31, 2022 and $802.8 million of investment in affiliates and $6.6 million of amounts due from affiliates as of December 31, 2021 as these are eliminated upon consolidation and not presented within the consolidated balance sheets. See Note 18 – “Variable Interest Entities (VIEs)” for further detail.